董监事及高级管理人员责任保险投保申请书
安联保险公司广州分公司董监事及高级管理人员责任保险
安联保险公司广州分公司董监事及高级管理人员责任保险保险单保险人安联保险公司广州分公司,经投保人投保下列之“董监事及高级管理人员责任保险”并缴付约定保险费,同意在下列保险期间依据本保险合同,对因保险事故导致的赔偿请求而产生的损失承担赔偿责任。
投保人和被保险人已了解并同意,本保险单、保险条款、特别条款、批单,投保书及其它约定书,均为本保险合同的一部分,特立本保险单存证。
董监事及高级管理人员责任保险合同条款第一条保险责任一. 董事与高级管理人员责任保险保险人对任何被保险人因履行被保险公司董事、高级管理人员或雇员职责时的不当行为而在保险期间内首次遭受赔偿请求, 依照中华人民共和国法律(不包括港澳台地区法律)承担的经济赔偿责任”负责赔偿,但被保险公司已经补偿被保险人损失的金额除外。
二. 公司补偿保险保险人对被保险公司因被保险人履行被保险公司董事、高级管理人员或雇员职责时的不当行为而在保险期间内首次遭受赔偿请求, 依照中华人民共和国法律(不包括港澳台地区法律)承担的经济赔偿责任”所导致的被保险公司的损失负责赔偿,但应以被保险公司已经补偿被保险人损失的金额为限。
保险人依照本保险合同的规定,在赔偿请求最终解决前,预付因此所产生的抗辩费用。
第二条定义本保险合同内所使用的名词,其定义如下:一、“关联企业”:指在保险期间起始日或之前,其已发行的有表决权的股份中超过百分之二十但少于或等于百分之五十的股份, 为投保人直接持有或经由其一间或多间子公司间接持有的公司。
二、“赔偿请求”:指1.任何个人或组织因请求给予金钱赔偿或其他救济(包括非金钱的救济)对被保险人所提起的诉讼或其他法律程序;2.任何个人或组织要求被保险人对特定不当行为的结果承担责任的书面请求;3.任何针对被保险人提起的刑事诉讼;4.任何针对被保险人的特定不当行为提起的行政程序、监管程序或官方调查。
可归因于单一不当行为,或由其所产生,或以其为基础的任何单次或多次的赔偿请求,在本保险合同下应被视为单一赔偿请求。
投保险申请书6篇
投保险申请书6篇投保险申请书篇1尊敬的工会领导：我叫__，很荣幸能够加入__这个大家庭，成为__的一名__，很感激_给了我一个施展自我的平台。
自到_来，在_的培养下我很快就进入了工作的正轨，现在主要负责各地专卖店外立面装修设计以及领导安排的其他工作。
我工作很用心，在认真完成自己的工作的同时也积极的参与到其他同事的工作中去，我渴望提升自己的能力，渴望自己能够为公司贡献力量。
我的家坐落于__里，父母没什么文化没工作，只能凭靠双手做一些体力活赚钱维持着这个家庭，现在父母都已年迈，家里没有余款，自今一直住在老房子里。
虽然生活困难，但还能将就过着。
然而，就在春节期间我父亲的一次意外受伤让本就困难的家庭陷入到困难底谷。
在_年_月_日，由于老房子破旧存在着很大的危险，于是父亲想把存在危险的墙体整修处理，不曾想到就在处理墙体时被塌下的墙体砸成重伤，导致胸部多处肋骨折断、肺挫伤、盆骨骨折、右脚关节错位。
现在仍然在_医院住院治疗，无疑给我的家庭带来了沉重的打击，也给我带来了沉重的经济负担。
父亲治疗用去__万余元都是与亲戚朋友有借来的。
对于刚参加工作我，无疑是杯水车薪，生活更加困难，还得四处筹钱，让父亲继续治疗。
在万般无奈的情况下我想到了你们，相信你们会考虑我的难处的，因此今天特向工会申请，希望能在经济上可以给点困难补助，度过难关。
现在父亲父亲尚未康复，而我已远离他到公司继续上班，希望父亲能够早点康复，也好让我把所有精力投入到工作当中去。
希望领导能够助我一臂之力，望领导审核批准为谢！此致敬礼申请人：___年_月_日投保险申请书篇2保险理赔申请书格式一般来说，公司等的医疗保险理赔申请，应该有专门的表格文件，找他们索取后填写即可。
如果回复说没有需要自己写，可参考如下格式。
理赔申请书的大致格式参考如下：1、申请标题;2、正文：当事人概况。
病原情况;3、住院地点、时间、开支状况等;4、提出要求;5、落款（供参考）。
保险理赔申请书范文1）如果出险人未满十八岁（未成年人），那么申请人必须填其监护人;（提供其监护人四大银行存折复印件）;2）如果出险人年满十八岁（即成年人），那么申请人必须填本人;（提供本人四大银行存折复印件）;第二项填出险人资料和出险的时间、地点、原因。
董监事及高级职员责任保险保单样本(英文)
中国广州农林下路83号广发银行大厦18楼邮政编码：510080电话：（8620）87311888传真：（8620）87310166BusinessGuard – For Directors & OfficersNOTICE: THE POLICY PROVIDES COVERAGE ON A CLAIMS MADE BASIS. COVERAGE IS LIMITED GENERALLY TO LIABILITY FOR ONLY THOSE CLAIMS THAT ARE FIRST MADE AGAINST THE INSURED S AND REPORTED TO THE INSURER DURING THE POLICY PERIOD. PLEASE READ THE POLICY CAREFULLY AND DISCUSS THE COVERAGE WITH YOUR INSURANCE AGENT OR BROKER.SchedulePolicy Number: DOGZxxxxxxItem 1. Policyholder xxxxx Co., LtdAddress xxxItem 2. Policy Period From xxxTo xxx(bothdaysinclusive)Item 3. Limit of Liability XXXA ny one claim and in the annual aggregate for all loss,arising out of all claims made against all insureds underall insurance covers combined (including defense costs) Item 4. Retention Insurance cover B and indemnifiable loss:XXXFor any one claim including any judgments, settlementsor final agreementsAs specified in 5.4 Retention, only one retention shallbe applied for loss arising from any claim or claimsalleging a single wrongful act.Item 5. Premium XXXItem 6. Continuity Dates(i) Pending & Prior litigation: XXX(ii)Pollutionclaims: XXXXItem 7. New Subsidiary XX% of the policyholder’s total assets CoverItem 8. Territorial Scope/ Worldwide including U.S.A./Canada JurisdictionSIGNED FOR AND ON BEHALF OF THE INSURERBY AUTHORIZED REPRESENTATIVE:AMERICAN INTERNATIONAL UNDERWRITERS, LIMITED DATE: XXDIRECTORS & OFFICERS LIABILITY INSURANCEIn consideration of the payment of the premium, the Insurer agrees as follows:Cover1. InsuranceA: Directors and Officers LiabilityInsurer shall pay the Loss of each Insured resulting from any Claim first made against Thethe Insured during the policy period for any Wrongful Act in the Insured’s capacity as a director, officer or employee of the Company except for and to the extent that the Company has indemnified the Insured.B: CorporateReimbursementThe Insurer shall pay the Loss of the Company resulting from any Claim first made against the Insured during the policy period for any Wrongful Act in the Insured’s capacity as a director, officer or employee of the Company but only when and to the extent that the Company has indemnified the Insured for the Loss.Subject to the terms and conditions of this Policy, the Insurer shall advance defense costs resulting from any Claim before its final resolution.2. Definitions2.1 Associated Company means any Company of which the policyholder owns on or before theinception of the policy period more than 20 percent but less than or equal to 50 percent of the issued and outstanding voting shares either directly or indirectly through one or more of its subsidiaries.2.2 Claim means:(i) any suit or proceeding brought by any person or organization against an Insured formonetary damages or other relief, including non-pecuniary relief;(ii) any written demand from any person or organization that it is the intention of the person or organization to hold an Insured responsible for the results of any specifiedWrongful Act;(iii) any criminal prosecution brought against an Insured;(iv) any administrative or regulatory proceeding or official investigation regarding any specified Wrongful Act of an Insured;Any Claim or Claim s arising out of, based upon or attributable to a single Wrongful Act shall be considered to be a single Claim for the purposes of this Policy.2.3 Company means the policyholder specified in Item 1 of the Schedule and any subsidiary,division, sector, region, product group or other internal company structure or segment detailed in an organization chart or similar document and which has been granted this status by the policyholder or any subsidiary before the date of the Wrongful Act.2.4 Continuity date(s)means the date(s) specified in Item 6 of the Schedule. The pending andprior litigation continuity date shall be the date from which the policyholder has maintained uninterrupted cover with the Insurer, or with any other Insurer if the initial proposal form submitted to such Insurer is provided to and accepted by the Insurer at the inception of this policy, or such other date(s) as agreed with the