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Flight Plus
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Does your medical insurance plan cover you while
traveling abroad?
What if you require medical care while overseas?
What if you have a medical emergency and require
medical evacuation?
What if your baggage or travel documents are lost or
stolen while traveling?
It's important to consider these questions before you depart on your trip to ensure you are covered in the event of the unexpected.
The Travelex Flight Plus Protection plan offers
peace of mind protection for you and your family at
an affordable cost. Available benefits include:
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Accidental Death & Dismemberment coverage
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Coverage for emergency medical and medical
evacuation expenses
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Coverage for lost or stolen baggage and baggage
delay
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Worldwide coverage
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Travel assistance services available 24/7
In addition, travelers may choose to enhance their
plan with additional flight accident coverage. Plans
offering only flight accident coverage are also
available.
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Certain capitalized words are defined terms within
this document.
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"Effective Date" is the later of the date and
time of departure of the Covered Trip or: i) the date
the enrollment is deposited in an airport kiosk; ii)
the Postmark of Your enrollment form; iii) the date
You phone in the enrollment; iv) the date Your
enrollment form is received by facsimile or v) the
date You submit the enrollment via the internet,
provided that in all cases the proper plan cost has
been paid.
Flight Accident Plan begins on the departure
date of the Covered Trip or the Effective Date
whichever is later. The Flight Accident Plan ends
when the trip is completed or after 180 days,
whichever comes first.
All Other Coverages begin at 12:01 a.m. on
Your Scheduled Departure Date of the Covered Trip or
Your Effective Date, whichever is later, and end at
the point and time of return, on or before Your
Scheduled Return Date of the Covered Trip.
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If the duration of Your Covered Trip is prolonged and
not completed during the policy period because of the
delay (beyond the control of any person insured
hereunder) of the means of transport by which You are
traveling or are due to travel provided that such
transportation was due to arrive at Your destination
within the policy period and provided that the
Covered Trip is completed with reasonable dispatch,
the insurance is extended automatically beyond the
expiration date without additional premium for a
period of 72 hours. Should You be Hospitalized,
coverage will be automatically extended for the
period of the Hospital confinement and, in addition,
5 days after release for both You and one insured
Traveling Companion.
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You are covered for the amount purchased for
accidental death, dismemberment or loss of sight as
the result of an accident while a passenger on:
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a regularly scheduled airline flight or regularly
scheduled charter operated:
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in scheduled air transportation pursuant to
economic authority issued by the Civil
Aeronautics Board;
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by an intrastate scheduled airline of United
States registry maintaining regularly
published schedules and licensed for the
transportation of passengers by a duly
constituted authority having jurisdiction
over civil aviation in the state in which
said airline operates; or
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by a scheduled airline of foreign registry
maintaining regularly published schedules and
licensed for transportation of passengers by
the duly constituted governmental authority
having jurisdiction over civil aviation in
the country of registry of such airline;
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any aircraft, other than a single-engine jet,
which at the time is making a flight for the
principal purpose of transporting passengers and
not for any other operational, tactical or test
purposes, and which is operated by:
- the
Military Airlift Command of the United States;
- the Royal Canadian Air Force Air Transport
Command; or
- the Royal Air Force Air
Transport Command of Great Britain;
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any land or water conveyance provided at the
expense of the air carrier as a substitute for an
aircraft covered by this plan;
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a vehicle licensed to carry passengers for hire,
but only:
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when going to an airport to board an aircraft
on which You are covered by this plan; or
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when leaving an airport after alighting from
such an aircraft;
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received while upon airport premises designated
for passenger use immediately before boarding or
immediately after alighting from an aircraft on
which You are covered by this plan.
When You sustain covered Injuries resulting on any of
the following losses within 180 days from the date of
the accident, benefits will be paid as follows:
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Loss of life, both feet, both hands, both eyes,
one hand and one foot, one hand and one eye or
one foot and one eye — Maximum Benefit
Amount;
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Loss of one hand, one foot or one eye — one
half the Maximum Benefit Amount.
