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Student Accident Insurance Application

Student Accident Insurance Application

  1. In the year of 2014, Student Group Insurance was own by Nan Shan Life Insurance Co., Ltd. From August 1st 2013, students should apply Student Accident Insurance from Nan Shan. Accidents happened before August 1st 2012, students should report the accident to Farglory Life Insurance Co., Ltd.
  2. From the year 2014, student group insurance is publically tender and cover by Nan Shan Life Insurance Co., Ltd. 102. Each person costs NT$150 every semester, and Ministry of Education will subsidize NT$50 per student every semester so each student only pays NT$100.
  3. For any questions or problems please contact Nan Shan Life Insurance Co., Ltd: Service: Miss Zhan TEL:0911-255-666
  4. Students can download the application to apply for Student Accident Insurance, and send it to Student Assistance Division with certificate

Certificate needed for Insurance

Documents Medical Insurance Disability Insurance Living allowance Missing Life Insurance Accidental Insurance
Application Form (including personal information and agreement) OOOOO
Medical Diagnosis Certificate O    
Medical Receipt (original copy) O    
Disability Diagnosis Certificate  O   
Autopsy or the Death Diagnosis Certificate     O
Removal from registration household Certificate     O
Missing Certificate (including the registration household Certificate)    O 
Registration household Certificate of Beneficiary  OOOO
Agreement Statement    O 

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