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phone1-317-318-8259 (English), phone1-317-318-8258 (中文)

泰安特设团体注册须知:

"泰安特设团体"为CSC公派团体、泰安微信群和泰安QQ群提供限时9折优惠 (保费9折)。个人购买,不需5人组团。


购买前须知:

  1. 特设团体保险可以按实际天数购买(至少一个月)。每次购买和续保另付$5不退还的管理费。
  2. 每个家庭成员都以主申请人身份分别付款加入团体,家庭成员请使用相同的邮箱注册。自选保险生效日期,但最早生效日期为付款成功后的第二天;
  3. 泰安特设团体保险有固定的免赔额和最高赔付限额,请确认你的选择符合学校要求,请参见:https://taianfinancial.com/SchoolRequirements

加入泰安特设团体的步骤:

  1. 填写下方的泰安特设团体注册表,完成后点击"提交"按钮,完成注册。特设团体首次购买最少一个月,最多12个月。如果需要超过12个月,请先购买12个月然后联系泰安申请续保;
  2. "提交"注册后,你会被自动带到付款页面进行付款,注册和付款需要一次性完成;
  3. 用中国或美国发行的信用卡或借记卡付款 (卡上需有Visa、MasterCard、Discover或American Express的标志)。 Billing address 是您信用卡开户时所用的地址;
  4. 付款成功后你会收到付款成功确认邮件。如果你在泰安的工作时间内付款成功的话,你会在24小时内收到Email电子保单。泰安公司工作一周7天,办理个人加入团体速度最快。

填写下面的注册表格说明你已经阅读并同意上面的条款。
注册表格
SUBSCRIPTION I (we) hereby apply and subscribe on the date of receipt hereof to the Global Medical Services Group Insurance Trust, c/o MutualWealth Management Group, Carmel, IN, or its successor, for the Taian Patriot Exchange Program or the Taian Exchange Select as underwritten and offered by Sirius International Insurance Corporation (publ) (the “Company”), with International Medical Group, Inc. (“IMG”) acting as the Company’s managing general underwriter and plan administrator. I (we) understand and agree: (i) the insurance applied for is not general health insurance, but is intended for my (our) use in the event of a sudden and unexpected illness or injury for which eligible coverage may be available, (ii) I (we) must pay premiums for the entire period of coverage in advance, and no coverage will be effective until this Application has been accepted in writing by the Company or by IMG, (iii) no modification or waiver relating to this Subscription or the coverage applied for will be binding upon the Company or IMG unless approved in writing by an officer of the Company or IMG, and (iv) by submission of this application and/or any future claim for benefits I (we) purposefully initiate and take advantage of the privilege of conducting business with the Company in Indiana, through IMG, and invoke the benefits and protections of its laws. The contract of insurance represented by the Master Policy and evidenced by the Certificate of insurance will be deemed issued and made in Indianapolis, IN, and sole and exclusive jurisdiction and venue for any court action or administrative proceeding relating to this insurance will be in Marion County, Indiana, to which applicant(s) hereby consent(s). I (we) consent and agree that Indiana surplus lines law shall govern all rights and claims raised under this Certificate of Insurance.

MERCHANT LOCATION: IMG’s corporate headquarters is located at 2960 North Meridian Street Indianapolis, IN USA.

ACKNOWLEDGEMENT I (we) understand and agree that: (i) marketing brochures and certificate wordings are available upon request prior to application, (ii) the insurance agent/broker assigned to or assisting with this Application is the agent and representative of applicant(s) and in no way acts as agent for the Company or IMG, (iii) any injury, illness, sickness, disease, or other physical, medical, mental or nervous disorder, condition or ailment that, with reasonable medical certainty, existed at the time of application or at any time during the three years prior to the effective date of the insurance, whether or not previously manifested, symptomatic or known, diagnosed, treated, or disclosed to the Company prior to the effective date, and including any and all subsequent, chronic or recurring complications or consequences related thereto or resulting or arising therefrom (a "pre-existing condition"), will be excluded from coverage under this insurance, (iv) the subjects of insurance applied for are not intended or considered by the applicant(s), the Company or IMG to be resident, located, or to be performed in any particular state of the United States, and (v) the Company, as carrier and underwriter of the plan, is solely liable for the coverages and benefits to be provided thereunder, and IMG acts solely as disclosed agent for the Company and has no direct or independent liability under the Master Policy or any Certificate of Insurance.

