{"id":"court_ctb_2032_30","court":"CTB","case_no":"22-50073","doc_number":2032,"sub_number":30,"doc_type":"EXHIBIT","filed_date":null,"title":"Exhibit 30 ![](_page_1_Picture_1.jpeg)","summary_zh":null,"summary_en":null,"body_en":"# **Exhibit 30**\n\n![](_page_1_Picture_1.jpeg)\n\n# **Policy Notice**\n\n# **(See Your Revised Declarations Page)**\n\nYour Declarations Page shows at a glance the coverage you have and your premium. Your Declarations Page is part of your policy. Please read your policy carefully, including your Declarations Page and any attached Endorsements, for a description of your coverage.\n\n**Policy Number: Policy Period:**\n\n**Name of Insured and Mailing Address:** Golden Spring (New York) Ltd. 162 E 64th St New York, NY 10065\n\nAt 12:01 A.M. standard time at your mailing address shown 04/01/2022 - 04/01/2023\n\n**Your Broker/Agent Is:**\n\nWolfson Insurance Brokerage, Inc. 358 Fifth Avenue, 8th Floor New York, NY 10001\n\nPhone: (212) 683-2622 Broker number: 0051997\n\n### **Name of Issuing Company:**\n\nAIG Property Casualty Company\n\n# **Your Policy Has Been Changed**\n\n**Effective Date:** 04/01/2022\n\n**Description of Change:** Delete 2017 Lexus LX 570 #9861\n\n**Revised Annual Premium: Premium Charge for Endorsement:** \\$19,391.00\n\n**From: To:** -\\$3,628.00 04/01/2022 04/01/2023\n\n**This summary of coverage provides you with complete policy information, including the above change, and represents your coverage currently in effect.**\n\n![](_page_2_Picture_1.jpeg)\n\n| AUTO AUTO | YEAR |                        | MODEL | vin                   | TYPE | GARAGE<br>ZIP | AGREED<br>VALUE |\n|-----------|------|------------------------|-------|-----------------------|------|---------------|-----------------|\n|           |      | 2018   MERCEDES  S650x |       | WDDUX8AB4JA400527 REG |      | 10022         | \\$144.878       |\n| 2         | 2020 | MERCEDES Airstream     |       | WDAFF4CD5KT014771 MOT |      | 10065         | \\$133.867       |\n| ന         |      | 2021                   |       | 4JGFF8HB0MA399467 REG |      | 10022         | \\$142.158       |\n\n| DRIVER | NAME                 | AGE | AUTHORIZED |\n|--------|----------------------|-----|------------|\n|        | Cao Defeng           | 33  | Covered    |\n| 2      | Gerald Scott Barnett | 50  | Covered    |\n\n![](_page_3_Picture_1.jpeg)\n\n![](_page_3_Picture_2.jpeg)\n\n# COVERAGE LIMITS, PREMIUMS AND DEDUCTIBLES\n\n|                                                   | COVERAGE LIMITS, PREMIUMS AND DEDUCTIBLES        |                               |  |                                              |                                              |                                              |  |\n|---------------------------------------------------|--------------------------------------------------|-------------------------------|--|----------------------------------------------|----------------------------------------------|----------------------------------------------|--|\n|                                                   |                                                  |                               |  | Premium For…                                 |                                              |                                              |  |\n|                                                   | What we will pay                                 |                               |  | AUTO 1:                                      | AUTO 2:                                      | AUTO 3:                                      |  |\n| Type of Coverage                                  |                                                  |                               |  | 2018<br>MERCEDES<br>S650x                    | 2019<br>MERCEDES<br>Airstream                | 2021<br>MERCEDES<br>GLS                      |  |\n| SECTION II – LIABILITY COVERAGES                  |                                                  |                               |  |                                              |                                              |                                              |  |\n| Combined Single Limits                            | \\$1,000,000.00 Per Occurrence                    |                               |  | \\$911.00                                     | \\$609.00                                     | \\$1,336.00                                   |  |\n|                                                   | SECTION III – COVERAGE FOR YOUR MEDICAL EXPENSES |                               |  |                                              |                                              |                                              |  |\n| Medical Payments                                  | \\$50,000.00 Per Person                           |                               |  | \\$8.00                                       | \\$4.00                                       | \\$9.00                                       |  |\n|                                                   | SECTION IV – UNINSURED MOTORISTS or SUM COVERAGE |                               |  |                                              |                                              |                                              |  |\n| Supplementary<br>UM/UIM*- Single                  | \\$1,000,000.00 Per Occurrence                    |                               |  | \\$289.00<br>\\$145.00<br>\\$289.00             |                                              |                                              |  |\n|                                                   | SECTION V – COVERAGE FOR DAMAGE TO YOUR AUTO     |                               |  |                                              |                                              |                                              |  |\n| Collision                                         | Up to the Agreed Value                           |                               |  | \\$3,880.00                                   | \\$3,067.00                                   | \\$4,362.00                                   |  |\n| Other than Collision                              | Up to the Agreed Value                           |                               |  | \\$1,184.00                                   | \\$770.00                                     | \\$1,251.00                                   |  |\n|                                                   | SECTION VI – PERSONAL INJURY PROTECTION          |                               |  |                                              |                                              |                                              |  |\n| Basic Personal Injury                             | \\$50,000.00 Per Person                           |                               |  | \\$226.00                                     | \\$144.00                                     | \\$243.00                                     |  |\n| Protection<br>Optional Basic Economic<br>Loss     | \\$25,000.00 Per Person                           |                               |  | \\$7.00                                       | \\$7.00                                       | \\$7.00                                       |  |\n| Additional Personal Injury<br>Protection          | \\$100,000.00 Per Person                          |                               |  | \\$21.00                                      | \\$21.00                                      | \\$21.00                                      |  |\n| Aggregate PIP Benefits                            | \\$175,000.00 Per Person                          |                               |  | \\$254.00                                     | \\$172.00                                     | \\$271.00                                     |  |\n| Work Loss                                         | \\$4,000.00 Per