Travel Guard® Essential Expanded Coverage
TRAVEL INSURANCE & LIVE TRAVEL ASSISTANCE
PRE-EXISTING MEDICAL CONDITION EXCLUSION WAIVER:
The Pre-Existing Medical Condition Exclusion will be waived if the insurance is purchased within fifteen calendar days of the "initial Trip payment." (Day one is the date the "initial Trip payment" is received.) This
exclusion applies to all coverages. It applies to the Insured, all the
Immediate Family Members, and Traveling Companions, whether or not
they are traveling with the Insured. Please read it carefully.
PRE-EXISTING MEDICAL CONDITION EXCLUSION:
The Insurer will not pay for loss or expense incurred as the result of
Injury or Sickness of an Insured or Immediate Family Member which
manifests itself, worsened, became acute, or had symptoms, which
would prompt a reasonable person to seek diagnosis, care, or treatment,
or request treatment by a physician or treatment had been recommended during the 180 days immediately preceding and including the
Insured's coverage effective date, unless the condition is controlled
through the taking of prescription drugs or medication and remains
controlled throughout the 180-day period. A Sickness has manifested itself when medical care, treatment, or diagnosis has been given.
24-Hour Emergency Assistance Telephone Numbers
Continental USA.........
1.800.826.1300
International..........
1.715.345.0505
LiveTravel 24-Hour Assistance..........
1.800.826.8597
Be sure to use the appropriate country and city codes when calling.
- KEEP THESE NUMBERS WITH YOU WHEN YOU TRAVEL -
Blanket Travel Accident Insurance
This document describes the benefits and basic provisions of the Policy. Read it with care. The Policy is the
only contract under which benefits are paid.
PLEASE READ THIS DOCUMENT CAREFULLY!
Insurance Coverage
Underwritten by the American Home Assurance
Company, a member of the AIG Companies, with its
principal place of business at 70 Pine Street, New York,
New York 10270. It is currently authorized to transact
business in all states and the District of Columbia. NAIC
No. 19380.
This is only a brief description of the insurance coverage(s) available under policy series T30253AHAC. The
Policy contains reductions, limitations, exclusions, and
termination provisions. Full details of the coverage are
contained in the Policy. If there are any conflicts
between this document and the Policy, the Policy shall
govern.
108838 CT 12/05
DEFINITIONS
"Actual Cash Value" means purchase price less depreciation.
"Baggage" means luggage and personal possessions, whether owned,
borrowed, or rented, taken by the Insured on the Trip.
"Business Partner" means an individual who:
- is involved with the
Insured or the Insured's Traveling Companion in a legal partnership;
and
- is actively involved in the daily management of the business.
"Common Carrier" means any conveyance operated under a license for
the transportation of passengers for hire.
"Complication of Pregnancy" means a condition whose diagnosis is distinct from pregnancy but adversely affected or caused by pregnancy.
It does not include any condition associated with the management of
a difficult pregnancy not consisting of a classifiable distinct
Complication of Pregnancy.
"Contracted Departure Date" means the date on which the Insured is
originally scheduled to leave on his/her Trip.
"Contracted Return Date" means the date on which the Insured is
scheduled to return to the point where the Trip started, or to a different specified Return Destination.
"Default" means any failure of a provider of travel-related services
(including any tour operator) to provide the bargained-for travel services or to refund money due the Insured.
"Destination" means the place where the Insured expects to travel on
his/her Trip, as shown on the Enrollment Form.
"Domestic Partner" means an opposite or a same-sex partner who is at
least 18 years of age and has met all of the following requirements for
at least 6 months:
- resides with the Insured;
- shares financial
assets and obligations with the Insured; the Insurer may require proof
of the Domestic Partner relationship in the form of a signed and completed Affidavit of Domestic Partnership.
"Experimental or Investigative" means treatment, a device or prescription medication which is recommended by a Physician, but is not
considered by the medical community as a whole to be safe and
effective for the condition for which the treatment, device or prescription medication is being used, including any treatment, procedure,
facility, equipment, drugs, drug usage, devices, or supplies not recognized as accepted medical practice, and any of those items requiring federal or other governmental agency approval not received at the
time services are rendered.
"Exotic Vehicle" means
- Alfa Romeo,
- Aston Martin,
- Auburn,
- Avanti,
- Bentley,
- Bertone,
- BMC/Leyland,
- BMW M Series,
- Bradley,
- Bricklin,
- Cosworth,
- Citroen,
- Clenet,
- De Lorean,
- Excalibre,
- Ferrari,
- Fiat,
- Iso,
- Jaguar,
- Jensen,
- Jensen Healy,
- Lamborghini,
- Lancia,
- Lexus,
- Lotus,
- Maserati,
- Mercedes,
- MG,
- Morgan,
- Pantera,
- Panther,
- Pininfarina,
- Porsche,
- Rolls Royce,
- Stutz,
- Sterling,
- and Triumph.
