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TWI378393B
TWI378393B TW97139043A TW97139043A TWI378393B TW I378393 B TWI378393 B TW I378393B TW 97139043 A TW97139043 A TW 97139043A TW 97139043 A TW97139043 A TW 97139043A TW I378393 B TWI378393 B TW I378393B
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investment
insured
insurance
health
injury
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TW97139043A
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TW200921545A (en
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Priority to US12/262,926 priority patent/US20090112636A1/en
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1378393 r 101年.05月16日修正替換頁 六、發明說明: 【發明所屬之技術領域】 [0001]本發明係有關於一種金融電子商務領威之健康及傷害保 險’特別有關於在運用網路科技來創造擁有資金競標機 制的投資型健康及傷害保險。 C先前技術] [0002] 保險業提供健康及傷害保險的目的在於當被保險人因疾 病、意外事件所造成之經濟損失(包含醫療費用及因死 亡殘疾所致之所得中斷)時,而予以彌補該損失。健康 保險(Health Insurance)的概念最早是由英國人 Hugh the Elder Chamberien於 1694年提出,認為可 藉由保險手段來補償被保險人所受到的人身損害。但這 項概念直到十九世紀末因工業革命所帶動的社會型態改 變,保險公司才開始推出健康保險商品。 [0003] 然而初期健康保險僅限於殘疾保險(Disability Insurance),保險所保障的範圍多侷限於因殘疾死亡 所導致經濟來源的損失。直到二十世紀中期以後,歐美 工業化國家的社會結構發展趨於成熟,健康保險的功能 及定義也逐漸產生變化。 [0004] 健康保險開始納入醫療保險項目,提供被保險人醫療費 用保障(Medical Expense Coverage);而既有之殘 疾保險,則從意外(Accident)觀念延伸,且與產物保 險中之責任保險(Liability Insurance)相結合,藉 此承保被.保險人因人身傷害事件所生風險。 [0005] 09713904产單編號 A0101 時至今日,健康保險不再僅是壽險公司所提供的保險服 第3頁/共47頁 1013185120-0 101年05月16日接正綠頁 務項目,許多產險公司亦有提供健康保險服務》由於健 康保險在某種程度上屬於一種概括式的概念,一些類似 或由其衍生的險種,包含醫療保險、傷害保險、意外保 險等項目,其分類也由於保險服務内容彼此相互重疊, 而無一定明確區分’為求名稱定義一致,本專利申請案 對於保障人身因疾病及意外所生損害保險,依當地國家 之保險法定義方式加以定名,故以健康及傷害保險稱之 〇 [0006] 由於健康及傷害保險所承保標的係為人身所承受之疾病 遂 '意外風險,故健康及傷害保險之發展與一經濟社會對 人身價值衡量有關,也因此其保險滲透狀況可作為衡量 —個國家人民生活的水平以及經濟發展程度的指標》以 保險業高度發展的美國為例,依據美國人口統計局 (United States Census Bureau) 2006年統計,84 %美國民眾投保健康險(美國健康險同時包含醫療及傷 害險),其中60%的健康險係由雇主代為投保,9%為受 雇者自己購買保險,其他約有27%由政府參與資助(由 着 於部分被保民眾可能同時自行購買或接受政府資助,故 總比率加總超過84%)。至於台灣的醫療傷害保險,最重 要來源係來自於由雇主及要保人自付之全民健康保險, 2007年8月總投保人數達到2, 253萬人,投保比率達到全 部人口 97%以上。由於全民健康保險僅提供基礎醫療給 付,許多民眾亦藉由加入商業健康及傷害保險彌補其不 足,依據保險事業發展中心(Taiwan Insurance Jnstitute)統計,2006年健康及傷害保險總保費達到 〇97丨39〇4产單編號A〇l01 第4頁/共47頁 1013185120-0 101年05月16日修正替換頁 2, 21 6億元,佔當年度總保險費用之i 3. 76%。 [007] 由於健康及傷害保險為保險業重要險種,為滿足不同消 費者需求,商品種類及區分方式也相當多變《依據保險 人身份,可區分為由公營健康及傷害保險(例如我國之 全民健保及勞工保險之傷害給付部分)、保險公司辦理 之商業健康保險;又依據保費資金來源可區分為政府贊 助型(Government Sponsored ) '雇主贊助型(1378393 r 101 years. May 16th revised replacement page VI, invention description: [Technical field of invention] [0001] The present invention relates to a financial e-commerce leader of health and injury insurance 'particularly related to the use of the network Road Technology to create investment-type health and injury insurance with a capital bidding mechanism. C Prior Art] [0002] The purpose of the health and injury insurance provided by the insurance industry is to compensate the insured person for economic losses caused by illness or accident (including medical expenses and interruption of income due to death disability). The loss. The concept of Health Insurance was first proposed by British Hugh the Elder Chamberien in 1694, and it is believed that insurance can be used to compensate the insured person for personal injury. But this concept did not begin until the end of the 19th century due to changes in the social pattern driven by the industrial revolution, and insurance companies began to introduce health insurance products. [0003] However, initial health insurance is limited to Disability Insurance, and the scope of insurance coverage is limited to the loss of economic resources caused by death from disability. Until the middle of the 20th century, the social structure of industrialized countries in Europe and the United States has matured, and the functions and definitions of health insurance have gradually changed. [0004] Health insurance begins to be included in the medical insurance program to provide the Medical Expense Coverage for the insured; while the existing disability insurance extends from the Accident concept and Liability Insurance in Product Insurance (Liability) Insurance) combines to cover the risks posed by the insurer due to personal injury. [0005] 09713904 Production Order No. A0101 To this day, health insurance is no longer just the insurance service provided by life insurance company. Page 3 / 47 pages 1013185120-0 101 May 16th, the green page project, many products Insurance companies also provide health insurance services. Because health insurance is a generalized concept to some extent, some similar or derived types of insurance, including medical insurance, injury insurance, accident insurance and other items, are also classified as insurance. The service contents overlap each other, and there is no clear distinction between 'the definition of the name is defined. This patent application protects the personal injury caused by diseases and accidents, and is named according to the definition of the insurance law of the local country. Therefore, health and injury insurance is used.称〇[0006] Since the subject of health and injury insurance is the risk of accidents caused by personal illness, the development of health and injury insurance is related to the measurement of personal value in an economic society, and therefore its insurance penetration status can be As an indicator of the level of people's lives and the degree of economic development in a country, the insurance industry is highly For example, in the United States Census Bureau, according to the statistics of the United States Census Bureau in 2006, 84% of Americans are insured for health insurance (US health insurance includes both medical and injury insurance), 60% of which are paid by employers. Insured, 9% of the employees purchase insurance themselves, and about 27% of the other are funded by the government (by the fact that some of the insured people may purchase or receive government subsidies at the same time, the total ratio is more than 84%). As for Taiwan's medical injury insurance, the most important source comes from the universal health insurance paid by employers and insured persons. In August 2007, the total number of insured persons reached 22.53 million, and the insurance coverage reached 97% of the total population. Since universal health insurance only provides basic medical benefits, many people also make up for their shortcomings by joining commercial health and injury insurance. According to the Insurance Insurance Development Center (Taiwan Insurance Jnstitute), the total health and injury insurance premiums in 2006 reached 〇97丨39. 〇 4 Production Order No. A〇l01 Page 4 of 47 Page 1013185120-0 On May 16, 2011, the revised replacement page was 2, 21 billion yuan, accounting for 3.76% of the total annual insurance expenses. [007] As health and injury insurance is an important insurance industry, in order to meet the needs of different consumers, the types and differentiation of goods are also quite variable. According to the identity of the insurer, it can be divided into public health and injury insurance (such as the national Health insurance and labor insurance damage payment), commercial health insurance for insurance companies; and government sponsored (employer sponsored) based on the source of premium funds

Empl〇yer Sponsored)、個人購買型(Individual Purchased)。但就保險商品設計觀點,目前保險業所 推出之健康及傷害保險種類包括以下幾類普遍險種: [0008] 1.傳統式健康及傷害保險:提供被保險人於保險期間( 一定期間或終身)的醫療及傷害保障,並依據保險理賠 條款’給予定額或實際支出額之保險給付。 2. 帳戶式健康及傷害保險:本質上屬於一種儲蓄型健康 及傷害保險’客戶定期缴交保險費於個人保險儲蓄帳戶 ,保險理賠則依據被保險人出險狀況進行給付若保險 期間結束帳戶仍有餘額,則依據保險契約内容退還帳戶 内剩餘之保費。 3. 個人/團體式健康及傷害保險:依據要保人為個人或團 體(通常為止業或機構)所投保的健康傷害險,對團體 保險而言’該項保險往往屬於員工福利計晝一部份。個 人式健康及傷害保險往往結合人壽保險,以附約型態存 在。 [0009] 美國專利公告號US 4, 491,725 「Medical insurance verification 09713904:?·單編號 A01〇l and processing system」揭露對公 第5頁/共47頁 1013185120-0 [0010] [0011] 09713904^ 單編號 A0101 1101年05月16日按正替無頁 共或私人醫療保險在申請及理賠的繁複過程所可能造成 的錯誤及時間成本的浪費問題而提出一套解決方案。該 專利案所稱之醫療保險之驗證及處理系統即是將要保人 的醫療卡内所記載有關該要保人投保所需的資訊儲存於 主機中,並透過資料的讀取及驗算(驗證)以快速且精準 地算出購買紐的保費,將可雜要保人之保險申請的 便利、提1¾費用收取的正確性,以並加速理賠處理程序 〇 美國專利公告號US 5,G7〇,452「Computerized _ niedical insurance system including means to automatically update member eligibility files at pre-established intervais」係揭露對 前項專利(US 4’491,725 )的缺失所提出專利案。由於 前項專利案雖然可更有效率處理要保人(病患)的醫療卡 訊息’但未提出要保人卡片+資料是如何地輸入、儲存 、更新。若缺之具體解決方式,那麼仍會產生很多在醫 療保險之申請成本、費用計算上的謬誤,以及錯誤給付 # 醫療理賠狀況’特別是當舊有資料與現實狀況不符時, 如該要保人已離職,理應以有該就業團體的醫療保險 福利,卻仍顯示投保就業團體醫療保險或未即時更新訊 1 息等,便會產生許多的問題,所以該專利案即從前述專 利案缺失出發。藉由資料庫連結及要保人^期更新作法 ,加速保險申請及費科算正確性,並不致發生實際應 給付情況與資料記栽狀態不符之情事。 前述兩項專利之目的仍在於以電腦系統改善健康保險作 第6頁/共47頁 1013185120-0 M/8393 I 4 101年05月16日修正替換百 W程’但基本上仍是在傳統健康保險之保費缴交、出 險理賠的賴T運作H轉⑽康保崎作模式提 出-套有效麟想法。雖然近年來_戶式健康及傷害 保險商品的提出,可以在無重大理賠情況下,退回要保 人帳戶令未使用保費,以降低要保人保費支出並減少被 保險人醫療浪費,但其所購買之健康及傷害保險仍是標 準化商品,無法滿足保險界所追求商品客製化需求。此 外’現有傳統健康及傷害保險多僅有損失填補功能,並 無法發揮擴大k用、結合投資儲蓄效用,侷限保險費用 的運用。因此本發明之投資型健康及傷害保險之方法與 系統的發明動機在於將資金競標機制融入傳統健康及傷 害保險中,讓要保人能在平台運作下,除獲得人身保障 外,亦可依據市場利率變化及自身理財需求,靈活運用 所缴保險費用。而保險業界亦可藉由本發明方法,擴大 保險資金基礎,不僅滿足客戶需求,亦可擴大保險業務 規模,強化保險財務品質。 # 【發明内容】 [0012] 综上所述,本發明提出一種投資型健康及傷害保險之方 法與系统,以解決以上問題。本發明之發明目的如下: [0013]丨本發明架構一資金競標機制,讓健康及傷害保險的繳 費方武,從既有平準式或階梯式繳費模式’成為變動的 、可自我主張利率的繳費方式’使傳統健康及傷害保險 轉型為投資型健康及傷害保險。 [〇〇14] 2本發明架構的資金競標機制’使用者的競標標金可以 1013185120-0Empl〇yer Sponsored), Individual Purchased. However, regarding the design of insurance products, the types of health and injury insurance introduced by the insurance industry include the following types of general insurance: [0008] 1. Traditional health and injury insurance: providing the insured during the insurance period (for a certain period of time or for life) Medical and injury protection, and in accordance with the insurance claims clause 'to give a fixed amount or actual amount of insurance benefits. 2. Account-based health and injury insurance: essentially a type of savings-type health and injury insurance. 'Customers pay insurance premiums on a personal insurance savings account on a regular basis, and insurance claims are paid according to the insured's risk status. For the balance, the remaining premiums in the account are refunded according to the contents of the insurance contract. 3. Personal/group health and injury insurance: According to the health insurance that the insured person is an individual or a group (usually the industry or institution), for group insurance, the insurance is often part of the employee benefit plan. . Personal health and injury insurance often combines life insurance with an attached form. [0009] US Patent Publication No. US 4,491,725 "Medical insurance verification 09713904:?.Single number A01〇l and processing system" is disclosed on page 5 of 47 pages 1013185120-0 [0010] [0011] 09713904^ No. A0101 On May 16, 1101, a set of solutions was proposed for the problem of the mistakes caused by the complicated process of applying for and claiming and the waste of time and cost. The medical insurance verification and processing system referred to in the patent case is to store the information required by the insured person in the medical card of the insured person in the host computer, and to read and check the data through the verification (verification). To quickly and accurately calculate the premiums for the purchase of New Zealand, the convenience of the insurance application for the insurance can be checked, and the correctness of the fee collection can be improved, and the claims processing procedure can be accelerated. US Patent Publication No. US 5, G7〇, 452 Computerized _ niedical insurance system including means to automatically update member eligibility files at pre-established intervais discloses a patent filed for the absence of the prior patent (US 4 '491,725). Although the patent application in the preceding paragraph can more effectively process the medical card information of the person (patient), it does not propose how to enter, store, and update the card + information. If there is no specific solution, there will still be a lot of delays in the application cost and cost calculation of medical insurance, as well as the wrong payment # medical claims status, especially when the old information does not match the actual situation, such as the insured person. If he has resigned, he should have the medical insurance benefits of the employment group, but still show that the insured employment group medical insurance or the immediate update of the information will cause many problems. Therefore, the patent case is based on the lack of the aforementioned patent case. Accelerate the accuracy of the insurance application and the fee calculation by linking the database and the person to be renewed. It does not cause the actual payment situation to be inconsistent with the status of the data. The purpose of the above two patents is still to improve the health insurance system by computer system. Page 6 of 47 1013185120-0 M/8393 I 4 May 16, 2011 Revision of the replacement of the hundred W course 'but basically still in the traditional health Insurance premium payment, insurance claims, La T-operation H turn (10) Kang Baoqi model proposed - set of effective lin ideas. In recent years, the introduction of _ household health and injury insurance products can be returned to the guarantor account without the use of major claims, so as to reduce the insurance premiums and reduce the medical waste of the insured, but The purchased health and injury insurance is still a standardized product and cannot meet the demand for customized products in the insurance industry. In addition, the existing traditional health and injury insurance has only the function of loss filling, and it is unable to play the role of expanding the use of the savings, combining the savings savings, and limiting the use of insurance fees. Therefore, the invention of the method and system for investment-type health and injury insurance of the present invention is to integrate the capital bidding mechanism into the traditional health and injury insurance, so that the insurer can operate under the platform, in addition to obtaining personal protection, according to the market. The interest rate changes and their own financial needs, flexible use of the insurance premiums paid. The insurance industry can also expand the insurance fund base by the method of the present invention, not only to meet the needs of customers, but also to expand the scale of insurance business and strengthen the financial quality of insurance. [Invention] [0012] In summary, the present invention proposes a method and system for investing in health and injury insurance to solve the above problems. The object of the invention is as follows: [0013] The framework of the present invention is a capital bidding mechanism for the payment of health and injury insurance, from the existing leveling or tiered payment mode to a change, self-proclaimed interest rate payment. The way 'transforms traditional health and injury insurance into investment health and injury insurance. [〇〇14] 2 The capital bidding mechanism of the framework of the invention's user's bidding standard can be 1013185120-0

