SIRIUS INTERNATIONAL INSURANCE COMPANY
GROUP TRAVEL INSURANCE CERTIFICATE
International Elite Single Trip Air, Cruise &
Tour Program
We promise and agree to provide You with the benefits described in the Policy, as outlined in this Certificate. We make this promise and agreement in consideration of Your application and payment of the premium in full. The benefits are subject to all provisions, terms, conditions, limitations and exclusions of the Policy. Any conflict between the terms of the Certificate and the Policy will be decided in favor of the Policy.
POLICYHOLDER: National Small Business Travel & Health Association
Our program manager of the Policy and this
Certificate is iTravelInsured. All communications,
correspondence, notices, claims and payments
should be presented to Our program manager.
TO FILE A CLAIM OR TO CANCEL:
From North America, call: (1) 866-243-7524
From outside North America,
call: (1) 317-655-9798
Mail to: iTravelInsured, P.O. Box 44914,
Indianapolis, IN 46244
Right to Cancel
If You are not satisfied for any reason, You may
return this Certificate to Us within 10 days after
receipt provided You have not already departed
on your Covered Trip or filed a claim. Premium
will then be refunded, and this Certificate will be
void from the beginning.
See Schedule of Benefits
Schedule of Benefits
|
BENEFITS
|
MAXIMUM BENEFIT PERINSURED SUBJECT TO
THE AGGREGATE LIMIT(or unless otherwise noted)
|
|
Trip Cancellation
|
Trip Cost up to $20,000 as confirmed in your coverage verification letter
|
|
Trip Interruption
|
150% of your Trip Cost up to $20,000 as confirmed in your coverage verification letter
|
|
Travel Delay
|
$1000 ($200 per day after 24 hours; OR $500 for missed connection
|
|
Baggage and Personal Possessions
|
$2,000
|
|
Baggage Delay
|
$500 ($150 per day after 24 hours)
|
|
Emergency Medical/Dental Expense
|
$50,000
|
|
Emergency Medical Evacuation/Repatriation
|
$1,000,000
|
|
Emergency Reunion or Return of Mortal Remains
|
$3,000
|
|
Common Carrier Accidental Death & Dismemberment
|
Principal Sum - $20,000
|
|
Violent Attack
|
$250
|
Aggregate Limit
The total aggregate limit of benefits payable in the
event of any one Accident involving 2 or more
Insureds is $1,500,000 under the Policy. In the
event of multiple claims for a single Accident, benefits
will be reduced so that each Insured's benefit
amount will be a proportionate share of the total
amount payable for all Insureds under this provision
up to the total aggregate limit of liability.
See Schedule of Benefits
SECTION 2: GENERAL TERMS AND DEFINITIONS
"Accidental or Accident" means an unexpected and unforeseen incident, including a Terrorist Incident.
"Baggage" means luggage and personal possessions, whether owned, borrowed or rented,
that is taken or purchased by You on the Covered Trip.
"Business Partner" means an individual who owns at least 10% of the same business as You and is actively involved in the day-to-day management of that business, and there are no more than three partners together who own the same business.
"Certificate" means an outline of the terms of coverage and provisions of the Policy, which
includes this document.
"Common Carrier" means any land, water, or air conveyance operated under a license for the transportation of passengers for hire.
"Covered Trip" means any travel and sojourn to a Destination more than 120 miles from the starting point of the Covered Trip and not exceeding 30 consecutive days.
"Departure Date" means the scheduled date to begin the Covered Trip as referenced on Your coverage verification letter for this Certificate.
"Destination" means one or more cities to which You are scheduled to travel on a Covered Trip.
"Emergency" means a sudden, unexpected, unforeseen occurrence demanding immediate
action.
"Family Member" means Your spouse, children, brothers or sisters (including in-laws), parents (including in-laws), grandparents (including in-laws) or grandchildren.
"Hospital" means an institution or medical facility that meets all of the following requirements:
- Properly accredited and where required by law, holds a license as a Hospital;
- Operates mainly for the care and treatment of sick or injured persons as inpatients;
- Provides twenty-four hours a day nursing care by registered nurses;
- Has a staff of one or more Physicians available at all times;
- Provides organized facilities for diagnosis and surgical procedures;
- Not primarily a clinic, nursing home or convalescent home or similar place of business; and
- Not mainly a place for treating alcoholics or drug addicts.