The Insured must
contact Travel Guard customer service at 1.800.826.1300 before
renting to confirm whether the vehicle is covered.
"Financial Default" means either
- the complete suspension of operations due to financial circumstances, whether or not a bankruptcy petition is filed; or
- a partial suspension of the operations following a filing of a bankruptcy petition.
"Hospital" means a place that:
- holds a valid license;
- is run
mainly for the care and treatment of sick or injured persons as inpatients;
- has a staff of one or more Physicians available at all times;
- provides 24-hour nursing service and has at least one registered
nurse on duty at all times;
- has organized diagnostic and surgical
facilities, either on the premises or on a contract basis with another
Hospital; and
- is not mainly a clinic, or facility for nursing, rest or
convalescence, or a place for the aged.
"Immediate Family Member" means the Insured's or Traveling
Companion's
- spouse,
- Domestic Partner,
- child,
- spouse's child,
- daughter-in-law,
- son-in-law,
- brother,
- sister,
- mother,
- father,
- grandparents,
- grandchild,
- step-brother,
- step-sister,
- step-parents,
- parents-in-law,
- brother-in-law,
- sister-in-law,
- aunt,
- uncle,
- niece,
- nephew,
- legal
guardian, or
- legal ward.
"Inclement Weather" means any severe weather condition which delays
the scheduled arrival or departure of a Common Carrier.
"Injury" means a bodily injury caused by an accident occurring while this
Policy is in force as to the Insured whose injury is the basis of a claim,
and resulting directly and independently of all other causes of loss covered by the Policy. The injury must be verified by a Physician.
"Insured" means the person named on the individual Enrollment Form.
"Insurer" means American Home Assurance Company.
"Medically Necessary" means that a treatment, service, or supply:
- is essential for diagnosis, treatment, or care of the Injury or
Sickness for which it is prescribed or performed;
- meets generally accepted standards of medical practice;
- is ordered by a
Physician and performed under his or her care, supervision, or order;
and
- is not primarily for the convenience of the Insured,
Physician, other providers, or any other person.
"Natural Disaster" means a flood, hurricane, tornado, earthquake, or
blizzard that is due to natural causes.
"Physician" means a government-licensed practitioner of the healing arts
including accredited Christian Science Practitioners, acting within the
scope of his/her license. The treating Physician may not be the Insured,
Immediate Family Member, or a Traveling Companion.
"Reasonable Additional Expenses" means any expenses for meals and
lodging which were necessarily incurred as the result of a Trip
Interruption or Travel Delay and which are not provided by the
Common Carrier or any other party free of charge.
"Reasonable and Customary Charges" means an expense which:
- is
charged for treatment, supplies, or medical services Medically
Necessary to treat the Insured's condition;
- does not exceed the
usual level of charges for similar treatment, supplies or medical services in the locality where the expense is incurred; and
- does not
include charges that would not have been made if no insurance existed.
In no event will the Reasonable and Customary Charges exceed
the actual amount charged.
"Return Destination" means the place to which the Insured expects to
return from his/her Trip.
"Sickness" means an illness or disease which requires treatment by a
Physician.
"Strike" means a stoppage of work
- announced, organized, and
sanctioned by a labor union and
- which interferes with the normal
departure and arrival of a Common Carrier.
Included in the definition
of Strike are work slowdowns and sickouts.
"Terrorist Incident" means an act of violence, other than civil disorder or
riot (that is not an act of war, declared or undeclared) that results in loss
of life or major damage to property, by any person acting on behalf of or
in connection with any organization which is generally recognized as having the intent to overthrow or influence the control of any government.
"Travel Agent" means the travel agent, tour operator, or other entity
from which the Insured purchases his/her coverage or travel arrangements, and includes all officers, employees, and affiliates of the
Travel Agent or tour operator.
"Traveling Companion" means a person or persons with whom you have
coordinated travel arrangements and intend to travel with during the Trip.
A group or tour leader is not considered a Traveling Companion, unless
you are sharing room accommodations with the group or tour leader.
"Trip" means a period of round-Trip travel away from home 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 applies; the Trip does not exceed 365 days; and the
Insured's Destination is not to another home; travel is primarily by
Common Carrier and only incidentally by private conveyance.
INDIVIDUAL ELIGIBILITY, EFFECTIVE & TERMINATION DATES
Persons eligible for insurance under the policy are any traveler(s) who
purchases his/her insurance through or from a properly licensed
agent/agency located in the U.S., who enrolls for coverage and pays
the premium, providing he/she has not already departed on his/her
Trip.
Effective Date: After premium is paid by the Insured and the Enrollment
form is completed and signed, TRIP CANCELLATION BENEFIT will be
effective:
- at 12:01 a.m. on the date after the Enrollment form is
postmarked to TRAVEL GUARD® if coverage is purchased by mail;
- at
12:01 a.m. on the day after the Enrollment form is phoned in to TRAVEL GUARD® if coverage is purchased via phone;
- at 12:01 a.m. on
the day after the Enrollment form is faxed to TRAVEL GUARD® if coverage is purchased by facsimile; or
- at 12:01 a.m. on the day after the
online purchase confirmation date.