Insurer.2.5 Defense costs means reasonable and necessary fees, costs and expenses incurred with thewritten consent of the Insurer (including premiums for any appeal bond, attachment bond or similar bond, but without obligation to apply for or furnish any bond) resulting solely from the investigation, adjustment, defense and appeal of any Claim but shall not include the salary of any Insured.2.6 Director or officer means any natural person duly appointed or elected as a director or officerof the Company.2.7 Discovery period means the period of time specified in Extension 4.3, immediately followingthe termination of this Policy during which written notice may be given to the Insurer of any Claim first made against the Insured during such period of time for any Wrongful Act occurring prior to the end of the policy period and otherwise covered by this Policy.2.8 Employment Practice Claim means any Claim or series of related Claim s relating to a past,present or prospective employee of the Company and arising out of any actual or alleged unfair or wrongful dismissal, discharge or termination, either actual or constructive, of employment, employment-related misrepresentation, wrongful failure to employ or promote, wrongful deprivation of career opportunities, wrongful discipline; failure to furnish accurate job references; failure to grant tenure or negligent employee evaluation; or sexual or workplace or racial or disability harassment of any kind (including the alleged creation of a harassing workplace environment); or unlawful discrimination, whether direct, indirect, intentional or unintentional, or failure to provide adequate employee policies and procedures.2.9 Full annual premium means the annual premium level in effect immediately prior to the endof the policy period.2.10 Insured means any natural person who was, is, or shall become a director or officer of theCompany, or any natural person who is a trustee of a pension, retirement or provident benefit fund established for the benefit of the employees of the Company.Cover will automatically apply to any natural person who becomes a director or officer after the inception date of this Policy. Insured shall include any employee of the Company, but only for a Claim or Claim s alleging Wrongful Act(s) committed by the employee in a managerial or supervisory capacity. With respect to an Employment Practice Claim only, Insured shall include any past, present or future employee of the Company.2.11 Insurer means AIU Insurance Company Guangzhou Branch.2.12 Loss means damages, judgments, settlements and defense costs; however, Loss shall notinclude civil or criminal fines or penalties imposed by law, non-compensatory damages including punitive or exemplary damages, taxes, any amount for which the Insured is not legally liable or matters which may be considered uninsurable under the law pursuant to which this policy shall be construed. Damages, judgments, settlements and defense costs incurred in more than one Claim against the Insured but resulting from a single Wrongful Act shall constitute a single Loss.2.13 No liability means:(i) a final judgment of no liability obtained prior to trial in favor of all Insured s by reasonof a motion to dismiss or a motion for summary judgment after the exhaustion of allappeals; or(ii) a final judgment of no liability obtained after trial in favor of all Insured s, after the exhaustion of all appeals.In no event shall the term no liability apply to a Claim made against an Insured for which a settlement has occurred.2.14 Not-for-profit entity means an entity registered with the Registrar of Companies underSection 21(1) of the Companies Ordinance (Cap.32) or any similar entity organized under the laws of any other jurisdiction, or a trade association which for the purposes of this policy shall mean a body of persons, whether incorporated or not, which is formed for the purpose of furthering the trade interests of its members, or of persons represented by its members.2.15 Outside entity means any associated Company, any not-for-profit entity or any othercorporation, partnership, joint venture or other organization which has been listed by endorsement to this policy.2.16 Policyholder means the organization specified in Item 1 of the Schedule.2.17 Policy period means the period of time from the inception date to the expiry date specified inItem 2 of the Schedule.2.18 Pollutants include (but are not limited to) any solid, liquid, gaseous or thermal irritant orcontaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes (but is not limited to) material to be recycled, reconditioned or reclaimed.2.19 Security means any note, stock, bond, debenture, evidence of indebtedness, share or otherequity or debt security of the Company, and shall include any certificate of interest or participation in, receipt for, warrant or other right to subscribe to or purchase, voting trust certificate relating to, certificate of deposit for, or other interest in any of the foregoing.2.20 Single Wrongful Act means a Wrongful Act or any related, continuous or repeated WrongfulAct s, whether committed by the Insured individually or by more than one Insured and whether directed to or affecting one or more than one person or legal entity.2.21 Subsidiary means companies in which the policyholder, either directly or indirectly throughone or more of its subsidiaries;(i) controls the composition of the board of directors; or(ii) controls more than half of the voting power; or(iii) holds more than half of the issued share capital.Cover for any Claim against any of the director s, officer s and employees of any subsidiary shall apply only for Wrongful Act(s) committed while such company is a subsidiary of the policyholder. However, upon written request by the policyholder, the Insurer shall consider, after assessment and evaluation of the increased exposure, granting cover for Wrongful Act(s) committed prior to the acquisition of the subsidiary