^ ί Έ / 47 S 議390#單編號Α0101 ’、 1378393 __ 101年.05月16日梭正替备頁 反映市場利率和市場資金水位。當市場資金需求活絡時 ,投資商品暢旺,利率上揚;市場資金需求趨緩時,投 資標的少,利率下跌;當市場利率直接反映在資金競標 平台上時,客戶所參與的投資型健康及傷害保險產品, 便成為具為資訊對稱性的直接金融理財商品。 [0015] 3.確保保險契約之安定:保險契約之安定,乃影響保險 公司能否健全的因素之一。由於健康保險保費隨著被保 險人年齡、健康狀況進行調整,逐步調高費率往往阻礙 了要保人的續保意願,造成保險公司很大的困擾。特別 _ 是傳統健康及傷害保險商品,其制式化商品設計及缺乏 彈性的契約内容,無法貼近市場,確實地反映網路時代 資訊的對稱性,造成保險契約不安定。本發明資金競標 機制所發揮的資訊對稱性一舉解決這些問題,以確保契 約的安定。 [0016] 4.創造現金流量:投資型健康及傷害保險的競標機制之 推出,必能增加保險人之現金流量,增加保險人之信用 能力,有助於資金之投資運用。 _ [0017] 5.提高投保意願:由於目前健康及傷害保險僅提供醫療 、意外給付,缺乏理財功能,影響部分要保人的參與意 願。因此,投資型健康及傷害保險的競標機制之推出, 可將理財、保障功能結合,擴大客戶的投保意願。 [0018] 6.提供被保險人更佳保障:既有健康及傷害保險係以損 失填補原則進行設計,特別是發生重大傷害或疾病事件 時,雖然被保險人(或其受益人)可獲得一定程度補償 單编號删1 第8頁/共47頁 1013185120-0 1378393 * t 接正餘 101年05月16日 ’但保險契約往往就此終止。本發明在導入資金交易平 台及資金投資功能,使被保險人不僅可獲得出險補償, 亦可享有投資報酬,維繫其出險失能後之所得收入,對 於確保被保險人後續生活品質有更積極助益。 [0019] 為達成上述目的,本發明提供一種投資型健康及傷害保 險之方法,其應用於一投資型健康及傷害保險系統,該 方法包含下列步驟: [0020]由一要保人以一電子憑證進入該投資型健康及傷害保險 • 系統’該投資型健康及傷害保險系統之一投資型健康及 傷害保險接收作業模組從一電子憑證核發機構獲得並審 核對應該電子憑證之該要保人之一基本資料,由該要保 人購買由該投資型健康及傷害保險接收作業模組所提供 之一投資型健康及傷害保險保單; 由該要保人進入該投資型健康及傷害保險系統並輸入— 投標金額以參與競標,該投f型健康及傷害保險系統之 φ 一資金競標模組根據所輸入之該投標金額,計算投標之 該要保人之-平均存款利率與一借款利率,並根據該資 金競標模組之-資金餘額與有投標之該要保人之該借款 利率的高低以決定一得標金額與得標人數;由該投資型 健康及傷害保險系統之—金流處理餘根據簡標金額 結算-總得標金與一還款金額,並根據得標之該要保人 之該平均借款利率與一存款標金、或未得標之該要保人 之最高投標金額、或基準利率來結算一存款金額; 由該金流處理模組交割已存人未得標之該要保人之一個 人虛擬帳戶之該存款金額; 09713904#單編號A01〇l 第9頁/共47頁 1013185120-0 /»393 ίΐ01 年05 月 要保人未得辦,自紐_錢㈣ 在該技資型健康及傷害保險保單到期前是否出險; 在•玄要保人未得標時,若該被保險人在該投資型健康及 傷害保險保單㈣前出險,則由該理賠作業模組判斷該 被保險人是否為嚴重出險; 在該要保人未得標時,若該被保險人為嚴重出險,則由 該金流處理模組給付該投資型健康及傷害保險保單之_ 理賠金及該要保人之該個人虛擬帳戶之所有該存款金額 的現値給一受益人或該要保人; 在該要保人未得標時,若該被保險人不為嚴重出險,則 · 由該金流處理模組給付該投資型健康及傷害保險保單之 契約條款所定之部分該理賠金給該要保人; 由該金流處理模組交割已得標之該要保人之該還款金額 9 由該金流處理模組交割該總得標金以存入當會期得標之 該要保人之一個人子帳戶; 由該投資型健康及傷害保險系統之一投資管理作組提供 各種投資標的以供該要保人之該個人子帳戶之該總得標 ® 金進行投資,並公佈對應該總得標金所投資之一投資標 的、一投資損益及一資產淨值; . 在該要保人已得標時,由該理賠作業模組判斷該投資型 健康及傷害保險保單是否到期; 在該要保人已得標時,若該投資型健康及傷害保險保單 到期,則由該金流處理模組給付該要保人所缴納之—保 費的總額及一結算餘額給該要保人,該結算餘額係為, 要保人之該個人子帳戶經投資之該總得標金之該資產淨 0971390#單编號删1 第1〇頁/共47頁 1013185120-0 1378393^ ί Έ / 47 S 390# single number Α 0101 ’, 1378393 __ 101 years. May 16th, the shuttle is preparing the page to reflect the market interest rate and market fund level. When the market capital demand is active, investment products are booming, interest rates rise; when market capital demand slows down, investment targets are low, interest rates fall; when market interest rates are directly reflected in the fund bidding platform, the investment-type health and injury insurance that customers participate in Products become direct financial wealth management products with information symmetry. [0015] 3. Ensuring the stability of the insurance contract: The stability of the insurance contract is one of the factors that affect the integrity of the insurance company. As the health insurance premiums are adjusted according to the age and health status of the insured, the gradual increase in the rate often hinders the willingness of the insurer to renew the insurance, which causes the insurance company to be greatly troubled. Special _ is a traditional health and injury insurance product. Its standard product design and lack of flexible contract content cannot be close to the market, and it truly reflects the symmetry of information in the Internet era, resulting in the instability of the insurance contract. The information symmetry played by the fund bidding mechanism of the present invention solves these problems in one fell swoop to ensure the stability of the contract. [0016] 4. Creating cash flow: The introduction of the competitive bidding mechanism for investment-type health and injury insurance will increase the cash flow of the insurer and increase the credit ability of the insurer, which will help the investment of funds. _ [0017] 5. Increased willingness to insured: Since current health and injury insurance only provides medical care, accidental payment, and lack of financial management functions, it affects the willingness of some insured persons to participate. Therefore, the introduction of the competitive bidding mechanism for investment-type health and injury insurance can combine financial management and security functions to expand customers' willingness to insure. [0018] 6. Providing better protection for the insured: both health and injury insurance are designed with the principle of loss of filling, especially in the event of a major injury or illness, although the insured (or his beneficiary) can obtain certain Degree Compensation Order No. 1 Page 8 / Total 47 Pages 1013185120-0 1378393 * t The first half of the year is May 16th 'But the insurance contract is often terminated. The invention introduces the capital transaction platform and the capital investment function, so that the insured can not only obtain the insurance compensation, but also enjoy the investment remuneration, and maintain the income after the disability is disabled, which is more helpful for ensuring the insured's subsequent quality of life. beneficial. [0019] To achieve the above object, the present invention provides an investment-type health and injury insurance method for use in an investment-type health and injury insurance system, the method comprising the following steps: [0020] an electronic The voucher enters the investment health and injury insurance system 1. The investment health and injury insurance receiving operation module of the investment type health and injury insurance system obtains and verifies the insured person corresponding to the electronic voucher from an electronic voucher issuing institution One of the basic information, the insured person purchases an investment-type health and injury insurance policy provided by the investment-type health and injury insurance receiving operation module; the insured person enters the investment-type health and injury insurance system and Entering - the amount of the bid to participate in the bidding, the φ a fund bidding module of the f-type health and injury insurance system calculates the average deposit interest rate and the borrowing rate of the bidder based on the bid amount entered, and According to the fund balance module - the fund balance and the bidder's interest rate of the insured person's interest rate to determine the winning bid The amount and the number of people who have won the bid; the investment-based health and injury insurance system - the processing of the gold stream is settled according to the amount of the summary - the total amount of the bonus and the amount of the repayment, and the average borrowing rate of the insured according to the bidder One deposit amount is settled with a deposit deposit, or the highest bid amount of the insured person, or a benchmark interest rate; the gold flow processing module delivers one of the insured persons who have not been awarded the depositor The deposit amount of the virtual account; 09713904#单号A01〇l Page 9 of 47 page 1013185120-0 /»393 ίΐ01 May to protect the people have not been able to do, since the new _ money (4) in the technical health and Whether the insurance policy is in danger before the expiration of the injury insurance policy; if the insured person fails to obtain the insurance before the investment-type health and injury insurance policy (4), the claimant operation module determines the insured Whether it is a serious risk; if the insured is in a serious risk, if the insured is seriously in danger, the gold flow processing module will pay the _ the claim of the investment health and injury insurance policy and the insured person All the deposits for this personal virtual account The current amount of money is given to a beneficiary or the insured person; if the insured does not receive the bid, if the insured is not in serious risk, then the gold flow processing module will pay the investment type of health and injury. The claim amount specified in the contractual terms of the insurance policy is given to the insured; the cash flow processing module delivers the reimbursement amount of the insured person who has obtained the bid. 9 The gold flow processing module delivers the total winning bid The gold is deposited into one of the individual sub-accounts of the insured person who is the subject of the session; the investment management team of the investment-type health and injury insurance system provides various investment targets for the personal sub-account of the insured person. The total awarded standard gold is invested, and the investment target, one investment profit and loss and one net asset value corresponding to the total investment of the standard gold are announced. When the insured person has obtained the bid, the claim operation module judges the investment. Whether the health and injury insurance policy expires; if the insured person has obtained the bid, if the investment health and injury insurance policy expires, the gold flow processing module pays the insured person to pay the bill— Total amount of premium and one settlement To the proposer, the settlement system to balance the individual sub-account by the proposer of the assets of the gold standard gotta investment 0,971,390 Net # 1 on 1〇 delete a single number / Total 47 1013185120-0 1378393

值扣除剩餘會期之一總還款金額; 在。亥要保人已得標時’若該投龍健康及傷害保險保單 未到期’則由該理賠作業模组判斷該被保險人是否出險 9 在該要保人已得標時,若賴保險人出險,則由該理賠 作業模組判斷該被保險人是否為嚴重出險; 在该要保人已得標時,若該被保險人為嚴重出險,則由 該金流處理模组給付該投資型健康及傷害保險保單之該 理賠金及該結算餘額給該受益人或該要保人該結算餘 額係為該要保人之該個人子帳戶經投資之該總得標金之 該貧產淨值扣除剩餘會期之一總還款金額;以及 在該要保人已得標時,若該被保險人不為嚴重出險,則 由該金流處理模組給付該投資型健康及傷害保險保單之 契約條款所訂之部分該理賠金給該要保人。 [0021]本發明提供一種投資型彳建康及傷害保險系統,包含: 一投資型健康及傷害保險接收作業模組,用以根據— 要保人之一電子憑證從該投資型健康及傷害保險系統外 部之一電子憑證核發機構取得該要保人之一基本資料, 並審核該基本資料,提供一投資型健康及傷害保險保單 以供該要保人選擇購買; 一資金競標模組,用以由該要保人輸入一投標金額以 計算一平均存款利率與一借款利率,根據該資金競標模 組之一資金餘額與該借款利率的高低以決定一得標金額 與得標人數; 一投資管理模組,用以提供各種投資標的以供該要保人 〇9713904产單編號 A0101 第11頁/共47頁 1013185120-0 之-個人n W年05月16日修正 之—總得標金進行投資,並公佈對應該 。、子帳戶之5亥總得標金所投資之—投資標的一投資 損益及一資產淨值; 、 。作業枳組,用以判斷該投資型健康及傷害保險 •、早是否到期’及判斷-被保險人是否出險與出險程度 ,以及 金與一金流處理棋級,用以根據該得標金額結算該總得標 j :還5^金額,並根據該平均借款利率與一存款標金 、或最高投標金額、或基準利率來結算—存款金額,交 制總得標金以存入該個人子帳戶、已存入該個人虛擬 · 帳戶之該存款麵、及在每—會期所賴之_款金額 ’給付-㈣金及該個人虛擬帳戶之所有該存款金額的 現値、或職納之-保費的總額及—結算餘額、或該理 賠金及雜算侧,或部分該理賠金給該要保人或一受 益人,該結算餘額係為該個人子帳戶經投資之該總得標 金之該資產淨值扣除剩餘會期之—總還款金額。 [0022] 根據本發明構想,提出一種投資型健康及傷害保險系統 · ’包含有: 一投資型健康及傷害保險接收作業模組,用以根據一 要保人之一電子憑證從該投資型健康及傷害保險系統外 - 部之一電子憑證核發機構取得該要保人之一基本資料, _ 並審核該基本資料,提供一投資型健康及傷害保險保單 以供該要保人選擇購買; 一資金競標模組,用以由該要保人輸入一投標金額以 計算一平均存款利率與一借款利率,根據該資金競標模 09713904#單编號 A0101 第12頁/共47頁 1013185120-0 |101年.05月16曰修正替#·^ 組之貝金餘額與該借款利率的高低以決定一得標金額 與得標人數; 一投資管理模組,用以提供各種投資標的以供該要保 人之—個人子帳戶之—總得標金進行投資,並公佈對應 該個人子帳戶之該總得標金所投資之-投資標的、-投 資損益及—資產淨值; -理賠作業模組’用以判斷該投資型健康及傷害保險The value is deducted from the total repayment amount of one of the remaining sessions; If the insurance company has obtained the standard, 'If the health insurance and injury insurance policy has not expired', the claim operation module determines whether the insured is in danger. 9 When the insured person has obtained the bid, If the person is in danger, the claim operation module determines whether the insured is seriously in danger; when the insured has obtained the bid, if the insured is seriously insured, the gold flow processing module pays the investment type. The claim of the health and injury insurance policy and the balance of the settlement to the beneficiary or the insured balance is the net of the net worth of the total amount of the investment of the insured person's sub-account. One of the total repayment amount of the session; and when the insured person has obtained the bid, if the insured is not seriously insured, the gold flow processing module will pay the contractual terms of the investment health and injury insurance policy. The portion of the claim is paid to the insured. [0021] The present invention provides an investment type Jiankangkang and injury insurance system, comprising: an investment type health and injury insurance receiving operation module, according to - one of the insurance applicants electronic voucher from the investment type of health and injury insurance An electronic voucher issuing institution outside the system obtains one of the basic information of the insured and reviews the basic information to provide an investment-type health and injury insurance policy for the insured to choose to purchase; The bidder enters a bid amount to calculate an average deposit interest rate and a borrowing rate, according to the fund balance of the fund bidding module and the borrowing interest rate to determine a winning amount and the number of bidders; Modules, which are used to provide various investment targets for the insured person. 9713904, order number A0101, page 11 / page 47, 1013185120-0 - personal n W year, revised on May 16th - total investment in gold, And announced the corresponding. , the sub-account of 5 Hai total of the standard invested in the investment - the investment of an investment profit and loss and a net asset value; The operation group is used to determine whether the investment type of health and injury insurance, whether it expires early or not, and whether the insured is out of danger or risk, and the gold and one gold flow processing level, based on the winning amount Set the total bid j: also 5^ amount, and settle according to the average borrowing rate and a deposit amount, or the highest bid amount, or the benchmark interest rate - the deposit amount, the total amount of the system to be deposited into the individual sub-account, The deposit face that has been deposited in the personal virtual account, and the amount of the deposit or the amount of the deposit in the amount of the payment of the amount of the deposit in each of the personal accounts. The total amount and the settlement balance, or the claims and the miscellaneous side, or part of the claim to the insured or a beneficiary, the settlement balance is the total amount of the investment in the individual sub-account The net value is deducted from the remaining period – the total repayment amount. [0022] According to the conception of the present invention, an investment-type health and injury insurance system is provided, which includes: an investment-type health and injury insurance receiving operation module for using an electronic voucher from one of the insured persons from the investment type of health And an electronic voucher issuing agency outside the injury insurance system obtains one of the basic information of the insured, _ and reviews the basic information, and provides an investment-type health and injury insurance policy for the insured to choose to purchase; The bidding module is used to input a bid amount by the insured person to calculate an average deposit interest rate and a borrowing interest rate, according to the fund bidding model 09713904# single number A0101 page 12 / total 47 pages 1013185120-0 | 101 years .05月16曰Revised the balance of the Bejin balance of the #·^ group and the interest rate of the loan to determine the amount of the winning bid and the number of bidders; an investment management module to provide various investment targets for the insurer - the individual sub-account - always have to invest in the standard gold, and announce the investment target, investment profit and loss - net asset value of the total amount of the corresponding sub-accounts; - Claims Module 'to determine whether the investment-oriented health and personal accident insurance