All other coverages will begin on the
later of:
- the date and time the Insured starts his/her Trip, or
- the
scheduled Contracted Departure Date shown on the Enrollment form.
Termination Date: All coverage ends on the earlier of:
- the date the
Trip is completed;
- the scheduled Contracted Return Date;
- the
Insured's arrival at the Return Destination on a round Trip, or the
Destination on a one-way Trip; or
- cancellation of the Trip covered
by the policy.
Extension of Coverage: All coverage under the policy will be extended,
if:
- the Insured's entire Trip is covered by the policy; and
- the
Insured's return is delayed by unforeseeable circumstances beyond
his/her control.
If coverage is extended for the above reasons, coverage will end on the
earlier of:
- the date the Insured reaches his/her Return Destination; or
- seven days after the date the Trip was scheduled to be completed.
GENERAL EXCLUSIONS
These exclusions apply to all benefits. In addition to any exclusions
which apply to a particular benefit (called "Additional Exclusions"),
the policy does not cover loss caused by:
- intentionally self-inflicted Injury or any attempt at an intentionally
self-inflicted Injury, suicide, or attempted suicide by the Insured,
Immediate Family Member, Traveling Companion or Business
Partner; (while sane, in Colorado and Missouri);
- pregnancy or childbirth, or elective abortion, other than the
Complications of Pregnancy;
- participation in professional athletic events, motor sport, or
motor racing, including training or practice for the same;
- mountain climbing;
- war or act of war, whether declared or not, civil disturbance, riot,
or insurrection;
- operating or learning to operate any aircraft, as student, pilot, or
crew;
- air travel on any air-supported device, other than a regularly
scheduled airline or air charter company;
- loss or damage caused by detention, confiscation, or destruction
by customs;
- any unlawful acts, committed by the Insured, Immediate Family
Member, or a Traveling Companion, whether insured or not;
- mental, psychological or nervous disorders including, but not
limited to, anxiety, depression, neurosis or psychosis;
- if the Insured's tickets do not contain specific travel dates (open
tickets);
- alcohol or substance abuse or treatment for same;
- medical treatment during or arising from a Trip undertaken for
the purpose or intent of securing medical treatment or traveling
expressly for the purpose of obtaining medical treatment;
- elective or non-emergency treatment or surgery, except for any
necessary treatment or surgery due to covered Injury;
- Experimental or Investigative treatment or procedures; or
- an Injury or Sickness which occurs at a time when this coverage
is not in effect.
MAXIMUM LIMIT OF LIABILITY: All limits are applied per Trip. The
Insurer's maximum limit of liability resulting from the same occurrence
will be $10,000,000 under the Travel Guard Program Policies (TGP
Policies). If loss for all Insureds from such an occurrence exceeds
$10,000,000 the Insurer will pay each Insured that proportion of the
Benefits stated which $10,000,000 bears to the total loss of all persons the Insurer insures under all travel and flight insurance in force,
under the TGP policies. The Insurer will pay no more than $250,000
per occurrence, under the TGP policies, to or on account of any person
insured under the TGP policies.
TRIP CANCELLATION AND INTERRUPTION
The Insurer will pay this benefit up to the Maximum Limit shown on the
Schedule of Benefits. If a Trip is canceled or interrupted for the Insured
due to any of the following unforeseen circumstances:
- Sickness (see
definition), Injury, or death of an Insured, Immediate Family Member,
Traveling Companion, or Business Partner. Injury or Sickness must be so
disabling as to reasonably cause a Trip to be delayed, canceled, or interrupted. If the Insured must cancel or interrupt his/her Trip due to Injury
or Sickness of an Immediate Family Member, it must be because their
condition is life-threatening, and because the Immediate Family
Member requires the Insured's care. Cancellations due to the death of
an Immediate Family Member or Traveling Companion are covered;
- Financial Default of an airline, cruise line, or tour operator resulting in
the complete cessation of services. Excluded is the organization from
which the Insured purchased his/her Trip and this coverage. Financial
Default occurring on or before the Insured's coverage effective date or
less than fourteen days after the Insured's coverage effective date will
not be covered. This coverage applies only if insurance was purchased
within fifteen calendar days of "initial trip payment." "Initial trip payment"
means the date the first deposit is made to the Insured's Travel Agent
toward the cost of his/her Trip;
- Inclement Weather causing delay or
cancellation of travel;
- Strike resulting in complete cessation of travel services at the point of departure and Destination;
- the Insured's
principal residence or Destination being made uninhabitable by fire,
flood, vandalism, or similar Natural Disaster;
- the Insured, or a
Traveling Companion being subpoenaed, required to serve on a jury,
hijacked, or quarantined;
- the Insured being called into active military service or having leave revoked or being reassigned; or
- a
Terrorist Incident in a City listed on the Insured's itinerary within 30
days of the Insured's scheduled arrival. "City" means an incorporated
municipality having defined borders and does not include the high seas,
uninhabited areas, or airspace.
