DESCRIPTION OF 24-HOUR EMERGENCY ASSISTANCE SERVICES (PROVIDED BY CSA’S DESIGNATED PROVIDER)Available ServicesVarious
24-Hour Emergency Assistance Services are provided along with the CSA
Travel Protection® plans. A description of all 24-Hour Emergency
Assistance Services are contained in this document. The 24-Hour
Emergency Assistance Services are only available to persons whose
primary residence is in the United States or Canada. This plan is
administered by CSA Travel Protection and Insurance Services.
HOW TO CALL THE 24-HOUR EMERGENCY HOTLINEIf
you need emergency help for an available service, you can call
toll-free 24 hours a day to (866) 922-0278 from within the United
States, or call collect to (202) 974-6480 from around the world.
When
calling, you should have available your Policy/Reference number and
Plan Code, your location, a local telephone number, and details of the
situation. After your coverage has been verified, the assistance
provider will assist you. If you cannot call collect from your
location, dial direct and give the assistance provider your telephone
number and location and they will call you back.
To call
collect from a foreign country you may first need to reach a live
operator on the line. In some cases, that operator may not understand
how to process collect calls to the United States. To be prepared,
please visit
www.consumer.att.com/global/english/away/directservice.html
for information on how to reach an English-speaking operator. If you
were unable to reach CSA collect and paid for your call, we will ask
you for a number to call you back so you will pay no further charges.
In
the event of a life-threatening emergency, please first call the local
emergency authorities to receive immediate assistance and then contact
the assistance provider. There may be times when circumstances beyond
the assistance provider’s control hinder their endeavors to provide
help services; however, they will make all reasonable efforts to
provide services and help resolve your problem. The assistance provider
cannot be held responsible for failure to provide, or for delay in
providing services when such failure or delay is caused by conditions
beyond its control, including but not limited to flight conditions,
labor disturbance and strike, rebellion, riot, civil commotion, war or
uprising, nuclear accidents, natural disasters, acts of God or where
rendering service is prohibited by local law or regulations.
The
assistance provider’s staff will do their best to refer you to the
appropriate providers. However, the assistance provider and CSA cannot
be held responsible for the quality or results of any services provided
by these independent practitioners.
AVAILABILITY OF SERVICESYou
are eligible for informational and concierge services at any time after
you purchase this plan. The Emergency Assistance Services become
available when you actually start your trip. Emergency Assistance,
Concierge and Informational Services end the earliest of: midnight on
the day the program expires; when you reach your return destination; or
when you complete your trip. The Identity Theft Resolution Services
become available on your scheduled departure date for your trip.
Services end 180 days (six months) from the date of your scheduled
departure date for your trip. Identity Theft Resolution does not
guarantee that its intervention on behalf of you will result in a
particular outcome or that its efforts on behalf of you will lead to a
result satisfactory to you. Identity Theft Resolution does not
include, and Identity Theft Resolution shall not assist you for thefts
involving non-US bank accounts.
INFORMATIONAL SERVICESThe
assistance provider offers a wide range of informational services
before you leave home and during your trip, including: Visa, Passport,
Inoculation and Immunization Requirements, Cultural Information,
Temperature, Weather Conditions, Embassy and Consulate Referrals,
Foreign Exchange Rates, and Travel Advisories.
EMERGENCY ASSISTANCE SERVICESMedical Referral If
an emergency occurs during a trip that requires you to visit a doctor,
you should call the Emergency Hotline to obtain the names of local
qualified doctors who speak your language. If additional medical
services are required, the assistance provider is prepared to consult
with the attending physician and provide such assistance, as they
believe to be in your best interest.
Traveling Companion AssistanceIf
a Traveling Companion loses previously-made travel arrangements due to
your medical emergency, the assistance provider will arrange for your
Traveling Companion’s return home.
Emergency Cash Transfer
If your cash or traveler’s checks are lost or stolen, or unanticipated
emergency expenses are incurred, the assistance provider will help
arrange for an emergency cash transfer in currency, traveler’s checks,
or other forms as deemed acceptable
by the assistance provider. The
assistance provider will advance up to $500 after satisfactory
guarantee of reimbursement from you.
Legal ReferralThe
assistance provider will locate attorneys available during regular
working hours. Assistance will also be provided to advance bail bond,
where permitted by law. You are responsible for contracted legal fees.
Locating Lost or Stolen ItemsThe assistance provider will assist in locating and replacing lost or stolen luggage, documents and personal possessions.
Replacement of Medication and EyeglassesThe
assistance provider will arrange to fill a prescription that has been
lost, stolen or requires a refill, subject to local law, whenever
possible. The assistance provider will also arrange for shipment of
replacement eyeglasses. Costs for shipping of medication or eyeglasses,
or a prescription refill, etc. are your responsibility. The refill may
require a visit to a local physician. You should be prepared to furnish
the assistance provider with a copy of your original prescription
and/or the name and phone number of your regular attending physician.
Embassy and Consular ServicesThe assistance provider will provide referrals to travelers needing the assistance of U.S. embassies and consulates.
Worldwide Medical InformationThe
assistance provider can provide necessary inoculation and vaccination
information, and detailed general health and medical descriptions of
destinations around the world.
Interpretation/TranslationThe
assistance provider will assist with telephone interpretation in all
major languages or will refer you to an interpretation or translation
service for written documents.
Emergency Message RelayEmergency messages can be relayed to and from friends, relatives, personal physicians and employers.
Pet ReturnThe
assistance provider will arrange for the return of your pet to your
home if your pet is traveling with you and you are unable to take care
of your pet due to a medical emergency.
Vehicle ReturnThe
assistance provider will make arrangements to have a designated person
or provider return your vehicle to your home (or your rental vehicle to
the closest rental agency) if you experience a medical emergency or
mechanical problems, which prevent you from driving the vehicle.
CONCIERGE SERVICESCity
profiles provide travelers access to information on over 10,000
destinations worldwide, including a complete report on local
entertainment, social customs, and health advisories. Epicurean needs
arranges the delivery of specialized foods and beverages to your home
or office, including gourmet meats and fine wine.
Event ticketing provides tickets to virtually any sporting, theater or concert event worldwide.
Flowers and gift baskets include the purchase and shipment of flowers and gift baskets to friends, family members, and business associates.
Golf outings and tee times provide referrals and tee times at golf courses around the world.
Hotel accommodations offers research and recommendations
on hotels worldwide and book reservations if requested by you.
Meet-and-greet services
include the pick-ups of friends; family members or business associates
at airports or other common carrier destinations by limousine personnel.
Personalized retail shopping assistance includes purchasing selected retail items at your request.
Pre-trip assistance
provides information on travel destinations, city profiles, weather,
special events, ATM locations, currency exchange rates, immunization
and passport requirements, and related services.
Procurement of hard-to-find items ensures our associates will use every means possible to obtain an obscure or exotic item at your request.
Restaurant reviews and reservations provides you with information on restaurants worldwide and the ability to book reservations from anywhere, anytime.
Rental car reservations provide worldwide reservations through most major rental car agencies.
Airline reservations provide full-service air travel accommodations
to destinations worldwide.
DESCRIPTION OF IDENTITY THEFT RESOLUTION SERVICES
(PROVIDED BY CSA’S DESIGNATED PROVIDER)If
you believe you are victim of Identity Theft, please contact our
assistance provider at (866) 922-0278. A description of the service and
terms of use are provided below. The assistance provider treats each
“Identify Theft” as an emergency and, subject to the limitations set
forth in this Program Description, performs, for you any or all of the
following steps necessary to attempt to undo or prevent further damage
upon receipt, by you, of a duly completed and executed “Authorization
Form”.
