Regulations Governing Pre-sale Procedures for Insurance Products Article 20

For an insurance product that has already passed review, if there is subsequently an amendment to its policy provisions, proposal, or pricing actuarial memorandum, or if its premium rates are restructured, such change shall be subject to the use-and-file procedures set out in these Regulations unless the competent authority determines the change is significant or it is for increasing the renewal premium rate of a guaranteed renewable personal health insurance product, in which case the provisions of Article 15, paragraph 1, subparagraph 1 shall govern. The preceding paragraph does not apply if it is otherwise provided by the competent authority.The preceding paragraph applies to an insurance product that had already passed review before these Regulations went into effect.For increasing the renewal premium rates of guaranteed renewable personal health insurance products, the insurance enterprise shall take actions in accordance with Subparagraph 1, Paragraph 1 of Article 9 herein, and in addition, three months before the time at which premium will be charged based on the new rate, deliver a notice to the applicant about the product that its renewal is guaranteed but its premium rate is not guaranteed and the content of rate adjustment, and assign staff or a dedicated person to explain to the applicant by phone. However explanation by phone is not required when the insurance enterprise or its sales channel partner sells a new contract or has explained to the applicant after underwriting the policy that the product’s renewal is guaranteed but its premium rate is not guaranteed with proof of such action saved.The content of rate adjustment mentioned in the preceding paragraph includes the new premium rate, reasons for rate adjustment, the time at which premium will be charged based on the new rate, and how it will be handled if the applicant has objection to the rate adjustment.When an insurance enterprise increases the renewal premium rate of a guaranteed renewable personal health insurance product, its audit unit shall check and confirm whether the rate adjustment related provisions under the preceding four paragraphs are rigorously implemented and its chief auditor shall issue a statement to the effect before the premium rate is adjusted.
中文原文 保險商品銷售前程序作業準則第20條
保險商品經審查通過者,如有修改保險單條款、要保書、計算說明或費率釐訂時,除其性質經主管機關認定屬重大變更或保證續保之個人健康保險商品調高續保費率者,應依第十五條第一項第一款規定辦理外,適用本準則之備查程序。
但主管機關另有規定者,不在此限。
保險商品於本準則施行前經審查通過者,仍適用前項規定。
保險業就保證續保之個人健康保險商品,如有調高續保費率時,應依第九條第一項第一款規定辦理,並於新費率計收保險費時點之三個月前,將該商品保證續保不保證費率及費率調整內容之通知送達要保人並派員或專人電話說明,但保險業或合作銷售通路於新契約銷售時或承保後已對要保人說明商品保證續保不保證費率並留存證明者,免派員或專人電話說明。
前項費率調整內容包括新費率、費率調整理由、以新費率計收保險費之時點、要保人對費率調整有異議之處理方式等事項。
保險業稽核單位就保證續保之個人健康保險商品調高續保費率者,應查核確認前四項費率調整相關規定是否落實執行,並由總稽核出具聲明書後,始得調整費率。

English translation for reference only; the Chinese text prevails. Not legal advice.