[0023] 保單是否到期,及騎—被保險人是否績與出險程度 :以及 金流處理模組,用以根據該得標金額結算該總得標 金與-還款金額,並根據—平均借款料與—存款標金 、或最高投標金額、或基準利率來結算_存款金額,交 割該總得標金以存人該個人子帳戶、已存人—個人虛擬 帳戶之接款金額、及在每_會期所繳納之該還款金額 ’給付-理賠金及該個人虛擬帳戶之所有該存款金額的 現値、或賴納之-保費的總額及__結算侧、或該理 賠金及該結算餘額’或科該理賠金給該要保人或一受 益人’該結算餘額係為該個人子帳戶經投資之該總得標 金之該資產淨值扣除剩餘會期之—總還款金額。 更佳地’所述糸統進一步包合· — u α 匕含.该投資型健康及傷害保 險接收作業模組,用以由兮厶4 + 田"亥金流處理模組收取該要保人 所繳納之該保費,以核發兮扭— 知該投育型健康及傷害保險保單 之一電子保單給該要保人;w ^ 。,从及一資料庫,用以由該投 資型健康及傷害保險接收作| 叹作業模組存取該要保人之該基 本資料及該投資型健康及傷金 場害保險保單之資料,由該資 第13頁/ 09713904^^^ Α〇101 1013185120-0 1378393 |ϊ〇1年.05月16日修正替頁 金競^組存取該投標金額、該平均存款利率、該借款 利率-玄資金餘額、該得標金額與得標人數之資料由 該技貝S理模組存取該投資標的該投資損益及該資產 淨值之貝料,由該理賠作業模組存取該被保險人之出險 貝料該奴資型健康及傷害保險保單之資料及由該金 肌處理板組存取該得標金額 '該總得標金、該平均借款 利率、該存款標金、該還款金額、該最高投標金額該 基準利率、該存款金額、該理賠金該結算餘額該個 人子帳戶及該個人虛擬帳戶之資料。 _]更佳地’其中該電子保單之核保項目包含-要保書之内 谷填寫疋否;^整及真實、該要保人之資格、該要保人與 該被保險人之關係、該被保險人之資格、該被保險人是 否書面同意該保險契約、該要保人所參與之該自主性利 率生死合險保單之—競標交易組合之-總會款、該被保 險人之實際經濟需求與保額之間的比例以及該要保人 之個人條件、就業狀況、年收入是否能使其長期持續穩 定地繳交保費。 φ 剛m其巾該投㈣健康及傷㈣險祕藉由網路' 有線及無線軌方式與—終端機進行軌,而與該要保 人做一即時安全之訊息交換。 ]更佺地,其中該電子憑證核發機構接收由一保險公司所 〜之該投資型健康及傷害保險保單之資料,在加密、 數位簽章、存證後,該電子憑證核發機構將該投資型健 康及傷害保險保單傳送至該保險公司,而該保險公司再 將其傳送至該要保人。 09713904#單编號A0101 第14頁/丑47頁 μ 1013185120-0 1378393 101年05月16日修正替換頁 [0027] 更佳地,其中該理賠作業模組接收由該投資型健康及傷 害保險系統外部之一保險公司理賠作業系統所傳送之理 賠申請結果,該理賠申請結果係在該被保險人出險時, 由一保險公司接收理賠申請,進行保險事故認定,以及 判斷是否符合理賠標準。 [0028] 更佳地,其中該投資型健康及傷害保險保單包含一競標 交易組合’該競標交易組合包含一競標期限、一競標期 數及一總會款。 [0029] 更佳地’其卡該投資標的包含共同基金、有價證券及衍 生性金融商品至少一者之金融商品。 [0030] 更佳地,其中該資金競標模組執行下列步驟:計算在開 標時間點所有未得標之該要保人應存款之金額減去該時 間點所有得標之該要保人之總得標金,並將該總得標金 儲存至該投資型健康及傷害保險系統之一資料庫;判斷 前一次開標之時間點之該資金餘額加上本次開標之時間 點之該資金餘額是否小於等於零,並將計算後之資金餘 額儲存至該資料庫;根據投標之該要保人之該投標金額 與從該資料庫所讀取之該投資型健康及傷害保險保單之 一競標交易組合之一總會款來計算該借款利率’並將所 有投標之該要保人之該借款利率的高低進行排序,並將 該借款利率儲存至該資料庫;以及根據從該資料庫讀取 該資金餘額及投標之該要保人之該借款利率的高低以決 定該得標金額與得標人數,並將該得標金額與得標人數 儲存至該資料庫。 〇97139〇4产單編號 A0101 第15頁/共47頁 1013185120-0 1378393 _]更佳地,其,該 該投資管理模組 存款金額及已得桿之^要伴人將未得標之該要保人之該 該會期得標之該要保Γ之=之該還款金額分別轉換成 總得標金轉換成作為投資::^的―部分,並將該 將該總得標金進行投資管理。[0023] Whether the policy expires, and the ride-insurer's performance and risk level: and the gold flow processing module, which is used to settle the total awarded amount and the repayment amount according to the winning amount, and according to the average borrowing Material and deposit deposit, or the highest bid amount, or the benchmark interest rate to settle the _ deposit amount, the delivery of the total amount of the deposit to deposit the personal sub-account, the deposited person - the personal virtual account of the withdrawal amount, and in each _ The amount of the repayments paid during the meeting period's payment-claims and all the deposit amount of the personal virtual account, or the total amount of the premiums and the __ settlement side, or the claim and the settlement balance 'Or the claim to the insured or a beneficiary' The settlement balance is the net value of the total amount of the investment in the individual sub-account, net of the remaining period - the total repayment amount. More preferably, the system is further included. — u α 匕. The investment type health and injury insurance receiving operation module is used to collect the insurance from the 兮厶4 + field " The premium paid by the person is issued to the insured person who knows one of the insured health and injury insurance policies; w ^ . , and a database for receiving and receiving the investment-type health and injury insurance | swearing operation module accessing the basic information of the insured person and the information of the investment-type health and injury insurance policy The fund page 13 / 09713904 ^ ^ ^ Α〇 101 1013185120-0 1378393 | ϊ〇 1 year. May 16 revised the page Jin Jing ^ group access to the bid amount, the average deposit interest rate, the borrowing rate - Xuan The balance of funds, the amount of the winning bid and the number of bidders are accessed by the technology module, and the investment profit and loss of the investment target and the net value of the asset are accessed by the claim operation module. The information of the slavish health and injury insurance policy and the amount of the winning amount obtained by the golden muscle processing board group, the total winning amount, the average borrowing rate, the deposit amount, the repayment amount, the The highest bid amount of the benchmark interest rate, the deposit amount, the settlement balance, the balance of the personal sub-account and the personal virtual account information. _] Better's where the underwriting policy for the electronic policy contains - to fill in the inside of the book, or not; ^ whole and true, the qualification of the insured, the relationship between the insured and the insured, The qualification of the insured, whether the insured agrees in writing to the insurance contract, the autonomous interest rate life and death insurance policy in which the insured person participates - the bidding transaction portfolio - the general meeting, the actual insured The ratio between the economic demand and the insured amount and the personal conditions, employment status, and annual income of the insured person will enable them to pay premiums in a sustained and stable manner for a long time. φ m 其 其 其 其 投 投 四 四 四 四 四 四 四 四 四 四 四 四 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( More specifically, the electronic voucher issuing institution receives the information of the investment-type health and injury insurance policy of an insurance company, and after the encryption, digital signature, and deposit, the electronic voucher issuing institution inputs the investment type The health and injury insurance policy is transmitted to the insurance company, which in turn transmits it to the insured. 09713904#单号A0101 Page 14/Ugly 47 pages μ 1013185120-0 1378393 May 16, 2011 Revision Replacement Page [0027] More preferably, the claim operation module receives the investment type health and injury insurance system The result of the claim application transmitted by one of the external insurance company claims operation system, the result of the claim application is when the insured person is out of danger, an insurance company receives the claim application, determines the insurance accident, and judges whether the claim is in compliance with the claim standard. More preferably, wherein the investment-type health and injury insurance policy comprises a bidding transaction portfolio, the bidding transaction portfolio includes a bidding period, a bidding period, and a general meeting. [0029] More preferably, the card includes the financial product of at least one of a mutual fund, a marketable securities, and a derivative financial product. [0030] More preferably, the fund bidding module performs the following steps: calculating the amount of the unguaranteed depositor of the insured at the time of the bid opening, minus the total amount of the bidder who has won the bid at the point in time. The standard fund is stored in the database of one of the investment-type health and injury insurance systems; the balance of the fund at the time of the previous opening of the bid plus the balance of the fund at the time of the opening of the bid is less than or equal to zero. And storing the calculated fund balance in the database; one of the bidding transaction amount of the insured person according to the bid and one of the bidding transaction portfolios of the investment type health and injury insurance policy read from the database The payment is used to calculate the interest rate of the borrowing' and the interest rate of the borrower of all the bidders is sorted, and the borrowing rate is stored in the database; and the fund balance and bid are read from the database. The amount of the borrowing interest rate of the insured person is determined to determine the winning amount and the number of successful bidders, and the winning amount and the number of winning bidders are stored in the database. 〇97139〇4Bill No. A0101 Page 15/47 Pages 1013185120-0 1378393 _]More preferably, the investment management module deposit amount and the winners will not be awarded The amount of the repayment amount to be guaranteed by the insurer shall be converted into the total amount of the converted capital into the part of the investment::^, and the total awarded amount shall be invested and managed. .

[0032J[0032J

[0033] 佳也其中该金流處理模組所結算之該結算餘額若為 广則由所缴納之該保費的總額或該理賠金抵繳該結 异餘額之負値的部分。[0033] In the case where the settlement balance settled by the gold flow processing module is wide, the total amount of the premium paid or the portion of the balance of the settlement balance is offset.

