
國泰人壽團體海外突發疾病醫療及燒燙傷保險金附加條款
附表三、10人以上(含)50人以下之上限 單位:元
(萬)
123456810121416182030405060708090100110120130140150160170180190200
(天) 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費 保費
101
34.47 68.94 103.41 137.88 172.35 206.82 262.62 318.42 376.03 433.65 491.27 548.89 606.51 891.56 1169.95 1443.48 1709.74 1967.81 2225.88 2471.81 2717.75 2987.65 3258.15 3508.63 3759.12 4002.94 4124.24 4245.54 4366.84 4488.14 4730.74
102
34.66 69.31 103.97 138.62 173.28 207.94 264.04 320.14 378.07 436.00 493.93 551.86 609.78 896.38 1176.27 1451.29 1718.98 1978.45 2237.91 2485.18 2732.45 3003.80 3275.76 3527.60 3779.45 4024.58 4146.54 4268.49 4390.45 4512.41 4756.32
103
34.84 69.68 104.53 139.37 174.21 209.05 265.46 321.86 380.10 438.34 496.58 554.82 613.06 901.20 1182.60 1459.09 1728.23 1989.09 2249.94 2498.54 2747.14 3019.95 3293.38 3546.58 3799.77 4046.22 4168.84 4291.45 4414.06 4536.67 4781.90
104
35.02 70.05 105.07 140.10 175.12 210.15 266.84 323.54 382.08 440.63 499.17 557.72 616.27 905.91 1188.78 1466.71 1737.25 1999.47 2261.69 2511.59 2761.48 3035.72 3310.58 3565.09 3819.61 4067.35 4190.60 4313.86 4437.11 4560.36 4806.87
105
35.21 70.42 105.63 140.84 176.05 211.26 268.26 325.26 384.12 442.97 501.83 560.69 619.54 910.73 1195.10 1474.52 1746.50 2010.11 2273.73 2524.95 2776.18 3051.88 3328.19 3584.06 3839.94 4088.99 4212.90 4336.81 4460.72 4584.63 4832.45
106
35.40 70.79 106.19 141.59 176.99 212.38 269.68 326.98 386.15 445.32 504.49 563.66 622.82 915.55 1201.43 1482.32 1755.74 2020.75 2285.76 2538.32 2790.87 3068.03 3345.81 3603.04 3860.26 4110.64 4235.20 4359.77 4484.33 4608.90 4858.02
107
35.58 71.16 106.74 142.32 177.90 213.47 271.07 328.66 388.14 447.61 507.08 566.55 626.02 920.26 1207.60 1489.94 1764.76 2031.14 2297.51 2551.36 2805.22 3083.80 3363.01 3621.55 3880.10 4131.76 4256.97 4382.17 4507.38 4632.58 4882.99
108
35.77 71.53 107.30 143.06 178.83 214.59 272.49 330.38 390.17 449.95 509.74 569.52 629.30 925.08 1213.93 1497.74 1774.01 2041.78 2309.55 2564.73 2819.91 3099.95 3380.62 3640.52 3900.43 4153.41 4279.27 4405.13 4530.99 4656.85 4908.57
109
35.95 71.90 107.86 143.81 179.76 215.71 273.91 332.11 392.20 452.30 512.39 572.49 632.58 929.90 1220.25 1505.55 1783.25 2052.42 2321.58 2578.09 2834.61 3116.11 3398.24 3659.49 3920.75 4175.05 4301.57 4428.08 4554.60 4681.12 4934.15
110
36.13 72.27 108.40 144.54 180.67 216.80 275.29 333.79 394.19 454.59 514.99 575.39 635.78 934.60 1226.43 1513.17 1792.28 2062.80 2333.33 2591.14 2848.95 3131.87 3415.43 3678.01 3940.59 4196.18 4323.34 4450.49 4577.65 4704.81 4959.12
111
36.32 72.64 108.96 145.28 181.60 217.92 276.71 335.51 396.22 456.93 517.64 578.35 639.06 939.42 1232.75 1520.97 1801.52 2073.44 2345.36 2604.50 2863.64 3148.03 3433.05 3696.98 3960.92 4217.82 4345.63 4473.45 4601.26 4729.07 4984.70
112
36.51 73.01 109.52 146.03 182.53 219.04 278.13 337.23 398.25 459.28 520.30 581.32 642.34 944.24 1239.08 1528.78 1810.77 2084.08 2357.40 2617.87 2878.34 3164.18 3450.67 3715.95 3981.24 4239.46 4367.93 4496.40 4624.87 4753.34 5010.28
