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艾滋病患者投保人身险的歧视性条款目前被修改。 |
中国保险行业协会于近期发布的《人身保险产品条款部分条目示范写法》(以下简称《示范写法》)对于保险合同的责任免除一项做了很大修改,其中,保险公司不承担给付身故保险金责任的条款中删除了“被保险人感染艾滋病病毒或患艾滋病”的情形。
据了解,目前,保险公司在人身保险业务方面,多把“被保险人患有性病、艾滋病”列为除外责任。记者发现,曾有新华人寿的一款健康险将“医护人员感染艾滋病”列为该款产品所承保的32种重大疾病之一。
通常的情况是,如果投保人被确诊为艾滋病患者或病毒携带者,他在核保时就难以通过,无法投保人身保险;如果投保人隐瞒病情,获得保单,则将来出险时,将会因未如实提供信息和“被保险人感染艾滋病病毒或患艾滋病”为除外责任而得不到理赔。
保险行业协会秘书长王治超就此次修改表示:“中国政府在艾滋病防治方面投入了大量的资源,比最早谈‘艾’色变的时候有了很大的变化。实践证明,它对保险公司承保人群的风险并没有太明显的影响,而且牵扯到对艾滋病病人的歧视,因此,这次行业协会在修改条款时把它去掉了。”
卫生部疾病预防控制局相关人士在接受本报记者采访时指出,他们很支持这样的条款修改。“我们的原则是不希望对艾滋病人有歧视性的条款,应当把艾滋病作为一个普通的疾病对待。”该人士强调,比如被保险人因交通事故出险,仅因为其是艾滋病患者就得不到赔偿,这种情况是不合情理的,因为这是一个意外的交通事故,并不是疾病问题。“当然,如果是疾病方面的问题,可以单独讨论。”
虽然《示范写法》对此作出修改,但记者在采访中发现,保险公司对此似乎并没有太大的兴趣,甚至有的并不赞成这一做法。
一位业内人士认为,虽然艾滋病的发病概率比较低,但如果承保了这类疾病的责任,就无法保证群体的公平性。他告诉记者,如果真要按此意见来推行,结果就是要相应提高保险费率。
对外经济贸易大学保险学院教授王国军也指出,从精算的角度,添加这样的保险责任,保费肯定会提高。如果不多收保费,保险公司就有可能从管理费中提取一些。
“虽然保险公司所考虑的跟行业协会和监管部门有一定的差距,但毕竟艾滋病发病率总体较低,即使考虑逆向选择的因素,也不会给保险公司的财务带来大的冲击。”王国军说。
上述业内人士告诉记者,国外有专门针对艾滋病的保险,前提是对客户群进行选择。
据前述疾病预防控制局相关人士介绍,从整体人群来看,艾滋病的发病率比较低,但在特殊人群中却很高。关键的问题是,这个特殊人群,即有危险行为的这一组人群,很难鉴别。因此,将来如果推出专门针对艾滋病患者或病毒携带者的保险,如何鉴别区分高危人群,是留给保险业的一个难题。
(2009-07-17 )
Premium rate will increase the risk of unemployment is not cold
AIDS discrimination in insurance policy holders who are currently being modified provisions.
Insurance Association of China released in the near future "personal insurance products in terms of some of the wording of the entry model" (hereinafter referred to as "Model formulation") for the responsibilities of the insurance contract from a modification to do a lot of them, the insurance company does not undertake insurance death benefits Terms of payment responsibility for the deletion of the "insured person infected with HIV or suffering from AIDS" situation.
It is understood that, at present, insurance companies in the personal insurance business, the more of "the insured person suffering from venereal diseases, AIDS," except as a responsibility. The reporters found that there was a Xinhua Life Insurance, health insurance will be the "health care workers infected with AIDS" as a product which covered one of 32 kinds of major diseases.
Is often the case that, if the insured has been diagnosed as AIDS patients or HIV carriers, nuclear security, when he adopted it would be difficult to policyholders are insurance; hide illness if the insured obtained the policy, the出险the future will be because of providing information and not factual, "the insured person infected with HIV or suffering from AIDS" and denied responsibility for the exception of claims.
Insurance Association of the Secretary-General on the amendments to Wang Chao said: "The Chinese government has invested in AIDS prevention and control a large number of resources, than the first on 'AI' the mere mention of the time has changed a lot. Practice has proved that its insurance companies underwriting the crowd the risks and the impact of not too obvious, and involves discrimination against AIDS patients, therefore, the trade association to amend the terms of the removed it. "
Disease Prevention and Control Bureau Ministry of Health related to our reporter in an interview that they are in support of amending the terms of this. "Our principle is that people do not want to AIDS discriminatory terms, we should put AIDS as a general treatment of the disease." The source stressed that, for example, the insured person出险accident, only because it is the lack of AIDS compensation, it is unconscionable, because it is a traffic accident, not disease. "Of course, if the problem is the disease can be a separate discussion."
Although the "Model formulation" to modify this, but the reporter found that the insurance company does not seem to have too much of this interest, and even some not in favor of this approach.
An industry that, although the incidence of AIDS is relatively low probability, but if this kind of insurance the responsibility of the disease, it can not guarantee the fairness of groups. He told reporters that if this advice is really to be implemented, the result is a corresponding increase in premium rates.
Foreign Trade and Economic Institute of the University, Professor Wang Guojun insurance, pointed out that from an actuarial point of view, adding this kind of insurance, the premiums will certainly improve. If the small collection of premium, insurance companies may be extracted from a number of management fees.
"Although considered by insurance companies with the industry associations and regulatory authorities have a certain gap, but the overall low incidence of AIDS, even taking into account the factors of adverse selection, insurance companies will not bring a large financial impact." Kingdom of the military said.
Above the industry told reporters that foreign insurance specifically for AIDS, the premise is to select customers.
For Disease Control and Prevention, according to the foregoing persons Council, the terms of the overall population, the incidence of AIDS is relatively low, but in special populations is very high. The key question is, this special population, that is dangerous to the crowd behavior of this group, it is difficult to identify. Therefore, if the introduction of specific virus carriers or AIDS patients of insurance, how to identify the distinction between high-risk groups is left to the insurance industry a problem.
( 2009-07-17)