With respect to outpatient surgery or diagnostic testing, an ambulatory surgical center or a clinic will be considered as a Hospital. Such facility must be properly accredited and, where required by law, hold a license allowing the facility to operate as such.
"Illness" means a sickness, impairment or physical condition that involves inpatient care in a Hospital, or requires treatment by a qualified Physician.
"Injury" means trauma or damage to any part of the body caused solely by Accident and not contributed to by any other cause.
"Insured" means the Member who arranged to take the Covered Trip, completed the application, paid the premium in full, and whose coverage under the Policy has become effective and has not terminated.
"Locality" means an area large enough to represent a reasonable cross section of providers
giving the type of service or supplies for which the charge was made.
"Member" means any person who belongs to the Policyholder's association.
"Necessary" means medical treatment that is vital and required for the treatment of a covered Injury or Illness.
"Organized Labor Strike" means any stoppage of work: (a) as a result of a combined effort of workers which was unannounced and unpublished at the time a Covered Trip was purchased; and (b) which interferes with the normal departure and arrival of a Common Carrier. An Organized Labor Strike is no longer unannounced and unpublished beginning with the first day of an announced "cooling off period."
"Physician" means a person, other than You, a Travel Companion or a Family Member, who is
licensed as a medical doctor in the healing arts, and acting within the scope of his or her license for the service or treatment given.
"Policy" means the Group Travel Insurance Policy issued to the Policyholder by Us. As the
underwriting insurance carrier, We are solely liable and responsible for the coverage and benefits provided under the Policy.
"Policyholder" means the National Small Business Travel & Health Association.
"Pre-Existing Condition" means an Injury or Illness which manifests itself during the 60 days immediately before and including the date Your coverage became effective, unless the condition is controlled through the taking of prescription drugs or medication and remains controlled throughout the 60 day period. An Illness or Injury has manifested itself when:
- Medical care or treatment has been given; or
- There exist symptoms which would cause a reasonably prudent person to seek diagnosis, care, or treatment; or
- Prescription medication has been altered or changed.
"Reasonable Expenses" means the normal and customary charge of the provider, incurred
by You for a service or supply, but not more than the prevailing charge in the Locality for a like
service by a provider with similar training or experience; or for a supply which is identical or
substantially equivalent.
"Return Date" means the scheduled date on which You are to arrive at Your Return Destination as shown on the coverage verification letter for the Certificate.
"Return Destination" means the place to which You are scheduled to return from a Covered Trip.
"Scheduled Airline" (including scheduled charters) means an airline with a license for civil
scheduled air transport issued by the country in which its aircraft are registered. Such airline
must file and publish schedules and fares for regular passenger service between cities.
"Terrorist Incident" means any violent act or an act that is dangerous to human life, property or infrastructure, that is committed within 120 miles of a Destination, by any person or persons who appear to be part of an effort to coerce a civilian population or affect the conduct of any government by coercion.
"Travel Companion" means a person who accompanies You and shares sleeping quarters with You on a Covered Trip, and a physical cross-reference entry exists within a computerized
reservation system, a global distribution system or Travel Supplier reservation system that references Travel Companions to each other.
"Travel Companion's Family Member" means a Travel Companion's spouse, children, parents, grandparents or grandchildren.
"Travel Supplier" means a travel agent, Scheduled Airline, cruise line, tour operator, bus
line, or other licensed provider of travel.
"Violent Attack" means a grave crime declared to be a felony at common law and which involves physical contact or bodily harm to you.
"We, Us, Our" means Sirius International Insurance Corporation (publ), headquartered in Stockholm, Sweden. We are the underwriter of the policy.
"You or Your" means the Insured.
SECTION 3: INSURANCE PROVISIONS
Eligibility and Effective Date
Subject to Our acceptance of Your application and payment of the premium in full, coverage for all benefits except Trip Cancellation will begin on the Departure Date. The Trip Cancellation benefit will begin at 12:01 a.m. on the day after We receive Your application.
Termination Date
All coverage for a Covered Trip ends on the earliest of:
- Arrival at Your Return Destination;
- The Return Date;
- 30 consecutive days from the Departure Date; or
- Cancellation of Your Covered Trip.
SECTION 4: BENEFITS
Trip Cancellation / Interruption
Subject to the limitations stated below, We will pay for non-refundable, unused payments and
deposits, not to exceed the lesser of the total trip protection purchased, or the maximum benefit shown on the Schedule of Benefits, if Your Covered Trip is cancelled or interrupted as a
result of any one of the following events which occurs after Your coverage is in effect and before such coverage terminates:
- Emergency Illness, Injury or death to:
- You;
- A Family Member;
- A Business Partner;
- A Travel Companion; or
- A Travel Companion's Family Member.