by the policyholder.2.22 Transaction means anyone of the following events:policyholder consolidates with or merges into or sells all or substantially all of its (i) theassets to any other person or entity or group of persons and/or entities acting inconcert; or(ii) any person or entity, whether individually or together with any other person or persons, entity or entities acquires an amount of the outstanding shares representingmore than 50 percent of the voting power for the election of director s of thepolicyholder, or acquires the voting rights for such an amount of the shares.2.23 Wrongful Act means any actual or alleged breach of duty, breach of trust, neglect, error,misstatement, misleading statement, omission, breach of warranty of authority or other act by the director s, officer s or employees in their respective capacities as a director, officer or employee of the company or as a director, or officer of any outside entity, or any matterClaim ed against them solely because of their status as a director , officer or employee of the Company .3. ExclusionsThe Insurer shall not be liable to make any payment for Loss in connection with any Claim made against the Insured :3.1 arising out of, based upon or attributable to:(i) the gaining in fact of any personal profit or advantage to which the Insured was notlegally entitled;(ii) profits in fact made from the purchase or sale by the Insured of securities of theCompany within the meaning of Section 16(b) of the Securities Exchange Act of 1934(USA) and any amendments thereto or similar provisions of any state statutory law;(iii) the committing in fact of any dishonest or fraudulent act.For the purpose of determining the applicability of these exclusions, the Wrongful Act of anyInsured shall not be imputed to any other Insured . These exclusions shall only apply if it is established through a judgment, or any other final adjudication adverse to the Insured , or any admission by an Insured that the relevant conduct did in fact occur;3.2 arising out of, based upon or attributable to the facts alleged or to the same or relatedWrongful Act (s) alleged or contained in any Claim which has been reported or in any circumstances of which notice has been given under any policy of which this policy is a renewal or replacement or which it may succeed in time;3.3 arising out of, based upon or attributable to any pending or prior litigation as of the pendingand prior litigation continuity date specified in Item 6(i) of the Schedule, or alleging or deriving from the same or essentially the same facts as alleged in the pending or prior litigation;3.4 which are brought by or on behalf of any Insured or the Company ; provided, however, thatthis exclusion shall not apply to:(i) any Employment Practice C laim brought by any Insured ;(ii) any Claim brought or maintained by an Insured for contribution or indemnity, if theClaim directly results from another Claim otherwise covered under this Policy;(iii) any shareholder derivative action brought or maintained on behalf of the Company without the solicitation, assistance or participation of any Insured or the Company;Claim brought or maintained by a liquidator, receiver or administrative receiver any(iv)either directly or derivatively on behalf of the Company without the solicitation,assistance or participation of any Insured or the Company;anyClaim brought by an Insured or employee of the Company in their capacities as (v)members or beneficiaries of any pension, retirement or provident benefit fundestablished for the benefit of any director, secretary, executive officer or employee ofthe Company;Claim brought or maintained by any former director, officer or employee of the (vi)anyCompany.3.5 arising out of, based upon or attributable to or in any way involving, directly or indirectly, theactual, alleged or threatened discharge, dispersal, release or escape of pollutants; or any direction or request to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize pollutants, nuclear material or nuclear waste.Provided, however, that the exclusion shall not apply to any Claim made against the Insured by any shareholder of the Company either directly or derivatively, alleging damage to the Company or its shareholders, unless on or before the pollution continuity date specified in item 6(ii) of the Schedule, the Company, the Insured or any employee of the Company with managerial responsibilities over environmental affairs, control or compliance, knew or could have reasonably foreseen that there existed any situation, circumstance or Wrongful Act which could have given rise to a Claim against the Company, or the Insured.3.6 arising from the actual or alleged violation of any responsibilities, obligations or dutiesimposed by the Employee Retirement Income Security Act of 1974 (USA) or any amendment thereto;3.7 arising out of, based upon or attributable to any act or omission in the Insured’s capacity as adirector or officer of any entity other than the Company, or by reason of the Insured’s status as a director, officer or employee of the other entity, other than as provided in Extension 4.2;3.8 for bodily injury, sickness, disease, death or emotional distress of any person, or damage to ordestruction of any tangible property, including Loss of use thereof; provided, however, that any Claim for emotional distress shall not be excluded with respect to an Employment Practice C laim.4. ExtensionsSubject to all of the terms and conditions of this policy, cover is extended as follows:4.1 New SubsidiariesCover under this policy is extended to any subsidiary which the policyholder acquires or creates after the inception date of this policy provided that the subsidiary has total gross assets which are less than the amount specified in Item 7 of the Schedule(i) either in the United States of America or Canada; and(ii) does not have a listing of any of its securities on any exchange in the United States of America or