The Insurers will indemnify Cardholders for the following Insured Events resulting from Covered Trips, subject to the Benefit Amounts declared in the Table of Benefits.
A. PERSONAL ACCIDENT BENEFITS (COMMON CARRIER)
- Accidental Death
- Permanent Partial Disability due to Accident
- Permanent Total Disability due to Accident (Including Loss of Sight or Hearing)
If Injury to You occurs while on a Common Carrier and results in one of the losses shown in the Table of Losses below, We will pay the indicated percentage of the Benefit Amount. Injury must occur while You are riding as a passenger in or on, boarding or alighting from, a Common Carrier. The loss must occur within 365 days of the date of the Accident which caused Injury.
If more than one loss results from any one accident, only one amount, the largest, will be paid.
What is Covered
Personal Accident Benefits (Common Carrier)
Adult: International Trips: $500,000
Domestic Trips: $50,000
Children: $5,000
Accidental Death 100% of the Benefit Amount
Permanent Partial Disability due to Accident % of the Benefit Amount as per scale
Permanent Total Disability due to Accident 100% of the Benefit Amount
Table of Losses
% of Benefit Amount
Accidental Death ...................................................................... 100%
Both Hands or Both Feet ...................... ................................... 100%
Sight of Both Eyes .................................................................... 100%
One Hand and One Foot .......................................................... 100%
Either Hand or Foot and Sight of One Eye ............................... 100%
Speech and Hearing in Both Ears.............................................. 100%
Either Hand or Foot............................... .....................................50%
Sight of One Eye..........................................................................50%
Speech......................................... .............................................. 50%
Hearing in Both Ears................................................................... 50%
Thumb and Index Finger of Same Hand..................................... 25%
If the Injury occurred while travelling internationally on a Common Carrier, the Benefit Amount is up to a maximum of $500,000. Where the cardholder under local law is permitted to have more than one Spouse, it is hereby noted that should more than one Spouse suffer Injury the maximum payable will be $500,000. If the aggregate amount of all benefits payable under this Policy in respect of Spouses exceeds that amount the benefit payable for each Spouse shall be proportionately reduced until the total of all benefits does not exceed $500,000.
If the Injury occurred while travelling domestically outside the City of Residence on a Common Carrier, the Benefit Amount is up to a maximum of $50,000. Where the cardholder under local law is permitted to have more than one Spouse, it is hereby accepted that should more than one Spouse suffer Injury the maximum payable will be $50,000. If the aggregate amount of all benefits payable under this Policy in respect of Spouses exceeds that amount the benefit payable for each Spouse shall be proportionately reduced until the total of all benefits does not exceed $50,000.
"Loss" with regard to:
- Hand or foot means actual severance through or above the wrist or ankle joints;
- Eye means entire and irrecoverable loss of sight;
- Thumb and index finger means actual severance through or above the joint
that meets the hand at the palm; and
- Speech or hearing means entire and irrecoverable loss of speech or hearing of both ears.
Exposure
For the purposes of the Accidental Death and Dismemberment benefits above, a loss resulting for a Cardholder from being unavoidably exposed to elements due to an Accident occurring while riding as a passenger in or on, boarding or alighting from, a Common Carrier, will be considered as an Injury and indemnity shall be payable as if resulting from an Injury. Loss must occur within 365 days of the date of the Accident.
What is not covered
- Medical or surgical treatment except as may be necessary solely as a result of Injury.
- Death or Injury received due to direct participation in any act of Terrorism.Emergency Medical Expenses.
What is Covered
We will pay up to the amount shown in the Table of Benefits in respect of the usual Reasonable and Customary Charges for Covered Medical Expenses, sustained by You provided such Covered Medical Expenses did not relate to or occur due to any Pre-existing Condition. All expenses must be incurred within 52 weeks of the date of the covered Injury or Sickness. Covered Medical Expenses include the following;
- charges for services of a Physician including diagnosis, treatment and surgery by a Physician;
- charges made by a hospital for room and board, floor nursing and other services, including charges for professional services, except personal services of a non-medical nature, provided, however, that expenses do not exceed the hospital’s average charge for a semi-private room and board accommodation;
- charges for anaesthetics (including administration), x-ray examinations or treatments, and laboratory tests, medical, the use of radium and radioactive iso-types, oxygen, blood transfusions, iron lungs and medical treatment;
- charges for ambulance service;
- charges for dressings, drugs, medicines, and therapeutic services and supplies that can only be obtained upon a written prescription of a Physician or surgeon; and
- charges for emergency dental treatment for the alleviation of sudden pain only resulting from injuries sustained to natural teeth subject to a maximum of $100 per tooth.