Trip Cancellation Benefits: The Insurer will reimburse this benefit up to
the Maximum Limit shown on the Schedule of Benefits for Trips that
are delayed or canceled before the scheduled Contracted Departure
Date due to the reasons shown at the beginning of this section.
The Insurer will reimburse for the following:
- forfeited, non-refundable prepaid deposits or payments, or unused prepaid payments or
deposits;
- the charge for a single supplement if the Insured's
Traveling Companion or traveling Immediate Family Member's Trip is
cancelled but the Insured's is not.
Trip Interruption Benefits: The Insurer will reimburse this benefit up to
the Maximum Limit shown on the Schedule of Benefits for Trips that
have been interrupted or delayed due to the reasons shown at the
beginning of this section.
The Insurer will reimburse for the following:
- forfeited, non-refundable, unused prepaid payments, made
prior to your Contracted Departure Date or travel arrangements for
the Insured's Trip if the Insured's Trip is interrupted; or
- additional transportation expenses incurred by the Insured,
either
- to the Return Destination; or
- from the place that the
Insured left the Trip to the place that the Insured may rejoin the
Trip; or
- additional transportation expenses incurred by the Insured to
reach the original Trip Destination if the Insured is delayed, and
leaves after the Contracted Departure Date.
However, the benefit payable under (b) and (c) above will not exceed the
cost of economy airfare (or first class if the Insured's original tickets
were first class) by the most direct route, less any refunds paid or
payable;
- the Insured's additional cost as a result of a change in the per-person occupancy rate for prepaid travel arrangements if a
Traveling Companion's Trip is interrupted, and the Insured's Trip
is continued.
Trip Interruption - Return Air Only:The Insurer will reimburse the additional transportation expenses incurred by the Insured to the Return
Destination. However, the benefit payable above will not exceed the
cost of economy airfare (or first class if the Insured's original tickets
were first class) by the most direct route, less any refunds paid or
payable.
The Insured Must: Contact LiveTravel (1.800.826.8597) as soon as
he/she knows the Trip is going to be cancelled or interrupted. Failure
to do so may affect coverage.
In addition to the General Exclusions, coverage is not provided for losses
caused by or as a result of:
- carrier-caused delays including an announced, organized, sanctioned labor union Strike that affects public transportation, unless the
Insured's coverage effective date is prior to when the Strike is foreseeable. A Strike is foreseeable on the date labor union members vote to
approve a Strike, except as provided elsewhere in the policy;
- travel arrangements cancelled by an airline, cruise line, or tour operator,
except as provided elsewhere in the policy;
- changes by the
Insured, an Immediate Family Member, or Traveling Companion, for
any reason;
- financial circumstances of the Insured, an Immediate
Family Member, or a Traveling Companion;
- any business or contractual obligations of the Insured, an Immediate Family Member, or
Traveling Companion;
- Default by the person, agency, or tour operator from whom the Insured bought his/her coverage and purchased
his/her travel arrangements;
- any government regulation or prohibition;
- an event which occurs prior to the Insured's coverage
Effective Date, whether known to the Insured or not;
- failure of any
tour operator, Common Carrier, person, or agency to provide the bargained-for travel arrangements;
- financial default.
The Insured's Duties in the Event of Loss: The Insured must provide the
Insurer documentation of the cancellation, interruption, or delay and
proof of the expenses incurred. The Insured must provide proof of payment for the Trip, such as cancelled check or credit card statements,
proof of refunds received, copies of applicable tour operator or
Common Carrier cancellation policies, and any other information reasonably required to prove the loss. Claims involving loss due to
Sickness, Injury, or death require signed patient (or next of kin)
authorization to release medical information and an attending physician's statement. The Insured must provide the Insurer with all
unused air, rail, cruise, or other tickets if he/she is claiming the value
of those unused tickets.
TRAVEL DELAY
The Insurer will reimburse up to $100 a day to the Maximum Limit
shown on the Schedule of Benefits if the Insured's Trip is delayed for
more than 12 hours for Reasonable Additional Expenses until travel
becomes possible. Incurred expenses must be accompanied by
receipts. This benefit is payable for only one delay per Insured, per
Trip. Travel Delay must be caused by:
- the Insured being delayed by
a traffic accident while en route to a departure; or
- carrier-caused
delay;
- lost or stolen passports, travel documents, or money; or
- quarantine;
- being hijacked;
- unannounced Strike;
- Inclement
Weather which prohibits Common Carrier departure; or
- Natural
Disaster.
Payments for additional accommodation expenses will not
exceed $100 per day per individual, up to the Maximum Limit of
Coverage for Reasonable Additional Expenses.
The Insured Must: Contact LiveTravel (1.800.826.8597) as soon as
he/she knows his/her Trip is going to be delayed more than 12 hours.
Failure to do so may affect coverage.