The Emergency Illness or Injury must be so disabling as to reasonably cause a Covered Trip to be delayed, canceled or interrupted upon the written opinion of a treating Physician. For Trip Cancellation benefits, an actual examination by a Physician must take place before the cancellation is made. For Trip Interruption benefits, this examination must take place during the Covered Trip. If the Emergency Illness or Injury occurs to a Family Member or Travel Companion's Family Member, that person must require the Insured or the Traveling Companion to be the primary care giver. We will not pay for those unused payments and deposits that are non-refundable as a result of Your failure to notify the Travel Supplier of the cancellation of a Covered Trip within 5 days after the death of a Family Member, Business
Partner, Travel Companion or Travel Companion's Family Member.
We will not pay this benefit if Your Illness, Injury or death is a result of a Pre-Existing Condition. We will not pay this benefit if a Travel Companion with whom you permanently reside suffers an Illness, Injury or death as a result of a Pre-Existing Condition.
- A Terrorist Incident, if You are scheduled to arrive at a Destination within 30 days following
the Terrorist Incident and the Travel Supplier is not offering a substitute itinerary. Travel to any Destination for which travel warnings have been issued by the U.S. State Department at the time this coverage is purchased is excluded. Travel to any Destination in which such a Terrorist Incident has occurred in the 180 days prior to the date this coverage was purchased is excluded.
- Organized Labor Strike, natural disasters or bad weather resulting in the complete cessation of services by a Travel Supplier for at least 24 consecutive hours.
- You or a Travel Companion being hijacked or medically quarantined by order of a governmental health authority.
- You or a Travel Companion being summoned to serve on a jury or served with a court order issued after the date Your coverage became effective, which mandates the appearance in court during the time period for the Covered Trip.
- Your home or the home of a Travel Companion is made uninhabitable by fire, windstorm, vandalism or flood.
- A traffic Accident directly involving either You or a Travel Companion, substantiated by a police report, while en route to a scheduled departure point for the Covered Trip.
- Employer termination or Your layoff. You must have been employed with the same employer for at least one year, and You must have worked at least 30 hours per week, excluding time off for paid vacation and holidays, for the entire period of employment. If Your Covered Trip is interrupted due to any of the events listed above, We will reimburse You for a one-way economy airfare to return You to the starting point of Your Covered Trip, less any amounts credited or refunded to You; except You will not be reimbursed if a Travel Companion with whom You permanently reside suffers an Emergency Illness, Injury or death as a result of a Pre-Existing Condition.
Travel Delay
Subject to the limitations stated below, We will pay up to the maximum benefit shown on the Schedule of Benefits for additional reasonable traveling expenses that are incurred by You on a Covered Trip because of a travel delay of at least 24 hours, and are not otherwise paid by a Travel Supplier or Common Carrier. You must make every reasonable effort to avoid additional expenses. This benefit is payable for only one delay per Covered Trip.
Travel Delay must be caused by:
- Travel Supplier delay;
- Lost or stolen passport, travel documents or money;
- Medical quarantine;
- Natural disaster; or
- Injury or Emergency Illness of You or a Travel Companion.
Any benefit payable under this coverage will be reduced by all amounts credited or refunded to
You by any other source.
We will also pay for additional reasonable transportation costs to help You join (catch up to) a covered cruise, up to the amount shown on the Schedule of Benefits, if You missed a cruise departure because the airline flight was canceled or delayed for at least 6 hours due to bad weather.
Any benefit payable under this coverage will be reduced by any amount paid by a Common
Carrier towards additional transportation costs.
Baggage and Personal Possessions
Subject to the limitations stated below, We will pay up to the maximum benefit shown on the
Schedule of Benefits for damage to or loss or theft of Your checked or stored Baggage on a
Covered Trip when such Baggage is lost or damaged by a Common Carrier or stored with a hotel or motel in which You are registered as a guest.
The following limitations will apply:
- We will not pay for damage to or loss of or theft of Baggage which has been paid by a
Common Carrier, hotel, Travel Supplier, or is otherwise payable under any other insurance.
- We will pay no more than $500 for the first item of Baggage and, thereafter, no more than $250 per item of Baggage up to the maximum benefit shown on the Schedule of Benefits.