113
36.69 73.38 110.07 146.75 183.44 220.13 279.52 338.91 400.24 461.56 522.89 584.22 645.54 948.95 1245.25 1536.40 1819.79 2094.47 2369.15 2630.92 2892.68 3179.95 3467.86 3734.47 4001.08 4260.59 4389.70 4518.81 4647.92 4777.03 5035.25
114
36.87 73.75 110.62 147.50 184.37 221.25 280.94 340.63 402.27 463.91 525.55 587.19 648.82 953.77 1251.58 1544.20 1829.03 2105.11 2381.18 2644.28 2907.38 3196.10 3485.48 3753.44 4021.41 4282.24 4412.00 4541.76 4671.53 4801.29 5060.82
115
37.06 74.12 111.18 148.24 185.31 222.37 282.36 342.35 404.30 466.25 528.20 590.15 652.10 958.59 1257.91 1552.00 1838.28 2115.75 2393.22 2657.64 2922.07 3212.26 3503.10 3772.41 4041.73 4303.88 4434.30 4564.72 4695.14 4825.56 5086.40
116
37.24 74.49 111.73 148.97 186.22 223.46 283.75 344.03 406.29 468.54 530.80 593.05 655.30 963.30 1264.08 1559.62 1847.30 2126.13 2404.97 2670.69 2936.42 3228.03 3520.29 3790.93 4061.57 4325.01 4456.07 4587.13 4718.19 4849.25 5111.37
117
37.43 74.86 112.29 149.72 187.15 224.58 285.17 345.76 408.32 470.89 533.45 596.02 658.58 968.12 1270.41 1567.43 1856.55 2136.77 2417.00 2684.06 2951.11 3244.18 3537.91 3809.90 4081.90 4346.65 4478.37 4610.08 4741.80 4873.52 5136.95
118
37.62 75.23 112.85 150.46 188.08 225.70 286.59 347.48 410.35 473.23 536.11 598.99 661.86 972.94 1276.73 1575.23 1865.79 2147.41 2429.04 2697.42 2965.81 3260.33 3555.52 3828.87 4102.22 4368.29 4500.66 4633.04 4765.41 4897.78 5162.53
119
37.80 75.60 113.39 151.19 188.99 226.79 287.97 349.16 412.34 475.52 538.70 601.88 665.06 977.64 1282.91 1582.85 1874.81 2157.80 2440.78 2710.47 2980.15 3276.10 3572.72 3847.39 4122.06 4389.42 4522.43 4655.45 4788.46 4921.47 5187.50
120
37.98 75.97 113.95 151.94 189.92 227.90 289.39 350.88 414.37 477.87 541.36 604.85 668.34 982.46 1289.23 1590.66 1884.06 2168.44 2452.82 2723.83 2994.84 3292.26 3590.34 3866.36 4142.39 4411.06 4544.73 4678.40 4812.07 4945.74 5213.07
121
38.11 76.22 114.33 152.43 190.54 228.65 290.34 352.03 415.73 479.43 543.13 606.83 670.53 985.68 1293.45 1595.86 1890.22 2175.53 2460.84 2732.74 3004.64 3303.03 3602.08 3879.01 4155.94 4425.49 4559.60 4693.70 4827.81 4961.91 5230.13
122
38.24 76.47 114.71 152.95 191.19 229.42 291.32 353.22 417.13 481.05 544.96 608.88 672.79 989.01 1297.82 1601.25 1896.60 2182.88 2469.15 2741.97 3014.79 3314.18 3614.25 3892.11 4169.97 4440.44 4574.99 4709.55 4844.11 4978.67 5247.79
123
38.36 76.72 115.08 153.45 191.81 230.17 292.27 354.36 418.49 482.61 546.73 610.86 674.98 992.22 1302.04 1606.45 1902.77 2189.97 2477.17 2750.88 3024.58 3324.95 3625.99 3904.76 4183.52 4454.86 4589.86 4724.86 4859.85 4994.85 5264.84
124
38.49 76.97 115.46 153.94 192.43 230.91 293.21 355.51 419.84 484.17 548.50 612.83 677.17 995.43 1306.25 1611.65 1908.93 2197.06 2485.20 2759.79 3034.38 3335.72 3637.73 3917.40 4197.07 4469.29 4604.73 4740.16 4875.59 5011.03 5281.89
125
38.61 77.23 115.84 154.46 193.07 231.69 294.19 356.70 421.25 485.79 550.34 614.88 679.43 998.76 1310.62 1617.04 1915.31 2204.41 2493.51 2769.02 3044.53 3346.87 3649.90 3930.50 4211.11 4484.24 4620.12 4756.01 4891.89 5027.78 5299.55
