91视频专区

《偷欢01经典片k8经典》BD免费在线观看-爱情片- 阳光电影网

二、燃油费用

2024年12月08日,叁人一起坐在阳台的长椅上,在星光下开始了一场深入的谈话。王大娓娓道来他和李芳的往事,讲述了他们如何克服困难,共同建立起这个温暖的家庭。

《偷欢01经典片k8经典》BD免费在线观看-爱情片- 阳光电影网

15日之后雨带北抬至黄淮北部预计江苏转为晴热高温天气

有私募人士表示,转融通出借不能算做减持,因为这股东持股没有变动,但是通过融券来实现变相减持是较为容易操作的举措。刚好他看到,其他父母给孩子买冰淇淋,孩子很喜欢,于是他也买了一个,准备送给阿狸。

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中(Zhong)国(Guo)重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)迎(Ying)来(Lai)重(Zhong)大(Da)变(Bian)革(Ge)2020-06-01 17:57·懒(Lan)猫(Mao)的(De)丰(Feng)收(Shou)日(Ri)国(Guo)信(Xin)证(Zheng)券(Quan)非(Fei)银(Yin)团(Tuan)队(Dui)认(Ren)为(Wei),2020版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)明(Ming)显(Xian)下(Xia)降(Jiang),赔(Pei)付(Fu)率(Lv)下(Xia)降(Jiang),理(Li)论(Lun)上(Shang)可(Ke)以(Yi)降(Jiang)低(Di)价(Jia)格(Ge);新(Xin)增(Zeng)粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)重(Zhong)疾(Ji)表(Biao),使(Shi)产(Chan)品(Pin)更(Geng)具(Ju)市(Shi)场(Chang)竞(Jing)争(Zheng)力(Li)。修(Xiu)订(Ding)的(De)重(Zhong)疾(Ji)表(Biao)将(Jiang)更(Geng)准(Zhun)确(Que)反(Fan)映(Ying)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)的(De)变(Bian)化(Hua),产(Chan)品(Pin)定(Ding)价(Jia)、评(Ping)估(Gu)更(Geng)加(Jia)科(Ke)学(Xue)合(He)理(Li)。摘(Zhai)要(Yao)■主(Zhu)要(Yao)逻(Luo)辑(Ji)与(Yu)核(He)心(Xin)结(Jie)论(Lun)重(Zhong)疾(Ji)险(Xian)市(Shi)场(Chang)方(Fang)兴(Xing)未(Wei)艾(Ai),渗(Shen)透(Tou)率(Lv)仍(Reng)有(You)很(Hen)大(Da)提(Ti)升(Sheng)空(Kong)间(Jian),但(Dan)短(Duan)期(Qi)面(Mian)临(Lin)竞(Jing)争(Zheng)加(Jia)剧(Ju)问(Wen)题(Ti)。重(Zhong)疾(Ji)定(Ding)义(Yi)和(He)重(Zhong)疾(Ji)表(Biao)修(Xiu)订(Ding),对(Dui)行(Xing)业(Ye)发(Fa)展(Zhan)具(Ju)有(You)深(Shen)远(Yuan)意(Yi)义(Yi)。一(Yi)方(Fang)面(Mian),有(You)利(Li)于(Yu)维(Wei)护(Hu)消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi);另(Ling)一(Yi)方(Fang)面(Mian),产(Chan)品(Pin)定(Ding)价(Jia)、评(Ping)估(Gu)更(Geng)加(Jia)科(Ke)学(Xue)合(He)理(Li),有(You)利(Li)于(Yu)稳(Wen)定(Ding)死(Si)差(Cha)益(Yi)。同(Tong)时(Shi),为(Wei)多(Duo)元(Yuan)化(Hua)产(Chan)品(Pin)设(She)计(Ji)提(Ti)供(Gong)了(Liao)依(Yi)据(Ju)。虽(Sui)然(Ran)价(Jia)格(Ge)空(Kong)间(Jian)打(Da)开(Kai),但(Dan)产(Chan)品(Pin)定(Ding)价(Jia)受(Shou)市(Shi)场(Chang)供(Gong)求(Qiu)影(Ying)响(Xiang),预(Yu)计(Ji)降(Jiang)价(Jia)力(Li)度(Du)有(You)限(Xian)。■我(Wo)国(Guo)重(Zhong)疾(Ji)险(Xian)现(Xian)状(Zhuang)重(Zhong)疾(Ji)险(Xian)是(Shi)保(Bao)险(Xian)公(Gong)司(Si)新(Xin)业(Ye)务(Wu)价(Jia)值(Zhi)的(De)重(Zhong)要(Yao)贡(Gong)献(Xian)来(Lai)源(Yuan),随(Sui)着(Zhuo)竞(Jing)争(Zheng)加(Jia)剧(Ju),面(Mian)临(Lin)产(Chan)品(Pin)责(Ze)任(Ren)和(He)费(Fei)率(Lv)竞(Jing)争(Zheng)的(De)天(Tian)花(Hua)板(Ban),中(Zhong)小(Xiao)保(Bao)险(Xian)公(Gong)司(Si)推(Tui)出(Chu)各(Ge)家(Jia)“爆(Bao)款(Kuan)产(Chan)品(Pin)”,上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)定(Ding)期(Qi)迭(Die)代(Dai)已(Yi)经(Jing)形(Xing)成(Cheng)市(Shi)场(Chang)影(Ying)响(Xiang)力(Li)的(De)IP级(Ji)产(Chan)品(Pin),竞(Jing)争(Zheng)进(Jin)入(Ru)白(Bai)热(Re)化(Hua)阶(Jie)段(Duan)。■新(Xin)版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)与(Yu)重(Zhong)疾(Ji)表(Biao)随(Sui)着(Zhuo)医(Yi)学(Xue)临(Lin)床(Chuang)诊(Zhen)断(Duan)标(Biao)准(Zhun)和(He)医(Yi)疗(Liao)技(Ji)术(Shu)的(De)不(Bu)断(Duan)发(Fa)展(Zhan)和(He)革(Ge)新(Xin),目(Mu)前(Qian)定(Ding)义(Yi)已(Yi)经(Jing)难(Nan)以(Yi)满(Man)足(Zu)行(Xing)业(Ye)发(Fa)展(Zhan)和(He)消(Xiao)费(Fei)者(Zhe)需(Xu)求(Qiu)。新(Xin)版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)新(Xin)增(Zeng)3种(Zhong)轻(Qing)症(Zheng)、重(Zhong)疾(Ji)数(Shu)量(Liang)从(Cong)25种(Zhong)增(Zeng)加(Jia)到(Dao)28种(Zhong)、定(Ding)义(Yi)更(Geng)准(Zhun)确(Que)(结(Jie)合(He)了(Liao)最(Zui)新(Xin)医(Yi)疗(Liao)临(Lin)床(Chuang)实(Shi)践(Jian),同(Tong)时(Shi)又(You)考(Kao)虑(Lv)了(Liao)理(Li)赔(Pei)的(De)实(Shi)务(Wu)操(Cao)作(Zuo))、引(Yin)入(Ru)定(Ding)期(Qi)评(Ping)估(Gu)机(Ji)制(Zhi)、轻(Qing)症(Zheng)赔(Pei)付(Fu)比(Bi)例(Li)20%、甲(Jia)状(Zhuang)腺(Xian)癌(Ai)将(Jiang)TNM分(Fen)期(Qi)为(Wei)I期(Qi)的(De)纳(Na)入(Ru)轻(Qing)症(Zheng)赔(Pei)付(Fu)、不(Bu)得(De)含(Han)有(You)保(Bao)障(Zhang)范(Fan)围(Wei)高(Gao)度(Du)重(Zhong)叠(Die)的(De)疾(Ji)病(Bing)、罕(Han)见(Jian)病(Bing)需(Xu)要(Yao)标(Biao)注(Zhu)等(Deng)。可(Ke)见(Jian),重(Zhong)疾(Ji)定(Ding)义(Yi)修(Xiu)订(Ding)立(Li)足(Zu)于(Yu)消(Xiao)费(Fei)者(Zhe)角(Jiao)度(Du),有(You)利(Li)于(Yu)维(Wei)护(Hu)消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)。重(Zhong)疾(Ji)表(Biao)修(Xiu)订(Ding),2007版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia),主(Zhu)要(Yao)年(Nian)龄(Ling)段(Duan)发(Fa)病(Bing)率(Lv)提(Ti)升(Sheng),由(You)于(Yu)上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)已(Yi)补(Bu)提(Ti)准(Zhun)备(Bei)金(Jin),预(Yu)计(Ji)影(Ying)响(Xiang)有(You)限(Xian);2020版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)明(Ming)显(Xian)下(Xia)降(Jiang),赔(Pei)付(Fu)率(Lv)下(Xia)降(Jiang),理(Li)论(Lun)上(Shang)可(Ke)以(Yi)降(Jiang)低(Di)价(Jia)格(Ge);新(Xin)增(Zeng)粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)重(Zhong)疾(Ji)表(Biao),使(Shi)产(Chan)品(Pin)更(Geng)具(Ju)市(Shi)场(Chang)竞(Jing)争(Zheng)力(Li)。■重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)变(Bian)化(Hua)展(Zhan)望(Wang)展(Zhan)望(Wang)未(Wei)来(Lai),重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)有(You)以(Yi)下(Xia)趋(Qu)势(Shi):(1)规(Gui)范(Fan)化(Hua)发(Fa)展(Zhan),定(Ding)价(Jia)更(Geng)科(Ke)学(Xue),有(You)利(Li)于(Yu)保(Bao)险(Xian)公(Gong)司(Si)防(Fang)范(Fan)风(Feng)险(Xian),同(Tong)时(Shi),消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)也(Ye)得(De)到(Dao)维(Wei)护(Hu);(2)突(Tu)出(Chu)失(Shi)能(Neng)、护(Hu)理(Li)功(Gong)能(Neng);(3)老(Lao)年(Nian)重(Zhong)疾(Ji)险(Xian)加(Jia)速(Su)发(Fa)展(Zhan)。■风(Feng)险(Xian)提(Ti)示(Shi)全(Quan)球(Qiu)疫(Yi)情(Qing)事(Shi)件(Jian)影(Ying)响(Xiang)超(Chao)预(Yu)期(Qi);重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)销(Xiao)售(Shou)不(Bu)及(Ji)预(Yu)期(Qi);再(Zai)投(Tou)资(Zi)压(Ya)力(Li)加(Jia)大(Da)。报(Bao)告(Gao)正(Zheng)文(Wen)01 主(Zhu)要(Yao)逻(Luo)辑(Ji)与(Yu)结(Jie)论(Lun)2019年(Nian)12月(Yue),银(Yin)保(Bao)监(Jian)会(Hui)等(Deng)13部(Bu)委(Wei)《关(Guan)于(Yu)促(Cu)进(Jin)社(She)会(Hui)服(Fu)务(Wu)领(Ling)域(Yu)商(Shang)业(Ye)保(Bao)险(Xian)发(Fa)展(Zhan)的(De)意(Yi)见(Jian)》提(Ti)出(Chu),商(Shang)业(Ye)健(Jian)康(Kang)保(Bao)险(Xian)到(Dao)2025年(Nian)超(Chao)过(Guo)2万(Wan)亿(Yi)元(Yuan),未(Wei)来(Lai)6年(Nian)要(Yao)保(Bao)持(Chi)19%年(Nian)均(Jun)增(Zeng)长(Chang)率(Lv)。2020年(Nian)是(Shi)健(Jian)康(Kang)险(Xian)变(Bian)化(Hua)的(De)大(Da)年(Nian),新(Xin)的(De)健(Jian)康(Kang)保(Bao)险(Xian)管(Guan)理(Li)办(Ban)法(Fa)出(Chu)台(Tai)、重(Zhong)疾(Ji)定(Ding)义(Yi)修(Xiu)改(Gai)、重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)表(Biao)修(Xiu)订(Ding)、长(Chang)期(Qi)医(Yi)疗(Liao)险(Xian)费(Fei)率(Lv)调(Diao)整(Zheng)等(Deng)等(Deng),监(Jian)管(Guan)红(Hong)利(Li)逐(Zhu)步(Bu)释(Shi)放(Fang)。本(Ben)文(Wen)是(Shi)《健(Jian)康(Kang)险(Xian)市(Shi)场(Chang)变(Bian)革(Ge)之(Zhi)年(Nian)》(2020年(Nian)5月(Yue)10日(Ri))的(De)续(Xu)篇(Pian),聚(Ju)焦(Jiao)重(Zhong)疾(Ji)险(Xian),核(He)心(Xin)内(Nei)容(Rong)包(Bao)括(Kuo):我(Wo)国(Guo)重(Zhong)疾(Ji)险(Xian)现(Xian)状(Zhuang)、新(Xin)版(Ban)定(Ding)义(Yi)和(He)发(Fa)生(Sheng)率(Lv)表(Biao)、未(Wei)来(Lai)展(Zhan)望(Wang)。重(Zhong)疾(Ji)险(Xian)目(Mu)前(Qian)进(Jin)入(Ru)竞(Jing)争(Zheng)加(Jia)剧(Ju)阶(Jie)段(Duan),无(Wu)论(Lun)是(Shi)产(Chan)品(Pin)责(Ze)任(Ren)还(Huan)是(Shi)费(Fei)率(Lv)都(Du)面(Mian)临(Lin)天(Tian)花(Hua)板(Ban)。上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)主(Zhu)要(Yao)定(Ding)位(Wei)于(Yu)中(Zhong)高(Gao)端(Duan)客(Ke)户(Hu),产(Chan)品(Pin)更(Geng)新(Xin)迭(Die)代(Dai)速(Su)度(Du)快(Kuai)。重(Zhong)疾(Ji)定(Ding)义(Yi)修(Xiu)订(Ding)立(Li)足(Zu)于(Yu)消(Xiao)费(Fei)者(Zhe)角(Jiao)度(Du),有(You)利(Li)于(Yu)维(Wei)护(Hu)消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)。新(Xin)版(Ban)重(Zhong)疾(Ji)表(Biao)将(Jiang)更(Geng)准(Zhun)确(Que)反(Fan)映(Ying)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)的(De)变(Bian)化(Hua),产(Chan)品(Pin)定(Ding)价(Jia)、评(Ping)估(Gu)更(Geng)加(Jia)科(Ke)学(Xue)合(He)理(Li),有(You)利(Li)于(Yu)稳(Wen)定(Ding)死(Si)差(Cha)益(Yi);由(You)于(Yu)产(Chan)品(Pin)定(Ding)价(Jia)受(Shou)市(Shi)场(Chang)供(Gong)求(Qiu)影(Ying)响(Xiang),市(Shi)场(Chang)竞(Jing)争(Zheng)竞(Jing)争(Zheng)日(Ri)趋(Qu)激(Ji)烈(Lie),预(Yu)计(Ji)降(Jiang)价(Jia)空(Kong)间(Jian)有(You)限(Xian)。