1205 l_skprej = n

LF101E03 NON MEDICAL UNDERWRITING REJECT MESSAGE - HEALTH 14/06/03 19:55:10

PNO# 503-8649397 SUBM 20140617 APP 20140617 AGT 10107404062845
INSUR KHP YHX TBX SOURCE ID# E370257 -
ADDRS ADDR1 SEX F DOB 19510120 PART COMM MAR STS M MED N
TEL: RES OFF
INC/OCLS INS: 43857840 1 SPO: 0
HEIGHT 2.50 /M /F WEIGHT 85 /KG /L
CTY
OWNER OWNERSHIP I ID# - SEX
CURRENCY HKD PAY MODE A PAY METHOD STATION ATP EFF 20140617 LANG E
PLAN MEB2 CLS 1 CONTEST PPF OCC. CLS
QUESTNS: DECLN N AVOC N HEALTH N SMOKE/QTY N AGT N
RIDER PLAN CLASS?





M.PRM 3726.00 DEPS .00 DIFF 3726.00- MTHS 12
REJECT : Mortality rate is substandard for insured's build info.
REJECT : Hospital claim found for Insured prev. PNO# 303-6270738 for life1 +
REJECT : EXCL/OFR found in Insured prev. health policy 303-6270738
WARNING : 062845GMAB +
WARNING : Non-Local Resident / Invalid ID No. for life1
WARNING : Invalid Agent report option for Non-med
CF5-MOD DATA CF9-MANUAL UW CF2-EWS CF10-SAVE

1205 SRCKCLMOC
LF101E03 NON MEDICAL UNDERWRITING REJECT MESSAGE - HEALTH 14/06/04 12:42:07

PNO# 503-8649397 SUBM 20140617 APP 20140617 AGT 10107404062845
INSUR KHP YHX TBX SOURCE ID# E370257 -
ADDRS ADDR1 SEX F DOB 19510120 PART COMM MAR STS M MED N
TEL: RES OFF
INC/OCLS INS: 43857840 1 SPO: 0
HEIGHT 2.50 /M /F WEIGHT 85 /KG /LB
CTY
OWNER OWNERSHIP I ID# - SEX
CURRENCY HKD PAY MODE A PAY METHOD STATION ATP EFF 20140617 LANG E
PLAN MEB2 CLS 1 CONTEST PPF OCC. CLS
QUESTNS: DECLN N AVOC N HEALTH N SMOKE/QTY N AGT N
RIDER PLAN CLASS?





M.PRM 3726.00 DEPS .00 DIFF 3726.00- MTHS 12
REJECT : Mortality rate is substandard for insured's build info.
REJECT : Hospital claim found for Insured prev. PNO# 303-6270738 for life1 +
REJECT : EXCL/OFR found in Insured prev. health policy 303-6270738
REJECT : Hospital claim found for Insured prev. PNO# 303-6270738 for life1 +
WARNING : 062845GMAB
WARNING : Non-Local Resident / Invalid ID No. for life1 +
WARNING : Invalid Agent report option for Non-med

CF5-MOD DATA CF9-MANUAL UW CF2-EWS CF10-SAVE






1206



LF101E03 NON MEDICAL UNDERWRITING REJECT MESSAGE - HEALTH 14/06/04 17:15:18

PNO# 503-8649397 SUBM 20140617 APP 20140617 AGT 10107404062845
INSUR KHP YHX TBX SOURCE ID# E370257 -
ADDRS ADDR1 SEX F DOB 19510120 PART COMM MAR STS M MED N
TEL: RES OFF
INC/OCLS INS: 43857840 1 SPO: 0
HEIGHT 2.50 /M /F WEIGHT 85 /KG
/LB
CTY
OWNER OWNERSHIP I ID# - SEX
CURRENCY HKD PAY MODE A PAY METHOD STATION ATP EFF 20140617 LANG E
PLAN MEB2 CLS 1 CONTEST PPF OCC. CLS
QUESTNS: DECLN N AVOC N HEALTH N SMOKE/QTY N AGT N
RIDER PLAN CLASS?