126
38.74 77.48 116.22 154.95 193.69 232.43 295.14 357.85 422.60 487.36 552.11 616.86 681.62 1001.98 1314.84 1622.25 1921.48 2211.50 2501.53 2777.93 3054.32 3357.64 3661.64 3943.15 4224.66 4498.67 4634.99 4771.31 4907.64 5043.96 5316.60
127
38.86 77.73 116.59 155.45 194.31 233.18 296.09 359.00 423.96 488.92 553.88 618.84 683.80 1005.19 1319.05 1627.45 1927.64 2218.60 2509.55 2786.84 3064.12 3368.41 3673.39 3955.80 4238.21 4513.09 4649.85 4786.62 4923.38 5060.14 5333.66
128
38.99 77.98 116.97 155.97 194.96 233.95 297.07 360.18 425.36 490.54 555.71 620.89 686.07 1008.52 1323.42 1632.84 1934.02 2225.94 2517.86 2796.06 3074.26 3379.56 3685.55 3968.89 4252.24 4528.04 4665.25 4802.47 4939.68 5076.89 5351.32
129
39.12 78.23 117.35 156.46 195.58 234.69 298.01 361.33 426.72 492.10 557.48 622.87 688.25 1011.73 1327.64 1638.04 1940.18 2233.04 2525.89 2804.97 3084.06 3390.33 3697.29 3981.54 4265.79 4542.47 4680.12 4817.77 4955.42 5093.07 5368.37
130
39.24 78.48 117.72 156.96 196.20 235.44 298.96 362.48 428.07 493.66 559.26 624.85 690.44 1014.94 1331.86 1643.24 1946.35 2240.13 2533.91 2813.88 3093.86 3401.10 3709.04 3994.19 4279.34 4556.90 4694.98 4833.07 4971.16 5109.25 5385.42
131
39.37 78.74 118.11 157.47 196.84 236.21 299.94 363.67 429.48 495.28 561.09 626.90 692.70 1018.27 1336.22 1648.63 1952.73 2247.47 2542.22 2823.11 3104.00 3412.26 3721.20 4007.29 4293.37 4571.84 4710.38 4848.92 4987.46 5126.00 5403.08
132
39.49 78.99 118.48 157.97 197.46 236.96 300.89 364.82 430.83 496.85 562.86 628.87 694.89 1021.49 1340.44 1653.84 1958.89 2254.57 2550.24 2832.02 3113.80 3423.02 3732.94 4019.93 4306.92 4586.27 4725.25 4864.22 5003.20 5142.18 5420.14
133
39.62 79.23 118.85 158.47 198.09 237.70 301.83 365.96 432.19 498.41 564.63 630.85 697.08 1024.70 1344.66 1659.04 1965.06 2261.66 2558.27 2840.93 3123.59 3433.79 3744.69 4032.58 4320.47 4600.70 4740.11 4879.53 5018.94 5158.36 5437.19
134
39.75 79.49 119.24 158.98 198.73 238.47 302.81 367.15 433.59 500.03 566.47 632.90 699.34 1028.03 1349.03 1664.43 1971.44 2269.01 2566.58 2850.16 31
33.74 3444.95 3756.85 4045.68 4334.51 4615.64 4755.51 4895.38 5035.25 5175.11 5454.85
135
39.87 79.74 119.61 159.48 199.35 239.22 303.76 368.30 434.95 501.59 568.24 634.88 701.53 1031.24 1353.24 1669.63 1977.60 2276.10 2574.60 2859.07 3143.54 3455.72 3768.60 4058.33 4348.06 4630.07 4770.38 4910.68 5050.99 5191.29 5471.90
136
39.99 79.99 119.98 159.98 199.97 239.97 304.71 369.45 436.30 503.15 570.01 636.86 703.71 1034.46 1357.46 1674.83 1983.76 2283.19 2582.62 2867.98 3153.33 3466.48 3780.34 4070.97 4361.61 4644.50 4785.24 4925.98 5066.73 5207.47 5488.95
137
40.12 80.25 120.37 160.49 200.61 240.74 305.69 370.64 437.71 504.77 571.84 638.91 705.98 1037.78 1361.83 1680.22 1990.15 2290.54 2590.93 2877.21 3163.48 3477.64 3792.50 4084.07 4375.64 4659.44 4800.64 4941.83 5083.03 5224.22 5506.61
138