新(Xin)版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)和(He)新(Xin)版(Ban)重(Zhong)疾(Ji)表(Biao)是(Shi)重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)的(De)里(Li)程(Cheng)碑(Bei),展(Zhan)望(Wang)未(Wei)来(Lai),重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)有(You)以(Yi)下(Xia)趋(Qu)势(Shi):(1)规(Gui)范(Fan)化(Hua)发(Fa)展(Zhan),定(Ding)价(Jia)更(Geng)科(Ke)学(Xue),有(You)利(Li)于(Yu)保(Bao)险(Xian)公(Gong)司(Si)防(Fang)范(Fan)风(Feng)险(Xian),同(Tong)时(Shi),消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)也(Ye)得(De)到(Dao)维(Wei)护(Hu);(2)突(Tu)出(Chu)失(Shi)能(Neng)、护(Hu)理(Li)功(Gong)能(Neng);(3)老(Lao)年(Nian)重(Zhong)疾(Ji)险(Xian)加(Jia)速(Su)发(Fa)展(Zhan)。02 我(Wo)国(Guo)重(Zhong)疾(Ji)险(Xian)现(Xian)状(Zhuang)1995年(Nian)国(Guo)内(Nei)首(Shou)次(Ci)引(Yin)入(Ru)重(Zhong)疾(Ji)险(Xian),最(Zui)初(Chu)作(Zuo)为(Wei)寿(Shou)险(Xian)的(De)附(Fu)加(Jia)险(Xian),经(Jing)历(Li)了(Liao)快(Kuai)速(Su)发(Fa)展(Zhan)、规(Gui)范(Fan)化(Hua)阶(Jie)段(Duan),是(Shi)保(Bao)险(Xian)公(Gong)司(Si)“兵(Bing)家(Jia)必(Bi)争(Zheng)之(Zhi)地(Di)”。重(Zhong)疾(Ji)险(Xian)是(Shi)保(Bao)险(Xian)公(Gong)司(Si)新(Xin)业(Ye)务(Wu)价(Jia)值(Zhi)的(De)重(Zhong)要(Yao)贡(Gong)献(Xian)来(Lai)源(Yuan),随(Sui)着(Zhuo)竞(Jing)争(Zheng)加(Jia)剧(Ju),面(Mian)临(Lin)产(Chan)品(Pin)责(Ze)任(Ren)和(He)费(Fei)率(Lv)竞(Jing)争(Zheng)的(De)天(Tian)花(Hua)板(Ban),中(Zhong)小(Xiao)保(Bao)险(Xian)公(Gong)司(Si)推(Tui)出(Chu)各(Ge)家(Jia)“爆(Bao)款(Kuan)产(Chan)品(Pin)”,以(Yi)价(Jia)格(Ge)、保(Bao)障(Zhang)责(Ze)任(Ren)等(Deng)高(Gao)性(Xing)价(Jia)比(Bi)优(You)势(Shi)获(Huo)得(De)消(Xiao)费(Fei)者(Zhe)青(Qing)睐(Zuo),竞(Jing)争(Zheng)进(Jin)入(Ru)白(Bai)热(Re)化(Hua)阶(Jie)段(Duan)。开(Kai)门(Men)红(Hong)弱(Ruo)化(Hua)背(Bei)景(Jing)下(Xia),上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)转(Zhuan)战(Zhan)重(Zhong)疾(Ji)险(Xian)市(Shi)场(Chang),主(Zhu)打(Da)产(Chan)品(Pin)基(Ji)本(Ben)以(Yi)“终(Zhong)身(Shen)寿(Shou)险(Xian)主(Zhu)险(Xian)+重(Zhong)疾(Ji)险(Xian)附(Fu)加(Jia)险(Xian)”为(Wei)主(Zhu),定(Ding)期(Qi)迭(Die)代(Dai)已(Yi)形(Xing)成(Cheng)市(Shi)场(Chang)影(Ying)响(Xiang)力(Li)的(De)IP级(Ji)产(Chan)品(Pin)。相(Xiang)对(Dui)于(Yu)中(Zhong)小(Xiao)保(Bao)险(Xian)公(Gong)司(Si),上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)具(Ju)备(Bei)品(Pin)牌(Pai)优(You)势(Shi)、渠(Qu)道(Dao)优(You)势(Shi)和(He)健(Jian)康(Kang)管(Guan)理(Li)优(You)势(Shi),主(Zhu)要(Yao)定(Ding)位(Wei)于(Yu)中(Zhong)高(Gao)端(Duan)客(Ke)户(Hu)。2.1重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)历(Li)程(Cheng)重(Zhong)疾(Ji)险(Xian)是(Shi)商(Shang)业(Ye)健(Jian)康(Kang)险(Xian)的(De)重(Zhong)要(Yao)组(Zu)成(Cheng)部(Bu)分(Fen)。1983年(Nian)起(Qi)源(Yuan)于(Yu)南(Nan)非(Fei),问(Wen)世(Shi)后(Hou)迅(Xun)速(Su)在(Zai)全(Quan)球(Qiu)推(Tui)广(Guang)。在(Zai)国(Guo)内(Nei)的(De)发(Fa)展(Zhan)经(Jing)历(Li)了(Liao)起(Qi)步(Bu)及(Ji)规(Gui)范(Fan)、快(Kuai)速(Su)发(Fa)展(Zhan)、竞(Jing)争(Zheng)加(Jia)剧(Ju)阶(Jie)段(Duan)。重(Zhong)疾(Ji)险(Xian)具(Ju)备(Bei)两(Liang)个(Ge)重(Zhong)要(Yao)的(De)特(Te)征(Zheng):一(Yi)是(Shi)病(Bing)情(Qing)严(Yan)重(Zhong),在(Zai)较(Jiao)长(Chang)一(Yi)段(Duan)时(Shi)间(Jian)内(Nei)严(Yan)重(Zhong)影(Ying)响(Xiang)到(Dao)患(Huan)者(Zhe)及(Ji)其(Qi)家(Jia)庭(Ting)的(De)正(Zheng)常(Chang)工(Gong)作(Zuo)和(He)生(Sheng)活(Huo);二(Er)是(Shi)治(Zhi)疗(Liao)花(Hua)费(Fei)巨(Ju)大(Da),需(Xu)要(Yao)进(Jin)行(Xing)较(Jiao)为(Wei)复(Fu)杂(Za)的(De)药(Yao)物(Wu)或(Huo)手(Shou)术(Shu)治(Zhi)疗(Liao),需(Xu)要(Yao)支(Zhi)付(Fu)昂(Ang)贵(Gui)的(De)医(Yi)疗(Liao)费(Fei)用(Yong)。从(Cong)各(Ge)国(Guo)发(Fa)展(Zhan)经(Jing)验(Yan)来(Lai)看(Kan),重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)已(Yi)由(You)最(Zui)初(Chu)的(De)的(De)3-7种(Zhong)疾(Ji)病(Bing)范(Fan)围(Wei)扩(Kuo)张(Zhang)至(Zhi)30种(Zhong)以(Yi)上(Shang)。1995-2008年(Nian):起(Qi)步(Bu)及(Ji)规(Gui)范(Fan)阶(Jie)段(Duan)。国(Guo)内(Nei)重(Zhong)疾(Ji)产(Chan)品(Pin)起(Qi)初(Chu)引(Yin)进(Jin)时(Shi),规(Gui)范(Fan)化(Hua)程(Cheng)度(Du)低(Di),直(Zhi)到(Dao)2007年(Nian)重(Zhong)疾(Ji)定(Ding)义(Yi)使(Shi)用(Yong)规(Gui)范(Fan)推(Tui)出(Chu),对(Dui)疾(Ji)病(Bing)定(Ding)义(Yi)、理(Li)赔(Pei)条(Tiao)件(Jian)以(Yi)及(Ji)保(Bao)险(Xian)合(He)同(Tong)书(Shu)写(Xie)等(Deng)方(Fang)式(Shi)进(Jin)行(Xing)了(Liao)规(Gui)范(Fan),利(Li)于(Yu)消(Xiao)费(Fei)者(Zhe)挑(Tiao)选(Xuan)产(Chan)品(Pin),同(Tong)时(Shi)利(Li)于(Yu)减(Jian)少(Shao)理(Li)赔(Pei)纠(Jiu)纷(Fen)。1995年(Nian),国(Guo)内(Nei)首(Shou)次(Ci)引(Yin)入(Ru)重(Zhong)大(Da)疾(Ji)病(Bing)保(Bao)险(Xian),最(Zui)初(Chu)作(Zuo)为(Wei)寿(Shou)险(Xian)产(Chan)品(Pin)的(De)附(Fu)加(Jia)险(Xian),疾(Ji)病(Bing)覆(Fu)盖(Gai)度(Du)低(Di),一(Yi)般(Ban)只(Zhi)包(Bao)含(Han)七(Qi)种(Zhong)重(Zhong)大(Da)疾(Ji)病(Bing)(恶(E)性(Xing)肿(Zhong)瘤(Liu)、心(Xin)肌(Ji)梗(Geng)塞(Sai)、脑(Nao)中(Zhong)风(Feng)、冠(Guan)状(Zhuang)动(Dong)脉(Mai)搭(Da)桥(Qiao)术(Shu)、尿(Niao)毒(Du)症(Zheng)、瘫(Tan)痪(Huan)和(He)重(Zhong)大(Da)器(Qi)官(Guan)移(Yi)植(Zhi)术(Shu));1996年(Nian),推(Tui)出(Chu)保(Bao)障(Zhang)终(Zhong)身(Shen)责(Ze)任(Ren)的(De)主(Zhu)险(Xian)产(Chan)品(Pin),重(Zhong)大(Da)疾(Ji)病(Bing)病(Bing)种(Zhong)保(Bao)障(Zhang)范(Fan)围(Wei)逐(Zhu)步(Bu)扩(Kuo)大(Da),提(Ti)高(Gao)至(Zhi)10种(Zhong)以(Yi)上(Shang);2001年(Nian),中(Zhong)国(Guo)平(Ping)安(An)推(Tui)出(Chu)国(Guo)内(Nei)首(Shou)款(Kuan)分(Fen)红(Hong)型(Xing)重(Zhong)疾(Ji)险(Xian),适(Shi)应(Ying)了(Liao)国(Guo)内(Nei)居(Ju)民(Min)的(De)储(Chu)蓄(Xu)习(Xi)惯(Guan);2003年(Nian),《个(Ge)人(Ren)分(Fen)红(Hong)保(Bao)险(Xian)精(Jing)算(Suan)规(Gui)定(Ding)》规(Gui)定(Ding)健(Jian)康(Kang)保(Bao)险(Xian)产(Chan)品(Pin)不(Bu)能(Neng)采(Cai)取(Qu)分(Fen)红(Hong)的(De)形(Xing)式(Shi),使(Shi)商(Shang)业(Ye)健(Jian)康(Kang)保(Bao)险(Xian)产(Chan)品(Pin)聚(Ju)焦(Jiao)于(Yu)风(Feng)险(Xian)保(Bao)障(Zhang);2006年(Nian),《健(Jian)康(Kang)保(Bao)险(Xian)管(Guan)理(Li)办(Ban)法(Fa)》发(Fa)布(Bu),这(Zhe)是(Shi)国(Guo)内(Nei)第(Di)一(Yi)部(Bu)健(Jian)康(Kang)保(Bao)险(Xian)专(Zhuan)业(Ye)化(Hua)监(Jian)管(Guan)规(Gui)章(Zhang),明(Ming)确(Que)健(Jian)康(Kang)保(Bao)险(Xian)在(Zai)经(Jing)营(Ying)管(Guan)理(Li)、产(Chan)品(Pin)管(Guan)理(Li)和(He)销(Xiao)售(Shou)管(Guan)理(Li)等(Deng)方(Fang)面(Mian)的(De)监(Jian)管(Guan)要(Yao)求(Qiu);2007年(Nian),《重(Zhong)大(Da)疾(Ji)病(Bing)保(Bao)险(Xian)的(De)疾(Ji)病(Bing)定(Ding)义(Yi)使(Shi)用(Yong)规(Gui)范(Fan)》对(Dui)最(Zui)常(Chang)见(Jian)25种(Zhong)疾(Ji)病(Bing)的(De)表(Biao)述(Shu)进(Jin)行(Xing)统(Tong)一(Yi)和(He)规(Gui)范(Fan),并(Bing)要(Yao)求(Qiu)2007年(Nian)8月(Yue)1日(Ri)之(Zhi)后(Hou)销(Xiao)售(Shou)的(De)重(Zhong)疾(Ji)产(Chan)品(Pin)必(Bi)须(Xu)使(Shi)用(Yong)统(Tong)一(Yi)重(Zhong)疾(Ji)定(Ding)义(Yi)。成(Cheng)年(Nian)人(Ren)阶(Jie)段(Duan)的(De)重(Zhong)疾(Ji)产(Chan)品(Pin)必(Bi)须(Xu)保(Bao)障(Zhang)6种(Zhong)核(He)心(Xin)疾(Ji)病(Bing)(包(Bao)括(Kuo)恶(E)性(Xing)肿(Zhong)瘤(Liu)、急(Ji)性(Xing)心(Xin)肌(Ji)梗(Geng)塞(Sai)、脑(Nao)中(Zhong)风(Feng)后(Hou)遗(Yi)症(Zheng)、重(Zhong)大(Da)器(Qi)官(Guan)移(Yi)植(Zhi)术(Shu)或(Huo)造(Zao)血(Xue)干(Gan)细(Xi)胞(Bao)移(Yi)植(Zhi)术(Shu)、冠(Guan)状(Zhuang)动(Dong)脉(Mai)搭(Da)桥(Qiao)术(Shu)和(He)终(Zhong)末(Mo)期(Qi)肾(Shen)病(Bing))。2009-2017:快(Kuai)速(Su)发(Fa)展(Zhan)阶(Jie)段(Duan)。由(You)于(Yu)重(Zhong)大(Da)疾(Ji)病(Bing)保(Bao)险(Xian)对(Dui)于(Yu)保(Bao)险(Xian)公(Gong)司(Si)而(Er)言(Yan)价(Jia)值(Zhi)率(Lv)高(Gao),对(Dui)于(Yu)销(Xiao)售(Shou)人(Ren)员(Yuan)而(Er)言(Yan)件(Jian)均(Jun)保(Bao)费(Fei)合(He)适(Shi),对(Dui)于(Yu)消(Xiao)费(Fei)者(Zhe)而(Er)言(Yan)容(Rong)易(Yi)接(Jie)受(Shou),重(Zhong)疾(Ji)险(Xian)快(Kuai)速(Su)发(Fa)展(Zhan)。但(Dan)由(You)于(Yu)国(Guo)内(Nei)没(Mei)有(You)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)表(Biao),产(Chan)品(Pin)定(Ding)价(Jia)和(He)法(Fa)定(Ding)责(Ze)任(Ren)准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu)主(Zhu)要(Yao)依(Yi)靠(Kao)再(Zai)保(Bao)险(Xian)公(Gong)司(Si)提(Ti)供(Gong)的(De)国(Guo)外(Wai)发(Fa)生(Sheng)率(Lv)数(Shu)据(Ju),一(Yi)定(Ding)程(Cheng)度(Du)上(Shang)影(Ying)响(Xiang)了(Liao)重(Zhong)疾(Ji)险(Xian)的(De)发(Fa)展(Zhan)。2013年(Nian)原(Yuan)保(Bao)监(Jian)会(Hui)发(Fa)布(Bu)《中(Zhong)国(Guo)人(Ren)身(Shen)保(Bao)险(Xian)业(Ye)重(Zhong)大(Da)疾(Ji)病(Bing)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao)(2006-2010)》,其(Qi)中(Zhong)包(Bao)括(Kuo)6病(Bing)种(Zhong)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao)两(Liang)张(Zhang)(男(Nan)表(Biao)、女(Nv)性(Xing))和(He)25病(Bing)种(Zhong)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao)两(Liang)张(Zhang)(男(Nan)表(Biao)、女(Nv)性(Xing))。重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)表(Biao)用(Yong)于(Yu)产(Chan)品(Pin)定(Ding)价(Jia)和(He)责(Ze)任(Ren)准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu),促(Cu)进(Jin)了(Liao)重(Zhong)疾(Ji)险(Xian)快(Kuai)速(Su)发(Fa)展(Zhan),对(Dui)产(Chan)品(Pin)创(Chuang)新(Xin)具(Ju)有(You)深(Shen)远(Yuan)意(Yi)义(Yi)。2018-2019:竞(Jing)争(Zheng)加(Jia)剧(Ju)阶(Jie)段(Duan)。重(Zhong)疾(Ji)险(Xian)不(Bu)断(Duan)丰(Feng)富(Fu),重(Zhong)疾(Ji)发(Fa)病(Bing)率(Lv)提(Ti)升(Sheng),重(Zhong)疾(Ji)定(Ding)义(Yi)与(Yu)发(Fa)生(Sheng)表(Biao)亟(Zuo)需(Xu)修(Xiu)订(Ding)。