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This
is only a brief description of the coverage(s) available under
policy series Travel Guard Program Policies (TGP policies).
The Policy contains reductions, limitations, exclusions, and
termination provisions. Full details of the coverage are contained
in the Policy. If there are any conflicts between this document
and the Policy, the Policy shall govern. Please see specific policy for your state for
coverage variances.
PRE-EXISTING MEDICAL CONDITION EXCLUSION
APPLICABLE TO ALL
COVERAGES:
The Insurer will not pay for loss or
expense incurred as the result of Injury or Sickness of
an Insured or Immediate Family Member which manifests itself
during the 60 days immediately preceding the Insured's coverage
effective date, unless the condition is controlled through
the taking of prescription drugs or medication and remains
controlled throughout the 60-day period. A Sickness has
manifested itself when medical care, treatment, or diagnosis
has been given
PRE-EXISTING MEDICAL CONDITION EXCLUSION
WAIVER:
If insurance was purchased within 7
calendar days of initial trip payment, the Pre-Existing
Medical Condition Exclusion will be waived. This is applicable
to all coverages contained in
the policy. In order to receive the waiver of Pre-Existing
Conditions, the amount of trip cancellation coverage purchased
must equal the full cost of all trip arrangements. The Insured
must be medically able to travel when he/she pays his/her
premium. In the event that a claim is filed, the Injury
or illness must be substantiated to our Claims Department.
24-Hour Emergency Assistance
Telephone Numbers
Continental USA......1-877-327-7302
International......1-715-345-0505
Livetravel 24-Hour Assistance......1-800-826-8597
Be
sure to use the appropriate country and city codes when
calling.
Blanket Travel Accident Insurance
This document
describes the benefits and basic provisions of the policy.
The Insured should read it with care so he/she will understand
the coverage. The policy is the only contract under which
benefits are paid.
PLEASE READ
THIS DESCRIPTION OF COVERAGE CAREFULLY!
Insurance Coverage
Underwritten by American Home
Assurance Company, a New
York insurance company, with its principal place of business
at 70
Pine Street,
New York, New York 10270. It is currently authorized to transact business in
all states and the District
of Columbia.
NAIC No. 19380.
Schedule of Benefits
The benefits are described in detail under
"Description of Coverages." All
coverages are per person. All coverages
are Primary. The benefits are only applicable if the appropriate
premium has been paid and are payable based on the limits
reflected on the Schedule of Benefits page. (Please see attachment.)
Definitions
"Baggage" means luggage and personal possessions, whether owned,
borrowed, or rented, taken by the Insured on the trip.
"Business Partner" means someone who is a majority
stockholder, managing officer, or majority owner of the company.
"Complication of Pregnancy" means a condition whose
diagnosis is distinct from pregnancy but adversely affected
or caused by pregnancy. It does not include any condition
associated with the management of a difficult pregnancy not
consisting of a classifiable distinct Complication of Pregnancy.
"Default" means any failure of a provider of travel
related services (including any tour operator) to provide
the bargained-for travel services or to refund money due the
Insured.
"Destination" means the place where the Insured expects
to travel on his/her trip, as shown on the Enrollment Form.
"Exotic Vehicle" means Alfa Romeo, Aston Martin, Auburn,
Avanti, Bentley, Bertone, BMC/Leyland,
BMW M Series, Bradley, Bricklin,
Cosworth, Citroen, Clenet, De Lorean, Excalibre, Ferrari, Fiat,
Iso, Jaguar, Jensen, Jensen Healy,
Lamborghini, Lancia, Lotus, Maserati, MG, Morgan,
Opel, Pantera,
Panther, Pininfarina, Rolls Royce,
Stutz, Sterling, Triumph, TVR and Yugo.
Please contact Travel Guard customer service at 1-877-327-7302
before renting to confirm whether the vehicle is covered.
"Felonious Assault" means an act of violence against
the Insured or a Traveling Companion requiring medical treatment
in a Hospital. A Felonious Assault may not be inflicted by
the Insured, an Immediate Family Member, Traveling Companion
or Traveling Companion's Immediate Family Member.
"Financial Default" means either (i)
the complete suspension of operations due to financial circumstances,
whether or not a bankruptcy petition has been filed, or (ii)
a partial suspension of operations following a filing of a
bankruptcy petition.
