第4部份:解釋人壽保險保單

Paper III — Long Term Insurance · Part 4: Explaining the Life Insurance Policy

Q1 免費 Free

人壽保單的「整份合約條款」(Entire Contract Provision)規定:

The 'Entire Contract Provision' in a life insurance policy stipulates that:

  • A. 保險公司可隨時修改保單條款
  • B. 索賠時以口頭協議為準
  • C. 被保人須接受保險公司的所有額外規定
  • D. 保單連同申請書構成雙方之間的完整合約
  • A. The insurer may modify policy terms at any time
  • B. Oral agreements prevail at the time of claim
  • C. The insured must accept all additional regulations of the insurer
  • D. The policy together with the application form constitutes the complete contract between the parties
顯示答案 / Show Answer

正確答案 / Correct Answer: D

  • 整份合約條款確保保單文件(包括申請書、保單本身及所有附件)構成雙方之間完整的合約,保險公司不得在保單以外另立規則約束投保人。
  • 這保護投保人的利益,防止保險公司單方面以口頭或其他文件更改合約條款。
  • 任何不在保單文件內的承諾,在法律上對保險公司均無約束力。
  • The Entire Contract Provision ensures that the policy documents (including the application, policy itself, and all attachments) constitute the complete contract between the parties; the insurer cannot impose rules outside the policy documents.
  • This protects policyholders' interests by preventing insurers from unilaterally changing contract terms through oral or other documents.
  • Any promise not contained in the policy documents is legally non-binding on the insurer.
Q2 免費 Free

人壽保單的「不可爭議條款」(Incontestability Provision)意指:

The 'Incontestability Provision' in a life insurance policy means:

  • A. 保險公司可在任何時間以失實陳述為由撤銷保單
  • B. 保單生效後一段時間(通常為兩年)後,保險公司不得以不實陳述為由拒絕賠償
  • C. 投保人可在任何時間退保並取回全額保費
  • D. 保險公司不得拒絕任何理由提出的索賠
  • A. The insurer can void the policy at any time on the grounds of misrepresentation
  • B. After a specified period (usually two years) from policy inception, the insurer cannot deny a claim on the basis of misrepresentation
  • C. The policyholder can surrender the policy at any time and receive a full refund of premiums
  • D. The insurer cannot refuse any claim for any reason
顯示答案 / Show Answer

正確答案 / Correct Answer: B

  • 不可爭議條款規定,保單生效後超過規定年期(通常為兩年),保險公司便不能以申請時的失實陳述或遺漏為由撤銷保單或拒絕賠償。
  • 例外情況可能包括蓄意欺詐,視乎各地法規及保單條款而定。
  • 此條款保護被保人及受益人,確保長期有效的保單不因早期輕微失實陳述而被撤銷。
  • The Incontestability Provision states that after a specified period (usually two years) from policy inception, the insurer cannot void the policy or deny a claim on the basis of misrepresentation or omission at the time of application.
  • Exceptions may include intentional fraud, depending on local regulations and policy terms.
  • This provision protects the insured and beneficiaries, ensuring long-standing valid policies are not cancelled due to minor early misrepresentations.

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