更佳地’其中當該要保人在該投資型健康及傷害保險接 ^作業模组選擇投保該投㈣健康及傷害保險保單之综 合項目保險時’其健康項目部份的有效期間可與傷害項 目部份的有效期間相同或不同。 剛更姐,其巾當徤康項目部份的有效朗與傷害項目部 份的有效期間不同時,以兩者之中有效期間較長者作為 整份保險之最終有效期間之基準並以之決定該要保人參 與該投資型健康及傷害保險系統之一競標期間。 [0035]更佳地’其中當該被保險人為非嚴重出險而獲得部分該 理賠金時’在該投資型健康及傷害保險保單到期時,該 金流處理模組依該投資型健康及傷害保險保單所訂之退 費標準退還已繳保費之總額的部分金額給該要保人。 [0036] 更佳地,其中在該被保險人出險時,經理賠申請判定核 可後,該金流處理模組依據該投資型健康及傷害保險保 早所栽明之内容而給付的方式包含:若該投資型健康及 傷害保險保單為健康項目保險,則該理賠金為健康項目 09713904^單编號第16頁/共47頁 1013185120-0 1378393 [101年05月16日 出險之理賠金;若該投資型健康及傷害保險保單為傷害 項目保險,則該理賠金為傷害項目出險之理賠金;以及 若該投資型徤康及傷害保險保單為健康及傷害综合項目 保險’則該理賠金為健康項目出險之理賠金與傷害項目 出險之理賠金至少其一。 [0037]更佳地’其中該被保險人之嚴重出險係指身故或全殘之 出險情況,而該被保險人為非嚴重出險係指非身故及非 全殘之出險情況。 f 【實施方式】 [0〇38]以下特將本發明具體實施方式詳細描述,並列舉較佳之 具體實施例說明如下: [0039]圖一係本發明之投資型健康及傷害保險系統之方塊圖。 在圖一中’投資型健康及傷害保險系統4〇2藉由網路、有 線及無線通訊方式與要保人所使用之投資型健康及傷害 保險系統402外部之一終端機者401 (如電腦、手機、pDA 等裝置)進行通訊,而與要保人做一即時安全之訊息交換 。由要保人藉由終端機401向投資型健康及傷害保險系統 4〇2購買投資型健康及傷害保險保單、參與投資型健康及 傷害保險系統402之競標、及從投資型健康及傷害保險系 統402獲知競標的結果與收付款項。 [ 040]下文中將描述投資型健康及傷害保險系統4〇 2所包含之一 才又資型健康及傷害保險接收作業模組405、一資金競標模 組407、—投資管理模組408、一理賠作業模組4〇9、一 金流處理模組410及一資料庫411等各模組之操作。 09713904#單編號 A0101 第17頁/共47頁 1013185120-0 1378393 [0041] [0042] [0043] 1101年05月16日梭正替· 投資型健康及傷害保險接收作業模組405根據要保人之一 電子憑證從投資型健康及傷害保險系統402外部之一電子 憑證核發機構403取得要保人之一基本資料,並審核該要 保人之基本資料,投資型健康及傷害保險接收作業模組 405提供一投資型健康及傷害保險保單以供要保人選擇購 買。其中,投資型健康及傷害保險保單包含有競標交易 組合,該競標交易組合包含一競標期限、一競標期數及 一總會款。 當要保人在投資型健康及傷害保險接收作業模組4〇5選擇 投保投資型健康及傷害保險保單之綜合項目保險時,其 健康項目部份的有效期間與傷害項目部份的有效期間可 為相同或不同。當健康項目部份的有效期間與傷害項目 部份的有效期間不同時,以兩者之中有效期間較長者作 為整份保險之最終有效期間之基準並以之決定要保人參 與投資型健康及傷害保險系統4〇2之競標期間。 在金流處理模組410收取要保人所繳納之保費後,投資型 健康及傷害保險接收作業模組4〇5核發投資型健康及傷害 保險保單之一電子保單給要保人。 其中’電子保單之核保$目包含一要保#之内容填寫是 否完整及真實、要保人晴買投資型健康及傷害保險保單 之資格、要保人與被保險人之關係、被保險人投保之資 格、被保險人是否書面同意保險契約、要保人所參與之 投資型健康及傷害紐保單之競標U組合之總會款、 被保險人之實際經濟需求與保額之間的比例'以及要保 人之個人條件、就業狀況、年收人是魏使其長期持續 3904产單编號細1 第18頁/共47頁 1013185120-0 1378393 101年.05月16日修正 穩定地繳交保費。 [0044] 電子憑證核發機構403接收由保險公司所傳送之投資型健 康及傷害保險保單之資料,在加密、數位簽章、存證後 ’電子憑證核發機構403將投資型健康及傷害保險保單傳 送至保險公司,而保險公司再將其傳送至要保人。 [0045] 要保人藉由終端機401輸入一投標金額至投資型健康及傷 害保險系統402,資金競標模組407根據所有輸入的投標 金額來汁异一平均存款利率與一借款利率,並以資金競 標模組407在當會期與前一會期所計貪之一資金餘額與借 欲利率的尚低以決定一得標金額與得標人數。資金競標 模組407將開標結果經由終端機4〇1傳送至要保人。資金 競標模組407將前述各項資料存入資料庫411 ^ [0046] 投資管理模組408提供各種投資標的以供要保人之一個人 子帳戶之一總得標金進行投資,並經終端機4〇1公佈對應 個人子帳戶之總得標金所投資之一投資標的、一投資損 φ 益及一資產淨值給要保人。其中,投資標的包含共同基 金、有價證券及衍生性金融商品至少一者之金融商品。 [0047] 理賠作業模組40 9判斷投資型健康及傷害保險保單是否到 期,及判斷被保險人是否出險與出險程度。理賠作業模 .組409接收由投資型健康及傷害保險系統4〇2外部之一保 險公司理賠作業系統4〇4所傳送之理賠申請結果,該琿賠 申請結果係在被保險人出險時,由保險公司接收理賠申 請,進行保險事故認定,以及判斷是否符合理賠標準。 [0048] 金流處理模組410根據得標金額結算總得標金與一還款金 09713904#單編號Α〇101 第19頁/共47頁 1013185120-0 1378393 101年05月16日後正養無頁 ’並根據平均借糾率與-存款標金、 額 ^ 或最高投標金 額、或基準利率來結算一存款金額,金流處理模組41〇交 割總仔標金以存人個人子帳戶、交割已存人個人虛擬帳 戶之存款金額、及㈣在每—會期所缴納之還款金額, 金流處理模組410給付一理賠金及個人虛擬帳戶之所有存 欲金額的觀、錢付賴狀㈣㈣額及—結算餘 額、或給付絲金及、轉_,或給付部分理賠金給要 保人或受益人。其中,結算餘額係、“人子帳戶經投資 之總得標金之.資屋淨值扣除剩餘會期之_總還款金額的 餘額》由金流處理模組41G所結算之結算餘額若為負値, 則由要保人所_之保㈣總職理賠金抵缴結算餘額 之負値的部分。 [0049] 金流處理模組410將未得標之要保人之存款金額及已得標 之要保人之還款金額分別轉換成該會期得標之要保人之 總得標金的一部分。 [_金流處理模組410接收由拷資型健康及傷害保險系統4〇2 外部之-保險公司理賠作業系統4〇4所傳送之理賠申請結 果’該理賠㈣結果係在被保險人出險時,由保險公司 接收理賠申請,進行保險事故認定’以及判斷是否符合 理賠標準。 口 [_錄保險人出險時,經保險公司理賠作業系統4Q4的理賠 申請判定核可後,金流處理模組41〇依據投資型健康及傷 害保險保單所載明之内容所給付的方式如下: (1)若投資型健康及傷害保險保單為健康項目保險則 理賠金為健康項目出險之理賠金; 09713904#單編號A0101 第20頁/共47頁 1013185120-0 1378393 101年05月16日 ()右k資型健康及傷害保險保單為傷害項目保險則 理賠金為傷害項目出險之理賠金;以及 ()右投資型健康及傷害保險保單為健康及傷害综合項 目保險,則理賠金為健康項目出險之理賠金與傷害項目 出險之理賠金至少其—。 剛被保險人為嚴重出險係指身故或全殘之出險情況,而被 、為非嚴重出險係指非身故及非全殘之出險情況。 [_當雜險人為非嚴重出險而獲得部分理賠金時,在投資 健康及傷害保險保單到期時,金流處理模組41〇依投資 力健康及傷害保險保單所訂之退費標準退還已缴保費之 總額的部分金額給要保人。 闕f料庫411用以由投資型健康及傷害保險接收作業模組 405存取要保人之基本資料及投康及傷害保險保單 之資料,由資金競標模組407存取投標金額、平均存款利 率、借款利率、資金餘額、得標金額與得標人數之資料 • ’由投資管理模組408存取投資標的、投資損益及資產淨 值之資料’由理賠作業模組409存取被保險人之出險資料 、投資型健康及傷害保險保單之資料,及由金流處理模 組410存取得標金額、總得標金、平均借款利率、存款標 金、還款金額、最高投標金額、基準利率、存款金額、 理賠金、結算餘額、個人子帳戶及個人虛擬帳戶之資料 [0055]具有直接金融特性之自主性利率存借方法主要建構在資 金餘額平衡的概念上,由投資型健康及傷害保險系統4〇2 09713904#單编號 A〇101 第21頁/共47頁 1013185120-0 101年05月16日修正替私頁 1378393 之資金競標模組407根據各投標者(即要保人)之投標金額 來計算出對應之借款利率,並根據資金餘額及借款利率 之高低來決定各時間點(即開標時間)可得標之人數、 各得標者(亦為要保人)可得到之總得標金,以及未得標 者(在此為存款者,亦為要保人)應存款之金額。執行 步驟如下: [0056] 步驟一:令得標人數為零,由資金競標模組407計算本時 間點之資金餘額。資金競標模組407對於資金餘額的計算 方式係將該時間點之所有未得標者應存款之金額減去該 時間點所有得標者之總得標金。在此步驟中僅需計算所 有存款者之總存款金額,未得標者所需存款之金額。從 利息給付的先後,有以下兩種計算式: 利息先支付:U-IXn……(1); 利息後支付:U……(2); 其中, U係為投標者之一競標上限; IXn係為根據第η期之基準村率計算而得之存款者之存 款標金。 [0057] 另外,得標者(借款者)之總得標金,從利息給付的先後 ,有以下兩種計算式: 利息先支付: (3) 1013185120-0 4 =(U-In)x(N-n) + Ux(n-l) 第22頁/共47頁 1378393More preferably, 'When the insured person chooses to insure the investment in the investment-based health and injury insurance system, the health insurance and the insurance policy will be combined with the injury. The validity period of the project part is the same or different. If you are a sister, if the effective period of the part of the item is different from the effective period of the injury item, the longer of the two is the basis of the final effective period of the whole insurance and the decision is made. To ensure that people participate in the bidding period of one of the investment-type health and injury insurance systems. [0035] More preferably, 'When the insured obtains part of the claim for non-severe risk insurance', when the investment health and injury insurance policy expires, the gold flow processing module depends on the investment type of health and injury The refund standard set by the insurance policy refunds part of the total amount of the premium paid to the insured. [0036] More preferably, in the case that the insured person is in danger, after the manager compensation application is approved, the payment method of the gold flow processing module according to the content of the investment type of health and injury insurance includes: If the investment-type health and injury insurance policy is a health insurance policy, the claim is a health item 09713904^单号第16页/47 pages 1013185120-0 1378393 [101 May 16 Sunrise Insurance Claims; The investment-type health and injury insurance policy is the injury item insurance, and the claim is the claim for the injury item; and if the investment-type health insurance and injury insurance policy is the health and injury comprehensive item insurance', the claim is health The claim for the project's insurance claims and the damages for the injury project are at least one. [0037] More preferably, wherein the insured person's serious risk is a risk of death or total disability, and the insured is a non-severe risk refers to a non-death and non-disabled risk. [Embodiment] [038] The following is a detailed description of the embodiments of the present invention, and the preferred embodiments are illustrated as follows: [0039] Figure 1 is a block diagram of the investment-type health and injury insurance system of the present invention. . In Figure 1, 'Investment Health and Injury Insurance System 4〇2 is one of the external terminals of the investment-type health and injury insurance system 402 used by the insurer by means of network, wired and wireless communication. , mobile phones, pDA and other devices) to communicate, and to ensure that people do an instant secure message exchange. The insured person purchases the investment-type health and injury insurance policy, the investment-type health and injury insurance system 402, and the investment-type health and injury insurance system from the terminal 401 to the investment-type health and injury insurance system 4〇2. 402 is informed of the results of the bid and the payment. [040] Hereinafter, the investment-type health and injury insurance system 4〇2 includes a one-of-a-kind health and injury insurance receiving operation module 405, a fund bidding module 407, an investment management module 408, and a The operation of each module such as the claims operation module 4〇9, a gold stream processing module 410, and a database 411. 09713904#单号A0101第17页/47 pages 1013185120-0 1378393 [0042] [0043] On May 16, 1101, the shuttle-injection-investment-type health and injury insurance receiving operation module 405 is based on the insured person. One of the electronic voucher obtains one of the basic information of the insured from one of the electronic voucher issuing agencies 403 outside the investment-type health and injury insurance system 402, and reviews the basic information of the insured, the investment-type health and injury insurance receiving operation module 405 provides an investment-type health and injury insurance policy for the insured to choose to purchase. The investment-type health and injury insurance policy includes a bidding transaction portfolio, and the bidding transaction portfolio includes a bidding period, a bidding period, and a general meeting. When the insured person chooses the comprehensive project insurance for the investment-type health and injury insurance policy in the investment-type health and injury insurance receiving operation module 4〇5, the effective period of the health project part and the effective period of the injury item part may be Same or different. When the effective period of the health project component is different from the effective period of the injury project component, the longer of the effective period of the two is used as the benchmark for the final effective period of the entire insurance and it is decided to participate in the investment health and The injury insurance system 4〇2 during the bidding period. After the gold flow processing module 410 receives the premium paid by the insured person, the investment type health and injury insurance receiving operation module 4〇5 issues an electronic policy of the investment type health and injury insurance policy to the insured. Among them, the underwriting of the electronic policy includes the content of the one to be completed and the truth is true, the qualification to protect the investment in health and injury insurance policy, the relationship between the insured and the insured, and the insured Qualification of insurance, whether the insured agrees in writing with the insurance contract, the investment-type health of the insured person and the total amount of the bidding U combination of the insurance policy, the ratio between the actual economic needs of the insured and the insured amount' As well as the personal conditions, the employment situation, and the annual income of the person to be insured, Wei made it long-term 3904. The number of the order number is fine. 1 Page 18/47 pages 1013185120-0 1378393 101. May 16 Correctly paying Premium. [0044] The electronic voucher issuing institution 403 receives the information of the investment type health and injury insurance policy transmitted by the insurance company, and after the encryption, the digital signature, and the deposit certificate, the electronic voucher issuing institution 403 transmits the investment type health and injury insurance policy. To the insurance company, and the insurance company will transfer it to the insured. [0045] To ensure that the bidder inputs a bid amount to the investment type health and injury insurance system 402, the fund bidding module 407 compares the average deposit interest rate with a borrowing rate according to all the bid amounts input, and The fund bidding module 407 determines the amount of the winning bid and the number of bidders in the balance of the funds and the borrowing interest rate of the previous period. The fund bidding module 407 transmits the bid opening result to the insured person via the terminal unit 4〇1. The fund bidding module 407 stores the foregoing data into the database 411. [0046] The investment management module 408 provides various investment targets for the investment of one of the individual sub-accounts of the insured person, and the terminal 4 is invested. 〇1 announces one of the investment targets, one investment loss φ benefit and one net asset value of the investment in the total amount of the individual sub-account to the insured. Among them, the investment target includes financial products of at least one of a common fund, a marketable securities and a derivative financial product. [0047] The claim operation module 40 9 determines whether the investment type health and injury insurance policy is due, and determines whether the insured person is in danger or risk. The claim operation mode group 409 receives the result of the claim application transmitted by the insurance company claim operation system 4〇4 of the investment type health and injury insurance system 4〇2, and the claim result is when the insured person is out of danger, The insurance company receives the claim application, determines the insurance accident, and determines whether it meets the claim standard. [0048] The gold stream processing module 410 settles the total amount of gold and a repayment amount according to the winning amount of money 09713904#单号Α〇101 page 19/47 pages 1013185120-0 1378393 101 years old after the 16th of the year 'According to the average borrowing rate and - deposit deposit, amount ^ or the highest bid amount, or the benchmark interest rate to settle a deposit amount, the gold flow processing module 41 〇 delivery of the total amount of funds to deposit personal sub-accounts, delivery has been The deposit amount of the depositor's personal virtual account, and (4) the amount of the repayment amount paid in each session, the cash flow processing module 410 pays a claim and the amount of all the deliberate amount of the personal virtual account. (4) (4) Amount and settlement balance, or payment of silk and cash, or payment of part of the claim to the insured or beneficiary. Among them, the settlement balance is “the total amount of the investment in the human account, the net value of the capital account minus the balance of the remaining repayment period _ total repayment amount”, if the settlement balance settled by the gold flow processing module 41G is negative , the portion of the balance of the settlement balance is offset by the general manager's claim (4). [0049] The gold flow processing module 410 will not be awarded the deposit amount of the insured person and the obtained standard The amount of repayment of the insurer is converted into a part of the total amount of the insured's winning bid for the session. [_Gold Stream Processing Module 410 receives the copy of the Health and Injury Insurance System 4〇2 External - The claim result of the insurance company's claim operation system 4〇4's claim (4) is when the insured is out of danger, the insurance company receives the claim application, and the insurance accident is identified and judges whether it meets the claim standard. When the insurer is in danger, after the insurance company claims compensation system 4Q4 claims approval approval, the gold flow processing module 41 pays according to the contents stated in the investment health and injury insurance policy as follows: (1) If Investment health And the injury insurance policy for the health insurance, the claim is the claim for the health project; 09713904#单号A0101 Page 20 of 47 1013185120-0 1378393 May 16th, 2011 () Right k-type health and injury The insurance policy is the injury item insurance, the claim is the damage claim for the injury item; and the () right investment type health and injury insurance policy is the health and injury comprehensive item insurance, then the claim is for the health project insurance claim and injury project risk insurance The claim is at least -. The insured person is a serious accident that refers to the death or total disability, and the non-severe risk refers to the non-death and non-disabled risk. [_When the sinister is When part of the claim is not paid seriously, when the investment health and injury insurance policy expires, the gold flow processing module 41 refunds the total amount of the premium paid according to the refund standard set by the investment health and injury insurance policy. The amount is given to the insured. The library 411 is used to access the basic information of the insured and the insurance and injury insurance policy by the investment type health and injury insurance receiving operation module 405. The information, the fund bidding module 407 accesses the bid amount, the average deposit interest rate, the borrowing rate, the fund balance, the bid amount and the number of bidders. • The investment management module 408 accesses the investment target, investment profit and loss and net asset value. The information 'Access to the insured's insurance information, investment-type health and injury insurance policy information, and the gold flow processing module 410 to obtain the target amount, total bid, average borrowing rate, deposit Information on the amount of funds, repayment amount, maximum bid amount, benchmark interest rate, deposit amount, claims, settlement balance, personal sub-account and personal virtual account [0055] The autonomy interest rate deposit method with direct financial characteristics is mainly constructed in funds. The concept of balance balance, by the investment-type health and injury insurance system 4〇2 09713904#单号A〇101 Page 21/47 pages 1013185120-0 101 May 16 revised the private page 1738393 funds bidding model Group 407 calculates the corresponding borrowing rate according to the bid amount of each bidder (ie, the insured person), and according to the fund balance and the interest rate of the borrowing. The number of people who can obtain the target at each time point (ie, the time of opening the bid), the total amount of the winning bids for each successful bidder (also the insured person), and the unsuccessful bidder (here the depositor, also the insured person) The amount that should be deposited. The execution steps are as follows: [0056] Step 1: The winning bidder is zero, and the fund bidding module 407 calculates the balance of funds at the current time point. The fund bidding module 407 calculates the fund balance by subtracting the total amount of the deposit from all unsuccessful bidders at that point in time. In this step, only the total deposit amount of all depositors needs to be calculated, and the amount of deposit required by the bidder is not obtained. From the order of interest payment, there are two calculation formulas: interest payment: U-IXn......(1); interest payment: U...(2); where U is the bidding limit of one of the bidders; IXn It is the deposit deposit of the depositor calculated based on the benchmark village rate of the nth period. [0057] In addition, the total amount of the winning bidder (borrower), from the interest payment, has the following two calculations: Interest paid first: (3) 1013185120-0 4 = (U-In) x (Nn ) + Ux(nl) Page 22 of 47 Page 1738393

XX

[~101.年.05月16日嵌ΐϊ替^頁 (#-啦 C/x〇卜 + (4)[~101.年.05月16日嵌ΐϊ^^ (#-啦 C/x〇卜 + (4)

An係為得標者於第期得標之總得標金; ϋ係為一競標上限; Ν係為競標期數; π係為一現行期數,且nSN ;An is the total winning bid for the successful bidder in the first period; the ϋ is the upper limit of bidding; the Ν is the number of bidding periods; the π is the current period, and nSN;

In係為得標者於第η期之得標金額;In is the winning amount of the winner in the nth period;

