WeGuard PharmaEASY Protector

Please select your plan

Entry Plan
Discounted first-year premium

[[currency]][[info[0].finialPaid]]

Annual premium [[currency]][[info[0].sumPremium]]

Pharmacy Benefit Amount
[[currency]][[info[0].claimLimit1]]

Accidental Death Benefit Amount
[[currency]][[info[0].claimLimit2]]

Compassionate Death Benefit Amount
[[currency]][[info[0].claimLimit3]]

Protection period :[[period]] year

Standard Plan
Discounted first-year premium

[[currency]][[info[1].finialPaid]]

Annual premium [[currency]][[info[1].sumPremium]]

Pharmacy Benefit Amount
[[currency]][[info[1].claimLimit1]]

Accidental Death Benefit Amount
[[currency]][[info[1].claimLimit2]]

Compassionate Death Benefit Amount
[[currency]][[info[1].claimLimit3]]

Protection period :[[period]] year

Premium Plan
Discounted first-year premium

[[currency]][[info[2].finialPaid]]

Annual premium [[currency]][[info[2].sumPremium]]

Pharmacy Benefit Amount
[[currency]][[info[2].claimLimit1]]

Accidental Death Benefit Amount
[[currency]][[info[2].claimLimit2]]

Compassionate Death Benefit Amount
[[currency]][[info[2].claimLimit3]]

Protection period :[[period]] year

Let us know more about you

Gender

Welcome back! We have helpd you pre-fill the answers, and you may click on the selection to confirm.

Did you smoke in the past 12 months?

Your height & weight

Your contact information

We will activate your account with the information you submit here, so please ensure the information is correct.
If you have already registered an account with Blue, please make sure to use the same login email address.

Email

Mobile

Direct Marketing and Promotional Materials

Before we continue, are the following statements true?

  1. I am now in Hong Kong.
  2. I am Hong Kong permanent resident with a residential address in Hong Kong.
  3. I have read the product summary and understand the product I am applying for is a pure protection product without any savings element.

Let us learn more about your occupation and financial status

Your job position

Your industry

What was your average monthly income from all sources in the past 2 years?

Including salary, bonus and commission, financial support from family, investment income, rent from investment property, insurance policies, pension, government subsidy and other income stream

Please specify: Not less than

What is your approximate current accumulative amount of liquid assets?

Liquid assets are assets that can be converted into cash in a short time, with little or no loss in value. Examples include:
Cash
Deposit account funds (checking and savings)
Investments

What are your sources of funds?

Upload your Hong Kong Permanent Identity Card

Please place your ID horizontally and take a picture of the ID using portrait mode. Please make sure the photo shows:
  • A clear, complete, well-lit photo of the front of your ID
  • Your full frontal face with clera facial feature that is visible and legible
  • No glare preventing full visibility of the ID
  • The corners of the ID
  • Please upload a copy of your HKID card. The information will be extracted automatically to speed up the application and verification process.

    Upload

    Supported file format: JPEG, PNG, BMP, and TIFF. File size should not exceed 5MB.

    Please contact us at +852 3929 3929 during service hours (Mon-Fri 9:00am-5:30pm; closed on Sat-Sun and public holidays).

    Please verify your information

    Photo of your Hong Kong Permanent Identity Card

    Rotate right 90o
    Delete photo and upload again

    Chinese Name

    Surname (in English)

    Given Name (in English)

    Gender

    Date of Birth

    HK ID No.

    Take a selfie for identity verification

    Some helpful tips before you start
  • Keep a neutral face
  • Stay to the center of the screen
  • Hold your camera steady
  • No head coverings and sunglasses
  • Please take a selfie to continue with the verification. The photo will only be used for verification purpose.

    Note: If the online verification is unsuccessful, you may visit our office to complete the verification.

    Start online verification

    Check out the tutorial

    Residential Address

    Region

    District

    Address Line 1

    Address Line 2

    Address Line 3

    Please note that we may request for proof of address in the future if needed as part of our customer due diligence process.

    Nationality

    Summary and declaration

    Please review the details below and accept the declaration before proceeding to payment.

    Plan Details

    • Pharamacy Benefit Amount

      [[selectPlan.claimLimit1]]

    • Protection Period

      [[period]] year

    • Premium Payment Frequency

      Annual

    Your Personal Details

    • Chinese Name

      XXX

      Edit
    • Surname (in English)

      XXX

      Edit
    • Given Name (in English)

      XXX

      Edit
    • Gender

      XXX

      Edit
    • Date of birth

      XXX

      Edit
    • Nationality

      XXX

      Edit
    • Email

      XXX

    • Mobile

      XXX

    • Did you smoke in the past 12 months?