2019年(Nian)12月(Yue),银(Yin)保(Bao)监(Jian)会(Hui)发(Fa)布(Bu)新(Xin)修(Xiu)订(Ding)的(De)《健(Jian)康(Kang)保(Bao)险(Xian)管(Guan)理(Li)办(Ban)法(Fa)》,将(Jiang)商(Shang)业(Ye)健(Jian)康(Kang)险(Xian)定(Ding)位(Wei)为(Wei)多(Duo)层(Ceng)次(Ci)医(Yi)疗(Liao)保(Bao)障(Zhang)体(Ti)系(Xi)的(De)重(Zhong)要(Yao)组(Zu)成(Cheng)部(Bu)分(Fen)和(He)行(Xing)业(Ye)服(Fu)务(Wu)民(Min)生(Sheng)的(De)重(Zhong)要(Yao)领(Ling)域(Yu)。2020年(Nian)3月(Yue)31日(Ri),保(Bao)险(Xian)行(Xing)业(Ye)协(Xie)会(Hui)就(Jiu)《重(Zhong)大(Da)疾(Ji)病(Bing)保(Bao)险(Xian)的(De)疾(Ji)病(Bing)定(Ding)义(Yi)使(Shi)用(Yong)规(Gui)范(Fan)修(Xiu)订(Ding)版(Ban)(征(Zheng)求(Qiu)意(Yi)见(Jian)稿(Gao))》向(Xiang)行(Xing)业(Ye)征(Zheng)求(Qiu)意(Yi)见(Jian),首(Shou)次(Ci)引(Yin)入(Ru)轻(Qing)度(Du)疾(Ji)病(Bing)定(Ding)义(Yi),将(Jiang)原(Yuan)有(You)25种(Zhong)重(Zhong)疾(Ji)定(Ding)义(Yi)完(Wan)善(Shan)扩(Kuo)展(Zhan)为(Wei)28种(Zhong)重(Zhong)度(Du)疾(Ji)病(Bing)和(He)3种(Zhong)轻(Qing)度(Du)疾(Ji)病(Bing)。2020年(Nian)5月(Yue)9日(Ri),精(Jing)算(Suan)师(Shi)协(Xie)会(Hui)发(Fa)布(Bu)《中(Zhong)国(Guo)人(Ren)身(Shen)保(Bao)险(Xian)业(Ye)重(Zhong)大(Da)疾(Ji)病(Bing)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao)(2020)(征(Zheng)求(Qiu)意(Yi)见(Jian)稿(Gao))》,作(Zuo)为(Wei)3月(Yue)末(Mo)发(Fa)布(Bu)的(De)重(Zhong)疾(Ji)定(Ding)义(Yi)修(Xiu)改(Gai)配(Pei)套(Tao)文(Wen)件(Jian)。2.2面(Mian)临(Lin)责(Ze)任(Ren)与(Yu)费(Fei)率(Lv)的(De)天(Tian)花(Hua)板(Ban)重(Zhong)疾(Ji)险(Xian)是(Shi)保(Bao)险(Xian)公(Gong)司(Si)新(Xin)业(Ye)务(Wu)价(Jia)值(Zhi)的(De)重(Zhong)要(Yao)贡(Gong)献(Xian)来(Lai)源(Yuan)。疾(Ji)病(Bing)保(Bao)险(Xian)主(Zhu)要(Yao)包(Bao)括(Kuo)重(Zhong)疾(Ji)险(Xian)和(He)防(Fang)癌(Ai)险(Xian)。目(Mu)前(Qian),重(Zhong)疾(Ji)险(Xian)由(You)于(Yu)新(Xin)业(Ye)务(Wu)价(Jia)值(Zhi)率(Lv)高(Gao)达(Da)80%以(Yi)上(Shang),驱(Qu)动(Dong)新(Xin)业(Ye)务(Wu)价(Jia)值(Zhi)和(He)内(Nei)含(Han)价(Jia)值(Zhi)增(Zeng)长(Chang),成(Cheng)为(Wei)保(Bao)障(Zhang)类(Lei)主(Zhu)打(Da)销(Xiao)售(Shou)产(Chan)品(Pin)。重(Zhong)疾(Ji)险(Xian)市(Shi)场(Chang)竞(Jing)争(Zheng)加(Jia)剧(Ju),面(Mian)临(Lin)产(Chan)品(Pin)责(Ze)任(Ren)和(He)费(Fei)率(Lv)竞(Jing)争(Zheng)的(De)天(Tian)花(Hua)板(Ban)。保(Bao)障(Zhang)责(Ze)任(Ren)方(Fang)面(Mian),各(Ge)保(Bao)险(Xian)公(Gong)司(Si)重(Zhong)疾(Ji)产(Chan)品(Pin)在(Zai)病(Bing)种(Zhong)数(Shu)量(Liang)设(She)计(Ji)上(Shang)遵(Zun)循(Xun)“越(Yue)多(Duo)越(Yue)好(Hao)”的(De)原(Yuan)则(Ze),25种(Zhong)标(Biao)准(Zhun)重(Zhong)疾(Ji)的(De)发(Fa)生(Sheng)率(Lv)超(Chao)过(Guo)95%,重(Zhong)疾(Ji)险(Xian)病(Bing)种(Zhong)数(Shu)量(Liang)在(Zai)70-100种(Zhong)间(Jian)的(De)比(Bi)例(Li)明(Ming)显(Xian)提(Ti)升(Sheng)。保(Bao)险(Xian)公(Gong)司(Si)纷(Fen)纷(Fen)推(Tui)出(Chu)多(Duo)重(Zhong)和(He)多(Duo)次(Ci)给(Gei)付(Fu)产(Chan)品(Pin)。随(Sui)着(Zhuo)竞(Jing)争(Zheng)加(Jia)剧(Ju),保(Bao)险(Xian)公(Gong)司(Si)推(Tui)出(Chu)多(Duo)重(Zhong)(将(Jiang)承(Cheng)保(Bao)的(De)疾(Ji)病(Bing)分(Fen)为(Wei)若(Ruo)干(Gan)组(Zu),组(Zu)内(Nei)疾(Ji)病(Bing)相(Xiang)关(Guan)性(Xing)较(Jiao)高(Gao),每(Mei)组(Zu)疾(Ji)病(Bing)可(Ke)赔(Pei)付(Fu)一(Yi)次(Ci))和(He)多(Duo)次(Ci)(承(Cheng)保(Bao)的(De)疾(Ji)病(Bing)不(Bu)分(Fen)组(Zu),可(Ke)多(Duo)次(Ci)赔(Pei)付(Fu))给(Gei)付(Fu)产(Chan)品(Pin),除(Chu)重(Zhong)症(Zheng)外(Wai),推(Tui)出(Chu)轻(Qing)症(Zheng)、中(Zhong)症(Zheng)责(Ze)任(Ren)。一(Yi)般(Ban)不(Bu)分(Fen)组(Zu)多(Duo)次(Ci)赔(Pei)付(Fu)的(De)价(Jia)格(Ge)高(Gao)于(Yu)分(Fen)组(Zu)多(Duo)次(Ci)赔(Pei)付(Fu)的(De)价(Jia)格(Ge)。由(You)于(Yu)保(Bao)险(Xian)产(Chan)品(Pin)设(She)计(Ji)缺(Que)乏(Fa)知(Zhi)识(Shi)产(Chan)权(Quan)保(Bao)护(Hu),无(Wu)论(Lun)是(Shi)保(Bao)障(Zhang)责(Ze)任(Ren)和(He)费(Fei)率(Lv)竞(Jing)争(Zheng),都(Du)进(Jin)入(Ru)竞(Jing)争(Zheng)白(Bai)热(Re)化(Hua)阶(Jie)段(Duan)。除(Chu)了(Liao)多(Duo)次(Ci)给(Gei)付(Fu)升(Sheng)级(Ji)外(Wai),还(Huan)包(Bao)括(Kuo)给(Gei)付(Fu)金(Jin)额(E)的(De)升(Sheng)级(Ji)。近(Jin)年(Nian)来(Lai),包(Bao)含(Han)多(Duo)次(Ci)给(Gei)付(Fu)责(Ze)任(Ren)的(De)产(Chan)品(Pin)出(Chu)现(Xian)一(Yi)个(Ge)新(Xin)趋(Qu)势(Shi):重(Zhong)疾(Ji)赔(Pei)付(Fu)金(Jin)额(E)随(Sui)着(Zhuo)给(Gei)付(Fu)次(Ci)数(Shu)递(Di)增(Zeng)。例(Li)如(Ru)百(Bai)年(Nian)康(Kang)倍(Bei)保(Bao)重(Zhong)大(Da)疾(Ji)病(Bing)保(Bao)险(Xian),这(Zhe)款(Kuan)产(Chan)品(Pin)最(Zui)大(Da)的(De)特(Te)色(Se)是(Shi)重(Zhong)疾(Ji)递(Di)增(Zeng)赔(Pei)付(Fu),重(Zhong)症(Zheng)种(Zhong)类(Lei)100种(Zhong),分(Fen)4组(Zu)赔(Pei)3次(Ci),间(Jian)隔(Ge)期(Qi)为(Wei)180天(Tian),第(Di)一(Yi)次(Ci)赔(Pei)付(Fu)比(Bi)例(Li)为(Wei)100%基(Ji)本(Ben)保(Bao)额(E),第(Di)二(Er)次(Ci)赔(Pei)付(Fu)比(Bi)例(Li)为(Wei)150%,第(Di)三(San)次(Ci)赔(Pei)付(Fu)比(Bi)例(Li)为(Wei)250%,合(He)计(Ji)赔(Pei)付(Fu)比(Bi)例(Li)高(Gao)达(Da)500%基(Ji)本(Ben)保(Bao)额(E)。部(Bu)分(Fen)中(Zhong)小(Xiao)保(Bao)险(Xian)公(Gong)司(Si)以(Yi)价(Jia)格(Ge)优(You)势(Shi)抢(Qiang)占(Zhan)市(Shi)场(Chang)份(Fen)额(E)。中(Zhong)下(Xia)保(Bao)险(Xian)公(Gong)司(Si)推(Tui)出(Chu)各(Ge)家(Jia)“爆(Bao)款(Kuan)产(Chan)品(Pin)”,以(Yi)价(Jia)格(Ge)、保(Bao)障(Zhang)责(Ze)任(Ren)等(Deng)高(Gao)性(Xing)价(Jia)比(Bi)优(You)势(Shi)获(Huo)得(De)消(Xiao)费(Fei)者(Zhe)青(Qing)睐(Zuo)。在(Zai)比(Bi)拼(Pin)“底(Di)价(Jia)”的(De)同(Tong)时(Shi),保(Bao)障(Zhang)责(Ze)任(Ren)越(Yue)来(Lai)越(Yue)丰(Feng)富(Fu),推(Tui)出(Chu)癌(Ai)症(Zheng)二(Er)次(Ci)赔(Pei)、特(Te)定(Ding)重(Zhong)疾(Ji)保(Bao)障(Zhang)、重(Zhong)疾(Ji)医(Yi)疗(Liao)津(Jin)贴(Tie)等(Deng)。2.3上(Shang)市(Shi)险(Xian)企(Qi)重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)策(Ce)略(Lue)近(Jin)年(Nian)来(Lai),在(Zai)监(Jian)管(Guan)趋(Qu)严(Yan)、回(Hui)归(Gui)保(Bao)障(Zhang)的(De)背(Bei)景(Jing)下(Xia),行(Xing)业(Ye)开(Kai)门(Men)红(Hong)弱(Ruo)化(Hua),上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)转(Zhuan)战(Zhan)重(Zhong)疾(Ji)险(Xian)市(Shi)场(Chang)。上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)主(Zhu)打(Da)的(De)重(Zhong)疾(Ji)产(Chan)品(Pin)基(Ji)本(Ben)以(Yi)“终(Zhong)身(Shen)寿(Shou)险(Xian)主(Zhu)险(Xian)+重(Zhong)疾(Ji)险(Xian)附(Fu)加(Jia)险(Xian)”为(Wei)主(Zhu)。我(Wo)们(Men)挑(Tiao)选(Xuan)平(Ping)安(An)福(Fu)、国(Guo)寿(Shou)福(Fu)(庆(Qing)典(Dian)版(Ban))、金(Jin)福(Fu)人(Ren)生(Sheng)、健(Jian)康(Kang)无(Wu)忧(You)(宜(Yi)家(Jia)版(Ban))来(Lai)分(Fen)析(Xi)。(1)平(Ping)安(An)福(Fu)是(Shi)平(Ping)安(An)的(De)旗(Qi)舰(Jian)产(Chan)品(Pin),通(Tong)过(Guo)运(Yun)动(Dong)增(Zeng)保(Bao)额(E)、患(Huan)轻(Qing)症(Zheng)增(Zeng)保(Bao)额(E)提(Ti)高(Gao)保(Bao)障(Zhang);(2)国(Guo)寿(Shou)福(Fu)是(Shi)中(Zhong)国(Guo)人(Ren)寿(Shou)的(De)主(Zhu)打(Da)产(Chan)品(Pin),其(Qi)定(Ding)位(Wei)为(Wei)性(Xing)价(Jia)比(Bi)相(Xiang)对(Dui)较(Jiao)高(Gao)的(De)保(Bao)障(Zhang)型(Xing)产(Chan)品(Pin);(3)金(Jin)福(Fu)人(Ren)生(Sheng)是(Shi)中(Zhong)国(Guo)太(Tai)保(Bao)2019年(Nian)7月(Yue)推(Tui)出(Chu)的(De)产(Chan)品(Pin),针(Zhen)对(Dui)各(Ge)年(Nian)龄(Ling)段(Duan),提(Ti)供(Gong)了(Liao)额(E)外(Wai)的(De)少(Shao)儿(Er)特(Te)定(Ding)重(Zhong)疾(Ji)、成(Cheng)人(Ren)失(Shi)能(Neng)保(Bao)障(Zhang)以(Yi)及(Ji)老(Lao)年(Nian)特(Te)定(Ding)重(Zhong)疾(Ji)的(De)特(Te)色(Se)保(Bao)障(Zhang);(4)“健(Jian)康(Kang)无(Wu)忧(You)”系(Xi)列(Lie)产(Chan)品(Pin)是(Shi)新(Xin)华(Hua)保(Bao)险(Xian)的(De)明(Ming)星(Xing)产(Chan)品(Pin),2015年(Nian)上(Shang)市(Shi),之(Zhi)后(Hou)更(Geng)新(Xin)迭(Die)代(Dai)推(Tui)出(Chu)了(Liao)系(Xi)列(Lie)产(Chan)品(Pin)。对(Dui)于(Yu)已(Yi)经(Jing)形(Xing)成(Cheng)市(Shi)场(Chang)影(Ying)响(Xiang)力(Li)的(De)IP级(Ji)产(Chan)品(Pin),保(Bao)险(Xian)公(Gong)司(Si)采(Cai)取(Qu)定(Ding)期(Qi)迭(Die)代(Dai)的(De)策(Ce)略(Lue)。通(Tong)过(Guo)迭(Die)代(Dai)可(Ke)提(Ti)高(Gao)市(Shi)场(Chang)影(Ying)响(Xiang)力(Li),保(Bao)持(Chi)产(Chan)品(Pin)活(Huo)力(Li)。以(Yi)“平(Ping)安(An)福(Fu)”产(Chan)品(Pin)为(Wei)例(Li),近(Jin)年(Nian)来(Lai)进(Jin)行(Xing)了(Liao)三(San)次(Ci)升(Sheng)级(Ji):(1)2018年(Nian)11月(Yue),升(Sheng)级(Ji)至(Zhi)2019款(Kuan),增(Zeng)加(Jia)了(Liao)重(Zhong)疾(Ji)和(He)轻(Qing)症(Zheng)的(De)病(Bing)种(Zhong)数(Shu)量(Liang);(2)2019年(Nian)7月(Yue),升(Sheng)级(Ji)至(Zhi)2019款(Kuan)Ⅱ代(Dai),针(Zhen)对(Dui)市(Shi)场(Chang)长(Chang)期(Qi)有(You)争(Zheng)议(Yi)的(De)地(Di)方(Fang)进(Jin)行(Xing)升(Sheng)级(Ji):加(Jia)入(Ru)轻(Qing)微(Wei)脑(Nao)中(Zhong)风(Feng)、不(Bu)典(Dian)型(Xing)心(Xin)肌(Ji)梗(Geng)塞(Sai)、冠(Guan)状(Zhuang)动(Dong)脉(Mai)介(Jie)入(Ru)术(Shu)等(Deng)高(Gao)发(Fa)轻(Qing)症(Zheng),以(Yi)及(Ji)附(Fu)加(Jia)长(Chang)期(Qi)意(Yi)外(Wai)险(Xian)解(Jie)绑(Bang),变(Bian)成(Cheng)可(Ke)选(Xuan)项(Xiang)目(Mu);(3)2020年(Nian)4月(Yue),升(Sheng)级(Ji)至(Zhi)2020款(Kuan),此(Ci)前(Qian)2019款(Kuan)Ⅱ代(Dai)是(Shi)一(Yi)个(Ge)主(Zhu)险(Xian)为(Wei)终(Zhong)身(Shen)寿(Shou)险(Xian),附(Fu)加(Jia)重(Zhong)疾(Ji)险(Xian)的(De)产(Chan)品(Pin)组(Zu)合(He)计(Ji)划(Hua)。而(Er)平(Ping)安(An)福(Fu)20中(Zhong),两(Liang)项(Xiang)责(Ze)任(Ren)合(He)并(Bing)在(Zai)一(Yi)起(Qi),即(Ji)带(Dai)身(Shen)故(Gu)责(Ze)任(Ren)的(De)重(Zhong)疾(Ji)产(Chan)品(Pin),此(Ci)外(Wai)价(Jia)格(Ge)有(You)所(Suo)下(Xia)降(Jiang)。