MEDICAL RELEASE I (we) authorize any doctor, practitioner of the healing arts, hospital, clinic, health care related facility, pharmacy, government agency, insurance agency, insurance company, group policyholder, employee or benefit plan administrator having information as to my (our) care, advice, treatment, diagnosis or prognosis of any physical or mental condition, and/or employment status, to provide such information to IMG and/or the Company and my producer/broker involved in procurement of this application and/or insurance coverage. CERTIFICATION I (we) hereby certify, represent and warrant to IMG and the Company that: (i) I (we) have read the questions contained in this Application or they have been read to me (us), and I (we) understand them, (ii) my (our) responses to the questions are true, accurate and complete in all respects as of the date hereof, and that I (we) will supplement such responses prior to the requested effective date in the event of any change or addition thereto, (iii) I am (we are) currently in good health and, except for the conditions and other information disclosed herein, I (we) have not been diagnosed with, sought consultation or been treated for, and have not experienced manifestation or symptoms of and do not suffer from any pre-existing condition which I (we) foresee may require treatment in the future or for which I (we) intend to claim under this insurance, and (iv) if this Application is signed as guardian or proxy of the applicant, the signer warrants their authority and capacity to so act and bind the applicant. By acceptance of coverage and/or submission of any claim for benefits, the applicant ratifies the authority of the signer to so act and bind the applicant.

TAIAN FINANCIAL, LLC. I (we) acknowledge and agree that this Subscription is between the Company and me (us) and no one else. TaiAn Financial, LLC (“Taian”) is my insurance agent and I authorize Taian to represent me regarding my relationship with the Company. Further, although Taian is not a party to this Subscription, I acknowledge that Taian may rely on the statements I (we) have made in this agreement and I (we) authorize Taian to debit my credit card or applicable account for the total amount due to the Company. This authorization will remain in effect for 12 months, unless earlier revoked by me (us) in writing and Taian actually receives notice of revocation. I (we) further acknowledge that if I (we) revoke Taian’s authority to debit the credit card or applicable account, I (we) may lose insurance coverage. Coverage purchased by credit card is subject to validation and acceptance by credit card company. Coverage purchased by eCheck is subject to confirmation of available funds. I (we) agree to comply with the cardholder agreement and the financial institution’s regulations, rules and/or requirements.

SIGNATURES. I(we) acknowledge that: (i) all applications must be fully completed, signed and dated to be considered; (ii) the application must be signed by the applicant, a guardian, or proxy; and (iii) a guardian must be legally authorized to sign on behalf of a minor applicant (under the age of sixteen (16)). A guardian includes a parent. A Proxy is a person authorized by the applicant to act on their behalf. Acceptance by the Company or IMG online shall be valid acceptance of this Application and Subscription. I (we) also acknowledge and agree that a guardian or proxy that signs the Subscription, electronically or through any other means, warrants their authority and capacity to sign for and bind the applicant and that by accepting coverage and/or submitting a claim for benefits, the applicant ratifies the authority of the guardian or proxy to sign for and bind the applicant.

泰安特设团体协议
承认书 我理解并同意:(i) 泰安是我请求加入的团体的组织者;(ii) 泰安将信赖我注册时提供的信 息;(iii) 最早的保险生效日期为付款成功后的第二天(以美国东部时间为准)。如果在要求的保险生 效日期前我没有付款成功,泰安可以更改我要求的保险生效日期;(iv) 以email形式接收电子保单,不邮寄保单;(v) 团体保险包含管理费,下面是详细规定;(vi) 每一次购买和续保团体收取$5不退还的管理费; (vii) 保险生效前我可以申请取消保险退还保费,但$5管理费是不退还的;(viii) 已经生效的保险没有提交过理赔的话,按没有用过的整月退保并扣除$50手续费;提交过理赔的不能退保。(ix) 所有的保险服务申请包括对我保单的任何更改申请, 我都将发送电子邮件到泰安邮箱 taianfinancialllc@gmail.com。只有泰安收到我发送到此邮箱的电子邮件以后服务申请才是有效的。
我向泰安证明和保证: (i) 我理解并且同意泰安特设团体协议;(ii) 我已经阅读保险样板合同(Sample Contract) 并同意其所有条款;(iii) 如果我为其他人签名,我保证我有权合法地代表申请人。

    泰安特设团体有如下几个类型:

  • 特设团体1 (计划B 250): 最高赔付 $100,000, 年度免赔额$250
    年龄 计划B 250(月费)
    <25 $45.09
    25-49 $60.48
    50-64 $124.20
  • 特设团体2 (计划B 0): 最高赔付 $100,000, 年度免赔额$0
    年龄 计划B 0(月费)
    <25 $56.37
    25-49 $77.29
    50-64 $155.25
  • 特设团体3 (计划S-6): 最高赔付 $100,000, 年度免赔额$250, 先前疾病免责期6个月
    年龄 计划S 6个月等待期(月费)
    <25 $48.22
    25-49 $65.93
    50-64 $132.62
  • 特设团体4 (计划S 250): 最高赔付 $100,000, 年度免赔额$250
    年龄 计划S 250(月费)
    <25 $37.92
    25-49 $49.37
    50-64 $105.71
  • 特设团体5 (计划S 500): 最高赔付 $100,000, 年度免赔额$500
    年龄 计划S 500(月费)
    <25 $35.27
    25-49 $45.92
    50-64 $98.31

注明:以上团体保险不含 add-on 和 adventure sport 选项。