Month, Max of 3 Years             |                               |  |                                              |                                              |                                              |  |\n| Other Necessary Expenses                          | \\$50.00 Per Day, Max of 1 Year                   |                               |  |                                              |                                              |                                              |  |\n| Death Benefit                                     | \\$2,000.00 Per Person                            |                               |  |                                              |                                              |                                              |  |\n| Additional Death Benefit<br>\\$3,000.00 Per Person |                                                  |                               |  | \\$2.00                                       |                                              | \\$2.00                                       |  |\n| ENDORSEMENTS                                      |                                                  |                               |  |                                              |                                              |                                              |  |\n| Accidental Death Benefit                          | \\$15,000.00 Per Policy                           |                               |  | \\$12.00                                      | Included                                     | Included                                     |  |\n| Cash Settlement                                   | Vehicle(s):<br>1<br>3                            |                               |  | \\$253.00                                     |                                              | \\$281.00                                     |  |\n| Motor Vehicle Law<br>Enforcement Fee              |                                                  |                               |  | \\$10.00                                      | \\$10.00                                      | \\$10.00                                      |  |\n|                                                   |                                                  | Total Annual Premium Per Auto |  | \\$6,803.00                                   | \\$4,777.00                                   | \\$7,811.00                                   |  |\n|                                                   |                                                  |                               |  |                                              | Total Annual Premium for All Autos:          | \\$19,391.00                                  |  |\n| Deductibles                                       |                                                  |                               |  |                                              |                                              |                                              |  |\n|                                                   | SECTION V – COVERAGE FOR DAMAGE TO YOUR AUTO     | Collision                     |  | \\$1,000.00<br>(\\$0 for Coll<br>Glass Claims) | \\$1,000.00<br>(\\$0 for Coll<br>Glass Claims) | \\$1,000.00<br>(\\$0 for Coll<br>Glass Claims) |  |\n|                                                   |                                                  | Other than<br>Collision       |  | \\$1,000.00<br>(\\$0 for Comp<br>Glass Claims) | \\$1,000.00<br>(\\$0 for Comp<br>Glass Claims) | \\$1,000.00<br>(\\$0 for Comp<br>Glass Claims) |  |\n\n\\*The maximum amount payable under SUM coverage shall be the policy's SUM limits, reduced and thus offset by motor vehicle bodily injury liability insurance policy or bond payments received from, or on behalf of, any negligent party involved in the accident, as specified in the SUM endorsement.