EXCLUSIONS
The following
exclusions apply to Parts A &
B:
This plan does not
cover any loss caused by or resulting
from:
1) Suicide, attempted suicide, or any
intentionally self-inflicted Injury while sane or insane (in
Missouri, sane only) committed by
You or Your Traveling Companion;
2) War, invasion, acts of foreign enemies,
hostilities between nations (whether declared or not), civil war;
Participation in any military maneuver or training
exercise;
3) Participating in bodily contact sports;
skydiving; hang gliding; parachuting; mountaineering; any race;
bungee cord jumping; and speed
contest;
4) Participation as a professional in
athletics;
5) Piloting or learning to pilot or acting
as a member of the crew of any
aircraft;
6) Being under the influence of drugs or
intoxicants unless prescribed by a
Physician;
7) Commission or the attempt to commit a
criminal act by You or Your Traveling
Companion;
8) Pregnancy and childbirth (except for
Complications of Pregnancy);
9) Dental treatment except as a result of
Accidental Injury to sound, natural
teeth;
10) Pre-Existing
Conditions;
11) Mental or emotional disorders, unless
hospitalized.
The following
exclusions apply to Baggage/Personal Effects Coverage only in Part
C:
Any Loss or Damage
to: animals; automobiles and their equipment; boats; trailers,
motors; motorcycles; other conveyances and their equipment (except
bicycles while checked as Baggage with a Common Carrier);
eyeglasses, sunglasses, and contact lenses; artificial teeth and
dental bridges; hearing aids; prosthetic limbs; keys, money,
securities, and documents; tickets.
Any Loss Caused by or
Resulting From: Wear and tear, gradual deterioration; insects or
vermin; inherent vice or damage; confiscation or expropriation by
order of any government; radioactive contamination; war or any act
of war whether declared or not; and property shipped as freight or
shipped prior to the Scheduled Departure
Date.
DEFINITIONS
1) “Accident” means a sudden, unexpected,
unusual, specific event which occurs at an identifiable time and
place, but shall also include exposure resulting from a mishap to a
conveyance in which You are
traveling.
2) “Accidental Injury” means Bodily Injury
caused by an Accident (of external origin) being the direct and
independent cause in the loss.
3) “Actual Cash Value” means purchase price
less depreciation.
4) “Assistance Company” means the service
provider with which the Insurer has contracted to coordinate and
deliver emergency travel assistance, medical evacuation, and
repatriation
5) “Baggage” means luggage and personal
possessions, whether owned, borrowed, or rented, taken by You on
Your Trip.
6) “Bodily Injury” means identifiable
physical Injury which: (a) is caused by an Accident, and (b) solely
and independently of any other cause, except illness resulting from,
or medical or surgical treatment rendered necessary by such Injury,
is the direct cause of death or dismemberment of You within twelve
months from the date of the
Accident.
7) “Business Partner” means an individual
who: (a) is involved in a legal partnership; and (b) is actively
involved in the day-to-day management of the
business.
8) “City” means an incorporated municipality
having defined borders and does not include the high seas,
uninhibited areas, or airspace.
9) “Common Carrier” means any land, sea,
and/or air conveyance operating under a license for the
transportation of passengers for
hire.
10) “Complication of Pregnancy” means a
condition whose diagnosis is distinct from pregnancy but is
adversely affected or caused by
pregnancy.
11) “Cruise” means any prepaid sea
arrangements.
12) “Dependent Child(ren)” means Your child
(or children), including an unmarried child, stepchild, legally
adopted child or foster child who is: (1) less than age 19 and
primarily dependent on You for support and maintenance; or (2) who
is at least age 19 but less than age 23 and who regularly attends an
accredited school or college; and who is primarily dependent on You
for support and maintenance;
13) “Domestic Partner” means a person, at
least 18 years of age, with whom You have been living in a spousal
relationship with evidence of cohabitation for at least 10
continuous months prior to the Effective Date of
coverage.
14) “Economy Fare” means the lowest published
rate for a one way ticket.
15) “Effective Date” means the date and time
Your coverage begins, as outlined in the General Provisions section
of this policy.
16) “Family Member” means You or Your
Traveling Companion’s legal or common law spouse, Domestic Partner,
parent, legal guardian, step-parent, grandparent, parents-in-law,
grandchild, natural or adopted child, foster child, ward,
step-child, children-in-law, brother, sister, step-brother,
step-sister, brother-in-law, sister-in-law, aunt, uncle, niece, or
nephew.
17) “Host at Destination” means a person with
whom You are sharing pre-arranged overnight accommodations at the
host’s usual principal place of
residence.
18) “Inclement Weather” means any severe
weather condition which delays the scheduled arrival or departure of
a Common Carrier.
19)
“Injury” means Bodily
Injury caused by an Accident occurring while this policy is in
force, and resulting directly and independently of all other causes
in loss covered by the policy. The Injury must be verified
by a
Physician.
20) “The Insurer” means Arch Insurance
Company.
21) “Land/Sea Arrangements” means land and/or
sea arrangements booked through the Travel
Supplier.