• Obtain all pertinent credit information and history from you on the phone to determine if a fraud or theft has occurred.
• Educate you on how Identity Theft occurs and inform you of protective measures to take to avoid further occurrences.
• Provide you with a helpful ID Theft Resolution Kit.
•
Provide you with a uniform ID Theft Affidavit (“Affidavit”), answer any
question with regard to completing the Affidavit and submit the
Affidavit to the proper authorities, credit bureaus, and creditors.
•
Obtain list of creditors to be contacted and contact them with separate
itemized fraudulent account statements for each fraudulent occurrence.
•
Report or assist you in reporting the fraudulent activity to the local
authorities and forward a report of the said fraudulent activity to
your creditors.
• Notify all three major credit-reporting agencies
to obtain a free credit report for you and place an alert on your
records with the agencies, and obtain a list of additional creditors
from you.
• If the Identity Theft Affidavit proves that you are a
victim of Identity Theft, the assistance provider shall provide access
via postal mail to credit monitoring to you for one year.
• Place a “security freeze” on your credit records, in states where such law was passed.
•
Submit “Authorization Form” and Affidavit to your creditors requesting
cancellation of your card(s) and an issuance of a new one(s).
• If
other forms of identification were stolen or missing, such as an ATM
card, Driver’s License, Social Security Card, Passport and so forth,
notify or assist you in notifying the appropriate bank or agency of the
situation so that you may take appropriate action and reissue a new
form of identification.
• Provide you with assistance in filing or
submitting paperwork for special ID Theft Protective measures, specific
to your state of residence.
• On a weekly basis, until file is closed, contact you with an updated status report.
• When needed, follow up with creditors to ensure that the matter has been properly handled.
10-DAY RIGHT TO EXAMINE CERTIFICATE:
If
you are not satisfied for any reason, you may return your certificate
within 10 days after receipt. Your plan payment will be refunded,
provided there has been no incurred covered expense. When so returned,
the certificate is void from the beginning. Return the certificate to
us at our home office. After this 10-day period, the payment for this
plan is non-refundable.
INSURING PROVISIONS1.
ELIGIBILITY:
Each person for whom Travel Arrangements have been purchased for a
Covered Trip is eligible for coverage under this policy: subject to the
appropriate premium being remitted with the Covered Trip beginning when
the policy is in force. This insurance may be purchased if you are a
resident of the United States or you purchase this insurance within the
United States
2.
INSURED’S TERM OF COVERAGE:For Trip Cancellation: Coverage begins 12:01 A.M. Standard Time on the day after the date your plan payment is received by us.
Coverage ends on the earlier of: 1) the point and time of departure on the Insured’s Covered Trip; or 2) the point and time of cancellation of the Covered Trip.
For Trip Interruption: Coverage begins on the Scheduled Departure Date.
Coverage ends on the earlier of:
1) the point and time the Covered Trip is completed; or 2) the
Scheduled Return Date; or 3) the arrival at the return destination on a
round trip, or the destination on a one-way trip.
For all other
coverages: Coverage begins on the later of: 1) the date and time you
start your Covered Trip; or 2) 12:01 A.M. Standard Time on the
Scheduled Departure Date of your Covered Trip.
Coverage ends on the
earlier of: 1) the point and time the Covered Trip is completed; or 2)
the Scheduled Return Date; or 3) the arrival at the return destination
on a round trip, or the destination on a one-way trip.
In the event
the Scheduled Departure Date and/or the Scheduled Return Date are
delayed, or the point and time of departure and/or point and time of
return are changed because of circumstances over which neither the
Travel Supplier nor an Insured has control, an Insured’s term of
coverage shall be automatically adjusted in accordance with the Travel
Supplier’s notice to the Company of the delay or change.
3.
BENEFITS:
When an Insured sustains a loss specified under any attached
coverage(s) of the policy under which he or she is covered as shown in
the Schedule of Coverages, the Company will pay benefits as specified
in such attached coverage(s) subject to all policy limitations and
exclusions.
COVERAGE AACCIDENTAL DEATH AND DISMEMBERMENT - FLIGHT ONLY
PART A BENEFITSWhen an Insured sustains covered Injuries:
a. while riding solely as a passenger in an aircraft on a regularly
scheduled airline flight or regularly scheduled charter flight.
b.
received while riding as a passenger in any land or water conveyance
provided at the expense of the air carrier as a substitute for an
aircraft covered by this policy.
c. received while riding as a passenger in a vehicle licensed to carry passengers for hire, but only:
• when going to an airport to board an aircraft on which you are covered by this policy; or
• when leaving an airport after alighting from such an aircraft.
d. received while upon airport premises designated for passenger
use immediately before boarding or immediately after alighting from an aircraft on which you are covered by this policy.
Benefits will be paid as follows:Loss of Life. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .100%
Loss of Both Feet, Both Hands or Both Eyes. . .. . .. . .. . .. . .. . .. . .100%
Loss of One Hand and One Foot. . .. . .. . .. . .. . .. . .. . .. . .. . .. . . .100%
Loss of One Hand and One Eye or
One Foot and One Eye. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . ..100%
Loss of One Hand, One Foot or One Eye. . .. .50%
Loss of hand or hands, or foot or feet, means severance at or above the wrist joint or ankle joint, respectively.
Loss of eye or eyes means the total and irrecoverable loss of the entire sight thereof.
Only one of the amounts shown above (the largest applicable)
will be paid for Injuries resulting from one accident.
The
benefit for loss of: a) two limbs; b) both eyes; or c) one limb and one
eye is payable only when such loss results from the same accident.
These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy.
An
Insured must receive initial Medical Treatment within 2 days of the
date of the accident. Eligible Medical Expenses must be incurred within
180 days of the date of the accident. This insurance does not cover
Injuries received while making a parachute jump (unless to save a life).
To receive benefits, loss must be independent of Sickness and all other causes.
PART B EXPOSURE AND DISAPPEARANCEIf,
while insured under Coverage A, an Insured is unavoidably exposed to
the elements because of a covered accident and suffers a loss for which
benefits are payable under Coverage A, such loss will be covered.
If, while insured under Coverage A, an Insured is in an accident
resulting
in the disappearance, sinking or damaging of an air or water conveyance
on which he or she is covered by this Coverage A and if his or her body
has not been found within 365 days from the date of the accident, it
will be presumed, unless there is evidence to the contrary, that he or
she suffered loss of life as a result of those Injuries.
COVERAGE BACCIDENT AND SICKNESS MEDICAL EXPENSE
PART A DEFINITIONSCovered
Expense means expense incurred for services and supplies: a) listed
below; and b) ordered or prescribed by a Legally Qualified Physician as
Medically Necessary for diagnosis
or treatment; which are limited to:
1. the services of a Legally Qualified Physician;
2.
Hospital or ambulatory medical-surgical center services (this will also
include expenses for a cruise ship cabin or hotel room, not already
included in the cost of the Insured’s
Covered Trip, if recommended as a substitute for a Hospital room for recovery of an Injury or Sickness);
3. transportation furnished by a professional ambulance company to and/or from a Hospital;
4. prescribed drugs, prosthetics and therapeutic services and supplies.
