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GROUP MEDICAL CLAIM ADVICE 團體醫療保險賠償通知書

2023-03-23
Mail To 寄至 : KOREA INVESTMENT & SECURITIES ASIA LIMITED
Address 地址 : SUITES 3711-12, 3716-19, JARDINE STREET,
1 CONNAUGHT PLACE CENTRAL,
HONG KONG

ATTENTION : LAU WING YIN JANICE (CERT NO. 0023-01)

KOREA INVESTMENT & SECURITIES ASIA LIMITED

Policyholder Name 保單持有人 : KOREA INVESTMENT & SECURITIES ASIA LIMITED

Broker 保險經紀 : MERITUS INSURANCE CONSULTANT LTD.
Policy Number 保單號碼 : 91777
Cert. Number 證書號碼 : 0023-01
Name of Claimant 索償人 : LAU WING YIN JANICE

Name of Dependent 家屬 : CHIU KA LOK

Payee 受款人 : LAU WING YIN JANICE

Dear Sir / Madam,

親愛的先生/女士，

Your medical claim(s) listed below have been processed and the detail for each claim is below. If there is an amount payable to
you, it will be credited to your designated bank account within 2 business days from the date of this letter. Should you have any
enquiries, please feel free to contact us via MyCigna or our Service Hotline. We would be glad to be of service to you.

下列的醫療索償申請已經完成處理，每項索償的詳細說明如下。您可獲得的總賠償金額（如有）將於此信件發出日起計 2 個工作天內
直接存入您指定的銀行戶口。如您對索償有任何查詢，歡迎透過 MyCigna 網上平台或致電客戶服務熱線與我們聯絡。我們定當樂意
為您服務。

Date Amount Amount Exp. Code

Claim No. Incurred Incurred Paid Benefit
(HKD) (HKD)
475981 2023-03-21 $650.00 $400.00 Bonesetter Treatment

Total Paid Amount: $400.00

POLYEB_SET_ADV_AP (91777/0023-01)
Confidential, unpublished property of Cigna. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel.
Cigna Worldwide General Insurance Company Limited 信諾環球保險有限公司
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Exp. Code Description

N/A

Remark(s) : N/A

This is a computer generated letter, no signature is required.

此文件為電腦編印，無需簽署。

POLYEB_SET_ADV_AP (91777/0023-01)
Confidential, unpublished property of Cigna. Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel.
Cigna Worldwide General Insurance Company Limited 信諾環球保險有限公司