- We will not pay for damage to or loss of:
- Animals;
- Property used in trade, business or for the production of income;
- Motor vehicles, aircraft, and other conveyances or equipment or parts pertaining to such conveyances;
- Artificial limbs, false teeth, any type of eyeglasses or contact lenses;
- Tickets, except for administrative fees required to reissue tickets;
- Money, stamps, stocks and bonds, postal or money orders;
- Property shipped as freight, or shipped prior to the Departure Date;
- Credit cards;
- Contraband; or
- Hearing aids.
- We will not pay for loss due to:
- Defective materials or craftsmanship;
- Normal wear and tear;
- Deterioration; or
- Rodents, animals or insects.
We may choose to replace, repair, or pay for the loss after making allowances for depreciation
and wear and tear. We will pay the cost of repair or replacement of the damaged Baggage less
depreciation. We may take all or part of the damaged Baggage at the appraised or agreed value.
In the event of a loss to Baggage that is a pair or set, We may, at Our option, repair or replace any part to restore the pair or set to its value before the loss; or pay the difference between the value of the property before and after the loss. In the event of loss, theft or damage to Baggage, You must:
- Immediately report the incident to the proper official or appropriate party;
- Obtain a written report of the loss;
- Take reasonable steps to protect the Baggage from further damage; and
- Make necessary reasonable and temporary repairs to the Baggage.
We will not pay for further damage if You fail to protect the Baggage. This coverage does not include loss caused by Baggage delay.
Baggage Delay
In the event Your checked Baggage is delayed by a Common Carrier on a Covered Trip for 24
hours or more from the actual time of arrival at a Destination, subject to the limitations stated
below, We will reimburse costs You incurred up to the maximum benefit shown on the Schedule of Benefits for reasonable additional clothing and essential personal articles You purchased. Verification of the delay by the Common Carrier and receipts for the necessary purchases must accompany any claim.
The following limitations will apply:
- This benefit does not apply if Baggage is delayed after You have reached Your Return Destination.
- We will cover only one Baggage Delay per Covered Trip.
- This benefit is in excess of any reimbursable costs paid by a Common Carrier.
Emergency Medical / Dental Expense
Subject to the limitations stated below, We will pay up to the maximum benefit shown on the
Schedule of Benefits for Covered Expenses You incurred for an Injury or Emergency Illness on a Covered Trip, provided initial treatment is received during a Covered Trip. The first expense
must be incurred within 48 hours from the date of the onset of the Injury or Emergency Illness. This coverage is secondary to any other coverage available to You. Coverage continues until Your Covered Trip ends.
"Covered Expenses" means the Necessary and Reasonable Expenses for medical, surgical
and Emergency dental services, treatments and supplies incurred during a Covered Trip.
Covered Expenses also include expenses for professional nursing services, Hospital charges,
X-rays, and ambulance services.
We will not pay for:
- Hernia, however caused;
- Services or treatment given by a Family Member or any person employed or retained by You;
- Experimental procedures;
- Cosmetic surgery or procedure that is not reconstructive surgery which is intended to or follows surgery resulting from trauma, infection or other disease of You;
- Benefits which are payable under any worker's compensation or similar law;
- Any surgical or medical treatment which can reasonably be delayed until You return to Your primary residence;
- Any treatment or medication which at the time of departure You know is required to be continued during a Covered Trip;
- The cost of dentures, dental appliances, false limbs, hearing aids, cochlear implants, contact or corneal lenses or spectacles (prescription or otherwise);
- Any repatriation costs not authorized by Us;
- The additional cost of a single or private room at a Hospital, except when the treating Physician considers it Necessary.
- Services or Covered Expenses incurred as a result of a Pre-Existing Condition.
Emergency Medical Evacuation
Subject to the limitations stated below, We will pay up to the maximum benefit shown on the
Schedule of Benefits for Covered Expenses, and We will arrange for Emergency assistance services You require as the result of Emergency Illness or Injury occurring during a Covered Trip.
"Covered Expenses" means Reasonable Expenses for medical services required for evacuation to the nearest adequate medical facility from the place where the Injury or Emergency Illness occurred. Services and benefits will be arranged only if the treating Physician recommends such evacuation. Covered Expenses will be paid provided You are traveling on a Covered Trip and are more than 120 miles away from Your primary place of residence. In addition to the above Covered Expenses, when You are confined in a medical
facility more than 120 miles from Your primary residence and Your treating Physician and We determine it is feasible and medically Necessary to transfer You to a medical facility nearer to Your primary residence to recuperate in familiar surroundings, medical repatriation will be provided.