上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)产(Chan)品(Pin)具(Ju)备(Bei)品(Pin)牌(Pai)优(You)势(Shi)、渠(Qu)道(Dao)优(You)势(Shi)、健(Jian)康(Kang)管(Guan)理(Li)优(You)势(Shi)。区(Qu)别(Bie)于(Yu)中(Zhong)小(Xiao)保(Bao)险(Xian)公(Gong)司(Si),上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)主(Zhu)打(Da)产(Chan)品(Pin)定(Ding)位(Wei)为(Wei)中(Zhong)高(Gao)端(Duan)客(Ke)户(Hu),价(Jia)值(Zhi)率(Lv)较(Jiao)高(Gao)。产(Chan)品(Pin)更(Geng)新(Xin)迭(Die)代(Dai)速(Su)度(Du)快(Kuai),保(Bao)险(Xian)公(Gong)司(Si)几(Ji)乎(Hu)每(Mei)年(Nian)都(Du)要(Yao)对(Dui)旗(Qi)舰(Jian)产(Chan)品(Pin)进(Jin)行(Xing)升(Sheng)级(Ji)换(Huan)代(Dai)。03 新(Xin)版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi):从(Cong)25到(Dao)“28+3”保(Bao)险(Xian)中(Zhong)病(Bing)种(Zhong)定(Ding)义(Yi)与(Yu)专(Zhuan)业(Ye)医(Yi)学(Xue)定(Ding)义(Yi)侧(Ce)重(Zhong)点(Dian)不(Bu)同(Tong),定(Ding)义(Yi)的(De)修(Xiu)改(Gai)对(Dui)理(Li)赔(Pei)有(You)很(Hen)大(Da)影(Ying)响(Xiang)。随(Sui)着(Zhuo)医(Yi)学(Xue)临(Lin)床(Chuang)诊(Zhen)断(Duan)标(Biao)准(Zhun)和(He)医(Yi)疗(Liao)技(Ji)术(Shu)的(De)不(Bu)断(Duan)发(Fa)展(Zhan)和(He)革(Ge)新(Xin),目(Mu)前(Qian)定(Ding)义(Yi)已(Yi)经(Jing)难(Nan)以(Yi)满(Man)足(Zu)行(Xing)业(Ye)发(Fa)展(Zhan)和(He)消(Xiao)费(Fei)者(Zhe)需(Xu)求(Qiu)。3月(Yue)末(Mo),新(Xin)版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)开(Kai)征(Zheng)意(Yi)见(Jian)。新(Xin)增(Zeng)3种(Zhong)轻(Qing)症(Zheng)、重(Zhong)疾(Ji)数(Shu)量(Liang)从(Cong)25种(Zhong)增(Zeng)加(Jia)到(Dao)28种(Zhong)、定(Ding)义(Yi)更(Geng)准(Zhun)确(Que)(结(Jie)合(He)了(Liao)最(Zui)新(Xin)医(Yi)疗(Liao)临(Lin)床(Chuang)实(Shi)践(Jian),同(Tong)时(Shi)又(You)考(Kao)虑(Lv)了(Liao)理(Li)赔(Pei)的(De)实(Shi)务(Wu)操(Cao)作(Zuo))、引(Yin)入(Ru)定(Ding)期(Qi)评(Ping)估(Gu)机(Ji)制(Zhi)、轻(Qing)症(Zheng)赔(Pei)付(Fu)比(Bi)例(Li)20%、甲(Jia)状(Zhuang)腺(Xian)癌(Ai)将(Jiang)TNM分(Fen)期(Qi)为(Wei)I期(Qi)的(De)纳(Na)入(Ru)轻(Qing)症(Zheng)赔(Pei)付(Fu)、不(Bu)得(De)含(Han)有(You)保(Bao)障(Zhang)范(Fan)围(Wei)高(Gao)度(Du)重(Zhong)叠(Die)的(De)疾(Ji)病(Bing)、罕(Han)见(Jian)病(Bing)需(Xu)要(Yao)标(Biao)注(Zhu)等(Deng)。可(Ke)见(Jian),重(Zhong)疾(Ji)定(Ding)义(Yi)修(Xiu)订(Ding)立(Li)足(Zu)于(Yu)消(Xiao)费(Fei)者(Zhe)角(Jiao)度(Du),有(You)利(Li)于(Yu)维(Wei)护(Hu)消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)。因(Yin)为(Wei)市(Shi)面(Mian)上(Shang)产(Chan)品(Pin)一(Yi)般(Ban)包(Bao)含(Han)80种(Zhong)以(Yi)上(Shang)疾(Ji)病(Bing),病(Bing)种(Zhong)数(Shu)量(Liang)增(Zeng)加(Jia)影(Ying)响(Xiang)较(Jiao)小(Xiao)。重(Zhong)疾(Ji)定(Ding)义(Yi)修(Xiu)订(Ding)有(You)利(Li)于(Yu)降(Jiang)低(Di)逆(Ni)向(Xiang)选(Xuan)择(Ze)和(He)赔(Pei)付(Fu)风(Feng)险(Xian)、消(Xiao)费(Fei)者(Zhe)保(Bao)障(Zhang)更(Geng)加(Jia)全(Quan)面(Mian),同(Tong)时(Shi)促(Cu)进(Jin)了(Liao)产(Chan)品(Pin)规(Gui)范(Fan)化(Hua)设(She)计(Ji),对(Dui)行(Xing)业(Ye)发(Fa)展(Zhan)具(Ju)有(You)深(Shen)远(Yuan)意(Yi)义(Yi)。3.1 为(Wei)何(He)进(Jin)行(Xing)修(Xiu)订(Ding)?医(Yi)学(Xue)中(Zhong)的(De)疾(Ji)病(Bing)定(Ding)义(Yi)目(Mu)的(De)是(Shi)说(Shuo)明(Ming)某(Mou)种(Zhong)疾(Ji)病(Bing)是(Shi)什(Shi)么(Me)、临(Lin)床(Chuang)表(Biao)现(Xian)有(You)哪(Na)些(Xie)等(Deng);保(Bao)险(Xian)中(Zhong)的(De)病(Bing)种(Zhong)定(Ding)义(Yi)主(Zhu)要(Yao)界(Jie)定(Ding)某(Mou)种(Zhong)病(Bing)在(Zai)什(Shi)么(Me)症(Zheng)状(Zhuang)下(Xia)、达(Da)到(Dao)什(Shi)么(Me)程(Cheng)度(Du)可(Ke)以(Yi)获(Huo)赔(Pei)。2007年(Nian),现(Xian)行(Xing)重(Zhong)疾(Ji)定(Ding)义(Yi)由(You)保(Bao)险(Xian)行(Xing)业(Ye)协(Xie)会(Hui)和(He)中(Zhong)国(Guo)医(Yi)师(Shi)协(Xie)会(Hui)于(Yu)2007年(Nian)发(Fa)布(Bu),对(Dui)促(Cu)进(Jin)重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)、保(Bao)护(Hu)消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)起(Qi)到(Dao)重(Zhong)要(Yao)作(Zuo)用(Yong)。但(Dan)随(Sui)着(Zhuo)医(Yi)学(Xue)临(Lin)床(Chuang)诊(Zhen)断(Duan)标(Biao)准(Zhun)和(He)医(Yi)疗(Liao)技(Ji)术(Shu)的(De)不(Bu)断(Duan)发(Fa)展(Zhan)和(He)革(Ge)新(Xin),现(Xian)行(Xing)规(Gui)范(Fan)中(Zhong)的(De)部(Bu)分(Fen)内(Nei)容(Rong)已(Yi)不(Bu)能(Neng)满(Man)足(Zu)当(Dang)前(Qian)行(Xing)业(Ye)发(Fa)展(Zhan)和(He)消(Xiao)费(Fei)者(Zhe)的(De)需(Xu)求(Qiu),需(Xu)要(Yao)加(Jia)以(Yi)修(Xiu)订(Ding)和(He)完(Wan)善(Shan)。3月(Yue)31日(Ri),保(Bao)险(Xian)行(Xing)业(Ye)协(Xie)会(Hui)就(Jiu)《重(Zhong)大(Da)疾(Ji)病(Bing)保(Bao)险(Xian)的(De)疾(Ji)病(Bing)定(Ding)义(Yi)使(Shi)用(Yong)规(Gui)范(Fan)修(Xiu)订(Ding)版(Ban)(征(Zheng)求(Qiu)意(Yi)见(Jian)稿(Gao))》向(Xiang)行(Xing)业(Ye)征(Zheng)求(Qiu)意(Yi)见(Jian)。3.2 修(Xiu)订(Ding)内(Nei)容(Rong)有(You)哪(Na)些(Xie)改(Gai)变(Bian)?一(Yi)是(Shi)首(Shou)次(Ci)引(Yin)入(Ru)轻(Qing)度(Du)疾(Ji)病(Bing)定(Ding)义(Yi)。将(Jiang)恶(E)性(Xing)肿(Zhong)瘤(Liu)、急(Ji)性(Xing)心(Xin)肌(Ji)梗(Geng)死(Si)、脑(Nao)中(Zhong)风(Feng)后(Hou)遗(Yi)症(Zheng)3种(Zhong)核(He)心(Xin)疾(Ji)病(Bing),按(An)照(Zhao)严(Yan)重(Zhong)程(Cheng)度(Du)分(Fen)为(Wei)重(Zhong)度(Du)疾(Ji)病(Bing)和(He)轻(Qing)度(Du)疾(Ji)病(Bing)两(Liang)级(Ji),即(Ji)新(Xin)增(Zeng)了(Liao)3种(Zhong)核(He)心(Xin)轻(Qing)度(Du)疾(Ji)病(Bing)定(Ding)义(Yi)。适(Shi)应(Ying)了(Liao)医(Yi)学(Xue)发(Fa)展(Zhan),过(Guo)去(Qu)属(Shu)于(Yu)重(Zhong)症(Zheng)疾(Ji)病(Bing),但(Dan)目(Mu)前(Qian)诊(Zhen)疗(Liao)费(Fei)用(Yong)较(Jiao)低(Di)、预(Yu)后(Hou)良(Liang)好(Hao)的(De)疾(Ji)病(Bing)明(Ming)确(Que)为(Wei)轻(Qing)症(Zheng)疾(Ji)病(Bing),使(Shi)赔(Pei)付(Fu)标(Biao)准(Zhun)更(Geng)加(Jia)科(Ke)学(Xue)合(He)理(Li);重(Zhong)症(Zheng)疾(Ji)病(Bing),但(Dan)目(Mu)前(Qian)诊(Zhen)疗(Liao)费(Fei)用(Yong)较(Jiao)低(Di)、预(Yu)后(Hou)良(Liang)好(Hao)的(De)疾(Ji)病(Bing)明(Ming)确(Que)为(Wei)轻(Qing)症(Zheng)疾(Ji)病(Bing),使(Shi)赔(Pei)付(Fu)标(Biao)准(Zhun)更(Geng)加(Jia)科(Ke)学(Xue)合(He)理(Li)。比(Bi)如(Ru),甲(Jia)状(Zhuang)腺(Xian)癌(Ai)没(Mei)有(You)从(Cong)恶(E)性(Xing)肿(Zhong)瘤(Liu)中(Zhong)剔(Ti)除(Chu),但(Dan)是(Shi)按(An)照(Zhao)等(Deng)级(Ji)进(Jin)行(Xing)了(Liao)区(Qu)分(Fen),TNM分(Fen)期(Qi)为(Wei)I期(Qi)的(De)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)从(Cong)原(Yuan)来(Lai)的(De)重(Zhong)症(Zheng)变(Bian)为(Wei)轻(Qing)症(Zheng)。二(Er)是(Shi)增(Zeng)加(Jia)病(Bing)种(Zhong)数(Shu)量(Liang),适(Shi)度(Du)扩(Kuo)展(Zhan)保(Bao)障(Zhang)范(Fan)围(Wei)。将(Jiang)原(Yuan)有(You)25种(Zhong)重(Zhong)疾(Ji)定(Ding)义(Yi)完(Wan)善(Shan)扩(Kuo)展(Zhan)为(Wei)28种(Zhong)重(Zhong)度(Du)疾(Ji)病(Bing)和(He)3种(Zhong)轻(Qing)度(Du)疾(Ji)病(Bing),并(Bing)适(Shi)度(Du)扩(Kuo)展(Zhan)保(Bao)障(Zhang)范(Fan)围(Wei)。一(Yi)方(Fang)面(Mian),在(Zai)原(Yuan)有(You)重(Zhong)疾(Ji)定(Ding)义(Yi)范(Fan)围(Wei)的(De)基(Ji)础(Chu)上(Shang),新(Xin)增(Zeng)了(Liao)严(Yan)重(Zhong)慢(Man)性(Xing)呼(Hu)吸(Xi)功(Gong)能(Neng)衰(Shuai)竭(Jie)、严(Yan)重(Zhong)克(Ke)罗(Luo)恩(En)病(Bing)、严(Yan)重(Zhong)溃(Kui)疡(Yang)性(Xing)结(Jie)肠(Chang)炎(Yan)3种(Zhong)重(Zhong)度(Du)疾(Ji)病(Bing);另(Ling)一(Yi)方(Fang)面(Mian),对(Dui)恶(E)性(Xing)肿(Zhong)瘤(Liu)、急(Ji)性(Xing)心(Xin)肌(Ji)梗(Geng)死(Si)、脑(Nao)中(Zhong)风(Feng)后(Hou)遗(Yi)症(Zheng)3种(Zhong)核(He)心(Xin)重(Zhong)疾(Ji)病(Bing)种(Zhong)进(Jin)行(Xing)科(Ke)学(Xue)分(Fen)级(Ji),新(Xin)增(Zeng)了(Liao)对(Dui)应(Ying)的(De)3种(Zhong)轻(Qing)度(Du)疾(Ji)病(Bing)的(De)定(Ding)义(Yi),扩(Kuo)展(Zhan)了(Liao)保(Bao)障(Zhang)范(Fan)围(Wei)。对(Dui)于(Yu)任(Ren)何(He)一(Yi)款(Kuan)重(Zhong)疾(Ji)产(Chan)品(Pin)(十(Shi)八(Ba)周(Zhou)岁(Sui)以(Yi)上(Shang)),疾(Ji)病(Bing)范(Fan)围(Wei)应(Ying)当(Dang)包(Bao)括(Kuo)六(Liu)种(Zhong):严(Yan)重(Zhong)恶(E)性(Xing)肿(Zhong)瘤(Liu)、较(Jiao)重(Zhong)急(Ji)性(Xing)心(Xin)肌(Ji)梗(Geng)死(Si)、严(Yan)重(Zhong)脑(Nao)中(Zhong)风(Feng)后(Hou)遗(Yi)症(Zheng)、重(Zhong)大(Da)器(Qi)官(Guan)移(Yi)植(Zhi)术(Shu)或(Huo)造(Zao)血(Xue)干(Gan)细(Xi)胞(Bao)移(Yi)植(Zhi)术(Shu)、冠(Guan)状(Zhuang)动(Dong)脉(Mai)搭(Da)桥(Qiao)术(Shu)(或(Huo)称(Cheng)冠(Guan)状(Zhuang)动(Dong)脉(Mai)旁(Pang)路(Lu)移(Yi)植(Zhi)术(Shu))、严(Yan)重(Zhong)慢(Man)性(Xing)肾(Shen)脏(Zang)病(Bing)。此(Ci)外(Wai),若(Ruo)产(Chan)品(Pin)还(Huan)保(Bao)障(Zhang)了(Liao)上(Shang)述(Shu)六(Liu)种(Zhong)重(Zhong)大(Da)疾(Ji)病(Bing)意(Yi)外(Wai)的(De)其(Qi)他(Ta)疾(Ji)病(Bing),则(Ze)必(Bi)须(Xu)包(Bao)含(Han)另(Ling)外(Wai)三(San)种(Zhong)轻(Qing)度(Du)疾(Ji)病(Bing):轻(Qing)度(Du)恶(E)性(Xing)肿(Zhong)瘤(Liu)、较(Jiao)轻(Qing)急(Ji)性(Xing)心(Xin)肌(Ji)梗(Geng)死(Si)、轻(Qing)度(Du)脑(Nao)中(Zhong)风(Feng)后(Hou)遗(Yi)症(Zheng)。限(Xian)定(Ding)轻(Qing)度(Du)疾(Ji)病(Bing)保(Bao)险(Xian)金(Jin)额(E)为(Wei)20%。三(San)是(Shi)扩(Kuo)展(Zhan)疾(Ji)病(Bing)定(Ding)义(Yi)范(Fan)围(Wei),优(You)化(Hua)定(Ding)义(Yi)内(Nei)涵(Han)。根(Gen)据(Ju)最(Zui)新(Xin)医(Yi)学(Xue)进(Jin)展(Zhan),扩(Kuo)展(Zhan)对(Dui)重(Zhong)大(Da)器(Qi)官(Guan)移(Yi)植(Zhi)术(Shu)、冠(Guan)状(Zhuang)动(Dong)脉(Mai)搭(Da)桥(Qiao)术(Shu)、心(Xin)脏(Zang)瓣(Ban)膜(Mo)手(Shou)术(Shu)、主(Zhu)动(Dong)脉(Mai)手(Shou)术(Shu)4种(Zhong)疾(Ji)病(Bing)的(De)保(Bao)障(Zhang)范(Fan)围(Wei),完(Wan)善(Shan)优(You)化(Hua)了(Liao)严(Yan)重(Zhong)慢(Man)性(Xing)肾(Shen)脏(Zang)病(Bing)等(Deng)疾(Ji)病(Bing)定(Ding)义(Yi)。