被保险人：林玲  Insured: Lin Ling
证件类型：身份证   ID Type: ID card
受益人信息：法定受益人   Beneficiary Information: Legal beneficiary

与投保人关系：儿女  Relationship with the policyholder: sons and daughters
证件号码：310110200205171020   ID number: 310110200205171020

首期保险费合计： 26.20  Total initial premium: 26.20

1．就医行为：被保险人过去2年因病住院、手术或连续服药30天以上。
1. Medical treatment: The insured has been hospitalized, operated on or taken medication for more than 30 consecutive days due to illness in the past 2 years.
2．被保险人正在或曾经患有下列疾病或症状：   2. The Insured Person is suffering from or has suffered from any of the following diseases or symptoms:
（1）肿瘤，瘫痪，精神病，甲乙类法定传染病；脑梗死，脑出血，脑血管畸形， 2 级或以上高血压（收缩压大于 160 mmHg ，舒张压大于 100 mmHg ），心脏疾病，慢性阻塞性肺病；糖尿病，慢性肾炎，肾病综合征，多囊肾，肾功能不全，骨髓增生异常，再障性贫血，系统性红斑狼疮，类风湿性关节炎；肝炎（肝炎病毒携带者），肝硬化；癫痫，帕金森氏病。
(1) Tumor, paralysis, mental illness, Class A and B notifiable infectious diseases; Cerebral infarction, intracerebral hemorrhage, cerebrovascular malformation, Grade 2 or above hypertension (systolic blood pressure greater than 160 mmHg, diastolic blood pressure greater than 100 mmHg), heart disease, chronic obstructive pulmonary disease; diabetes mellitus, chronic nephritis, nephrotic syndrome, polycystic kidney disease, renal insufficiency, myelodysplasia, aplastic anemia, systemic lupus erythematosus, rheumatoid arthritis; hepatitis (hepatitis virus carrier), cirrhosis of the liver; Epilepsy, Parkinson's disease.
（2）对于不满3周岁的被保险人，出生时体重低于2．5公斤，存在早产、窒息、发育迟缓、脑瘫情况。
(2) For the insured under the age of 3, the weight at birth is less than 2.5 kg, and there is premature birth, asphyxia, developmental delay, and cerebral palsy.
3．保险情况：被保险人过去2年曾被保险公司拒保、延期、加费或者附加相关条件承保。
3. Insurance: The insured has been denied, extended, increased or underwritten by the insurance company in the past 2 years.
注：因以下原因住院作为例外事项，仍可投保本产品：分娩；急性呼吸系统疾病；急性肠胃炎、急性阑尾炎；胆结石经治疗后两年内未复发；胆囊息肉已手术切除且病理结果为良性；意外住院在5天以内且已痊愈，并无后遗症或器官缺损。
Note: Hospitalization due to the following reasons is an exception, and this product can still be insured: childbirth; acute respiratory diseases; acute gastroenteritis, acute appendicitis; Gallstones have not recurred within two years of treatment; The gallbladder polyp has been surgically removed and the pathological results are benign; Accidental hospitalization within 5 days and recovery, no sequelae or organ defects.
投保人已确认被保险人无健康告知所述情况。   The policyholder has confirmed that the insured person has not been informed of the health situation.
如有隐瞒或告知不实，足以影响保险公司同意承保的，保险公司有权解除合同，并对合同解除前发生的任何保险事故不承担任何责任。
If there is any concealment or false information, which is enough to affect the insurance company's agreement to underwrite, the insurance company has the right to terminate the contract and shall not be liable for any insured accident that occurs before the termination of the contract.

1．本保险不接受职业范围属于矿工、采石工、采砂工、爆破工、高压电工程设施人员、海洋船员、潜水员、火药炸药制造及处理人、特技演员、驯兽师、防暴警察、特种兵、战地记者的被保险人投保，若投保人未履行如实告知义务，本公司有权解除本合同且不承担给付保险金的责任。被保险人因职业变更属于以上职业范围，保险人将退还自职业变更之日起的现金价值。
1. This insurance does not accept the insured whose occupation is mineer, quarryman, sand miner, blaster, high-voltage engineering facility personnel, marine crew, diver, gunpowder and explosives manufacturer and handler, stuntman, animal trainer, riot police, special forces, war correspondent, if the insured fails to fulfill the obligation to truthfully inform, the company has the right to terminate this contract and does not assume the responsibility of paying the insurance money. If the insured falls within the above scope of occupation due to the change of occupation, the insurer will refund the cash value from the date of the change of occupation.
2．用户在首次投保时如实告知，投保后罹患的疾病在续保年度不属于《人保健康悠爱保互联网医疗保险（费率可调）》和《人保健康悠福保互联网特定疾病医疗保险（费率可调）》条款 2.6 责任免除第（6）条所列既往症范围。 3．续保升级至＂好医保•长期医疗（旗舰版）＂的，自本合同生效之日起重新计算保证续保期，在每个合同有效期内约定的医疗费用赔付比例以《人保健康悠爱保互联网医疗保险（费率可调）》和《人保健康悠福保互联网特定疾病医疗保险（费率可调）》条款2．5．3所述内容为准。
2. The user truthfully informs at the time of the first application that the diseases suffered after the insurance are not within the scope of pre-existing conditions listed in Article 2.6 of the Exclusion of Liability in the renewal year of the "PICC Health Youai Bao Internet Medical Insurance (Rate Adjustable)" and "PICC Health Health Health Insurance Internet Specific Disease Medical Insurance (Rate Adjustable)". 3. If the renewal is upgraded to "Good Medical Insurance • Long-term Medical Care (Ultimate Edition)", the guaranteed renewal period will be recalculated from the effective date of this contract, and the agreed medical expense reimbursement ratio within the validity period of each contract shall be subject to the content described in clause 2.5.3 of "PICC Health Youaibao Internet Medical Insurance (Rate Adjustable)" and "PICC Health Youfubao Internet Specific Disease Medical Insurance (Rate Adjustable)".
4．本合同中的《人保健康悠爱保互联网医疗保险（费率可调）》和《人保健康悠福保互联网特定疾病医疗保险（费率可调）》产品等待期为 0 天；本合同中的《人保健康金福至臻互联网重大疾病保险》产品等待期为 30 天。
4. The waiting period for the products of "PICC Health Youaibao Internet Medical Insurance (Rate Adjustable)" and "PICC Health Youfubao Internet Specific Disease Medical Insurance (Rate Adjustable)" in this contract is 0 days; The waiting period for the PICC Health Jinfu Zhizhen Internet Critical Illness Insurance in this contract is 30 days.
5．本合同的现金价值金额按下列两种方式中的一种进行计算：
5. The amount of cash value of this contract shall be calculated in one of the following two ways:
1 ）年缴方式   1) Annual payment method

