1. Application Process and Required Documents
2. Application Form and Claim Coverage

(1) For incidents occurring in the 113-114 academic year (August 1, 2023 – July 31, 2025), insured by Cathay Life Insurance:

        Please attach:

A. Application form 

B. Medical expense receipts (original or copy) 

C. Medical diagnosis certificate (original or copy) 

D. A copy of the front page of the student’s passbook (bank or post office accepted). For fracture-related claims, an X-ray (or CD) must be provided. 

• Coverage details can be found in the Student Group Insurance Summary:

113-114 Academic Year Student Group Insurance Summary

Cathay Life Insurance Application Form (PDF)

Cathay Life Insurance Application Form English Reference Table (PDF)

Student Group Insurance Claim Application and Required Documents Explanation (PDF)

Guidelines for Insurance Enrollment for Suspended Students (PDF)

(2) For incidents occurring in the 111-112 academic year (August 1, 2021 – July 31, 2023), insured by Cathay Life Insurance:

        Please attach:

A. Application form 

B. Medical expense receipts (original or copy) 

C. Medical diagnosis certificate (original or copy) 

D. A copy of the front page of the student’s passbook (bank or post office accepted). For fracture-related claims, an X-ray (or CD) must be provided. 

• Coverage details can be found in the Student Group Insurance Summary:

Student Group Insurance Summary

Cathay Life Insurance Application Form (PDF)

Cathay Life Insurance Application Form Example (PDF)