"Hospital" means a place that: (a) holds a valid license;
(b) is run mainly for the care and treatment of sick or injured
persons as inpatients; (c ) has a staff of one or more Physicians
available at all times; (d) provides 24-hour nursing service
and has at least one registered nurse on duty at all times;
(e) has organized diagnostic and surgical facilities, either
on the premises or on a contract basis with another Hospital;
and (f) is not mainly a clinic or facility for nursing, rest,
or convalescence, or a place for the aged.
"Immediate Family Member" means the Insured's spouse;
child; spouse's child; daughter-in-law; son-in-law; brother;
sister; mother; father; grandparents; grandchild; step-parent,
step child or sibling; aunt; uncle; niece or nephew; legal
guardian; legal ward.
"Inclement Weather"
means any severe weather condition which delays the scheduled
arrival or departure of a common carrier.
"Injury" means a bodily injury caused by an accident
occurring while this Policy is in force as to the Insured
whose injury is the basis of a claim, and resulting directly
and independently of all other causes of loss covered by this
Policy. The injury must be verified by a Physician.
"Insured" means the person named on the individual
enrollment form.
"Insurer" means American Home Assurance Company.
"Medical Expenses" means Reasonable and Necessary Expenses
of treatment for Injury or Sickness which are provided by
a medical Physician, dentist, or professional nurse on an
emergency or urgent basis which are actually incurred by the
Insured.
"Natural Disaster"
means a flood, hurricane, tornado, earthquake or blizzard
that is due to natural causes.
"Physician" means a government-licensed practitioner
of the healing arts including accredited Christian Science
Practitioners, acting within the scope of his/her license.
The treating Physician may not be the Insured, Immediate Family
Member" or a Traveling Companion.
"Primary" means the insurer will pay first.
"Reasonable Additional Expenses" means any expenses
for meals and lodging which were necessarily incurred as the
result of a Trip Interruption and which are not provided by
the Common Carrier or any other party free of charge.
"Reasonable and Necessary Expenses" means the prevailing
charge made by most providers of a given service in the geographic
area where the service is received. In no event will the Reasonable
and Necessary Expenses exceed the actual amount charged.
"Sickness" means an illness or disease which requires
treatment by a Physician.
"Strike" means a stoppage of work (a) announced, organized
and sanctioned by a labor union and (b) which interferes with
the normal departure and arrival of a common carrier. Included
in the definition of Strike is work slowdowns and sickouts.
"Terrorist Incident" means an act of violence, other
than civil disorder or riot (that is not an act of war, declared
or undeclared), that results in loss of life or major damage
to property, by any person acting on behalf of or in connection
with any organization which is generally recognized as having
the intent to overthrow or influence the control of any government.
"Travel Agent" means the Travel Agent, tour operator,
or other entity from which the Insured purchases his/her coverage
or travel arrangements, and includes all officers, employees,
and affiliates of the Travel Agent or tour operator.
"Traveling Companion" means a person or persons with
whom You have coordinated Travel Arrangements and intend to
travel with during the Covered Trip. A group or tour leader
is not considered a Traveling Companion, unless You are sharing
room accommodation with the group or tour leader.
"Trip Completion Date" means the date on which the
Insured is scheduled to return to the point where the trip
started, or to a different specified Return Destination.
"Trip Departure Date" means the date on which the Insured
is originally scheduled to leave on his/her trip. This date
is shown on the Individual Enrollment Form.
Individual Eligibility, Effective &
Termination Dates
Persons eligible
for insurance under the policy are any traveler(s) who purchases
his/her insurance through or from a properly licensed agent/agency
located in the U.S., who makes enrollment for coverage and pays the premium,
providing he/she has not already departed on his/her trip.
Effective Date: After premium is paid by the Insured
and the Enrollment Form is completed and signed, TRIP CANCELLATION
BENEFIT (and Change of Mind benefit, if applicable) will be
effective: (a) at 12:01 a.m. on the date after the Enrollment
Form is postmarked to TRAVEL GUARDŽ if coverage is purchased
by mail; (b) at 12:01 a.m. on the day after the Enrollment
Form is phoned in to TRAVEL GUARDŽ if coverage is purchased
via phone; (c) at 12:01 a.m. on the day after the Enrollment
Form is faxed to TRAVEL GUARDŽ if coverage is purchased by
facsimile; or (d) at 12:01 a.m. on the day after the online
purchase confirmation date. All other coverages
will begin on the later of: (a) the date and time the Insured
starts his/her trip, or (b) the scheduled Trip Departure Date
shown on the Enrollment Form.