The charges enumerated above shall in no event include any amount which is in Deductible of Reasonable and Customary charges.
Reasonable and Customary means the charge for the services and supplies for which the charge is made if it is not in Deductible of the average charge for such services and supplies in the locality where received, considering the nature and severity of the Sickness or Injury in connection with which such services and supplies are received.
If the charge incurred is in Deductible of such average charge, such Deductible amount shall not be recognized as Covered Expenses. All charges shall be deemed to be incurred on the date such services or supplies which give rise to the expense or charge are rendered or obtained.
What is not covered
- Services, supplies, or treatment, including any period of hospital confinement, which were not recommended, approved, and certified as Medically Necessary by a Physician;
- Routine physicals or other examinations where there are no objective indications or impairment in normal health, and laboratory diagnostic or X-ray examinations except in the course of a disability established by the prior call or attendance of a Physician;
- Elective, cosmetic, or plastic surgery, except as a result of an accident;
- Dental care, except as a result of Injury to sound natural teeth caused by Accident while this Policy is in effect;
- Congenital anomalies and conditions arising out of or resulting there from;
- Expenses incurred in connection with weak, strained, or flat feet, corns, calluses, or toenails; acne, deviated septum, including sub mucous resection and/or other surgical correction thereof;
- Organ transplants that competent medical professionals consider experimental
- Child care costs following your admittance to Hospital
- Expenses which are not exclusively medical in nature.
- Private hospital or medical care within the Country of Residence where public funded services or care is available.
- Any expenses incurred in City of Residence.
- Eyeglasses, contact lenses, hearing aids, and examination for the prescription or fitting thereof, unless Injury or Sickness has caused impairment of vision or hearing;
- Treatment provided in a government hospital or services for which no charge is normally made;
- Mental, nervous, or emotional disorders or rest cures; and/or
- Pregnancy and all related conditions, including services and supplies related to the diagnosis or treatment of infertility or other problems related to inability to conceive a child; birth control, including surgical procedures and devices.
- Any incurred Medical expenses incurred as a direct result of terrorist activity unless such incurred costs are as a result of being innocently caught up in such action.
- Benefits will not be provided for any loss or expense incurred after or upon return to Your City of Residence.
- Deductible of $100 on Domestic Trips Nil on International Trips
HOSPITAL BENEFIT
What is Covered
We will pay a per day benefit, up to the maximum stated in the Table of Benefits, if it becomes Medically Necessary for You to be admitted as an Inpatient in a Hospital due to Injury or Sickness that occurs outside Your City of Residence and commences while this Policy is in effect. The confinement must be recommended by a Physician.What is not covered
- Any admittance as a result of a Pre-existing Condition;
- Any Hospitalization in Your City of Residence;
- Any Hospitalization in Your City of Residence;
- Any Hospitalization as a result of Pregnancy and resulting childbirth, miscarriage or disease of the female organs of reproduction;
- Routine physical exams;
- Cosmetic or plastic surgery, except as a result of Injury; and/or
- Any mental or nervous disorder or rest cures.
EMERGENCY REPATRIATION EXPENSES
What is Covered
We will pay up to the amount in the Table of Benefits in respect of usual Reasonable and Customary Charges for covered expenses if incurred outside Your City of Residence should Injury or Sickness result in Your necessary Emergency Evacuation.
Any Emergency Evacuation must be ordered or recommended by the Assistance Department or a Physician who certifies that the severity or the nature of Your Injury or Sickness warrants Your Evacuation
Covered expenses are those for Transportation and medical treatment, including medical services and medical supplies necessarily incurred in connection with Your Emergency Evacuation. All Transportation arrangements made for evacuating You must be by the most direct and economical route possible. Expenses for Transportation must be:
- recommended by the attending Physician;
- required by the standard regulations of the conveyance transporting You; and
- arranged and authorized in advance in accordance with the procedures set out on pages 2 and 3.
RETURN OF MORTAL REMAINS / BURIAL EXPENSES
What is Covered
We will pay benefits up to the maximum amounts as stated in the Table of Benefits for covered expenses reasonably incurred to return Your body to Your City of Residence if You die outside of Your City of Residence.
Covered expenses include, but are not limited to, expenses for: (a) embalming; (b) cremation; (c) coffins; and (d) Transportation.
C. TRAVEL INCONVENIENCE BENEFITS
TRIP CANCELLATION
We will pay for loss of non-recoverable travel deposits and/or accommodation deposits up to the maximum amount as stated in the Table of Benefits if, prior to the contracted date of departure, Your Trip is cancelled and You are Prevented from taking the Trip due to Sickness, Injury or Death to an Insured Person or an Immediate Family Member.
