UNIHOME SafeGuard Your Home. The foundation of your bliss

Transcription

1 UNIHOME SafeGuard Your Home The foundation of your bliss

2 Put your mind at ease with our enhanced Unihome Safe insurance. We have new benefi ts and features and an even better plan to suit your needs! For as little as $0.19 a day, you can enjoy the little comforts of the sanctuary you call home, knowing that you are well covered by a comprehensive home protection plan. NEW BENEFITS + Loss of credit card + Robbery of amount withdrawn from ATM + Replacement of cable set top box + Fire extinguishing expenses EXTENDED BENEFITS + Enjoy Great Savings when you sign up for our 3 or 5 years plan 3 & 5 years Premium Special + Additional SARS Coverage $5000 Death Benefi t for Insured/Spouse $300 Home quarantine benefi t order (order issued by MOH) UNIHO ME + Additional Dengue Fever Coverage Reimbursement of medical expenses up to $500 + Personal Liability coverage extended to family members + Replacement of home security system, locks and keys

3 COVERAGE FOR UNIHOME SAFE POLICY SECTION COVERAGE MAXIMUM BENEFITS (S$) 1 Building BLISS COSY HARMONY JOYOUS 100, , , ,000 2 Renovation, Fixtures & Fittings 50,000 75, , ,000 3 Household Contents 40,000 60,000 80, ,000 **EXTENDED BENEFITS (MAXIMUM)** (S$) APPLICABLE TO SECTION I, II & III Loss of Rental Income/Alternative Accommodation 8,000 12,000 16,000 20,000 Removals of Debris 2,000 3,000 4,500 6,500 Fire Extinguishing Expenses (eg. Cost of replenishment of fire extinguisher) Replacement /Repair Enhanced of Home Security System, Locks and Keys 19,000 28,500 38,000 47, **EXTENDED BENEFITS (MAXIMUM)** (S$) APPLICABLE TO SECTION III Domestic Servant s Property 4,000 6,000 8,000 10,000 Breakage to Mirrors 4,000 6,000 8,000 10,000 Loss of Cash Valuables Emergency Cash Allowance Conservancy Charges/ Management Fees/Power Supply Bills Household Removal Legal Documents 1,000 1,000 1,000 1,000 8,000 10,000 15,000 20,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 8,000 8,000 8,000 8,

4 Cost of Temporary Additional domestic help following accident at home Loss of Credit Card Robbery of Amount Withdrawn at ATM Replacement of Cable Set-Top Box 1,000 1,000 1,000 1,000 Accidental Death to Pedigree Pets Personal Liability Enhanced (Insured and/or Family legal liability arising out of third party injury or property damage e.g. food poisoning) within home premises Enhanced Worldwide Personal Accident (Insured, Spouse and up to 3 Unmarried Children) Emergency Home Assistance 500, , , ,000 30,000 per adult 10,000 per child (max 3) 2 Emergency Repairs up to S$100 per repair SARS / Bird Flu (H5N1) Death Benefit for Insured, Spouse & Children (in Singapore Only) ADDITIONAL FREE COVERAGE Up to S$5000 Up to S$5000 Up to S$5000 Up to S$5000 One-Time SARS Home Quarantine Benefit (Order issued by MOH) S$300 S$300 S$300 S$300 Dengue Fever Cover For Insured, Spouse & Children (Reimbursement of Medical Expenses per policy year) Up to S$500 Up to S$500 Up to S$500 Up to S$500 in aggregate PREMIUM PAYABLE Annual Premium** $ $ $ $ Years Special Premium** $ $ $ $ Years Special Premium*** $ $ $ $1, Premium Exclude GST

5 ABOUT US China Taiping Insurance (Singapore) Pte. Ltd. has been operating in Singapore since We are a member of China Taiping Insurance Group Co., a state-owned fi nancial and insurance group of The People s Republic of China with diversifi ed businesses in more than 20 subsidiaries worldwide. With more than 70 years of establishment, we have grown to become one of the leading general insurers in Singapore. We offer a wide range of insurance products including motor, home, travel, personal accident, fi re, public liability, marine, work injury compensation, contractor s all risks, performance bond, foreign worker bond, foreign workers medical insurance etc. We provide quality insurance service to our clients through a high standard of professionalism and we aim to build a distinctive China Taiping brand in the world of fi nancial fi eld. APPLICATION FOR UNIHOME SAFE POLICY IMPORTANT NOTES 1. Under Section 25(5) of the Insurance Act (Chap142), you are required to disclose in this proposal form, fully and faithfully all the facts which you know, or ought to know, otherwise the Policy issued hereby may be void. 2. Please fi ll in all sections of this form (IN BLOCK LETTERS), in order to avoid unnecessary delay in the processing of this proposal form. Agent/Broker Name Agent/Broker Code PART 1: PROPOSER S PARTICULARS Name (in full) Mr Ms Mdm Joint Names (where applicable) Given Name Nric/Fin/Passport No. Nationality Sex: Male Female Marital Status Date of Birth Age Postal Address Tel (H) (O) (Mobile/Pager) Occupation/Profession PART 2 : DETAILS OF RISK Risk of Location (if different from above): Name of Mortgagee (if any):