Termination Date: All coverage ends on the earlier
of: (a) the date the trip is completed; (b) the scheduled
Trip Completion Date as shown on the Individual Enrollment
Form; (c) the Insured's arrival at the Return Destination
on a round trip, or the Destination on a one-way trip; or
(d) cancellation of the trip covered by the policy. The policy
coverage trips up 365 days in length.
Extension of Coverage: All coverage under the policy
will be extended, if: (a) the Insured's entire trip is covered
by the policy; and (b) the Insured's return is delayed by
unforeseeable circumstances beyond his/her control.
If coverage is extended for the above reasons, coverage will
end on the earlier of: (a) the date the Insured reaches his/her
Return Destination; or (b) seven (7) days after the date the
trip was scheduled to be completed.
General Exclusions -
Applicable To All Coverages
These exclusions apply to all benefits. In addition to any
exclusions which apply to a particular benefit (called "Additional
Exclusions"), this policy does not cover loss caused by:
(a) intentionally self-inflicted harm, suicide, or attempted
suicide while sane or insane;
(b) pregnancy, childbirth, or elective abortion, other than
Complications of Pregnancy;
(c) participation in professional athletic events, motor sport
or motor racing including training
or practice for the same;
(d) mountain climbing;
(e) acts of war, whether declared or not, civil disturbance
or insurrection;
(f) operating or learning to operate any aircraft, as student,
pilot or crew;
(g) air travel on any air-supported device, other than a regularly
scheduled airline or air charter company;
(h) loss or damage caused by detention, confiscation, or destruction
by customs;
(i) any unlawful acts, committed
by the Insured, an Immediate Family Member or a Traveling
Companion, whether insured or not;
(j) civil disorder or riot;
(k) use of drug, narcotics or alcohol, unless administered
upon the advise of a Physician.
MAXIMUM LIMIT OF LIABILITY: All limits are applied
per trip.
The Insurer's maximum limit of liability resulting from the
same occurrence will be $10,000,000 under the Travel Guard
Program Policies (TGP Policies). If loss for all Insureds
from such an occurrence exceeds $10,000,000 The Insurer will
reimburse each Insured that proportion of the Benefits stated
which $10,000,000 bears to the total loss of all persons insured
under all travel and flight insurance in force, under the
TGP Policies. The Insurer will reimburse no more than $250,000
per occurrence, under the TGP Policies, to or on account of
any person insured under the TGP Policies.
Trip Cancellation & Interruption
The Insurer will reimburse this Primary benefit up to the
Maximum Limit shown on the Schedule of Benefits if a trip
is delayed, canceled, or interrupted due to any of the following
unforeseen reasons: (a) Sickness (see definition), Injury,
or death of an Insured or Immediate Family Member. Injury
or Sickness must be so disabling as to reasonably cause a
trip to be delayed, canceled, or interrupted. (b) Financial
Default of an airline, cruise line, or tour operator resulting
in the complete cessation of services. Excluded is the organization
from which the Insured purchased his/her trip and this coverage.
Financial Default occurring on or before the Insured's coverage
effective date or less than fourteen days after the Insured's
coverage effective date will not be covered. This coverage
applies only if insurance was purchased within seven calendar
days of "initial trip payment". "Initial trip
payment" means the date the first deposit is made to
the Insured's Travel Agent toward the cost of his/her Trip.
(c) Termination of employment or layoff affecting the
Insured or his/her Traveling Companion; must have been with
the same employer for at least five continuous years; (d)
Inclement Weather conditions causing delay or cancellation
of travel; (e) the Insured's home or destination being made
uninhabitable by fire, flood, vandalism, burglary or natural
disaster; (f) the Insured being subpoenaed, required to serve
on jury duty, hijacked or quarantined; (g) being involved
in or delayed due to a traffic accident en route to departure;
(h) military duty (the Insured having his/her leave revoked
or being reassigned within 10 days of departure date); (i)
the Insured or a Traveling Companion being the victim of a
Felonious Assault within 10 days prior to his/her departure
date; and (j) a Terrorist Incident in a City listed on the
Insured's itinerary within 30 days of the Insured's scheduled
arrival.
"City" means an incorporated municipality having defined
borders and does not include the high seas, uninhabited areas
or airspace.