Canada.If a newly acquired or created subsidiary fails to meet conditions (i) and (ii) above, the policyholder may request an extension of this policy for such subsidiary provided that the policyholder shall give the Insurer sufficient details to permit the Insurer to assess and evaluate the Insurer’s potential increase in exposure. The Insurer shall be entitled to amend the policy terms and conditions, during the policy period, including by the charging of a reasonable additional premium.Unless otherwise agreed, cover as is afforded to the director s, officer s or employees of any subsidiary by virtue of this extension shall only apply for Wrongful Act(s) committed while such company is or was a subsidiary of the policyholder.4.2 Outside DirectorshipsCover includes Loss arising from any Claim made against any Insured who was, is or may become, at the specific request of the Company, a director or officer of any outside entity for any Wrongful Act in the Insured’s capacity as a director or officer of the outside entity.This cover shall be specifically excess of any insurance in force in respect of the outside entity as well as any indemnification provided by the outside entity. If the other insurance is provided by the Insurer or any member company of American International Group (or would be provided except for the application of the retention amount or the exhaustion of the limit of liability), then the total aggregate limit of liability for all Loss covered by virtue of this extension shall be reduced by the limit of liability specified in the schedule of the other American International Group insurance provided to the outside entity.The cover provided by this clause shall not apply in connection with any Claim made against any Insured by the outside entity, any of its director s or officer s or any shareholder of the outside entity holding more than 20 percent of the issued and outstanding voting share capital of the outside entity.4.3 Discovery PeriodIf the policyholder refuses to renew this policy, then the policyholder shall have the right, upon payment of an additional premium of 50 percent of the full annual premium to a discovery period of 12 months following the effective date of non-renewal.If the Insurer refuses to offer any terms or conditions to renew this policy, then the policyholder shall have the right to purchase a discovery period of 12 months for 25 percent of the full annual premium.The Insured shall be entitled to a 30 day discovery period at no additional premium if this policy is not renewed by either the policyholder or the Insurer. If the policyholder elects to purchase a discovery period, this 30-day discovery period shall be part of and not in addition to the purchased discovery period.To purchase the discovery period, the policyholder must request its purchase in writing within15 days of the termination date of the policy and must tender the additional premium within30 days of the termination date. The additional premium is not refundable and the discoveryperiod is not cancelable.If a transaction takes place, then the policyholder shall not have the right to purchase a discovery period as set out above. However, the policyholder shall have the right within 30 days of the end of the policy period to request an offer from the Insurer of a discovery period for up to 72 months. The Insurer shall offer a discovery period with terms, conditions and premium as the Insurer may reasonably decide.4.4. Heirs, Estates and Legal RepresentativesIf an Insured dies, becomes incompetent, insolvent or bankrupt, this policy shall cover Loss arising from any Claim made against the estate, heirs, or legal representatives of the Insured for any Wrongful Act of such Insured.4.5 Joint Property LiabilityThis Policy shall cover Loss arising from any Claim made against the lawful spouse (whether that status is derived by reason of the statutory law, common law or otherwise of any applicable jurisdiction in the world) of an Insured for any Claim arising out of his or her status as the spouse of an Insured including any Claim that seeks damages recoverable from marital community property or property jointly held by the Insured and the spouse; provided, however, that this extension shall not afford cover for any Claim for any Wrongful Act of the spouse and that this policy shall apply only to Wrongful Act(s) of an Insured.Provisions5. General5.1 Representation and SeverabilityIn granting cover to any one Insured, the Insurer has relied upon the material statements and particulars in the proposal together with its attachments and other information supplied.These statements, attachments and information are the basis of cover and shall be considered incorporated and constituting part of this policy.The proposal shall be construed as a separate proposal by each of the Insured s. With respect to statements and particulars in the proposal, no statements made or knowledge possessed by any Insured shall be imputed to any other Insured to determine whether cover is available for any Claim made against such other Insured.5.2 Changes in Risk During Policy period(i) If during the policy period a transaction takes place, then the cover provided underthis policy is amended to apply only to Wrongful Act(s) committed prior to theeffective date of the transaction.policy period, the Company decides to make an initial offering of itsthe(ii) Ifduringsecurities in any jurisdiction, whether its securities are already traded or not, by anymeans, public or private, then as soon as the information is publicly available, theCompany shall provide the Insurer with any prospectus or offering statement for theInsurer’s evaluation and assessment of the increased exposure of the Insured and theInsurer shall be entitled to amend the terms and conditions of this policy and/orcharge a reasonable additional premium reflecting the increase in exposure. At thepolicyholder’s request, prior to the public announcement