American Express®
Travel Insurance
Select
Cover
•
•
Annual
Single Trip
Combined Terms & Conditions
Europe/Worldwide
American Express Insurance Services Europe Limited is authorised
and regulated by the Financial Services Authority.
Registered Office: 76 Buckingham Palace Road, London SW1W 9AX, UK
Registered Number: 05048826. Registered in England and Wales.
Inter Partner Assistance is a branch of Inter Partner Assistance S.A. (IPA), Avenue
Louise 166 bte 1, 1050 Brussels. IPA is a Belgian company authorised by the
Banking, Finance and Insurance Commission of Belgium (registration 0487) and
regulated by the Financial Services Authority, (registration 202664). IPA and its
agent, AXA Travel Insurance are all members of the AXA Assistance Group.
INS143 ISC (IPA) Effective from December 2009
Remember to take this
Policy booklet with you
when you travel
Contents
Page
Policy Summary
4
Introduction
9
For 24 hour worldwide emergency
assistance, contact AXA Assistance
on the following number:
8
Your Policy and Certificate of Insurance
Helplines
Key exclusions applying to your Policy
9
Duration of your Policy
Cancellation of your Policy
10
What to do if you need to make a claim
10
+44 (0) 845 456 6355
10
Complaints Procedure
11
Compensation Scheme
12
Use of Your Personal Data
12
Policy Information
14
Medical Warranty & Exclusion of
Pre-existing Medical Condition(s)
16
Reciprocal Health Agreement
Assistance and Information
about your Destination before
you travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
Emergency Assistance
18
Your Policy and Certificate of Insurance
19
What to do if you need to make a claim
19
0845 408 2969
When dialling from outside the UK add 44 then omit the 0.
When dialling within the UK omit 44.
17
Introduction
Claims (office hours) . . . . . . . . . . . . . . . . . .
0845 456 6355
Complaints Procedure
20
Compensation Scheme
20
Definition of Words
21
Emergency Assistance
24 hours a day,
365 days a year.
Policy Sections
Section 1
Personal Assistance Services
28
Section 2
Medical Emergency and
Repatriation Service
31
Section 3
Hospital Cash Benefit
34
Section 4
Personal Accident
34
Section 5
Cancellation and Curtailment
35
Section 6
Missed Departure and/or
Missed Connection(s)
38
Section 7
Involuntary Denial of Boarding
40
Section 8
Travel Delay
40
Section 9
Kennel and Cattery
41
Section 10 Personal Baggage
41
Section 11 Personal Baggage Delay
In an emergency, please first check that the
circumstances are covered by your Policy. Having done
this you should contact the appropriate number shown
after each section of the Policy, giving your name,
Policy Number, and as much information as possible.
Please give us a telephone or fax number where we
can contact you or leave messages at any time of the day
or night.
To comply with the terms and conditions of the
insurance, you must contact us if you are hospitalised
as an in-patient, or before incurring any expenses
whatsoever over £500, in order to obtain our prior
authorisation, immediately you are physically able
to do so. A claim form will need to be completed by
you within 28 days of your returning home to the
United Kingdom area.
43
22
2
Page
Section 12 Money
44
Section 13 Personal Liability
45
Section 14 Legal Advice and Expenses
46
Section 15 Winter Sports (Optional Cover)
48
Section 16 Adventure Sports and Activities
(Optional Cover)
50
Section 17 Business Travel (Optional Cover)
51
Section 18 Golf (Optional Cover)
54
Section 19 Stranded Traveller Assistance (Optional Cover) 56
General Conditions of your Policy
57
General Exclusions of your Policy
60
3
Section
Policy
Summary
5
The Policy you have bought is Select Cover. This Policy
Summary tells you how much you can claim under each
section of cover, but does not contain the full terms and
conditions relating to your Policy. These can be found within
this Policy booklet.
Section
1
2
3
4
Significant Features
and Benefits
Descrip tio n o f Co ver
Personal Assistance Services
includ ing:
Concierge service
Transfer of emergency funds
Homecare (parts/materials)
Medical Emergency &
Repatriation Service
includ ing:
Search & rescue costs
Burial or cremation abroad or
repatriation of body to the UK
Emergency dental treatment
UK medical transfer to hospital
Person to join/stay with you
Hospital Cash Benefit
Personal Accident
includ ing:
Death (18-69)
Death (under 18 or 70 and over)
Loss of/loss of use of/one or
more limbs
Loss of sight in one/both eyes
Permanent total disablement
Select Cover
Benefit
to £5,000+
to £5,000+
6
Missed Departure
and/ or Connection(s)
to £1,000
7
Select Cover
Involuntary Denial of Boarding
includ ing:
If delayed up to 6 hrs
If delayed more than 6 hrs
to £400
Benefit
8
to £100
to £400
Travel Delay
includ ing:
If delayed more than 6 hrs
For each additional 12hr delay
to £350
9
Kennel & Cattery
to £250
10
Personal Baggage (see page 7)
includ ing:
For any one item/pair/set
For valuables in total
to £2,500+
11
Personal Baggage Delay
(outward trip) includ ing:
If delayed more than 6 hrs
to £200
12
Money includ ing: under 16 to £50
Loss of cash
Loss of passport
(travel/accommodation)
Personal Liability
to £500+
to £250
Legal Advice & Expenses
(advance) includ ing:
Travel expenses to court outside UK
Extra claims, fees & expenses
Fees for motor offence outside UK
A Bail Bond in local currency
to £50,000
to £200
to £50 (inc. VAT)
to £10 million*+
to £150,000
to £2,500
to £1,000
to £500
to £1,500
to £500
£30 per 24hrs
to £30,000
£30,000
£1,000
13
14
£30,000
£30,000
£30,000
*A £200 excess applies for Group A and B Adventure Sports
& Activities.
A £50 excess applies unless the Excess Waiver Option
premium has been paid.
Significant Features
and Benefits
Descrip tio n o f Co ver
Cancellation & Curtailment
includ ing:
If £1,500 loss to home
When a deposit is lost#
Excursion cover
Independently Booked
Accommodation
£35
£35
to £250
to £300
to £200
to £500
to £2 million
to £250
to £50,000
to £1,000
to £1,000
+
A £50 excess applies unless the Excess Waiver Option
premium has been paid.
+
A £10 excess applies.