PART B BENEFITSBenefits
will be paid for the expense incurred, up to the Maximum Benefit
Amount, if an Insured incurs a Covered Expense as a result of a
Sickness, which manifests itself during a Covered Trip or as a result
of an accidental Injury that occurs during the Covered Trip. For
Sickness, an Insured must receive initial Medical Treatment for the
Sickness within 5 days of the onset of the Sickness. For Injury, an
Insured must receive initial Medical Treatment for the Injury within 5
days after the date of the accident, which caused the Injury. All
services, supplies or treatment must be received within the 180 days
following the onset of the Sickness or within 180 days after the date
of the accident.
Benefits will include expenses for emergency dental treatment
due to Sickness or accidental Injury not to exceed $750.00.
Benefits will not be paid in excess of the Usual and Customary Charges.
Benefits
will only be paid after benefits have been paid under any other group
policy or contract that provides for payment of the medical expenses
incurred. These benefits will not duplicate any benefits payable under
the policy or any coverage(s) attached to the policy.
COVERAGE CEMERGENCY MEDICAL EVACUATION, MEDICAL REPATRIATION AND RETURN OF REMAINS
PART A BENEFITSWhen
an Insured suffers loss of life for any reason or incurs a Sickness or
Injury during the course of a Covered Trip, the following benefits are
payable, up to the Maximum Benefit Amount.
1.
For Emergency Medical Evacuation:
If
the local attending Legally Qualified Physician and the authorized
travel assistance company determine that transportation to a Hospital
or medical facility is Medically Necessary to treat an unforeseen
Sickness or Injury which is acute or life threatening and adequate
Medical Treatment is not available in the immediate area, the
Transportation Expense incurred will be paid for the Usual and
Customary Charges for transportation to the closest Hospital or medical
facility capable of providing that treatment.
If an Insured dies during the Covered Trip or is in the Hospital for more than seven consecutive days and the Insured’s
dependent
children who are under 18 years of age and accompanying the Insured on
the Covered Trip, are left unattended, Economy Transportation will be
paid to return the dependents to their home (with an attendant, if
considered necessary by the travel assistance company).
If an Insured is traveling alone and is in the Hospital for more than seven consecutive days and emergency evacuation
is
not imminent, upon request of the Insured or next of kin if Insured is
incapacitated, benefits will be paid to transport one person, chosen by
the Insured, by Economy Transportation, for a single visit to and from
his or her bedside.
2.
For Medical Repatriation:
a. If
the local attending Legally Qualified Physician and the authorized
travel assistance company determine that it is Medically Necessary for
an Insured to return to his or her place of permanent residence because
of an unforeseen Sickness or Injury which is acute or life-threatening,
the Transportation Expense incurred will be paid for an Insured’s
return to his or her permanent residence via:
i. one-way Economy Transportation; or
ii.
commercial upgrade, based on an Insured’s condition as recommended by
the local attending Legally Qualified Physician and verified in
writing. Transportation must be via the most direct and economical
route.
b. If the local attending Legally Qualified Physician and
the authorized travel assistance company determine that it is Medically
Necessary for an Insured to return to his or her place of permanent
residence for continued treatment of an unforeseen Sickness or Injury
which is acute or life-threatening, the Transportation Expense incurred
will be paid for transportation to the Hospital or medical facility
closest to an Insured’s permanent place of residence capable
of
providing that treatment. Transportation must be by the most direct and
economical route. Covered land or air transportation includes, but is
not limited to, commercial stretcher, medical escort, or the Usual and
Customary Charges for air ambulance, provided such transportation has
been pre-approved and arranged by the authorized travel assistance
company.
3.
For Return of Remains:In the event of an
Insured’s death, the expense incurred will be paid for minimally
necessary casket or air tray, preparation and transportation of an
Insured’s remains to his or her place of residence or to the place of
burial.
These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy.
PART B CONDITIONSIf
benefits are payable under this Coverage C and an Insured has other
insurance that may provide benefits for this same loss, the Company
reserves the right to recover from such other insurance. An Insured
shall:
a. notify the Company of any other insurance;
b. help the
Company exercise the Company’s rights in any reasonable way that the
Company may request, including the filing and assignment of other
insurance benefits;
c. not do anything after the loss to prejudice the Company’s rights; and
d. reimburse to the Company, to the extent of any payment the Company has made, for benefits received from such other insurance.
COVERAGE DTRIP CANCELLATION BENEFITSBenefits will be paid up to the Maximum Benefit Amount purchased
to cover an Insured for the Published Penalties and unused non-refundable prepaid expenses for Travel Arrangements
when an Insured is prevented from taking his or her Covered Trip due to:
1. death of an Insured, Traveling Companion or Family Member;
2.
a covered Sickness or Injury involving an Insured, Traveling Companion
or Family Member which necessitates Medical Treatment at the time of
cancellation and results in medically imposed restrictions, as
certified by a Legally Qualified Physician, which prevents an Insured’s
participation in the Covered Trip;
3. an Insured or Traveling
Companion being hijacked, quarantined, required to serve on a jury
(notice of jury duty must be received after the Effective Date) or
served with a court order to appear as a witness in a legal action in
which an Insured or Traveling Companion is not a party (except law
enforcement officers);
4. an Insured’s or Traveling Companion’s
principal place of residence being rendered uninhabitable by burglary,
fire, flood, volcano, earthquake, hurricane, or other natural disaster
within 10 days of departure;
5. an Insured or Traveling Companion
being directly involved in a traffic accident, which must be
substantiated by a police report, while en route to an Insured’s
scheduled point of departure;
6. an Insured’s accommodation at the
Insured’s destination made uninhabitable by fire, flood, volcano,
earthquake, hurricane or other natural disaster;
7. a documented theft of passports or visas;
8. a permanent transfer of employment of 250 miles or more;
9.
unannounced Strike that causes complete cessation of services of the
Insured’s Common Carrier for at least 24 consecutive hours;
10. Inclement Weather that causes complete cessation of the Insured’s Common Carrier for at least 24 consecutive hours;
11. mechanical breakdown that causes complete cessation of the Insured’s Common Carrier for at least 24 consecutive hours;
12.
mandatory evacuation or public official evacuation advisements where
there is no mandatory evacuation issued by local government authorities
at your destination due to adverse weather or natural disaster. In
order to cancel your Covered Trip, you must have 4 days or 50% of your
total Covered Trip length or less remaining on your Covered Trip at the
time the mandatory evacuation ends;
13. felonious assault of the Insured or Traveling Companion within 10 days of the Scheduled Departure Date;
14. an Insured or Traveling Companion is in the military and called to emergency duty for a national disaster other than war;
15.
involuntary employer termination or layoff affecting the Insured or a
person(s) sharing the same room with the Insured during the Insured’s
Covered Trip. Employment must have been with the same employer for at
least 3 continuous years;
16. a Terrorist Incident that occurs in a
city listed on the itinerary of the Insured’s Covered Trip and within 7
days prior to the Insured’s Scheduled Departure Date. This same city
must not have experienced a Terrorist Incident within the 60-day period
prior to the Insured’s Effective Date under this Policy. Benefits are
not provided if the Travel Supplier offers a substitute itinerary;
17.
revocation of the Insured’s previously granted leave or re-assignment
due to war. Official written revocation/re-assignment by a supervisor
or commanding officer of the appropriate branch of service will be
required;
18. the Insured’s family or friends living abroad with
whom the Insured was planning to stay are unable to provide
accommodations due to life threatening illness, life threatening Injury
or death of one of them;
19. the primary or secondary school where
the Insured, or the Insured’s Family Member or Traveling Companion
attend(s) must extend its operating session beyond its predefined
school year or start earlier than its predefined school year, due to
unforeseeable events commencing during the Policy effective period,
which cause the extension of the predefined school year and the
Scheduled Departure Date falls within the period of the school year
extension. Extensions due to extra-curricular or athletic events are
not covered.
