<p> <table style="width: 366pt; border-collapse: collapse" border="0" cellspacing="0" cellpadding="0" width="487" x:str=""> <colgroup><col style="width: 65pt; mso-width-source: userset; mso-width-alt: 2784" width="87" /><col style="width: 80pt; mso-width-source: userset; mso-width-alt: 3392" width="106" /><col style="width: 77pt; mso-width-source: userset; mso-width-alt: 3264" width="102" /><col style="width: 90pt; mso-width-source: userset; mso-width-alt: 3840" width="120" /><col style="width: 54pt" width="72" /></colgroup> <tbody> <tr style="height: 25.5pt" height="34"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 366pt; height: 25.5pt; border-top: windowtext 1pt solid; border-right: black 1pt solid" class="xl72" height="34" width="487" colspan="5"><strong><font size="6" face="宋体">家庭保单年检表</font></strong></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 65pt; height: 13.5pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl68" height="18" width="87"><font size="3" face="宋体">姓名</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 80pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl67" width="106"><font size="3" face="宋体">性别</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 167pt; border-top: windowtext 0.5pt solid; border-right: black 0.5pt solid" class="xl78" width="222" colspan="2"><font size="3" face="宋体">出生年月日</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 54pt; border-top: windowtext; border-right: windowtext 1pt solid" class="xl69" width="72"><font size="3" face="宋体">婚姻状况</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 65pt; height: 13.5pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl70" height="18" width="87"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 80pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="106"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 167pt; border-top: windowtext 0.5pt solid; border-right: black 0.5pt solid" class="xl78" width="222" colspan="2"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 54pt; border-top: windowtext; border-right: windowtext 1pt solid" class="xl71" width="72"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 65pt; height: 13.5pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl68" height="18" width="87"><font size="3" face="宋体">是否有社保</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 80pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="106"><font size="3" face="宋体">　保单号</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 90pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl67" width="120"><font size="3" face="宋体">保单生效日期</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 54pt; border-top: windowtext; border-right: windowtext 1pt solid" class="xl69" width="72"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 65pt; height: 13.5pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl70" height="18" width="87"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 80pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="106"><font size="3" face="宋体">　保单号</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 90pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl67" width="120"><font size="3" face="宋体">保单生效日期</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 54pt; border-top: windowtext; border-right: windowtext 1pt solid" class="xl69" width="72"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 18.75pt" height="25"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 366pt; height: 18.75pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl75" height="25" width="487" colspan="5"><strong><font size="5" face="宋体">购买商业保险的情况：</font></strong></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 145pt; height: 13.5pt; border-top: windowtext 0.5pt solid; border-right: windowtext 0.5pt solid" class="xl68" height="18" width="193" colspan="2"><font size="3" face="宋体">险种情况</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl67" width="102"><font size="3" face="宋体">保险公司</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 144pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl67" width="192" colspan="2"><font size="3" face="宋体">风险保额/领取时间</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: black 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 65pt; height: 27pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl80" height="36" rowspan="2" width="87"><font size="3" face="宋体">1、普通医疗</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 80pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="106"><font size="3" face="宋体">A、报销型</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 144pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl67" width="192" colspan="2"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 80pt; height: 13.5pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" height="18" width="106"><font size="3" face="宋体">B、补贴型</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 144pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl67" width="192" colspan="2"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 145pt; height: 13.5pt; border-top: windowtext 0.5pt solid; border-right: windowtext 0.5pt solid" class="xl70" height="18" width="193" colspan="2"><font size="3" face="宋体">2、意外伤害医疗保险</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 144pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl67" width="192" colspan="2"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 145pt; height: 13.5pt; border-top: windowtext 0.5pt solid; border-right: windowtext 0.5pt solid" class="xl70" height="18" width="193" colspan="2"><font size="3" face="宋体">5、意外伤害保障</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 144pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl67" width="192" colspan="2"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 145pt; height: 13.5pt; border-top: windowtext 0.5pt solid; border-right: windowtext 0.5pt solid" class="xl70" height="18" width="193" colspan="2"><font size="3" face="宋体">4、重大疾病保障</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 144pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl67" width="192" colspan="2"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 145pt; height: 13.5pt; border-top: windowtext 0.5pt solid; border-right: windowtext 0.5pt solid" class="xl70" height="18" width="193" colspan="2"><font size="3" face="宋体">5、非意外风险保障</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 144pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl67" width="192" colspan="2"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 145pt; height: 13.5pt; border-top: windowtext 0.5pt solid; border-right: windowtext 0.5pt solid" class="xl70" height="18" width="193" colspan="2"><font size="3" face="宋体">6、子女教育</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 144pt; border-top: windowtext 0.5pt solid; border-right: black 1pt solid" class="xl67" width="192" colspan="2"><font size="3" face="宋体">　</font></td> </tr> <tr style="height: 13.5pt" height="18"> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext 1pt solid; background-color: transparent; width: 145pt; height: 13.5pt; border-top: windowtext 0.5pt solid; border-right: windowtext 0.5pt solid" class="xl70" height="18" width="193" colspan="2"><font size="3" face="宋体">7、养老保险</font></td> <td style="border-bottom: windowtext 0.5pt solid; border-left: windowtext; background-color: transparent; width: 77pt; border-top: windowtext; border-right: windowtext 0.5pt solid" class="xl66" width="102"><font size="3" face="宋体">　</font></td> <td style="border-bottom: windowtext 0.5pt solid; 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