#
4
5
Section
15
Significant Features
and Benefits
Descrip tio n o f Co ver
Winter Sports Option
includ ing:
Select Cover
Section
Benefit
Unused ski pack charges
only covered
if Option
premium paid
to £200/
£20 per day
to £150/
£30 per day
to £500+
to £300
to £300/
£20 per day
to £350
Excess Waiver Option
(Medical, Cancellation,
Baggage & Money)
only covered if
Option
premium paid
16
Adventure Sports/ Activities
Option includ ing:
(excess of £200 on Medical)
Sports/Activities Equipment
For any one article/pair/set
only covered if
Option
premium paid
to £500+
to £300
17
Business Travel Option
includ ing:
only covered
if Option
premium paid
18
Piste closure
Avalanche benefit
Winter Sports Equipment
For any one article/pair/set
Delay of Equipment over 12 hrs
Personal Assistance Services
Replacement Business Associate
Emergency Return Home
Personal Accident
Business Equipment
to £60,000
to £1,500+
includ ing:
- Single item, pair or set limit
- Computer equipment limit
- Business samples limit
to £500
to £1,000
to £500
Business Equipment Delay
Emergency Courier Expenses
Business Equipment Hire
19
Significant Features
and Benefits
Descrip tio n o f Co ver
Golf Option
includ ing:
Select Cover
Benefit
only covered
if Option
premium paid
to £2,500+
Golf Equipment
includ ing:
For any one item
to £250
For purchase of Golf Equipment,
if delayed more than 12 hours
to £300
For hire of Golf Equipment,
if delayed more than 12 hours
to £250/
£35 per 24hrs
Green Fees
to £1,000+
Tournament Entry Fees
to £250
Hole-In-One
to £300
Stranded Traveller Assistance
only covered
Option
if Option
includ ing:
premium paid
Travel Expenses
to £2500
Emergency Expenses
to £200 per
night
Return home of
to £2,500
your children
travel costs
A £50 excess applies unless the Excess Waiver Option
premium has been paid.
+
to £750
IMPORTANT INFORMATION
to £200
to £200
to £500/
£50 per 24hrs
to £1,000+
You are only covered for the Options if the
appropriate premium has been paid.
If you wish to add any of the above Options
to your existing cover, please call American Express
Insurance Services on 0800 700 707.
Please note that if you have chosen to exclude
Personal Baggage cover from your Policy, no cover
under Section 10 will apply.
Business Money
includ ing:
- Cash limit
to £500
+
A £50 excess applies unless the Excess Waiver Option
premium has been paid.
6
7
Introduction
Your Policy and Certificate of Insurance
Thank you for choosing American Express to provide your
Travel Insurance. This booklet provides useful information
about the protection offered by this insurance, and the way
in which the Policy will operate.
The Policy is a contract between you and us and is made up of
two parts: your Certificate of Insurance and your Policy
booklet which includes the Policy Summary. These must be
read and kept together.
The Intermediary
Your Certificate of Insurance includes the information you
gave us. It shows you who is insured, the level of cover you
have chosen, the period of insurance, geographical limits of
travel, age restrictions, your premium and any changes to the
normal cover (called endorsements).
Your Policy has been arranged by American Express
Insurance Services Europe Ltd (“American Express Insurance
Services”)1, a UK based insurance intermediary authorised
and regulated by the Financial Services Authority. They will
administer your Policy, and organise the renewal of annual
policies, subject to the terms and conditions set out by the
insurer.
American Express Insurance Services will provide you with
renewal terms offered by their travel insurance provider at
the time of your renewal. A renewal notice will be sent to
you before the end of the period of insurance, explaining
how this will work. If you do not wish to renew your Policy
with the current or any new insurer, you will need to contact
American Express Insurance Services by calling 0800 700 707,
at least 30 days prior to the expiry of your Policy. If
American Express Insurance Services does not hear from
you, your Policy will be renewed automatically.
The Insurer
This Policy is underwritten by American Express Insurance
Services' current travel insurance provider, Inter Partner
Assistance, 10/11 Mary Street, Dublin 1, Ireland, which is a
branch of Inter Partner Assistance S.A., Avenue Louise 166
bte 1, 1050 Brussels, a Belgian company authorised by the
Banking, Finance and Insurance Commission of Belgium,
registration 0487 and regulated by the Financial Services
Authority for the conduct of UK business (registered
number: 202664). Some of the benefits and services under
this Policy will be provided by its agent, AXA Travel
Insurance (registered number: 475445), of the same Ireland
address. All companies are members of the AXA Assistance
Group.
Key exclusions applying to your Policy
Age Restrictions
Please see your Certificate of Insurance for age restrictions
which apply to your Policy.
Exclusions
Please refer to the following sections of this Policy booklet for
the specific exclusions relating to each Policy section:
Section 1 Personal Assistance Services
Section 2 Medical Emergency and Repatriation Service
Section 3 Hospital Cash Benefit
Section 4 Personal Accident
Section 5 Cancellation and Curtailment
Section 6 Missed Departure and/or Missed Connection(s)
Section 7 Involuntary Denial of Boarding
Section 8 Travel Delay
Section 9 Kennel and Cattery
Section 10 Personal Baggage
Section 11 Personal Baggage Delay
Section 12 Money
Section 13 Personal Liability
Section 14 Legal Advice and Expenses
Section 15 Winter Sports (Optional Cover)
Section 16 Adventure Sports and Activities (Optional Cover)
Section 17 Business Travel (Optional Cover)
Section 18 Golf (Optional Cover)
Section 19 Stranded Traveller Assistance (Optional Cover)
Please refer to page 60 for the list of General Exclusions
applying to all the sections of your Policy.
American Express Insurance Services Europe Limited (AEISEL), Registered
Office: 76 Buckingham Palace Road, London SW1W 9AX, UK. Registered in
England and Wales. Company Number: 05048826, is authorised and regulated by
the Financial Services Authority, Registered Number: 311684. Full details can be
found on the FSA’s Register by visiting www.fsa.gov.uk/register or by contacting
the FSA on 0845 606 1234.
1
8
9
Duration of your Policy
Annual Policies
The Policy duration is one year:
• Worldwide Cover allows trips of up to 45 days each.
• Worldwide Cover excluding North America and The
Caribbean area allows trips of up to 45 days each.
• European Cover allows trips of up to 45 days each.
Single Trip Policies
• Please refer to your Certificate of Insurance for details of
your Policy duration.
Cancellation of your Policy
– your address including the postcode,
– the section under which you wish to make a claim.
You must return your completed claim form and any
additional information we ask for within 28 days of the end of
your trip.
3. Additional Information
You must supply all of your original invoices, receipts and
reports etc. You should check the section under which you are
claiming for any specific conditions and details of any
supporting evidence that you must give us.
It is always advisable to keep copies of all the documents that
you send to us.
4. Claims Handling Agents
If this insurance does not meet your needs, we will cancel
your Policy providing you return it to us within 15 days of
issue and you have not already taken your trip or intend to
make a claim. We will refund your premium in full, but we
will not refund it, or any part of your premium, after the
15 days have passed.
To help us agree a quick and fair settlement of a claim, it
may sometimes be necessary for us to appoint a claims
handling agent.
If you subsequently give notice in writing or by telephone to
American Express Insurance Services to cancel this insurance,
such cancellation shall take effect on the next renewal date
following such notice. No refund of premium will be made.
We aim to provide a first class service at all times. However, if
you have a complaint, in order to get your complaint dealt
with as quickly and efficiently as possible, please ensure your
complaint is directed to the right department.
What to do if you need to make a claim
Does your complaint relate to:
Your Policy or a claim on your Policy?
1. First check you are covered by your Policy.
If it is about your Policy or a claim on your Policy, please
contact:
Please read the appropriate section in this Policy booklet to
see exactly what is, and is not covered, noting particularly
any conditions, limitations and exclusions.