In addition to the general exclusions, this coverage does
not cover loss caused by: (i) carrier-caused
delays, including an announced, organized sanctioned union
labor strike that affects public transportation, unless the
Insured's coverage effective date is prior to when the Strike
is foreseeable. A Strike is foreseeable on the date labor
union members vote to approve a Strike; (ii) travel arrangements
canceled or changed by an airline, cruise line, or tour operator,
unless the cancellation is the result of Inclement Weather
or Financial Default as defined; (iii) changes in plans by
the Insured, an Immediate Family Member, or Traveling Companion
for any reason; (iv) financial circumstances of the Insured,
an Immediate Family Member, or a Traveling Companion; (v)
any business or contractual obligations of the Insured, an
ImmediateFamily Member, or a Traveling
Companion, except for termination or layoff of employment
as defined above; (vi) Default by the person, agency, or tour
operator from whom the Insured bought his/her coverage and
purchased his/her travel arrangements; (vii) any government
regulation or prohibition; or (viii) an event or circumstance
which occurs prior to the effective date of coverage.
Trip Cancellation Benefits: The Insurer will reimburse this
benefit up to the Maximum Limit shown on the Schedule of Benefits
for trips that are delayed or canceled before the scheduled
Trip Departure Date.
The Insurer will reimburse for the following:
(a) forfeited, non-refundable, unused prepaid payments,
or deposits if the Insured's trip is canceled due to the reasons
shown at the beginning of this section. (b) additional
cost as a result of a change in the per person occupancy rate
for prepaid travel arrangements if a Traveling Companion's
trip is canceled, and the Insured's trip is not canceled due
to the reasons shown at the beginning of this section.
Trip Interruption Benefits: The Insurer will reimburse this
benefit up to the Maximum Limit shown on the Schedule of Benefits
for trips that have been interrupted or delayed, due to the
reasons shown at the beginning of this section.
The Insurer will reimburse for the following:
(a) forfeited, non-refundable, unused prepaid payments
or arrangements for the Insured's trip if the Insured's trip
is interrupted; or (b) additional transportation
expenses incurred by the Insured, either (i)
to the Return Destination; or (ii) from the place that the
Insured left the trip to the place that the Insured may rejoin
the trip; or (c) additional transportation expenses
incurred by the Insured to reach the original Trip Destination
if the Insured is delayed, and leaves after the Trip Departure
Date.
However, the benefit payable under (b) and (c) above will
not exceed the cost of economy airfare (or first class if
the Insured's original tickets were first class) by the most
direct route, less any refunds paid or payable; (d) the
Insured's additional cost as a result of a change in the per
person occupancy rate for prepaid travel arrangements if a
Traveling Companion's trip is interrupted, and the Insured's
trip is continued. The Insured must: Contact Livetravel
(1-800-826-8597) as soon as the Insured knows his/her trip
is going to be canceled or interrupted. Failure to do so may
affect coverage.
TRAVEL
DELAY
The Insurer
will reimburse incurred expenses up to $200 a day to the Maximum
Limit shown on the Schedule of Benefits if the Insured's trip
is delayed for more than six hours for reasonable, additional
accommodations and traveling expenses until travel becomes
possible. Incurred expenses must be accompanied by receipts.
This benefit is payable for only one delay for all Insureds.
Travel Delay must be caused by reasons listed under Trip Cancellation
& Interruption, in addition to: (a) carrier delay; (b)
lost or stolen passport, travel documents or money; (c) quarantine;
(d) natural disaster; or (e) Injury or Sickness of the Insured
or Traveling Companion.
The Insured must: Contact Livetravel
(1-800-826-8597) as soon as the Insured knows his/her trip
is going to be delayed more than six hours. Failure to do
so may affect coverage.
LOSS
OF BAGGAGE & TRAVEL DOCUMENTS
The Insurer
will reimburse this Primary (see definition) benefit, up to
the Maximum Limit shown on the Schedule of Benefits. The Insurer
will pay for loss, theft or damage to accident to the Insured's
Baggage, passports, and visas during the Insured's trip. The
Insurer will also pay for loss due to unauthorized use of
the Insured's credit cards, if the Insured has complied with
all credit card conditions imposed by the credit card companies.
Continuation of Coverage: If the covered Baggage, passports,
and visas are in the charge of a charter or common carrier,
and delivery is delayed, this coverage will continue until
such property is delivered to the Insured. This coverage does
not include loss caused by the delay.