We will not pay for any services or Covered Expenses incurred without Our prior consent or
approval. We will not pay for any services or Covered Expenses incurred as a result of a Pre-Existing Condition. We will not pay for any services or Covered Expenses incurred as a result of a Pre-Existing Condition.
Emergency Reunion and Return of Mortal Remains
Subject to the limitations stated below, We will either purchase or pay a total amount not to exceed the maximum benefit shown on the Schedule of Benefits for one or more of the following:
- A one-way economy airfare for the return home of Your biological or legally adopted children or grandchildren under the age of 18 who are traveling with You and left unattended as a result of Your covered Injury or Emergency Illness. A qualified chaperone will also be provided,
without charge, when necessary for the safety of the children.
- One Family Member to fly, by round trip economy airfare, to Your bedside when You are hospitalized during a Covered Trip due to a covered Injury or Emergency Illness for at least 10 consecutive days.
- The reasonable cost of renting a hotel, motel or other lodging room for one person,
required upon medical advice, to stay with, travel to or escort You home up to $200 per day for a maximum of 7 days.
- The return of Your rental vehicle to the rental agency in the event of Your evacuation
or repatriation. We also will arrange such rental vehicle return.
- The reasonable cost of transporting Your remains to Your primary place of residence if You die during a Covered Trip.
We will not pay for any services or expenses incurred without Our prior consent or approval.
Common Carrier Coverage
Subject to the limitations stated below, We will cover Injury to You on a Covered Trip limited to
riding as a passenger, getting in or out of, or being struck by a Common Carrier.
Description of Benefits
If Your Injury results in a loss shown below within one year after an Accident causing the loss,
which is not due to Terrorist Incident, We will pay a percentage of the principal sum shown on the Schedule of Benefits as follows:
|
Loss of Life
|
100% of the Principal Sum |
|
Loss of both Hands or both Feet or Sight of both eyes
|
100% of the Principal Sum
|
|
Loss of one Hand and one Foot
|
100% of the Principal Sum
|
|
Loss of one Hand or one Foot and Sight of one eye
|
100% of the Principal Sum
|
|
Loss of one Hand or one Foot or Sight of one eye
|
50% of the Principal Sum
|
Definitions
"Loss of Hand or Foot" means the complete and permanent severance through or above the
wrist or ankle joint.
"Loss of Sight" means the total and permanent loss of entire sight. Such loss correctable by surgery or lenses is not considered total and permanent.
If You suffer more than one loss from any one Accident, We will pay only one amount which is
determined to be the highest benefit payable not to exceed the Principal Sum.
Exposure and Disappearance
We will pay the appropriate percentage of the Principal Sum if You are exposed to the elements due to a covered Accident and You sustain a loss for which a benefit would otherwise be paid.
We will presume death due to an Injury to You if Your body is not found within one year from the date of a Common Carrier Accident, in which You were a passenger.
Violent Attack
If You incur a Violent Attack while on a Covered Trip, We will pay You $250. A violent attack may not be inflicted by You, a Family Member, a Travel Companion or a Travel Companion's
Family Member. You must have filed a police report and provide Us with a copy.
SECTION 5: EXCLUSIONS
We will not pay for any Illness, Injury or loss caused by or as a result of:
- A Pre-Existing Condition.
- War or any act of war (whether declared or undeclared), civil disturbance, riot or insurrection.
- Serving in one of the armed forces of any country or international authority.
- Operating, learning to operate, piloting or riding in or on any aircraft or flying device, other than riding as a passenger in a licensed commercial aircraft.
- Suicide or attempted suicide, intentionally self-inflicted Injury or Illness.
- Being under the influence of any intoxicant, drug or narcotic unless prescribed by a Physician.
- Training, practicing or participating in any motor sport or motor racing.
- Parachuting, hang gliding, parasailing, hot air ballooning, scuba diving below 135 feet or any type of scuba diving without the proper diving training and certification from a professional organization, rock or mountain climbing, or hunting.
- Pregnancy or childbirth when You are expected to give birth within two months from the date of a Covered Trip or an elective abortion.
- Traveling against the advice of a Physician, traveling while on a waiting list for inpatient Hospital or clinic treatment, or traveling for the purpose of obtaining medical treatment abroad.