2. Making a claim
a) In the event of an emergency you should first call the
Emergency Helpline listed after each appropriate section of
this Policy booklet (any minor illness or injury costs must
be paid for by you and reclaimed).
b) For all other claims, telephone our Claims Helpline on
0845 408 2969 (during office hours) to obtain a claim form.
You will need to give:
– your name,
– your Policy Number found at the top of your Certificate
of Insurance,
– brief details of your claim.
– Alternatively you can email our Claims Helpline on
amex.retail@axa-assistance-claims.com You will need to
provide:
– your name,
– your Policy Number found at the top of your Certificate
of Insurance,
10
Complaints Procedure
AXA Travel Insurance (Complaints Department)
The Quadrangle
106-118 Station Road
Redhill, Surrey, RH1 1PR
If your complaint is about service you have received from
American Express Insurance Services, please contact:
American Express Insurance Executive Office
1st Floor
AMEX House
Edward Street
Brighton BN88 1AH
Please enclose the following details when sending your letter:
– your full name, postcode and contact phone number(s);
– the type of Policy and your Policy and/or claim reference;
– an outline of the reasons for your complaint.
If you are not satisfied with the way your complaint has been
dealt with, you have the right to ask the Financial
Ombudsman Service to review your case. Telephone:
0845 080 1800 or write to: Financial Ombudsman Service,
South Quay Plaza, 183 Marsh Wall, London E14 9SR.
11
Compensation Scheme
We are covered by the FSCS. You may be entitled to
compensation from the scheme if we cannot meet our
obligations. This depends on the type of business and the
circumstances of the claim. Insurance advising and arranging
is covered for 90% of the claim, without any upper limit.
Further information about compensation scheme
arrangements is available from the FSCS.
Use of Your
Personal Data
Please read the paragraphs below, which define how
American Express Insurance Services Europe Ltd, (“American
Express Insurance Services”) and Inter Partner Assistance S.A
and AXA Travel Insurance (cumulatively “AXA”) use
information about you for the purpose of providing you with
insurance services and additional products and services.
Both organisations appreciate the importance of the
protection, confidentiality and security of your information.
Personal Information
If your insurance application is accepted by American Express
Insurance Services and AXA and you are issued a Certificate of
Insurance and Policy wording, you also agree that American
Express Insurance Services Europe Ltd and AXA may:
(a) disclose and use information about you and your
insurance cover – including information relating to your
medical status and health – to companies within the
American Express and AXA group of companies
worldwide, their partners, service providers and agents in
order to administer and service your account/insurance
cover (and arrange the renewal thereof), process and
collect relevant payments on it, for fraud prevention and
to manage the benefits or insurance programmes in which
you are enrolled;
(b) use information about you and your insurance cover –
excluding information relating to your medical status and
health – to develop lists for use within the American
Express group of companies worldwide and its partners to
develop or make offers to you (by mail, email or
telephone) of products and services in which you may be
interested. The information used to develop these lists
may be obtained from your application, from information
on where and how you use your Card if you are an
American Express Cardmember and from surveys and
12
research (which may involve contacting you by mail or
telephone) and information obtained from other external
sources such as merchants or marketing organisations;
(c) undertake all of the above within and outside the United
Kingdom and the European Union. This includes
processing your information in the USA in which data
protection laws are not as comprehensive as in the
European Union. However, both organisations have taken
appropriate steps to ensure the same (or equivalent) level
of protection for your information in the USA and other
countries as there is in the European Union; and
(d) monitor and/or record your telephone calls in relation
to cover to ensure consistent servicing levels and
account operation.
If you wish to have your name removed from any marketing
programmes or if you require any further information please
contact American Express Insurance Services Ltd on
+44 1273 668300.
Please provide your full name, postal address, travel
insurance Policy Number and if you are an American Express
Cardmember your Card Number. Please allow 40 days if you
wish to have your name removed from marketing
programmes for your request to become effective.
Both organisations use advanced technology and well defined
employee practices to help ensure that your information is
processed promptly, accurately and completely and in
accordance with applicable data protection law.
If you want to know what information is held about you by
the American Express Group, please write to:American Express Services Europe Limited
Data Protection Office
Dept 2007
Amex House
Edward Street
Brighton BN88 1AH
If you want to know what information is held about you by
the AXA Group, please write to:
AXA Travel Insurance
Data Protection Officer
The Quadrangle
106-118 Station Road
Redhill, Surrey, RH1 1PR
There may be a charge for this service, as permitted by law.
Any information which is found to be incorrect will be
corrected promptly.
The American Express Group reserves the right to contact you
by mail or telephone in connection with the operation of your
account and related services.
Information about you is only held for so long as it is
appropriate for the above.
13
If you have purchased Single Trip Cover, please refer to
your Certificate of Insurance for details of your Policy
duration (maximum duration 93 days).
Policy
Information
1.
Please take this Policy booklet and Certificate of Insurance
with you whenever you travel. These are proof of your
insurance and will be needed if you have to make a claim.
2.
Please make sure you understand what this Policy covers.
Your Certificate of Insurance draws your attention to
important parts of the Policy. The Policy Summary
included in this booklet confirms how much you can
claim under each section of cover. Only this Policy
booklet gives full details of what is, and is not covered,
all terms and conditions, and how your claim will
be handled.
Please note if you take a trip outside these limits this
insurance will not apply to any part of that trip. If the trip
you are planning is likely to exceed these limits you will
need to buy alternative cover for that trip. Please contact
American Express Insurance Services for more information.
7.
This Policy covers you for trips within the United
Kingdom area provided you have pre-booked at least one
night’s accommodation for leisure or business trips.
8.
If you have purchased family cover, your family as
named on the Certificate of Insurance, will be covered
when either travelling with you or independently.
9.
The most we will pay you in any period of insurance
is shown under each Policy section and on the Policy
Summary. All benefits and excesses are per person,
per applicable section, per trip, unless this is qualified
specifically.
3.
Please see ‘Emergency Assistance’, for details of what you
should do in an emergency.
4.
Premium refund within 15 days of issue. If this insurance
does not meet your needs, we will cancel your Policy (if
you return it to us within 15 days of issue) and refund
your premium in full, providing you have not already
taken your trip or intend to make a claim. We will not
refund your premium, or any part of it, after the 15 days
have passed.
10. Valuables should be insured separately under the All
Risks/Extended Cover section of your Home Contents
Insurance Policy, which will usually provide settlement
on a new for old basis.
If you subsequently give notice in writing or by
telephone to American Express Insurance Services to
cancel this insurance, such cancellation shall take effect
on the next renewal date. No refund of premium will
be made.
12. This Policy is effected in England and is governed by the
laws of England and Wales.
5.
13. This contract may only be completed in English.
Any changes to the normal cover are shown on your
Certificate of Insurance and must be read in conjunction
with this Policy booklet. It is particularly important that
you read your Certificate of Insurance and if any details
are incorrect, or your needs change in any way, you must
contact American Express Insurance Services as soon
as possible.