LOSS OF BAGGAGE AND PERSONAL EFFECTS
TThe Insurer will reimburse this benefit, up to the Maximum Limit
shown on the Schedule of Benefits. The Insurer will pay for loss, theft,
or damage to the Insured's Baggage, passports, and visas during the
Insured's Trip. There is a maximum of $4,000 per traveling group.
Continuation of Coverage: If the covered Baggage, passports, and visas
are in the charge of a charter or Common Carrier, and delivery is
delayed, this coverage will continue until such property is delivered to
the Insured. This coverage does not include loss caused by the delay.
Property Not Covered: The Insurer will not pay for damage or loss of:
- animals;
- bicycles (except when checked with a Common Carrier);
- motor vehicles, aircraft, and other conveyances;
- artificial limbs, false teeth, any type of eyeglasses, sunglasses,
contact lenses, or hearing aids;
- tickets, keys, money, notes, securities, accounts, bills, currency,
deeds, food stamps or other evidences of debt, credit cards, and
other travel documents (except passports and visas);
- money, stamps, stocks and bonds, postal or money orders;
- property shipped as freight, or shipped prior to the Contracted
Departure Date; or
- contraband.
Special Limitation: The Insurer will not pay more than $500 for the
first item and thereafter, no more than $250 per item up to the limit
of coverage as defined on the Schedule of Benefits. The Insurer will
not pay more than $500 aggregate on all losses to:
- jewelry,
- watches,
- furs,
- cameras and camera equipment,
- camcorders,
- sporting equipment,
- computers, and
- other electronic devices.
Items over $150 must
be accompanied by original receipts. If receipts are not provided, benefits will be reduced.
Additional Exclusions: In addition to the General Exclusions, the Insurer
will not pay this loss due to:
- defective materials or craftsmanship;
- normal wear and tear;
- deterioration; or
- rodents, animals, or insects.
Payment of Loss: The Insured Must:
- Report theft losses to police or
other local authorities as soon as possible;
- take reasonable steps to
protect his/her Baggage from further damage and make necessary and
reasonable temporary repairs.
The Insurer will reimburse the Insured
for those expenses. The Insurer will not pay for further damage if the
Insured fails to protect his/her Baggage;
- allow the Insurer to examine the damaged baggage and/or the Insurer may require the damaged
item to be sent in the event of payment;
- send sworn proof of loss
as soon as possible from date of loss, providing amount of loss, date,
time, and cause of loss, and a complete list of damaged/lost items; or
- in the event of theft or unauthorized use of the Insured's credit
cards, the Insured must notify the credit card company immediately to
reduce his/her loss.
Any items $150 or more must be accompanied by
the original receipt.
BAGGAGE DELAY
The Insurer will reimburse up to the Maximum Limit shown on the
Schedule of Benefits for the cost of necessary personal effects purchased by the Insured during the Trip, if the Insured's Baggage is
delayed or misdirected for more than 24 hours. Incurred expenses must
be accompanied by receipts. This benefit does not apply if Baggage is
delayed after the Insured reaches his/her Return Destination. The
Insurer will also pay the reasonable cost to return the Insured's Baggage
to his/her home, up to his/her limit of coverage.
Payment of Loss: The Insured must provide documentation of the delay
or misdirection of baggage by the Common Carrier and receipts for the
emergency purchases.
MEDICAL EXPENSE BENEFIT
The Insurer will pay this benefit, up to the Maximum Limit shown on
the Schedule of Benefits minus a $50 deductible. The Insurer will pay
for Reasonable and Customary Charges for medical and surgical
expenses incurred by the Insured within one year from the date of
Injury or Sickness provided initial treatment was received during the
Trip. The Injury must occur or Sickness must begin while the Insured
is covered by the policy.
Covered Expenses: The Insurer will pay emergency dental treatment
only during a Trip. Dental coverage does not apply if treatment or
expenses are incurred after the Insured has reached his/her Return
Destination, regardless of the reason. The treatment must be given by
a Physician or dentist. The Insurer will pay for professional nursing,
Hospital charges, X-ray, and ambulance services and prosthetic
devices. Physical therapy will be covered up to 90 days after the
Insured reaches his/her Return Destination. Benefits payable will not
exceed Reasonable and Customary Charges for similar services in the
geographic area in which the services were rendered.
Additional Exclusions: In addition to the General Exclusions, coverage
is not provided for:
- routine physical examinations;
- mental
health care;
- replacement of hearing aids, eye glasses, contact lenses, sunglasses, and artificial teeth;
- routine dental care;
- any
service provided by the Insured, an Immediate Family Member, or
Traveling Companion.
Payment of Loss: The Insured must provide the Insurer with:
- all medical bills and reports for medical expenses claimed; and
- a signed
patient authorization to release medical information to the Insurer.
Make sure you call Travel Guard (1.800.826.1300 or
1.715.345.0505) before you seek medical care while traveling. Where
available, we can arrange direct payment to a member of our Preferred
medical network, saving you the time and paperwork associated with
reimbursement of medical expenses. Our assistance coordinators also
can help you locate the nearest and most appropriate medical provider,
monitor your care, and provide updates to your family and/or employer.