What is Covered
We will reimburse You for the unused, non-recoverable cancellation portion of the Hotel cost and/or the Common Carrier ticket cancellation charges up to the maximum amount stated in the Table of Benefits, provided that You booked and paid for these costs before such Sickness, Injury or Death occurred. In case of Your Death, We will indemnify Your estate.
Special Notification of Claim
You / Your Cardholder must notify us as soon as reasonably possible in the event of a Trip Cancellation. We will not be liable for any additional penalty charges incurred that would not have been imposed had You notified us as soon as reasonably possible.
What is not Covered
- Claims arising from depression or anxiety, mental or nervous disorder, alcohol or drug abuse addiction or overdose;
- Claims arising from elective cosmetic or plastic surgery, except as a result of an accident;
- Claims arising from pregnancy and all related conditions.
- Claims arising from any Pre-existing Condition.
TRIP CURTAILMENT
What is Covered
We will pay for loss of deposits up to the maximum amount stated in the Table of Benefits if prior to the contracted date of return Your trip is cancelled and You are unable to continue to the Trip due to Sickness, Injury or Death to an Insured Person or an Immediate Family Member.
INTERRUPTION
What is Covered
We will reimburse You for the unused, non-refundable, cost of travel arrangements pre- paid to the Hotel and/or the Common Carrier ticket, less the value of applied credit from unused return travel ticket, to return home or re-join the Land/Sea Arrangements. This benefit is limited to the cost of one-way economy airfare by scheduled carrier and is subject to the Benefit Amount stated in the Table of Benefits
EMERGENCY CHILD REPATRIATION
What is Covered
In the event, You are travelling alone with a minor up to 15 years old and You are unable to continue the Trip due to a Sickness, Injury or Death resulting in the minor being left unattended, We will pay the cost of a round trip economy airfare ticket in a scheduled carrier from Your Country of Residence for an adult designated by You / Your family to accompany the minor back to Your Country of Residence.
These expenses must be authorized in advance by the Assistance Provider.
Special Notification of Claim
You must notify us as soon as reasonably possible in the event of a trip interruption claim. We will not be liable for any additional penalty charges incurred that would not have been imposed had You notified us as soon as reasonably possible.
What is not covered
- Claims arising from depression or anxiety, mental or nervous disorder, alcohol or drug abuse addiction or overdose;
- Claims arising from elective cosmetic or plastic surgery, except as a result of an accident;
- Claims arising from pregnancy and all related conditions; and / or
- Any known event that would increase the likelihood of curtailing the Trip
- Claims arising from any Pre-existing Condition.
PERSONAL PROPERTY
What is Covered
We will reimburse the Insured Person, subject to any Deductible, up to the Benefit Amount as stated in the Table of Benefits for the replacement cost of the baggage /or Personal Property due to theft, loss or damage:
- By a Common Carrier while You were a ticketed passenger on the Common Carrier during the trip.
- During Your Covered Trip and subject to the baggage or Personal Property being owned by and accompanying You during the Covered Trip.
- Single article limit $150
- Valuables up to $150 in total
Specific Conditions
- The Benefit Amount payable in respect of any one single article shall not exceed the Benefit Amount shown on the Table of Benefits;
- We may make payment or, at Our own discretion, We may elect, reinstate, or repair articles not older than one year;
- We may at our own discretion elect to reinstate or repair more than one year old articles or make paymnent subject to due allowance of wear and tear and depreciation;
- Loss or damage must occur:
- while the baggage or Personal Property is/are in a hotel or a Common Carrier and proof of such loss must be obtained in writing from the hotel management or the Common Carrier management and such proof must be provided to Us; or
- as a result of theft of the baggage or Personal Property provided that such Loss is reported to the police having jurisdiction at the place of the Loss no more than twenty-four (24) hours from the time of the incident. Any claim must be accompanied by written report/documentation from such police;
- The Insured Person must take every possible step to ensure that the baggage or Personal property is not left unattended.
- Benefits for baggage and Personal Property will be subject to a Deductible equal to the amount of all other valid and collectible insurance. If, at the time of any Loss, there is another valid and collectible insurance in place, We will only be liable for the amount which has not been covered by such insurance. We will pay for the difference between the Benefit Amount and Loss amount subject to a Deductible for the amount payable under any other valid and collectible insurance in place.
- Benefits for baggage and Personal Property will be subject to a Deductible equal to the amount paid or payable by a Common Carrier or other third party responsible for the Loss.