Property Not Covered: The Insurer will not pay for damage
or loss of: (a) animals; (b) motor vehicles,
aircraft, and other conveyances; (c) artificial
limbs, false teeth, any type of eyeglasses, sunglasses, contact
lenses, or hearing aids; (d) tickets, except for
administrative fees required to reissue tickets; (e) money,
stamps, stocks and bonds, postal or money orders; (f) property
shipped as freight, or shipped prior to the Trip Departure
Date; (g) credit cards, except as noted above;
(h) contraband; Special Limitation: The Insurer
will not pay more than $500 for the first item and thereafter,
no more than $250 per item up to the limit of coverage as
defined on the Schedule of Benefits. The Insurer will not
pay more than $500 aggregate on all losses to: jewelry, watches,
gems, furs, cameras and camera equipment, camcorders, sporting
equipment, computers, radios and other electronic items. Items
over $150 should be accompanied by original receipts. If receipts
are not provided, benefits may be reduced.
Additional Exclusions: In addition to the general exclusions,
the Insurer will not pay this benefit for loss due to:
(a) defective materials or craftsmanship; or (b) normal
wear and tear; or (c) deterioration; or (d) rodents,
animals, or insects. Payment of Loss: The Insurer will reimburse
the lesser of: the cost to repair an item or replace with
an item of like kind and quality. The Insurer will notify
the Insured within 30 days after the Insurer receives his/her
proof of loss. The Insurer may take all or part of the damaged
Baggage at the appraised or agreed value. In the event of
a loss to a pair or set of items, the Insurer may at our option:
(a) repair or replace any part to restore the pair or set
to its value before the loss; or (b) pay the difference between
the value of the property before and after the loss.
BAGGAGE
DELAY BENEFIT
The Insurer
will reimburse incurred expenses up to the Maximum Limit shown
on the Schedule of Benefits for Baggage which is delayed or
misdirected more than 24 hours for the cost of necessary personal
effects. Incurred expenses must be accompanied by receipts.
This does not apply if Baggage is delayed after the Insured
has reached his/her return Destination.
MEDICAL
EXPENSE BENEFIT
The Insurer
will reimburse this Primary (see definition) benefit, up to
the Maximum Limit shown on the Schedule of Benefits.
The Insurer will reimburse for Medical Expenses incurred by
the Insured within one year from the date of Injury or Sickness
provided initial treatment was received during the trip. The
Injury must occur or Sickness must begin while the Insured
is covered by the policy.
Covered Expenses: The Insurer will reimburse the Insured's
Reasonable and Necessary medical and surgical expenses. The
Insurer will reimburse emergency dental treatment only during
a trip. Dental coverage does not apply if treatment or expenses
are incurred after the Insured has reached his/her return
Destination regardless of the reason. Payment for dental expenses
incurred is limited to a maximum of $500. The treatment must
be given by a Physician or dentist. The Insurer will reimburse
for professional nursing, Hospital charges, X-ray, ambulance
services, and prosthetic devices. Physical therapy will be
covered up to 90 days after the Insured reaches his/her return
Destination.
EMERGENCY
MEDICAL
TRANSPORTATION BENEFIT
The Insurer
will reimburse this Primary (see definition) benefit, up to
the Maximum Limit shown on the Schedule of Benefits.
The Insurer will arrange for emergency medical transportation
services required by the Insured as the result of an Injury
or Sickness during a trip.
Covered Expenses: The Insurer will arrange and pay:
(a) Reasonable and Necessary medical services required for
evacuation to the nearest adequate medical facility or home
if medically required. This service will be arranged only
if the attending Physician determines that adequate medical
treatment is not locally available; (b) up to $5,000 for Reasonable
and Necessary escort expenses required by the Insured, if
the Insured is disabled during a trip and an escort is recommended,
in writing, by the attending Physician; (c) Reasonable and
Necessary services for transportation of the Insured's remains
to his/her place of residence if he/she dies during a trip.
Service must be provided by a provider designated by us. Timely
notification by the Insured to our designated provider is
required, with regard to Emergency Evacuation.
Additional Benefit: In addition to the above covered
expenses, if the Insurer has previously evacuated an Insured
to a medical facility, The Insurer will reimburse his/her
airfare costs from that facility to the Insured's Return Destination,
within one year from the Insured's original Trip Completion
Date, less refunds from the Insured's unused transportation
tickets. Airfare costs will be economy, or first class if
the Insured's original tickets are first class. This benefit
is available only if it is not provided under another coverage
in this policy.
Additional Exclusions: In addition to the general exclusions,
the Insurer will not pay for services arranged without our
prior consent or approval.
The Insurer may require autopsy where lawful. Timely notification
by the Insured to our designated provider is required, with
regard to Emergency Evacuation.
ACCIDENTAL DEATH AND DISMEMBERMENT BENEFIT
The Insurer will
pay this benefit up to the Maximum Limit shown on the schedule
of Benefits if: (a) the Insured is injured in an accident
which happens while he/she is on a trip and covered under
the policy; and (b) he/she suffers one of the losses listed
below within 365 days of the accident.