Provided such circumstances occurred after the
Insured’s Effective Date. If the Insured must reschedule the Covered
Trip due to a covered reason they will be eligible for benefits up to a
maximum of $200 for the reissue fee charged by the airline for the
Insured’s tickets.
The following limitation applies to Trip Cancellation:
All cancellations must be reported directly to the Travel Supplier
within 72 hours of the event causing the need to cancel, unless the
event prevents it, and then as soon as is reasonably possible.
If
the cancellation is not reported within the specified 72-hour period,
the Company will not pay for additional charges which would not have
been incurred had an Insured notified the Travel Supplier in the
specified period. If the event prevents an Insured from reporting the
cancellation, the 72-hour notice requirement does not apply; however,
an Insured must, if requested, provide proof that said event prevented
him or her from reporting the cancellation within the specified period.
The maximum payable under this benefit is the lesser of a)
total cost of the Insured’s Covered Trip; or b) the total amount of
coverage the Insured purchased.
Single SupplementBenefits
will be paid, up to the Maximum Benefit Amount, for the additional cost
incurred as a result of a change in the per-person occupancy rate for
prepaid Travel Arrangements if a Traveling Companion has his or her
Covered Trip delayed, canceled or interrupted for a covered reason and
an Insured does not cancel.
These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy.
COVERAGE ETRIP INTERRUPTION BENEFITSBenefits
will be paid, up to the Maximum Benefit Amount, for the non-refundable,
unused portion of the prepaid expenses for land or water Travel
Arrangements and the Additional Transportation Cost paid to return home
or rejoin the Covered Trip, when an Insured’s arrival on the Covered
Trip is delayed or an Insured is prevented from completing his or her
Covered Trip due to:
1. death of an Insured, Traveling Companion or Family Member;
2.
a covered Sickness or Injury involving an Insured, Traveling Companion
or Family Member which necessitates Medical Treatment at the time of
interruption or delay and results in medically imposed restrictions, as
certified by a Legally Qualified Physician, which prevents an Insured’s
continued participation in the Covered Trip;
3. an Insured or
Traveling Companion being hijacked, quarantined, required to serve on a
jury (notice of jury duty must be received after the Effective Date) or
served with a court order to appear as a witness in a legal action in
which an Insured or Traveling Companion is not a party (except law
enforcement officers);
4. an Insured’s or Traveling Companion’s
principal place of residence being rendered uninhabitable by burglary,
fire, flood, volcano, earthquake, hurricane, or other natural disaster;
5.
an Insured or Traveling Companion being directly involved in a traffic
accident, which must be substantiated by a police report, while en
route to an Insured’s scheduled point of departure;
6. an Insured’s
accommodation at the Insured’s destination made uninhabitable by fire,
flood, volcano, earthquake, hurricane or other natural disaster;
7. a documented theft of passports or visas;
8. a permanent transfer of employment of 250 miles or more;
9.
unannounced Strike that causes complete cessation of services of the
Insured’s Common Carrier for at least 24 consecutive hours;
10. Inclement Weather that causes complete cessation of the Insured’s Common Carrier for at least 24 consecutive hours;
11. mechanical breakdown that causes complete cessation of the Insured’s Common Carrier for at least 24 consecutive hours;
12.
mandatory evacuation or public official evacuation advisements where
there is no mandatory evacuation issued by local government authorities
at your destination due to adverse weather or natural disaster. In
order to interrupt your Covered Trip, you must have 4 days or 50% of
your total Covered Trip length or less remaining on your Covered Trip
at the time the mandatory evacuation ends;
13. felonious assault of the Insured or Traveling Companion;
14. an Insured or Traveling Companion is in the military and called to emergency duty for a national disaster other than war;
15.
involuntary employer termination or layoff affecting the Insured or a
person(s) sharing the same room with the Insured during the Insured’s
Covered Trip. Employment must have been with the same employer for at
least 3 continuous years;
16. a Terrorist Incident that occurs in a
city listed on the itinerary of the Insured’s Covered Trip. This same
city must not have experienced a Terrorist Incident within the 60-day
period prior to the Insured’s Effective Date under this Policy.
Benefits are not provided if the Travel Supplier offers a substitute
itinerary;
17. revocation of the Insured’s previously granted leave
or re-assignment due to war. Official written revocation/re-assignment
by a supervisor or commanding officer of the appropriate branch of
service will be required;
18. the Insured’s family or friends living
abroad with whom the Insured was planning to stay are unable to provide
accommodations due to life threatening illness, life threatening Injury
or death of one of them;
19. the primary or secondary school where
the Insured, or the Insured’s Family Member or Traveling Companion
attend(s) must extend its operating session beyond its predefined
school year or start earlier than its predefined school year, due to
unforeseeable events commencing during the Policy effective period,
which cause the extension of the predefined school year and the
Scheduled Departure Date falls within the period of the school year
extension. Extensions due to extra-curricular or athletic events are
not covered;
20. an Insured misses the cruise or tour departure
because their airline flight is delayed for 3 or more hours, due to: a)
any delay of a Common Carrier. The delay must be certified by the
Travel Supplier; or b) Inclement Weather preventing the Insured from
getting to the point of departure; or c) quarantine, hijacking, Strike,
natural disaster, terrorism or riot.
Provided such circumstances occurred after the Insured’s Effective Date and while coverage is in effect.
All
cancellations must be reported to the Travel Supplier within 72 hours
of the event causing the need to cancel. If the event delays the
reporting of the cancellation beyond the 72 hours, the event should be
reported as soon as possible. All other delays of reporting beyond 72
hours will result in reduced benefit payments.
If a Traveling
Companion must remain hospitalized, benefits will also be paid for
reasonable accommodation and transportation expenses incurred by an
Insured to remain with the Traveling Companion up to $150 per day and
limited to 10 days.
If an Insured cannot continue travel due to a
covered Injury or Sickness not requiring hospitalization, and an
Insured must extend his or her Covered Trip due to medically imposed
restrictions, as certified by a Legally Qualified Physician, benefits
will also be paid for reasonable accommodation and transportation
expenses incurred by an Insured up to $150 per day and limited to 10
days.
These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy.
COVERAGE FTRIP DELAY - PART A BENEFITSIf an Insured is delayed for 6 hours or more during the Covered
Trip, due to:
1. any delay of a Common Carrier. The delay must be certified
by the Travel Supplier;
2. a traffic accident in which an Insured or Traveling Companion
are directly involved (must be substantiated by a police report);
3. lost or stolen passports, travel documents or money (must be substantiated by a police report);
4. quarantine, hijacking, Strike, natural disaster, terrorism or riot; or
5. documented weather condition preventing the Insured from continuing on the Covered Trip.
Benefits will be paid, on a one-time basis, up to the Maximum
Benefit Amount, for: reasonable expenses for hotel accommodations, telephone calls, meals, and local transportation
up
to $150 per day necessarily incurred by an Insured for which he or she
has proof of purchase and which were not paid for or provided by any
other source.
PART B PET CAREIf the Insured is delayed by
a Common Carrier while en route to their return destination after the
Covered Trip is completed and has placed their cat or dog in a kennel
for the duration of the Covered Trip and the Insured is unable to
collect them on the day previously agreed with the kennel, benefits
will be paid at $25 per day, on a one-time basis, up to the Maximum
Benefit Amount to cover the necessary additional kennel fees.