6.
11. The premium for this Policy must be paid in full at the
time of purchase.
If you have purchased Annual Cover, you will have a
total of 183 days cover in each period of insurance, with
each individual trip limited to 45 days consecutively for
European Cover and 45 days consecutively for
Worldwide Cover or Worldwide Cover excluding North
America and The Caribbean area.
Please refer to your Certificate of Insurance for age
restrictions which apply to your Policy.
14
15
Medical Warranty & Exclusion of
Pre-existing Medical Condition(s)
It is your promise to us that, at the time of purchasing or
renewing this travel insurance or booking your trip:
1. You:
a) have not attended a hospital as an in-patient during
the last 12 months;
b) are not on a waiting list for an operation, consultation
or investigation;
c) have not commenced or changed prescribed
medication or treatment within the last three months;
d) do not require a medical, surgical or psychiatric
check-up every 12 months or more frequently.
2. You are not travelling or planning to travel against
medical advice, or where a terminal prognosis has been
given.
3. You know of no reason whatsoever why your trip could
be cancelled or curtailed. Travel Insurance covers
emergency and unforeseen circumstances only. You are
covered for cancellation or curtailment during your
period of insurance if, after you have booked your trip,
a close relative, a travelling companion or anyone on
whom your trip depends, suffers unforeseen (not preexisting) serious illness or injury, death or imminent
demise.
If you are unable to meet your promise, you must contact
American Express Insurance Services immediately on
0800 700 707 to confirm whether your cover can be
commenced or continued. Certain medical conditions may
be excluded from cover.
Reciprocal Health Agreement – European
Health Insurance Card (EHIC)
If you are travelling to a European Union country, we advise
you to apply for a European Health Insurance Card (EHIC).
This card entitles you to certain free or reduced cost health
cover arrangements in European Union countries, and if you
use it to reduce the cost of a medical claim under Section 2 –
Medical Emergency and Repatriation Service, you will not have
to pay the excess in respect of that claim.
Emergency Assistance, 24 hours a day,
365 days a year
In an emergency, please first check that the circumstances
are covered by your Policy. Having done this you should
contact the appropriate number shown after each section
of this Policy booklet, giving your name, Policy Number,
and as much information as possible. You will need to give
us a telephone or fax number where we can contact you or
leave messages at any time of the day or night.
To comply with the terms and conditions of the insurance,
you must contact us if you are hospitalised
as an in-patient, or before incurring any expenses
whatsoever over £500, in order to obtain our prior
authorisation, immediately you are physically able to
do so. A claim form will need to be completed by
you within 28 days of your returning home to the
United Kingdom Area.
For the avoidance of any doubt – failure to contact
American Express Insurance Services and obtain
confirmation that your cover can be commenced or
continued may result in our declining to pay your claim(s).
16
17
Introduction
Your Policy and Certificate of Insurance
Thank you for choosing American Express to provide your
Travel Insurance. This booklet provides useful information
about the protection offered by this insurance, and the way
in which the Policy will operate.
The Policy is a contract between you and us and is made up
of two parts: your Certificate of Insurance and your Policy
booklet which includes the Policy Summary. These must be
read and kept together.
The Intermediary
Your Policy has been arranged by American Express
Insurance Services Europe Ltd (“American Express Insurance
Services”)1, a UK based insurance intermediary authorised
and regulated by the Financial Services Authority. They will
administer your Policy, and organise the renewal of annual
policies, subject to the terms and conditions set out by the
insurer.
American Express Insurance Services will provide you with
renewal terms offered by their travel insurance provider at
the time of your renewal. A renewal notice will be sent to
you before the end of the period of insurance, explaining
how this will work. If you do not wish to renew your Policy
with the current or any new insurer, you will need to contact
American Express Insurance Services by calling 0800 700
707, at least 30 days prior to the expiry of your Policy. If
American Express Insurance Services does not hear from
you, your Policy will be renewed automatically.
The Insurer
This Policy is underwritten by American Express Insurance
Services' current travel insurance provider, Inter Partner
Assistance, 10/11 Mary Street, Dublin 1, Ireland, which is a
branch of Inter Partner Assistance S.A., Avenue Louise 166 bte
1, 1050 Brussels, a Belgian company authorised by the
Banking, Finance and Insurance Commission of Belgium,
registration 0487 and regulated by the Financial Services
Authority for the conduct of UK business (registered number:
202664). Some of the benefits and services under this Policy
will be provided by its agent, AXA Travel Insurance
(registered number: 475445), of the same Ireland address. All
companies are members of the AXA Assistance Group.
Your Certificate of Insurance includes the information you
gave us. It shows you who is insured, the level of cover you
have chosen, the period of insurance, geographical limits of
travel, age restrictions, your premium, and any changes to the
normal cover (called endorsements).
What to do if you need to make a claim
1. First check you are covered by your Policy.
Please read the appropriate section in this Policy booklet to
see exactly what is, and is not covered, noting particularly
any conditions, limitations and exclusions.
2. Making a claim
a) In the event of an emergency you should first call the
Emergency Helpline listed after each appropriate section of
this Policy booklet (any minor illness or injury costs must
be paid for by you and reclaimed).
b) For all other claims telephone our Claims Helpline on
0845 408 2969 (during office hours) to obtain a claim form.
You will need to give:
– your name,
– your Policy Number found at the top of your Certificate
of Insurance,
– brief details of your claim.
Alternatively you can email our Claims Helpline on
amex.retail@axa-assistance-claims.com You will need
to provide:
– your name,
– your Policy Number found at the top of your Certificate
of Insurance,
– your address including the postcode, the section under
which you wish to make a claim.
You must return your completed claim form and any
additional information we ask for within 28 days of the end of
your trip.
3. Additional Information
American Express Insurance Services Europe Limited (AEISEL), Registered Office:
76 Buckingham Palace Road, London SW1W 9AX, UK. Registered in England and
Wales. Company Number: 05048826, is authorised and regulated by the Financial
Services Authority, Registered Number: 311684. Full details can be found on the
FSA’s Register by visiting www.fsa.gov.uk/register or by contacting the FSA on
0845 606 1234.
1
18
You must supply all of your original invoices, receipts and
reports etc. You should check the section under which you are
claiming for any specific conditions and details of any
supporting evidence that you must give us.
It is always advisable to keep copies of all the documents that
you send to us.
19
4. Claims Handling Agents
To help us agree a quick and fair settlement of a claim,
it may sometimes be necessary for us to appoint a claims
handling agent.
Complaints Procedure
We aim to provide a first class service at all times. However, if
you have a complaint, in order to get your complaint dealt
with as quickly and efficiently as possible, please ensure your
complaint is directed to the right department.
Does your complaint relate to:
Your Policy or a claim on your Policy?