The amount of this benefit will not pay more than the Principal
Sum for all losses due to the same accident.
| Percentage of Principal |
| Loss: |
Sum Payable |
| Life
..........................................................................................................................100% |
| Both
hands or feet, or sight of both eyes......................................................................100% |
| One
hand and one foot ..............................................................................................100% |
| One
hand or one foot and sight of one eye ..................................................................100% |
| One
hand .................................................................................................................50% |
| One
foot ...................................................................................................................50% |
| Sight
of one eye ........................................................................................................50% |
| |
In no event will the Insurer pay more than
the Maximum benefit shown on the Schedule of Coverages
for all losses due to the same accident.
If the Insured suffers more than one loss from an accident,
The Insurer will reimburse only for the loss with the larger
benefit.
Loss of a hand or foot means complete severance at or above
the wrist or ankle joint. Loss of sight of an eye means complete
and irrecoverable loss of sight.
Additional Exclusion: In addition to the General Exclusions,
the Insurer will not pay for loss caused by or resulting from
illness or disease of any kind. The Insurer may require an
autopsy where lawful.
FLIGHT GUARD - FLIGHT ACCIDENT BENEFIT
"Common Carrier": m
means any conveyance operated under a license for the transportation
of passengers for hire.
The Insurer
will reimburse for the Insured's covered accidental loss of
life, hand, foot, or sight which: 1) occurred while he or
she was riding as a passenger on or boarding or alighting
from a Common Carrier, and 2) within 365 days of the accident.
The amount of this benefit is shown below.
The Insurer will not pay more than 100% of the principal sum
for all losses due to the same accident.
| Percentage of Principal |
| Loss: |
Sum Payable |
| Life
..........................................................................................................................100% |
| Both
hands or feet, or sight of both eyes......................................................................100% |
| One
hand and one foot ..............................................................................................100% |
| One
hand or one foot and sight of one eye ..................................................................100% |
| One
hand .................................................................................................................50% |
| One
foot ...................................................................................................................50% |
| Sight
of one eye ........................................................................................................50% |
| |
In no event will the Insurer pay more than
the Maximum benefit shown on the Schedule of Coverages
for all losses due to the same accident. The Insurer may require
autopsy where lawful.
If the Insured suffers more than one loss from an accident,
The Insurer will reimburse only for the loss with the larger
benefit.
Loss of a hand or foot means complete severance at or above
the wrist or ankle joint. Loss of sight of an eye means complete
and irrecoverable loss of sight.
COLLISION DAMAGE WAIVER
Coverage does
not apply in countries or states where the sale of this insurance
is prohibited by law.
If the Insured rents a car while on his/her trip, and the
car is damaged due to collision, theft, vandalism, windstorm,
fire, hail, flood or any cause not within the Insured's control
while in his/her possession, or the car is stolen while in
the Insured's possession and not recovered, The Insurer will
reimburse the lesser of: (a) the cost of repairs and rental
charges imposed by the rental company while the car is being
repaired; or (b) the actual cash value of the car.
Coverage is provided to the Insured and his/her Traveling
Companion, providing the Insured and his/her Traveling Companion
are licensed drivers, and are listed on the rental agreement.
This coverage is primary to other forms of insurance or indemnity.
In addition to the General Exclusions, coverage is not
provided for loss due to:
(a) any obligation the Insured or his/her Traveling Companion
assume under any agreement (except insurance collision deductible);
(b) rentals of trucks, campers, trailers, off-road or four
wheel drive vehicles, motor bikes, motorcycles, recreational
vehicles or Exotic Vehicles; (c) any loss which occurs if
the Insured or his/her Traveling Companion are in violation
of the rental agreement; (d) failure to report the loss to
the proper local authorities and the rental car company; or
(e) damage to any other vehicle, structure or person as a
result of a covered loss.
The Insured's Duties In The Event Of Loss: The Insured
must: take all reasonable, necessary steps to protect the
vehicle and prevent further damage to it; report the loss
to the appropriate local authorities and the rental company
as soon as possible; obtain all information on any other party
involved in an accident, such as name, address, insurance
information and driver's license number; and provide the Insurer
all documentation such as rental agreement, police report
and damage estimate.
CHANGE YOUR MIND
COVERAGE
The Insurer will
reimburse up to $250 for cancellation of a scheduled trip
by the Insured prior to the Trip Departure Date shown on the
Enrollment Form because of a change in the Insured's plans.