PART C CONDITIONSThe Insured must provide the following documentation when presenting a claim for these benefits:
a.
written confirmation of the reasons for delay from the Travel Supplier
whose delay resulted in the loss, including but not limited to;
scheduled departure and return times and actual departure and return
times;
b. written confirmation from the kennel advising the original pick-up date and the actual pick-up date.
Benefits
will not be paid for any expenses, which have been reimbursed, or for
any services that have been provided by the Travel Supplier.
These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy
COVERAGE GBAGGAGE AND PERSONAL EFFECTS - PART A DEFINITIONSBaggage
and Personal Effects means luggage, personal possessions and travel
documents taken by an Insured during a Covered Trip. The term Baggage
and Personal Effects does not include:
1. animals;
2. automobiles and automobile equipment;
3. boats or other vehicles or conveyances;
4. trailers;
5. motors;
6. aircraft;
7. bicycles, except when checked as baggage with a Travel Supplier;
8. household effects and furnishings;
9. antiques and collectors items;
10. sunglasses, contact lenses, artificial teeth, dental bridges or hearing aids;
11. prosthetic limbs;
12. prescribed medications;
13. keys, money, credit cards (except as coverage is otherwise specifically provided herein);
14. securities, stamps, tickets and documents (except as coverage is otherwise specifically provided herein);
15. professional or occupational equipment or property, whether or not electronic business equipment; or
16. telephones, computer hardware or software.
PART B BENEFITSFor Baggage and Personal Effects: Coverage will be provided
to
an Insured: a) against all risks of permanent loss, theft or damage to
baggage and personal effects; b) subject to all Exclusions and
Limitations in the policy; c) up to the Maximum Benefit Amount; and d)
occurring while this coverage
is in force.
The lesser of the following amounts will be paid:a. the Actual Cash Value at the time of loss, theft or damage;
b. the cost to repair or replace the article with material of a like kind and quality; or
c. $300 per article.
A
combined maximum of $600 will be paid for jewelry, watches, articles
consisting in whole or in part of silver, gold or platinum, articles
trimmed with fur, cameras and their accessories
and related equipment.
A maximum of $100 will be paid for the cost of replacing a passport or visa.
A
maximum of $100 will be paid for the cost associated with the
unauthorized use of lost or stolen credit cards, subject to
verification that the Insured has complied with all conditions of the
credit card company.
PART C CONDITIONSBenefits will
not be paid for any expenses which have been reimbursed or for any
services which have been provided by the Travel Supplier; nor will
benefits be paid for loss or damage
to property paid or payable under any other insurance.
These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy.
ADDITIONAL LIMITATIONS AND EXCLUSIONS SPECIFIC TO BAGGAGE AND PERSONAL EFFECTSBenefits are not payable for any loss caused by or resulting from:
1. breakage of brittle or fragile articles;
2. wear and tear or gradual deterioration;
3. confiscation or appropriation by order of any government or custom’s rule;
4. property illegally acquired, kept, stored or transported;
5. an Insured’s negligent acts or omissions; or
6. property shipped as freight or shipped prior to the Scheduled
Departure Date.
ADDITIONAL CLAIMS PROVISIONS SPECIFIC TO BAGGAGEInsured’s duties after loss of or damage to property or delay of baggage: In case of loss, theft, damage or delay of Baggage
and Personal Effects, an Insured must:
1. take all reasonable steps to protect, save or recover the property;
2. promptly notify, in writing, either the police, hotel proprietors,
ship
lines, airlines, railroad, bus, airport or other station authorities,
tour operators or group leaders, or any Travel Supplier or bailee who
has custody of an Insured’s property at the time of loss;
3. produce records needed to verify the claim and its amount, and permit copies to be made:
4. provide to the Company, within 90 days from the date of loss, a detailed proof of loss signed and sworn to; and
5. have Baggage and Personal Effects be examined, if requested.
Reductions in the amount of insurance: The applicable benefit
amount
will be reduced by the amount of benefits, if any, previously paid for
any loss or damage under this coverage for this Covered Trip.
No benefit to bailee: This insurance shall not benefit any Travel Supplier or bailee.
PART D BAGGAGE DELAY BENEFITSIf,
while on a Covered Trip, an Insured’s checked baggage is delayed or
misdirected by a Travel Supplier for more than 24 hours from his or her
time of arrival at a destination other than at his or her place of
permanent residence, benefits will be paid, up to the Maximum Benefit
Amount, for the actual expenditure for necessary personal effects. An
Insured must be a ticketed passenger on a Common Carrier. The Travel
Supplier must certify the delay or misdirection. Receipts for the
purchases must accompany any claim.
COVERAGE HCOLLISION DAMAGE WAIVER(Not available to residents of TX)
The
Insured is eligible for benefits up to the Maximum Benefit Amount if
the Insured rents a car while on the Covered Trip, and the car is
damaged due to collision, theft, vandalism, windstorm, fire, hail,
flood or any cause not in the Insured’s control while in the Insured’s
possession, or the car is stolen while in the Insured’s possession and
is not recovered. The Company will pay 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; or
c. the amount shown on the Schedule.
Coverage is provided to the Insured, provided the Insured is a licensed driver and is listed on the rental agreement.
Coverage is not provided for loss due to:
1.
any obligation of the Insured, a Traveling Companion or Family Member
traveling with the Insured assumed under any agreement (except
insurance collision deductible);
2. rentals of trucks, campers, trailers, motor bikes, motorcycles, recreational vehicles or Exotic Vehicles;
3. any loss which occurs if the Insured or anyone traveling with the Insured are in violation of the rental agreement;
4. failure to report the loss to the proper local authorities and the rental car company;
5. damage to any other vehicle, structure or person as a result of a covered loss;
6.
any loss as the result of or attributed to driving the rental vehicle:
while under the influence of alcohol or any illegal substance or the
abuse of a legal substance; while using any medication which recommends
abstinence from driving; in a speed competition; for compensation for
hire; for illegal trade purposes, or transporting contraband;
7. any
loss as the result of physical damage or loss attributed to: mechanical
failure or breakdown of the rental vehicle; wear and tear, gradual
deterioration, corrosion, rust or freezing; any neglect or abuse of the
vehicle; any dishonest act or conversion; any consequence of war
(declared or otherwise); or contamination by a radioactive material.
ADDITIONAL CLAIMS PROVISIONS SPECIFIC TO COLLISION DAMAGE WAIVERThe following outlines the Insured’s duties in the event of any damage to the vehicle. The Insured must:
a. take all necessary and reasonable steps to protect the vehicle and prevent further damage to it;
b. report the loss to the appropriate local authorities and the rental company as soon as possible;
c. obtain all information on any other party involved in the accident,
such as name, address, insurance information and driver’s license number;
d. provide the Company all documentation such as rental agreement, police report and damage estimate.
DEFINITIONSIn the Certificate, “you”, “your”, and “yours” refer to the Insured. “We”, “us”, and “our” refer to the company providing
this coverage. In addition, certain words and phrases are defined as follows:
Actual Cash Value means purchase price less depreciation.
Additional Transportation Cost means the actual cost incurred for one-way Economy Transportation by Common Carrier.
Common Carrier means any land, sea, and/or air conveyance
operating under a valid license for the transportation of passengers for hire.