M.PRM 3726.00 DEPS .00 DIFF 3726.00- MTHS 12
REJECT : Mortality rate is substandard for insured's build info.
REJECT : CARE claim renewal remark found for Insured prev. PNO# 303-6270738 +
REJECT : Hospital claim found for Insured prev. PNO# 303-6270738 for life1
REJECT : EXCL/OFR found in prev. health policy +
WARNING : 062845GMAB
WARNING : Non-Local Resident / Invalid ID No. for life1 +
WARNING : Invalid Agent report option for Non-med

CF5-MOD DATA CF9-MANUAL UW CF2-EWS CF10-SAVE

















1263

LF101E03 NON MEDICAL UNDERWRITING REJECT MESSAGE - HEALTH 14/06/04 18:06:48

PNO# 503-8649397 SUBM 20140617 APP 20140617 AGT 10107404062845
INSUR KHP YHX TBX SOURCE ID# E370257 -
ADDRS ADDR1 SEX F DOB 19510120 PART COMM MAR STS M MED N
TEL: RES OFF
INC/OCLS INS: 43857840 1 SPO: 0
HEIGHT 2.50 /M /F WEIGHT 85 /KG /LB
CTY
OWNER OWNERSHIP I ID# - SEX
CURRENCY HKD PAY MODE A PAY METHOD STATION ATP EFF 20140617 LANG E
PLAN MEB2 CLS 1 CONTEST PPF OCC. CLS
QUESTNS: DECLN N AVOC N HEALTH N SMOKE/QTY N AGT N
RIDER PLAN CLASS?





M.PRM 3726.00 DEPS .00 DIFF 3726.00- MTHS 12
REJECT : Mortality rate is substandard for insured's build info.
REJECT : Hospital claim found for other comp Insured Prev Policy 303-6270738 +
REJECT : Major claim found for other company Insured Prev Policy 303-6270738
REJECT : Care claim ren rmk found for other comp. Insured Prev. Policy# 303- +
REJECT : Hospital claim found for Insured prev. PNO# 303-6270738 for life1
WARNING : 062845GMAB +
WARNING : Non-Local Resident / Invalid ID No. for life1
WARNING : Invalid Agent report option for Non-med
CF5-MOD DATA CF9-MANUAL UW CF2-EWS CF10-SAVE



1265

LF101E03 NON MEDICAL UNDERWRITING REJECT MESSAGE - HEALTH 14/06/04 18:17:14

PNO# 503-8649397 SUBM 20140617 APP 20140617 AGT 10107404062845
INSUR KHP YHX TBX SOURCE ID# E370257 -
ADDRS ADDR1 SEX F DOB 19510120 PART COMM MAR STS M MED N
TEL: RES OFF
INC/OCLS INS: 43857840 1 SPO: 0
HEIGHT 2.50 /M /F WEIGHT 85 /KG /LB
CTY
OWNER OWNERSHIP I ID# - SEX
CURRENCY HKD PAY MODE A PAY METHOD STATION ATP EFF 20140617 LANG E
PLAN MEB2 CLS 1 CONTEST PPF OCC. CLS
QUESTNS: DECLN N AVOC N HEALTH N SMOKE/QTY N AGT N
RIDER PLAN CLASS?





M.PRM 3726.00 DEPS .00 DIFF 3726.00- MTHS 12
REJECT : Mortality rate is substandard for insured's build info.
REJECT : Hospital claim found for other comp Insured Prev Policy 303-6270738 +
REJECT : Major claim found for other company Insured Prev Policy 303-6270738
REJECT : Care claim found for other comp. Insured Prev. Policy 303-6270738 +
REJECT : Care claim ren rmk found for other comp. Insured Prev. Policy# 303-
REJECT : Hospital claim found for Insured prev. PNO# 303-6270738 for life1 +
WARNING : 062845GMAB
WARNING : Non-Local Resident / Invalid ID No. for life1 +
WARNING : Invalid Agent report option for Non-med

CF5-MOD DATA CF9-MANUAL UW CF2-EWS CF10-SAVE