- Taking part in any scheduled athletic event or competition.
- Any emotional, psychological, mental or nervous disorder.
- Any potentially fatal condition which was diagnosed before the date Your coverage became effective, or any condition for which You are traveling to seek treatment.
- Dental treatment due to normal wear and tear or the normal maintenance of dental health.
SECTION 6: CLAIM PROVISIONS
Where to Present a Claim
To help facilitate prompt payment of claims, You should report all claims as soon as possible
directly to Our program manager:
iTravelInsured
P.O. Box 44914
Indianapolis, IN 46244
From North America, call:(1) 866-243-7524
From outside North America, call: (1) 317-655-9798
Notice of Claim
Written notice of claim must be given to Us within 30 days after a covered Injury, Illness or loss occurs or begins. We may deny coverage for any claim submitted thereafter. The notice must include the claimant's name, Your name and the Certificate number.
Claim Forms
Upon Your report of a claim, We will send the claimant forms for filing proof of loss within 15 days.
Written Proof of Loss
Written proof of loss includes fully completed claim forms, original invoices, receipts, medical records and all other supporting documentation that we require and request to reasonably support Your claim. In instances where medical information is required by Us for consideration of a claim but it is not available to Us, it is Your responsibility to obtain such information from Your Physician. Written proof of loss must be sent to Us within 90 days after the end of each period that benefits are payable. For any other loss, written proof must be given within 90 days after the date of loss. We may deny coverage for any claim in which written proof of loss is submitted thereafter.
Payment of Claims
After receiving written proof of loss, We will pay
any benefits due within 30 days. All claims will be
paid in U.S. dollars. If We have to make a conversion
from a currency into U.S. dollars, We will
choose a fair exchange rate on the date of loss.
We are not responsible for any loss You may
incur due to fluctuations in exchange rates, or for
any bank charges You may incur when You cash
a foreign currency draft, a check or when Your
receive a bank transfer from Us.
We will pay death benefits to the beneficiary designated
by You and on file with the holder of beneficiary
records. If a beneficiary has not been designated,
death benefits will be paid to Your estate.
All other benefits will be paid to You except for
medical benefits (if applicable). These may be
paid directly to the provider of medical services.
Any payments We make in good faith will end
Our liability to the extent of the payment.
Physical Examination and Autopsy
We have the right to have You examined by a
Physician of Our choice. This may be done as
often as reasonably necessary while a claim is
pending or while We are paying benefits. We
may require an autopsy where lawful. We will
pay the cost of both the exam and autopsy.
SECTION 7: GENERAL PROVISIONS
Assignment
You may assign Your interest under the Policy. In
the case of an irrevocable beneficiary, that person
must give written consent. No assignment
will be binding on Us unless it is in writing and a
copy is sent to Us. We accept no responsibility
for the validity of an assignment.
Duplication of Coverage
You are eligible for coverage under only one
Certificate from Us for each Covered Trip. If You
have more than one Certificate, the maximum
benefit payable will be as specified in the
Certificate with the highest level of benefits. We
will refund certificate premiums received under
any other Certificate.
Entire Contract
The Policy, the Insureds' applications, and the
Policy application are the entire contract of insurance.
All statements made by the Policyholder or
by You, in the absence of fraud, are deemed representations
and not warranties. No statement
made by You will be used in any contest unless
a copy of the instrument with the statement is or
has been furnished to You, or in the event of
Your death or incapacity, to Your beneficiary or
personal representative.
Facility of Payment
If no beneficiary is living or if the benefit is
payable to Your estate, We may pay up to $1,000
to the person We deem is equitably entitled to a
benefit by reason of having incurred funeral or
other expenses related to Your last illness or
death. Any payment We make in good faith fully
discharges Us to the extent of Our payment.
Legal Actions
No legal action may be brought on the Policy
within 60 days from the date written proof of loss
has been given or after 5 years from the date
written proof of loss is required to be given.
Misstatement of Age
If Your age has been misstated in the application,
We will change the benefit to the applicable
amount available for the correct age. We will
refund any excess premium paid over the
amount due for the correct benefit amount.
We will require payment for any overdue premium
for the correct benefit amount. If the misstatement
is discovered after a benefit is due
and payable, We will reduce or increase the benefit
amount payable by the amount of excess or
due premium because of the misstatement. If
You are not eligible for coverage because of age,
We will refund all premiums paid on and after the
date You were no longer eligible.