EMERGENCY MEDICAL TRANSPORTATION
The Insurer will pay this benefit up to the Maximum Limit shown on the
Schedule of Benefits. Mercury International will arrange for emergency
medical transportation services required by the Insured as the result of
any Injury or emergency Sickness during a Trip.
Covered Expenses: The Insurer will pay:
- Reasonable and necessary
charges required for evacuation to the nearest adequate medical facility or home if medically required. This service will be arranged only if
the Insured's Physician determines that adequate medical treatment
is not locally available;
- up to $5,000 for reasonable and necessary
charges for escort expenses required by the Insured, if the Insured is
disabled during a Trip and an escort is recommended, in writing, by a
Physician;
- Reasonable and necessary charges for services for
transportation of the Insured's remains to his/her place of residence if
he/she dies during a Trip.
Service must be provided by a provider designated by Mercury
International. Timely notification by the Insured to the Insurer's designated provider is required, with regard to emergency evacuation.
The insurance provided under this benefit shall be excess of all other
valid and collectible insurance or indemnity and shall apply only when
such other benefits are exhausted.
Additional Benefit: In addition to the above covered expenses, if the
Insurer has previously evacuated an Insured to a medical facility, the
Insurer will pay his/her airfare costs from that facility to the Insured's
Return Destination, within one year from the Insured's original
Contracted Return Date, less refunds from the Insured's unused transportation tickets. Airfare costs will be economy, or first class if the
Insured's original tickets are first class. This benefit is available only
if it is not provided under another coverage in the policy.
The Insured Must: Contact TRAVEL GUARD® (1.800.826.1300 or
1.715.345.0505) prior to arranging emergency medical transportation. Failure to do so may affect coverage.
FLIGHT GUARD - FLIGHT ACCIDENT BENEFIT
The Insurer will pay for the Insured's covered accidental loss of life,
hand, foot, or sight which occurred:
- while he or she was riding as a
passenger on or boarding or alighting from a Scheduled Air Carrier, and
- within 365 days of the accident.
The amount of this benefit is shown below.
| Loss: |
Percentage of Principal Sum Payable |
| Life |
100% |
| Both hands or feet, or sight of both eyes |
100% |
| One hand and one foot |
100% |
| One hand or one foot and sight of one eye |
100% |
| One hand |
50% |
| One foot |
50% |
| Sight of one eye |
50% |
If the Insured suffers more than one loss from an accident, the Insurer
will pay only for the loss with the larger benefit.
Loss of a hand or foot means complete severance at or above the wrist
or ankle joint. Loss of sight of an eye means complete and irrecoverable loss of sight.
"Scheduled Air Carrier" means any air carrier holding a certificate, license, or similar authorization for civilian-scheduled air transport issued by the country of the aircraft's registry, and
which in accordance with that authorization flies, maintains, and publishes schedules and tariffs for regular passenger service between
named cities at regular and specified times, but only if the aircraft is
then being used for any regular or chartered flight operated by such
carrier. The Insurer will not pay more than 100% of the principal sum
for all losses due to the same accident.
RENTER'S COLLISION INSURANCE
The Insurer will pay this benefit up to the Maximum Limit shown on
the Schedule of Benefits subject to a $250 deductible. Coverage does
not apply in countries or states where the sale of this insurance is prohibited by law. If the Insured rents a car while on his/her Trip, and
the car is damaged due to collision, vandalism, windstorm, fire, hail
or flood, while in his/her possession, the Insurer will pay the lesser of:
- the cost of repairs and rental charges imposed by the rental company while the car is being repaired; or
- the Actual Cash Value of
the car.
Coverage is provided to the Insured and Traveling Companion, providing the Insured and Traveling Companion are licensed drivers, and are
listed on the rental agreement. This coverage is primary to other forms
of insurance or indemnity.
In addition to the General Exclusions, coverage is not provided for loss
due to:
- any loss which occurs if the Insured or his/her Traveling
Companion is in violation of the rental agreement;
- rentals of
trucks, campers, trailers, off-road vehicles, motor bikes, motorcycles,
recreational vehicles, or Exotic Vehicles;
- any obligation the Insured
or his or her Traveling Companion assumes under any agreement
except insurance collision deductible;
- failure to report the loss to
the proper local authorities and the rental car company;
- damage to
any other vehicle, structure, or person as a result of a covered loss;
- participation in contests of speed, motor sport or motor racing including training or practice for the same;
- driving under the influence
of alcohol;
- being under the influence of drugs or intoxicants,
unless prescribed by a Physician;
- war or act of war, whether
declared or not , civil commotion, insurrection or riot;
- any unlawful
acts, committed by the Insured, Immediate Family Member, or a
Traveling Companion, whether insured or not;
- Injury sustained
while committing or attempting to commit a crime.