If it is about your Policy or a claim on your Policy, please contact:
AXA Travel Insurance (Complaints Department)
The Quadrangle
106-118 Station Road
Redhill, Surrey, RH1 1PR
If your complaint is about service you have received from
American Express Insurance Services, please contact:
American Express Insurance Executive Office
1st Floor
AMEX House
Edward Street
Brighton BN88 1AH
Please enclose the following details when sending your letter:
– your full name, postcode and contact phone number(s);
– the type of Policy and your Policy and/or claim reference;
– an outline of the reasons for your complaint.
If you are not satisfied with the way your complaint has been
dealt with, you have the right to ask the Financial
Ombudsman Service to review your case. Telephone:
0845 080 1800 or write to: Financial Ombudsman Service,
South Quay Plaza, 183 Marsh Wall, London E14 9SR.
Compensation Scheme
We are covered by the FSCS. You may be entitled to
compensation from the scheme if we cannot meet our
obligations. This depends on the type of business and the
circumstances of the claim. Insurance advising and arranging
is covered for 90% of the claim, without any upper limit.
Further information about compensation scheme
arrangements is available from the FSCS.
20
Definition of Words
This part of the Policy booklet explains any words which have
a special meaning. Each word is listed with its meaning
explained immediately afterwards. Whenever a word with
special meaning appears in this Policy booklet it will be
printed in bold type.
Adventure Sports and Activities
Group A
The following Adventure Sports and Activities are
automatically covered without any payment of additional
premium but any claim made under Section 2 – Medical
Emergency and Repatriation Service will be subject to an excess
of £200: abseiling; baseball; canoeing; clay pigeon shooting;
deep sea fishing; fell running; go-karting; hockey; horse riding;
hot air ballooning; jetbiking; jetskiing; parascending; pony
trekking; scuba diving deeper than 30 metres; skidoo; trekking;
war games/paintball; whitewater rafting.
Group B
The following Adventure Sports and Activities are only
covered if you have paid the appropriate additional premium
but any claim made under Section 2 – Medical Emergency and
Repatriation Service will be subject to an excess of £200:
American football; bungee jumping; flying (other than as a
fare-paying passenger in a licensed passenger-carrying
aircraft); hang gliding; martial arts; microlighting; mountain
biking off tarmac; mountaineering; motor rallies; parachuting;
paragliding; polo; potholing; quad biking; rock climbing;
rugby; Tour Operator safari (where you, or any other tourist,
will be carrying guns); white-water canoeing; yachting more
than 20 nautical miles from the nearest coastline.
Group C
The following Adventure Sports and Activities are not covered
by your Policy under any circumstances: boxing; canyoning;
cave diving; hunting; professional sports; horse jumping;
hunting on horseback; steeplechasing; solo mountain climbing;
any form of motor racing, speed, performance, or endurance
tests; solo caving; solo diving; any organised team sports or
organised competitions listed under Group A (with the
exception of American football, polo, or rugby).
Please also note the following:
1. The above lists are not exhaustive and if the sport or
activity you want to do is not listed, please contact
American Express Insurance Services on 0800 700 707
for advice.
2. Because of the increased risk of injury to you or caused by
you to other people, there is no cover under Section 4 –
Personal Accident and Section 13 – Personal Liability for
any of the Group A or B Adventure Sports and Activities.
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Bodily injury
An injury which:
a) is caused by an accident;
b) is caused solely and directly by visible, violent,
external means;
In respect of Personal Accident as above and
c) results in a loss of, or loss of the use of, one or more
limbs or loss of all sight in one or both eyes, or death,
directly and independently of all other causes. This
does not include any sickness, disease or naturally
occurring conditions or gradually operating or
degenerative process.
Business associate
A business partner, director or employee.
Business Equipment
Computer equipment, (including laptop computers, hardware
and software, peripherals and PDAs), communication devices,
(including mobile phones), stocks and samples, and other
business related equipment which you need in the course of
your business, and is not covered elsewhere.
Carrier
The aircraft, coach, ship or train operator and their employees
and agents.
Close relative
Your spouse, common law or same sex partner (with whom
you have been living continuously for at least six months and
with whom you are still living), grandmother, grandfather,
mother, stepmother, mother-in-law, father, stepfather, fatherin-law, sister, stepsister, sister-in-law, brother, stepbrother,
brother-in- law, daughter, stepdaughter, daughter-in-law, son,
step son, son-in-law, granddaughter, grandson, uncle, aunt,
nephew, niece, legal guardian, legal ward, or the fiancé(e) of
any person insured under this Policy.
Couple
You, your spouse or partner (with whom you have been living
for at least six months and with whom you are still living).
Curtailment
Cutting short your trip outside the United Kingdom area by
returning home due to an emergency authorised by us.
Excess(es)
The first £50 for each insured person under your Policy, for
every incident of loss applying to each section of cover under
which a claim is made. This means that if you claim for
something under a section of the Policy for which excess is to
be deducted, you will personally be financially responsible for
the first £50 for each insured person’s claim.
22
You may choose to pay an additional premium to purchase the
Excess Waiver Option. Having purchased the Excess Waiver
Option you will no longer be personally financially
responsible for the excess when submitting a claim (other than
a claim made for Group A or Group B Adventure Sports and
Activities – please see note below). You cannot opt to purchase
the Excess Waiver Option when you are actually aware of a
potential claim, or in a claims situation.
Please also note the following:
1. If you have obtained a European Health Insurance Card
(EHIC) and use it to reduce the cost of a medical claim
under Section 2 – Medical Emergency and Repatriation, you
will not have to pay the excess in respect of that claim.
2. A higher excess of £200 will apply to any claim under
Section 2 – Medical Emergency and Repatriation Service,
where you have been taking part in any Group A or Group
B Adventure Sports and Activities. This higher excess
cannot be reduced or deleted by use of the European Health
Insurance Card (EHIC) or by having purchased the Excess
Waiver Option.
Family
You, your spouse or partner (with whom you have been living
for at least six months and with whom you are still living) and
your, or their, children who are under 18 years old on the first
day of the period of insurance.
Geographical limits
European Cover:
The following countries are included within the definition of
Europe: Albania; Andorra; Austria; Azores; Bailiwick of
Guernsey; Bailiwick of Jersey; Balearics; Belarus; Belgium;
Bulgaria; Canary Islands; Corsica; Croatia; Cyprus; Czech
Republic; Denmark; Egypt; Estonia; Finland; France; Germany;
Gibraltar; Greece; Hungary; Iceland; Isle of Man; Israel; Italy;
Latvia; Liechtenstein; Lithuania; Luxembourg; Madeira; Malta;
Moldova; Monaco; Morocco; Netherlands; Norway; Poland;
Portugal; Republic of Ireland; Romania; Russia west of the
Ural Mountains; San Marino; Sardinia; Sicily; Slovak Republic;
Slovenia; Spain; Sweden; Switzerland; Tunisia; Turkey;
Ukraine; and the United Kingdom area*.
Worldwide Cover:
All countries worldwide including the United Kingdom area*.
Worldwide Cover Excluding North America and The
Caribbean area:
All countries worldwide including the United Kingdom area*
but excluding North America and The Caribbean area.
*Please refer to – Policy Information – for limitations which
apply to trips solely within the United Kingdom area.