of such securities offering,the Insurer shall evaluate and assess the increased exposure and advise of allnecessary amendments to the terms and conditions of this policy and additionalpremium. In this event and at the request of the policyholder, the Insurer will enterinto a confidentiality agreement with the policyholder relating to any informationprovided regarding the proposed securities offering.5.3 Limit of LiabilityThe limit of liability specified in Item 3 of the Schedule is the total aggregate limit of the Insurer’s liability for all Loss, arising out of all Claims made against all Insured s under all insurance covers under this policy combined. The limit of liability for the discovery period shall be part of and not in addition to the total aggregate limit of liability for the policy period.Loss arising from any Claim which is made subsequent to the policy period or discovery period which pursuant to General Provision 5.5 is considered made during the policy period or discovery period shall also be subject to the same total aggregate limit of liability. Defense costs are not payable by the Insurer in addition to the total aggregate limit of liability.Defense costs are part of Loss and are subject to the total aggregate limit of liability for Loss.5.4 RetentionThe Insurer shall only be liable for the amount of Loss arising from a Claim which is in excess of the retention amount specified in Item 4 of the Schedule with regard to all Loss under all insurance covers under this policy for which the Company has indemnified or is permitted or required to indemnify the Insured. The retention amount is to be borne by the Company and shall remain unInsured. A single retention amount shall apply to Loss arising from all Claim s alleging a single Wrongful Act.Provided, however, that no retention shall apply and the Insurer shall thereupon reimburse any defense costs paid by the Company, in the event of:(i) a determination of no liability of all Insured s, or(ii) a dismissal or a stipulation to dismiss the Claim without prejudice and without the payment of any consideration by any Insured.Provided, however, that in the case of (ii) above, such reimbursement shall occur 90 days after the date of dismissal or stipulation as long as the Claim is not re-brought (or any other Claim which is subject to the same single retention by virtue of this General provision 5.4 is not brought) within that time, and further subject to an undertaking by the Company in a form acceptable to the Insurer that such reimbursement shall be paid back by the Company to the Insurer in the event the Claim (or any other Claim which is subject to the same single retention by virtue of this General Provision 5.4) is brought after such 90 day period.5.5 How to Give Notice and Report a Claim(i) Notice of a Claim or of circumstances which may result in a Claim shall be given inwriting to Financial Lines Claims, at the head office of the Insurer as shown on thedeclarations page. If posted the date of posting shall constitute the date that noticewas given, and proof of posting shall be sufficient proof of notice.Company or the Insured shall, as a condition precedent to the obligations of the (ii) TheInsurer under this policy, give written notice to the Insurer of any Claim made againstan Insured as soon as practicable and either:(a) any time during the policy period or during the discovery period; or(b) within 30 days after the end of the policy period or the discovery period, aslong as such Claim(s) is reported no later than 30 days after the date suchClaim was first made against an Insured.(iii) If, during the policy period or during the discovery period written notice of a Claim against an Insured has been given to the Insurer pursuant to the terms and conditionsof this policy, then any Claim arising out of, based upon or attributable to the factsalleged in the Claim previously notified to the Insurer or alleging a single WrongfulAct which is the same as or related to any Wrongful Act alleged in the previouslynotified Claim, shall be considered made against the Insured and reported to theInsurer at the time the first notice was given.(iv) If during the policy period or during the discovery period, the Company or the Insured shall become aware of any circumstances which may reasonably be expected to giverise to a Claim being made against an Insured and shall give written notice to theInsurer of the circumstances and the reasons for anticipating a Claim, with fullparticulars as to dates and persons involved, then any Claim which is subsequentlymade against an Insured and reported to the Insurer arising out of, based upon orattributable to the circumstances or alleging any Wrongful Act which is the same as orrelated to any Wrongful Act alleged or contained in those circumstances, shall beconsidered made against the Insured and reported to the Insurer at the time the noticeof the circumstances was first given.5.6 Advancement of CostsThe Insurer shall advance to the Insured or the Company defense costs under all insurance covers under this policy before the final disposition of the Claim. The advance payments by the Insurer shall be repaid to the Insurer by the Company or the Insured, severally according to their respective interests, in the event and to the extent that the Company or the Insured shall not be entitled to payment of the Loss under the terms and conditions of this policy.In the event and to the extent that the Company is permitted or required to indemnify the Insured but for whatever reason fails to do so, the Insurer will advance all defense costs to the Insured on behalf of the Company. In this case, however, the retention amount specified in Item 4 of the Schedule shall be repaid by the Company to the Insurer, unless the Company is insolvent.5.7 How Defense Will Be ConductedThe Insured shall have the right and duly to defend and contest any Claim. The Insurer shall have the right to effectively associate