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保險知識普及
了解人身保險合同中的“關鍵期”,保險消費不糊涂

 

 

    理解(jie)人(ren)(ren)(ren)(ren)身(shen)保(bao)(bao)險(xian)合同(tong)(tong)對(dui)消費(fei)(fei)者(zhe)至關重(zhong)要。然(ran)而在(zai)現(xian)實(shi)生(sheng)活(huo)中(zhong),不少(shao)消費(fei)(fei)者(zhe)都覺(jue)得保(bao)(bao)險(xian)合同(tong)(tong)晦澀(se)難懂(dong),有的(de)(de)(de)消費(fei)(fei)者(zhe)只聽銷售人(ren)(ren)(ren)(ren)員(yuan)的(de)(de)(de)介紹,隨意(yi)翻看幾頁就簽名了(le)事。這樣的(de)(de)(de)消費(fei)(fei)者(zhe)就容易(yi)忽(hu)略保(bao)(bao)險(xian)合同(tong)(tong)中(zhong)的(de)(de)(de)關鍵條款,極易(yi)對(dui)合同(tong)(tong)內容產生(sheng)誤解(jie)。尤其是(shi)人(ren)(ren)(ren)(ren)身(shen)保(bao)(bao)險(xian)合同(tong)(tong)里除了(le)保(bao)(bao)險(xian)責(ze)任(ren)(ren)、責(ze)任(ren)(ren)免(mian)除等基礎條款外,對(dui)各種時間也有詳細的(de)(de)(de)規定(ding)。保(bao)(bao)險(xian)消費(fei)(fei)者(zhe)在(zai)購買人(ren)(ren)(ren)(ren)身(shen)保(bao)(bao)險(xian)時,應重(zhong)點關注與自身(shen)利(li)益相關的(de)(de)(de)四個“關鍵期(qi)”。今天就讓(rang)我(wo)們一(yi)起了(le)解(jie)下(xia)人(ren)(ren)(ren)(ren)身(shen)保(bao)(bao)險(xian)合同(tong)(tong)中(zhong)必(bi)須牢記(ji)的(de)(de)(de)五個“關鍵期(qi)”。

 

    猶豫期(qi)

 

    猶(you)(you)(you)豫(yu)期又(you)稱(cheng)冷(leng)靜期,是指投(tou)保(bao)人(ren)在(zai)(zai)(zai)與(yu)保(bao)險(xian)(xian)(xian)公司簽(qian)訂保(bao)險(xian)(xian)(xian)合(he)(he)同(tong)的(de)一定(ding)期限(xian)內(nei)(nei),若(ruo)發現(xian)保(bao)險(xian)(xian)(xian)合(he)(he)同(tong)與(yu)自己的(de)需(xu)求(qiu)不(bu)相符,可(ke)以(yi)(yi)申請撤銷保(bao)險(xian)(xian)(xian)合(he)(he)同(tong),保(bao)險(xian)(xian)(xian)公司在(zai)(zai)(zai)扣除(chu)合(he)(he)同(tong)工(gong)本(ben)費后(hou)無息退(tui)還已(yi)收保(bao)險(xian)(xian)(xian)費。猶(you)(you)(you)豫(yu)期一般(ban)為10至15天,保(bao)險(xian)(xian)(xian)期間在(zai)(zai)(zai)一年及以(yi)(yi)下的(de)合(he)(he)同(tong)無猶(you)(you)(you)豫(yu)期,具體以(yi)(yi)保(bao)險(xian)(xian)(xian)合(he)(he)同(tong)的(de)規定(ding)為準。保(bao)險(xian)(xian)(xian)期間在(zai)(zai)(zai)1年期以(yi)(yi)上的(de)長期險(xian)(xian)(xian)基本(ben)設有猶(you)(you)(you)豫(yu)期,投(tou)保(bao)人(ren)如在(zai)(zai)(zai)猶(you)(you)(you)豫(yu)期內(nei)(nei)退(tui)保(bao)可(ke)拿(na)回(hui)全部已(yi)交(jiao)的(de)保(bao)費,但(dan)若(ruo)過了(le)猶(you)(you)(you)豫(yu)期再退(tui)保(bao),所(suo)交(jiao)保(bao)費將無法(fa)全額(e)退(tui)回(hui),只能拿(na)回(hui)現(xian)金(jin)價值。猶(you)(you)(you)豫(yu)期的(de)設置可(ke)以(yi)(yi)讓(rang)投(tou)保(bao)人(ren)更加理性地考(kao)慮是否購買并繼續持有保(bao)險(xian)(xian)(xian)。