      XXX

      Edit
    • Height

      XXXcm

      Edit
    • Weight

      XXXkg

      Edit

    Residential Address

    • Region

      XXX

    • District

      XXX

      Edit
    • Address Line 1

      XXX

      Edit
    • Address Line 2

      XXX

      Edit
    • Address Line 3

      XXX

      Edit

    Your Occupation & Financial Status

    • Employment Status

      XXX

      Edit
    • Job Position

      XXX

      Edit
    • Industry

      XXX

      Edit
    • What is your average monthly income from all sources in the past 2 years? (Include salary, bonus and commission, financial support from family, investment income, rent from investment property, insurance policies, pension, government subsidy and other income stream)

      XXX per month Not less than

      Edit
    • What is your approximate current accumulative amount of liquid assets?

      HKXXX

      Edit
    • What are your sources of funds?

      XXX

      Edit

    Promo code

    • Promo code

    Important Notes

    Policy replacement

    If you are purchasing the new policy to replace an existing life policy, you should seek professional advice to understand the associated risks and potential detrimental consequences of policy replacement with financial implications, insurability implications and claims eligibility implication of such changes.


    Beneficiary information

    The beneficiary is default as policyholder’s own estate. To update your beneficiary information, please submit a request in the Customer Portal.


    Termination of policy

    We shall terminate your policy if you do not provide the information we have requested (including Customer Due Diligence) after policy issuance. The Customer Due Diligence includes meeting our staff at our office to verify your identification document within 30 working days from policy issued date or up to a maximum of 120 working days from the policy issued date subject to the Company’s discretion granted on a case-by-case basis.

    Declarations

    I, the applicant, hereby declare to Blue Insurance Limited (the “Company”) as follows:-

    1. that I am aware of the obligation to provide the Company with any additional information, form, disclosure, certification or documentation required due to the following:-
      • any applicable laws and regulations, or the application or interpretation thereof, or requirement to fulfil the Customer Due Diligence;
      • within 30 working days of any change to my circumstances such as change to my information previously given to the Company; or
      • a request made by the Company;
    2. I acknowledge the insurance plan that I applied for is produced in or authorised for sale in Hong Kong and I confirm I am a Hong Kong permanent resident in accordance with the laws and regulations applicable to me;
    3. the entire sales process from solicitation to eventual sales was conducted in Hong Kong and this application form is confirmed and submitted in Hong Kong;
    4. all information disclosed in this application together with all supplementary information including payment instruction given by me in this application is complete, accurate and true. The Company reserves the right to cancel the policy or re-issue the policy with modifications as it deems appropriate if any information provided by me is incomplete, inaccurate or untrue;
    5. I have obtained consent from all relevant individuals in relation to, arising from or connected to this policy, for the collection, use and transfer of their Personal Data within or outside of Hong Kong by the Company for the purposes of complying with the laws, regulatory, other legal requirements, agreement or treaty or any present or future contractual or other commitment with any regulators or government authorities in any applicable jurisdictions; and making disclosure as required by any applicable law, rules, regulations, treaty, commitment with regulators, codes of practice or guidelines or to assist in law enforcement purposes, investigations by police or other government or regulatory authorities in Hong Kong or elsewhere; and
    6. that my authorisation shall be effective until further notice and to give at least five working days’ notice of cancellation or variation of any authorisation to my bank and the Company prior to the date on which the cancellation or variation is to take effect.

    Authorisations

    I, the applicant, hereby consent and authorise the Company as follows:-

    1. to collect, use and transfer my Personal Data for the Purposes as further set out in the Personal Information Collection Statement including the transfer of my Personal Data within or outside of Hong Kong by the Company for the purpose of complying with the laws, regulatory, other legal requirements, agreement or treaty or any present or future contractual or other commitment with any regulators or government authorities in any applicable jurisdictions; and making disclosure as required by any applicable law, rules, regulations, treaty, commitment with regulators, codes of practice or guidelines or to assist in law enforcement purposes, investigations by police or other government or regulatory authorities in Hong Kong or elsewhere;
    2. to request on my behalf any doctor, hospital, clinic, insurance company, government office, any organization or person who has any Personal Data about me to disclose, release or transfer to the Company or its authorised agent/representative such Personal Data for assurance, reinstatement and any claim arising thereof;
    3. the above authorisations shall irrevocably bind my successors as well as my assigns and remain valid, notwithstanding my death or incapacity and a copy of this authorisation shall be as effective and valid as the original;
    4. to notify my bank to effect transfer of payment(s) using appropriate Payment Systems from my credit card / bank account to the Company pursuant to the Company’s instruction initiated from time to time;
    5. to release my bank from the obligation to ascertain whether or not notice of any such transfer has been given to me;
    6. to charge the premium and levy (if applicable) due to my credit card / bank account; and
    7. to send me any and all correspondence by electronic mail or in electronic form.
    This plan can be only purchased from Hong Kong. Please resume your policy application when you are back in Hong Kong.