Ii係為存款者於第i期進行存款之金額,且i<n。 [0058] 上述提到的利息先支付,係指在借款之時,得到的本金 已先行扣除未來應繳之利息,類似於零息債券的作法; 利息後支付則指在借款時可拿到完整的本金,在未來償 還時再行支付利息,類似於一般貸款或房貸的作法。 [0059] 步驟二:由資金競標模組407判斷前一時間點之資金餘額 X +本時間點 > 金餘額(亦即資金水位)是否小於等於零 。若前一時間點之資金餘額X加上本時間點資金餘額小 於等於零(即B〇 + Xg〇),則資金競標模組4〇7判斷該時 間點不進行開標;相反地,若資金競標模組4〇7判斷資金 餘額大於零,則進入步驟三。 [0060] 在建構一趨近於直接金融的自主性利率存借機制時,在 資金競標模組407中的資金餘額應等於零》不過在資金競 標模組407中的資金餘額要恰好等於零的機率是微乎其微 的。若資金競標模組407中的資金餘額大於零,對於操作 〇_#單編號A〇101 第23頁/共47頁 1013185120-0 1378393 101年05月16日接正替择頁 本方法的金融機構而言,該資金餘額的塑態成為金融機 構的借入金額,會導致金融機構之支出成本的產生;若 資金競標模組4〇7_的資金餘額小於零,對於操作本方法 的金融機構而言,該資金餘額的型態成為金融機構的貸 出金額,即可賺取些微的手續費,因而改變傳統金融機 構賺取存放款利差的間接金融運作方式。在此,自主性 利率存借方法係假設資金競標模組407中的資金餘額需小 於或等於零以作為判斷是否開標的條件。 t〇〇61]步驟三:進行借款利率之排序。若在步驟二之經資金競 · 標模組407計算後的資金餘額大於零,則由資金競標模組 407將針對有下標之投標者的投標金額計算相對應之借款 利率,並將之排序《資金競標模組407在計算任一投標者 於第η期(η落在本計算時間點上)投標標金之借款利率r 時’例如使用財務學内部報酬率(IRR )的觀念,先使用 下列計算式(5)計算出投標者先前各期的平均存款利率r ’再使用下列計算式(6)計算投標當時間點若順利得標的 借款利率R。計算式如下: 參 «-i ……(5); ^ (ί/-/.) X (i +r)N': =Ux (n-l) I=iIi is the amount of deposits made by depositors in the i-th period, and i<n. [0058] The interest mentioned above is paid first, which means that at the time of borrowing, the principal obtained has been deducted from the interest payable in the future, similar to the practice of zero-coupon bonds; the post-interest payment means that it can be obtained at the time of borrowing. The full principal is paid for in the future when it is repaid, similar to the general loan or mortgage. [0059] Step 2: The fund bidding module 407 determines the balance of funds at the previous time point X + this time point > whether the gold balance (ie, the fund water level) is less than or equal to zero. If the balance of funds X at the previous time point plus the balance of funds at this time point is less than or equal to zero (ie B〇+ Xg〇), the fund bidding module 4〇7 judges that the time point is not to open the bid; on the contrary, if the funds bid Group 4〇7 determines that the fund balance is greater than zero, then proceeds to step 3. [0060] When constructing an autonomous interest rate deposit mechanism that is close to direct finance, the fund balance in the fund bidding module 407 should be equal to zero. However, the probability that the fund balance in the fund bidding module 407 is exactly equal to zero is Very small. If the fund balance in the fund bidding module 407 is greater than zero, for the operation 〇_#单号A〇101 Page 23/47 pages 1013185120-0 1378393 May 16th, the financial institution that is replacing the page method In other words, the plasticity of the fund balance becomes the borrowing amount of the financial institution, which will result in the expenditure cost of the financial institution; if the fund balance of the fund bidding module 4〇7_ is less than zero, for the financial institution operating the method The type of the fund balance becomes the lending amount of the financial institution, and can earn a small handling fee, thus changing the indirect financial operation mode in which the traditional financial institution earns the deposit spread. Here, the autonomous interest rate lending method assumes that the fund balance in the fund bidding module 407 needs to be less than or equal to zero as a condition for judging whether or not to open the bid. T〇〇61] Step 3: Sort the borrowing rates. If the fund balance calculated by the fund bidding module 407 in step 2 is greater than zero, the fund bidding module 407 calculates the corresponding borrowing rate for the bid amount of the bidder with the subscript, and sorts the loan interest rate. The fund bidding module 407 uses the concept of the financial internal rate of return (IRR), in the calculation of the borrowing rate r of any bidder in the nth period (n is at the time of calculation) The following formula (5) calculates the average deposit interest rate r ' of the previous period of the bidder and then uses the following formula (6) to calculate the borrowing rate R of the bid when the bid is successfully obtained. The calculation is as follows: Reference «-i ......(5); ^ (ί/-/.) X (i +r)N': =Ux (n-l) I=i

1013185120-0 n-I N-n Σ(υ<>{^Τί+Συ^ i=J j=l -(6); 其中, U係為一競標上限; 〇97l39〇4声·單編號A0101 第24頁/共47頁 1378393 - 101年.05月16日梭正替換頁 N係為競標期數; η係為一現行期數,且;1013185120-0 nI Nn Σ(υ<>{^Τί+Συ^ i=J j=l -(6); where U is the upper limit of bidding; 〇97l39〇4 sounds, single number A0101, page 24/ A total of 47 pages 1387393 - 101 years. On May 16th, the shuttle replacement page N is the number of bidding periods; η is a current period, and;

Ii係為存款者於第期進行存款之金額,且i<n; r係為存款者於第1〜i期之平均存款利率; R係為借款利率;Ii is the amount of deposits made by depositors in the first period, and i<n; r is the average deposit interest rate of depositors in period 1~i; R is the interest rate of borrowing;

An係為得標者若於第η期得標之總得標金,計算方式 參照計算式(3)及(4)。 [0062] 資金競標模組407在計算出本時間點所有投標者之借款利 φ 率後,隨即將對應所有投標者之借款利率由利率高至低 進行排序。 [0063] 步驟四:資金競標模組407找出使得資金餘額趨近於零之 最大得標人數。本步驟運用例如試誤法的概念求出當得 標人數為時,使得資金競標模組407在本時間點之資金餘 額加上前一時間點資金餘額小於或等於零之情況,即找 出可得標者之最少人數: # Min【η |見+XSO】……⑺; 其中,An is the total amount of the winning bidder who wins the bid in the nth period. The calculation method refers to the calculation formulas (3) and (4). [0062] After calculating the loan profit rate of all bidders at this time point, the fund bidding module 407 then sorts the borrowing rates corresponding to all bidders from high to low. [0063] Step 4: The fund bidding module 407 finds the maximum number of winners who make the fund balance approach zero. This step uses, for example, the concept of trial and error to find out when the number of winners is the same, so that the fund bidding module 407 balances the fund balance at the current time point plus the balance of the previous time point is less than or equal to zero, that is, finds available The minimum number of bidders: # Min[η | see +XSO]......(7);

Bn為當本時間點得標人數為時之資金餘額; X為前一時間點之資金餘額。 [0064] 步驟五:得標者之結算。對於得標者(借款者)而言,金 流處理模組410在該時間點有投標者得標之情況下結算得 標者之總得標金。金流處理模組410依照利息給付的先後 ,有以下兩種計算式: 利息先支付: 09誦4产單編號A〇101 第25頁/共47頁 1013185120-0 1378393 101年05月16日修正替無頁 (8) 4 = (U-IJx (N-n)+ Ux (η-1) 利息後支付:Bn is the balance of funds when the number of people who win the bid at this time point; X is the balance of funds at the previous point in time. [0064] Step 5: settlement of the winner. For the successful bidder (the borrower), the gold flow processing module 410 settles the total winning bid of the winner in the event that the bidder wins the bid at that point in time. The gold flow processing module 410 has the following two calculation formulas according to the order of interest payment: Interest payment: 09诵4 production order number A〇101 page 25/47 pages 1013185120-0 1378393 Correction dated May 16, 2011 For no page (8) 4 = (U-IJx (Nn) + Ux (η-1) interest payment:

An=Ux{N-n) + Ux(ji-\)^Ii 其中,An=Ux{N-n) + Ux(ji-\)^Ii where,

An係為得標者於第期得標之總得標金; U係為一競標上限; N係為競標期數; η係為一現行期數,且nSN ;An is the total winning bid for the winner in the first period; U is the upper limit of bidding; N is the number of bidding periods; η is the current period, and nSN;

In係為得標者於第η期之得標金額;In is the winning amount of the winner in the nth period;

Ii係為存款者於第i期進行存款之金額,且i<n。 [0065] 上述前得標者需在往後期數進行還款,還款金額的計算 方式如下: 利息先支付:U……(10); 利息後支付:U+In……(11); 其中, U係為一競標上限;Ii is the amount of deposits made by depositors in the i-th period, and i<n. [0065] The above-mentioned winning bidder needs to repay the amount in the later period, and the repayment amount is calculated as follows: interest first payment: U...(10); interest payment: U+In...(11); , U is a bid limit;

In係為投標者於第η期投標之金額。 [0066] 步驟六:未得標使用者之結算。資金競標模組407判斷本 時間點可得標人數為η(η = 1…I)時,金流處理模組410結 算本時間點可得標人數為η時的平均借款利率,再計算非 得標者(即存款者)之存款金額I An。金流處理模組410 09713904#單編號 A〇101 第26頁/共47頁 1013185120-0 1378393 --- 101年.05月16日核正替換頁 結算存款者之存款金額I An係依照利息先後支付有兩種計 算方式: 利息先支付:+ …… (12); 利息後支付:i7x(l + i?J¥W + Z4„...... (13); 其中, • U係為一競標上限; N係為競標期數; η係為一現行期數,且nSN ; IAn係為根據第η期之平均借款利率計算而得之存款者 之存款金額,In is the amount of the bidder's bid in the nth period. [0066] Step 6: Unsuccessful settlement of the user. When the fund bidding module 407 determines that the number of bidders at this time point is η(η = 1...I), the gold stream processing module 410 settles the average borrowing rate when the number of bidders is η at this time point, and then calculates the non-winning bid. The deposit amount of the person (ie the depositor) I An. Gold Flow Processing Module 410 09713904#单号A〇101 Page 26 of 47 Page 1013185120-0 1378393 --- 101 years. May 16th Nuclear replacement page settlement depositor's deposit amount I An is based on interest There are two ways to calculate the payment: Interest paid first: + ...... (12); After interest payment: i7x (l + i?J¥W + Z4„... (13); where, • U is The upper limit of bidding; N is the number of bidding periods; η is the current period, and nSN; IAn is the deposit amount of the depositor calculated based on the average borrowing rate of the nth period,

Ra係為一平均借款利率。 [0067] 若該時間點有投標者得標,金流處理模組410根據平均借 ^ 款利率計算存款金額IAn。該未得標者所要存款之金額依 利息給付的先後,同樣使用以下兩種計算式: 利息先支付:U-IAn……(14); . 利息後支付:U……(15); 其中, U係為一競標上限; IAn係為根據第η期之平均借款利率計算而得之存款者 之存款金額。 [0068] 若該時間點為無投標者得標,但投標者有下標(因未得 3904#單編號腿01 第27頁/共47頁 1013185120-0 1378393 __ 101年OS月16日修正替頁 標故需存款)’金流處理模組410對投標者之存款金額的 結算係從利息給付的先後有以下兩種計算式: 利息先支付:U-lHn ·.....(16); 利息後支付:U ......(17); 其中, U係為一競標上限; IHn係為投標者第n期未得標之最高投標金額。 [0069] 在未得標者方面’若第期為無投標者得標,且投標者並 無下標’金流處理模組41〇對該投標者之存款金額的計算 _ 係從利息給付的先後有以下兩種計算式: 利息先支付:U-1 Χη ......(18); 利息後支付:U ......(19); 其中, U係為一競標上限; ΙΧη係為根據第η期之基準利率計算而得之存款者之存 款金額。 [0070] 圖二係本發明之投資型健康及傷害保險方法之流程圖。 . 在描述圖·一之流程的同時,請一併參考圖一之各組件。 [0071] 首先’由要保人藉由終端機401以一電子憑證進入投資型 健康及傷害保險系統402。投資型健康及傷害保險系統 402之投資型健康及傷害保險接收作業模組405從電子憑 證核發機構403獲得並審核對應該電子憑證之要保人的基 本資料。投資型健康及傷害保險接收作業模組405提供各 種投資型健康及傷害保險保單之形式以供要保人選擇購 買(步驟S101)。投資型健康及傷害保險接收作業模組 09713904Ρ编號 Α0101 第28頁/共47頁 1013185120-0 1378393Ra is an average borrowing rate. [0067] If the bidder wins the bid at the time, the gold stream processing module 410 calculates the deposit amount IAn based on the average borrowing rate. The amount of deposits required by the unsuccessful bidder is based on the interest payment. The following two calculation formulas are also used: Interest payment: U-IAn......(14); . After interest payment: U...(15); U is the upper limit of bidding; IAn is the deposit amount of the depositor calculated based on the average borrowing rate of the nth period. [0068] If the time point is that no bidder wins the bid, but the bidder has the subscript (because the 3904# single number leg 01 page 27/47 page 1013185120-0 1378393 __ 101 year OS month 16 correction The page labeling requires deposits.] The settlement of the deposit amount of the bidder by the gold stream processing module 410 is based on the following two calculation formulas: interest payment: U-lHn ·.....(16) After interest payment: U ......(17); Where, U is the upper limit of bidding; IHn is the highest bid amount of the bidder's unsuccessful nth period. [0069] In the case of unsuccessful bidders, if the bidder does not bid for the first period, and the bidder does not subscript the 'gold stream processing module 41', the calculation of the deposit amount of the bidder _ from the interest payment There are two calculations: interest payment first: U-1 Χ η (18); interest payment: U ...... (19); where U is the upper limit of bidding; ΙΧη is the deposit amount of the depositor calculated based on the benchmark interest rate of the nth period. 2 is a flow chart of the investment type health and injury insurance method of the present invention. While describing the flow of the diagram, please refer to the components of Figure 1. [0071] First, the insured person enters the investment type health and injury insurance system 402 with an electronic voucher via the terminal 401. The investment type health and injury insurance receiving operation module 405 of the investment type health and injury insurance system 402 obtains and reviews the basic information of the insured person corresponding to the electronic certificate from the electronic certificate issuing authority 403. The investment type health and injury insurance receiving operation module 405 provides various forms of investment-type health and injury insurance policies for the insured to purchase (step S101). Investment Health and Injury Insurance Receiving Module 09713904Ρ号 Α0101 Page 28 of 47 1013185120-0 1378393