with the Insured and the Company in the defense and settlement of any Claim that appears reasonably likely to involve the Insurer, including but not limited to effectively associating in the negotiation of any settlement.The Insured shall not admit or assume any liability, enter into any settlement agreement, stipulate to any judgment or incur any defense costs without the prior written consent of the Insurer as a condition precedent to the Insurer’s liability for Loss arising out of the Claim.Only those settlements, stipulated judgments and defense costs which have been consented to by the Insurer shall be recoverable as Loss under the terms of this policy. The Insurer’s consent shall not be unreasonably withheld, provided that the Insurer shall be entitled to effectively associate in the defense and the negotiation of any settlement of any Claim in order to reach a decision as to reasonableness.。
买保险的申请书模板
尊敬的保险公司：
我，（申请人姓名），地址：（申请人地址），联系电话：（申请人电话），在此向您提交购买保险的申请。
一、保险类型：
我拟购买（险种名称）保险，保险期间为（保险期间），保险金额为（保险金额）。
二、被保险人信息：
1. 被保险人姓名：（被保险人姓名）
2. 与申请人关系：（与申请人关系，如：配偶、子女、父母等）
3. 被保险人身份证号：（被保险人身份证号）
三、受益人信息：
1. 受益人姓名：（受益人姓名）
2. 与申请人关系：（与申请人关系，如：配偶、子女、父母等）
3. 受益人身份证号：（受益人身份证号）
四、保险费用支付方式：
我选择（支付方式，如：年付、季付、月付等）方式支付保险费用。
五、投保原因：
我购买保险是为了（投保原因，如：保障家庭、筹备教育基金、应对意外风险等）。
六、其他说明：
1. 请保险公司在收到申请后，尽快审核并告知审核结果。
2. 一旦审核通过，请保险公司及时为我办理保险手续。
3. 在保险期间内，我将按照保险合同约定履行缴费义务。
特此申请！
申请人：（申请人签名）
申请日期：（申请日期）
注：以上内容仅供参考，具体购买保险时，请根据实际情况修改完善。
在提交申请前，请务必仔细阅读保险合同条款，确保了解保险产品的保障范围、责任免除、保险费用等信息。
如有疑问，请咨询保险公司工作人员。
申请买保险的申请书范文5篇
申请买保险的申请书范文5篇（经典版）编制人：__________________审核人：__________________审批人：__________________编制单位：__________________编制时间：____年____月____日序言下载提示：该文档是本店铺精心编制而成的，希望大家下载后，能够帮助大家解决实际问题。
文档下载后可定制修改，请根据实际需要进行调整和使用，谢谢!并且，本店铺为大家提供各种类型的经典范文，如工作计划、工作总结、条据文书、合同协议、规章制度、应急预案、心得体会、教学资料、作文大全、其他范文等等，想了解不同范文格式和写法，敬请关注!Download tips: This document is carefully compiled by this editor. I hope that after you download it, it can help you solve practical problems. The document can be customized and modified after downloading, please adjust and use it according to actual needs, thank you!Moreover, our store provides various types of classic sample essays for everyone, such as work plans, work summaries, policy documents, contract agreements, rules and regulations, emergency plans, reflections, teaching materials, essay summaries, and other sample essays. If you want to learn about different sample essay formats and writing methods, please stay tuned!申请买保险的申请书范文5篇伴随时代的改革，很多人使用到申请书的情况越来越普遍了，撰写申请书时，应该避免使用过于复杂或晦涩的词汇，以保证清晰易懂，本店铺今天就为您带来了申请买保险的申请书范文5篇，相信一定会对你有所帮助。
董监高责任险投保申请书
董监高责任险投保申请书
投保单位（申请人）：____________________
联系地址：____________________
联系电话：____________________
尊敬的保险公司：
本单位现申请投保董事、监事及高级管理人员责任保险（董监高责任险），以便为我单位的董事、监事及高级管理人员提供在执行职务过程中可能发生的法律责任风险保障。
具体申请事项如下：
一、被保险人信息
1. 被保险人包括本单位的董事、监事及高级管理人员。
2. 具体被保险人名单及职务：______________________________________
二、保险金额
本单位申请的董监高责任险保险金额为人民币（大写）__________________________元（￥__________元）。
三、保险期限
本单位希望的保险期限为____年，自____年____月____日起至____年____月____日止。
四、主要风险覆盖
1. 被保险人因执行职务过程中的过失而对第三方造成的损失。
2. 被保险人因执行职务过程中的过失而面临的法律诉讼费用等。
五、其他要求及说明
______________________________________________________________
本单位承诺上述申请信息真实、准确无误，并愿意遵守贵公司制定的投保规则及条款。
希望贵公司能够尽快审核本申请，并提供详细的保险方案和报价。
此致
敬礼！
投保单位（盖章）：________________ 日期：____年____月____日
负责人签字：________________。
投保申请书
投保申请书尊敬的保险公司：我是XXX公司的财务经理，现就我公司的财产进行投保申请，希望贵公司能够为我公司的财产提供全面的保险保障。
我公司主要经营XXX行业，拥有价值数百万的固定资产，包括生产设备、仓储设施、办公设备等。
为了保障公司财产的安全，我公司决定购买财产保险，以应对意外损失和风险。
首先，我公司希望投保火灾保险。
考虑到生产设备和仓储设施的价值，一旦发生火灾，将会给公司造成巨大的经济损失。
因此，我公司希望能够购买全额赔付的火灾保险，以确保一旦发生火灾，公司能够及时获得赔偿，减少损失。
其次，我公司还希望投保盗窃保险。
由于公司的办公设备和原材料价值较高，存在被盗窃的风险。
为了降低这一风险带来的损失，我公司希望能够购买盗窃保险，一旦发生盗窃事件，能够得到相应的赔偿。
此外，我公司还考虑购买设备损坏保险。
生产设备是公司的重要资产，一旦发生意外损坏，将会导致生产停工和损失。
因此，我公司希望能够购买设备损坏保险，以应对设备损坏所带来的损失。
最后，我公司还希望能够购买商业中断保险。
一旦发生意外事件导致生产停工，将会给公司带来巨大的损失。
因此，我公司希望能够购买商业中断保险，以应对生产停工所带来的损失。
综上所述，我公司希望能够购买火灾保险、盗窃保险、设备损坏保险和商业中断保险，以全面保障公司财产的安全。
我公司愿意接受贵公司的评估和调查，并愿意按照贵公司的要求提供相关资料。
希望贵公司能够审慎考虑我公司的投保申请，并尽快给予答复。
谢谢！此致。
XXX公司财务经理敬上。
投保自愿申请书
尊敬的保险公司领导：您好！我谨以此书表达我自愿参加保险的意愿，并请求贵公司为我办理相关保险业务。
在此，我郑重承诺，以下内容均为真实、准确、完整的信息。
一、个人基本信息姓名：[您的姓名]性别：[您的性别]出生日期：[您的出生日期]身份证号码：[您的身份证号码]联系电话：[您的联系电话]住址：[您的住址]二、投保意愿1. 我深知保险作为一种风险管理工具，对于个人和家庭的重要性。
因此，我自愿参加保险，以保障自己和家人的生活安全和财产安全。
2. 我希望通过购买保险，能够在遇到意外事故、疾病、失业等风险时，得到一定的经济补偿，减轻家庭负担，保障生活质量。
3. 我认为贵公司的保险产品具有以下优点：a. 保险条款明确，保障范围广泛；b. 保险费率合理，性价比高；c. 保险理赔速度快，服务质量好。
三、投保金额及险种1. 我计划投保金额为人民币[投保金额]元。
2. 我计划投保以下险种：a. [险种名称1]：[投保金额]元；b. [险种名称2]：[投保金额]元；c. [险种名称3]：[投保金额]元。
四、投保原因1. 为了确保自己和家人的生活安全和财产安全，降低风险。
2. 为了应对意外事故、疾病、失业等可能给家庭带来的经济压力。
3. 为了实现自己的人生目标，提高生活质量。
五、承诺1. 我承诺提供真实、准确、完整的信息，如有虚假，愿承担相应的法律责任。
2. 我承诺按照保险合同的约定，按时缴纳保险费。
3. 我承诺在发生保险事故时，积极配合贵公司进行理赔。
4. 我承诺在保险期限内，不得转让或抵押保险合同。
六、其他事项1. 我已仔细阅读并理解了保险合同的条款，对保险责任、保险期间、保险费率等事项无异议。
2. 我愿意接受贵公司提供的保险服务，并支持贵公司的业务发展。
敬请贵公司审批我的投保申请，并为我办理相关保险业务。
感谢您在百忙之中阅读我的投保自愿申请书，期待与贵公司的合作！此致敬礼！申请人：[您的姓名]申请日期：[申请日期]。
单位投保申请书模板
单位投保申请书模板尊敬的保险公司：我单位（以下简称“投保单位”），成立于____年，注册地为____，是一家专业从事____行业的公司。
在此，我单位郑重向贵公司提交投保申请，希望通过贵公司的保险服务，为单位的财产和员工提供全面的保障。
一、投保单位基本情况投保单位成立于____年，注册地为____，经营范围包括____、____、____等。
单位现有员工____人，其中管理人员____人，技术人员____人，一线员工____人。
单位本着“以人为本、科技创新、追求卓越”的经营理念，不断提升产品质量和企业竞争力，已取得了一定的市场份额和社会声誉。
二、投保原因及目的1. 财产保障：随着单位业务的不断发展和扩大，单位的固定资产和流动资产规模也日益增加。
为了防止因意外事故导致财产损失，投保单位希望通过贵公司的保险服务，为单位的财产提供全面的保障。
2. 员工保障：投保单位高度重视员工的福利和权益，希望通过贵公司的保险服务，为员工提供人身意外伤害保险和健康保险等保障，以提高员工的工作积极性和凝聚力。
3. 社会责任：投保单位作为一家具有社会责任感的企业，愿意通过购买保险，为社会分担风险，为保险业的发展做出贡献。
三、投保方案及保险金额1. 财产保险：投保单位拟投保金额为人民币____万元的财产保险，包括建筑物、设备、原材料等财产，以及因意外事故导致的财产损失。
2. 员工保险：投保单位拟为全体员工投保人身意外伤害保险和健康保险，保险金额分别为人民币____万元和____万元。
四、保费支付方式及期限投保单位愿意按照贵公司的规定，通过银行转账方式支付保费，并在贵公司规定的期限内完成保费支付。
五、投保单位承诺投保单位承诺提供的信息真实、准确、完整，并遵守保险合同的各项规定。
同时，投保单位将积极配合贵公司的保险理赔工作，确保保险合同的顺利履行。
六、敬请审慎评估请贵公司对投保单位的投保申请进行审慎评估，如有需要，投保单位愿意提供相关证明材料。
参保申请书
参保申请书
尊敬的保险公司：
我是XXX，现在就职于XXX公司，担任XXX职务。
我在此向贵公司申请参保，希望能够享受到贵公司提供的保险服务。
我深知保险的重要性，它可以为我们提供经济上的保障，让我们在意外或疾病发生时能够得到及时的救助和补偿。
我希望能够为自己和家人购买一份全面的保险，保障我们的健康和财产安全。
我选择贵公司是因为我对贵公司的信誉和服务质量有着充分的信心。
我相信贵公司能够为我提供最优质的保险服务，让我和家人能够安心生活，无忧无虑。
在此，我诚恳地希望贵公司能够批准我的参保申请，让我成为贵公司的一员，享受到贵公司提供的保险保障。
我会按时足额缴纳保险费，并严格遵守贵公司的相关规定和要求。
谢谢贵公司的审批，期待能够尽快收到贵公司的答复。
此致。
敬礼。
XXX。
日期，XXXX年XX月XX日。
