Authorization Letter for Minors Insurer
PingAn Health Insurance Co., Ltd., Shanghai Branch,
I (Name______ ID number/Passport number _________) agree and authorize company 51 Jobs to
purchase product of Death insurance for my dependent minors (Name_________ ID number/Passport
number_________ ).
I confirm that I am fully aware of policy terms especially policy exclusions, liabilities, insurer
obligatory while completing the form. I totally accept insurance benefits and conditions, agree company
51 Jobs insure my eligible minor children under death insurance and keep insurance contract on my
behalf.
Hereby declare, I am fully aware of “Notice in respect of death as a condition of insurance benefits
for minors by China Insurance Regulatory Commission (regular No. 90 released in 2015): death
insurance for minor insurer, before minor insurer becomes an adult, agreement of insurance policy such
as sum of insurance coverage and sum of actual payment for minor’s death should be in accordance with
following registrations:
- As for minors are under 10 years old, amount is not higher than 200000.
- As for minors are above 10 years old but below 18 years old, amount is not higher than
500000.
Authorized period from____________ to_____________.
Authorizer sign or chop:
Date:
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平安健康保险股份有限公司 Ping An Health Insurance Co., Ltd.