The Insured's Duties in the Event of Loss: The Insured must: take all reasonable, necessary steps to protect the vehicle and prevent further damage to it; report the loss to the appropriate local authorities and the
rental company as soon as possible; obtain all information on any other
party involved in an accident, such as name, address, insurance information, and driver's license number; and provide the Insurer all documentation such as rental agreement, police report, and damage
estimate.
PAYMENT OF CLAIMS
Claim Procedures: Notice of Claim: The Insured must call Travel Guard
as soon as reasonably possible, and be prepared with what coverage
the loss was under (i.e., Medical Expenses), the name of the company that arranged the Trip (i.e., tour operator, cruise line, or charter
operator), the Trip dates, and the amount that the Insured paid. Travel
Guard will fill in the claim form and forward it to the Insured for his
or her review and signature. The completed form should be returned
to Travel Guard Group, Inc., 1145 Clark Street, Stevens Point,
Wisconsin 54481 (telephone 1.715.345.0505 or 1.800.826.1300).
All claims of California residents will be administered by Mercury
Claims Administrator Services, LLC. All accident, health, and life
claims will be administered by Mercury Claims & Assistance of WI,
LLC, in those states where it is licensed.
Claim Procedures: Proof of Loss: The claim forms must be sent back to
Insurer no more than 90 days after a covered loss occurs or ends, or as
soon after that as is reasonably possible. All claims under the policy
must be submitted to Travel Guard no later than one year after the date
of loss or insured occurrence or as soon as reasonably possible. If
Insurer has not provided claim forms within 15 days after the notice of
claim, other proofs of loss should be sent to Insurer by the date claim
forms would be due. The proof of loss should include written proof of
the occurrence, type, and amount of loss, the Insured's name, the participating organization name, and the policy number.
Payment of Claims: To Whom Paid: Benefits paid on account of an
Insured's death will be paid:
- To his/her spouse, if living.
- If there are none, in equal shares to his/her living children.
- If there are none, in equal shares to his/her living parents.
- If there are none, in equal shares to his/her living brothers
and sisters.
- If there are none, to his/her estate.
If a benefit is payable to the Insured's estate or to a minor or other person who is incapable of giving a valid release, the Insurer may pay up
to $1,000 to a relative by blood or connection by marriage who has
assumed care or custody of the minor or responsibility for the incompetent person's affairs. Any payment Insurer makes in good faith fully discharges Insurer to the extent of that payment.
All other benefits will be payable to the Insured. However, if he/she has
assigned his/her benefits, Insurer will honor the assignment, if Insurer
has a signed copy of the assignment. A payment made pursuant to such
an assignment shall discharge Insurer from further liability under the policy to the extent of such payment. Under no circumstances shall Insurer
be responsible for the validity or sufficiency of any such assignment.
Payment of Claims: When Paid: Claims will be paid as soon as Insurer
receives complete proof of loss (and verification of age).
Payment of Claims: To Whom Paid: Benefits for Medical Expense/Emergency
Medical Transportation services may be payable directly to the provider of
the services. However, the provider:
- must comply with the statutory provision for direct payment, and
- must not have been paid from any other
sources.
Problems with the insurance? If so, do not hesitate to contact the insurance
provider or agent to resolve your problem at 1145 Clark Street, Stevens
Point, WI 54481 or call 1.800.826.1300.
GENERAL PROVISIONS
Acts of Agents: No agent or any person or entity has authority to accept
service of the required proof of loss or demand arbitration on the
Insurer's behalf nor to alter, modify, or waive any of the provisions of the
policy.
Autopsy: The Insurer at its own expense, may require an autopsy where
permitted by law.
Concealment or Fraud: The Insurer does not provide coverage for the
Insured if the Insured has intentionally concealed or misrepresented
any material fact or circumstance relating to the policy or claim.
Insurer's Recovery Rights: In the event of a payment under the policy,
the Insurer is entitled to all rights of recovery that the Insured, or the
person to whom payment was made, has against another. The Insured
must sign and deliver to the Insurer any legal papers relating to that
recovery, do whatever is necessary to help the Insurer exercise those
rights, and do nothing after the loss to harm the Insurer's rights.
When an Insured has been paid benefits under the policy but also
recovers from another policy, the amount recovered from the other policy shall be held in trust for the Insurer by the Insured and reimbursed
to the Insurer the extent of the Insurer's payment. This provision does
not apply in North Carolina.
Legal Actions: No one may sue for benefits less than 60 days after due
proof of loss is submitted, nor more than 3 years (or the minimum
period of time permitted by state law, if greater) after the date claim
forms are due.
Payment of Premium: Coverage is not effective unless all premium due
has been paid to Travel Guard prior to a date of loss or insured
occurrence.
Termination of the Policy: Termination of the policy will not affect a claim
for loss which occurs while the policy is in force.
Transfer of Coverage: Coverage under the policy cannot be transferred by
the Insured to anyone else without prior written consent.