比(Bi)如(Ru),对(Dui)“心(Xin)脏(Zang)瓣(Ban)膜(Mo)手(Shou)术(Shu)”,取(Qu)消(Xiao)了(Liao)原(Yuan)定(Ding)义(Yi)规(Gui)定(Ding)的(De)必(Bi)须(Xu)“实(Shi)施(Shi)了(Liao)开(Kai)胸(Xiong)”这(Zhe)一(Yi)限(Xian)定(Ding)条(Tiao)件(Jian),代(Dai)之(Zhi)以(Yi)“实(Shi)施(Shi)切(Qie)开(Kai)心(Xin)脏(Zang)”。新(Xin)定(Ding)义(Yi)引(Yin)用(Yong)标(Biao)准(Zhun)更(Geng)加(Jia)权(Quan)威(Wei)客(Ke)观(Guan)。新(Xin)定(Ding)义(Yi)引(Yin)用(Yong)了(Liao)在(Zai)原(Yuan)定(Ding)义(Yi)基(Ji)础(Chu)上(Shang),引(Yin)入(Ru)了(Liao)世(Shi)界(Jie)卫(Wei)生(Sheng)组(Zu)织(Zhi)(WHO)《国(Guo)际(Ji)疾(Ji)病(Bing)分(Fen)类(Lei)肿(Zhong)瘤(Liu)学(Xue)专(Zhuan)辑(Ji)》第(Di)三(San)版(Ban)(ICD-O-3)的(De)肿(Zhong)瘤(Liu)形(Xing)态(Tai)学(Xue)标(Biao)准(Zhun),使(Shi)定(Ding)义(Yi)更(Geng)加(Jia)准(Zhun)确(Que)规(Gui)范(Fan),最(Zui)大(Da)程(Cheng)度(Du)地(Di)避(Bi)免(Mian)了(Liao)可(Ke)能(Neng)出(Chu)现(Xian)的(De)理(Li)赔(Pei)争(Zheng)议(Yi)和(He)理(Li)解(Jie)歧(Qi)义(Yi)。至(Zhi)于(Yu)此(Ci)前(Qian)关(Guan)心(Xin)的(De)原(Yuan)位(Wei)癌(Ai)属(Shu)不(Bu)属(Shu)于(Yu)恶(E)性(Xing)肿(Zhong)瘤(Liu)问(Wen)题(Ti),新(Xin)定(Ding)义(Yi)下(Xia)予(Yu)以(Yi)明(Ming)确(Que):ICD-O-3 肿(Zhong)瘤(Liu)形(Xing)态(Tai)学(Xue)编(Bian)码(Ma)属(Shu)于(Yu) 0(良(Liang)性(Xing)肿(Zhong)瘤(Liu))、 1(动(Dong)态(Tai)未(Wei)定(Ding)性(Xing)肿(Zhong)瘤(Liu))、 2(原(Yuan)位(Wei)癌(Ai)和(He)非(Fei)侵(Qin)袭(Xi)性(Xing)癌(Ai))范(Fan)畴(Chou)的(De)疾(Ji)病(Bing)都(Du)不(Bu)属(Shu)于(Yu)恶(E)性(Xing)肿(Zhong)瘤(Liu)。新(Xin)重(Zhong)疾(Ji)定(Ding)义(Yi)更(Geng)加(Jia)准(Zhun)确(Que),引(Yin)用(Yong)定(Ding)期(Qi)评(Ping)估(Gu)机(Ji)制(Zhi)。相(Xiang)较(Jiao)于(Yu)2007版(Ban),新(Xin)定(Ding)义(Yi)结(Jie)合(He)最(Zui)新(Xin)的(De)医(Yi)疗(Liao)临(Lin)床(Chuang)实(Shi)践(Jian),同(Tong)时(Shi)又(You)考(Kao)虑(Lv)了(Liao)理(Li)赔(Pei)的(De)实(Shi)务(Wu)操(Cao)作(Zuo)。此(Ci)外(Wai),明(Ming)确(Que)了(Liao)至(Zhi)少(Shao)每(Mei)5年(Nian)对(Dui)疾(Ji)病(Bing)定(Ding)义(Yi)及(Ji)规(Gui)范(Fan)全(Quan)面(Mian)评(Ping)估(Gu),明(Ming)确(Que)了(Liao)保(Bao)险(Xian)行(Xing)业(Ye)疾(Ji)病(Bing)管(Guan)理(Li)办(Ban)公(Gong)室(Shi)负(Fu)责(Ze)相(Xiang)关(Guan)定(Ding)义(Yi)追(Zhui)踪(Zong)修(Xiu)订(Ding)职(Zhi)责(Ze)。3.3 重(Zhong)疾(Ji)定(Ding)义(Yi)修(Xiu)订(Ding)有(You)何(He)影(Ying)响(Xiang)?定(Ding)义(Yi)的(De)病(Bing)种(Zhong)数(Shu)量(Liang)由(You)原(Yuan)来(Lai)25种(Zhong)重(Zhong)疾(Ji)增(Zeng)加(Jia)为(Wei)28种(Zhong)重(Zhong)疾(Ji)和(He)3种(Zhong)轻(Qing)症(Zheng)。目(Mu)前(Qian)市(Shi)面(Mian)上(Shang)的(De)产(Chan)品(Pin)保(Bao)障(Zhang)范(Fan)围(Wei)包(Bao)括(Kuo)上(Shang)百(Bai)种(Zhong),远(Yuan)不(Bu)止(Zhi)旧(Jiu)定(Ding)义(Yi)下(Xia)的(De)25种(Zhong)或(Huo)新(Xin)定(Ding)义(Yi)下(Xia)的(De)“28+3”种(Zhong)。因(Yin)此(Ci)疾(Ji)病(Bing)品(Pin)种(Zhong)增(Zeng)加(Jia)影(Ying)响(Xiang)不(Bu)大(Da)。有(You)利(Li)于(Yu)降(Jiang)低(Di)逆(Ni)向(Xiang)选(Xuan)择(Ze)和(He)赔(Pei)付(Fu)风(Feng)险(Xian)。新(Xin)定(Ding)义(Yi)引(Yin)用(Yong)标(Biao)准(Zhun)更(Geng)加(Jia)权(Quan)威(Wei)客(Ke)观(Guan),以(Yi)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)为(Wei)例(Li),现(Xian)行(Xing)的(De)重(Zhong)疾(Ji)定(Ding)义(Yi)规(Gui)范(Fan)中(Zhong)并(Bing)无(Wu)区(Qu)分(Fen)轻(Qing)症(Zheng)和(He)重(Zhong)症(Zheng),新(Xin)定(Ding)义(Yi)下(Xia)TNM分(Fen)期(Qi)为(Wei)I期(Qi)的(De)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)从(Cong)原(Yuan)来(Lai)的(De)重(Zhong)症(Zheng)变(Bian)为(Wei)轻(Qing)症(Zheng)。甲(Jia)状(Zhuang)腺(Xian)癌(Ai)具(Ju)有(You)2高(Gao)1低(Di)的(De)特(Te)点(Dian)(保(Bao)险(Xian)发(Fa)病(Bing)率(Lv)、生(Sheng)存(Cun)率(Lv)高(Gao)、医(Yi)疗(Liao)花(Hua)费(Fei)低(Di))。90%以(Yi)上(Shang)的(De)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)对(Dui)人(Ren)体(Ti)危(Wei)害(Hai)不(Bu)大(Da)、治(Zhi)疗(Liao)费(Fei)用(Yong)较(Jiao)少(Shao)、致(Zhi)死(Si)率(Lv)低(Di)。I期(Qi)及(Ji)以(Yi)下(Xia)的(De)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)危(Wei)害(Hai)不(Bu)大(Da),无(Wu)论(Lun)从(Cong)预(Yu)后(Hou)和(He)费(Fei)用(Yong)花(Hua)销(Xiao)来(Lai)说(Shuo),对(Dui)患(Huan)者(Zhe)的(De)影(Ying)响(Xiang)都(Du)很(Hen)小(Xiao),而(Er)且(Qie)容(Rong)易(Yi)早(Zao)筛(Shai)。但(Dan)伴(Ban)随(Sui)着(Zhuo)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)过(Guo)高(Gao)的(De)赔(Pei)付(Fu)率(Lv),保(Bao)险(Xian)公(Gong)司(Si)面(Mian)临(Lin)大(Da)量(Liang)赔(Pei)付(Fu)风(Feng)险(Xian),赔(Pei)付(Fu)压(Ya)力(Li)最(Zui)终(Zhong)转(Zhuan)移(Yi)至(Zhi)消(Xiao)费(Fei)者(Zhe)身(Shen)上(Shang),因(Yin)此(Ci)削(Xiao)弱(Ruo)了(Liao)“低(Di)保(Bao)费(Fei)、高(Gao)保(Bao)障(Zhang)”的(De)杠(Gang)杆(Gan)效(Xiao)应(Ying)。根(Gen)据(Ju)泰(Tai)康(Kang)2019年(Nian)理(Li)赔(Pei)数(Shu)据(Ju),甲(Jia)状(Zhuang)腺(Xian)癌(Ai)在(Zai)重(Zhong)疾(Ji)理(Li)赔(Pei)中(Zhong)占(Zhan)比(Bi)达(Da)30%。不(Bu)仅(Jin)在(Zai)泰(Tai)康(Kang),在(Zai)多(Duo)数(Shu)保(Bao)险(Xian)公(Gong)司(Si)中(Zhong),甲(Jia)状(Zhuang)腺(Xian)癌(Ai)已(Yi)成(Cheng)为(Wei)理(Li)赔(Pei)的(De)主(Zhu)要(Yao)病(Bing)种(Zhong)。一(Yi)方(Fang)面(Mian),甲(Jia)状(Zhuang)腺(Xian)癌(Ai)分(Fen)级(Ji)对(Dui)待(Dai)有(You)利(Li)于(Yu)减(Jian)少(Shao)逆(Ni)向(Xiang)选(Xuan)择(Ze)风(Feng)险(Xian)。《中(Zhong)国(Guo)癌(Ai)症(Zheng)登(Deng)记(Ji)年(Nian)报(Bao)2018》显(Xian)示(Shi),甲(Jia)状(Zhuang)腺(Xian)癌(Ai)在(Zai)所(Suo)有(You)癌(Ai)症(Zheng)中(Zhong)排(Pai)名(Ming)第(Di)七(Qi)位(Wei),但(Dan)在(Zai)重(Zhong)疾(Ji)保(Bao)险(Xian)理(Li)赔(Pei)数(Shu)和(He)理(Li)赔(Pei)额(E)中(Zhong)都(Du)稳(Wen)居(Ju)第(Di)一(Yi)。过(Guo)高(Gao)的(De)理(Li)赔(Pei)额(E)最(Zui)终(Zhong)也(Ye)会(Hui)转(Zhuan)移(Yi)至(Zhi)消(Xiao)费(Fei)者(Zhe)。另(Ling)一(Yi)方(Fang)面(Mian),TNM分(Fen)期(Qi)为(Wei)I期(Qi)的(De)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)从(Cong)原(Yuan)来(Lai)的(De)重(Zhong)症(Zheng)变(Bian)为(Wei)轻(Qing)症(Zheng),赔(Pei)付(Fu)更(Geng)加(Jia)精(Jing)准(Zhun)合(He)理(Li)。成(Cheng)本(Ben)更(Geng)加(Jia)合(He)理(Li)化(Hua),根(Gen)据(Ju)病(Bing)情(Qing)的(De)严(Yan)重(Zhong)程(Cheng)度(Du)来(Lai)提(Ti)供(Gong)针(Zhen)对(Dui)性(Xing)、区(Qu)别(Bie)性(Xing)的(De)保(Bao)障(Zhang)。消(Xiao)费(Fei)者(Zhe)保(Bao)障(Zhang)更(Geng)加(Jia)全(Quan)面(Mian)。在(Zai)原(Yuan)来(Lai)定(Ding)义(Yi)下(Xia),TNM分(Fen)期(Qi)为(Wei)I期(Qi)的(De)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)为(Wei)重(Zhong)症(Zheng),如(Ru)果(Guo)发(Fa)生(Sheng)理(Li)赔(Pei),保(Bao)险(Xian)合(He)同(Tong)终(Zhong)止(Zhi)(单(Dan)次(Ci)给(Gei)付(Fu)产(Chan)品(Pin));而(Er)在(Zai)新(Xin)定(Ding)义(Yi)下(Xia),如(Ru)果(Guo)发(Fa)生(Sheng)理(Li)赔(Pei),属(Shu)于(Yu)轻(Qing)症(Zheng),不(Bu)影(Ying)响(Xiang)重(Zhong)症(Zheng)保(Bao)额(E)赔(Pei)付(Fu)。有(You)利(Li)于(Yu)重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)的(De)规(Gui)范(Fan)化(Hua)设(She)计(Ji)。本(Ben)次(Ci)修(Xiu)订(Ding)中(Zhong)对(Dui)重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)的(De)设(She)计(Ji)提(Ti)出(Chu)新(Xin)的(De)要(Yao)求(Qiu):(1)同(Tong)款(Kuan)产(Chan)品(Pin)中(Zhong),不(Bu)得(De)出(Chu)现(Xian)保(Bao)障(Zhang)范(Fan)围(Wei)高(Gao)度(Du)重(Zhong)叠(Die)的(De)疾(Ji)病(Bing);(2)新(Xin)增(Zeng)疾(Ji)病(Bing)发(Fa)病(Bing)率(Lv)如(Ru)果(Guo)极(Ji)低(Di),需(Xu)要(Yao)在(Zai)名(Ming)称(Cheng)中(Zhong)注(Zhu)明(Ming)。由(You)于(Yu)部(Bu)分(Fen)激(Ji)进(Jin)的(De)保(Bao)险(Xian)公(Gong)司(Si)以(Yi)重(Zhong)疾(Ji)数(Shu)量(Liang)多(Duo)吸(Xi)引(Yin)消(Xiao)费(Fei)者(Zhe),但(Dan)消(Xiao)费(Fei)者(Zhe)无(Wu)法(Fa)区(Qu)分(Fen)且(Qie)不(Bu)知(Zhi)道(Dao)是(Shi)否(Fou)必(Bi)须(Xu),新(Xin)定(Ding)义(Yi)下(Xia)对(Dui)此(Ci)进(Jin)行(Xing)了(Liao)规(Gui)范(Fan),有(You)利(Li)于(Yu)维(Wei)护(Hu)消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)。预(Yu)计(Ji)重(Zhong)疾(Ji)险(Xian)降(Jiang)价(Jia)空(Kong)间(Jian)有(You)限(Xian)。由(You)于(Yu)新(Xin)定(Ding)义(Yi)下(Xia)高(Gao)发(Fa)的(De)重(Zhong)疾(Ji)理(Li)赔(Pei)更(Geng)加(Jia)严(Yan)苛(Ke)了(Liao),满(Man)足(Zu)一(Yi)定(Ding)条(Tiao)件(Jian)下(Xia)的(De)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)、前(Qian)列(Lie)腺(Xian)癌(Ai)、皮(Pi)肤(Fu)癌(Ai)等(Deng)六(Liu)项(Xiang)将(Jiang)划(Hua)分(Fen)轻(Qing)症(Zheng)进(Jin)行(Xing)赔(Pei)付(Fu),将(Jiang)降(Jiang)低(Di)保(Bao)险(Xian)公(Gong)司(Si)赔(Pei)付(Fu)。虽(Sui)然(Ran)赔(Pei)付(Fu)下(Xia)降(Jiang),但(Dan)由(You)于(Yu)目(Mu)前(Qian)中(Zhong)小(Xiao)保(Bao)险(Xian)公(Gong)司(Si)重(Zhong)疾(Ji)险(Xian)保(Bao)障(Zhang)责(Ze)任(Ren)与(Yu)费(Fei)率(Lv)竞(Jing)争(Zheng)面(Mian)临(Lin)“天(Tian)花(Hua)板(Ban)”问(Wen)题(Ti),且(Qie)若(Ruo)价(Jia)格(Ge)下(Xia)降(Jiang)将(Jiang)有(You)损(Sun)存(Cun)量(Liang)保(Bao)单(Dan)客(Ke)户(Hu)的(De)利(Li)益(Yi),因(Yin)此(Ci)预(Yu)计(Ji)重(Zhong)疾(Ji)险(Xian)降(Jiang)价(Jia)空(Kong)间(Jian)有(You)限(Xian),中(Zhong)小(Xiao)保(Bao)险(Xian)公(Gong)司(Si)降(Jiang)价(Jia)动(Dong)力(Li)不(Bu)足(Zu)。04 新(Xin)版(Ban)重(Zhong)疾(Ji)表(Biao):新(Xin)的(De)里(Li)程(Cheng)碑(Bei)新(Xin)版(Ban)重(Zhong)疾(Ji)表(Biao)是(Shi)新(Xin)版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)的(De)配(Pei)套(Tao)文(Wen)件(Jian),二(Er)者(Zhe)需(Xu)要(Yao)结(Jie)合(He)分(Fen)析(Xi)。