I 101年05月16日修正替^頁I 405將要保人的基本資料、投資型健康及傷害保險保單等 儲存於資料庫411。投資型健康及傷害保險保單包含有競 標交易組合,而該競標交易組合包含一競標期限、一競 標期數及一總會款。 _當要保人在投資型健康及傷害保險接收作業模組4〇5選擇 投保投資型健康及傷害保險保單之綜合項目保險時其 健康項目部份的有效期間與傷害項目部份的有效期間可 為相同或不同。當健康項目部份的有效期間與傷害項目 • 部份的有效期間不同時,以兩者之中有效期間較長者作 為整份保險之最終有效期間之基準並以之決定要保人參 與投資型徤康及傷害保險系統402之競標期間。 其中,要保人之電子憑證係向電子憑證核發機構4 〇 3申請 ,在要保人提供基本資料給電子憑證核發機構4〇3並經審 核後,電子憑證核發機構403給予要保人之電子憑證。 [0073]由金流處理模組41 0收取要保人所繳納之投資型健康及傷 φ 害保險保單之保費,並由投資型健康及傷害保險接收作 業模組405核發投資型健康及傷害保險保單之一電子保單 給要保人(步驟S103)。而電子保單之核保項目如上所述 〇 , [0074]由保險公司將投資型健康及傷害保險保單之資料傳送至 電子憑證核發機構403以加密、數位簽章、存證後,由電 子憑證核發機構403將投資型健康及傷害保險保單傳送至 保險公司,保險公司再將其傳送至要保人。 [0〇75]其中,投資型健康及傷害保險保單規定所要繳納的費用 〇9?13904产單編號 A0101 第29頁/共47頁 1013185120-0 1101年05月16日梭正 包含保險期間的保費及投資型健康及傷害保險系統4〇2在 競標期間之存款金額或還款金額。 [_] i要保人藉由終端機4Q1進人投資型健康及傷害保險系統 402並輪入一投標金額以參與競標。資金競標模組術根 據所輸入之投標金額以上述自主性利率存借方法之步驟 三的描述來計算财投標之要保人之—平均存款利率與 —借款利率’在上述自主性利率存借方法之步驟一至四 中’根據資金娩標模組407之資金餘額與有投標之要保人 之借款利率的高低以決;t-得標金額與得標人數(步驟 105)。資金競標模組407將該等資料儲存於資料庫411 [0077] a .I. On May 16, 101, I revised the basic information, investment-type health and injury insurance policy, etc. of the insured person in the database 411. The investment health and injury insurance policy includes a bidding transaction portfolio, and the bidding transaction portfolio includes a bidding period, a bidding period, and a general meeting amount. _ When the insured person chooses the comprehensive project insurance for the investment-type health and injury insurance policy in the investment-type health and injury insurance receiving operation module 4〇5, the effective period of the health item part and the effective period of the injury item part may be Same or different. When the effective period of the health project is different from the effective period of the injury project, the longer of the two is the base of the final effective period of the insurance and the decision is made to participate in the investment model. During the bidding period of the Health and Injury Insurance System 402. Among them, the electronic voucher to be insured is applied to the electronic voucher issuing institution 4〇3, and after the insurer provides the basic information to the electronic voucher issuing institution 4〇3 and is audited, the electronic voucher issuing institution 403 gives the electronic to the insured certificate. [0073] The gold flow processing module 41 0 collects the premium of the investment type health and injury insurance policy paid by the insured, and the investment type health and injury insurance receiving operation module 405 issues the investment type health and injury insurance. An electronic policy of one of the policies is given to the insured (step S103). The electronic insurance policy of the electronic insurance policy is as described above. [0074] The information of the investment-type health and injury insurance policy is transmitted by the insurance company to the electronic certificate issuing authority 403 for encryption, digital signature, and verification, and is issued by the electronic certificate. Institution 403 transmits the investment-type health and injury insurance policy to the insurance company, which in turn transmits it to the insured. [0〇75] Among them, the investment-type health and injury insurance policy requires the payment of the fee 〇9?13904, the production order number A0101, page 29/47 pages, 1013185120-0, 1 May, 16th, the shuttle includes the premium during the insurance period. And the amount of the deposit or repayment amount of the investment-type health and injury insurance system 4〇2 during the bidding period. [_] i wants the insurer to enter the investment health and injury insurance system 402 via the terminal 4Q1 and enter a bid amount to participate in the bidding. The fund bidding module calculates the policy of the above-mentioned autonomous interest rate deposit method according to the description of step 3 of the above-mentioned autonomous interest rate deposit method according to the bid amount input. In steps 1 to 4, 'the fund balance according to the fund delivery standard module 407 and the borrowing interest rate of the bidder who has the bid are determined; t-the amount of the bid and the number of bidders (step 105). The fund bidding module 407 stores the data in the database 411 [0077] a.

[0078] ,上述自主㈣转借方法之步驟五中,由金流處理模 =0根據得標金額結算當會期得標之要保人的總得標金 方已得標之要保人之還款金額,在上述自主性利率存借 法之步驟六中,由金流處理模組410根據當會期得標之 I人之平均借款利率與未得標之要保人之-存款標金 ^得標之要保人之最高投標金額、或基準利率來結 件標之要保人之-存款金額(步驟S1G7)。金流處理 、及410將該等資料儲存於資料庫411。 ^ ’由金流處賴組41〇將未得標之要保人之存款金額 已^當會期得標之要保人之總得標金的一部分,並將 :標之要保人之還款金額轉換成當會期得標之要保人 L知標金的一部分。 接著 ’由金流處理肋41G交割已存人未得標之 _9一编號:,虛擬帳戶之存款金額(步驟S109)。在要保人未得標 第30頁/共47頁 1013185120-0 1378393 |101年〇5月16日&^^1 時,由理賠作業模組409判斷被保險人在投資型健康及傷 害保險保單到期前是否出險(步驟S111)。若被保險人未 出險時,則進行步驟S105 ;若被保險人出險時,則由理 賠作業模組409判斷被保險人是否為嚴重出險(步驟 S113)。 [0079]若被保險人為嚴重出險時,則由金流處理模組41〇給付理 賠金及要保人之個人虛擬帳戶之所有存款金額的現值給 又益人或要保人(步驟S115)。若被保險人為非嚴重出險 • 時,則甴金流處理模組410給付投資型健康及傷害保險保 早之契約條款所訂之部分理賠金給要保人(步驟Μι?), 之後進行步驟S105 » [〇〇8〇]保險公司在接收出險理賠之申請時,進行被保險人之保 險事故的認定,以及判斷是否符合嚴重出險之理賠標準 ,保險公司藉由保險公司理賠作業系統4〇4將理賠申請結 果傳送至投資型健康及傷害保險系統4〇2之理賠作業模組 409 » [0081]在被保險人出險時,經保險公司理賠作業系統4〇4的理賠 申請判定核可後’金流處理模組410依據投資型健康及傷 •害保險保單所載明之内谷所給付的方式如下: . (1)若投資型健康及傷害保險保單為健康項目保險,則 理賠金為健康項目出險之理賠金; (2 )若投資型健康及傷害保險保單為傷害項目保險,則 理賠金為傷害項目出險之理賠金;以及 (3)若投資型健康及傷害保險保單為健康及傷害综合項 目保險,則理賠金為健康項目出險之理賠金與傷害項目 1013185120-0 097麗4产單編號删1 第3丨頁/共47頁 1378393 出險之理賠金至少其一。 ί01 年05月 [0082] [0083] [0084] [0085] [0086] 被保險人為嚴重出險係指身故或全殘之出險情況,而被 保險人為非嚴重出險係、指非身故及非全殘之出險情況。 其次,由金流處理模組41〇交割總得標金以存入當會期得 標之要保人之個人子帳戶(步驟SU9)。投資管理模組 408提供各種投資標的以供要保人之個人子帳戶的總得標 金進灯投資,並經由終端機4(π公佈對應該總得標金所投 資之-投資標的、-投資損益及_資產淨值給要保人, 投資管理模組408將該等資料儲存至資料庫411 (步驟 S121)。然後,由金流處理模組41〇交割已得標之要保人 之還款金額(步驟S123)。其中,投資標的包含共同基金 、有價證券及衍生性金融商品至少_者之金融商品。 在要保人已得料,由㈣作業触侧騎投資型健康 及傷害保險保單是否到期(步驟S125)。當該投資型健康 及傷害保險保單到期時,保險公司藉由保險公司理賠作 業系統404通知理賠作業模組4〇9。 在要保人已得標時’若投資型健康及傷害保險保單到期 ,則由金流處理模組41 〇給付要保人所繳納之一保費的總 額及一結算餘額給要保人,該結算餘額係為要保人之個^ 人子帳戶經投資的總得標金之資產淨值扣除剩餘會期之 一總還款金額的餘額(步驟S127)。由金流處理模組41〇 所結算之結算餘額若為負値’則由要保人所繳納之保費 的總額抵繳結算餘額之負値的部分。 當被保險人在投資型健康及傷害保險保單到期前曾經為 09713904^單编號 A0101 第32頁/共47頁 1013185120-0 1378393 [0087] • 101年.05月16日後正替換頁 非嚴重出險而獲得部分理賠金時,在投資型健康及傷害 保險保單到期時,金流處理模組“。依投資型健康及傷害 保險保單所訂之退費標準退還已繳保費之總額的部分金 額給要保人。 在要保人已得標時,若投資型健康及傷害保險保單未到 期,則由理賠作業模組409判斷被保險人是否出險(步驟 S129) 9若被保險人未出險,則進行步驟si25 ;若被保 險人出險,則由理賠作業模組4〇9判斷被保險人是否為嚴 重出險(步驟S131)。 [0088] 保險公司在接收出險理賠之申請時,進行被保險人之保 險事故的認定’以及判斷是否符合嚴重出險之理賠標準 ,保險公司藉由保險公司理賠作業系統4〇4將理賠申請結 果傳送至投資型健康及傷害保險系統4〇2之理賠作業模組 409 » [0089] • 在要保人已得標時’若被保險人為嚴重出險,則由金流 處理模组410給付投資型健康及傷害保險保單之理賠金及 結算餘額給受益人或要保人,該結算餘額係為要保人之 個人子帳戶經投資的總得標金之資產淨值扣除剩餘會期 之總還款金額的餘額(步驟S133)。由金流處理模組41〇 所結算之結算餘額若為負値,則由理賠金抵繳結算餘額 之負値的部分。 [0090] 若被保險人不為嚴重出險,則由金流處理模組41〇給付投 資型健康及傷害保險保單之契約條款所訂之部分理賠金 給要保人(步驟S135)。 09713904#單編號A0101 第33頁/共47頁 1013185120-0 1378393 [0091] 101年05月16日俊正替^ 當由丈益人或要保人領取理賠金及個人虛擬帳戶之所有 存款金額的現値、或領取所繳納之保費的總額及結算餘 額、或領取理賠金及結算餘額時,終止投資型健康及傷 害保險保單之契約(步驟S137) β [0〇92]下文說明一實施例,同時參考圖一及二,以說明本發明 之投資型健康及傷害保險之方法與系統的實施方式。 [0093] 實施例 李君為了加強自身健康及傷害的保障,於是以其電子 憑證經由終端機401向投資型健康及傷害保險系統4〇2賭 買投資型健康及傷害保險保單(步驟S101),李君在缴交 保費後收到由投資型健康及傷害保險接收作業模組4〇5所 核發之投資型健康及傷害保險保單的電子保單(步驟 S1 03)。其中,該投資型健康及傷害保險保單包含_具有 一競標期限、一競標期數及一總會款之競標交易組八。 [0094] 李君為自己投保一投資型健康及傷害保險,保單條件如 [0095] 投資型健康及傷害保險 保單條件 鲁保險種類:五年期健康項目保險’以及三年期傷害項目保 險 保額·‘健康項目保險保額100萬元’傷害項目保險保額200 萬元 要保人:李〇〇 被保險人:李〇〇 _〇淨單编號A〇m 第34頁/共47頁 1013185120-0 1378393 101年.05月16日梭正替換頁 •繳費期間:期初一次繳清 •應繳保費:健康項目保險保費6, 810元,傷害項目保險保費 1731 元 資金競標機制條件 •競標期間:四年,每月一次,共四十九期 •競標上限:新台幣一萬元整 •底標:隨郵政儲金一年期浮動利率調整(目前為2. 48%) •其他: 1. 要保人在本公司所提供的投資商品中任意選擇操作 2. 若出險事件屬重度損害,則可提前撥付平台交割帳戶之 個人子帳戶經結算的餘額;出險損害之輕重程度,由合格醫療 機構認定之。[0078] In the fifth step of the above-mentioned autonomous (four) lending method, the gold flow processing mode =0 is settled according to the winning amount, and the total winning bidder of the insured person who has obtained the standard during the session has obtained the repayment of the insured person. The amount, in the sixth step of the above-mentioned autonomous interest rate deposit and withdrawal method, is determined by the gold flow processing module 410 according to the average borrowing rate of the person who won the bid during the session and the unsuccessful insured person - the deposit standard The maximum bid amount of the insured person, or the benchmark interest rate, shall be marked as the insured person's deposit-deposit amount (step S1G7). The gold stream processing, and 410 stores the data in the database 411. ^ 'The deposit amount of the unguaranteed person who has not been awarded by the fund-raising team 41 has been part of the total amount of the required amount of the insured person during the session, and will be: the repayment of the insured person The amount is converted into a part of the insured person's knowledge of the standard. Then, 'the cash flow processing rib 41G delivers the deposit amount of the virtual account (step S109). When the insurer fails to obtain the 30th/47 pages 1013185120-0 1378393 | 101, May 16 & ^^1, the claim operation module 409 determines the insured's investment in health and injury insurance. Whether the insurance is in danger before the policy expires (step S111). If the insured is not in danger, proceed to step S105; if the insured is in danger, the claim operating module 409 determines whether the insured is in serious risk (step S113). [0079] If the insured is seriously in danger, the cash flow processing module 41 pays the present value of the deposit amount of the claim and the personal virtual account of the insured person to the benefitor or the insured (step S115). . If the insured is not serious, the sheet metal processing module 410 pays part of the claim amount of the investment health and injury insurance contract clause to the insured (step ?ι?), and then proceeds to step S105. » [〇〇8〇] When an insurance company receives an application for a claim, it will determine the insured's insurance accident and determine whether it meets the claim criteria for serious insurance. The insurance company will use the insurance company's claims operating system 4〇4 The claim application result is transmitted to the investment health and injury insurance system 4〇2 claims operation module 409 » [0081] When the insured person is in danger, the insurance company claims compensation system 4〇4 claims application approval approval The flow processing module 410 is based on the method of the investment in the Health and Injury Insurance Policy, which is as follows: (1) If the investment-type health and injury insurance policy is a health insurance, the claim is a health item. (2) If the investment-type health and injury insurance policy is injury insurance, the claim is the compensation for the injury project; and (3) if the investment is healthy Health and injury insurance policy for health and injury comprehensive project insurance, then claims are for health project insurance claims and damages 1013185120-0 097 Li 4 production order number deletion 1 page 3 / 47 pages 1373393 At least one of them. Ί01年05 [0082] [00886] [0086] The insured is a serious accident that refers to the death or total disability, and the insured is a non-serious risk, refers to non-death and non-death The situation of total disability. Next, the gold stream processing module 41 delivers the total amount of the deposit to deposit the personal sub-account of the insured person who is entitled to the meeting (step SU9). The investment management module 408 provides a variety of investment targets for the total amount of the individual sub-accounts of the insured person to enter the investment, and through the terminal 4 (π announces the investment in the total amount of the investment - investment target, - investment profit and loss and _ assets The net value is given to the insured, and the investment management module 408 stores the data in the database 411 (step S121). Then, the golden stream processing module 41 delivers the repayment amount of the insured person who has obtained the bid (step S123). Among them, the investment target includes financial products of at least _ mutual funds, securities and derivative financial products. In the case of the insurer has been obtained, (4) whether the operation of the investment-type health and injury insurance policy expires (steps) S125). When the investment-type health and injury insurance policy expires, the insurance company informs the claim operation module 4〇9 by the insurance company claims operation system 404. If the insurance person has obtained the standard, if the investment type health and injury When the insurance policy expires, the gold flow processing module 41 pays the total amount of one premium paid by the insured and a settlement balance to the insured person, and the settlement balance is a person's account of the insured person. The net asset value of the total amount of the capital is deducted from the balance of the total repayment amount of one of the remaining sessions (step S127). If the settlement balance settled by the gold flow processing module 41〇 is negative, then the deposit is paid by the insured. The total amount of premiums is offset against the negative balance of the settlement balance. When the insured has expired before the expiration of the investment-type health and injury insurance policy, the number is A99101. Page 32/47 pages 1013185120-0 1378393 [0087 ] • After the replacement of the page on May 16th and May 16th, the partial processing of the claim is not serious. When the investment health and injury insurance policy expires, the gold flow processing module “. According to the investment health and injury insurance policy The refunded standard refunds part of the total amount of the premium paid to the insured. When the insured person has obtained the bid, if the investment-type health and injury insurance policy has not expired, the claim operation module 409 determines that the insurance is insured. If the insured is not in danger, step si25 is performed; if the insured is in danger, the claim operation module 4〇9 determines whether the insured is seriously in danger (step S131). ] Insurance When receiving the application for the insurance claim, the company will determine the insured's insurance accident and determine whether it meets the claim standard for serious insurance. The insurance company will transfer the claim application result to the investment health through the insurance company's claim operation system 4〇4. And the injury insurance system 4〇2 claims operation module 409 » [0089] • When the insured person has obtained the bid, 'If the insured is seriously in danger, the gold flow processing module 410 will pay the investment type health and injury insurance policy. The claim balance and the settlement balance are given to the beneficiary or the insured person, and the settlement balance is the net asset value of the total amount of the invested capital of the personal sub-account of the insured, minus the balance of the total repayment amount of the remaining session (step S133) . If the settlement balance settled by the gold stream processing module 41〇 is negative, the portion of the settlement balance is offset by the claims. [0090] If the insured is not in serious risk, the gold flow processing module 41 pays part of the claim amount of the contractual terms of the investment type health and injury insurance policy to the insured (step S135). 09713904#单号A0101第33页/47 pages 1013185120-0 1378393 [0091] On May 16th, 2011, Junzheng is the best for all deposits of the claimant and personal virtual account.値, or receiving the total amount of the premium paid and the settlement balance, or receiving the claim and settlement balance, the contract of terminating the investment-type health and injury insurance policy (step S137) β [0〇92] An embodiment is described below, Referring to Figures 1 and 2, an embodiment of a method and system for investment-type health and injury insurance of the present invention will be described. [0093] In order to strengthen the protection of self-health and injury, Li Jun then purchases an investment-type health and injury insurance policy from the investment-type health and injury insurance system via the terminal 401 (step S101). After paying the premium, Li Jun receives an electronic policy for the investment-type health and injury insurance policy issued by the investment-type health and injury insurance receiving operation module 4〇5 (step S1 03). The investment-type health and injury insurance policy includes a bidding transaction group 8 having a bidding period, a bidding period, and a general meeting. [0094] Li Jun insured an investment-type health and injury insurance for himself, policy conditions such as [0095] Investment-type health and injury insurance policy conditions Lu insurance type: five-year health project insurance 'and three-year injury project insurance coverage · 'Health project insurance coverage of 1 million yuan' injury project insurance coverage of 2 million yuan to protect people: Li Wei insured: Li Wei _ 〇 net order number A 〇 m page 34 / a total of 47 pages 1013185120 -0 1378393 101 years. May 16th, the shuttle is replacing the page. • Payment period: payable once at the beginning of the period • Premiums payable: health insurance premiums of 6,810 yuan, injury insurance premiums of 1,731 yuan, bidding mechanism conditions • bidding period: Four years, once a month, forty-nine periods • Bidding limit: NT$10,000 per base • Baseline: One-year floating rate adjustment with postal savings (currently 2. 48%) • Others: 1. The insurance company arbitrarily chooses to operate in the investment commodities provided by the company. 2. If the accident is a serious damage, the balance of the individual sub-account of the platform delivery account can be paid in advance; the severity of the damage is determined by the qualified doctor. Agency finds it.

