On December 15, the topic "Internet exposure of China Life's new crown insurance positive but not paying claims" appeared on Weibo's hot search, which aroused widespread attention.
It is understood that some netizens reported that "I bought China Life's new crown insurance, and now it is sunny, the insurance company refuses to pay the claim."
"Bank of China Insurance News" learned from China Life Insurance Co., Ltd. (hereinafter referred to as "China Life Insurance Company") that the company immediately launched an investigation and verification on the matter.
The customer has insured a number of products such as critical illness insurance and medical insurance with China Life Insurance Company, some of which have extended the new crown liability.
China Life Insurance Company stated that it has contacted the family members of the customer and further strengthened communication with the customer. In the future, it will quickly start the corresponding claim settlement procedures and services in accordance with the contract according to the relevant information submitted by the customer.
China Life Insurance Company introduced that since the outbreak of the new crown pneumonia epidemic in 2020, the company has actively responded to the call of the state and fulfilled the responsibility of central enterprises, and has successively extended the insurance liability for heavy and critical new crown pneumonia to more than 50 insurance products.
New and old customers who have purchased the above-mentioned insurance products do not need to pay additional costs. The company can diagnose the first case of new coronary pneumonia according to the insured person's contract at that time if the hospital diagnoses the first occurrence of new coronary pneumonia within the validity period of the extended liability, and the clinical classification is severe or critical. 25% of the basic insured amount (or insured amount) will be paid for the new crown pneumonia insurance premium, and the extended liability payment for each policy is limited to one time and the maximum is RMB 1 million, and the insurance liability of the original insurance contract remains unchanged.
The company stated that if the insured is diagnosed with Omicron for the first time, and the clinical classification is severe or critical, it falls within the scope of the extended liability of the above-mentioned insurance products.
According to preliminary statistics, since the outbreak of the new crown pneumonia epidemic, China Life Insurance Company has paid 4,563 cases related to the new crown pneumonia, with a compensation amount of 58.429 million yuan.
The company stated that it will continue to provide customers with simple, high-quality, and warm services through the green channel for claims settlement of new crown pneumonia.
As of press time, it has not been able to get in touch with other parties involved, and the "Bank of China Insurance News" will continue to pay attention to this matter.
Reporter Zhu Yanxia