22) “Medically Necessary” means that a
treatment, service, or supply: (1) is essential for diagnosis,
treatment, or care of the Injury or Sickness for which it is
prescribed or performed; (2) meets generally accepted standards of
medical practice; and (3) is ordered by a Physician and performed
under his or her care, supervision, or
order.
23) “Natural Disaster” means flood, fire,
hurricane, tornado, earthquake, volcanic eruption, blizzard or
avalanche that is due to natural
causes.
24) “Pre-Existing
Condition” means any Injury, Sickness or condition of Yourself, a
Traveling Companion or You and/or Your Traveling Companion’s Family
Member for which medical advice, diagnosis, care or treatment was
recommended or received within the 180 day period ending on the
Effective Date. Conditions are not considered pre-existing if the
condition for which prescribed drugs or medicine is taken remains
controlled without any change in the required
prescription.
25)
“Physician” means a
licensed practitioner of medical, surgical, or dental services
acting within the scope of his/her license. The treating Physician
may not be Yourself, a Traveling Companion, or a
Family
Member.
26) “Scheduled Departure Date” means the date
on which You are originally scheduled to leave on the
Trip.
27) “Scheduled Return Date” means the date on
which You are originally scheduled to return to the point of origin
or to a different final
destination.
28) “Sickness” means illness or disease which
is diagnosed and treated by a Physician on or after the Effective
Date of the protection plan and while You are covered under this
plan.
29) “Strike” means any unannounced labor
disagreement that interferes with the normal departure and arrival
of a Common Carrier
30) “Terrorist Attack” means an incident
deemed an act of terrorism by the U.S.
government.
31) “Travel Supplier” means tour operator,
Cruise line, hotel, etc., who has made the land and/or sea
arrangements.
32) “Traveling Companion” means a person who
is sharing travel arrangements with You. Note, a group or tour
leader is not considered a Traveling Companion unless You are
sharing room accommodations with the group or tour
leader.
33) “Trip” means prepaid Land/Sea
Arrangements and shall include flight connections to join and depart
such Land/Sea Arrangements, provided such flight connections are
scheduled to commence within one (1) day of the Land/Sea
Arrangements.
34) "Unforeseen" means not anticipated or
expected and occurring after the Effective Date of the
policy.
35) “Used” means to avail oneself of, to
employ, to expend or consume, or to convert to one’s
service.
36) “You,” “Your,” or “the Insured” means a
person who has purchased a Trip and who has paid the required plan
cost for the protection plan provided
herein.
TERM OF
COVERAGE
1. The Trip
Cancellation Benefit takes effect at 12:01 am the day after the
receipt of the appropriate plan cost that covers the full cost of
Your Trip
2. All other Coverage
take effect at 12:01 am local time at Your location on the departure
date of Your Trip.
3. All Coverage shall
terminate on the earlier of the following dates: (a) Your return to
the origination point as specified in the travel tickets; (b) 11:59
pm local time at Your location on the date Your Trip is
completed.
4. If You extend the
return dates, all Coverage will terminated at 11:59 pm local time at
Your location on the date originally Scheduled Return
Date.
EXTENDED
COVERAGE
All coverage under
the policy will be extended, if: (a) Your entire Trip is covered by
the policy; and (b) Your return is delayed by covered reasons
specified under Trip Cancellation and Interruption or Travel Delay.
If coverage is extended for the above reasons, coverage will end on
the earlier of; (a) the date You reach Your return destination; or
(b) seven (7) days after the date the Trip was scheduled to be
completed.
NOTICE TO STATE OF
WASHINGTON
RESIDENTS: This is not Your
Insurance policy.
To
obtain Your state specific insurance policy, call 1.800.243.3174
Your are entitled to cancel the policy within 14 Days of Your
purchase date with a full refund provided You have not already
departed on Your Trip. Under Accident and Sickness Medical Expense,
You are eligible for coverage if You receive any treatment within
365 days of the Accident of 30 days of the onset of the
Sickness.
IMPORTANT
NOTICE: Payments for the plan will not be accepted after Your
total tour cost has been paid in
full.
Protection plan fees
are non-refundable
BENEFICIARY
Your estate, unless
written notice of a designated beneficiary is provided to
the
Plan Administrator.
Plan is designed by
Travel Insured International, Inc.
This Insurance, under
policy #AIC-TRVL-P (2/03) is underwritten by: Arch Insurance
Company, with its principal place of business in New York, NY
Policy terms and
conditions are briefly outlined in this Description of Coverage.
Complete provisions pertaining to this insurance are contained in
the Master Policy on file with American Group Travel Trust, Bank
Newport as Trustee. In the event of
any conflict between this Description of Coverage and the Master
Policy, the policy will govern.
QUESTIONS, GENERAL
INFORMATION OR FILING A CLAIM
For questions
regarding Your plan or to receive a claim form, contact TII, or send
Your name, address, travel dates, booking number and details of Your
loss within 30 days to:
Travel Insured
International, Inc.
P.O. Box
280568
East Hartford,
CT 06128-0568
1-866-684-0218
(Weekdays
7:45am – 5:30pm EST)
www.travelinsured.com