Other than this payment, no benefits are payable for loss
caused by the Insured changing his/her plans. The Change Your
Mind Coverage benefit will not be paid in combination with
any other benefit, and is only in effect if the insurance
was purchased within seven days of initial trip deposit.
PAYMENT OF CLAIMS
Claim
Procedures:
Notice of Claim: The Insured must call the Insurer as soon
as reasonably possible, and be prepared with what coverage
the loss was under (i.e. Medical Expense), the name of the
company that arranged the trip (i.e. tour operator, cruise
line, or charter operator), the trip dates and the amount
that the Insured paid. Travel Guard will complete the claim
form and send it to the Insured for his/her review/signature.
This completed form should be returned to Travel Guard Group,
Inc., 1145 Clark Street, Stevens Point, Wisconsin 54481. (Telephone
1-715-345-0505 or 1-800-826-7791) Insurer will then send the
Insured claim forms. All claims of California residents will
be administered by Mercury Administrator Services, LLC.
Claim Procedures: Proof of Loss: The claim forms must
be sent back to Insurer no more than 90 days after a covered
loss occurs or ends, or as soon after that as is reasonably
possible. All claims under the policy must be submitted to
Travel Guard no later than one year after the date of loss
or insured occurrence or as soon as reasonably possible. If
Insurer has not provided claim forms within 15 days after
the notice of claim, other proofs of loss should be sent to
Insurer by the date claim forms would be due. This proof of
loss should include written proof of occurrence, type and
amount of loss.
Payment of Claims: To Whom Paid: Benefits paid on account
of an Insured's death will be paid to the beneficiary he/she
has chosen. This choice must be in writing and filed with
the Insurer, or filed with the Insured or Insured's administrator
if Insurer has agreed in advance. If the Insured has not chosen
a beneficiary, of if there is no beneficiary alive when he/she
dies, Insurer will pay this benefit:
(1) To his/her spouse, if living.
(2) If there are none, in equal shares to his/her living children.
(3) If there are none, in equal shares to his/her living parents.
(4) If there are none, in equal shares to his/her living brothers
and sisters.
(5) If there are none, to his/her estate.
If a benefit is payable to a minor or other person who is
incapable of giving a valid release, the Insurer may pay up
to $1,000 to a relative by blood or connection by marriage
who has assumed care or custody of the minor or responsibility
for the incompetent persons affairs. Any payment Insurer makes
in good faith fully discharges Insurer to the extent of that
payment.
All other benefits will be payable to the Insured. However,
if he/she has assigned his/her benefits, Insurer will honor
the assignment, if Insurer has a signed copy of the assignment.
A payment made pursuant to such an assignment shall discharge
Insurer from further liability under the policy to the extent
of such payment. Under no circumstances shall Insurer be responsible
for the validity or sufficiency of any such assignment.
Payment of Claims: When Paid: Claims will be paid as
soon as Insurer receives complete proof of loss (and verification
of age).
Payment of Claims: To Whom Paid: Benefits for Medical
Expense/Emergency Medical Transportation services may be payable
directly to the provider of the services. However, the provider:
(a) must comply with the statutory provision for direct payment,
and (b) must not have been paid from any other sources.
Problems with the insurance? If so, do not hesitate to contact
the insurance company or agent to resolve your problem at
1145 Clark Street; Stevens Point, WI 54481 or call at 1-800-826-1300.
GENERAL
PROVISIONS
Acts of Agents - No agent or any person or entity has authority to
accept service of the required proof of loss or demand arbitration
on our behalf nor to alter, modify or waive any of the provisions
of this policy.
Autopsy-
The Insurer at it's own expense, may require an autopsy where
permitted by law.
Insurer's Recovery Rights - In the event of a payment
under this policy, the Insurer is entitled to all rights of
recovery that the Insured, or the person to whom payment was
made, has against another. The Insured must sign and deliver
to the Insurer any legal papers relating to that recovery,
do whatever is necessary to help the Insurer exercise those
rights, and do nothing after the loss to harm our rights.
When an Insured has been paid benefits under this policy but
also recovers from another policy, the amount recovered from
the other policy shall be held in trust for the Insurer by
the Insured and reimbursed to the Insurer the extent of the
Insurer's payment.
Legal Actions - No one may sue for benefits less than
60 days after due proof of loss is submitted, nor more than
12 months ( or the minimum period of time permitted by state
law, if greater) after the date claim forms are due.