[0096] 在此條件下,若李君在這四年中皆不參與投資型健康及 傷害保險系統402之競標(步驟S105),則李君得依資金 競標機制各會期所公布之底標進行存款,如第一期公布 之底標為650元,則李君除了會期初一次繳清保費8, 541 元(6, 810元+ 1,731元)外,需另存入9, 350元( 1 0, 000元一 650元)的存款金額(如上述自主性利率存借 方法之步驟六)(步驟S107、S109),而這筆第一會期的 存款金額之現值將在李君得標時或是四年之後成為 1 0, 000元,如第二會期公布之底標為660元,則第二會 期李君應存入9,340元( 1 0,000元一 660元)的存款金額 (如上述自主性利率存借方法之步驟六)(步驟S107、 S109),第二會期的存款金額之現值亦在李君得標時或是 09713904,單編號 A0101 第35頁/共47頁 1013185120-0 1378393[0096] Under this condition, if Li Jun does not participate in the bidding for the investment-type health and injury insurance system 402 in the past four years (step S105), then Li Jun will follow the announcement of the fund bidding mechanism during each session. For deposits, if the bottom of the first issue is 650 yuan, then Li Jun will pay a deposit of 8,350 yuan (6,810 yuan + 1,731 yuan) in addition to the initial payment. The deposit amount of 1 000 000 yuan to 650 yuan (such as step 6 of the above-mentioned autonomous interest rate deposit method) (steps S107, S109), and the present value of the deposit amount of the first session will be in Li Junde The mark time will be RMB 1 000 after four years. If the bottom mark announced in the second session is 660 yuan, then the second session of Li Jun should deposit the deposit amount of 9,340 yuan (1 000,000 yuan to 660 yuan) (such as Step 6) of the above-mentioned autonomous interest rate deposit method (steps S107, S109), the present value of the deposit amount of the second session is also at the time of Li Jun's bid or 09713904, single number A0101, page 35 / total 47 pages 1013185120 -0 1378393

1101 年 05月 lG 一年十一個月之後成為10, 000元,以下各會期皆依此類 推,則李君各會期所存入的存款金額的現值將在四年後 達到四十八萬元之總額(亦即上述自主性利率存借方法之 步驟五的總得標金),在投資型健康及傷害保險保單到期 時(步驟S125),由金流處理模組41〇給付李君所存之所 有存款金額的現值(即四十八萬元)與所繳納之保費的總 額而一次領取完畢(步驟S127)。之後,終止投資型健康 及傷害保險保單之契約(步驟Si 37)。 _7] $君在持續繳費即將滿二年之時’決定參與投資型健康 及傷害保險系統402之競標以取得總得標金來進行投資, 藉此提升報酬率。李君於第24會期以標金iooos下標, 貧金競標模組407根據所輸入之投標金額,計算投標之要 保人之-平均存制率與__借款利率,並根據資金競標 模組407之資金餘額與有投標之要保人之借款利率的高低 以決定李君得標(步職05),李君由金流處理模組41〇 交割取得共455,000元 期)之總得標金(如上述自主性利率存借方法之步驟五) (步驟S119) ’投資型健康及傷害保險系統術逕行將此 總得標金導入李君之平台交割帳戶之個人子帳戶以進行 投資操作,而根擄李君由投資管理模組4〇8所選擇的投資 標的進行投資(步驟S121),盈虧由李君自負,而李君在 接下來的25會期之各會期需缴還10,〇〇〇元的還款金額給 金流處理模組410(如上述自主性利率存借方法之步驟五) (步驟S123),以償還資金競標中產生的贷款。 ’年化報 [0098] 假設未來該總得標金所投資的二年中(25期) 09713904#單編號A01〇l 第36頁/共47頁 1013185120-0 1378393 101年.05月16日梭正_頁 酬率為7% ’則資金競標期間期滿時,亦即第四年結束時 ’累積平台交割帳戶之個人子帳戶經投資的總得標金之 資產淨值將達到523,刪元,相較於不競標之純粹存款者 多了 43, 968元(523, 968元一480, 〇〇〇元)。 [_]但由於李君之健康項目保險有效期達五年,因此,雖然 傷害項目保險於第三年結束時到期,而資金競標期間於 第四年結束時期滿,李君之個人子帳戶仍將存續至第五 年結束(即投資型健康及傷害保險保單職時),亦即 • 該帳戶款項之投資持續至第五年才結束。 _]第三年結束時,李君之傷害險到期,第三年半時,李君 因盲腸炎開刀(步驟S129、S131),向保險公司申請健康 項目出險之部分理賠金(步驟S135),至第五年結束(即投 資型健康及傷害保險保單到期)時,健康項目保險到期( 步驟S127),李君領回由金流處理模組41〇所給付之個人 子帳戶的資產淨值557, 394元及部分所繳納之保費的總額 • (步驟S127)。之後,終止投資型健康及傷害保險保單之 契約(步驟S137)。 _]雖然本發明已參照較㈣關及舉靠關敎述如上., 惟其應不被視為佩做者。熟悉本技藝者對其形態及 f施例之内容做各種修改、省略及變化,均不離開:發 明之範圍。 【圖式簡單說明】 _圖-麻發明之投資型健康及傷害保險系統之方塊圖; 以及 ’ 係本發明之投/37型健康及傷㈣时法之流程圖。 第37頁/共47頁 1013185120-0 1378393 101年Ό5月16日按正替奋頁 【主要元件符號說明】 [0103] 要保人終端機 401 投資型健康及傷害保險系統 402 電子憑證核發機構 403 保險公司理賠作業系統 404 投資型健康及傷害保險接收作業模組 40 5 資金競標模組 407 投資管理模組 408 理賠作業模組 409 金流處理模組 410 資料庫 411In May 1101, lG became 10,000 yuan after 11 months of the year. The following periods will be followed by the same amount. The present value of the deposit amount deposited by Li Jun will reach 40 in four years. The total amount of 80,000 yuan (that is, the total winning amount of step 5 of the above-mentioned autonomous interest rate deposit method), when the investment-type health and injury insurance policy expires (step S125), the gold flow processing module 41〇 pays Li The present value of all deposit amounts deposited by Jun (ie, 480,000 yuan) and the total amount of premiums paid are once received (step S127). Thereafter, the contract for the investment-type health and injury insurance policy is terminated (step Si 37). _7] $Jun decided to participate in the investment-type health and injury insurance system 402 when he continued to pay for two years, to obtain the total amount of money to invest, thereby increasing the rate of return. Li Jun subscripted with the standard iooos at the 24th session, and the poor gold bidding module 407 calculates the bidder's guarantee-average rate and __ borrowing rate according to the bid amount entered, and according to the fund bidding model The balance of the funds of Group 407 and the interest rate of the borrower of the bidder to determine the total prize of Li Jun won the bid (step 05), Li Jun from the gold flow processing module 41, delivered a total of 455,000 yuan) (Step 5 of the above-mentioned autonomous interest rate deposit method) (Step S119) 'Investment Health and Injury Insurance System is introduced into the personal sub-account of Li Jun’s platform delivery account for investment operation, and Jun is invested by the investment target selected by the investment management module 4〇8 (step S121), the profit and loss is borne by Li Jun, and Li Jun is required to pay 10 yuan for each of the next 25 sessions. The repayment amount is given to the golden stream processing module 410 (step 5 of the autonomous interest rate deposit method described above) (step S123) to repay the loan generated in the fund bidding. '年化报[0098] Assume that the total investment in the future will be invested in the second year (25 issues) 09713904#单号A01〇l Page 36/47 pages 1013185120-0 1378393 101.05.16 _The remuneration rate is 7%', when the capital bidding period expires, that is, at the end of the fourth year, the net asset value of the total amount of the investment in the individual sub-accounts of the cumulative platform delivery account will reach 523, The number of pure depositors who did not bid was 43,968 yuan (523, 968 yuan - 480, 〇〇〇 yuan). [_]But because Li Junzhi's health insurance is valid for five years, although the injury insurance expires at the end of the third year, and the capital bidding period expires at the end of the fourth year, Li Junzhi's personal sub-account will continue to exist. At the end of the five-year period (ie, the investment-type health and injury insurance policy duties), that is, the investment in the account will not be completed until the fifth year. _] At the end of the third year, Li Junzhi’s injury insurance expired. In the third year and a half, Li Jun opened the knife for cecalitis (steps S129 and S131) and applied to the insurance company for part of the claim for the health project (step S135). At the end of the five-year period (ie, the investment-type health and injury insurance policy expires), the health insurance coverage expires (step S127), and Li Jun receives the net asset value of 557 of the individual sub-accounts paid by the Golden Stream Processing Module 41〇. The total amount of premiums paid at 394 yuan and part of the payment (step S127). Thereafter, the contract of the investment type health and injury insurance policy is terminated (step S137). _] Although the present invention has been referred to the above (4) and the reference to the above, it should not be regarded as a performer. Those skilled in the art will be able to make various modifications, omissions and changes to the form and the contents of the embodiment, and do not leave the scope of the invention. [Simple diagram of the diagram] _ diagram - a block diagram of the investment-type health and injury insurance system of the invention; and a flow chart of the method of the health/injury (4) of the invention. Page 37 of 47 Page 1013185120-0 1378393 101 years old May 16th, according to the positive page [Key component symbol description] [0103] To protect the terminal 401 Investment-type health and injury insurance system 402 Electronic certificate issuing agency 403 Insurance company claims operation system 404 investment type health and injury insurance receiving operation module 40 5 capital bidding module 407 investment management module 408 claims operation module 409 gold flow processing module 410 database 411

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Claims (1)