 

    等待期

 

    等待(dai)(dai)期(qi)(qi)又(you)稱“觀察(cha)期(qi)(qi)”或(huo)(huo)(huo)“免責期(qi)(qi)”,是(shi)(shi)指保(bao)(bao)險(xian)合同生(sheng)(sheng)效或(huo)(huo)(huo)者復(fu)效后(hou)的(de)一段時間(jian),在(zai)該時段內發生(sheng)(sheng)保(bao)(bao)險(xian)事(shi)(shi)故,保(bao)(bao)險(xian)公(gong)司(si)不(bu)承(cheng)擔(dan)賠償責任(ren)。觀察(cha)期(qi)(qi)只(zhi)適用于生(sheng)(sheng)效或(huo)(huo)(huo)者復(fu)效后(hou)的(de)第(di)一個保(bao)(bao)險(xian)年度,續(xu)保(bao)(bao)或(huo)(huo)(huo)因意外傷害(hai)事(shi)(shi)故造(zao)成的(de)保(bao)(bao)險(xian)事(shi)(shi)故,則無等待(dai)(dai)期(qi)(qi)。特別是(shi)(shi)在(zai)醫(yi)療(liao)險(xian)、重疾險(xian)這幾類健康險(xian)中,被保(bao)(bao)險(xian)人(ren)在(zai)首次投(tou)(tou)保(bao)(bao)時,從(cong)合同簽發日或(huo)(huo)(huo)生(sheng)(sheng)效日(因公(gong)司(si)或(huo)(huo)(huo)產品而(er)異(yi))算起的(de)等待(dai)(dai)期(qi)(qi)內如被保(bao)(bao)險(xian)人(ren)患病,保(bao)(bao)險(xian)公(gong)司(si)不(bu)予承(cheng)擔(dan)賠償責任(ren)。目(mu)前根據(ju)險(xian)種的(de)不(bu)同,市場上保(bao)(bao)險(xian)產品的(de)等待(dai)(dai)期(qi)(qi)通常為30天、90天、180天(因公(gong)司(si)或(huo)(huo)(huo)產品而(er)異(yi))。其中,重疾險(xian)、壽險(xian)的(de)等待(dai)(dai)期(qi)(qi)多(duo)為 90 至 180 天,具體以保(bao)(bao)險(xian)合同條款(kuan)為準(zhun)。等待(dai)(dai)期(qi)(qi)的(de)設(she)置是(shi)(shi)為了營(ying)造(zao)公(gong)平(ping)、公(gong)正的(de)金(jin)融(rong)消(xiao)費(fei)環境,防止投(tou)(tou)保(bao)(bao)人(ren)帶病投(tou)(tou)保(bao)(bao),更好地保(bao)(bao)護廣大消(xiao)費(fei)者的(de)利益。

 

    繳費(fei)期

 

    目前(qian),長(chang)(chang)期(qi)險保(bao)(bao)(bao)單大(da)多(duo)有躉繳(jiao)(1年)/5年/10年/20年/30年等繳(jiao)費(fei)期(qi)可(ke)選(xuan)(xuan)。在(zai)通常情況(kuang)(kuang)下,同一(yi)款(kuan)產品繳(jiao)費(fei)期(qi)越(yue)長(chang)(chang),每年所繳(jiao)保(bao)(bao)(bao)費(fei)越(yue)少,但總保(bao)(bao)(bao)費(fei)也會更多(duo),反之(zhi)亦是(shi)如此(ci)。如選(xuan)(xuan)擇帶有保(bao)(bao)(bao)費(fei)豁免功能的(de)保(bao)(bao)(bao)險產品,則繳(jiao)費(fei)期(qi)越(yue)長(chang)(chang),保(bao)(bao)(bao)費(fei)豁免的(de)可(ke)能性就越(yue)高。綜合而言(yan),繳(jiao)費(fei)期(qi)的(de)選(xuan)(xuan)擇沒有絕對的(de)好壞之(zhi)分,投保(bao)(bao)(bao)人一(yi)般可(ke)根據自(zi)身的(de)年齡、身體(ti)(ti)狀(zhuang)況(kuang)(kuang)、保(bao)(bao)(bao)費(fei)預算等情況(kuang)(kuang)來綜合考慮。