Covered Trip means:
1) a period of round-trip travel away from the Insured’s primary place
of residence to a destination outside the Insured’s city of residence;
the purpose of the trip is business or pleasure and is not to obtain
health care or treatment of any kind; the trip has defined departure
and return dates specified when the Insured enrolls; the trip does not
exceed 365 days; or 2) a period of one-way travel that starts in the
U.S. or Canada (except U.S. citizens may begin their trip outside the
U.S., if returning to the U.S.); the purpose of the trip is business or
pleasure and is not to obtain health care or treatment of any kind; the
trip has defined
departure and arrival places specified when the Insured applies; and the trip does not exceed 31 days in length.
Domestic Partner means
a person who is at least eighteen years of age and can show evidence of
financial interdependence, such as joint bank accounts or credit cards,
jointly owned property, and mutual life insurance or pension
beneficiary designations; plus one of the following: 1) evidence of
continuous cohabitation throughout the 180 day period prior to the
Insured’s Effective Date of the Plan; or 2) an affidavit of domestic
partnership if recognized by the jurisdiction within which they reside.
Economy Transportation means the lowest published available
transportation
rate for a ticket on a Common Carrier matching the original class of
transportation that the Insured purchased for the Covered Trip.
Exotic Vehicle includes Alfa
Romeo, Aston Martin, Auburn, Avanti, Bentley, Bertone, BMC/Leyland, BMW
M Series, Bradley, Bricklin, Clenet, Corvette, Cosworth, De Lorean,
Excalibre, Ferrari, Fiat, Iso, Jaguar, Jensen Healy, Lamborghini,
Lancia, Lotus, Maserati, Mercedes Benz, MG, Morgan, Pantera, Panther,
Pininfarina, Porsche, Rolls Royce, Rover, Stutz, Sterling, Triumph, and
TVR. The Insured must call CSA Travel Protection at (800) 348-9505
before renting to obtain confirmation that the vehicle is covered.
Family Member means
any of the following: an Insured’s or an Insured’s Traveling
Companion’s legal spouse (or common-law spouse where legal), legal
guardian, son or daughter (adopted, foster, step or in-law), brother or
sister (includes step or in-law), parent (includes step or in-law),
grandparent (includes in-law), grandchild, aunt, uncle, niece or
nephew, Domestic Partner, an employed caregiver who lives with the
Insured, or a person for whom the Insured is the primary caregiver with
whom the Insured have lived for 12 continuous
months prior to the effective date of the Insured’s plan, whether or not they travel with the Insured.
Hospital means
a) a place which is licensed or recognized as a general hospital by the
proper authority of the state in which it is located: b) a place
operated for the care and treatment of resident inpatients with a
registered graduate nurse (RN) always on duty and with a laboratory and
X-ray facility: c) a place recognized as a general hospital by the
Joint Commission on the Accreditation of Hospitals. Not included is a
hospital or institution licensed or used principally: 1) for the
treatment or care of drug addicts or alcoholics: or 2) as a clinic
continued or extended care facility, skilled nursing facility,
convalescent home, rest home, nursing home or home for the aged.
Inclement Weather means any weather condition that delays the scheduled arrival or departure of a Common Carrier.
Injury or Injuries means
accidental bodily injuries: a) received while insured under this policy
and any attached coverages: b) resulting in loss independently of
Sickness and all other causes.
Insured means the individual who has arranged a Covered Trip and who has paid the required premium.
Intoxicated means
a blood alcohol level that equals or exceeds the legal limit for
operating a motor vehicle in the state or jurisdiction where an Insured
is located at the time of an incident.
Legally Qualified Physician means
a physician a) other than an Insured, a Traveling Companion or a Family
Member: b) practicing within the scope of his or her license: and c)
recognized as a physician in the place where the services are rendered.
Maximum Benefit Amount means the maximum amount payable for each coverage as shown in the Schedule of Coverages.
Medical Treatment means treatment, advice or consultation, given in person, by a Legally Qualified Physician.
Medically Necessary means
a service or supply which: a) is recommended by the attending Legally
Qualified Physician: b) is appropriate and consistent with the
diagnosis in accord with accepted standards of community practice: c)
could not have been omitted without adversely affecting an Insured’s
condition or quality of medical care: d) is delivered at the most
appropriate level of care and not primarily for the sake of
convenience: and e) is not considered experimental unless coverage for
experimental services or supplies is required by law.
Pre-existing Condition means
any Injury, Sickness or condition of the Insured or Traveling
Companion, or Family Member for which within the 180-day period prior
to the Insured’s Effective Date under this Policy which a) manifested
itself, became acute or exhibited symptoms which would have caused one
to seek diagnosis, care or treatment; or b) required taking prescribed
drugs or medicine, unless the condition for which the prescribed drug
or medicine is taken remains controlled without any change in the
required prescription; or c) required Medical Treatment or treatment
was recommended by a Legally Qualified Physician.
Published Penalties means any published cancellation penalties
issued
by the Insured’s travel agency or Travel Supplier that apply to all
clients of the travel agency or Travel Supplier and can be documented
at time of the Covered Trip sale. The Insured must be in the Travel
Supplier’s penalty period. The maximum amount reimbursable under the
travel agency’s Published Penalties is 10% of the Covered Trip cost
(excluding taxes and other non-commissionable items) or 10% of the
amount the Insured has paid, whichever is less. Maximum payable under
any one claim is the Covered Trip cost, excluding taxes and other
non-commissionable items.
Schedule of Coverages means the coverage confirmation provided to an Insured following enrollment and payment of the applicable premium.
Scheduled Departure Date means the date on which an Insured is originally scheduled to leave on the Covered Trip.
Scheduled Return Date means the date on which an Insured is originally scheduled to return to the point of origin or the original final destination.
Sickness means
an illness or disease that is diagnosed or treated by a Legally
Qualified Physician after the effective date of insurance and while the
Insured is covered under this Policy.
Strike means any
stoppage of work: a) as a result of a combined effort of workers which
was unannounced and unpublished at the time travel services were
purchased: and b) which interferes with the normal departure and
arrival of a Common Carrier.
Terrorist Incident means an act
of violence that results in loss of life or major damage to property,
by any person acting on behalf of or in connection with any
organization that is generally recognized as having the intent to
overthrow or influence the control of any government.
Third Party means a person or entity other than an Insured or the Company.
Transportation Expense means:
a) the cost of conveyance of an Insured and any medical personnel (if
Medically Necessary): and b) Medically Necessary services or supplies.
Travel Arrangements means: a) transportation: b) accommodations:
and c) other specified services arranged by the Travel Supplier for the Covered Trip.
Traveling Companion means
a person or persons with whom the Insured has coordinated Travel
Arrangements and intends to travel with during the Covered Trip. A
group or tour leader is not considered a Traveling Companion unless the
Insured is sharing room accommodations with the group or tour leader.
Travel Supplier means any entity or organization that coordinates
or supplies travel services for an Insured.
Usual and Customary Charge means those comparable charges for similar treatment, services and supplies in the geographic area where treatment is performed.