Please refer to General Exclusions of your Policy.
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Golf Equipment
The following items owned, entrusted to, or hired by you:
golf clubs, golf bags, golf umbrellas, non-motorised trolleys,
golf shoes and golf clothing.
Green Fees
Club membership or subscription fees.
Home
The place where you normally live in the United Kingdom
area and use for domestic purposes.
Limits of cover
The most we will pay you in any period of insurance is the
amount shown under each section of this Policy booklet.
Loss of all sight in one or both eyes
Being totally blind in one eye or partly losing the sight in one
eye, so that objects which should be clear from 60 feet away
can only be seen at three feet away or less using that eye, or
being totally blind and added to the Register of Blind Persons
by a fully qualified eye specialist.
Loss of, or loss of the use of, one or more limbs
Complete and permanent loss of use of, or physical severance
of a limb at or above the wrist or ankle.
Manual work
Work which involves the installation, assembly, maintenance,
repair, or use of electrical, mechanical or hydraulic plant (other
than in a purely managerial/supervisory, sales or
administrative capacity) or manual labour of any kind other
than in the catering industry or fruit picking by hand.
Medical emergency
A bodily injury or sudden and unforeseen illness suffered by
you while you are on a trip outside the United Kingdom area
and a registered medical practitioner tells you that you need
immediate medical treatment or medical attention.
Money
Sterling and foreign currency, cheques, postal and money
orders, gift vouchers, travel tickets, hotel and other holiday
vouchers, petrol coupons, Green Card, passports, ski lift pass,
together with the wallet, purse or similar article in which these
items are carried, whilst:
•
•
carried by you about your person (in an item of clothing
you are wearing or in a container which you are holding
or which is attached to you); or
left in a locked safety deposit box.
North America
The United States of America and Canada.
The Caribbean area
Anguilla; Antigua and Barbuda; Aruba; Bahamas; Barbados;
Bermuda; British Virgin Islands; Cayman Islands; Cuba;
Dominica; Dominican Republic; Grenada; Guadeloupe; Haiti;
Jamaica; Martinique; Montserrat; Navassa Island; Netherlands
Antilles; Puerto Rico; Saint Barthelemy; Saint Kitts and Nevis;
Saint Lucia; Saint Martin; Saint Vincent and the Grenadines,
Trinidad and Tobago; Turks and Caicos Islands; the US Virgin
Islands; and includes cruising in waters around these islands.
Pair or set
Items of Personal Baggage forming part of a set or which are
normally used together.
Period of insurance
The period to which the insurance applies and for which you
have paid, or have agreed to pay the appropriate premium.
This period and the premium payable is shown on your
Certificate of Insurance. Please note that cover for cancellation
under Section 5 – Cancellation and Curtailment will start from
when you take out this Policy, and cease when you have
started your trip. Cover under all the other sections applies for
the length of your trip unless it is further qualified under a
specific section.
Extension to the period of insurance
If your return journey to the United Kingdom area is
unavoidably delayed because of something which is covered
under your Policy, we will automatically extend your cover for
the period of the delay at no additional cost.
If you book a trip during the current period of insurance and
have paid or agreed to pay for it, where the departure date is
after the renewal date of your Policy, cancellation cover will
continue in force on condition that you, if eligible, renew the
Policy when renewal falls due and the premium is paid.
Please refer to your Certificate of Insurance for age restrictions
applying to the renewal of your Policy.
Permanent total disablement
Disability which completely prevents you from doing work
of any kind and after 12 months there is no hope of any
improvement.
Personal Accident
Accidental bodily injury caused solely and directly by outward
and violent, visible means.
Personal Baggage
Items usually carried or worn by travellers (including valuables
24
25
but excluding Money) taken on, or purchased on, a trip by you
for your individual use during your trip.
United Kingdom area
England, Scotland, Wales and Northern Ireland.
Pre-existing Medical Condition(s)
Valuables
Jewellery, precious metals or precious stones or items made
from precious metals or precious stones, watches, furs, leather
articles, personal mobile phones, binoculars, telescopes,
electronic/audio/video or photographic equipment, MP3
players, and games consoles.
Any condition for which you:
a) have attended a hospital as an in-patient in the last
12 months;
b) are on a waiting list for an operation, consultation or
investigation;
c) within the last three months, have commenced or changed
prescribed medication or treatment;
d) require a medical, surgical or psychiatric check-up every
12 months or more frequently;
e) have been given a terminal prognosis;
f) know of any reason whatsoever, which may necessitate
any trip to be cancelled or curtailed.
If you are aware of any pre-existing medical condition(s) these
must be declared to American Express Insurance Services on
0800 700 707, and accepted for cover. Certain medical
conditions may be excluded from cover.
Public transport
Includes the following forms of transport: aircraft; bus; coach;
pre-booked taxi; sea vessel; and train.
Strike or industrial action
Any form of industrial action which is carried out with the
intention of stopping, restricting or interfering with the
production of goods or provision of services.
Treatment
Any type of surgical or medical procedure which is carried out
solely to cure or relieve an unforeseen illness or injury.
Trip(s)
A journey within the geographical limits shown on your
Certificate of Insurance, which starts and ends in the United
Kingdom area during the period of insurance and which does
not exceed the consecutive or total days cover shown on your
Certificate of Insurance. If your planned journey exceeds the
number of consecutive days then no cover whatsoever will
apply in respect of that journey, and you will need to buy
alternative insurance for the whole of that journey, please
contact American Express Insurance Services on 0800 700 707
for more information.
Unattended
You are not in full view of and in a position to prevent
unauthorised interference with your property.
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We, us, our
Inter Partner Assistance, 10/11 Mary Street, Dublin 1, Ireland,
which is a branch of Inter Partner Assistance S.A., Avenue
Louise 166 bte 1, 1050 Brussels, a Belgian company authorised
by the Banking, Finance and Insurance Commission of
Belgium, registration 0487 and regulated by the Financial
Services Authority for the conduct of UK business (registered
number: 202664) and its agent AXA Travel Insurance
(registered number: 475445) of the same Ireland address, all
member companies of the AXA Assistance Group, their agent,
and/or their service provider.
Winter Sports
On- and off-piste skiing, on- and off-piste snowboarding,
snowblading, tobogganing, monoskiing, glacier skiing, and
outdoor ice skating on a recognised public ice rink. Skidoo is
also covered but is subject to an increased excess of £200 and no
Personal Accident or Personal Liability cover is available.
Available only as an Option when the appropriate premium has
been paid. You will be covered for the defined activities within
the geographical limits for the full duration of your Annual or
Single Trip Policy as stated on your Certificate of Insurance.
When you have paid the Winter Sports Option premium and
the Adventure Sports and Activities Option premium you will
be covered while taking part in the following hazardous
activities during the period of insurance: bobsleigh; heliskiing;
ice hockey; luge; paraskiing; skeleton; ski jumping; ski racing;
and ski stunting.
Not available to anyone aged 70 years and over taking part in
Winter Sports for the first time.
Winter Sports Equipment
Skis, snowboards, ski boots, and ski equipment (not clothing).