Loss of hand or hands, or foot or feet, means
complete and permanent severance at or above the
wrist joint or ankle joint, respectively. Loss of eye
or eyes means the total and irrecoverable loss of the
entire sight thereof. Only one of the amounts shown
above (the largest applicable) will be paid for the
Injuries resulting from one accident. The benefit for
loss of: a) two limbs; b) both eyes; or c) one limb
and one eye is payable only when such loss results
from the same accident.
If, while covered by this benefit, You are
unavoidably exposed to the elements because of a
covered accident and suffer a loss for which benefits
are payable under this benefit, such loss will be
covered. If, while covered by this benefit, You are
in an accident resulting in the disappearance,
sinking or damaging of an air or water conveyance on
which You are covered by this benefit, and Your body
has not been found within 52 weeks from the date of
the accident, it will be presumed, unless there is
evidence to the contrary, that You suffered loss of
life as a result of those Injuries.
The Flight Accident Plan also includes a medical
expense feature that pays You up to $50 for each
$1,000 of Your chosen benefit amount. If medical
expense occurs within 52 weeks of a covered accident,
You will be paid for: treatment by a Legally
Qualified Physician or surgeon; care or service from
a Hospital; services and supplies provided by an
ambulatory medical-surgical facility; home health
care from a licensed home health agency, but only if
continued Hospital care would otherwise have been
required; attendance of a registered graduate nurse;
x-ray examination; or, use of an ambulance. Loss must
occur within 100 days of the accident. To receive
benefits, the loss must be independent of Sickness
and all other causes.
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BENEFITS
You are covered up to the Maximum Benefit Amount for:
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Covered Expenses incurred as a result of an
Injury which occurs or a Sickness which first
manifests itself during the Covered Trip. You
must receive initial Medical Treatment for the
Injury or Sickness within 30 days after the date
of the accident that caused the Injury or the
onset of the Sickness. All treatment and Covered
Expenses must be received within 52 weeks
following the date of the accident or onset of
the Sickness.
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Benefits will include expenses for emergency
dental treatment for injury to sound natural
teeth not to exceed $750.
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Advance payment will be made to a Hospital, up to
the Maximum Benefit Amount, if needed to secure
Your admission to a Hospital because of a covered
Sickness or Injury which first occurs during the
course of the Covered Trip.
The authorized travel Assistance Company will
coordinate advance payment to the Hospital. In
all cases, benefits will not be paid in excess of
the Usual and Customary Charges.
Benefits will not duplicate any benefits payable
under the policy or any coverage(s) attached to the
policy.
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BENEFITS
You are covered up to the Maximum Benefit Amount
purchased for:
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Medical Evacuation which is determined by a
Legally Qualified Physician and the authorized
Assistance Company’s medical director that
an Injury or Sickness is acute or life
threatening and adequate treatment is not
available at a local Hospital. Transportation
will be to the closest Hospital or medical
facility capable of providing adequate treatment.
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Medical Repatriation when it is deemed Medically
Necessary by a Legally Qualified Physician and
the authorized Assistance Company for You to
return home or to a Hospital near Your home for
continued treatment. Transportation Expense
incurred will be paid for You; a) to return to
Your permanent residence or b) to be moved to a
Hospital or medical facility closest to Your
permanent place of residence capable of providing
that treatment; via one-way, Economy
Transportation; or commercial upgrade, based on
Your condition as recommended by the local
attending Legally Qualified Physician and the
authorized Assistance Company;
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Repatriation of Remains: In the event of Your
covered death, occurring during the Covered Trip,
the Company will pay either the cost of the
actual expense incurred for preparation, standard
container and transportation of Your body or
ashes to the outbound point of departure or for
the reasonable cost for burial or cremation
abroad, in either case not to exceed $5,000.