2007版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia),主(Zhu)要(Yao)年(Nian)龄(Ling)段(Duan)发(Fa)病(Bing)率(Lv)提(Ti)升(Sheng),由(You)于(Yu)上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)已(Yi)补(Bu)提(Ti)准(Zhun)备(Bei)金(Jin),预(Yu)计(Ji)影(Ying)响(Xiang)有(You)限(Xian);2020版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)明(Ming)显(Xian)下(Xia)降(Jiang),赔(Pei)付(Fu)率(Lv)下(Xia)降(Jiang),理(Li)论(Lun)上(Shang)可(Ke)以(Yi)降(Jiang)低(Di)价(Jia)格(Ge);新(Xin)增(Zeng)粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)重(Zhong)疾(Ji)表(Biao),使(Shi)产(Chan)品(Pin)更(Geng)具(Ju)市(Shi)场(Chang)竞(Jing)争(Zheng)力(Li)。修(Xiu)订(Ding)的(De)重(Zhong)疾(Ji)表(Biao)将(Jiang)更(Geng)准(Zhun)确(Que)反(Fan)映(Ying)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)的(De)变(Bian)化(Hua),产(Chan)品(Pin)定(Ding)价(Jia)、评(Ping)估(Gu)更(Geng)加(Jia)科(Ke)学(Xue)合(He)理(Li),有(You)利(Li)于(Yu)稳(Wen)定(Ding)死(Si)差(Cha)益(Yi);由(You)于(Yu)产(Chan)品(Pin)定(Ding)价(Jia)受(Shou)市(Shi)场(Chang)供(Gong)求(Qiu)影(Ying)响(Xiang),市(Shi)场(Chang)竞(Jing)争(Zheng)竞(Jing)争(Zheng)日(Ri)趋(Qu)激(Ji)烈(Lie),预(Yu)计(Ji)降(Jiang)价(Jia)力(Li)度(Du)有(You)限(Xian)。4.1 为(Wei)何(He)进(Jin)行(Xing)修(Xiu)订(Ding)?保(Bao)险(Xian)公(Gong)司(Si)在(Zai)定(Ding)价(Jia)、准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu)、内(Nei)含(Han)价(Jia)值(Zhi)评(Ping)估(Gu)中(Zhong)都(Du)用(Yong)到(Dao)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)假(Jia)设(She)。2020年(Nian)5月(Yue),新(Xin)版(Ban)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)表(Biao)向(Xiang)全(Quan)行(Xing)业(Ye)征(Zheng)求(Qiu)意(Yi)见(Jian)。在(Zai)新(Xin)版(Ban)之(Zhi)前(Qian),疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)主(Zhu)要(Yao)根(Gen)据(Ju)2013年(Nian)编(Bian)制(Zhi)的(De)《中(Zhong)国(Guo)人(Ren)身(Shen)保(Bao)险(Xian)业(Ye)重(Zhong)大(Da)疾(Ji)病(Bing)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao)(2006-2010)》。由(You)于(Yu)旧(Jiu)版(Ban)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)表(Biao)已(Yi)经(Jing)推(Tui)出(Chu)十(Shi)余(Yu)年(Nian),我(Wo)国(Guo)的(De)疾(Ji)病(Bing)谱(Pu)及(Ji)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)已(Yi)发(Fa)生(Sheng)较(Jiao)大(Da)变(Bian)化(Hua),现(Xian)有(You)重(Zhong)疾(Ji)表(Biao)已(Yi)经(Jing)不(Bu)能(Neng)满(Man)足(Zu)保(Bao)险(Xian)行(Xing)业(Ye)发(Fa)展(Zhan)和(He)消(Xiao)费(Fei)者(Zhe)多(Duo)元(Yuan)化(Hua)需(Xu)求(Qiu)的(De)需(Xu)要(Yao)。新(Xin)产(Chan)品(Pin)定(Ding)价(Jia)将(Jiang)采(Cai)用(Yong)新(Xin)版(Ban)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)表(Biao)。简(Jian)单(Dan)而(Er)言(Yan),重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)体(Ti)现(Xian)了(Liao)一(Yi)个(Ge)人(Ren)得(De)重(Zhong)疾(Ji)的(De)概(Gai)率(Lv),这(Zhe)个(Ge)概(Gai)率(Lv)影(Ying)响(Xiang)到(Dao)重(Zhong)疾(Ji)险(Xian)的(De)保(Bao)费(Fei)。发(Fa)病(Bing)率(Lv)的(De)不(Bu)确(Que)定(Ding)来(Lai)自(Zi)两(Liang)方(Fang)面(Mian):生(Sheng)活(Huo)方(Fang)式(Shi)改(Gai)变(Bian)、医(Yi)疗(Liao)技(Ji)术(Shu)的(De)发(Fa)展(Zhan)和(He)医(Yi)疗(Liao)设(She)施(Shi)覆(Fu)盖(Gai)率(Lv)。首(Shou)先(Xian),生(Sheng)活(Huo)方(Fang)式(Shi)的(De)负(Fu)面(Mian)改(Gai)变(Bian)会(Hui)导(Dao)致(Zhi)未(Wei)来(Lai)发(Fa)病(Bing)率(Lv)经(Jing)验(Yan)恶(E)化(Hua);其(Qi)次(Ci),医(Yi)疗(Liao)技(Ji)术(Shu)的(De)发(Fa)展(Zhan)和(He)保(Bao)单(Dan)持(Chi)有(You)人(Ren)享(Xiang)有(You)的(De)医(Yi)疗(Liao)设(She)施(Shi)覆(Fu)盖(Gai)率(Lv)的(De)提(Ti)高(Gao)会(Hui)提(Ti)前(Qian)重(Zhong)大(Da)疾(Ji)病(Bing)的(De)确(Que)诊(Zhen)时(Shi)间(Jian),导(Dao)致(Zhi)重(Zhong)大(Da)疾(Ji)病(Bing)的(De)给(Gei)付(Fu)提(Ti)前(Qian)。如(Ru)果(Guo)当(Dang)期(Qi)的(De)发(Fa)病(Bing)率(Lv)假(Jia)设(She)没(Mei)有(You)适(Shi)当(Dang)反(Fan)映(Ying)这(Zhe)些(Xie)长(Chang)期(Qi)趋(Qu)势(Shi),这(Zhe)两(Liang)方(Fang)面(Mian)最(Zui)终(Zhong)会(Hui)导(Dao)致(Zhi)负(Fu)债(Zhai)不(Bu)足(Zu)。保(Bao)险(Xian)公(Gong)司(Si)调(Diao)整(Zheng)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)以(Yi)补(Bu)提(Ti)准(Zhun)备(Bei)金(Jin)。以(Yi)中(Zhong)国(Guo)太(Tai)保(Bao)披(Pi)露(Lu)的(De)敏(Min)感(Gan)性(Xing)分(Fen)析(Xi)为(Wei)例(Li),疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)假(Jia)设(She)提(Ti)高(Gao)10%,寿(Shou)险(Xian)、长(Chang)期(Qi)健(Jian)康(Kang)险(Xian)责(Ze)任(Ren)准(Zhun)备(Bei)金(Jin)增(Zeng)加(Jia)160.96亿(Yi)元(Yuan)。2019中(Zhong)国(Guo)太(Tai)保(Bao)对(Dui)准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu)假(Jia)设(She)进(Jin)行(Xing)调(Diao)整(Zheng)(主(Zhu)要(Yao)是(Shi)调(Diao)整(Zheng)部(Bu)分(Fen)产(Chan)品(Pin)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)假(Jia)设(She)),增(Zeng)加(Jia)保(Bao)险(Xian)合(He)同(Tong)准(Zhun)备(Bei)金(Jin)80.77亿(Yi)元(Yuan),减(Jian)少(Shao)利(Li)润(Run)总(Zong)额(E)80.77亿(Yi)元(Yuan),占(Zhan)160.96亿(Yi)元(Yuan)的(De)50%。因(Yin)此(Ci),旧(Jiu)版(Ban)重(Zhong)疾(Ji)表(Biao)或(Huo)已(Yi)经(Jing)不(Bu)能(Neng)适(Shi)应(Ying)当(Dang)前(Qian)国(Guo)民(Min)疾(Ji)病(Bing)发(Fa)生(Sheng)风(Feng)险(Xian)状(Zhuang)况(Kuang)。线(Xian)性(Xing)倒(Dao)推(Tui)下(Xia),预(Yu)计(Ji)保(Bao)险(Xian)公(Gong)司(Si)已(Yi)补(Bu)提(Ti)准(Zhun)备(Bei)金(Jin)以(Yi)反(Fan)映(Ying)发(Fa)病(Bing)率(Lv)的(De)风(Feng)险(Xian)边(Bian)际(Ji)。4.2 修(Xiu)订(Ding)内(Nei)容(Rong)有(You)哪(Na)些(Xie)改(Gai)变(Bian)?两(Liang)套(Tao)重(Zhong)疾(Ji)表(Biao)修(Xiu)订(Ding)成(Cheng)七(Qi)套(Tao)重(Zhong)疾(Ji)表(Biao)。5月(Yue)7日(Ri),中(Zhong)国(Guo)精(Jing)算(Suan)师(Shi)协(Xie)会(Hui)发(Fa)布(Bu)《中(Zhong)国(Guo)人(Ren)身(Shen)保(Bao)险(Xian)业(Ye)重(Zhong)大(Da)疾(Ji)病(Bing)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao)(2020)(征(Zheng)求(Qiu)意(Yi)见(Jian)稿(Gao))》,包(Bao)括(Kuo)(1)CI1、CI2:2007版(Ban)定(Ding)义(Yi)下(Xia)的(De)6、25种(Zhong)疾(Ji)病(Bing)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao),主(Zhu)要(Yao)用(Yong)于(Yu)评(Ping)估(Gu)存(Cun)量(Liang)保(Bao)单(Dan)的(De)准(Zhun)备(Bei)金(Jin);(2)CI3、CI4:2020版(Ban)定(Ding)义(Yi)下(Xia)的(De)6种(Zhong)、28种(Zhong)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)表(Biao),主(Zhu)要(Yao)用(Yong)于(Yu)新(Xin)产(Chan)品(Pin)定(Ding)价(Jia)和(He)准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu);(3)CI5 、CI6:粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)专(Zhuan)属(Shu)的(De)6、28种(Zhong)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)表(Biao),主(Zhu)要(Yao)用(Yong)于(Yu)大(Da)湾(Wan)区(Qu)域(Yu)性(Xing)保(Bao)险(Xian)的(De)定(Ding)价(Jia)和(He)评(Ping)估(Gu);(4)CI7:严(Yan)重(Zhong)恶(E)性(Xing)肿(Zhong)瘤(Liu)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao)。2020年(Nian)版(Ban)重(Zhong)疾(Ji)表(Biao)一(Yi)共(Gong)包(Bao)含(Han)7张(Zhang)表(Biao)。(重(Zhong)疾(Ji)表(Biao)中(Zhong)粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)特(Te)指(Zhi)粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)中(Zhong)的(De)广(Guang)州(Zhou)、深(Shen)圳(Zhen)、珠(Zhu)海(Hai)、佛(Fo)山(Shan)、惠(Hui)州(Zhou)、东(Dong)莞(Zuo)、中(Zhong)山(Shan)、江(Jiang)门(Men)、肇(Zhao)庆(Qing)九(Jiu)个(Ge)珠(Zhu)三(San)角(Jiao)城(Cheng)市(Shi)覆(Fu)盖(Gai)的(De)区(Qu)域(Yu))。数(Shu)据(Ju)量(Liang)庞(Pang)大(Da),75岁(Sui)之(Zhi)前(Qian)经(Jing)验(Yan)丰(Feng)富(Fu),可(Ke)信(Xin)度(Du)高(Gao)。运(Yun)用(Yong)大(Da)数(Shu)据(Ju)分(Fen)析(Xi)等(Deng)科(Ke)技(Ji)手(Shou)段(Duan),结(Jie)合(He)人(Ren)工(Gong)验(Yan)证(Zheng)审(Shen)核(He),对(Dui)行(Xing)业(Ye)约(Yue)2900款(Kuan)重(Zhong)疾(Ji)产(Chan)品(Pin)、超(Chao)过(Guo)3亿(Yi)条(Tiao)相(Xiang)关(Guan)承(Cheng)保(Bao)理(Li)赔(Pei)数(Shu)据(Ju)进(Jin)行(Xing)了(Liao)多(Duo)维(Wei)度(Du)精(Jing)细(Xi)化(Hua)测(Ce)算(Suan)分(Fen)析(Xi)。同(Tong)时(Shi),针(Zhen)对(Dui)约(Yue)75万(Wan)件(Jian)未(Wei)知(Zhi)癌(Ai)症(Zheng)病(Bing)理(Li)、死(Si)因(Yin)不(Bu)明(Ming)确(Que)、病(Bing)因(Yin)不(Bu)明(Ming)确(Que)等(Deng)赔(Pei)案(An)信(Xin)息(Xi)不(Bu)完(Wan)整(Zheng)问(Wen)题(Ti),组(Zu)织(Zhi)保(Bao)险(Xian)公(Gong)司(Si)通(Tong)过(Guo)查(Cha)询(Xun)原(Yuan)始(Shi)卷(Juan)宗(Zong)等(Deng)方(Fang)式(Shi)进(Jin)行(Xing)人(Ren)工(Gong)补(Bu)录(Lu)。4.3 重(Zhong)疾(Ji)表(Biao)修(Xiu)订(Ding)有(You)何(He)影(Ying)响(Xiang)?(1)CI1、CI2:影(Ying)响(Xiang)存(Cun)量(Liang)保(Bao)单(Dan)准(Zhun)备(Bei)金(Jin)2007版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia),主(Zhu)要(Yao)年(Nian)龄(Ling)段(Duan)发(Fa)病(Bing)率(Lv)提(Ti)升(Sheng),平(Ping)均(Jun)而(Er)言(Yan)对(Dui)准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu)预(Yu)计(Ji)影(Ying)响(Xiang)有(You)限(Xian)。6病(Bing)种(Zhong)下(Xia),女(Nv)性(Xing)18岁(Sui)至(Zhi)56岁(Sui)发(Fa)病(Bing)率(Lv)提(Ti)升(Sheng),男(Nan)性(Xing)20岁(Sui)至(Zhi)44岁(Sui)发(Fa)病(Bing)率(Lv)提(Ti)升(Sheng),但(Dan)整(Zheng)体(Ti)增(Zeng)加(Jia)的(De)幅(Fu)度(Du)较(Jiao)女(Nv)性(Xing)小(Xiao)。