1378393 1101^.05 H 七、申請專利範圍: 1 . 一種投資型健康及傷害保險之方法,其應用於一投資型徤 康及傷害保險系統,該方法包含下列步驟: 由一要保人以一電子憑證進入該投資型健康及傷害保險 系統,該投資型健康及傷害保險系統之—投資型健康及傷 害保險接收作業模組從一電.子憑證核發機構獲得並審核對 應該電子憑證之該要保人之一基本資料,由該要保人購買 由該投資型健康及傷害保險接收作業模組所提供之一投資 Φ 型健康及傷害保險保單; 由該要保人進入該投資型健康及傷害保險系統並輸入一 投標金額以參與競標,該投資型健康及傷害保險系統之一 Η金競標模組根據所輪入之該投標金額,計算投標之該要 保人之一平均存款利率與一借款利率,並根據該資金競標 模組之一資金餘額與有投標之該要保人之該借款利率的高 低以決定一得標金額與得標人數; 由該抗資型健康及傷害保險系統之一金流處理模組根據 • 該付彳示金額結算一總得標金與一還款金額,並根據得標之 該要保人之該平均借款利率與一存款標金、或未得標之該 要保人之最高投標金額、或基準利率來結算一存款金額; 由該金流處理模組交割已存入未得標之該要保人之一個 人虛擬帳戶之該存款金額; 在該要保人未得標時,由該投資型健康及傷害保險系統之 一理賠作業模組判斷一被保險人在該投資型健康及傷害保 險保單到期前是否出險; 在該要保人未得標時,若該被保險人在該投資型健康及 09713904#單編號 Α0101 第39頁/共47頁 1013185120-0 1378393 1101 年05月 ' 傷害保險保單到期前出險,則由該理賠作業模組判斷該被 保險人是否為嚴重出險; 在該要保人未得標時,若該被保險人為嚴重出險,則由 該金流處理模組給付該投資型健康及傷害保險保單之一理 賠金及該要保人之該個人虛擬帳戶之所有該存款金額的現 値給一受益人或該要保人; 在該要保人未得標時,若該被保險人不為嚴重出險,則 由該金流處理模組給付該投資型健康及傷害保險保單之契 約條款所定之部分該理賠金給該要保人; 由該金流處理模組交割已得標之該要保人之該還款金額 · 由該金流處理模組交割該總得標金以存入當會期得標之 該要保人之一個人子帳戶.; 由該投資型健康及傷害保險系統之一投資管理模組提供 各種投資標的以供該要保人之該個人子帳戶之該總得標金 進行投資,並公佈對應該總得標金所投資之一投資標的、 一投資損益及一資產淨值; 在該要保人已得標時’由該理賠作業模組判斷該投資型 健康及傷害保險保單是否到期; 在該要保人已得標時,若該投資型健康及傷害保險保單 到期’則由該金流處理模組給付該要保人所繳納之—保費 的總額及一結算餘額給該要保人,該結算餘額係為該要保 人之該個人子帳戶經投資之該總得標金之該資產淨值扣除 剩餘會期之一總還款金額; 在該要保人已得標時,若該投資型健康及傷害保險保單 未到期,則由該理賠作業模組判斷該被保險人是否出險; 料號靡1 第40頁/共47頁 1013185120-0 1378393 101年05月16日梭正替換頁 在該要保人已得標時,若該被保險人出險,則由該理賠 作業模組判斷該被保險人是否為嚴重出險; 在該要保人已得標時,若該被保險人為嚴重出險,則由 該金流處理模組給付該投資型健康及傷害保險保單之該理 賠金及該結算餘額給該受益人或該要保人,該結算餘額係 為該要保人之該個人子帳戶經投資之該總得標金之該資產 淨值扣除剩餘會期之一總還款金額;以及 在該要保人已得標時,若該被保險人不為嚴重出險,則 由該金流處理模組給付該投資型健康及傷害保險保單之契 約條款所訂之部分該理賠金給該要保人。 如申請專利範圍第1項之方法,進一步包含下列步驟: 由該金流處理模組收取該要保人所繳納之該保費,並由 該投資型健康及傷害保險接收作業模組核發該投資型健康 及傷害保險保單之一電子保單給該要保人; 在該要保人未得標時,若該被保險人未出險,則進行由 該要保人進入該投資型健康及傷害保險系統並輸入該投標 金額以參與競標之步驟; 在該要保人未得標時,若該被保險人未出險,則進行由 該理賠作業模組判斷該投資型健康及傷害保險保單是否到 期;以及 當由該受益人或該要保人領取該理賠金及該個人虛擬帳 戶之所有該存款金額的現値、或領取所繳納之該保費的總 額及該結算餘額、或領取該理賠金及該結算餘額時,終止 該投資型健康及傷害保險保單之契約。 如申請專利範圍第2項之方法,其中,該電子保單之核保 項目包含一要保書之内容填寫是否完整及真實、該要保人 09Ή3904产單編號 A0101 第41頁/共47頁 1013185120-0 1378393 _ 101年05月16日修正替換頁 之資格、該要保人與該被保險人之關係、該被保險人之資 格、該被保險人是否書面同意該保險契約、該要保人所參 與之該投資型健康及傷害保險保單之一競標交易組合之一 總會款、該被保險人之實際經濟需求與保額之間的比例、 以及該要保人之個人條件、就業狀況、年收入是否能使其 長期持續穩定地繳交保費。 4. 如申請專利範圍第1項之方法,其中,當該要保人在該投 資型健康及傷害保險接收作業模組選擇投保該投資型健康 及傷害保險保單之綜合項目保險時,其健康項目部份的有 _ 效期間可與傷害項目部份的有效期間相同或不同。 5. 如申請專利範圍第3項之方法,其中,當健康項目部份的 有效期間與傷害項目部份的有效期間不同時,以兩者之中 有效期間較長者作為整份保險之一最終有效期間之基準並 以之決定該要保人參與該投資型健康及傷害保險系統之一 競標期間。 6 .如申請專利範圍第1項之方法,其中,由該金流處理模組 所結算之該結算餘額若為負値,則由所繳納之該保費的總 | 額或該理賠金抵繳該結算餘額之負値的部分。 7. 如申請專利範圍第1項之方法,其中,由該投資型健康及 傷害保險系統藉由網路、有線及無線通訊方式與一終端機 者進行通訊,而與該要保人做一即時安全之訊息交換。 8. 如申請專利範圍第1項之方法,其中,該投資標的包含共 同基金、有價證券及衍生性金融商品至少一者之金融商品 〇 9. 如申請專利範圍第1項之方法,其中, 由該資金競標模組計算在開標時間點所有未得標之該要 09713904:?·單编號 A〇101 第42頁/共47頁 1013185120-0 1378393 _—_ • 101年.05月16日梭正替換頁 保人應存款之金額減去該時間點所有得標之該要保人之總 得標金’並將該總得標金儲存至該投資型健康及傷害保險 系統之—資料庫; 由該資金競標模组判斷前一次開標之時間點之該資金餘 額加上本次開標之時間點之該資金餘額是否小於等於零, 並將計算後之資金餘額儲存至該資料庫; 由該資金競標模組根據投標之該要保人之該投標金額與 從該貧料庫所讀取之該投資型健康及傷害保險保單之一競 &父易組合之一總會款來計算該借款利率,並將所有投標 之。亥要保人之該借款利率的高低進行排序,並將該借款利 率館存至該資料庫;以及 *由6亥貧金競標模組根據從該資料庫讀取該資金餘額及投 *之4要保人之該借款利率的高低以決定該得標金額與得 101378393 1101^.05 H VII. Scope of application for patents: 1. A method of investing in health and injury insurance, which is applied to an investment-type health insurance and injury insurance system. The method comprises the following steps: The electronic voucher enters the investment type health and injury insurance system, and the investment type health and injury insurance system-investment type health and injury insurance receiving operation module obtains and reviews the corresponding electronic certificate from an electric and sub-certificate issuing institution. One of the basic information of the insured person, the insured person purchases one of the investment type health and injury insurance receiving operation modules provided by the investment type Φ type health and injury insurance policy; the insured person enters the investment type of health and injury The insurance system inputs a bid amount to participate in the bidding. The sheet bidding module of the investment type health and injury insurance system calculates the average deposit interest rate and one loan of the bidder according to the bid amount that is rounded up. Interest rate, and based on the fund balance of one of the fund bidding modules and the borrowing interest rate of the insured person who has the bid, The amount and the number of successful bidders; the gold flow processing module of one of the anti-investment health and injury insurance systems settles a total amount of the winnings and a repayment amount according to the amount of the payment, and according to the winning bidder The average borrowing rate is equal to the deposit amount of a deposit, or the highest bid amount of the insured person, or the benchmark interest rate, to settle a deposit amount; the delivery of the gold stream processing module has been deposited. The deposit amount of one of the personal virtual accounts of the insured person; when the insured person fails to obtain the bid, the claim operation module of the investment type health and injury insurance system judges an insured person in the investment type of health and injury insurance Whether the insurance policy is expired before the expiration of the policy; if the insured person fails to obtain the standard, if the insured is in the investment type of health and 09713904# single number Α 0101 page 39 / total 47 pages 1013185120-0 1378393 1101 May 'harm If the insurance policy is in danger before the expiration of the insurance policy, the claim operation module determines whether the insured is seriously in danger; if the insured is not successful, if the insured is seriously insured, the gold flow processing module Paying a claim for the investment health and injury insurance policy and all the deposit amount of the personal virtual account of the insured person to a beneficiary or the insured; when the insured person fails to obtain the bid If the insured is not in serious risk, the gold flow processing module shall pay part of the claim to the insured person as determined by the contractual terms of the investment health and injury insurance policy; The amount of the repayment of the insured person who has obtained the bid. The cash flow processing module delivers the total bid to deposit the personal sub-account of the insured person who is the subject of the session. The investment management module of the Health and Injury Insurance System provides various investment targets for the total amount of the target sub-account of the insured person to invest, and announces one of the investment targets, one investment corresponding to the total amount of the invested capital. Profit and loss and a net asset value; when the insured person has obtained the bid, 'the claim type operation module determines whether the investment type health and injury insurance policy expires; if the insured person has obtained the bid, if the investment type is healthy And injury If the insurance policy expires, the gold flow processing module pays the premium to be paid by the insured, the total amount of the premium and a settlement balance to the insured, the settlement balance being the individual sub-account of the insured The net asset value of the total amount of the invested capital is deducted from the total repayment amount of one of the remaining periods; when the insured person has obtained the bid, if the investment-type health and injury insurance policy has not expired, the claim operation The module determines whether the insured is in danger; Item No. 第1 Page 40 of 47 Page 1013185120-0 1378393 On May 16th, 2011, the page is replaced by the insured when the insured has obtained the bid. In case of insurance, the claim operation module determines whether the insured is seriously in danger; when the insured person has obtained the bid, if the insured is seriously in danger, the gold flow processing module pays the investment type health And the claim balance of the injury insurance policy and the settlement balance to the beneficiary or the insured person, the settlement balance is the net asset value of the total amount of the investment of the personal sub-account of the insured One of the total repayment amount; And when the insured person has obtained the bid, if the insured is not seriously insured, the gold flow processing module pays part of the claim amount of the investment health and injury insurance policy to the To protect people. The method of claim 1, further comprising the steps of: receiving, by the gold flow processing module, the premium paid by the insured, and issuing the investment type by the investment type health and injury insurance receiving operation module; An electronic insurance policy for an insurance and injury insurance policy is given to the insured person; if the insured person fails to obtain the standard, if the insured is not in danger, the insured person enters the investment health and injury insurance system and Entering the bid amount to participate in the bidding step; if the insured does not get the bid, if the insured does not take the risk, the claim operation module determines whether the investment type health and injury insurance policy expires; When the beneficiary or the insured person receives the current amount of the deposit and the personal virtual account, the total amount of the deposit, or the total amount of the premium paid and the balance of the settlement, or the settlement of the claim and the settlement At the time of the balance, the contract for the investment-type health and injury insurance policy is terminated. For example, the method of claim 2, wherein the underwriting item of the electronic policy includes whether the content of the required insurance book is complete and true, and the insured person is 09Ή3904, the order number A0101, page 41/47, 1013185120- 0 1378393 _ The qualification of the replacement page on May 16, 2011, the relationship between the insured and the insured, the qualification of the insured, whether the insured agrees in writing to the insurance contract, and the insured The total amount of the bidding transaction portfolio of one of the investment-type health and injury insurance policies involved, the ratio between the actual economic needs of the insured and the insured amount, and the personal conditions, employment status, and years of the insured person Whether income can make it pay premiums in a long-term and stable manner. 4. The method of claim 1, wherein the health insurance item is selected when the insured person selects to insure the comprehensive project insurance of the investment type health and injury insurance policy in the investment health and injury insurance receiving operation module. Some of the effective periods may be the same or different from the effective period of the injury item. 5. For the method of applying for the third paragraph of the patent scope, in which the effective period of the health item part is different from the effective period of the injury item part, the longer of the two is valid as one of the whole insurance The benchmark for the period and the decision to participate in the bidding period of one of the investment health and injury insurance systems. 6. The method of claim 1, wherein if the settlement balance settled by the gold flow processing module is negative, the total amount of the premium paid or the claim payment is offset. The portion of the balance of the settlement balance. 7. The method of claim 1, wherein the investment-type health and injury insurance system communicates with a terminal by means of internet, wired and wireless communication, and does an instant with the insured person Secure message exchange. 8. The method of claim 1, wherein the investment target comprises at least one of a mutual fund, a marketable securities, and a derivative financial product. 9. If the method of claim 1 is used, wherein The fund bidding module calculates all the unsuccessful items at the time of the opening of the bid. 09713904: ?·单号A〇101 Page 42/47 pages 1013185120-0 1378393 ___ • 101 years. May 16th Is to replace the amount of the depositor's deposit should be less than the total amount of the required premium of the insured at that point in time and store the total amount of the deposit into the investment health and injury insurance system; The fund bidding module judges whether the balance of the fund at the time of the previous bid opening plus the balance of the fund at the time of the bid opening is less than or equal to zero, and stores the calculated fund balance in the database; Calculating the borrowing rate according to the bidding amount of the bidder and the total amount of one of the investment-type health and injury insurance policies read from the poor stock, and one of the parental portfolios. All the bidders. The ranking of the borrowing interest rate of the Haibao insurer is sorted, and the borrowing interest rate is stored in the database; and * the fund balance and the investment* are read from the database by the 6 Hai poor gold bidding module. The interest rate of the borrower to be guaranteed to determine the amount of the winning bid and get 10 11 〇97139〇4 产單蝙 at 數,並將该得標金額與得標人數儲存至該資料庫。 如申請專利範圍第1項之方法,其中, 。亥金流處理模組將未得標之該要保人之該存款金… 、成該會期得標之該要保人之該總得標金的一部分; 由該金流處理模組將已得標之該要保人之該還款金額轉 、成該會麟標之該要保人之賊得標金的-部分;以及 該伽及金抓處簡組將該要保人得標時之⑽得標金導入 人子帳戶後’㈣總得標金轉換成作為投資用途之資 兔並由該投資管理模組進行投資管理。 3請專利範圍第β之方法,其中,由一保險公司將該 ^型健康及傷害保險保單之資料傳送至該電子憑證核發 =加密、触衫、存證後,由該電子紐核發機構 如广㈣健康及傷害保險保單傳送至該保險公司,該保 第43頁/共47頁 1013185120-0 1378393 _ 101年05月16日按正替無頁 險公司再將其傳送至該要保人。 12 .如申請專利範圍第1項之方法,其中,在該被保險人出險 時,經理賠申請判定核可後,由該金流處理模組依據該投 資型健康及傷害保險保單内容所載明之給付的方式,包含 若該投資型健康及傷害保險保單為健康項目保險,則該 理賠金為健康項目出險之理賠金; 若該投資型健康及傷害保險保單為傷害項目保險,則該 理賠金為傷害項目出險之理賠金;以及 I 若該投資型健康及傷害保險保單為健康及傷害綜合項目 保險,則該理賠金為健康項目出險之理賠金與傷害項目出 險之理賠金至少其一。 13. 如申請專利範圍第1項之方法,其中,該被保險人之嚴重 出險係指身故或全殘之出險情況,而該被保險人為非嚴重 出險係指非身故及非全殘之出險情況。 14. 如申請專利範圍第1項所述之方法,其中,由該理賠作業 模組接收由該投資型健康及傷害保險系統外部之一保險公 _ 司理賠作業系統所傳送之理賠申請結果,該理賠申請結果 係在該被保險人出險時,由一保險公司接收理賠申請,進 行保險事故認定,以及判斷是否符合理賠標準。 15 .如申請專利範圍第1項所述之方法,其中,該投資型健康 及傷害保險保單包含有一競標交易組合,該競標交易組合 包含一競標期限、一競標期數及一總會款。 16.如申請專利範圍第1項之方法,其中,當該要保人為非嚴 重出險而獲得部分該理賠金時,在該投資型健康及傷害保 險保單到期時,由該金流處理模組依該投資型健康及傷害 09713904^單编號 A〇101 第44頁/共47頁 1013185120-0 1378393 101年05月16日修正替換頁 保險保單所訂之退費標準退還已繳保費之總額的部份金額 給該要保人。11 〇97139〇4 The number of bats is counted, and the winning amount and the number of winners are stored in the database. For example, the method of claim 1 of the patent scope, wherein. The Haijin Stream Processing Module will not be awarded the deposit of the insured person as part of the total amount of the required amount of the insured person; the gold stream processing module will have obtained The amount of the repayment of the insured person shall be converted into the part of the thief of the guarantor who is the guarantor of the pledge, and the gambling squad will receive the guarantor (10) After the standard gold is introduced into the human account, '(4) The total amount of the standard is converted into a rabbit for investment purposes and the investment management module is used for investment management. 3 Please refer to the method of Patent No. β, in which the information of the health and injury insurance policy of an insurance company is transmitted to the electronic certificate issuing certificate=encryption, touch shirt, and deposit certificate, and the electronic core issuing institution such as Guang (4) The health and injury insurance policy is transmitted to the insurance company. The insurance page 43/47 pages 1013185120-0 1378393 _ On May 16, 101, the non-page insurance company is transferred to the insured. 12. The method of claim 1, wherein, when the insured person is in danger, the manager claims compensation approval, and the gold flow processing module is based on the contents of the investment health and injury insurance policy The payment method includes if the investment health and injury insurance policy is a health insurance, the claim is a claim for a health insurance; if the investment health and injury insurance policy is an injury insurance, the claim is Claims for the injury project; and I If the investment health and injury insurance policy is a health and injury comprehensive project insurance, the claim is at least one of the claims for the health insurance premium and the injury project. 13. The method of claim 1, wherein the insured’s serious risk is a death or a total disability, and the insured’s non-serious risk means non-death and non-disabled Risk situation. 14. The method of claim 1, wherein the claims operation module receives a claim application result transmitted by an insurance company of the investment health and injury insurance system, The result of the claim application is that when the insured is in danger, an insurance company receives the claim application, determines the insurance accident, and judges whether the claim is in compliance with the claim standard. 15. The method of claim 1, wherein the investment-type health and injury insurance policy comprises a bidding transaction portfolio comprising a bidding period, a bidding period, and a general meeting. 16. The method of claim 1, wherein when the insured person obtains part of the claim for non-severe risk insurance, when the investment type health and injury insurance policy expires, the gold flow processing module According to the investment type of health and injury 09713904^Single number A〇101 Page 44 / Total 47 pages 1013185120-0 1378393 On May 16, 2011, the reimbursement standard for the replacement page insurance policy is refunded to the total amount of the premiums paid. Part of the amount is given to the insured. 097139G4#單編號 A〇101 第45頁/共47頁 1013185120-0097139G4#单单 A〇101 Page 45 of 47 1013185120-0
TW97139043A 2007-10-31 2008-10-09 Method and system of investment type health and damage insurance TW200921545A (en)

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US12/262,926 US20090112636A1 (en) 2007-10-31 2008-10-31 Investment-Linked Insurance Apparatus and Method

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