\n\n![](_page_4_Picture_2.jpeg)\n\n# ADDITIONAL COVERAGES PROVIDED\n\n## For Regular and Miscellaneous Vehicles\n\n| COVERAGE                                                   | DESCRIPTION                           |\n|------------------------------------------------------------|---------------------------------------|\n| New Vehicle Replacement                                    | Within the first three (3) years      |\n| Transportation Expenses                                    | Up to \\$15,000                        |\n| Trip Interruption and Emergency Living Expenses            | Up to \\$5,000                         |\n| Roadside Assistance                                        | Up to \\$100 per day                   |\n| Personal Property                                          | Up to \\$5,000                         |\n| Pet Injury                                                 | Up to \\$2,500                         |\n| Vehicle and Home Alteration                                | Up to \\$10,000                        |\n| Vehicle Identity Theft and Fraudulent Title                |                                       |\n| Accidental Airbag Deployment                               |                                       |\n| Lock and Key Replacement                                   |                                       |\n| Towing                                                     | Within a 200-mile radius              |\n| Custom Equipment                                           | Up to \\$1,500 (Regular Vehicles Only) |\n| Original Equipment Manufacturer (OEM)<br>Replacement Parts |                                       |\n\n# FORMS AND ENDORSEMENTS\n\n| DESCRIPTION                                                                  | TITLE                    |\n|------------------------------------------------------------------------------|--------------------------|\n| Private Client Group Automobile Policy                                       | PCA-PAP (01/19)          |\n| Amendment of Policy Provisions - New York                                    | PCA-AMDPP-NY (01/19)     |\n| Mandatory Personal Injury Protection Coverage Endorsement - New York         | PCA-MPIP-NY (01/19)      |\n| Auto Accidental Death Benefit Endorsement                                    | PCA-ACCD (01/19)         |\n| Full Coverage Window Glass Endorsement                                       | PCA-FULLGL (01/19)       |\n| Optional Basic Economic Loss Coverage Endorsement - New York                 | PCA-OBEL-NY (12/19)      |\n| Single Liability Limit Endorsement - New York                                | PCA-SLL-NY (01/19)       |\n| Rental Vehicle Coverage Endorsement - New York                               | PCA-RVC-NY (01/19)       |\n| Additional Personal Injury Protection Coverage Endorsement - New York        | PCA-APIP-NY (01/19)      |\n| Uninsured Motorists Endorsement - New York                                   | PCA-UM-NY (01/19)        |\n| Cash Settlement Option Endorsement                                           | PCA-CSO (01/19)          |\n| Federal Employees Using Autos In Government Business Endorsement             | PCA-FEDEMP (01/19)       |\n| Supplementary Uninsured/Underinsured Motorists Endorsement - New York        | PCA-SUPUMUIM-NY (01/19)  |\n| Single Supplementary Uninsured/Underinsured Motorists Endorsement - New York | PCA-SSUPUMUIM-NY (01/19) |\n| Miscellaneous Type Vehicle Endorsement                                       | PCA-MISCVEH (01/19)      |\n\n# OTHER INFORMATION USED TO RATE YOUR POLICY\n\n| Your         | Class Code | Annual Miles | Territory | Symbols |      |     |           |\n|--------------|------------|--------------|-----------|---------|------|-----|-----------|\n| Covered Auto |            |              |           | COMP    | COLL | LIB | MED / PIP |\n| Auto 1       | P33C1000N  | 3512         | 018       | 98      | 98   | N/A | N/A       |\n| Auto 2       | 943700     | 