25病(Bing)种(Zhong)下(Xia),整(Zheng)体(Ti)形(Xing)态(Tai)与(Yu)6病(Bing)种(Zhong)类(Lei)似(Si),主(Zhu)要(Yao)年(Nian)龄(Ling)段(Duan)发(Fa)病(Bing)率(Lv)提(Ti)升(Sheng),但(Dan)其(Qi)他(Ta)年(Nian)龄(Ling)段(Duan)发(Fa)病(Bing)率(Lv)下(Xia)降(Jiang)。平(Ping)均(Jun)而(Er)言(Yan),6病(Bing)种(Zhong)新(Xin)表(Biao)发(Fa)病(Bing)率(Lv)是(Shi)旧(Jiu)表(Biao)的(De)92%(男(Nan)性(Xing))、112%(女(Nv)性(Xing));25病(Bing)种(Zhong)新(Xin)表(Biao)发(Fa)病(Bing)率(Lv)是(Shi)旧(Jiu)表(Biao)的(De)88%(男(Nan)性(Xing))、105%(女(Nv)性(Xing))。主(Zhu)要(Yao)年(Nian)龄(Ling)阶(Jie)段(Duan)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)大(Da)幅(Fu)提(Ti)高(Gao)。18-44岁(Sui)群(Qun)体(Ti)中(Zhong),女(Nv)性(Xing)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)较(Jiao)之(Zhi)前(Qian)版(Ban)本(Ben)大(Da)幅(Fu)上(Shang)升(Sheng),女(Nv)性(Xing)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)提(Ti)高(Gao)了(Liao)132%,男(Nan)性(Xing)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)最(Zui)高(Gao)涨(Zhang)幅(Fu)为(Wei)52%,女(Nv)性(Xing)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)上(Shang)升(Sheng)幅(Fu)度(Du)远(Yuan)高(Gao)于(Yu)男(Nan)性(Xing),预(Yu)计(Ji)主(Zhu)要(Yao)与(Yu)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)、工(Gong)作(Zuo)压(Ya)力(Li)等(Deng)相(Xiang)关(Guan)。CI1、CI2主(Zhu)要(Yao)影(Ying)响(Xiang)影(Ying)响(Xiang)存(Cun)量(Liang)保(Bao)单(Dan)准(Zhun)备(Bei)金(Jin),预(Yu)计(Ji)存(Cun)量(Liang)产(Chan)品(Pin)中(Zhong)男(Nan)性(Xing)重(Zhong)疾(Ji)险(Xian)准(Zhun)备(Bei)金(Jin)变(Bian)化(Hua)不(Bu)大(Da),因(Yin)为(Wei)各(Ge)年(Nian)龄(Ling)段(Duan)有(You)升(Sheng)有(You)降(Jiang);但(Dan)女(Nv)性(Xing)产(Chan)品(Pin)准(Zhun)备(Bei)金(Jin)或(Huo)补(Bu)提(Ti),综(Zong)合(He)全(Quan)年(Nian)龄(Ling)段(Duan)来(Lai)考(Kao)虑(Lv),影(Ying)响(Xiang)预(Yu)计(Ji)有(You)限(Xian)。个(Ge)别(Bie)公(Gong)司(Si)会(Hui)因(Yin)产(Chan)品(Pin)结(Jie)构(Gou)问(Wen)题(Ti),准(Zhun)备(Bei)金(Jin)变(Bian)化(Hua)不(Bu)一(Yi)样(Yang),18岁(Sui)以(Yi)下(Xia)人(Ren)群(Qun)准(Zhun)备(Bei)金(Jin)甚(Shen)至(Zhi)降(Jiang)低(Di)。保(Bao)险(Xian)行(Xing)业(Ye)客(Ke)户(Hu)数(Shu)据(Ju)难(Nan)以(Yi)获(Huo)取(Qu),我(Wo)们(Men)采(Cai)用(Yong)了(Liao)中(Zhong)国(Guo)太(Tai)平(Ping)在(Zai)其(Qi)投(Tou)资(Zi)者(Zhe)开(Kai)放(Fang)日(Ri)活(Huo)动(Dong)中(Zhong)的(De)公(Gong)开(Kai)数(Shu)据(Ju)为(Wei)例(Li)进(Jin)行(Xing)说(Shuo)明(Ming),重(Zhong)疾(Ji)险(Xian)消(Xiao)费(Fei)者(Zhe)的(De)年(Nian)龄(Ling)结(Jie)构(Gou)较(Jiao)为(Wei)明(Ming)显(Xian)。保(Bao)费(Fei)角(Jiao)度(Du)而(Er)言(Yan),50岁(Sui)以(Yi)下(Xia)年(Nian)龄(Ling)段(Duan)的(De)群(Qun)体(Ti)占(Zhan)比(Bi)90%以(Yi)上(Shang),0-19岁(Sui)、20-49岁(Sui)年(Nian)龄(Ling)段(Duan)群(Qun)体(Ti)占(Zhan)比(Bi)分(Fen)别(Bie)为(Wei)23.2%、69.5%。(2)CI3、CI4:影(Ying)响(Xiang)新(Xin)产(Chan)品(Pin)价(Jia)格(Ge)2020版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)明(Ming)显(Xian)下(Xia)降(Jiang),或(Huo)带(Dai)来(Lai)降(Jiang)价(Jia)空(Kong)间(Jian),但(Dan)预(Yu)计(Ji)降(Jiang)价(Jia)空(Kong)间(Jian)有(You)限(Xian)。新(Xin)版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia),由(You)于(Yu)重(Zhong)疾(Ji)定(Ding)义(Yi)不(Bu)同(Tong),目(Mu)前(Qian)正(Zheng)在(Zai)向(Xiang)行(Xing)业(Ye)征(Zheng)求(Qiu)意(Yi)见(Jian)的(De)新(Xin)重(Zhong)疾(Ji)定(Ding)义(Yi)调(Diao)整(Zheng)的(De)主(Zhu)要(Yao)变(Bian)化(Hua)之(Zhi)一(Yi)是(Shi)恶(E)性(Xing)肿(Zhong)瘤(Liu)区(Qu)分(Fen)成(Cheng)轻(Qing)度(Du)、重(Zhong)度(Du)两(Liang)类(Lei),将(Jiang)原(Yuan)属(Shu)于(Yu)恶(E)性(Xing)肿(Zhong)瘤(Liu)TNM分(Fen)期(Qi)为(Wei)T1N0M0期(Qi)或(Huo)更(Geng)轻(Qing)分(Fen)期(Qi)的(De)乳(Ru)头(Tou)状(Zhuang)或(Huo)滤(Lv)泡(Pao)状(Zhuang)甲(Jia)状(Zhuang)腺(Xian)癌(Ai)划(Hua)归(Gui)为(Wei)轻(Qing)度(Du)恶(E)性(Xing)肿(Zhong)瘤(Liu)。发(Fa)病(Bing)率(Lv)较(Jiao)旧(Jiu)表(Biao)明(Ming)显(Xian)下(Xia)降(Jiang),平(Ping)均(Jun)而(Er)言(Yan),6病(Bing)种(Zhong)新(Xin)表(Biao)发(Fa)病(Bing)率(Lv)是(Shi)旧(Jiu)表(Biao)的(De)79%(男(Nan)性(Xing))、78%(女(Nv)性(Xing));25、28病(Bing)种(Zhong)新(Xin)表(Biao)发(Fa)病(Bing)率(Lv)是(Shi)旧(Jiu)表(Biao)的(De)78%(男(Nan)性(Xing))、76%(女(Nv)性(Xing))。随(Sui)着(Zhuo)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)下(Xia)降(Jiang),赔(Pei)付(Fu)率(Lv)下(Xia)降(Jiang),理(Li)论(Lun)上(Shang)可(Ke)以(Yi)降(Jiang)低(Di)重(Zhong)疾(Ji)险(Xian)价(Jia)格(Ge)。但(Dan)重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)价(Jia)格(Ge)的(De)影(Ying)响(Xiang)因(Yin)素(Su)是(Shi)多(Duo)方(Fang)面(Mian)的(De),包(Bao)括(Kuo)利(Li)率(Lv)、费(Fei)用(Yong)率(Lv)、风(Feng)险(Xian)发(Fa)生(Sheng)率(Lv)等(Deng)。(3)CI5、CI6:更(Geng)具(Ju)竞(Jing)争(Zheng)力(Li)的(De)大(Da)湾(Wan)区(Qu)产(Chan)品(Pin)大(Da)湾(Wan)区(Qu)版(Ban)重(Zhong)疾(Ji)表(Biao)发(Fa)生(Sheng)率(Lv)低(Di)于(Yu)全(Quan)国(Guo)版(Ban)。我(Wo)们(Men)将(Jiang)同(Tong)一(Yi)年(Nian)龄(Ling)阶(Jie)段(Duan)两(Liang)地(Di)区(Qu)发(Fa)生(Sheng)率(Lv)进(Jin)行(Xing)比(Bi)较(Jiao),采(Cai)用(Yong)大(Da)湾(Wan)区(Qu)版(Ban)/全(Quan)国(Guo)版(Ban),如(Ru)果(Guo)比(Bi)值(Zhi)大(Da)于(Yu)1,则(Ze)发(Fa)生(Sheng)率(Lv)高(Gao)于(Yu)全(Quan)国(Guo),反(Fan)之(Zhi)亦(Yi)然(Ran)。从(Cong)图(Tu)中(Zhong)可(Ke)以(Yi)得(De)知(Zhi),6病(Bing)种(Zhong)下(Xia),粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)9-14岁(Sui)男(Nan)性(Xing)群(Qun)体(Ti)、8-14岁(Sui)女(Nv)性(Xing)群(Qun)体(Ti)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)高(Gao)于(Yu)全(Quan)国(Guo)水(Shui)平(Ping),最(Zui)大(Da)的(De)差(Cha)异(Yi)幅(Fu)度(Du)为(Wei)5.6%、11.2%。除(Chu)了(Liao)该(Gai)年(Nian)龄(Ling)段(Duan)外(Wai),其(Qi)他(Ta)年(Nian)龄(Ling)段(Duan)粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)水(Shui)平(Ping)低(Di)于(Yu)全(Quan)国(Guo)版(Ban)。28病(Bing)种(Zhong)下(Xia),粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)10-17岁(Sui)女(Nv)性(Xing)群(Qun)体(Ti)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)较(Jiao)全(Quan)国(Guo)版(Ban)提(Ti)高(Gao),最(Zui)大(Da)增(Zeng)幅(Fu)为(Wei)8.3%,其(Qi)他(Ta)年(Nian)龄(Ling)阶(Jie)段(Duan)均(Jun)有(You)所(Suo)下(Xia)降(Jiang);粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)各(Ge)年(Nian)龄(Ling)段(Duan)男(Nan)性(Xing)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)较(Jiao)全(Quan)国(Guo)版(Ban)均(Jun)有(You)所(Suo)下(Xia)降(Jiang)。粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)多(Duo)病(Bing)种(Zhong)重(Zhong)疾(Ji)表(Biao)更(Geng)具(Ju)市(Shi)场(Chang)竞(Jing)争(Zheng)力(Li)。此(Ci)次(Ci)大(Da)湾(Wan)区(Qu)的(De)新(Xin)表(Biao),在(Zai)发(Fa)生(Sheng)率(Lv)上(Shang)与(Yu)中(Zhong)国(Guo)香(Xiang)港(Gang)市(Shi)场(Chang)的(De)重(Zhong)疾(Ji)表(Biao)基(Ji)本(Ben)一(Yi)致(Zhi)。综(Zong)上(Shang)所(Suo)述(Shu),CI1(2020)、CI2(2020)是(Shi)2007年(Nian)版(Ban)重(Zhong)疾(Ji)表(Biao)的(De)更(Geng)新(Xin),影(Ying)响(Xiang)存(Cun)量(Liang)保(Bao)单(Dan)的(De)准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu)。平(Ping)均(Jun)而(Er)言(Yan)对(Dui)准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu)预(Yu)计(Ji)影(Ying)响(Xiang)有(You)限(Xian),各(Ge)年(Nian)龄(Ling)段(Duan)分(Fen)布(Bu)差(Cha)异(Yi)较(Jiao)大(Da),准(Zhun)备(Bei)金(Jin)是(Shi)否(Fou)补(Bu)提(Ti)仍(Reng)取(Qu)决(Jue)于(Yu)公(Gong)司(Si)存(Cun)量(Liang)保(Bao)单(Dan)的(De)人(Ren)口(Kou)年(Nian)龄(Ling)分(Fen)布(Bu)。但(Dan)由(You)于(Yu)上(Shang)市(Shi)保(Bao)险(Xian)公(Gong)司(Si)已(Yi)经(Jing)调(Diao)高(Gao)了(Liao)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)假(Jia)设(She),补(Bu)提(Ti)了(Liao)部(Bu)分(Fen)准(Zhun)备(Bei)金(Jin),预(Yu)计(Ji)补(Bu)提(Ti)压(Ya)力(Li)不(Bu)大(Da)。结(Jie)合(He)重(Zhong)疾(Ji)定(Ding)义(Yi)修(Xiu)改(Gai),重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)表(Biao)修(Xiu)订(Ding),影(Ying)响(Xiang)未(Wei)来(Lai)产(Chan)品(Pin)定(Ding)价(Jia)、准(Zhun)备(Bei)金(Jin)评(Ping)估(Gu)等(Deng)。新(Xin)版(Ban)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)较(Jiao)旧(Jiu)版(Ban)下(Xia)降(Jiang),或(Huo)带(Dai)来(Lai)降(Jiang)价(Jia)空(Kong)间(Jian),但(Dan)产(Chan)品(Pin)价(Jia)格(Ge)仍(Reng)受(Shou)利(Li)率(Lv)、费(Fei)用(Yong)率(Lv)、其(Qi)他(Ta)风(Feng)险(Xian)发(Fa)生(Sheng)率(Lv)以(Yi)及(Ji)市(Shi)场(Chang)环(Huan)境(Jing)等(Deng)因(Yin)素(Su)影(Ying)响(Xiang),预(Yu)计(Ji)降(Jiang)价(Jia)空(Kong)间(Jian)不(Bu)大(Da)。同(Tong)时(Shi),粤(Yue)港(Gang)澳(Ao)大(Da)湾(Wan)区(Qu)疾(Ji)病(Bing)发(Fa)生(Sheng)率(Lv)低(Di)于(Yu)全(Quan)国(Guo)版(Ban),未(Wei)来(Lai)产(Chan)品(Pin)或(Huo)更(Geng)具(Ju)价(Jia)格(Ge)优(You)势(Shi)。05 重(Zhong)疾(Ji)险(Xian)产(Chan)品(Pin)变(Bian)化(Hua)展(Zhan)望(Wang)新(Xin)版(Ban)重(Zhong)疾(Ji)定(Ding)义(Yi)和(He)新(Xin)版(Ban)重(Zhong)疾(Ji)表(Biao)是(Shi)重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)的(De)里(Li)程(Cheng)碑(Bei),展(Zhan)望(Wang)未(Wei)来(Lai),重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)有(You)以(Yi)下(Xia)趋(Qu)势(Shi):(1)规(Gui)范(Fan)化(Hua)发(Fa)展(Zhan),定(Ding)价(Jia)更(Geng)科(Ke)学(Xue)。