Right of Recovery
We have the right to recover any overpayment
made because of an error in processing a claim.
Also, if We make a payment under the Policy,
and the person to or for whom the payment is
made has a right to recover damages from
another, We shall be subrogated to that right.
However, Our right is subordinate to the
Insured's right to be fully compensated. We are
entitled to all rights of recovery that You have
against another. You must sign any papers necessary
to transfer these rights to Us, help exercise
these rights in any reasonable way requested,
and do nothing to prejudice these rights.
Right of Rescission
Subject to the Incontestability provision, We may
rescind Your Certificate upon discovery of a
material misrepresentation or omission of fact in
Your application. We will then refund all premiums
paid for Your coverage, less any benefits
paid prior to such discovery.
Workers' Compensation
The Policy is not a substitute for any Workers' Compensation law requirement.
Your Duty of Care
You agree at all times to: act in a prudent manner
and exercise reasonable care and take reasonable
precautions to prevent Injury or Illness;
minimize any costs incurred; comply with recommended
vaccination schedules; and take appropriate
malaria and other medicinal prophylaxis.
Government Law, Regulations and Taxation
We reserve the right to amend the Policy and
Your Certificate at any time in order to reflect any
change in regulatory requirements, insurance
law, insurance premium tax or other government
levies as may be imposed upon Us.
You warrant that You are not infringing on any
local insurance law, regulation or taxation issue
by purchasing this Certificate, and You understand
and agree that this Certificate and the
Policy are not designed to comply with any particular
local insurance law or regulation. We
accept no liability in the unlikely event that You
infringe on any local insurance law, regulation or
taxation issue by purchasing this Certificate.
Choice of Law
The contract of insurance between You and Us
as represented by the Policy and evidenced by
the Certificate shall be deemed issued, finalized
and made in Indianapolis, Indiana. Sole and
exclusive jurisdiction and venue for any court
action or administrative proceeding relating to
this insurance shall be in Marion County,
Indiana, for which You expressly consent. The
subjects, risks and benefits of insurance covered
by the Policy and evidenced by this Certificate
are not intended or considered by You or Us to
be resident, located or to be performed in any
particular State of the United States of America
or in any particular country.
Applicable Currency
All benefits, premiums and any other amounts
stated in the Policy, the Application and this
Certificate are in U.S. dollars.
PATRIOT T.R.I.P. ELITE EMERGENCY SERVICES
Separate from the benefits under Patriot T.R.I.P., as a member of the NSBTHA the following non-insurance Emergency Travel Assistance Services are available to you from IMG:
- Emergency Travel Arrangements - In the event you must return home or discontinue your trip as a result of an interruption in travel due to an illness of your spouse, child, parent, in-law, or grandparent, IMG will help you make the appropriate travel arrangements. You are responsible for the cost of the travel tickets.
- Lost Passport/Travel Documents Assistance - IMG will help you report, retrieve or replace lost or stolen travel documents, such as your passport, credit cards and airline tickets.
- Lost Luggage Assistance - IMG will assist you in communicating with the commercial carrier for the return of your lost luggage.
- Embassy or Consulate Referral - IMG will inform you of the location and contact telephone numbers for the nearest embassy or consulate, no matter where you are.
- Emergency Message Relay - IMG will receive or transmit emergency messages between you, your family and your employer.
- Emergency Prescription Replacement - IMG will assist with the replacement of lost or damaged prescription medication. You are responsible for the cost of the actual medication and shipping costs (if any).
- Medical Referral - If urgent medical advice or care is needed, IMG is prepared to refer you to the nearest appropriate care facility or provide a listing of available medical care to you. IMG will also help with obtaining an appointment with the medical care provider you have chosen.
- 24-Hour Medical Monitoring - If you are hospitalized, IMG will provide medical professionals to communicate with your treating doctor(s) and help monitor your condition. IMG will also communicate with your family doctor as you direct.
- Emergency Cash Transfer - IMG will help you transfer funds up to US$500, in the event of a medical or travel emergency.
- Legal Referrals - IMG will provide you with a referral to the nearest attorney.
- Emergency Translations - IMG will provide you with personal, emergency telephone translation services and referral to a local interpreter service should you require language assistance.
The Patriot T.R.I.P Elite program for non-U.S. residents is underwritten
and offered where available by Sirius International Insurance Corporation (publ).
|
© 2000-2009 IMT Services Corporation
|