美亚财产保险有限公司 董监事及高级管理人员责任保险条款
样本美亚财产保险有限公司董监事及高级管理人员责任保险条款第一条 承保范围一. 董事与高级管理人员责任保险本公司对任何被保险人因履行被保险公司董事、高级管理人员或雇员职责时的不当行为而在保险期间内首次遭受赔偿请求所导致的损失负责赔偿，但被保险公司已经补偿被保险人损失的金额除外。
二. 公司补偿保险本公司对被保险公司因被保险人履行被保险公司董事、高级管理人员或雇员职责时的不当行为而在保险期间内首次遭受赔偿请求所导致的被保险公司的损失负责赔偿，但应以被保险公司已经补偿被保险人损失的金额为限。
本公司依照本保险合同的规定，在赔偿请求最终解决前，预付因此所产生的抗辩费用。
第二条 定义本保险合同内所使用的名词，其定义如下：一、“关联企业”：指在保险期间起始日或之前，其已发行的有表决权的股份中超过百分之二十但少于或等于百分之五十的股份, 为投保人直接持有或经由其一间或多间子公司间接持有的公司。
二、“赔偿请求”：指1.任何个人或组织因请求给予金钱赔偿或其他救济（包括非金钱的救济）对被保险人所提起的诉讼或其他法律程序； 2.任何个人或组织要求被保险人对特定不当行为的结果承担责任的书面请求； 3.任何针对被保险人提起的刑事诉讼； 4. 任何针对被保险人的特定不当行为提起的行政程序、监管程序或官方调查。
样本可归因于单一不当行为，或由其所产生，或以其为基础的任何单次或多次的赔偿请求，在本保险合同下应被视为单一赔偿请求。
三、“被保险公司”：指保险单的第一项所载的投保人及在不当行为发生日前，在公司组织结构图或类似文件中详细载明并经投保人或其子公司认可的子公司、分部、部门、区域性机构、生产群体或其他的公司内部单位。
四、“连续承保日”：指保险单第六项所记载的日期。
待决及以前的诉讼的连续承保日是指投保人连续向本公司或其它保险公司投保本类保险的首日，或其它经本公司同意的日期。
如按向其它保险公司连续投保之首日计算，投保人应在本保险合同起始日时向本公司提供其向该保险公司提交的首份投保书，且以本公司接受为条件。
关于保险公司董事、监事和高级管理人员任职资格申请的说明
关于保险公司董事、监事和高级管理人员任职资格申请的说明各位领导：根据中国保险监督管理委员会《保险公司董事、监事和高级管理（中国保险监督管理委员会令2010年第2号）人员任职资格管理规定》相关要求，为及时、准确申报董事、监事和高级管理人员任职资格，现将相关情况说明如下：一、任职资格核准1、保险公司董事、监事和高级管理人员，应当在任职前向中国保险监督管理委员会提交下列书面材料：二、任职资格考试保险公司拟任董事、监事和高级管理人员在《保险公司董事、监事和高级管理人员任职资格管理规定》发布后（2011年4月1日）未参加过中国保险监督管理委员会组织的任职资格考试的，在任职前都须参加相关知识测评考试。
如前期已参加过相关任职资格考试的，须在任职材料中“是否通过保险法规及相关知识测试”栏中注明“是”，至于本次是否需参加考试将根据中国保险监督管理委员会任职资格材料审查结果另行确定。
任职资格考试题型分为选择、判断、简答、论述四类，考试范围参考附件2。
附件2中的参考内容在任职资格考试中都会涉及，需全面复习，其中需重点关注的有新保险法、保险公司管理规定、保监会发展改革部及财产险部下发的有关偿付能力充足率、公司治理结构指引、董事责任等及基本保险原理等内容。
三、任职资格谈话中国保险监督管理委员会可以对保险公司拟任董事、监事和高级管理人员进行任职考察谈话，包括下列内容：（一）了解拟任人员的基本情况。
（二）对拟任人员需要重点关注的问题进行提示。
（三）中国保监会认为应当考察的其他内容。
特此说明附件：1、保险公司董事、监事和高级管理人员任职资格申请表2、保险公司董事、监事和高级管理人员相关知识测评考试内容参考范围华安保险人力资源部 2011年6月20日。
投保申请书
投保申请书（实用版）编制人：__________________审核人：__________________审批人：__________________编制单位：__________________编制时间：____年____月____日序言下载提示：该文档是本店铺精心编制而成的，希望大家下载后，能够帮助大家解决实际问题。
文档下载后可定制修改，请根据实际需要进行调整和使用，谢谢!并且，本店铺为大家提供各种类型的实用资料，如实用文、活动总结、合同范本、讲话致辞、小学作文、实习总结、申请书、心得体会、笔记、其他资料等等，想了解不同资料格式和写法，敬请关注!Download tips: This document is carefully compiled by this editor.I hope that after you download it, it can help you solve practical problems. The document can be customized and modified after downloading, please adjust and use it according to actual needs, thank you!Moreover, the shop provides you with various types of practical information, such as practical text, activity summary, contract template, speech speech, primary school composition, internship summary, application, experience, notes, other information, etc., want to know different data formats and writing methods, please pay attention!投保申请书你眼前所阅读的本篇有924文字共，由丽谢海尽心整理后发布。
投保申请书
投保申请书
尊敬的保险公司：
本人，[姓名]，身份证号码[身份证号]，现居住于[详细地址]，根据贵公司提供的保险产品信息，特此向贵公司提出投保申请。
一、投保目的
本人深知保险的重要性，旨在通过投保，为自己及家人提供一份经济上的保障，以应对未来可能发生的各种不可预见的风险。
二、投保产品选择
经过认真比较和考虑，我选择投保贵公司的[具体保险产品名称]。
该保险产品以其全面的保障范围、合理的保费价格以及良好的客户服务而著称，符合我的投保需求。
三、投保信息
1. 投保人信息：[姓名]，性别[性别]，出生日期[出生日期]，职业[职业]。
2. 被保险人信息：同投保人。
3. 保险期限：[保险期限]。
4. 保险金额：[保险金额]。
5. 缴费方式：[缴费方式]。
四、健康状况声明
本人承诺，投保时所提供的所有个人信息及健康状况均真实有效，无任何隐瞒。
如有不实，愿意承担由此产生的一切后果。
五、附加声明
本人已详细阅读并理解了保险合同的所有条款，特别是责任免除、保险责任、保险期间、缴费方式等相关条款。
本人同意遵守合同约定，并按照约定履行缴费等义务。
六、申请提交
随函附上所需的所有相关材料，包括但不限于身份证复印件、健康体检报告等。
请贵公司审核本人的投保申请，并在审核通过后及时通知本人。
感谢贵公司提供的保险服务，期待与贵公司的合作。
此致
敬礼！
申请人：[姓名]
日期：[申请日期]。
单位投保申请书模板范文
尊敬的保险公司：我单位（全称：XXXX公司，以下简称“我公司”）现向贵公司提交投保申请，请予以审批。
一、投保单位基本情况我公司成立于XXXX年，注册地为XXXX，主要从事XXXX行业的业务。
我公司具备良好的企业资质，经营状况稳定，拥有广泛的客户群体，是行业内的佼佼者。
在发展过程中，我公司始终坚持以人为本、以质量求生存、以创新求发展的经营理念，赢得了社会各界的高度认可。
二、投保原因及目的1. 风险防范：随着市场竞争的日益激烈，我公司面临各种潜在风险，如意外事故、财产损失等。
通过投保，我公司可以有效地转移风险，降低经营风险对企业的影响。
2. 社会责任：作为一家具有社会责任感的企业，我公司希望通过投保，为员工提供一份安全保障，关爱员工，履行企业社会责任。
3. 企业形象：投保有利于提升我公司的企业形象，增强客户对我公司的信任，有利于企业的长远发展。
三、投保方案及保险金额1. 投保方案：根据我公司的实际情况，拟投保“综合保险套餐”，包括企业财产保险、雇主责任保险、员工意外伤害保险等。
2. 保险金额：根据我公司的资产状况、员工人数等因素，初步确定保险金额如下：（1）企业财产保险：保险金额为XXXX万元，涵盖公司办公设备、原材料、产品等财产。
（2）雇主责任保险：保险金额为XXXX万元，保障公司员工在日常工作过程中的人身安全。
（3）员工意外伤害保险：保险金额为XXXX万元，为员工提供下班途中、出差等非工作时间的人身意外伤害保障。
四、保费支付方式及期限1. 保费支付方式：我公司愿意采取按季度支付保费的方式，以确保保险合同的持续有效。
2. 保费支付期限：自保险合同签订之日起，每季度末支付当季保费。
五、投保要求1. 请贵公司对我公司的投保申请进行认真审核，并根据实际情况制定详细的投保方案。
2. 请贵公司提供保险合同文本，以便我公司充分了解保险条款，确保双方的权益。
3. 请贵公司提供保险费用明细，以便我公司准确掌握保费支出。
公司投保申请书模板范文
尊敬的保险公司：
我代表本公司向贵公司提交投保申请，希望贵公司能够为我公司提供一份全面的保险方案，以保障我公司的合法权益。
首先，请允许我简要介绍一下我公司的基本情况。
我公司成立于xx年，是一家专
业从事xx行业的公司。
经过多年的发展，我公司已经拥有了一批专业的团队和先
进的设备，业务范围也逐步扩大。
为了保障我公司的合法权益，我们希望贵公司能够为我公司提供一份全面的保险方案。
在此，我们特别关注以下几个方面的保险需求：
1. 财产保险：我公司拥有大量的设备和技术，这些资产是我公司的核心竞争力。
我们希望贵公司能够为我公司提供一份全面的财产保险，以保障我公司的资产安全。
2. 责任保险：作为一家专业从事xx行业的公司，我公司在经营过程中可能会面临各种风险。
我们希望贵公司能够为我公司提供一份责任保险，以保障我公司在发生意外情况时能够得到及时的赔偿。
3. 员工保险：我公司注重员工的福利和权益保障，我们希望贵公司能够为我公司
提供一份员工保险，以保障员工的权益。
为了更好地保障我公司的合法权益，我们希望贵公司能够根据我公司的实际情况，为我公司量身定制一份全面的保险方案。
同时，我们也希望能够贵公司能够提供优质的服务，包括保险咨询、理赔等环节。
最后，我们期待贵公司能够尽快回复，以便我们进一步沟通和协商。
感谢贵公司对我公司的关注和支持！
此致
敬礼！
申请人：（签名）
日期：xxxx年xx月xx日。
保险申请书书面模板范文(3篇)
第1篇尊敬的保险公司：我谨以此申请书向贵公司申请购买保险，以保障我的个人及家庭安全，抵御可能发生的风险。
以下是我详细的信息和个人需求，恳请贵公司予以审核和批准。
一、申请人基本信息1. 姓名：[您的姓名]2. 性别：[您的性别]3. 出生日期：[您的出生日期]4. 身份证号码：[您的身份证号码]5. 联系电话：[您的联系电话]6. 电子邮箱：[您的电子邮箱]7. 家庭住址：[您的家庭住址]二、投保原因及需求1. 投保原因随着社会的发展和生活水平的提高，人们越来越注重生活质量，同时也面临着各种风险和不确定性。
为了确保我在面临意外、疾病等风险时能够得到及时的经济支持，减轻家庭负担，特向贵公司申请购买保险。
2. 投保需求（1）意外伤害保险：保障我在日常生活中因意外事故导致的身故、残疾、医疗费用等损失。
（2）重大疾病保险：保障我在患有重大疾病时，能够得到一定的经济补偿，减轻家庭负担。
（3）医疗保险：保障我在因疾病住院治疗期间，能够得到医疗费用的报销。
（4）寿险：保障我在身故后，家庭能够得到一定的经济补偿，确保家人生活水平。
三、保险产品选择1. 意外伤害保险：选择[保险公司名称]的意外伤害保险，保险金额为[金额]，保障期限为[期限]。
2. 重大疾病保险：选择[保险公司名称]的重大疾病保险，保险金额为[金额]，保障期限为[期限]。
3. 医疗保险：选择[保险公司名称]的医疗保险，保险金额为[金额]，保障期限为[期限]。
4. 寿险：选择[保险公司名称]的寿险，保险金额为[金额]，保障期限为[期限]。
四、保险条款及缴费方式1. 保险条款：我已仔细阅读并理解贵公司提供的保险条款，包括保险责任、保险期间、保险金额、保险费率、保险金的给付等。
2. 缴费方式：我同意按照贵公司规定的缴费方式，在保险期间内按时缴纳保险费。
五、授权委托1. 我授权[代理人姓名]（如有）代表我办理本次保险业务。
2. 我同意贵公司及代理人将我的个人信息用于办理保险业务。
投保申请书范文
投保申请书范文第一篇：投保申请书财产一切险投保申请书投保单号：本申请书由投保人如实和尽可能详尽地填写并签章后作为向承保人投保财产一切险的依据。
本申请书为该财产一切险保险单的组成部分。