有(You)利(Li)于(Yu)保(Bao)险(Xian)公(Gong)司(Si)防(Fang)范(Fan)风(Feng)险(Xian),同(Tong)时(Shi),消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)也(Ye)得(De)到(Dao)维(Wei)护(Hu);(2)突(Tu)出(Chu)失(Shi)能(Neng)、护(Hu)理(Li)功(Gong)能(Neng);(3)老(Lao)年(Nian)重(Zhong)疾(Ji)险(Xian)加(Jia)速(Su)发(Fa)展(Zhan)。5.1规(Gui)范(Fan)化(Hua)发(Fa)展(Zhan),定(Ding)价(Jia)更(Geng)科(Ke)学(Xue)新(Xin)重(Zhong)疾(Ji)表(Biao)更(Geng)加(Jia)准(Zhun)确(Que)反(Fan)映(Ying)重(Zhong)疾(Ji)发(Fa)生(Sheng)率(Lv)变(Bian)化(Hua),提(Ti)升(Sheng)了(Liao)产(Chan)品(Pin)定(Ding)价(Jia)、评(Ping)估(Gu)的(De)科(Ke)学(Xue)性(Xing)、合(He)理(Li)性(Xing)、充(Chong)足(Zu)性(Xing),有(You)利(Li)于(Yu)保(Bao)险(Xian)公(Gong)司(Si)从(Cong)源(Yuan)头(Tou)上(Shang)防(Fang)范(Fan)风(Feng)险(Xian)。规(Gui)范(Fan)化(Hua)发(Fa)展(Zhan)。疾(Ji)病(Bing)定(Ding)义(Yi)、宣(Xuan)传(Chuan)材(Cai)料(Liao)严(Yan)格(Ge)统(Tong)一(Yi),避(Bi)免(Mian)客(Ke)户(Hu)在(Zai)了(Liao)解(Jie)产(Chan)品(Pin)的(De)过(Guo)程(Cheng)中(Zhong)陷(Xian)入(Ru)疾(Ji)病(Bing)种(Zhong)类(Lei)“越(Yue)多(Duo)越(Yue)好(Hao)”等(Deng)误(Wu)区(Qu)。重(Zhong)疾(Ji)险(Xian)宣(Xuan)传(Chuan)材(Cai)料(Liao)中(Zhong)如(Ru)果(Guo)保(Bao)障(Zhang)的(De)疾(Ji)病(Bing)单(Dan)独(Du)出(Chu)现(Xian),采(Cai)用(Yong)主(Zhu)副(Fu)标(Biao)题(Ti)结(Jie)合(He)的(De)形(Xing)式(Shi)更(Geng)好(Hao)地(Di)从(Cong)概(Gai)括(Kuo)疾(Ji)病(Bing),避(Bi)免(Mian)客(Ke)户(Hu)“望(Wang)文(Wen)生(Sheng)义(Yi)”,提(Ti)高(Gao)信(Xin)息(Xi)表(Biao)达(Da)准(Zhun)确(Que)度(Du)。此(Ci)外(Wai)轻(Qing)症(Zheng)赔(Pei)付(Fu)比(Bi)例(Li)(轻(Qing)症(Zheng)赔(Pei)付(Fu)额(E)/重(Zhong)症(Zheng)赔(Pei)付(Fu)额(E))统(Tong)一(Yi)为(Wei)20%,大(Da)型(Xing)保(Bao)险(Xian)公(Gong)司(Si)该(Gai)比(Bi)例(Li)均(Jun)为(Wei)20%,中(Zhong)小(Xiao)保(Bao)险(Xian)公(Gong)司(Si)该(Gai)比(Bi)例(Li)为(Wei)30%以(Yi)上(Shang),甚(Shen)至(Zhi)达(Da)到(Dao)45%,新(Xin)规(Gui)后(Hou)将(Jiang)统(Tong)一(Yi)规(Gui)范(Fan)。新(Xin)重(Zhong)疾(Ji)表(Biao)是(Shi)促(Cu)进(Jin)行(Xing)业(Ye)发(Fa)展(Zhan)的(De)重(Zhong)要(Yao)基(Ji)础(Chu)。2013年(Nian)原(Yuan)保(Bao)监(Jian)会(Hui)发(Fa)布(Bu)《中(Zhong)国(Guo)人(Ren)身(Shen)保(Bao)险(Xian)业(Ye)重(Zhong)大(Da)疾(Ji)病(Bing)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)表(Biao)(2006-2010)》,促(Cu)进(Jin)了(Liao)重(Zhong)疾(Ji)险(Xian)快(Kuai)速(Su)发(Fa)展(Zhan),对(Dui)产(Chan)品(Pin)创(Chuang)新(Xin)具(Ju)有(You)深(Shen)远(Yuan)意(Yi)义(Yi)。新(Xin)重(Zhong)疾(Ji)表(Biao)有(You)望(Wang)促(Cu)进(Jin)产(Chan)品(Pin)创(Chuang)新(Xin),推(Tui)动(Dong)风(Feng)险(Xian)细(Xi)分(Fen)及(Ji)产(Chan)品(Pin)创(Chuang)新(Xin),增(Zeng)强(Qiang)市(Shi)场(Chang)活(Huo)力(Li)和(He)效(Xiao)率(Lv)。此(Ci)次(Ci)修(Xiu)订(Ding)立(Li)足(Zu)于(Yu)客(Ke)户(Hu)角(Jiao)度(Du),有(You)利(Li)于(Yu)维(Wei)护(Hu)消(Xiao)费(Fei)者(Zhe)权(Quan)益(Yi)。(1)保(Bao)障(Zhang)范(Fan)围(Wei)进(Jin)一(Yi)步(Bu)扩(Kuo)展(Zhan),将(Jiang)原(Yuan)有(You)25种(Zhong)重(Zhong)疾(Ji)定(Ding)义(Yi)完(Wan)善(Shan)扩(Kuo)展(Zhan)为(Wei)28种(Zhong)重(Zhong)度(Du)疾(Ji)病(Bing)和(He)3种(Zhong)轻(Qing)度(Du)疾(Ji)病(Bing);(2)赔(Pei)付(Fu)条(Tiao)件(Jian)更(Geng)合(He)理(Li),切(Qie)实(Shi)提(Ti)升(Sheng)了(Liao)消(Xiao)费(Fei)者(Zhe)保(Bao)障(Zhang)权(Quan)益(Yi);(3)采(Cai)用(Yong)可(Ke)量(Liang)化(Hua)的(De)客(Ke)观(Guan)标(Biao)准(Zhun)或(Huo)公(Gong)认(Ren)标(Biao)准(Zhun),减(Jian)少(Shao)主(Zhu)观(Guan)判(Pan)断(Duan),最(Zui)大(Da)程(Cheng)度(Du)避(Bi)免(Mian)了(Liao)可(Ke)能(Neng)出(Chu)现(Xian)的(De)理(Li)赔(Pei)争(Zheng)议(Yi)和(He)理(Li)解(Jie)歧(Qi)义(Yi);(4)新(Xin)重(Zhong)疾(Ji)表(Biao)通(Tong)过(Guo)提(Ti)升(Sheng)产(Chan)品(Pin)定(Ding)价(Jia)的(De)精(Jing)准(Zhun)度(Du),为(Wei)消(Xiao)费(Fei)者(Zhe)提(Ti)供(Gong)更(Geng)加(Jia)适(Shi)合(He)自(Zi)身(Shen)需(Xu)求(Qiu)的(De)产(Chan)品(Pin),满(Man)足(Zu)消(Xiao)费(Fei)者(Zhe)日(Ri)益(Yi)增(Zeng)长(Chang)的(De)健(Jian)康(Kang)保(Bao)障(Zhang)需(Xu)要(Yao)。5.2突(Tu)出(Chu)失(Shi)能(Neng)、护(Hu)理(Li)功(Gong)能(Neng)失(Shi)能(Neng)、护(Hu)理(Li)型(Xing)重(Zhong)疾(Ji)险(Xian)或(Huo)快(Kuai)速(Su)发(Fa)展(Zhan)。近(Jin)年(Nian)来(Lai),医(Yi)疗(Liao)险(Xian)深(Shen)受(Shou)市(Shi)场(Chang)欢(Huan)迎(Ying),2016年(Nian),众(Zhong)安(An)推(Tui)出(Chu)的(De)“尊(Zun)享(Xiang)e生(Sheng)”是(Shi)的(De)医(Yi)疗(Liao)险(Xian)成(Cheng)为(Wei)“网(Wang)红(Hong)产(Chan)品(Pin)”。医(Yi)疗(Liao)险(Xian)通(Tong)过(Guo)设(She)定(Ding)较(Jiao)高(Gao)的(De)免(Mian)赔(Pei)额(E)(一(Yi)般(Ban)为(Wei)10000元(Yuan)),以(Yi)较(Jiao)低(Di)的(De)保(Bao)费(Fei)提(Ti)供(Gong)较(Jiao)高(Gao)的(De)保(Bao)额(E),杠(Gang)杆(Gan)较(Jiao)高(Gao)。医(Yi)疗(Liao)险(Xian)快(Kuai)速(Su)发(Fa)展(Zhan),重(Zhong)疾(Ji)险(Xian)的(De)医(Yi)疗(Liao)费(Fei)用(Yong)支(Zhi)出(Chu)功(Gong)能(Neng)被(Bei)挤(Ji)占(Zhan),因(Yin)此(Ci)其(Qi)定(Ding)位(Wei)和(He)功(Gong)能(Neng)需(Xu)要(Yao)重(Zhong)新(Xin)思(Si)考(Kao)。失(Shi)能(Neng)、护(Hu)理(Li)型(Xing)重(Zhong)疾(Ji)体(Ti)现(Xian)了(Liao)保(Bao)险(Xian)公(Gong)司(Si)的(De)人(Ren)文(Wen)关(Guan)怀(Huai),未(Wei)来(Lai)或(Huo)进(Jin)一(Yi)步(Bu)突(Tu)破(Po)。由(You)于(Yu)重(Zhong)大(Da)疾(Ji)病(Bing)在(Zai)较(Jiao)长(Chang)一(Yi)段(Duan)时(Shi)间(Jian)内(Nei)导(Dao)致(Zhi)患(Huan)者(Zhe)进(Jin)入(Ru)失(Shi)能(Neng)或(Huo)者(Zhe)长(Chang)期(Qi)护(Hu)理(Li)的(De)状(Zhuang)态(Tai),进(Jin)而(Er)导(Dao)致(Zhi)收(Shou)入(Ru)损(Sun)失(Shi)和(He)护(Hu)理(Li)风(Feng)险(Xian),因(Yin)此(Ci)重(Zhong)疾(Ji)险(Xian)在(Zai)收(Shou)入(Ru)补(Bu)偿(Chang)和(He)长(Chang)期(Qi)护(Hu)理(Li)方(Fang)面(Mian)需(Xu)进(Jin)一(Yi)步(Bu)突(Tu)破(Po)。2019年(Nian)7月(Yue),太(Tai)保(Bao)推(Tui)出(Chu)金(Jin)福(Fu)人(Ren)生(Sheng)重(Zhong)疾(Ji)产(Chan)品(Pin),针(Zhen)对(Dui)被(Bei)保(Bao)人(Ren)18-60岁(Sui)之(Zhi)间(Jian)因(Yin)为(Wei)患(Huan)重(Zhong)大(Da)疾(Ji)病(Bing)而(Er)导(Dao)致(Zhi)失(Shi)能(Neng)(六(Liu)项(Xiang)日(Ri)常(Chang)活(Huo)动(Dong)不(Bu)能(Neng)完(Wan)成(Cheng)6项(Xiang)以(Yi)上(Shang)),在(Zai)赔(Pei)付(Fu)了(Liao)重(Zhong)疾(Ji)保(Bao)额(E)外(Wai),还(Huan)将(Jiang)赔(Pei)付(Fu)100%保(Bao)额(E),作(Zuo)为(Wei)对(Dui)失(Shi)能(Neng)、长(Chang)期(Qi)护(Hu)理(Li)的(De)额(E)外(Wai)关(Guan)爱(Ai)。这(Zhe)种(Zhong)产(Chan)品(Pin)设(She)计(Ji)突(Tu)出(Chu)了(Liao)重(Zhong)疾(Ji)产(Chan)品(Pin)对(Dui)收(Shou)入(Ru)损(Sun)失(Shi)补(Bu)偿(Chang)和(He)长(Chang)期(Qi)护(Hu)理(Li)的(De)功(Gong)能(Neng)。5.3老(Lao)年(Nian)重(Zhong)疾(Ji)险(Xian)加(Jia)速(Su)发(Fa)展(Zhan)此(Ci)次(Ci)重(Zhong)疾(Ji)发(Fa)生(Sheng)表(Biao)修(Xiu)订(Ding),新(Xin)增(Zeng)新(Xin)重(Zhong)疾(Ji)定(Ding)义(Yi)下(Xia)的(De)两(Liang)种(Zhong)老(Lao)年(Nian)人(Ren)代(Dai)表(Biao)性(Xing)重(Zhong)疾(Ji)经(Jing)验(Yan)发(Fa)生(Sheng)率(Lv)参(Can)考(Kao)表(Biao),分(Fen)别(Bie)是(Shi)严(Yan)重(Zhong)阿(A)尔(Er)茨(Ci)海(Hai)默(Mo)症(Zheng)和(He)严(Yan)重(Zhong)帕(Pa)金(Jin)森(Sen)症(Zheng),进(Jin)一(Yi)步(Bu)满(Man)足(Zu)老(Lao)年(Nian)人(Ren)健(Jian)康(Kang)保(Bao)障(Zhang)需(Xu)求(Qiu)。人(Ren)口(Kou)老(Lao)龄(Ling)化(Hua)问(Wen)题(Ti)催(Cui)生(Sheng)老(Lao)年(Nian)重(Zhong)疾(Ji)需(Xu)求(Qiu)。国(Guo)内(Nei)65岁(Sui)及(Ji)以(Yi)上(Shang)人(Ren)口(Kou)数(Shu)占(Zhan)比(Bi)逐(Zhu)年(Nian)增(Zeng)加(Jia),2019年(Nian),65岁(Sui)及(Ji)以(Yi)上(Shang)人(Ren)口(Kou)达(Da)到(Dao)1.76亿(Yi)人(Ren),占(Zhan)比(Bi)为(Wei)12.6%。老(Lao)年(Nian)重(Zhong)疾(Ji)市(Shi)场(Chang)空(Kong)间(Jian)广(Guang)阔(Kuo),需(Xu)要(Yao)开(Kai)发(Fa)适(Shi)合(He)老(Lao)年(Nian)人(Ren)保(Bao)障(Zhang)内(Nei)容(Rong)、保(Bao)费(Fei)适(Shi)中(Zhong)、简(Jian)化(Hua)核(He)保(Bao)和(He)风(Feng)险(Xian)可(Ke)控(Kong)的(De)重(Zhong)疾(Ji)产(Chan)品(Pin)。参(Can)考(Kao)海(Hai)外(Wai)经(Jing)验(Yan),老(Lao)年(Nian)重(Zhong)疾(Ji)保(Bao)险(Xian)陆(Lu)续(Xu)推(Tui)出(Chu)。2014年(Nian)4月(Yue),新(Xin)加(Jia)坡(Po)友(You)邦(Bang)公(Gong)司(Si)推(Tui)出(Chu)老(Lao)年(Nian)癌(Ai)症(Zheng)保(Bao)险(Xian),产(Chan)品(Pin)责(Ze)任(Ren)包(Bao)括(Kuo)癌(Ai)症(Zheng)、中(Zhong)风(Feng)等(Deng)33种(Zhong)重(Zhong)大(Da)疾(Ji)病(Bing)和(He)初(Chu)期(Qi)帕(Pa)金(Jin)森(Sen)症(Zheng)等(Deng)7种(Zhong)轻(Qing)症(Zheng);在(Zai)保(Bao)单(Dan)生(Sheng)效(Xiao)4年(Nian)后(Hou),每(Mei)3年(Nian)提(Ti)供(Gong)体(Ti)检(Jian)责(Ze)任(Ren)一(Yi)次(Ci),身(Shen)故(Gu)责(Ze)任(Ren)为(Wei)保(Bao)额(E)的(De)5%;投(Tou)保(Bao)年(Nian)龄(Ling)在(Zai)40-70岁(Sui),保(Bao)证(Zheng)续(Xu)保(Bao)至(Zhi)100岁(Sui),保(Bao)险(Xian)公(Gong)司(Si)拥(Yong)有(You)每(Mei)年(Nian)调(Diao)整(Zheng)保(Bao)费(Fei)的(De)权(Quan)利(Li),但(Dan)不(Bu)会(Hui)在(Zai)个(Ge)别(Bie)投(Tou)保(Bao)人(Ren)的(De)基(Ji)础(Chu)上(Shang)进(Jin)行(Xing)调(Diao)整(Zheng)。本(Ben)文(Wen)作(Zuo)者(Zhe)国(Guo)信(Xin)证(Zheng)券(Quan)非(Fei)银(Yin)团(Tuan)队(Dui),来(Lai)自(Zi)王(Wang)剑(Jian)的(De)角(Jiao)度(Du),原(Yuan)文(Wen)标(Biao)题(Ti):《【国(Guo)信(Xin)非(Fei)银(Yin)·深(Shen)度(Du)】重(Zhong)疾(Ji)险(Xian)发(Fa)展(Zhan)迎(Ying)来(Lai)重(Zhong)大(Da)变(Bian)革(Ge)》,华(Hua)尔(Er)街(Jie)见(Jian)闻(Wen)有(You)删(Shan)减(Jian)

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