You, yourself, your
The person(s) named on your Certificate of Insurance who
live(s) in the United Kingdom area, and at the start of the
period of insurance has complied with our medical assessment
procedure for the initial period of insurance, and for whom
the appropriate premium has been paid.
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Policy Sections
Section 1 – Personal Assistance
Services
Assistance and Information about
your Destination
This section provides details of the services we provide before
you travel.
We will provide you with advice and information on:
• current visa and entry permit requirements. If your
passport was not issued in the United Kingdom area,
we may refer you to the United Kingdom Embassy or
Consulate of the country where your passport was issued;
• current inoculation/vaccination requirements and World
Health Organisation warnings. We can also help you
arrange inoculations or vaccinations in the United
Kingdom area but we will not pay for the actual costs of
inoculations or vaccinations;
• climatic conditions;
• languages;
• time differences;
• information and advice on the availability of various
currencies and specification of the prime currency of your
destination;
• main bank opening hours;
• national or bank holidays;
• motoring regulations and restrictions including whether
you will need a Green Card;
• other motoring insurance issues.
For Assistance and Information
about your Destination before you travel
0845 456 6355
Personal Assistance
This part of the Policy booklet explains the administrative and
delivery costs we will pay for services we provide outside the
United Kingdom area.
i) Transfer of Emergency Funds
If you need funds and access to your normal financial or
banking arrangements is not available locally, we will
transfer funds intended to cover your immediate
emergency needs to you if you allow us to debit a credit,
debit, or charge card, or arrange for funds to be deposited
28
with us in the United Kingdom area. The most we will
transfer per trip is £200.
ii) Concierge Service
We will provide advice and information on any travel
related issue you may have and we will help you with any
problem or query relating to your trip which is not
covered by any of the other headings in this section.
For example, we can arrange to pre-book hotels or have
chocolate and champagne awaiting your arrival; book
restaurants on your behalf; arrange for a readily available
shopping item to be purchased if you do not have time to
do it yourself.
Please note that we will arrange for the service, but all
delivery costs, the cost of items purchased on your behalf,
and service charges must be paid for by you.
iii) Message Relay
We will send urgent messages to your home, if you
suffer an illness, accident or have unforeseen travel
delay problems.
iv) Drug Replacement
We will help you:
•
•
replace essential drugs, other medication, prescription
glasses or contact lenses which have been lost, stolen,
or broken which you cannot get outside the United
Kingdom area;
trace and deliver blood supplies which you cannot
obtain outside the United Kingdom area.
v) Medical Referral
We will provide access to the names and addresses of local
doctors, hospitals, clinics or dentists when you want a
consultation or if minor treatment is needed. If any
treatment other than for minor ailments is needed, you
must advise us as soon as possible.
vi) Medical Referral for Children
If any of your children under 18 years of age, who you leave
in the United Kingdom area when you travel, become ill or
suffer injury we will, if you ask us to, provide medical
advice and monitor the situation until you return home.
vii) Tracing lost Personal Baggage
We will help trace your Personal Baggage and deliver it to
you if it has been lost and the carrier has not found it for
you. We will need your Personal Baggage tag number.
viii)Replacement Travel Documents
We will help you to replace these and refer you to a
suitable travel office if your tickets and travel documents,
including your passport, have been lost or stolen.
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ix) Lost Credit, Debit and/or Charge Cards
We will tell your credit, debit and/or charge card
company in the United Kingdom area if your credit, debit
and/or charge cards are lost or stolen.
+44 (0) 845 456 6355
Homecare
What you are covered for:
We will arrange for one of our approved tradesmen to contact
you to make emergency repairs to your domestic plumbing or
drainage system, domestic gas or electricity supply, roofing,
external locks, doors or windows or fixed heating system, if
any of them suffer damage during, and up to seven days after
you return home from your trip.
We will pay for the call-out charge and one man hour’s
labour charge. We will also pay for any parts/materials used
to effect a repair, up to a maximum of £50 (including VAT)
per trip.
What you are not covered for:
a) more than one man hour’s labour charge;
b) costs of more than £50 (including VAT) for parts/materials
used to effect a repair;
c) blockage of toilet units not caused by breakage or sudden
mechanical failure;
d) failure of the central heating system unless there is a risk of
frost damage to your home;
e) emergencies caused by leaking water hoses or water
appliances;
f) leaking overflows or gradual seepage from defective seal
joints; any claim involving a septic tank; descaling or work
relating to removing hard water scale deposits;
g) damage to home contents;
h) damage caused by the tradesman gaining necessary access
to your home;
i) any amount payable where the cost is recoverable under any
other insurance contract or agreement;
j) any costs which were not authorised by us first;
k) anything mentioned in the General Exclusions.
+44 (0) 845 456 6355
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Section 2 – Medical Emergency
and Repatriation Service
This section provides details of the cover we provide for a
medical emergency and other expenses relating to such an
emergency, including search and rescue services.
To comply with the terms and conditions of the insurance, you
must contact us if you are hospitalised as an in-patient, or
before incurring any expenses whatsoever over £500, in order
to obtain our prior authorisation, immediately you are
physically able to do so. For the avoidance of any doubt –
failure to contact us as required may result in our declining to
pay your claim. A claim form will need to be completed by
you within 28 days of your returning home to the United
Kingdom area.
What you are covered for:
If you suffer bodily injury, illness or die while on a trip
outside the United Kingdom area we will pay the cost of:
i) all reasonable and necessary expenses which arise as a
result of a medical emergency (excluding search and
rescue) involving you. This includes doctors’ fees, hospital
expenses, medical treatment and all the costs of
transporting you to the nearest suitable hospital.
The most we will pay you, under this section per trip, for
any one claim in total is £10,000,000.
This does not apply to United Kingdom area trips.
ii) search and rescue costs including emergency transfer to a
hospital effected by local organisations, are covered for up
to £150,000, where such costs are not met by local
authorities.
iii) in the event of death:
• the cost of burial or cremation outside the United
Kingdom area; or
• transport of your body or ashes to your home.
The most we will pay you per trip, under Section 2 (iii) is
£2,500.
iv) additional travelling costs when our Senior Medical
Officer recommends that you return to the United
Kingdom area including the cost of a medical escort
if necessary.
v) reasonable additional travelling and accommodation costs
for returning home insured members of your family
travelling with you, where a valid claim is made under
this section, including the cost of a competent adult of our
choice to accompany any insured children under 18 years
of age, if your bodily injury, illness or death means there is
no one else to look after them. Any travel (flight tickets
will be for economy class, or at the same class as that
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originally purchased) and/or accommodation (on a
half-board basis) must be made by us, or with our
prior approval.
vi) reasonable additional accommodation and meal expenses
incurred up to the standard of your original booking, if it
is recommended by the treating registered medical
practitioner, and agreed by our Senior Medical Officer, that
it is medically necessary for you to stay beyond your
original return date.
vii) emergency dental treatment for the immediate relief of
pain and/or emergency repairs to dentures or artificial
teeth solely to relieve distress in eating. The most we
will pay you per trip under Section 2 (vii) is £1,000.
viii) in the event of you having a valid claim under Section 2 –
Medical Emergency and Repatriation Service and you are
travelling unaccompanied by another adult(s), and if it is
recommended by the treating registered medical
practitioner, and agreed by our Senior Medical Officer that
a person should stay with you outside the United
Kingdom area, and/or accompany you home, then we
will arrange and pay for one person’s necessary travelling
and accommodation costs. Accommodation will be on a
half-board basis. We will not pay for travel (flight tickets
will be for economy class) and/or accommodation that
has not been arranged through us, or incurred without our
prior approval. If you are travelling with another adult(s)
this benefit Section 2 (viii) will not apply, however,
Section 2 (ix) will apply if appropriate.