    Payment details

    Please pay your premium by Visa / MasterCard

    • Policy Number

      [[paymentInfoModel.policyNo]]

    • Initial Annual Premium

      [[initialPremiumTxt]]

    • Levy

      [[sumLevyTxt]]

    • From 1 January 2018 onwards, a levy on insurance premiums for insurance policies will be payable to the Insurance Authority (IA) by policyholders via insurance company under the Insurance (Levy) Order and Insurance (Levy) Regulation in order to support the operational cost of IA. Levy is calculated based on the levy rate on the premium payable per policy. There is a levy cap per policy per policy year.
    • Total:

      [[sumPremiumTxt]]

    The maximum annual premium of this policy for the first 5 years^ will be[[currency]][[selectPlan.sumPremium]]. The premium is for reference only and not guaranteed, assuming there is no change in plan. (^Respective period may be less than 5 years if Life Assured attains maximum cover age within first 5 year)

    VISA/ MasterCard

    The cardholder’s name must be the same as the policyholder’s name in this application. Otherwise, we may cancel your application.
    Please do not leave or refresh the page during the payment process.

    Thank you for choosing Blue!
    You have successfully purchased our policy!
    Your Policy
    WeGuard PharmaEASY Protector

    Thank you for choosing Blue!
    Application Status: Submitted
    WeGuard PharmaEASY Protector

    Quotation Number [[quoteNo]]

    • Pharamacy Benefit Amount

      [[currency]] [[selectPlan.claimLimit1]]

    • Annual Premium (Excluding discount)

      [[currency]][[selectPlan.sumPremium]]

    • Levy

      [[sumLevyTxt]]

    • Premium Payment Frequency

      Annual

    Thank you for your application. We're now processing your application and will follow up with you within a few days.

    We have sent you an email to validate your email address:

    You can simply click the link to activate your account.

    If you haven’t received it, you can request another email. Resend email

    We have received your payment and your policy coverage is now effective. An SMS confirmation will be sent to you soon; if you do not receive it within 5 minutes, please contact our Customer Service Centre at (852) 3929 3929.

    We will also notify you when your policy documents are ready and uploaded to your Blue account.

    Thank you again and we look forward to serving you.

    If you have not submitted the documents or completed your identity verification, please do so within one week.

    We will send the link to your email address and mobile number to resubmit the documents.


    Cancellation Rights and Refund of Premium(s) within Cooling-off Period

    You understand that you have the right to cancel the policy and obtain a refund of any premium(s) and levy paid by giving a cancellation request to Blue via our Customer Service Portal. You understand that to exercise this right, the request of cancellation must be submitted by yourself within the Cooling-off Period. You understand that the Cooling-off Period is the period of 21 calendar days immediately following either the day of delivery of the policy or Policy Issue Notification to you (whichever is the earlier). You understand that the Policy Issue Notification is a notice that will be sent to you by Blue to notify you of the Cooling-off Period around the time the policy is delivered.

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    WeGuard PharmaEASY Protector

    Pharmacy Benefit Amount [[currency]][[selectPlan.claimLimit1]]

    Personal Information
    • Personal Information
    • Occupation & Financial Status
    • Proof of identity
    • Summary and declaration
    • Payment
    1. Personal Information
    Let us learn more about you
    2. Occupation & Financial Status
    A few questions on your financials
    3. Proof of identity
    Upload HKID card to verify your identity
    4. Summary and declaration
    Review and confirm your application
    5. Payment
    Make a payment at your fingertips

    Discounted first-year premium

    [[currency]][[selectPlan.finialPaid]]

    Plan details :

    Pharmacy Benefit Amount [[currency]][[selectPlan.claimLimit1]]

    Accidental Death Benefit Amount [[currency]][[selectPlan.claimLimit2]]

    Protection period [[period]] year

    Benefits :

    • Cost saving! Keep your medicine cost down
    • Convenient! Enjoy shopping at a wide network of pharmacies
    • Efficient! Get instant reimbursement with e-claims process