┌──────────────────────────────────┐│投保人：│├─────────────────────┬────────────┤│地址：│电话号码：│├─────────────────────┴────────────┤│保险财产地址：│├──────────────────────────────────┤│保险期限：个月自至中午１２时正│├──────────────────────────────────┤│建筑情形及周围情况：│├──────────────────────────────────┤│保险财产使用性质：│├──────────────────────────────────┤│是否有警报系统或安全保卫系统：│├──────────────────────────────────┤│以往损失情况：│├──────────────────────────────────┤│费率：保险费：│├───────┬──────────┬──────┬────────┤│项目号│保险财产名称│投保金额│每次事故免赔额│├───────┼──────────┼──────┼────────┤││││├───────┼──────────┼──────┼────────┤│││││├───────┼──────────┼──────┼────────┤│││││├───────┼──────────┼──────┼────────┤││││├───────┼──────────┼──────┼────────┤│││││├───────┼──────────┼──────┼────────┤│││││├───────┼──────────┼──────┼────────┤││││├───────┼──────────┼──────┼────────┤│││││├───────┼──────────┼──────┼────────┤│││││├───────┼──────────┼──────┼────────┤││││├───────┴──────────┴──────┴────────┤│如此处不够请在背面填写。
保险公司董事、监事和高级管理人员任职资格申请表
保险公司董事、监事和高级管理人员
任职资格申请表
拟任人姓名: 拟任职公司: 填报日期:
中国保险监督管理委员会制
填表说明
—、本表由保险机构人事部门填制。
二、本表一式三份，并电子文档一同报送监管机关。
三、“学历”、“学位”、“毕业院校”、“毕业时间”按取得的最高学
历、学位填写。
四、“核准文号”指监管机关原核准该董事、监事、高级管理人员任职资
格的文号。
五、“学习经历”自大学（专科或者本科）填起。
六、“培训经历”指三个月以上的境内、外培训。
七、拟任董事、监事、高级管理人员如有直系亲属长期居住境外的，请将
居住国别、起始时间等有关情况简要填写在“备注” 栏中。
八、“本人声明”由拟任董事、监事、高级管理人员本人手书以下
内容并签字：本表记载内容符合我本人的真实情况。
九、“保险机构声明”由保险公司法定代表人或者其分支机构主要负责人
手书以下内容并签字：经我单位审查，本表记载内容真实。
十、填表应当准确、完整，无相关内容的应当在相应表格中填写
“否”或者“无”。
公司购买保险申请书范文
您好！我司【公司全称】，经深思熟虑，特向贵公司提出购买保险的申请。
为确保公司运营安全，降低风险，提高抗风险能力，现将具体情况阐述如下：一、公司简介【公司全称】成立于【成立年份】，是一家从事【主营业务】的企业。
公司成立以来，始终秉承“诚信、专业、创新、共赢”的经营理念，积极拓展业务，为客户提供优质的产品和服务。
经过多年的发展，公司已具备较强的市场竞争力，成为行业内的佼佼者。
二、购买保险原因1. 市场竞争激烈：随着我国经济的快速发展，市场竞争日益激烈，企业面临的风险也在不断增加。
为降低风险，保障公司稳健发展，购买保险成为当务之急。
2. 法律法规要求：根据《中华人民共和国保险法》等相关法律法规，企业必须购买一定范围的保险，以保障企业及员工的合法权益。
3. 公司发展需要：随着公司业务的不断拓展，资产规模逐渐扩大，购买保险有利于降低经营风险，为公司发展提供有力保障。
三、购买保险需求1. 险种选择：根据公司实际情况，我们计划购买以下险种：（1）财产保险：包括企业财产保险、营业中断保险等，以保障公司财产安全和经营稳定。
（2）责任保险：包括产品责任保险、公众责任保险等，以降低因产品或服务导致的风险。
（3）意外伤害保险：为员工购买意外伤害保险，保障员工在工作中的安全。
2. 保险金额：根据公司资产规模和业务需求，我们将根据以下标准确定保险金额：（1）财产保险：根据公司固定资产价值确定保险金额。
（2）责任保险：根据公司可能面临的风险和责任范围确定保险金额。
（3）意外伤害保险：根据员工人数和公司实际情况确定保险金额。
3. 保险期限：根据公司业务需求和保险条款，我们将选择合适的保险期限。
四、申请事项1. 请贵公司根据我公司需求，提供相应的保险产品及方案。
2. 请贵公司给予我公司一定的优惠政策，以降低保险成本。
3. 请贵公司尽快与我公司签订保险合同，确保公司运营安全。
感谢贵公司对我司购买保险申请的关注与支持，期待与贵公司建立长期稳定的合作关系。
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(Please provide the total (consolidated) net worth of the Company for the past two years) (d)请提供投保公司最近两年（合并）总净利润：
(Please provide the total (consolidated) net income of the Company for the past two years)
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9.最近五年内： (a)投保公司名称是否变更？…………………………………………………□是 □否 (the name of the Proposer changed?) (b)投保公司及其子公司是否曾发生收购或合并案？………………………□是 □否 (any acquisition or merger taken place of the Proposer or any subsidiary occurred?) (c)有无子公司被出售或停止营业？…………………………………………□是 □否 (any subsidiary been sold or ceased trading?) (d)投保公司是否有「管理层收购」、「融资购并」或其它资本结构变更？ ……………………………………………………………………………..□是 □否 (the Company undergone a Management buy out, Leveraged buy out or other change in capital structure of the Parent Company changed?)
比例：
(All security holders, holding a 5% or more ownership interest in the Proposer, or any subsidiary that is publicly traded, giving the holder’s name and the percentage held)
(b)投保公司或其任何子公司是否知悉他公司或组织正考虑进行以投保公司或其任何子 公司为标的任何收购、公开收购、合并、买断或其它影响投保公司或其子公司股权结 构之计划？…………………………………………………………………□是 □否 (Is the Proposer or any subsidiary aware of whether any other company or entity is
(a)保险人名称(Insurer)： (b)赔偿限额(Indemnity Limit)： (c)保单到期日(Expiry Date)： (d)保险费(Premium)： (e)自负额(Retention(s))：
11. 是 否 有 任 何 保 险 人 拒 绝 承 保 、 终 止 或 拒 绝 续 保 投 保 公 司 之 董 事 及 高 级 职 员 责 任 保 险？…………………………………………………………………………….□是 □否 (Has the Company ever had any Insurer decline a proposal or cancel or refuse to renew a Directors & Officers Liability Insurance?)
considering an acquisition, tender offer, merger, buy-out or other change in equity structure of which the Proposer or any subsidiary would be a target?)
页上签名并注明日期。 － 请确定在您的投保书签名并注明日期。
一、投保公司资料 1.投保公司名称(Name of Proposer)： 2.公司总部地址(Address of Head Office)：
3.公司注册国(Country of Registration)： 4.公司设立／成立日期(Date of incorporation/formation)： 5.(a)投保公司连续营业时间：
若上述任何问题之答复为「是」，请详细说明。
10. 投 保 公 司 或 其 任 何 董 事 及 高 级 职 员 现 在 是 否 有 其 它 有 效 的 董 事 及 高 级 职 员 责 任 保 险？…………………………………………………………………………..□是 □否 (Does the Company or any director or officer have Directors & Officers Liability Insurance currently in force?) 若上述答案为「是」，请针对以下事项详细描述：
8.(a)请提供最近一期年报中所述之投保公司（合并）总资产：
(Please provide total (consolidated) annual gross assets of the Company from the most recent year end report) (b)请提供最近一期年报中所述之投保公司（合并）全年总收入／营业额：
知悉或被合理地认为知悉的事项，此关系保险公司决定是否承保保险事故，以及 承保之条件。在您续保、附加、变更或回复保险，您均有相同之义务。 但您无须披露下列事项： － 减少将由保险公司所承保之风险； － 基本常识； － 保险公司已知悉或在其正常的业务过程中应当知悉的事项； － 保险公司放弃要求您履行义务的事项。 （请注意：您填妥投保书后至保单签发时为止，您仍应继续履行此披露义务。） 披露义务之不履行
BusinessGuardSM
Revolutionary Insurance
董监事及高级管理人员责任保险投保申请书
Producer Code
(Internal Use Only)
重要注意事项
—
Producer Name
(Internal Use Only)
投保人之披露义务 在您与保险公司签立一份保险合同前，您有义务向保险公司披露一切您所
若上述 7(c) 之答案为「否」，则请列出不拟投保之子公司名称。 (If “no” to question 7(c) please list those subsidiaries for which insurance is not being requested.)
注：投保公司及其子公司，以下统称为「投保公司」 (N.B. Hereinafter the Proposer and its subsidiaries shall be known as the “Company.”)
持有人
所属机构
持股比例
17.(a)投保公司或其任何子公司是否正考虑进行任何收购、公开收购、合并、买断或其 它影响股权结构之计划？…………………………………………………□是 □否 (Is the Proposer or any subsidiary considering any acquisition, tender offer, merger, buyout or other change in equity structure?)
子公司名称
设立或成立 之国家
每一上市 之国家
每一国家之证券 交易所／市场
上市种类(直接， ADR 及其级数，
OTC)
交易证券占所有 发行证券之比例
及证券种类
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16.请列出投保公司：
(a)全部股东人数(Total number of shareholders)： (b)已发行之总股数(Total number of shares issued)： (c)董事及高级职员所持有总股数(百分比，直接及受益)：
(b)以其它方式交易其股票？…………………………………………………□是 □否 (Traded in any other way?) 若答复为「是」，请说明：
14.是否有任何子公司为公开发行之公司(权益或债券) ……… ………………□是 □否
15.若第 14 问题之答复为「是」，请就每一子公司提供以下资料：
(Total number of shares (percentage) held by each director and officer of the Company (both direct and beneficial)) (d)机构投资者所持有总股数(百分比)：
(Total number of shares (percentage) held by institutional investors) (e)所有持有投保公司或其上市子公司 5%或以上股票者，请提供股票持有人名称及持股
若答复为「是」，请详细说明：
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12.投保公司是： (a)非公开发行之公司(Privately Held)？……………………………….…...□是
□否
(b)公开发行之公司(权益或债券) ……………………………………………□是 □否 (Publicly Traded (equity or debt))
13.若第 12(b)之问题答复为「是」者，请就投保公司以下资料说明：
每一上市之国家
每一国家之证券 交易所／市场
上市种类(直接，ADR 及其级数，OTC)