Payment of Premium - Coverage is not effective unless
all premium due has been paid to Travel Guard prior to a date
of loss or insured occurrence.
Termination of the Policy - Termination of the policy
will not affect a claim for loss which occurs while the policy
is in force.
Transfer of Coverage - Coverage under the policy cannot
be transferred by the Insured to anyone else without prior
written consent.
Insurer's
Privacy Notice
TRAVEL GUARDŽ
ASSISTANCE
All benefits provided
are service benefits, not financial benefits. Any costs associated
with benefits not purchased will be paid by the named Insured.
24-HOUR
MEDICAL ASSISTANCE
24-Hour
Medical Monitoring:
Physicians monitor the Insured's condition by maintaining
close contact with the attending physicians, his/her family
Physician and Family Members.
Medical Evacuation: Arrangements for any and all means
necessary to transport the Insured back home when medically
necessary.
Emergency Medical Payments: If a Hospital demands a
cash deposit or settlement prior to leaving, Travel Guard
will assist in arranging the advancement of funds to cover
on-site Medical Expenses.
Prescription Assistance: Replacement of lost or stolen
medication, through a local pharmacy or special courier.
Transportation of Dependents: In the event of hospitalization,
arrangements will be made for unattended minors traveling
with the Insured to be flown home.
Family Visit: If the Insured is hospitalized for ten
or more days, Travel Guard will arrange transportation for
an Immediate Family Member or close friend to visit him/her.
Transportation of Mortal Remains: In the event of death
while traveling, arrangements and payment for the return of
remains to the place of burial.
24-HOUR
LEGAL ASSISTANCE
In a legal
emergency, referral to a local legal advisor and advance of
funds for bail and legal fees.
24-HOUR
TRAVEL ASSISTANCE
Travel
Documents Assistance:
Travel Guard will help retrieve, report, and reissue lost
or stolen travel documents.
Emergency Cash Transfer: Travel Guard will, whenever
possible, coordinate with the Insured and a wire agency, in
obtaining funds in local currency for medical or travel emergencies.
Emergency Message Center: Transmission of emergency
messages to family and business associates.
Interpretation Services: Travel Guard will provide
emergency language support or referral to the appropriate
local services.
Concierge Services:
Restaurant Referrals & Reservations, Ground Transportation,
Event Ticketing, Tee Times & Course Recommendations, Flower
Ordering.
24-HOUR
LIVETRAVEL ASSISTANCE
Provides 24-hour
assistance for emergency travel needs. Allows you to make
emergency travel changes such as rebooking flights, making
hotel reservations, tracking lost luggage, and replacing lost
credit cards. Call 1-800-826-8597 for assistance
LIVE
MESSAGING
Relay of e-mail
or phone message to family, friends or business associates.
EMERGENCY
CASH TRANSFER
Travel Guard
will, whenever possible, coordinate with the Insured and a
wire agency, in obtaining funds in local currency for medical
or travel emergencies.
PRE-TRIP
TRAVEL ADVICE
Around-the-clock
access to passport, visa, inoculation and vaccine requirements;
travel advisories; embassy and consulate contacts; travel
health advisories; weather and currency information - all
for the Insured's planned Destination.
Non-insurance services through Travel GuardŽ
Assistance is provided by Travel Guard.
Satisfaction
Guaranteed -
The Insurer is committed to providing products and services
that will exceed expectations. If the Insured is not completely
satisfied, he/she can receive a refund of the premium. Requests
must be submitted to Travel Guard in writing within three
days of the receipt of the policy, provided it is not past
the original departure date.
Concealment or Fraud - The Insurer does not provide
coverage for the Insured if the Insured has intentionally
concealed or misrepresented any material fact or circumstance
relating to this policy or claim.
Notice to California residents: This plan contains disability insurance
benefits or health insurance benefits, or both, that only
apply during your trip. You may have coverage from other
sources that already provides you with these benefits. You
should review your existing policies. If you have any questions
about your current coverage, call your insurer or health
plan.
Notice to Florida residents: The benefits of the
policy providing the Insured's coverage is governed by the
law of a state other than Florida.
Notice to North Carolina residents: In North Carolina,
insurance is underwritten by National Union Fire Insurance
Company of Pittsburgh, PA.
Notice to Texas residents: This policy may provide
a duplication of coverage already provided by the Insured's
personal auto insurance, homeowner's, personal liability
policy or other source of coverage.
007798-CT 05/03
ŠTRAVEL GUARDŽ International 05/03
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