GENERAL LIMITATIONS AND EXCLUSIONSBenefits are not payable for losses caused by or resulting from:1.
suicide, attempted suicide or any intentionally self-inflicted injury
(except as a result of a mental or nervous disorder in CT) while sane
or insane (while sane in CO & MO);
2. mental, nervous, or psychological disorders;
3. an act of declared or undeclared war;
4. participating in maneuvers or training exercises of an armed service;
5. riding, driving or participating in races, or speed or endurance contests;
6.
mountaineering (engaging in the sport of scaling mountains generally
requiring the use of picks, ropes, or other special equipment);
7. participating as a member of a team in an organized sporting competition;
8. participating in skydiving, hang gliding, bungee cord jumping;
9. piloting or learning to pilot or acting as a member of the crew of any aircraft;
10.
being Intoxicated or under the influence of any controlled substance
unless administered on the advise of a Legally Qualified Physician;
11. a contributory cause was the commission of or attempt to commit a felony or being engaged in an illegal occupation;
12. normal childbirth, normal pregnancy (except complications of pregnancy) or voluntary induced abortion;
13.
a Pre-existing Condition, as defined in this policy. The Pre-existing
Condition Limitation does not apply to: a) Emergency Medical
Evacuation, Medical Repatriation and Return of Remains coverage,
Accidental Death & Dismemberment, Baggage and Personal Effects,
Baggage Delay and Collision Damage Waiver;
14. loss or damage
(including death or Injury) and any associated cost or expense
resulting directly from the discharge, explosion or use of any device,
weapon or material employing or involving chemical, biological,
radiological or similar agents, whether in time of peace or war, and
regardless of who commits the act and regardless of any other sequence
thereto;
15. participation as a professional in athletics;
16. civil disorder (does not apply to Trip Delay);
17. any amount paid or payable under any Worker’s Compensation, Disability Benefit or similar law;
18. elective treatment and procedures;
19. Medical Treatment during or arising from a Covered Trip undertaken for the purpose or intent of securing Medical Treatment;
20. business, contractual or education obligations (does not apply to #8, #15, #19 of Trip Cancellation and Trip Interruption);
21. failure of any tour operator or other Travel Supplier, person or agency to provide the bargained-for Travel Arrangements;
22.
a loss that results from an illness, disease, or other condition, event
or circumstance that occurs at a time when the plan is not in effect
for you.
MASTER POLICY PROVISIONSEntire Contract: Changes:
This policy, and any attachments is the entire contract of insurance.
No agent may change it in any way. Only an officer of the Company can
approve a change. Any such change must be shown in the policy.
Policy Term and Renewal:
This policy is issued for an initial term that will begin on the Policy
Date and will be for a period of time specified in the attached
Schedule.
Premiums and Payment of Premiums: The premiums for
an Insured’s coverage provided under this policy are shown in the
Schedule of Coverages. An Insured’s premium is due prior to his or her
Scheduled Departure Date. All premiums should be submitted to the
Company or to an authorized agent of the Company. Premiums are
non-refundable except when an Insured is covered under more than one
travel policy with the Company for each Covered Trip, or unless
required by applicable state statutes.
Clerical Error:
Clerical error on the Company’s part or that of a Travel Supplier in
keeping records or furnishing information will not void an Insured’s
coverage if it is otherwise validly in force; nor will it continue an
Insured’s coverage if it is otherwise validly terminated under the
terms of this policy.
Conformity with State Statutes: The
provisions of this policy must conform to the laws of the state in
which the policy is issued. If any do not, they are hereby amended to
conform.
Subrogation: If the Company has made a payment for a
loss under this coverage, and the person to or for whom payment was
made has a right to recover damages from the Third Party responsible
for the loss, the Company will be subrogated to that right. An Insured
shall help the Company exercise the Company’s rights in any reasonable
way that the Company may request: nor do anything after the loss to
prejudice the Company’s rights: and in the event an Insured recovers
damages from the Third Party responsible for the loss, the Insured will
hold the proceeds of the recover for the Company in trust and reimburse
the Company to the extent of the Company’s previous payment for the
loss.
Arbitration: Any claim arising out of or relating to
this contract, or the breach thereof, may be settled by arbitration.
The arbitration will be conducted pursuant to the applicable rules of
the American Arbitration Association in accordance with the Uniform
Arbitration Act 710 ILCS 5/1 et seq within a reasonable time limit (30
days after the parties agree to arbitrate their dispute is a reasonable
time limit for selecting
and appointing independent arbitrators; 15
days is a reasonable time limit for an expedited review provision). The
arbitration may be binding on both parties or non-binding upon the
Insured, but in all instances must be entered into on a voluntary
basis. Arbitrators must be fair, impartial, and free of all conflicts
of interest or the appearance of a conflict of interest. The rules and
judgment upon the award rendered by the arbitrator may be entered in
any court having jurisdiction thereof. All fees and expenses of the
arbitration shall be borne by the parties equally. However, each party
shall bear the expense of its own counsel, experts, witnesses, and
preparation and presentation of proofs.
By voluntarily agreeing
to enter into an arbitration proceeding, the parties should be aware
and understand that they may be giving up certain rights to have their
dispute settled in and by a court of law, except to the extent that
Illinois law may provide for judicial review of arbitration proceedings.
An
arbitration provision is not a substitute for a person’s right to
maintain a legal action if he or she so desires; and in no way affects
or limits the person’s ability to take legal action in a court of law,
prior to voluntarily agreeing to enter into an arbitration proceeding.
Furthermore, it in no way affects a person’s ability to file a claim
with the Illinois Department of Insurance in connection with a claim or
dispute. To contact the Department write to: The Illinois Department of
Insurance, Consumer Services Division, Springfield, Illinois 62767
GENERAL CLAIMS PROVISIONSNotice of Claim:
Notice of claim must be reported within 30 days after a loss occurs or
as soon as is reasonably possible. An Insured or someone on an
Insured’s behalf may give the notice. The notice should be given to the
Company or designated representative and should include sufficient
information to identify the Insured.
Claim Forms: When notice of claim is received by the Company
or
designated representative, forms for filing proof of loss will be
furnished. If these forms are not sent within 15 days, the proof of
loss requirements can be met by sending a written statement of what
happened. This statement must be received within the time given for
filing proof of loss.
Proof of Loss: Proof of loss must be
provided within 90 days after the date of the loss or as soon as is
reasonably possible. Proof must, however, be furnished no later than 12
months from the time it is otherwise required, except in the absence of
legal capacity.
Time of Payment of Claims: The Company or its designated representative, will pay the claim after receipt of acceptable proof of loss.
Payment of Claims:
Benefits for loss of life are payable to the Principal Insured, who is
the beneficiary for all other Insureds. If: a) the Principal Insured
predeceases an Insured: and b) a beneficiary is not otherwise
designated by the Principal
Insured benefits for loss of life will be paid to the first of the following surviving preference beneficiaries:
a. the Principal Insured’s spouse;
b. the Principal Insured’s child or children jointly;
c. an Insured’s parents jointly if both are living or the surviving
parent if only one survives;
d. an Insured’s brothers and sisters jointly; or
e. the Principal Insured’s estate.
All
or a portion of all other benefits provided by this policy may, at the
option of the Company, be paid directly to the provider of the
service(s). All benefits not paid to the provider will be paid to the
Principal Insured.
Other than for loss of life, if any benefit
is payable to: a) an Insured or the Principal Insured’s beneficiary who
is minor or otherwise not able to give a valid release: or b) the
Principal Insured’s estate: the Company may pay up to $1,000.00 to the
Principal Insured’s beneficiary or any relative to whom the Company
finds entitled to the payment. Any payment made in good faith shall
fully discharge the Company to the extent of such payment.
Excess Insurance:
The insurance provided by this Policy shall be in excess of all other
valid and collectible insurance or indemnity. If at the time of the
occurrence of any loss there is other valid and collectible insurance
or indemnity in place, the Company shall be liable only for the excess
of the amount of loss, over the amount of such other insurance or
25indemnity,
and applicable deductible. Recovery of losses from other parties does
not result in a refund of premium paid. This provision does not apply
to Collision Damage Waiver.