现金价值金额 $=$$=$== 本合同的当期年度保险费 $\times (1-\mathrm{n}/\mathrm{m})$$\times (1-\mathrm{n}/\mathrm{m})$xx(1-n//m)\times(1-\mathrm{n} / \mathrm{m}) ，其中， n 指从对该被保险人的保险期间生效之日至终止之日实际经过的天数，$m$$m$mm 指当年实际天数，经过天数不足一天按一天算。
The amount $=$$=$== of cash value of the current annual premium of this contract $\times (1-\mathrm{n}/\mathrm{m})$$\times (1-\mathrm{n}/\mathrm{m})$xx(1-n//m)\times(1-\mathrm{n} / \mathrm{m}) , wherein, n refers to the number of days actually elapsed from the effective date of the insurance period to the date of termination of the insured, refers to the $m$$m$mm actual number of days in the current year, and the number of days that have elapsed is counted as one day if it is less than one day.
2 ）月缴方式   2) Monthly payment
现金价值金额 $=$$=$== 本合同的当期月度保险费 $\times (1-n/m)$$\times (1-n/m)$xx(1-n//m)\times(1-n / m) ，其中，$n$$n$nn 指当月实际经过天数，$m$$m$mm 为当月实际天数。经过天数不足一天按一天计算。
The cash value amount of the current monthly premium of $=$$=$== this contract $\times (1-n/m)$$\times (1-n/m)$xx(1-n//m)\times(1-n / m) , where refers to the actual number of days that have elapsed in the current month, $n$$n$nn which is the $m$$m$mm actual number of days in the current month. Less than one day is counted as one day.

我公司偿付能力充足率满足监管要求，您可以登录http：／／www．picchealth．com／tabid／2331／ Default．aspx查看最近季度综合偿付能力充足率和风险综合评价等相关信息。
Our solvency adequacy ratio meets the regulatory requirements, and you can log in to the http://www.picchealth.com/tabid/2331/ Default.aspx to view the relevant information such as the comprehensive solvency adequacy ratio and comprehensive risk assessment for the latest quarter.

1．本电子保险单是被保险人或其指定受益人向保险公司索赔的依据，请妥善保管；
1. This electronic insurance policy is the basis for the insured or its designated beneficiary to claim compensation from the insurance company, please keep it properly;
2．本保险单为电子保单，手写、涂改或无保险公司业务专用章无效。您可以关注 《条健康纹对実生活号或登录 http：／／www．picchealth．com 自助查询，对电子保单的真实性进行验证；
2. This insurance policy is an electronic policy, and it is invalid if it is handwritten, altered or without the special seal of the insurance company. You can pay attention to the "Striped Health Tattoo to the http://www.picchealth.com Life Number or log in to the self-service inquiry to verify the authenticity of the electronic policy;
3．如有任何问题，请拨打人保健康服务热线 4001330600进行咨询。
3. If you have any questions, please call the PICC Health Service Hotline 4001330600 for consultation.
中介机构：蚂蚁保保险代理有限公司   Intermediary agency: Ant Insurance Agency Co., Ltd
签单机构：中国人民健康保险股份有限公司深圳分公司
Signing agency: Shenzhen Branch of Chinese People's Health Insurance Co., Ltd
公司地址：深圳市罗湖区红岭北路2088号中国人保（深圳）金融大厦 23楼
Company address: 23rd floor, Chinese People's Insurance (Shenzhen) Financial Building, No. 2088 Hongling North Road, Luohu District, Shenzhen
公司网址：http：／／www．picchealth．com

服务热线：4001330600  Service Hotline: 4001330600
中国人民健康保险股份有限公司   Chinese People's Health Insurance Co., Ltd
（签章）   (Signature)