40.25 80.49 120.74 160.99 201.24 241.48 306.63 371.79 439.06 506.34 573.61 640.89 708.16 1041.00 1366.05 1685.43 1996.31 2297.63 2598.96 2886.12 3173.28 3488.41 3804.25 4096.72 4389.19 4673.87 4815.50 4957.14 5098.77 5240.40 5523.67
139
40.37 80.74 121.11 161.49 201.86 242.23 307.58 372.93 440.42 507.90 575.38 642.87 710.35 1044.21 1370.26 1690.63 2002.47 2304.73 2606.98 2895.03 3183.07 3499.18 3815.99 4109.37 4402.74 4688.30 4830.37 4972.44 5114.51 5256.58 5540.72
140
40.50 81.00 121.50 162.00 202.50 243.00 308.56 374.12 441.82 509.52 577.22 644.91 712.61 1047.54 1374.63 1696.02 2008.86 2312.07 2615.29 2904.25 3193.22 3510.33 3828.16 4122.46 4416.77 4703.24 4845.77 4988.29 5130.81 5273.33 5558.38
141
40.62 81.25 121.87 162.50 203.12 243.75 309.51 375.27 443.18 511.08 578.99 646.89 714.80 1050.75 1378.85 1701.22 2015.02 2319.17 2623.31 2913.16 3203.01 3521.10 3839.90 4135.11 4430.32 4717.67 4860.63 5003.59 5146.55 5289.51 5575.43
142
40.75 81.50 122.25 162.99 203.74 244.49 310.45 376.42 444.53 512.64 580.76 648.87 716.99 1053.97 1383.06 1706.42 2021.18 2326.26 2631.34 2922.07 3212.81 3531.87 3851.64 4147.76 4443.87 4732.10 4875.50 5018.90 5162.29 5305.69 5592.48
143
40.88 81.75 122.63 163.51 204.39 245.26 311.43 377.61 445.93 514.26 582.59 650.92 719.25 1057.30 1387.43 1711.81 2027.56 2333.60 2639.65 2931.30 3222.96 3543.02 3863.81 4160.86 4457.91 4747.05 4890.90 5034.75 5178.60 5322.45 5610.14
144
41.00 82.00 123.00 164.01 205.01 246.01 312.38 378.75 447.29 515.83 584.36 652.90 721.44 1060.51 1391.65 1717.02 2033.73 2340.70 2647.67 2940.21 3232.75 3553.79 3875.55 4173.50 4471.46 4761.47 4905.76 5050.05 5194.34 5338.62 5627.20
145
41.13 82.25 123.38 164.50 205.63 246.75 313.33 379.90 448.65 517.39 586.13 654.88 723.62 1063.72 1395.87 1722.22 2039.89 2347.79 2655.69 2949.12 3242.55 3564.56 3887.30 4186.15 4485.01 4775.90 4920.63 5065.35 5210.08 5354.80 5644.25
146
41.25 82.51 123.76 165.02 206.27 247.53 314.31 381.09 450.05 519.01 587.97 656.93 725.89 1067.05 1400.23 1727.61 2046.27 2355.14 2664.00 2958.35 3252.69 3575.71 3899.46 4199.25 4499.04 4790.85 4936.02 5081.20 5226.38 5371.56 5661.91
147
41.38 82.76 124.14 165.52 206.89 248.27 315.26 382.24 451.40 520.57 589.74 658.91 728.07 1070.27 1404.45 1732.81 2052.44 2362.23 2672.02 2967.26 3262.49 3586.48 3911.20 4211.90 4512.59 4805.28 4950.89 5096.50 5242.12 5387.73 5678.96
148
41.50 83.01 124.51 166.01 207.52 249.02 316.20 383.39 452.76 522.13 591.51 660.88 730.26 1073.48 1408.67 1738.01 2058.60 2369.32 2680.05 2976.17 3272.29 3597.25 3922.95 4224.54 4526.14 4819.70 4965.76 5111.81 5257.86 5403.91 5696.01
149
41.63 83.26 124.90 166.53 208.16 249.79 317.18 384.57 454.16 523.75 593.34 662.93 732.52 1076.81 1413.04 1743.40 2064.98 2376.67 2688.36 2985.40 3282.43 3608.41 3935.11 4237.64 4540.17 4834.65 4981.15 5127.66 5274.16 5420.67 5713.68
150
41.76 83.51 125.27 167.02 208.78 250.54 318.13 385.72 455.52 525.32 595.11 664.91 734.71 1080.02 1417.25 1748.61 2071.14 2383.76 2696.38 2994.31 3292.23 3619.17 3946.85 4250.29 4553.72 4849.08 4996.02 5142.96 5289.90 5436.84 5730.73