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Transportation for the return trip home via
Economy Transportation for any dependent children
under age 18 who are accompanying You if You are
confined to a Hospital for more than seven (7)
consecutive days. If You are traveling alone and
are confined to a Hospital for more than seven
(7) consecutive days, this benefit will provide,
upon request by You or next of kin, one
round-trip Economy Transportation for a person of
Your choice to visit You in the Hospital.
These benefits provide Economy Transportation which
must be by the most direct route. Covered land or air
transportation includes, but is not limited to,
commercial stretcher, medical escort, or the Usual
and Customary Charges for air ambulance, provided
such transportation has been pre approved and
arranged by the authorized Assistance Company.
Benefits are paid less the value of an unused return
travel ticket.
If benefits are payable under this coverage and You
have other insurance that may provide benefits for
this same loss, the Company reserves the right to
recover from such other insurance.
Note:The Pre-existing Condition limitation is
automatically waived for Medical Evacuation /
Repatriation.
CONDITIONS
If benefits are payable under Medical
Evacuation/Repatriation and You have other insurance
that may provide benefits for this same loss, the
Company reserves the right to recover benefits from
such other insurance. You shall:
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notify the Company of any other insurance;
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cooperate with the Company to exercise the
Company’s rights in any reasonable way that
the Company may request, including the filing and
assignment of other insurance benefits;
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not do anything after the loss to prejudice the
Company’s rights; and
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reimburse to the Company, to the extent of any
payment the Company has made, for benefits
received from such other insurance.
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BAGGAGE AND PERSONAL EFFECTS
You are covered up to the Maximum Benefit Amount for
lost, stolen, or damaged baggage or personal items
with a maximum reimbursement of up to $300 per
article. A combined maximum of $600 will be paid for
jewelry, watches, articles consisting in whole or in
part of silver, gold or platinum, articles trimmed
with fur, cameras and their accessories and related
equipment.
In addition, the following reimbursements will apply:
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lost or stolen passport or visa ($50 maximum);
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lost or stolen credit cards ($50 maximum for the
cost associated with unauthorized use subject to
verification that You have complied with all
conditions of the credit card company).
The lesser of the following amounts will be paid:
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the actual cash value (cost less proper deduction
for depreciation) at the time of loss, theft or
damage;
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the cost to repair or replace the article with
material of a like kind and quality; or
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$300 per article.
Benefits will not be paid for any expenses which have
been reimbursed or for any services which have been
provided by the Common Carrier, hotel or Travel
Supplier; nor will benefits be paid for loss or
damage to property specifically scheduled under any
other insurance.
BAGGAGE DELAY
If Your checked baggage is delayed or misdirected by
a Common Carrier while on Your Covered Trip for more
than 24 hours from Your time of arrival at the
destination other than Your residence, You are
covered for the expense of necessary purchases of
personal items up to the Maximum Benefit Amount as
long as the expense is substantiated by receipts for
purchases. The Common Carrier must certify the delay.
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24 HOUR
You are covered 24 hours a day, up to the Maximum
Benefit Limit when You sustain covered Injuries
resulting in any of the following losses within 180
days from the date of the accident.
Benefits will be paid as follows:
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loss of life, both feet, both hands, both eyes,
one hand and one foot, one hand and one eye or
one foot and one eye - Maximum Benefit Amount;
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loss of one hand, one foot or one eye - one half
of the Maximum Benefit Amount.
Loss of hand or hands, or foot or feet, means
complete and permanent severance at or above the
wrist joint or ankle joint, respectively. Loss of eye
or eyes means the total and irrecoverable loss of the
entire sight thereof. Only one of the amounts shown
above (the largest applicable) will be paid for the
Injuries resulting from one accident. The benefit for
loss of: a) two limbs; b) both eyes; or c) one limb
and one eye is payable only when such loss results
from the same accident.
If, while covered by this benefit, You are
unavoidably exposed to the elements because of a
covered accident and suffer a loss for which benefits
are payable under this benefit, such loss will be
covered.