Physician Examination and Autopsy:
The Company, at the expense of the Company, may have an Insured
examined when and as often as is reasonable while the claim is pending.
The Company may have an autopsy done (at the expense of the Company) where law does not forbid it.
Legal Actions:
No legal action for a claim can be brought against us until 60 days
after we receive proof of loss. No legal action for a claim can be
brought against us more than 3 years after the time required for giving
proof of loss. This 3-year time period is extended from the date proof
of loss is filed and the date the claim is denied in whole or in part.
Concealment and Misrepresentation:
The entire coverage will be void, if before, during or after a loss,
any material fact or circumstance relating to this insurance has been
concealed or misrepresented.
Other Insurance with the Company:
An Insured may be covered under only one travel policy with the Company
for each Covered Trip. If an Insured is covered under more than one
such policy, he or she may select the coverage that is to remain in
effect. In the event of death, the selection will be made by the
beneficiary or estate. Premiums paid (less claims paid) will be
refunded for the duplicate coverage that does not remain in effect.
TRAVEL INSURANCE IS UNDERWRITTEN BY:United States Fire Insurance Company, Eatontown, New Jersey
under Policy / Certificate Form series TP-401 and Form# 25917.
WHERE TO PRESENT A CLAIMAll claims should be presented to the Program Administrator:
CSA Travel Protection
P. O. Box 939057
San Diego, CA 92193-9057
(800) 541-3522 (Toll-Free)
STATE EXCEPTIONSCalifornia (form# S 40653)
For California residents, the following amendments apply:
1. Sickness Medical Expense, the term manifest itself is replaced with occurs.
2.
Definitions, the definition of Pre-Existing conditions is amended by
deleting the following: a) manifested itself, became acute, or
exhibited symptoms which would have caused one to seek diagnosis, care
or treatment.
3. General Limitations and Exclusions, Number 13 (the exclusion
that refers to the Pre-Existing Condition) is amended by adding the following to the last sentence: or c) Sickness
Medical Expense coverage.
4.
General Limitations and Exclusions, the following exclusion is added:
due to a condition for which the Insured, Traveling Companion, or
Family Member has received advice 2-months prior to the coverage
effective date from a Legally Qualified Physician advising against
travel.
This Endorsement will not vary, alter or extend any
agreement, provision, condition or declaration of the Policy other than
as stated above.
Florida (form# S 40653)
It is agreed
and understood that the following changes apply to residents of
Florida; all other terms and conditions remain unchanged.
Legal Actions is deleted and replaced with the following:
Legal Actions:
No legal action for a claim can be brought against us until 60 days
after we receive proof of loss. No legal action for a claim can be
brought against us more than 5 years after the time required for giving
proof of loss. This 5-year time period is extended from the date proof
of loss is filed and the date the claim is denied in whole or in part.
Except
as stated herein, this Amendatory Endorsement does not change coverage
in any other way and is subject to all provisions, terms, and
conditions of the Policy. If there is a conflict between the Policy and
this Amendatory Endorsement,
the terms of this Amendatory Endorsement will govern.
Illinois (form# TPE-401-IL)
This Amendatory Endorsement changes the Policy, as follows:
1. The definition of Pre-existing Condition in the DEFINITIONS section is deleted and replaced with the following:
Pre-existing Condition means
any disease, illness, Sickness, malady or condition of an Insured,
Traveling Companion, or Family Member, for which: medical advice,
diagnosis, consultation, or treatment was received from a Legally
Qualified Physician within 6-months prior to the effective date of
coverage; or Symptoms existed within 6-months prior to the effective
date of coverage which, in the opinion of a Legally Qualified
Physician, would indicate that the disease, illness, Sickness, malady
or condition probably began and manifested itself prior to the
effective date of coverage and would cause a reasonable person to seek
diagnosis, care, or treatment.
2. The following statement is added to
GENERAL CLAIM PROVISIONS,
the section titled Time of Payment Of Claims: All claims will be paid
within 30-days after receipt of due written proof of loss. If we have
not paid the claim within this timeframe, we will pay interest at the
rate of 9% from the 30th day after receipt of all necessary proof of
loss, to the date of payment. We will not pay interest amounting to
less than one dollar.
Except as stated herein, this Amendatory
Endorsement does not change coverage in any other way and is subject to
all provisions, terms, and conditions of the Policy. If there is a
conflict between the Policy and this Amendatory Endorsement, the terms
of this Amendatory Endorsement will govern
Louisiana (form# TP-401 CW LA)
The provision entitled Concealment and Misrepresentation is amended to read:
Concealment and Misrepresentation: The entire coverage
will
be void, if when applying for coverage, You made a fraudulent statement
or misrepresentation with the intent to deceive. Fraud or
misrepresentation with the intent to deceive after coverage is enforce
is grounds for cancellation and grounds to deny coverage for benefits
related to such fraud, concealment, or misrepresentation. Coverage for
other benefits will continue until the cancellation is effective.
The provision entitled
Subrogation is amended to read:
Subrogation:
If we make any payment under this policy and the person to or for whom
payment is made has a right to recover damaged from another the company
shall be subrogated
to that right. However, the companies right to recover is subordinate to Your right to be fully compensated.
The provision entitled
Legal Actions is amended to read:
Legal Actions:
No legal action for a claim can be brought against us until 45 days
after we receive proof of loss. No legal action for a claim can be
brought against us more than 3 years after the time required for giving
proof of loss. This 3- year time period is extended from the date that
proof of loss is filed and the date the claim is denied in whole or in
part.
South Dakota (form# TP-401 CW SD)
In the provision entitled
Legal Actions,
the 3 year time period is amended to read 6-years. The exclusion that
states: received as a result or consequence of being Intoxicated, as
specifically defined in the policy, or under the influence of any
controlled substance unless administered on the advise of a Legally
Qualified Physician; does not apply to South Dakota residents except to
the extent that the action is a felony or attempted felony. Regarding
any covered emergency dental expenses, “sound natural teeth” means a
person’s natural teeth that are considered sound prior to the accident.
Minor dental work on a tooth, including fillings will not, by itself,
cause the tooth to be considered unsound or not natural.
Utah (form# TP-401 CW UT)
The definition of
Family Member is amended to include a child placed for adoption with the Insured.
The provision entitled
Proof of Loss is amended to read:
Proof of Loss
must be provided within 90 days after the date of the loss or as soon
as is reasonably possible. Failure to give notice or file proof of loss
does not bar recovery under the policy if the Company fails to show
that it was prejudiced by the failure to provide proof in a timely
manner.
The provision entitled
Time of Payment of Claim is
amended to read: The Company, or its designated representative, will
pay the claim within 30 days after receipt of acceptable proof of loss.
Wisconsin (form# TP-401 CRT WI)
The provision entitled
Subrogation is amended to read:
Subrogation:
If the Company has made a payment for a loss under this coverage, and
the person to or for whom payment was made has a right to recover
damages from the Third Party responsible for the loss, the Company will
be subrogated to that right. An Insured shall help the Company exercise
the Company’s rights in any reasonable way that the Company may
request: nor do anything after the loss to prejudice the Company’s
rights: and in the event an Insured recovers damages from the Third
Party responsible for the loss, the Insured will hold the proceeds of
the recover for the Company in trust and reimburse the Company to the
extent of the Company’s previous payment for the loss. No subrogation
will take place until the Insured is made whole.
In the General
Limitations and Exclusions section, the exclusion related to device,
weapon or material employing or involving chemical, biological,
radiological or similar agents is deleted in its entirety.