9500         | 018       |         |      | N/A | N/A       |\n| Auto 3       | P50F1000N  | 9500         | 018       | 98      | 98   | N/A | N/A       |\n\n**Tier Designation:** 4\n\n![](_page_5_Picture_1.jpeg)\n\nListed Below are the Premium Discounts and Surcharges that are Applied to Your Policy Premium – New York\n\nPolicy Number:\n\nPolicy Term: 04/01/2022 - 04/01/2023\n\n### **DISCOUNTS:**\n\nThe Premium Discounts listed below are included in your total policy premium:\n\n| DISCOUNT DESCRIPTION  | APPLIES TO        |                | POLICY SAVINGS |\n|-----------------------|-------------------|----------------|----------------|\n| Daytime Lights        | Vehicle(s): 1,3   |                | \\$345.00       |\n| Antilock Brake        | Vehicle(s): 1,3   |                | \\$345.00       |\n| Automatic Braking     | Vehicle(s): 1     |                | \\$105.00       |\n| Blind Spot Monitoring | Vehicle(s): 1     |                | \\$105.00       |\n| Passive Restraint     | Vehicle(s): 1,3   |                | \\$144.00       |\n| Anti-theft Device     | Vehicle(s): 1,2,3 |                | \\$283.00       |\n|                       |                   | Total Savings: | \\$1,327.00     |\n\n### **SURCHARGES:**\n\nA Surcharge amount of \\$ 1,497.00 due to accidents/violation and/or inexperienced operator(s) is included in your total policy premium.\n\nAccident Date (s): 01/13/2021\n\nViolation Date (s): NONE\n\nYour premium reflects a surcharge and is higher because, during the experience period, you had occurrences as outlined above under our rating plan. The Rating Information Disclosure Notice attached describes the rating plan that includes a list of events for which we may surcharge you and the circumstances under which surcharges may be removed. Please contact the Agent or Broker listed on the first page of your Declarations if you have any questions.\n\n![](_page_6_Picture_1.jpeg)\n\n## **Notice of Information Practices**\n\nState law requires us to notify you of our information gathering practices and your rights relating to those practices.\n\nWhile we rely heavily on the information applicants and insureds supply to us, we may also collect personal information from other sources.\n\nFor instance, as part of our normal underwriting procedure, we will review motor vehicle records obtained from the Department of Motor Vehicles on all operators in your household and, we will review the claims history that you have had with any prior insurance company or companies, which we will obtain from a nationally recognized consumer investigative firm.\n\nWe will not disclose any personal information which we have collected or received in connection with any insurance transaction unless you (or any other affected person) approves that disclosure except as permitted by law in the following circumstances:\n\n- 1. to persons or organizations, where necessary, to allow performance of a business, professional or insurance function for us; or, to allow the person or organization to assist us in determining your eligibility for insurance or in detecting insurance fraud;\n- 2. to other insurers, agents or insurance support organizations, where necessary, to complete an insurance transaction or to help detect fraud or other illegal activities;\n- 3. to a medical care institution or medical professional to verify insurance coverage or benefits or to alert an individual to a medical problem, or to conduct a service audit;\n- 4. to an insurance regulatory authority;\n- 5. to a law enforcement or other governmental authority, where necessary, to protect insurer interests or to assist in the investigation of fraud or other criminal activities;\n- 6. to facilitate actuarial or research studies;\n- 7. to permit marketing of selected products or services to insureds, although you have the right to tell us that you do not wish to have personal information released for marketing purposes;\n- 8. to any of our affiliated companies whose use of personal information will be for auditing or marketing purposes;\n- 9. (where relevant) to a group policyholder for the purpose of reporting claims experience or conducting an audit of insurance transactions.\n\nYou can obtain access to any personal information we have about you if you properly identify yourself and submit a written request to us describing the information you want to review. Once we have received your request, and if the information is reasonably locatable and retrievable, we will, within 30 business days, take the following actions:\n\n- 1. inform you of the nature and substance of the recorded information;\n- 2. allow you to see and copy, in person, such recorded personal information; or\n- 3. send you a copy of the recorded personal information by mail. (We may charge you a reasonable fee to cover the cost of this service.)\n\nWe will also tell you at this time the identity, if recorded, of persons to whom we have disclosed the personal information within the preceding two years.\n\nIf you ask us to correct, amend or delete any information about you, we will within 30 days, either correct, amend or delete the personal information in dispute or notify you of our refusal to take such action along with the reasons for our decision.\n\n![](_page_7_Picture_1.jpeg)\n\nIf we make the correction, amendment or deletion you've requested, we will also notify you along with any person you designate who has received the information about you within the preceding two years, any insurance support organization(s) which provided us with the disputed information.\n\nIf we refuse to make the requested correction, amendment or deletion, you are permitted to file a concise statement setting forth what you think is the correct, relevant or fair information along with a statement of the reasons why you disagree with our refusal to correct, amend or delete the information subject to dispute. We will file your statement with the disputed personal information and make any person who reviews your file aware of your statement. We will also furnish your statement to any person who has received personal information from us with the two preceding years and any insurance support organization whose primary source of personal information is an insurer.\n\nYou should know that personal information obtained from a report prepared by any insurance support organization may be retained and disclosed to other persons in the future.\n\nPlease submit your request for additional information to:\n\nAIG Property Casualty Company Private Client Group 175 Water St, 18th Floor New York, NY 10038","body_zh":"证物 30\n保单通知\n（参见您修订后的申报页）\n\n您的申报页让您对所获得的承保范围和保费一目了然。您的申报页是您保单的一部分。请仔细阅读您的保单，包括您的申报页及任何附带的批单，以了解您的承保范围说明。\n\n保单号码： 保险期间：\n\n被保险人姓名及邮寄地址：Golden Spring (New York) Ltd.（金泉（纽约）有限公司） 162 E 64th St New York, NY 10065\n\n自所示邮寄地址标准时间凌晨 12:01 起 04/01/2022 - 04/01/2023\n\n您的经纪人/代理人是：\n\nWolfson Insurance Brokerage, Inc.（沃尔夫森保险经纪公司） 358 Fifth Avenue, 8th Floor New York, NY 10001\n\n电话：(212) 683-2622 经纪人编号：0051997\n出单公司名称：\n\nAIG Property Casualty Company（美亚财产险公司）\n您的保单已发生变更\n\n生效日期：04/01/2022\n\n变更说明：删除 2017 款 Lexus（雷克萨斯）LX 570 #9861\n\n修订后年保费： 批单保费费用：$19,391.00\n\n自： 至： -$3,628.00 04/01/2022 04/01/2023\n\n本承保范围摘要向您提供完整的保单信息（包括上述变更），并代表您当前有效的承保范围。\n\n车辆 车辆 年份 车型 车辆识别代号（VIN） 类别 停车地点邮编 约定价值\n\n1 2018 MERCEDES（梅赛德斯） S650x WDDUX8AB4JA400527 常规 10022 $144.878\n2 2020 MERCEDES Airstream（清风房车） WDAFF4CD5KT014771 房车 10065 $133.867\n3 2021 MERCEDES GLS 4JGFF8HB0MA399467 常规 10022 $142.158\n\n驾驶人 姓名 年龄 授权状态\n\n1 Cao Defeng（曹德丰） 33 已承保\n2 Gerald Scott Barnett（杰拉尔德·斯科特·巴尼特） 50 已承保\n承保限额、保费与免赔额\n\n承保限额、保费与免赔额\n\n保费适用对象…\n我们的赔付金额 车辆 1： 车辆 2： 车辆 3：\n承保类型 2018 款梅赛德斯 S650x 2019 款梅赛德斯 Airstream 2021 款梅赛德斯 GLS\n第二部分 – 责任保险\n综合单一限额 每次事故 $1,000,000.00 $911.00 $609.00 $1,336.00\n第三部分 – 您的医疗费用承保\n医疗费用赔付 每人 $50,000.00 $8.00 $4.00 $9.00\n第四部分 – 无保险机动车驾驶人或补充无保险机动车驾驶人（SUM）承保\n补充无保险/保险不足机动车驾驶人（UM/UIM）* - 单一 每次事故 $1,000,000.00 $289.00 $145.00 $289.00\n第五部分 – 您的车辆损失承保\n碰撞险 