If, while covered by this benefit, You are in an
accident resulting in the disappearance, sinking or
damaging of an air or water conveyance on which You
are covered by this benefit, and Your body has not
been found within 52 weeks from the date of the
accident, it will be presumed, unless there is
evidence to the contrary, that You suffered loss of
life as a result of those Injuries.
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You can access a wide-range of valuable services,
through a toll-free telephone call, 24-hours a day, 7
days a week. Travel Assistance provides a variety of
travel related services, including:
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Medical evacuation/repatriation*
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Repatriation of remains*
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Medical or legal referral
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Hospital admission guarantee*
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Emergency cash transfer**
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Translation service
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Prescription drug-eyeglass
replacement**
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Passport/visa information
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Bail bond**
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Lost baggage retrieval
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Inoculation information
* Only available with the Flight Plus Package
Plan
** Benefit reimbursement to the Assistance Company is
your responsibility.
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"Baggage and Personal Effects" means goods
being used by an Insured during a Covered Trip. (See
Exclusions)
"Common Carrier" means any public land, air or
water conveyance operating under a valid license
providing for the transportation of passengers for
hire.
"Confirmation of Coverage" means the coverage
confirmation provided to You following enrollment and
the payment of the applicable plan cost.
"Covered Expense" means expense incurred for
services and supplies: a) listed below; and b)
ordered or prescribed by a Legally Qualified
Physician as Medically Necessary for diagnosis or
treatment; which are limited to: the services of a
Legally Qualified Physician; Hospital or ambulatory
medical-surgical center services (this will also
include expenses for a cruise ship cabin or hotel
room, not already included in the cost of Your
Covered Trip, if recommended as a substitute for a
hospital room for recovery of an Injury or Sickness);
transportation furnished by a professional ambulance
company to and/or from a Hospital; and prescribed
drugs, prosthetics and therapeutic services and
supplies.
"Covered Trip" means scheduled trips, tours or
cruises for which: a) coverage is requested and b)
the required plan cost is paid prior to the Scheduled
Departure Date.
"Economy Transportation" means the lowest
published available transportation rate for a ticket
on a Common Carrier matching the original class of
transportation that You purchased for the Covered
Trip, reduced by the value of an unused return travel
ticket.
"Eligible Person" means a resident of the
United States or a person who purchases this
insurance within the United States.
"Family Member" means You or Your Traveling
Companion’s: legal spouse or common-law spouse
(where legal), legal guardian, legal ward, son or
daughter (adopted, foster, step or in-law), brother
or sister (includes step or in-law), parent (includes
step or in-law), grandparent (includes in-law),
grandchild, aunt, uncle, niece, nephew or Key Person,
provided the Family Member resides in the United
States, Canada or Mexico.
"Hospital" means: a) a place which is licensed
or recognized as a general hospital by the proper
authority of the state in which it is located; b) a
place operated for the care and treatment of resident
inpatients with a registered graduate nurse (RN)
always on duty and with a laboratory and an x-ray
facility; c) a place recognized as a general hospital
by the Joint Commission on the Accreditation of
Hospitals. Not included is a Hospital or institution
licensed or used principally: 1) for treatment or
care of drug addicts or alcoholics; or 2) as a
clinic, continued or extended care facility, skilled
nursing facility, convalescent home, rest home,
nursing home or home for the aged.
"Injury" or "Injuries" mean accidental
bodily Injuries received while protected under this
coverage and resulting in loss independently of
Sickness and all other causes and certified by a
Legally Qualified Physician.
"Intoxicated" means a blood alcohol level
which equals or exceeds the legal limit for operating
a motor vehicle in the state or jurisdiction where
You are located at the time of an incident.
“Key Person” means a) an employed
caregiver of a dependant of the Insured or the
Insured's traveling companion or b) a person to whom
the Insured or the Insured's traveling companion is
not married and with whom the Insured or the
Insured's traveling companion has cohabited for 12
continuous months.
“Legally Qualified Physician”
means a physician or a Christian Science
Practitioner: a) other than You, a Traveling
Companion or a Family Member; b) practicing within
the scope of his or her license; and c) recognized as
a physician in the place where the services are
rendered.