 

    寬限期

 

    寬(kuan)限(xian)(xian)期是指對(dui)于分期支付(fu)的(de)保(bao)(bao)(bao)(bao)(bao)險(xian)費,保(bao)(bao)(bao)(bao)(bao)險(xian)公(gong)司對(dui)投(tou)保(bao)(bao)(bao)(bao)(bao)人(ren)未按時繳納所給予的(de)寬(kuan)限(xian)(xian)時間,一(yi)般為(wei)60天。寬(kuan)限(xian)(xian)期內發生(sheng)保(bao)(bao)(bao)(bao)(bao)險(xian)事故的(de),保(bao)(bao)(bao)(bao)(bao)險(xian)公(gong)司仍承擔保(bao)(bao)(bao)(bao)(bao)險(xian)責任,但(dan)將從(cong)所給付(fu)的(de)保(bao)(bao)(bao)(bao)(bao)險(xian)金(jin)中扣(kou)除欠繳的(de)保(bao)(bao)(bao)(bao)(bao)險(xian)費。寬(kuan)限(xian)(xian)期的(de)設置讓投(tou)保(bao)(bao)(bao)(bao)(bao)人(ren)在出現(xian)短期資金(jin)周轉困(kun)難或(huo)者忘(wang)記(ji)繳費時,有一(yi)定的(de)時間籌集保(bao)(bao)(bao)(bao)(bao)費、及時補(bu)交,避免保(bao)(bao)(bao)(bao)(bao)險(xian)合同的(de)非(fei)故意失效。

 

    中(zhong)止期

 

    中止(zhi)期(qi)又稱(cheng)“復(fu)效(xiao)(xiao)期(qi)”,是指保(bao)(bao)險(xian)(xian)合同(tong)一段(duan)期(qi)間內效(xiao)(xiao)力中止(zhi),中止(zhi)期(qi)通常(chang)為(wei)2年(nian)。如(ru)果投保(bao)(bao)人選擇“中止(zhi)合同(tong)”,并且(qie)沒(mei)有(you)在寬(kuan)限(xian)(xian)期(qi)內交納到期(qi)應(ying)交的保(bao)(bao)險(xian)(xian)費,保(bao)(bao)險(xian)(xian)合同(tong)自(zi)寬(kuan)限(xian)(xian)期(qi)滿的次日零時起進入中止(zhi)期(qi)。中止(zhi)期(qi)內發生(sheng)保(bao)(bao)險(xian)(xian)事(shi)故的,保(bao)(bao)險(xian)(xian)公司(si)不承(cheng)擔(dan)保(bao)(bao)險(xian)(xian)責任。在中止(zhi)期(qi)內,投保(bao)(bao)人可以向(xiang)保(bao)(bao)險(xian)(xian)公司(si)申請恢復(fu)合同(tong)效(xiao)(xiao)力,審核通過后需(xu)要補交未交納的保(bao)(bao)險(xian)(xian)費和(he)利息,保(bao)(bao)險(xian)(xian)合同(tong)效(xiao)(xiao)力恢復(fu),重(zhong)新(xin)獲得保(bao)(bao)險(xian)(xian)保(bao)(bao)障。

 

    資料來源:

 

     1.北大方正人壽微信(xin)公眾號(hao).了(le)解保險合(he)同中的(de)四個“期”,保險消費更(geng)放(fang)心.2024-10-14

 

     2.中(zhong)宏保(bao)險(xian)官(guan)網.猶豫期、等待期、寬限期、中(zhong)止(zhi)期、終止(zhi)期……傻傻分不(bu)清?2023-07-07

 

 

 

 

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