- In case of Loss to a pair or set, the Insurer may elect to:
- Repair or replace any part, to restore the pair or set to its value before the Loss; or
- Reimburse the difference between the cash value of the property before and after the Loss.
What is not covered
We will not be liable to reimburse any Benefit Amount for:
- The following classes of property: animals, birds, fish, motor vehicles (including accessories), snow skis, household furniture, antiques, contact or corneal lenses, artificial teeth or limbs, hearing aids, music instruments, perishables, consumables, money, securities, tickets or documents;
- Any motorised vehicle or equipment such as, boats, motors, trailers, motorcycles, or other conveyances or their accessories (except bicycles while checked as baggage with a Common Carrier);
- Loss or damage caused by wear and tear, gradual deterioration, moths, vermin;
- Damage sustained due to any process to repair, clean or alter any property;
- Loss of or damage to hired or leased equipment;
- Loss of or damage to property resulting directly or indirectly from insurrection, rebellion, revolution, civil war, usurped power, or action taken by government authorities in hindering, combating or defending against such an occurrence, seizure or destruction under quarantine or customs regulation, confiscation by order of any government of public authority or risk of contraband or illegal transportation or trade, radioactive contamination;
- Loss or damage to laptop computers recoverable under another insurance or from another source;
- Loss of Insured Person baggage left unattained in any vehicle or public place or as a result of the Insured Person failure to take due care and precautions for the safeguard and security of such property;
- Loss of the Insured Person’s baggage, souvenirs or articles sent in advance or
mailed or shipped separately;
- Loss of business goods or samples;
- Loss of data recorded on tapes, cards, discs or otherwise;
- Inherent vice or damage;
- Transporting contraband or illegal trade;
- Mysterious disappearance that cannot be reasonably explained or validated;
- Insects or vermin;
- Loss or Damage due to the consequences of terrorism.
- The deductible as shown in the Table of Benefits
TRIP DELAY
We will reimburse You for the Reasonable Additional Expenses, per 1hr of delay, after an initial deferred Deductible time of 4 hours, up to the maximum amount in the Table of Benefits;
What is Covered
- delay of a Common Carrier caused by Inclement Weather or
- delay due to a Strike or other job action by employees of a Common Carrier scheduled to be used by You during Your Trip; or
- delay caused by Equipment Failure of a Common Carrier.
- delay due to loss or theft of travel tickets, passports, and visas.
What is not Covered
- Any delay due under points 1,2,3, and 4 above which had been made public or known to You prior to the purchase of the ticket.
- Common Carrier caused delays where the cost of expenses is recoverable from the carrier.
- Loss not reported to the police within 24 (twenty four) hours after the discovery of such Loss.
BAGGAGE DELAY
What is Covered
We will reimburse You after a minimum of 4 hours delay for the expense of the emergency replacement of clothing, medication, and toiletries, up to the maximum stated in the Table of Benefits, if Your Checked Baggage is delayed or misdirected by a Common Carrier.
Special Conditions applicable to Baggage Delay
You must be a ticketed passenger on a Common Carrier. Additionally, all claims must be verified by the Common Carrier who must certify the delay or misdirection.
If upon further investigation it is later determined that Your Checked Baggage with the Common Carrier has been lost, any amount claimed and paid to You under this baggage delay Policy section will be deducted from any payment due You under the Personal Property Policy section.
What is not covered
- No reimbursement will be made, if purchases were made after the baggage was returned.
- No reimbursement will be made for any expense incurred due to delay, confiscation, or detention by customs or other authority.
- No reimbursement will be made for any delays that occurred when You arrive at Your City of Residence.
HIJACK
What is Covered
We will pay You a distress allowance for every 24 hour period during Your travel with a Common Carrier which has been hijacked, where as a direct consequence, Your Covered Trip has been disrupted up to the maximum amount stated in the Table of Benefits.
EMERGENCY FAMILY REPATRIATION
What is Covered
If You are hospitalized for more than 5 days following a covered hospitalization during the Covered Trip, We will reimburse You up to the amount stated in the Table of Benefits for:
- The cost of round-trip economy airfare to bring a person chosen by You to be at Your bedside if You are alone during Your Trip.
- The reimbursement of the Hotel room charge due to convalescence after Your Hospital discharge, which has been approved by the Assistance Service up to a daily amount and total maximum amount stated in the Table of Benefits.
These expenses must be authorized in advance by the Assistance Service. Benefits will not be provided for any expenses provided by another party at no cost to You or if expenses are already included in the cost of the Trip