6 Type of Building: HDB Condominium Semi-detached Executive Maisonette Bungalow Apartment Home to be insured is for: Self-occupied Rental PART 3 : SUMMARY OF INSURANCE COVERAGE Period of Insurance: From (DD/MM/YY): To: (DD/MM/YY) Coverage of Plan: Bliss Cosy Harmony Joyous Yes! I would like to sign up for 1 years UniHome Safe Insurance Plan. Yes! I would like to sign up for 3 years UniHome Safe Insurance Plan, enjoying a special premium. Yes! I would like to sign up for 5 years UniHome Safe Insurance Plan, enjoying a special premium. Top-Up Sum Insured: Building Renovation, Fixtures & Fittings Household Contents PART 4 : PAYMENT METHODS Please charge S$ (Including GST) to my VISA/MASTERCARD CARD No. BANK Expiry Date I enclose a cheque for S$ (Inclusive GST) payable to China Taiping Insurance (Singapore) Pte. Ltd. I enclose S$ Cash Payment

7 PART 5 : DECLARATION I declare that the dwelling is (a) constructed of brick, stone or concrete. (b) not used for trade purpose and (c) occupied by me and under my control. The information provided above is true and factual. I understand that all facts may be material to the underwriter accepting this risk must be declared. I also understand that no liability shall be accepted by the Company until this Proposal Form is accepted by the underwriter. Proposer s Signature Date FOR OFFICIAL USE U NIHO M E

8 3 Anson 105 Cecil Road Street #16-00 #19-00 Springleaf The Octagon Tower Singapore Singapore Tel: Hotline: Fax: Fax: Opening Hours: Mondays to Fridays am to 5.30pm Opening Hours: Mondays to Fridays - 8:45am to 5:30pm Website: Co. Reg. No E Website: Co. Reg. No E

9 PERSONAL DATA COLLECTION STATEMENT China Taiping Insurance (Singapore) Pte Ltd ( CTIS ) recognises its obligations under the Personal Data Protection Act 2012 (PDPA) which includes the collection, use and disclosure of personal data for the purpose for which an individual has given consent to. The personal data collected by CTIS includes all personal data provided in this form, or in any document provided, or to be provided to us by you or your insured persons or from other sources, for the purpose of this insurance application or transaction. It includes all personal data for us to evaluate or administer this application or transaction You may not alter any of the wordings in this Personal data collection statement. Any attempt to do so will be of no effect. 1. To process, administer and/or manage your relationship, account and policy with CTIS, CTIS will necessarily need to collect, use, disclose and/or process your personal data or personal information about you. Such personal data includes (i) information set out in this Personal Data Collection Statement and any other personal information provided by you or possessed by CTIS and (ii) your claims. 2. Such personal data will be collected, used, disclosed and/or processed by CTIS for the purpose (s) of: (a) (b) (c) (d) (e) (f) (g) (h) (i) considering whether to provide you with the insurance you applied for; processing your application for underwriting and insurance; administering and/or managing your relationship, account and/or policy with CTIS; processing and/or dealing with any claims including the settlement of claims and any necessary investigations relating to the claims, under your policy; carrying out due diligence or other screening activities (including background checks) in accordance with legal or regulatory obligations or risk management procedures that may be required by law or that may have been put in place by CTIS; carrying out your instructions or responding to any enquiries by you; dealing in any matters relating to the services and/or products which you are entitled to under this policy which you are applying for or have applied; (including the mailing of correspondence, statements, invoices, reports or notices to you, which could involve disclosure of certain personal data about you to bring about delivery of the same as well as on the external cover of envelopes/mail packages); investigating fraud, misconduct, any unlawful action or omission, whether relating to your application, your claims or any other matter relating to your policy, and whether or not there is any suspicion of the aforementioned; and/or complying with applicable law in administering and managing your relationship with CTIS. (Collectively the Purpose ) 3. We may/will also be collecting from sources other than yourself, personal data about you, for one or more of the above Purposes, and thereafter using, disclosing and/or processing such personal data for one or more of the above Purposes. 4. Your personal data may/will be disclosed by CTIS to its third party service providers or agents (including its lawyers/law firms) which may be sited outside of Singapore, or one or more of the above Purposes, as such third party service providers or agents, if engaged by CTIS would be processing your personal data for CTIS for one or more the above Purposes. 5. by signing below, you: (a) (b) (c) (d) consent to CTIS collecting, using, disclosing and/or processing your personal data for the Purposes as described above; consent to CTIS collecting personal data about you from sources other than yourself and using, disclosing and/or processing the same, for one or more the Purposes as described above; consent to CTIS disclosing your personal data to its third party service providers, or agents (including its lawyers/law firm), for the Purposes as described above; consent to CTIS transferring your personal data out of Singapore to its third party service providers, or agents where such third party service providers or agents are sited (whether in Singapore or outside of Singapore), for the Purposes as described above. I have read and agree to the above. Name: NRIC No: Date: