PERSONAL TRAVEL INSURANCE CERTIFICATE
Please keep this Travel Insurance Certificate, together with the Certificate
Schedule, in a safe place and carry it with you when you go on your trip.
SCHEME NO: 0002
THE BENEFITS UNDER THIS CERTIFICATE ARE INSURED BY THE PROFESSIONAL
TRAVEL INSURANCE COMPANY LIMITED
IF YOU ARE NOT HAPPY WITH IT, RETURN IT TO THE ISSUING AGENT WITHIN 14
DAYS OF ISSUE AND YOUR PREMIUM WILL BE REFUNDED IN FULL, PROVIDED NO CLAIMS
HAVE BEEN MADE AND THAT WE RECEIVE YOUR RETURNED CERTIFICATE, INCLUDING
CERTIFICATE SCHEDULE, PRIOR TO DEPARTURE DATE.
PLEASE READ YOUR CERTIFICATE WORDING CAREFULLY. FAILURE TO OBSERVE THE
TERMS AND CONDITIONS SET OUT IN THIS DOCUMENT MAY PREJUDICE ANY CLAIM.
ALL IMPORTANT CONTACT TELEPHONE NUMBERS ARE FEATURED ON THE BACK PAGE (8)
IMPORTANT POINTS TO NOTE
Please read Your Certificate Wording in full before You travel, make sure
You understand exactly what We will and will not pay for under each Section.
SECTION A - CANCELLATION OR CURTAILMENT;
SECTION B - EMERGENCY MEDICAL AND OTHER EXPENSES
AND SECTION C - PERSONAL ACCIDENT
Your state of health may affect the cover provided under Your Certificate,
Please refer to the Cover and Exceptions to Cover in respect of Sections
A,B and C and to the Pre-Existing Medical Conditions box (on page 8).
You Must contact the 24 Hour Medical Emergency Service immediately for
their Doctors opinion if:
1. You are admitted to hospital or
2. You are anticipating having to return home early or extend Your
stay because of any illness or injury
Reciprocal Health Agreement "E111" if You are travelling to a
European Union country You are strongly advised to obtain Form E111 from
Your local Post Office. This will entitle You to benefit from the reciprocal
health arrangements which exist between European Union countries. In the
event of a medical claim having been reduced by the use of Form E111 the
Excess
under Section B -Emergency Medical and Other Expenses will be reduced
to Nil.
Medical Treatment in Australia "MEDICARE" if You require medical
treatment in Australia You must enrol with MEDICARE. You do not need to upon
arrival but You must do so after the first occasion You receive treatment.
In-patient treatment is then free at a public hospital. If You are admitted
to hospital You or Your representative must contact MEDICALL and their authority
must be obtained in respect of any treatment not available under MEDICARE
before such treatment is provided.
Hazardous Pursuit
Your attention is drawn to the definition of Hazardous Pursuit and
also to the fact that certain other activities can be covered at an additional
premium. Please contact Us for advice.
SECTION E - PERSONAL POSSESSIONS
SECTION F - MONEY
SECTION G - PASSPORTS, TICKETS OR DOCUMENTS
Take due care of Your Personal Possessions, Money, Passports, Tickets or
Documents. The vast majority of claims under these Sections arise as a result
of leaving items Unattended at beaches, restaurants, airports and hotels
etc. Lack of proper care towards Your possessions and Money could result
in Your claim being turned down
Valuables, Money, Passports, Tickets or Documents must not be left Unattended
at any time except when left in Your locked personal accommodation or in
a safety deposit box where possible. In particular please note:
1. Your Certificate does not cover Valuables, Money, Passports, Tickets
or Documents when left Unattended in motor vehicles at any time
2. Valuables, Money, Passports, Tickets or Documents must be carried
in Your hand luggage when being transported by Airlines, Coach Operators
etc.
FAILURE TO OBSERVE THE ABOVE REQUIREMENTS WILL INVALIDATE ANY CLAIM
YOUR CERTIFICATE CONTAINS A SINGLE ARTICLE LIMIT ON PERSONAL POSSESSIONS
AND AN OVERALL VALUABLES LIMIT.
Expensive items, jewellery, photographic and video equipment, Sports Equipment
etc. should be insured under Your own Home Contents Insurance.
Where cover applies to items that are stolen, lost or totally destroyed
they will be replaced as new less a deduction for any wear, tear or depreciation.For
all Personal Possessions, Money, Passports, Tickets or Document claims Your
particular attention is drawn to the heading "What You must do if You
wish to make a claim".
CANCELLATION OR CURTAILMENT
If You cancel Your trip for medical reasons obtain a claim form from Claims
Settlement Agencies. Your own medical practitioner should complete the Certificate
on the reverse of the claim form. If the trip is Curtailed for medical reasons
obtain a medical certificate from the
treating Medical Practitioner in the locality where the incident
occurred
You Must
Keep receipts or account for all expenses incurred
Immediately notify the Tour Operator or the Travel Agency where Your trip
was booked
Contact Us as soon as You know that there is a possibility of Your journey
not taking place.
Obtain authorisation from the 24 Hour Medical Emergency Service or from
Us before incurring any expenses in Curtailing Your holiday.
MEDICAL AND OTHER EXPENSES
PLEASE SEE 24 HOUR MEDICAL EMERGENCY SERVICE BOX ON PAGE 8 FOR CASES INVOLVING
MORE THAN SIMPLE OUTPATIENT TREATMENT.
You must keep receipts or accounts for all expenses incurred.
You should pay the hospital/clinic/doctor for routine or simple out patient
treatment and claim back on Your return to the United Kingdom. If You think
the level of treatment is excessive please contact the 24 Hour Medical Emergency
Service for guidance.
If You receive medical treatment abroad and the cost is too much for You
to pay on the spot, please quote the Scheme No. and Your Certificate number
to the hospital/clinic/doctor etc. so that they may note this on their account
when they send it to the Claims Company.
PERSONAL ACCIDENT
Obtain a medical certificate from the treating Medical Practitioner.
In the event of a death We will require a Death Certificate.
DELAY
Obtain a letter from the Airline, Railway Company or Shipping Line, or
their handling agent, confirming the reason for the delay and detailing the
scheduled and actual departure times.
PERSONAL POSSESSIONS & SKI EQUIPMENT
For all loss or damage in transit claims, including delayed Personal Possessions
report to the Airline, Railway or Shipping Line, or their handling agents
and obtain a written report form from them before leaving the baggage reclaim
area.
For all damage claims obtain an estimate for repairs.
In all circumstances, You must retain receipts or vouchers for items lost
or damaged as these will help You to substantiate Your claim.
In the case of lost or misplaced Personal Possessions on the Outward Journey,
You must produce receipts for the purchase of essential replacement items.
You must report all theft or losses to the Police within 24 hours of discovery
and obtain a written Police report. Also report to Your Courier or Hotel/Apartment
Manager whenever it is appropriate.
MONEY, PASSPORTS, TICKETS or DOCUMENTS
You must report all theft or losses to the Police within 24 hours of discovery
and obtain a written Police report. Also report to Your Courier or Hotel/Apartment
Manager whenever it is appropriate.
You must enclose confirmation from Your bank or bureau de change of the
issue of foreign currency. In the case of Sterling You must produce documentary
evidence.
For a lost or destroyed Passport You need to supply Us with a letter from
the Consulate where the loss was reported and retain all receipts that relate
to the necessary costs in replacing the Passport.
PERSONAL LIABILITY
You must supply full details of the circumstances giving rise to the claim
plus any supporting evidence.
You must give Us notice in writing immediately if You or Your legal representatives
have knowledge of any impending prosecution, inquest or fatal injury inquiry
in connection with any occurrence for which there may be liability under
Section H of this Certificate.
LEGAL EXPENSES
You must notify Us within 130 days of the event giving rise to Your claim
in respect of Legal Expenses.
ALL OTHER SECTIONS
You must notify Us within 30 days of the event giving rise to Your claim
with full documentary support.
PLEASE NOTE: FAILURE TO OBSERVE THE FOREGOING REQUIREMENTS WILL INVALIDATE
ANY CLAIM.
Please keep this Travel Insurance Certificate, together with the Certificate
Schedule, in a safe place and carry it with you when you go on your Trip.
EXTENSION OF COVER
It is only possible to extend the Period of Insurance after the commencement
of travel if You hold an Independent Traveller/Long Stay policy and advise
Us before the original expiry date subject to no claims pending or reported.
DEFINITIONS
The following words or expressions carry the meaning shown below whenever
they appear in bold print within the wording of the Certificate:-
PERIOD OF INSURANCE SINGLE TRIP ONLY - Cancellation cover commences from
the Date of Issue of the Certificate Schedule and expires upon Section D1
(ii) Cancellation Compensation.
The remaining covers apply for the period of Your trip up to a maximum
12 months including the direct Outward Journey and ends upon completion of
the direct Return Journey but in any event not exceeding the period of cover
for which the premium has been paid. Section F is operative for a maximum
period of 24 hours prior to the commencement of the Outward Journey and
24 hours after completion of the Return Journey in respect of Money
collected for the purposes of the trip.
PERIOD OF INSURANCE ANNUAL POLICIES ONLY - Cover is for all trips up to
the maximum duration stated on your certificate outside Your country of normal
residence which takes place during Your Certificate period. Cancellation
cover commences from the effective date on Your Certificate. The remaining
covers apply for the period of the trip including the direct Outward Journey
and end upon completion of the direct Return Journey. Winter Sports cover
is only operative and shall be subject to the Winter Sports endorsement.
Cover is also provided to holidays within the U.K. for U.K. residents provided
the holiday involves at least 1 night pre-booked overnight stay more than
50 miles from the Insured's normal address.
WE/OUR/US As set out on page 1. The benefits under this certificate are
insured by The Professional Travel Insurance Company Limited.
YOU/YOUR Any person named on the Certificate Schedule who is eligible to
be Insured and for whom premium has been paid.
CURTAIL/CURTAILMENT Abandonment of the planned trip by return to the United
Kingdom after commencement of the Outward Journey. The amount payable will
be the unused proportion of Your irrecoverable pre-paid charges calculated
from the date of Your return to the United Kingdom. All Curtailment claims
will need authorisation from Us in advance.
RELATIVE Mother, father, wife, husband, son, daughter, brother, sister,
grandmother, grandfather, grandchild, parent-in-law or son or daughter-in-law
Or Fiance (e).
CLOSE BUSINESS ASSOCIATE Your associate in the same employment as You whose
absence from work necessitates You having to cancel Your trip as certified
by Your Senior Director or Partner.
EXCESS The amount of money You will have to pay towards the cost of each
claim under the Certificate, after the application of the Certificate limits.
UNATTENDED means left away from Your person where You are unable
to clearly see and get hold of Your Personal Possessions or Money or Passports,
Tickets and Documents.
PERSONAL POSSESSIONS Baggage, clothing, personal effects including Valuables
and gifts purchased outside the United Kingdom, subject to the limits and
Exceptions detailed under Section E.
VALUABLES Jewellery, articles made of gold silver or other precious metals,
precious or semi-precious stones, watches, binoculars, telescopes, photographic
equipment, electronic audio or video equipment including tapes, compact discs,
cartridges, discs, computer equipment including software, musical instruments,
furs or leather clothing (excluding footwear).
SPORTS EQUIPMENT Those articles which are usually worn, carried or held
in the course of participating in a recognised sport.
MONEY Money taken for private purposes comprising coins, bank or currency
notes, postal or money orders, travellers' cheques.
CASH Currency notes, bank notes or coins of any type.
PASSPORTS, TICKETS and DOCUMENTS Passports, travel tickets, ski lift passes
(if additional premium paid for Winter Sports cover), green card, petrol
coupons, driving licences, phone cards, credit vouchers and admission tickets.
ADVANCED BOOKING Any booking made at least 24 hours prior to the scheduled
departure time shown on Your ticket.
OUTWARD JOURNEY The initial journey by motor transport, train, aircraft,
watercraft undertaken in conjunction with the trip in respect of the Outward
Journey from Your home address in the United Kingdom
RETURN JOURNEY The Initial Journey by motor transport, train, aircraft
or watercraft undertaken in conjunction with the trip in respect of the Return
Journey to Your home address or a hospital or nursing home in the United
Kingdom.
ACCOMMODATION The lodging room of no greater standard than that provided
as part of your prepaid charges in the vicinity of the hospital where the
Insured Person is confined.
HAZARDOUS PURSUITS
Any pursuit or activity where it is recognised there is an increased
risk of injury or accident or can be reasonably expected to aggravate any
existing infirmity (please contact Us if You are in any doubt with full
details of the activity for Our consideration).
The following activities are examples of what are known as "Hazardous
Pursuits" and are not covered by this insurance.
Winter Sports, off-shore sailing, hunting on horseback, motor competitions,
professional sports, racing Ð unless on foot, American football, BMX
riding competitions, boxing, cave diving, ice hockey, judo, karate, lacrosse,
paragliding (over land), polo, shooting/hunting including big game hunting,
weight lifting, flying Ð unless You are a fare-paying passenger on a
regular
scheduled airline or licensed charter aircraft, gliding, hang-gliding,
parachuting, parascending, high diving, ballooning, paid work of any kind,
motorcycling as a rider or passenger on any motorcycle or moped exceeding
125cc in engine capacity, motorcycling as a rider or passenger on any motorcycle
or moped under 125cc unless wearing a helmet, mountaineering when You need
to use ropes or guides, cliff or rock climbing, potholing or caving. Please
contact Us if You intend participating in a pursuit/activity that is not
listed above but could be deemed "hazardous" to check that it can
be covered.
Winter Sports cover can be included at an additional cost. Your summary
of cover will show if You have this cover. In any event heli-skiing, competition
skiing (other than as part of an amateur event arranged by Your ski school
or tour operator), bobsleighing, luging, tobogganing, ski acrobatics, power
assisted skiing including driving mechanical snowmobiles will not be covered.
The Winter Sports cover provided is for recreational skiing (including snow-
boarding) in recognised resort areas that have marked pistes or runs
designed for public use. Within these recognised areas, You are covered for "off-piste" skiing
provided that the area is not marked as out of bounds or hazardous. At all
times You will be expected to ski safely and not recklessly expose yourself
to hazard.
MANUAL WORK Physical labour involving the use of tools or machinery or
exposure to risk that could give rise to Your bodily injury or illness.
GEOGRAPHICAL AREA The area or country to which You are booked to travel
and for which the appropriate premium has been paid, and will involve Your
return to the United Kingdom within the booked trip period.
GEOGRAPHICAL AREAS
Area 1 The United Kingdom Channel Islands, Isle of Man, Northern Ireland
and Eire
Area 2 The Continent of Europe, West of the Ural Mountains, Madeira,
Canary Islands, Iceland, The Azores, Mediterranean Islands and Non European
Countries bordering the Mediterranean (Excluding Lebanon and Libya).
Area 3 Australia and New Zealand (Independent Traveller/Long Stay
policy only)
Area 4 Worldwide excluding USA, Canada and Caribbean
Area 5 Worldwide including USA, Canada and Caribbean
WITHDRAWAL OF SERVICES
1. the withdrawal of all water or electrical facilities in Your accommodation
or
2. the withdrawal of waiter/waitress services at meals
or
3. the withdrawal of kitchen services of such nature that no food
is served
or
4. the withdrawal of room cleaning services.
STRIKE OR INDUSTRIAL ACTION Any form of industrial action taken by workers
which is carried on with the intention of preventing, restricting, or otherwise
interfering with the production of goods or the provision of services.
HIJACK The unlawful seizure or wrongful exercise of control of the aircraft
or ship [or the crew thereof] in which You are travelling as a fare paying
passenger.
MUGGING The violent and threatening attack necessitating Your medical treatment.
GENERAL EXCEPTIONS
REGARDING ALL SECTIONS OF THE CERTIFICATE
We shall not be liable for:
1. Claims arising directly or indirectly from war, invasion, act of foreign
enemy, hostilities (whether war be declared or not), civil war, rebellion,
revolution, insurrection or military or usurped power or acts of terrorism.
2. Consequential loss of any kind
3. Damage to, or loss or destruction of any property or any loss or expense
whatsoever arising indirectly caused by or contributed to, by or arising
from:
(a) ionising radiation or contamination by radioactivity from any
nuclear fuel or from any nuclear waste from the combustion of
nuclear fuel
(b) the radioactive toxic, explosive or other hazardous properties
of
any explosive nuclear assembly or nuclear component of such
assembly
4. Loss, destruction or damage directly occasioned by pressure waves caused
by aircraft and other aerial devices travelling at sonic or supersonic speeds
5. Claims arising from flying or aerial activity of any kind (other than
as a fare paying passenger in a fully licensed passenger carrying aircraft)
6. Claims arising directly or indirectly from Your wilful, malicious
or unlawful acts or whilst under the influence of alcohol or drugs
7. Claims arising directly or indirectly from Winter Sports activities
unless the appropriate additional premium has been paid in which case the
Winter Sports endorsement will apply or for Hazardous Pursuits unless declared
to Us and accepted by Us by endorsement (an
additional premium may be payable)
8. Any claim arising directly or indirectly from the failure of any computer
equipment, integrated circuits, computer chips or computer software to correctly
recognise any date change (this exception does not apply to Sections B or
C).
9. Any claim arising directly or indirectly from any injury, illness, death,
loss, expense or other liability attributable to HIV (Human Immunodeficiency
Virus) and/or any HIV related illness including AIDS (Acquired Immune Deficiency
Syndrome) and/or any mutual derivative
or variations thereof however caused.
CONDITIONS APPLYING TO THE CERTIFICATE
1. YOUR DUTIES
(a) You notify Us if You are aware of any circumstances known at the time
You purchased this Certificate which are likely to cause Cancellation or
Curtailment of Your trip
(b) You must tell Us all facts which are likely to influence Us in the
assessment or acceptance of Your insurance. If You have any doubt about what
You need to tell Us please contact A.I.S Direct.
(c) You must at all times act in a reasonable manner to prevent or minimise
a claim.
2.CHANGE IN RISK
You must immediately advise Us of any changed circumstances which become
apparent after the date of issue of this Certificate and before the commencement
of the trip which could give rise to a claim under the Certificate. We reserve
the right to alter the terms of the insurance in the light of such changed
circumstances. We will, subject to the terms, conditions and
exceptions of the Certificate, indemnify You under Section A in respect
of loss of deposits or charges which You have necessarily incurred up to
the date of advice to Us of such changed circumstances.
3.CLAIMS -YOUR DUTIES
(a) You must advise Us of any occurrence which may give rise to a claim
under this Certificate in writing as soon as is reasonably possible after
the date of such occurrence and shall supply to Us all such accounts and
other documents as We may reasonably require
(b) You must give Us notice in writing immediately if You or Your legal
representatives have knowledge of any impending prosecution, inquest or fatal
injury inquiry in connection with any
occurrence of which there may be liability under Section H of this
Certificate
(c) You must inform the Police of all loss or theft of property within
24 hours of discovery of such loss or theft and obtain a copy of the Police
report in support of any claim under Sections E, F G or N of this Certificate
(d) If Personal Possessions are lost or damaged whilst in the custody of
a Carrier (i.e. Airline, Railway, Shipping Company, Bus Company. Etc), You
must notify such Carrier immediately and obtain a copy of their report.
4.CLAIMS - OUR RIGHTS
(a) No admission, offer, promise, payment or indemnity will be made or
given by You or on Your behalf without Our written consent.
(b) We will be entitled to take over and conduct in Your name the defence
or settlement of any claim or to prosecute in Your name to Our own benefit
in respect of any claim for indemnity or
damages or otherwise, and will have full discretion in the conduct
of any proceedings or in the settlement of any claim and You must give all
such information and assistance as We may require
(c) In case of illness or injury We may approach any doctor who may have
treated You during the period of three years prior to the claim, and We may
at Our own expense and upon reasonable notice to You or Your legal personal
representative, arrange for You to be medically examined as often as required,
or in the event of death have a post mortem examination of Your body
(d) You must supply at Your own expense a Doctor's Certificate in the form
required by Us in support of any claim under Sections A, B or C of this Certificate.
5.FRAUD
If any person makes any misrepresentation or concealment in obtaining this
Certificate or in support of any claim the insurance by this Certificate
will be void.
6.OTHER INSURANCES
Under Sections A, B, D, E, F, G, H, I, J, M, N, O or P We will not be liable
in respect of any claim where the event leading to the claim is insured by
any other existing Certificate or policies, except in respect of any amount
beyond that which is payable under such other Certificate or Policies.
7.ARBITRATION
If any difference shall arise as to the amount to be paid under Section
A, B, D, E, F, G, J, M, N or O of this Certificate (liability otherwise being
admitted) such difference shall be referred to arbitration under the Arbitration
Acts for the time being in force. The making of an Award in such a case shall
be a condition precedent to any right of action against Us.
8.PRECEDENTS TO LIABILITY
The due observance and fulfilment of the terms, provisions, conditions
and endorsement of this Certificate in so far as they relate to anything
to be done or complied with by You will be a condition precedent to Our liability
to make any payment.
9.JURISDICTION
The parties are free to choose the law applicable to this Insurance Contract.
Unless specifically agreed to the contrary this insurance shall be subject
to English Law.
COVER AND EXCEPTIONS TO COVER
SECTION A - CANCELLATION OR CURTAILMENT
What is covered:
We will indemnify You for
a) reimbursement of non-refundable pre-paid charges or contracted
charges (including the cost of Timeshare Management charges up to a maximum
of £400 per week) incurred before the departure date following cancellation
of Your trip up to the amount shown in the schedule
b) the extra cost of a one way airfare of a standard no greater than
the class of journey on the Outward Journey or the applicable fee charged
by the airline to change Your scheduled return date, and the unused non-refundable
prepaid accommodation costs and other land arrangements following Curtailment
of Your trip up to the amount shown in the schedule
as a result of:
1. Your death, accidental bodily injury or illness, or that of a Relative
or a friend with whom You have arranged to travel or stay, or of Your Relative
or of a Close Business Associate
2. You or any person with whom You have arranged to travel or stay being
subject to compulsory quarantine or being summoned for jury service or as
a witness in a Court of Law during the period of the trip
3. Your redundancy (qualifying You to claim for a payment under current
Redundancy Payment Legislation) and that of any person with whom You intend
to travel provided that such notice of redundancy is advised to Us within
14 days of its announcement
4. Your private dwelling becoming uninhabitable following fire, storm or
flood, or Your presence being required by the Police following a burglary
at such private dwelling occurring at any time after We have accepted this
Insurance
5. Cancellation or interruption of scheduled public transport consequent
upon Hijack occurring during the Period of Insurance
6. Reasonable additional travelling expenses incurred by You in returning
to Your home address in the United Kingdom, where such return is urgently
necessitated by the death, serious illness or severe injury of Your Relative
or a Close Business Associate where such Relative or Close Business Associate
is resident in the United Kingdom.
PROVIDED THAT IF A TRIP IS CURTAILED THROUGH YOUR ACCIDENT OR ILLNESS,
A DOCTOR AT THE RESORT OR THE NEAREST TOWN MUST CONFIRM THAT SUCH CURTAILMENT
WAS MEDICALLY NECESSARY. ALL CURTAILMENT COSTS MUST BE AUTHORISED IN ADVANCE
BY THE 24 HOUR EMERGENCY SERVICE DETAILED UNDER SECTION B OR BY US.
Specific Exceptions applying to Section A
What is not covered:
1. any expense following Your disinclination to travel or to continue with
Your trip
2. any expense arising from circumstances which could reasonably have been
anticipated at the time You booked Your trip
3. an Excess of £40.00, £15.00 in respect of Loss of Deposit.
However, where one occurrence relates to two or more members of the samefamily
(i.e. husband, wife and any children up to 18 years of age) insured under
this Certificate, the Excess for which you are collectively responsible will
not exceed £80.00. If the Excess waiver has been paid then no Excess
will apply.
(see also the Specific Exceptions applying to Section A and B opposite
and A, B and C detailed on page 5)
SECTION B - MEDICAL & OTHER EXPENSES
What is covered:
If You sustain actual bodily injury or suffer illness outside the United
Kingdom, We will indemnify You up to the amount stated in the Schedule against
the following expenses which You necessarily incur outside the United Kingdom:
1. Necessary Medical Expenses including hospital charges, in-patient
treatment authorised by Us and ambulance charges for conveyance to hospital.
Dental treatment up to £250 is included only for the alleviation of
sudden pain, and does not apply to the provision of dentures,
artificial teeth and work involving the use of precious materials
2. reasonable additional travelling expenses in returning to Your home
address in the United Kingdom and reasonable additional Accommodation expenses
up to a maximum of £100 per day beyond the number of days booked including
in the event of serious injury or illness for which a Claim is admitted under
1
(i) expenses of one Relative or friend limited to a maximum of £100
per day to include Accommodation, food, transport and essential telephone
costs plus reasonable travel costs for return to the United Kingdom required
on medical advice and authorised by Us or Our 24 Hour Medical Emergency Service
to remain with or to travel to You, and
(ii) The expense of a qualified medical attendant, or other person authorised
by Us required on medical advice to escort You home
3. Cost of returning Your body or ashes to Your home address in the United
Kingdom or burial abroad in the country where death occurs up to £2,000.
This cover includes the cost of a standard transportation container but does
not include the cost of a casket or urn.
If You sustain actual bodily injury or suffer illness whilst on a trip
within the United Kingdom, We will indemnify You up to £1,000 against
expenses You necessarily incur inside the United Kingdom for cover operative
in so far as paragrCSCIBs 2 and 3 are concerned.
Special Proviso to Section B
In accepting the cover provided by Section B, You have given Us or
Our Medical Emergency Assistance Company permission to approach Your United
Kingdom General Practitioner for details of Your medical records in the
event You require any form of in-patient treatment following a medical emergency
whilst outside the United Kingdom.
Specific Exceptions applying to Section B
What is not covered:
1. expenses which You incur in Your normal country of residence (other
than 2 and 3 above for United Kingdom trips only)
2. any surgery or MRIS, CAT scans or invasive procedure including but not
restricted to cardiac catheterisation or organ transplants unless pre-approved
by the 24 Hour Medical Assistance Company prior to it being performed.
3. any in-patient or additional travelling expenses not specifically authorised
by Us or Our 24 Hour Medical Emergency Service
4. any expense which You incur more than twelve months after the occurrence
of the injury or illness to which the claim refers
5. any expense which is not usual, reasonable or customary for the medical
services and/or supply
6. any expense for non-essential or ongoing treatment or where treatment
can be reasonably delayed until Your return to the United Kingdom or the
cost of a single bed ward unless authorised by the 24 Hour Emergency Service
detailed below for medical reasons only or for the service of a chiropractor,
chiropodist or osteopath or for non-medical costs
7. If on medical grounds We deem it necessary to repatriate You earlierthan
planned and You decline and wish to continue the holiday/trip insurers will
not be responsible for any further costs relating to this condition.
8. an Excess of £40.00. However, where one occurrence relates to
twoor more members of the same family (i.e. husband, wife and anychildren
up to 18 years of age) insured under this Certificate, theExcess for which
you are collectively responsible will not exceed £80.00. If the Excess
waiver has been paid then no Excess will apply.
(see also the Specific Exceptions applying to Sections A and B below and
A, B and C detailed on page 5)
WHAT TO DO IN THE EVENT OF A SERIOUS MEDICAL EMERGENCY YOU WILL FIND ON
THE BACK PAGE OF THIS CERTIFICATE FULL DETAILS OF YOUR 24 HOUR EMERGENCY
SERVICE. IN THE EVENT OF A SERIOUS MEDICAL SITUATION OR IN-PATIENT DMISSION
WHILST ON THE TRIP YOU (OR YOUR ATTENDING DOCTOR) MUST PHONE THE 24 HOUR
MEDICAL EMERGENCY SERVICE ON THE TELEPHONE NUMBERS PROVIDED IMMEDIATELY.
SIMPLE OUT-PATIENT TREATMENT SHOULD BE PAID LOCALLY AND CLAIMED FOR ON YOUR
RETURN TO THE UNITED KINGDOM. EXTENSION TO SECTION B - HOSPITAL CONFINEMENT
BENEFIT
If You sustain actual bodily injury or suffer illness outside the United
Kingdom during the Period of Insurance resulting in admission to a hospital
overseas as an in-patient, We will pay You a benefit of £20 per complete
24 hours which You are hospitalised up to a maximum stated in the Schedule
Exceptions applying to Section A and B only
What is not covered:
Claims arising from pregnancy where the period of the trip terminates less
than two months before the date of delivery as estimated by a Hospital or
Registered Medical Practitioner. However where the insurance has been effected
prior to confirmation of the pregnancy by such Hospital or Registered Medical
Practitioner and in the event of You effecting immediate cancellation of
the trip upon receipt of such confirmation, We will indemnify You under Section
A.
(see also the Specific Exceptions applying to Section A,B and C detailed
on page 5)
SECTION C - PERSONAL ACCIDENT
What is covered:
If You sustain bodily injury caused solely by accident or violent external
and visible means, and such bodily injury solely and directly results within
twelve months in Your death or disablement, We will pay to You benefits in
accordance with the following items:
Item 1 - Death - £10,000
Item 2 - Permanent loss by physical severance of hand or foot at
or above the wrist or ankle or the total and permanent loss of use of an
entire hand or arm or of an entire foot or leg or total and irrecoverable
loss of all sight in one or both eyes - £20,000
Item 3 - Permanent total disablement resulting in Your permanent
and absolute inability to attend to a profession, business or gainful occupation
of any and every kind - £20,000
Provided that:
(1) if You are under 18 years of age the benefit under item 1 is
limited to £1,500
(2) if You are aged 65 years or over item 1 is limited to £1,500 and
no compensation will be payable under item 3
Specific Exceptions applying to Section C
What is not covered:
No compensation will be payable:
1. under more than one of the items 1, 2 or 3 and on payment of a
claim under any one of these items, all liability under this section will
cease in so far as You are concerned
2. in respect of claims arising from pregnancy.
Exceptions applying to Section A, B and C
What is not covered:
Claims arising from:
1. Any chronic or serious or ongoing medical condition for which
Youhave received treatment as a hospital in-patient or been under thecare
of or referred to a specialist consultant or are waiting for theresults
of any medical tests or been diagnosed with cancer or been treated for a
breathing or heart condition (including angina or high or unstable blood
pressure) and are still taking medication or receivingfollow up consultation
or received any treatment for any psychologicalor psychiatric disorder,
anxiety, stress or depression (unless declared
to Us and accepted prior to effecting this insurance, please refer
tothe Pre-Existing Medical Conditions Box on Page 8)
2. travel arrangements made or undertaken:
(i) Against the advice of any Registered Medical Practitioner
(ii) For the purpose of obtaining medical treatment abroad
3. Your intentional self-injury, suicide, or attempted suicide or
wilful exposure to risk (except in the attempt to save a human life)
4. the influence of intoxicating liquor or of a drug or drugs (unless
prescribed by a Registered Medical Practitioner), or substance or solvent
abuse or venereal disease
5. emotional, psychological, psychiatric disorder, or whilst suffering
from any condition or anxiety, stress or depression unless same results in
admission to a hospital as an in-patient
6. driving or being a passenger on a motor cycle, motor scooter or
mechanically assisted cycle exceeding 125cc in engine capacity during the
period of the trip provided You hold an appropriate licence
7. You engaging in Manual Work during the period of the trip, overland
expeditions, safaris (unless part of a prepaid organised guided tour), crewing
a sailing boat or vessel from one country to another, air and/or sea search
and rescue, Winter Sports (unless the appropriate
additional premium has been paid in which case the Winter Sports
Endorsement will apply), steeplechasing, polo, hunting, professional sport,
mountaineering (normally requiring the use of ropes or a guide) pot-holing,
any race speed or duration test or practice for such race or
test (other than athletics), or any Hazardous Pursuit (unless the
appropriate premium has been paid and the Certificate Schedule suitably endorsed)
SECTION D - TRAVEL DELAY AND MISSED DEPARTURE
What is covered:
1. If as a direct result of the outbreak of Strike or Industrial Dispute,
or weather conditions affecting scheduled public transport which has been
the subject of Advance Booking by You, or mechanical or electrical breakdown
of motor transport, train, aircraft or watercraft which has
been the subject of Advance Booking by You occurring after the date
of commencement of cover, the departure time of the Outward Journey or Return
Journey takes place more than 12 hours after the departure time appearing
on your ticket, We will indemnify You as
shown below:
(i) Delay Compensation Ð An amount of £20 for the first full
12 hours and £10 for each subsequent full 12 hours up to a maximum
as stated in the schedule
(ii) Cancellation Compensation Ð If You elect to cancel the Outward Journey
of the trip after a delay exceeding 24 hours as described above We will indemnify
You in respect of irrecoverable
travel or accommodation deposits or charges paid or contracted to
be paid under Section A
2. If You miss Your booked departure due to late arrival at the point of
international departure caused by accident or electrical or mechanical breakdown
to the conveyance in which You are travelling, or to exceptional and unforeseen
traffic conditions, in the course of:-
Your direct journey to the point of international departure immediately
prior to commencement of the Outward Journey from the United Kingdom, or
Your direct journey to the point of international departure immediately prior
to commencement of the Return Journey to the United KingdomWe will pay up
to the limit stated in the schedule or additional travel charges which You
necessarily and reasonably incur in the purchase of a ticket for an alternative
journey.
Provided that:
1. any payment We make in respect of 1 (i) above for delays in the
Outward Journey will be deducted from any subsequent payment made under
1 (ii)
2. in respect of 1 above You must check-in according to the itinerary provided
by the Tour Operator or Carrier, and obtain written confirmation of the delay
from such Tour Operator or Carrier
3. compensation as described in 1(ii) above is only payable in respect
of delays on the Outward Journey from the United Kingdom
4. You must produce independent evidence in writing to support any claim
5. Our limit of liability under 1 (ii) will not exceed the amount stated
in the schedule for Section A Cancellation
6. in respect of 2 above You must take all reasonable steps to arrive at
the departure point at or before the recommended time and have allowed sufficient
time for Your journey.
Specific Exceptions applying to Section D
What is not covered:
1. circumstances which could reasonably have been anticipated at the date
insurance was effected
2. withdrawal from service (temporary or otherwise) of an aircraft or sea
vessel on the recommendation of the Civil Aviation Authority or a Port Authority
or any similar body in any country
3. an Excess of £40.00. However, where one occurrence relates to
two or more members of the same family (i.e. husband, wife and any children
up to 18 years of age) insured under this Certificate, the Excess for which
you are collectively responsible will not exceed £80.00.
This is only applicable to item 2. If the Excess waiver has been
paid then no Excess will apply.
SECTION E - PERSONAL POSSESSIONS
What is covered:
We will indemnify You
1. For loss of or theft of or damage to Personal Possessions belonging
to You up to the amount stated in the schedule (no single article being insured
for more than £250. A camera or camcorder with all accessories, a bracelet
or necklace with any attachment and any similar
set or pair of items will be considered as one article).
2. For loss of or theft of or damage to Sports Equipment belonging to You
up to a maximum of £1,000
3. If You are deprived of Your own Sports Equipment following loss of or
damage to Your equipment, We will pay £50 for each complete 24 hours
up to a maximum of £200 for the necessary hire or replacement equipment
4. The cost of necessary purchase of replacement clothing and toiletries
if You are temporarily deprived of Your Personal Possessions on the Outward
Journey for a period of more than 12 hours from the time of arrival at Your
destination due to their delay or misdirection in delivery
up to the amount stated in the Schedule.
Provided that:
1. You take all reasonable precautions for the safety of the property
insured
2. Our liability in respect of Valuables is limited to a total amount of £250.
3. any claims payment made in respect of temporary deprivation of Personal
Possessions will be deducted from any subsequent claim where the property
insured proves to be permanently lost. You must keep receipts for all replacement
purchases
4. You must supply at Your own expense a Statutory Declaration regarding
any claim arising under this section of the Certificate if so required
Specific Exceptions applying to Section E
What is not covered:
1. loss or damage arising from wear and tear, depreciation or deterioration,
any process of cleaning, repairing or restoring, atmospheric or climatic
conditions, moth or vermin, electrical or
mechanical breakdown or derangement
2. loss of or theft of or damage to contact or corneal lenses, dentures,
hearing aids, mobile telephones, samples or merchandise or property used
in connection with Your business or trade, bonds, coupons, securities, stamps
or documents of any kind, vehicles or accessories,
antiques, pictures, Sports Equipment whilst in use, boats and/or
ancillary equipment including windsurfing equipment and sailboards, caravan
awnings, glass, china or any other articles of a brittle or fragile nature
3. loss of or damage to property shipped as freight or under a bill of
lading
4. an Excess of £40.00. However, where one occurrence relates to
two or more members of the same family (i.e. husband, wife and any children
up to 18 years of age) insured under this Certificate, the Excess for which
you are collectively responsible will not exceed £80.00.
If the Excess waiver has been paid then no Excess will apply. (see
also the Specific Exceptions applying to Sections E, F and G detailed on
page 6)
SECTION F - MONEY
What is covered:
We will indemnify You up to the amount stated in the schedule in respect
of accidental loss or theft of Money whilst on Your person or whilst in a
safety deposit box within a hotel or bank or whilst in securely locked accommodation
under Your control.
Provided that:
1. You take all reasonable precautions for the safety of the property
insured
2. You must supply at Your own expense a Statutory Declaration regarding
any claim arising under this section of the certificate if so required
3. Our limit of liability in respect of cash being carried on any
one person is £300 (for persons aged up to 18 years the loss of cash
limit is £100)
Specific Exceptions applying to Section F
What is not covered :
1. shortages of Money due to error or omission or depreciation in value
or currency transfer costs
2. an Excess of £40.00. However, where one occurrence relates to
two or more members of the same family (i.e. husband, wife and any children
up to 18 years of age) insured under this Certificate, the Excess for which
you are collectively responsible will not exceed £80.00.
If the Excess waiver has been paid then no Excess will apply.
(see also Specific Exceptions applying to E, F and G detailed below)
SECTION G - PASSPORT, TICKETS & DOCUMENTS
What is covered:
We will indemnify you up to the amount stated in the schedule
(a) The reasonable costs in obtaining a replacement Passport (or travel
document) to enable You to return to the United Kingdom following the accidental
loss or theft of Your Passport whilst outside the United Kingdom
(b) The irrecoverable costs of travel tickets, ski lift passes (if
additional premium paid for Winter Sports cover), green card, petrol coupons,
driving licence, phone cards, credit vouchers and admission tickets following
accidental loss or theft
Specific Exceptions applying to Section G
What is not covered:
1. an Excess of £40.00. However, where one occurrence relates to
two or more members of the same family (i.e. husband, wife and any children
up to 18 years of age) insured under this Certificate, the Excess for which
you are collectively responsible will not exceed £80.00.
If the Excess waiver has been paid then no Excess will apply.
Exceptions applying to Sections E, F & G
What is not covered:
1. loss due to delay, detention, confiscation, requisition or damage by
Customs or other Officials or Authorities
2. loss or theft unless
(a) You have reported the loss or theft to the nearest Police authority
within 24 hours of discovery and
(b) You have obtained a written Police report
3. loss of or theft of
(a) Valuables or Money from an Unattended vehicle at any time.
(b) Other property insured from an Unattended motor vehicle unless
the vehicle was securely closed and locked, and such propertyplaced out of
sight in the locked boot or in locked compartment within the vehicle, but
in any event excluding all property insured whilst left in an Unattended
motor vehicle between 2000 hours 0800 hours local time, theft of property
left Unattended other than as provided above or whilst in Your securely locked
accommodation, (other than motor homes or caravans).
4. loss of or theft of Valuables or Money whilst in a suitcase or holdall
or bag or similar receptacle outside Your immediate control.
SECTION H - PERSONAL LIABILITY
What is covered:
We will indemnify You against all sums up to the amount stated in the Schedule
which You are legally liable in a personal capacity to pay in respect of
accidents happening during the Period of Insurance resulting in:
1. Bodily injury, death or disease to any person not being a member of
Your Family or household or in Your service
2. Damage to property not
(i) belonging to You or
(ii) in the charge of or under the control of You or a member of
Your family or household or a person in Your service The indemnity provided
by this Section extends to cover costs and expenses recoverable by any claimant,
provided they were incurred before the date (if
any) on which We paid or offered to pay either the full amount of
the claim or the total amount recoverable, in respect of any one occurrence
and also the costs and expenses incurred by You with Our written consent.
In the event of Your death Your personal representative will receive the
benefit of the cover granted by this section.
Specific Exceptions applying to Section H
What is not covered:
1. Claims arising:
(i) directly or indirectly out of the ownership, possession or use(other
than as a passenger having no right of control) of aircraft, model aircraft,
caravans, trailers, motorised or electrically
propelled water borne craft, sailing vessels, wind surfers, mechanical
or electrically propelled vehicles or conveyances or attached trailers and
lifts
(ii) directly or indirectly out of the ownership, possession or use
of animals or firearms
(iii) directly or indirectly out of or incidental to Your business,
trade or profession
(iv) out of actions between persons insured
(v) directly or indirectly out of Your ownership possession or control
of any land or buildings
(vi) out of any liability assumed under a contract unless such liability
would have attached in any event in the absence of such contract
2. An Excess of £40.00. However, where one occurrence relates to
two or more members of the same family (i.e. husband, wife and any children
up to 18 years of age) insured under this Certificate, the Excess for which
you are collectively responsible will not exceed £80.00.
This is only applicable to item 2. If the Excess waiver has been
paid then no Excess will apply.
SECTION I - LEGAL EXPENSES
What is covered:
We will pay for legal costs and expenses incurred by You or Your legal
representatives in the event of You or Your legal representative taking legal
proceedings for Compensation and/or damage arising from Your bodily injury
or death during the period of Your trip up to the maximum stated in the Schedule.
Provided that:
We shall have complete control over legal proceedings and the appointment
of solicitors.
Specific Exceptions to Section I
What is not covered:
No payment will be made for
1. any claim brought against a tour operator, travel agent, carrier,
insurance company, or its agents, Us, or Our agents
2. any claim brought against any other insured person or Your Relative
or member of Your household
3. legal costs and expenses incurred prior to Us granting support
4. claims reported more than 130 days after the event giving rise to Your
bodily injury or death
5. any claim where We do not consider Your prospects of success in achieving
a reasonable result are adequate or any claim where the estimated amount
that will be recovered is less than £1,000
6. any claim arising from Winter Sports unless the appropriate additional
premium has been paid, in which case the Winter Sports Endorsement will apply.
7. an Excess of £40.00. However, where one occurrence relates to
two or more members of the same family (i.e. husband, wife and any children
up to 18 years of age) insured under this Certificate, the Excess for which
you are collectively responsible will not exceed £80.00.
If the Excess waiver has been paid then no Excess will apply.
SECTION J - WITHDRAWAL OF SERVICES
What is covered:
We will pay You a benefit of £15 per complete 24 hours if You suffer
Withdrawal of Services continuously for at least 60 hours during Your trip
up to the maximum stated in the schedule.
Specific Exceptions applying to Section J
No benefit will be payable:
1. where cover is effected within 4 weeks of the departure date of
Your trip
2. for Strike or Industrial Action existing at the date insurance was effected
3. for withdrawn services which were not part of Your pre-paid package
deal
4. unless supported by written confirmation from the tour operator or hotel
to substantiate Your claim.
SECTION K - HIJACK
What is covered:
If You are prevented from reaching Your scheduled destination as
a result of Hijack of the aircraft or ship in which You are travelling,
We will pay You £50 for the first full 24 hours of delay and £50
for each subsequent full 24 hours of delay up to the maximum stated in the
schedule
Provided that:
1. compensation is only payable if no claim is made under Section
A - Cancellation or Section D - Travel Delay
2. You must produce independent evidence in writing in support of
any claim.
SECTION L - MUGGING BENEFIT
What is covered:
If You sustain actual bodily injury as a result of a Mugging attack
during the Period of Insurance resulting in medical treatment necessitating
admission to an overseas hospital, We will pay You a benefit of £50
per complete 24 hours You are hospitalised up to a maximum stated in the
Schedule.
Provided that:
1. The incident was reported to the nearest Police Authority within
12 hours of the incident occurring and a written Police Report is obtained
2. You produce independent evidence in writing in support of any
claim.
Specific Exceptions to Section L
What is not covered:
No benefit will be payable following:
1. You being under the influence of intoxicating liquor or of a drug
or drugs, or of substance or solvent abuse
2. Your intentional self-injury or Your wilful exposure to risk or
Your deliberate acts.
SECTION M - CATASTROPHE
What is covered:
We will pay You up to the limit shown in the Schedule should You
be forced to move from Your pre-booked and pre-paid accommodation outside
of the United Kingdom as a result of fire, lightning, explosion, earthquake,
storm, tempest, hurricane, flood, medical epidemic or local Government directive
which is confirmed in writing by local or national authority, for the
irrecoverable travel or accommodation costs necessarily incurred
to continue with Your pre-paid trip or, if the trip cannot be continued,
for Your return to the United Kingdom.
Specific Exceptions to Section M
What is not covered:
No compensation will be payable for:
1. any expense following Your disinclination to travel or to continue
with Your trip when official directives from the local or national authority
state it is acceptable to do so
2. any cost or expense payable by or recoverable from the tour operator,
airline, hotel or other provider of services.
SECTION N - DOMESTIC PETS
What is covered:
1. We will pay up to £10 for each full 24 hour period of delay for
extra kennel or cattery fees if the start of Your original pre-booked Return
Journey by aircraft, sea vessel or train is delayed because of circumstance
beyond Your control. You must be delayed by at least 24 hours and We will
pay up to £200
Specific Exceptions to Section N
(a) any claim that results from a Strike or Industrial Action which
You knew about before the start of Your trip.
(b) any kennel or cattery fees You pay outside the United Kingdom
as a result of quarantine regulation
(c) You must have checked in for Your trip at or before the recommended
time
(d) You get a written statement from the appropriate transport company
or authority confirming the reason for the delay and how long it lasted
(e) any amount We pay under this section only applies to domestic
cats or dogs that You own and
(f) You must get a written statement from the appropriate kennel
or cattery confirming any extra charges You have to pay.
WINTER SPORTS ENDORSEMENT
(If additional premium is paid and Certificate Schedule is suitably
endorsed)
SECTION O - SKI EQUIPMENT
What is covered:
We will indemnify You against loss or damage to skis, ski-sticks,
ski-boards and ski-boots belonging to You up to the amount stated in the
schedule (no single article or set of articles being insured for more than £250)
If You are temporarily deprived of Your ski equipment on the Outward Journey
for a period of more than 12 hours from the time of arrival at the holiday
destination due to delay or misdirection in delivery. We will pay £20
for each complete 12 hours delay up to a maximum of £200 for the hire
of alternative equipment. We will also indemnify You up to the amount stated
in the Schedule for loss or damage to hired ski equipment (no single article
or set of articles being insured for more than £150)
If You are deprived of Your own equipment following loss of or damage to
Your equipment, We will pay £20 for each complete 12 hours up to a
maximum of £200 for the necessary hire of replacement equipment, subject
to You keeping Your damaged equipment for Our inspection following Your return
to the United Kingdom.
Provided that:
1. You take all reasonable precautions for the safety of the property
insured
2. You must retain all hire receipts, tags and baggage labels and
in the event of delay or misdirection in delivery of Your equipment, must
obtain a Property Irregularity Report from Your airline or other carrier
confirming the delay
3. You must supply at Your own expense a statutory declaration regarding
any claim arising under this Section.
Specific Exceptions to Section O
What is not covered:
1. Losses due to delay, detention, confiscation, requisition or damage
by Customs or other Officials or Authorities
2. Loss or theft unless
(a) You have reported the loss or theft to the nearest Police Authority
within 24 hours of discovery
(b) You have obtained a written Police Report
3. Loss or theft of ski equipment left Unattended unless from Your locked
holiday accommodation or from a locked motor vehicle provided all equipment
is kept out of sight in a locked boot or compartment and the vehicle shows
signs of forced entry, or from a secure area designated for the storage of
ski equipment.
4. An Excess of £40.00. However, where one occurrence relates to
two or more members of the same family (i.e. husband, wife and any children
up to 18 years of age) insured under this Certificate, the Excess for which
you are collectively responsible will not exceed £80.00 (the Excess
does not apply to temporary deprivation of ski equipment). If the Excess
waiver has been paid then no Excess will apply.
SECTION P - SKI PACK
What is covered:
We will indemnify You up to the amount shown in the schedule in respect
of the proportional amounts of irrecoverable pre-paid charges You have paid
or contracted to pay before the holiday departure date for ski equipment
hire, lift passes and ski-school costs, and cannot recover, if during the
period of Your holiday You are necessarily prevented from skiing for more
than 48 hours following Your bodily injury or illness sustained during the
period of Your holiday
Provided that:
You must submit to Us a medical certificate from a qualified Medical
Practitioner in the resort area in support of Your claim
Specific Exceptions to Section P
What is not covered:
Claims arising from:
1. Your intentional self-injury, suicide or attempted suicide or wilful
exposure to a needless risk (except in the attempt to save human life)
2. The influence of intoxicating liquor or of a drug or drugs (unless prescribed
by a Medical Practitioner) or substance or solvent abuse, venereal disease
3. Psychological or psychiatric disorder, anxiety, stress or depression
4. Driving or being a passenger of a motor cycle, motor scooter or mechanically
assisted cycle exceeding 125cc engine capacity.
5. You engaging in manual work during the holiday, bobsleighing, snow rafting,
parapenting, heli-skiing, ski acrobatics, ski joreing, any form of power
assisted skiing or use of mechanised snow mobiles except as provided by the
recognised Piste Authorities for transport to and from
areas designated for recreational skiing, steeplechasing, polo, hunting,
professional sport, mountaineering (normally requiring the use of ropes or
guides), pot holing, any race, speed or duration test or practice for such
race or test (other than athletics) or any Hazardous Pursuit (unless the
appropriate premium has been paid and the Certificate Schedule suitably endorsed)
SECTION Q - PISTE CLOSURE
What is covered:
We will indemnify You in the event of adverse snow conditions which
result in the total closure of all skiing facilities in Your resort a sum
up to £20 per day for transportation costs to the nearest available
resort where there are adequate snow conditions, or compensation of £20
per day in the event there is no suitable resort, up to the maximum shown
in the Schedule
Specific Exceptions to Section Q
What is not covered:
1. No benefit is payable if You are able to obtain compensation from any
other source
2. Any payment for Piste Closure outside the normal ski season as defined
by the local piste authority of the resort in question.
3. Compensation if Your chosen resort does not have skiing facilities above
1,600 metres.
SECTION R - UNDERWATER ACTIVITIES
This Insurance covers Scuba Diving up to 30 metres only.
Exclusions:
This insurance does not cover claims directly or indirectly arising
from, happening through or in consequence of:
1. Diving by persons not holding a recognised certificate for the type
of diving being undertaken, or not under professional instruction.
2. Diving without proper equipment and/or contrary to codes of good practice
according to bona fide organisations.
3. Diving to depths greater than 30 metres.
4. Solo diving.
5. Specifically organised cave diving.
6. Diving for hire or reward.
7. Flying within 24 hours of the last dive.
8. Diving whilst suffering from a cold, influenza, infection or obstruction
of the sinuses or ears.
9. Diving by persons aged under 12 years of age or over 65 years of age.
Warranty: The Insured Person is medically fit to dive, and if in any doubt
has consulted his/her medical adviser and has obtained a certificate to this
effect.
Subject otherwise to all Terms, Conditions, Exclusions and Limitations
of the Certificate.
PRE-EXISTING MEDICAL CONDITIONS
If You or any person to be covered by this insurance:
Have received treatment as a hospital in-patient.
Been under the care of or referred to a specialist consultant or are waiting
for the results of any medical tests.
Been diagnosed with or treated for cancer.
Been treated for a breathing or heart condition (including angina or high
or unstable blood pressure) and are still taking medication or receiving
follow up consultation.
Are taking prescribed medication for any condition.
You will need Our specific approval to cover these conditions.
We would strongly advise you to contact Our medical screening helpline
on 0870 2411 885
to assess whether this condition could be included, in the cover provided.
If You contact this service You will be provided with a letter confirming
the basis on which medical cover is provided. If You do not contact Us, We
will be unable to pay for medical expenses, cancellation or curtailment costs
arising out of that condition.
The helpline is open Monday to Friday from 9.00am to 5.00pm.
We may need specific medical reports to provide You with cover. If so,
You will be responsible for the costs of obtaining these reports.
You will not be covered under Section A, B or C if You fail to contact
Us. There is no charge for this service. If You do not wish to accept any
additional terms and/or conditions that may be applied You may cancel this
insurance and receive a full refund of any premiums paid.
All calls are treated in the strictest confidence.
WHAT TO DO IF YOU WISH TO MAKE A CLAIM
All claims other than Medical Emergency Assistance must be made direct
to:
CLAIMS SETTLEMENT AGENCIES
308-314 LONDON ROAD
HADLEIGH
ESSEX
SS7 2DD
Telephone 01702 553443 Fax 01702 553231
They will send You a claim form which You will need to complete and return
to them with Your Certificate Schedule and any other documents requested.
COMPLAINTS PROCEDURE
Any enquiry or complaint You may have regarding Your Certificate may be
addressed to :-
THE MANAGING DIRECTOR
A.I.S. DIRECT,
PO BOX 59, HADLEIGH, ESSEX, SS7 2FD
Please quote the Scheme Number shown on the first page of this Certificate
and Your Certificate Schedule number to help Your enquiry to be dealt with
speedily.
If You are still not satisfied with the way a complaint has been dealt
with You may ask the Insurance Ombudsman Bureau to review Your case without
prejudice to Your rights in law. The address is: The Insurance Ombudsman
Bureau, South Quay Plaza, 183 Marsh Wall, London, E14 9SR.
24 HOUR MEDICAL EMERGENCY SERVICE OPERATED BY MEDI-CALL LIMITED
IMPORTANT Ð please quote A.I.S. DIRECT and Scheme Number shown on the
first page of this Certificate and Your Certificate Number.
Medi-Call Limited provides immediate help in the event of Your illness
or injury arising outside the United Kingdom Ð they provide 24 hour multi-lingual
emergency service 365 days a year and can be contacted by telephone, telex
or fax.
Should a serious medical problem arise You must contact Medi-Call Limited
immediately.
Emergency numbers
Tel: UK (+44) 1273 321976
Fax: UK (+44) 1273 731261
You are responsible in advising Your attending doctor to seek prior approval
for any treatment except in extreme circumstances where a request for prior
approval would delay surgery in a life threatening situation or medical crisis.
Failure to contact Medi-Call Ltd may limit the benefits payable, or in certain
circumstances, cover will not be provided.
When You call upon the services of Medi-Call Ltd it is a condition of the
service that First Assist shall solely be responsible for all decisions on
the most suitable and reasonable solution to any medical problem. The service
includes, where necessary:
1. Multi-lingual assistance with hospitals and doctors
2. Repatriation arrangements and necessary escorts by a medical attendant
3. Travel arrangements for other members of Your party or next-of-kin
4. On arrival in the United Kingdom, an ambulance service to hospital or
home.
Please note: We are not responsible for the availability, quality or results
of any medical treatment received by You.
NOTE TO TREATING DOCTOR
In the event of in-patient hospitalisation or a serious medical condition
Medi-Call Ltd must be advised immediately with full medical details. Failure
to do this will mean medical expenses incurred cannot be guaranteed. Please
refer to Exception 2 of Section B.

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