最高至约定价值 $3,880.00 $3,067.00 $4,362.00\n非碰撞险 最高至约定价值 $1,184.00 $770.00 $1,251.00\n第六部分 – 人身伤害保护（PIP）\n基本人身伤害保护 每人 $50,000.00 $226.00 $144.00 $243.00\n可选基本经济损失 每人 $25,000.00 $7.00 $7.00 $7.00\n附加人身伤害保护 每人 $100,000.00 $21.00 $21.00 $21.00\n累计人身伤害保护赔偿金 每人 $175,000.00 $254.00 $172.00 $271.00\n误工损失 每月 $4,000.00，最多 3 年\n其他必要费用 每天 $50.00，最多 1 年\n身故赔偿金 每人 $2,000.00\n额外身故赔偿金 每人 $3,000.00 $2.00 $2.00\n批单\n意外身故赔偿金 每份保单 $15,000.00 $12.00 已包含 已包含\n现金结算 适用车辆：3 $253.00 $281.00\n机动车执法费 $10.00 $10.00 $10.00\n每辆车年保费总额 $6,803.00 $4,777.00 $7,811.00\n所有车辆年保费总额：$19,391.00\n免赔额\n第五部分 – 您的车辆损失承保 碰撞险 $1,000.00（碰撞玻璃索赔为 $0） $1,000.00（碰撞玻璃索赔为 $0） $1,000.00（碰撞玻璃索赔为 $0）\n非碰撞险 $1,000.00（综合玻璃索赔为 $0） $1,000.00（综合玻璃索赔为 $0） $1,000.00（综合玻璃索赔为 $0）\n\n*根据补充无保险机动车驾驶人（SUM）批单的具体规定，SUM 承保项下可支付的最高金额应为保单的 SUM 限额，扣除（从而抵消）从涉及事故的任何过错方处收到的或代表该过错方支付的机动车人身伤害责任保单或保证书款项。\n提供的附加承保范围\n适用于常规及杂项车辆\n\n承保项目 说明\n\n新车置换 前三（3）年内\n交通费用 最高至 $15,000\n行程中断及紧急生活费用 最高至 $5,000\n道路救援 每天最高至 $100\n个人财产 最高至 $5,000\n宠物受伤 最高至 $2,500\n车辆及住所改装 最高至 $10,000\n车辆身份盗用及产权欺诈\n安全气囊意外弹出\n车锁与钥匙更换\n拖车 200 英里半径范围内\n定制设备 最高至 $1,500（仅限常规车辆）\n原厂设备制造商（OEM）更换配件\n格式表格与批单\n\n说明 标题\n\n私人客户群汽车保单 PCA-PAP (01/19)\n保单条款修订 - 纽约州 PCA-AMDPP-NY (01/19)\n强制性人身伤害保护承保批单 - 纽约州 PCA-MPIP-NY (01/19)\n汽车意外身故赔偿金批单 PCA-ACCD (01/19)\n车窗玻璃全额承保批单 PCA-FULLGL (01/19)\n可选基本经济损失承保批单 - 纽约州 PCA-OBEL-NY (12/19)\n单一责任限额批单 - 纽约州 PCA-SLL-NY (01/19)\n租用车辆承保批单 - 纽约州 PCA-RVC-NY (01/19)\n附加人身伤害保护承保批单 - 纽约州 PCA-APIP-NY (01/19)\n无保险机动车驾驶人批单 - 纽约州 PCA-UM-NY (01/19)\n现金结算选项批单 PCA-CSO (01/19)\n政府业务中使用汽车的联邦雇员批单 PCA-FEDEMP (01/19)\n补充无保险/保险不足机动车驾驶人批单 - 纽约州 PCA-SUPUMUIM-NY (01/19)\n单一补充无保险/保险不足机动车驾驶人批单 - 纽约州 PCA-SSUPUMUIM-NY (01/19)\n杂项类型车辆批单 PCA-MISCVEH (01/19)\n用于评定您保单费率的其他信息\n\n您的被承保车辆 类别代码 年行驶里程 区域代码 代号（COMP COLL LIB MED/PIP）\n车辆 1 P33C1000N 3512 018 98 98 不适用 不适用\n车辆 2 943700 9500 018 不适用 不适用\n车辆 3 P50F1000N 9500 018 98 98 不适用 不适用\n\n层级指定：4\n\n以下列出适用于您保单保费的保费折扣和附加费 – 纽约州\n\n保单号码：\n\n保单期限：04/01/2022 - 04/01/2023\n折扣：\n\n以下列出的保费折扣已包含在您的总保单保费中：\n\n折扣说明 适用于 保单节省金额\n\n日间行车灯 车辆：1, 3 $345.00\n防抱死制动 车辆：1, 3 $345.00\n自动制动 车辆：1 $105.00\n盲点监测 车辆：1 $105.00\n被动约束装置 车辆：1, 3 $144.00\n防盗装置 车辆：1, 2, 3 $283.00\n总节省金额：$1,327.00\n附加费：\n\n因事故/违章及/或无经验操作人员而产生的 $1,497.00 附加费金额已包含在您的总保单保费中。\n\n事故日期：01/13/2021\n\n违章日期：无\n\n您的保费反映了一笔附加费且金额更高，因为在经验期间内，您发生了我们费率计划中如上所述的情况。附带的《费率信息披露通知》说明了该费率计划，其中包括我们可能向您收取附加费的事件清单以及可以免除附加费的情形。如有任何疑问，请联系您申报页第一页列出的代理人或经纪人。\n信息处理实践通知\n\n州法律要求我们通知您我们的信息收集实践以及您与这些实践相关的权利。\n\n虽然我们严重依赖申请人和被保险人向我们提供的信息，但我们也可能从其他来源收集个人信息。\n\n例如，作为我们正常核保程序的一部分，我们将审查从机动车辆管理局（Department of Motor Vehicles）获得的您家庭中所有操作人员的机动车记录，并且我们将审查您与任何既往保险公司所发生过的理赔历史记录，该记录我们将从一家全国公认的消费者调查机构处获取。\n\n我们不会披露我们在任何保险交易中收集或接收到的任何个人信息，除非您（或任何其他受影响的人员）同意该披露，但在以下法律允许的情形下除外：\n\n- 1. 在必要时向个人或机构披露，以使其能够为我们履行商业、专业或保险职能；或使该个人或机构能够协助我们确定您的保险资格或侦测保险欺诈行为；\n- 2. 在必要时向其他保险人、代理人或保险支持机构披露，以完成保险交易或协助侦测欺诈或其他违法活动；\n- 3. 向医疗机构或医疗专业人员披露，以核实保险承保范围或给付金，或提醒个人注意医疗问题，或进行服务审计；\n- 4. 向保险监管机构披露；\n- 5. 在必要时向执法机关或其他政府机关披露，以保护保险人利益或协助调查欺诈或其他犯罪活动；\n- 6. 为精算或研究调查提供便利；\n- 7. 为允许向被保险人推销选定的产品或服务，但您有权告知我们您不希望将个人信息用于营销目的；\n- 8. 向我们的任何关联公司披露，其使用个人信息将用于审计或营销目的；\n- 9. （在相关情况下）向团体保单持有人披露，以便报告理赔经验或对保险交易进行审计。\n\n如果您适当地证明自己的身份并向我们提交书面请求，说明您希望查阅的信息，您可以获取我们所掌握的有关您的任何个人信息。一旦我们收到您的请求，并且在信息可以合理定位和检索的情况下，我们将在 30 个工作日内采取以下行动：\n\n- 1. 告知您所记录信息的性质和实质内容；\n- 2. 允许您亲自查看并复制此类记录的个人信息；或\n- 3. 通过邮寄方式向您发送所记录个人信息的副本。（我们可能会收取合理费用以支付此项服务的成本。）\n\n我们届时还将告知您我们在过去两年内向其披露过个人信息的人员身份（如有记录）。\n\n如果您要求我们更正、修改或删除有关您的任何信息，我们将在 30 天内更正、修改或删除有争议的个人信息，或将我们拒绝采取该行动的决定连同我们决定的理由一并通知您。\n\n如果我们做出了您所要求的更正、修改或删除，我们还将通知您以及您指定的在过去两年内接收过有关您信息的人员，以及向我们提供该争议信息的任何保险支持机构。\n\n如果我们拒绝做出所要求的更正、修改或删除，您获准提交一份简要声明，阐明您认为正确、相关或公平的信息，并说明您不同意我们拒绝更正、修改或删除争议信息的决定的理由。我们将把您的声明与有争议的个人信息一同归档，并让任何审查您档案的人员知晓您的声明。我们还将把您的声明提供给在过去两年内从我们这里接收过个人信息的任何人，以及主要个人信息来源为保险人的任何保险支持机构。\n\n您应当知悉，从任何保险支持机构编制的报告中获取的个人信息，将来可能会被保留并披露给其他人。\n\n请将您索取附加信息的请求提交至：\n\nAIG Property Casualty Company（美亚财产险公司） Private Client Group（私人客户群） 175 Water St, 18th Floor New York, NY 10038","key_entities":["Je"],"ecf_references":[],"word_count":2235,"status":"published","published_at":null,"created_at":null,"updated_at":"2026-08-23 13:41:13"}