The most we will pay you per trip under Section 2 (viii)
is £1,500.
ix) in the event of you having a valid claim under Section 2 –
Medical Emergency and Repatriation Service, and you are
travelling accompanied by another adult(s), and if it is
recommended by the treating registered medical
practitioner, and agreed by our Senior Medical Officer that
a person should stay with you outside the United
Kingdom area, and/or accompany you home, then we
will arrange and pay for one person’s necessary additional
travel and accommodation costs. Accommodation will be
on a half-board basis. We will not pay for travel (flight
tickets will be for economy class) and/or accommodation
that has not been arranged through us, or incurred
without our prior approval. If you are travelling
unaccompanied by another adult(s) this benefit Section 2
(ix) will not apply, however, Section 2 (viii) will apply if
appropriate.
The most we will pay you per trip under Section 2 (ix)
is £1,500.
x) If you suffer bodily injury or sudden illness while on a trip
in the United Kingdom area, we will pay the cost of
32
transferring you to a suitable hospital near your home or
to your home if you are hospitalised more than 50 miles
from your home.
The most we will pay you per trip under Section 2 (x)
is £500.
What you are not covered for:
a) the excess except where you have paid the Excess Waiver
Option premium, but please note that the excess is
increased to £200 and shall not be removed or reduced
by the purchase of the Excess Waiver Option or by use
of a European Health Insurance Card (EHIC) when you
are taking part in any activity listed under Group A or
Group B Adventure Sports and Activities;
b) costs of more than £500 not agreed or authorised by us
in advance;
c) any new or pre-existing medical condition(s) which
existed before booking your trip unless you told us about
the medical condition(s) and we agreed to accept it (them);
d) any treatment or diagnostic testing that was pre-planned
or pre-known by you;
e) treatment costs for cosmetic reasons unless our Senior
Medical Officer agrees such treatment is necessary as a
result of an accident covered by this Policy;
f) the cost of any treatment where a registered medical
practitioner states that the treatment can safely be delayed
until your return home;
g) any costs you incur outside the United Kingdom area after
the date our Senior Medical Officer tells you, you should
return home;
h) costs incurred in the United Kingdom area other than
the cost of transporting you or your body or ashes to
your home;
i) the cost of flight tickets exceeding economy class for an
accompanying non-medical escort in the event of medical
repatriation (any increase in cost due to requested
upgraded flight tickets must be at the personal expense of
the person(s) travelling);
j) costs for accommodation exceeding half-board;
k) incidental expenses (for example: telephone costs,
newspapers, laundry costs);
l) any costs for transportation and/or accommodation not
arranged by us, or incurred without our prior approval;
m) the cost of dental treatment involving the provision of
dentures, artificial teeth or the use of precious metals;
n) the cost of replacing medication you were using when you
began your trip;
o) any medical costs you incur when you are engaging in
Winter Sports activities, where you have not paid the
Winter Sports Option premium;
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p) any medical costs you incur when you are engaging in any
Group A Adventure Sports and Activities and where you
have not paid the Adventure Sports and Activities Option
premium. An excess of £200, which cannot be removed or
reduced by use of a European Health Insurance Card
(EHIC), also applies when you are taking part in any
activity listed under either Group A or Group B
Adventure Sports and Activities;
q) anything mentioned in the General Exclusions.
+44 (0) 845 456 6355
Section 3 – Hospital Cash Benefit
This section provides details of the benefit we will pay for a
hospital in-patient stay outside the United Kingdom area.
What you are covered for:
If we accept a claim under Section 2 – Medical Emergency and
Repatriation Service, we will also pay you a cash benefit of £30
for each continuous 24 hour period that you have to spend in
hospital as an in-patient outside the United Kingdom area.
You may wish to use this benefit towards the cost of incidental
expenses you incur.
The most we will pay you per trip is £500.
What you are not covered for:
a) anything mentioned in the General Exclusions.
Section 4 – Personal Accident
This section provides details of the cover we provide if you
have an accident during your trip.
What you are covered for:
If you die or suffer disablement or permanent total
disablement as a result of an accidental bodily injury during
your trip which, within 12 months, is the sole cause of either
death or disablement, we will pay you or your legal
representative(s):
• £30,000 for death; or £1,000 if you are under 18 years old or
aged 70 years or over;
• £30,000 for the loss, or loss of use of, one or more limbs, or the
total and irrecoverable loss of all sight in one or both eyes;
• £30,000 for permanent total disablement.
The most we will pay you in total under this section per trip is
£30,000.
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What you are not covered for:
a) any claim related directly or indirectly to any disease,
physical defect, infirmity, or illness which existed before
the start of your trip;
b) any claim resulting either directly or indirectly from you
engaging in any Group A or B Adventure Sports and
Activities;
c) anything mentioned in the General Exclusions.
Section 5 – Cancellation and
Curtailment
This section provides details of the cover we provide if you
need to cancel your trip before you leave, or curtail your trip
having already departed.
What you are covered for:
If you have booked a trip within the period of insurance, but
you are forced to cancel your travel plans or curtail a
trip you have already commenced, because of any one of
the following:
•
unforeseen illness, injury or death of you or any person
with whom you are going to travel or stay with during
your trip, or on whom your trip depends (please refer to
Medical Warranty & Exclusion of Pre-existing Medical
Condition(s));
• unforeseen illness, injury or death of a close relative
(please refer to Medical Warranty & Exclusion of
Pre-existing Medical Condition(s));
• you or any person with whom you plan to travel being
called up for Jury Service or being subpoenaed as a
witness in a Court of Law other than in a professional or
advisory capacity;
• you are made redundant and you qualify for redundancy
payment under current legislation;
• accidental damage, burglary, flooding or fire affecting
your home, when a loss exceeding £1,500 is involved and
your presence is required by the Police;
then we will reimburse you up to a maximum of £5,000
in total for financial loss you suffer for travel (including
pre-paid excursions and/or conferences) and accommodation
you do not use because of your inability to start or complete
your trip.
If you are forced to cancel your trip for medical reasons:
• relating to you – you will be required to have the relevant
section of your claim form completed by your usual
registered medical practitioner within the United Kingdom
area, explaining why it is deemed medically necessary for
you to cancel your trip;
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• relating to a close relative, any person with whom you are
going to travel, or stay with during your trip, o