Notice to California residents: The plan contains disability insurance benefits or health insurance benefits, or both, that only
apply during your covered Trip. You may have coverage from other
sources that already provides you with these benefits. You should
review your existing policies. If you have any questions about your
current coverage, call your insurer or health plan.
Notice to Florida residents: The benefits of the Policy providing your
coverage are governed primarily by the law of a state other than
Florida.
Notice: Your homeowners policy, if any, may provide coverage for loss
of personal effects provided by any Baggage/Personal Effects coverage
provided by this policy. This insurance is not required in connection
with the Insured's purchase of travel tickets.
The definition of "Hospital" applicable to residents of Florida is as follows: Hospital means a facility that:
- is operated according to law
for the care and treatment of injured people;
- has organized facilities
for diagnosis and surgery on its premises or in facilities available to it
on a prearranged basis or is accredited by the Joint Commission on the
Accreditation of Hospitals, the American Osteopathic Association, or the
Commission on the Accreditation of Rehabilitative Facilities;
- has 24
hour nursing service by registered nurses (R.N.'s); and
- is supervised
by one or more Physicians.
A Hospital does not include:
- a nursing,
convalescent or geriatric unit of a hospital when a patient is confined
mainly to receive nursing care;
- a facility that is, other than incidentally, a rest home, nursing home, convalescent home or home for the
aged; nor does it include any ward, room, wing, or other section of the
hospital that is used for such purposes; or
- any military or veterans
hospital or soldiers home or any hospital contracted for or operated by
any national government or government agency for the treatment of
members or ex-members of the armed forces.
The Legal Actions provision applicable to residents of Florida is as follows: No action at law or in equity may be brought to recover on this
Policy prior to the expiration of 60 days after written proof of loss has
been furnished in accordance with the requirements of this Policy. No
such action may be brought after the expiration of 5 years after the
time written proof of loss is required to be furnished.
Exclusion (j) does not apply to residents of Florida.
Notice to North Carolina residents: In North Carolina, insurance is
underwritten by National Union Fire Insurance Company of
Pittsburgh, PA, on Policy series 52735MO.
Notice to Texas residents: The policy may provide a duplication of
coverage already provided by the Insured's personal auto insurance, homeowner's, personal liability policy, or other source of
coverage.
TRAVEL GUARD® ASSIST
All benefits provided are service benefits, not financial benefits. Any
costs associated with benefits not purchased will be paid by the
named Insured.
24-Hour Medical Assistance
24-Hour Medical Monitoring: Physicians monitor the Insured's condition by maintaining close contact with the attending Physicians,
his/her family Physician, and Immediate Family Members.
Medical Evacuation: Arrangements for any and all means necessary to
transport the Insured back home when medically necessary.
Emergency Medical Payments: If a Hospital demands a cash deposit or
settlement prior to leaving, Travel Guard will assist in arranging the
advancement of funds to cover on-site Medical Expenses.
Prescription Assistance: Replacement of lost or stolen medication,
through a local pharmacy or special courier.
Transportation of Dependents: In the event of hospitalization, arrangements will be made for unattended minors traveling with the Insured
to be flown home.
Family Visit: If the Insured is hospitalized for ten or more days, Travel
Guard will arrange transportation for an Immediate Family Member or
close friend to visit him/her.
Transportation of Mortal Remains: In the event of death while traveling,
arrangements and payment for the return of remains to the place of
burial.
24-Hour Legal Assistance
In a legal emergency, referral to a local legal advisor and advance of
funds for bail and legal fees.
24-Hour Travel Assistance
Travel Documents Assistance: Travel Guard will help retrieve, report,
and reissue lost or stolen travel documents.
Emergency Cash Transfer: Travel Guard will, whenever possible, coordinate with the Insured and a wire agency, in obtaining funds in local
currency for medical or travel emergencies.
Emergency Message Center: Transmission of emergency messages to
family and business associates.
Interpretation Services: Travel Guard will provide emergency language
support or referral to the appropriate local services.
24-HOUR LIVETRAVEL ASSISTANCE
Provides 24-hour assistance for emergency travel needs. Allows you to
make emergency travel changes such as rebooking flights, making hotel
reservations, tracking lost luggage, and replacing lost credit cards. Call
1.800.826.8597 for assistance.
Live Messaging - Relay of e-mail or phone message to family, friends, or
business associates.
Emergency Cash Transfer - Assistance in coordinating an emergency
cash advance.
Pre-trip Travel Advice - Around-the-clock access to
- passport, visa, inoculation, and vaccine requirements;
- travel advisories;
- embassy and consulate contacts;
- travel health advisories;
- weather and currency information -
all for the Insured's planned Destination.
Non-insurance services through Travel Guard® Assist are provided by
Travel Guard®.
Satisfaction Guaranteed - Travel Guard is committed to providing products and services that will exceed expectations. If You
are not completely satisfied, You can receive a refund of the
premium, minus the service fee. Requests must be submitted
to Travel Guard in writing within 15 days of the effective date
of the Policy, provided it is not past the original departure
date.
108838 CT 12/05