“Maximum Benefit Amount” means the
maximum amount payable for each coverage as shown on
the Confirmation of Coverage.
“Medical Treatment” means
treatment, advice or consultation by a Legally
Qualified Physician.
“Medically Necessary” means a
service or supply which: a) is recommended by the
attending Legally Qualified Physician; b) is
appropriate and consistent with the diagnosis in
accordance with accepted standards of community
practice; c) could not have been omitted without
adversely affecting Your condition or quality of
medical care; d) is delivered at the most appropriate
level of care and not primarily for the sake of
convenience; and e) is not considered experimental
unless coverage for experimental service or supplies
is required by law.
“Postmark” means the U.S. Postal
Service mark that records the date and place of
mailing to the addressee on the Protection Plan
enrollment form.
“Scheduled Departure Date” means
the date on which You are originally scheduled to
leave on Your Covered Trip.
“Scheduled Return Date” means the
date You are originally scheduled to return to the
point of origin or the original final
destination.
“Sickness” means an illness or
disease which is diagnosed or treated by a Legally
Qualified Physician after the Effective Date of Your
plan and while You are covered under this plan.
“Terrorist Incident” means the
unsanctioned and illegal use of violence which caused
destruction of property, Injury, or death by an
individual or group for the express or implied
purpose of achieving a political, ethnic, or
religious goal or result. A Terrorist Incident does
not include general civil disturbance, rioting, an
act of war (declared or undeclared) or the
intentional release of a biological material. The
Terrorist Incident must be documented in a travel
warning issued by the United States Department of
State advising that one should not travel to the
Insured's country of destination or, for U.S. cities,
reported by the major news media.
“Transportation Expense” means: a)
the cost of the conveyance of You and any medical
personnel (if Medically Necessary); and b) Medically,
Necessary services and supplies.
“Traveling Companion” means a
person or persons with whom You have coordinated
Travel Arrangements and intend to travel with during
the Covered Trip (to a maximum of four persons
including You). Note: a group or tour leader is not
considered a Traveling Companion, unless You are
sharing room accommodation with the group or tour
leader.
“Usual and Customary Charges”
means those comparable charges for similar treatment,
services and supplies in the geographic area where
treatment is performed.
“You or Your” means the
individual(s) named on the enrollment form.
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To receive a claim form: Contact the company within 30 days of
Your loss at 1-888-322-6776, or send Your name,
address, travel dates, confirmation number (provided
on Your confirmation of coverage), and details of
Your loss to:
Old Republic Insurance Company
Travelex Claims Department
4600 Witmer Industrial Estates, Suite 6
Niagara Falls, NY 14305
IMPORTANT: To facilitate prompt claims
settlement, You will be asked to provide proof of
Your loss within 90 days after the date of loss or as
soon as is reasonably possible. Proof must, however
be furnished no later than 12 months from the time it
is otherwise required, except in the absence of legal
capacity. Therefore, be sure to obtain as applicable:
for medical claims: detailed medical
statements from treating physicians where and when
the accident or Sickness occurred; receipts for
medical services and supplies; for baggage and
baggage delay claims: reports from parties
responsible (i.e. airline, cruiseline, etc.) for
loss, theft, damage or delay. If applicable, a police
report will be required. Please obtain receipts for
lost or damaged items. The company will investigate
and negotiate any claim on your behalf.
Benefits under any coverage will not be paid for
expenses reimbursed or services provided by any other
source. Benefits cannot be duplicated under this
Protection Plan.
Unless You otherwise designate a beneficiary, or in
the event the designated beneficiary predeceases You,
indemnity for loss of life will be paid to the first
of the following surviving beneficiaries: Your
spouse; child or children, jointly; parents, jointly
if both are living, or the surviving parent, if only
one survives; brothers and sisters jointly; or Your
estate.
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Benefits are not payable for Sickness, Injuries or
losses of You and Your Traveling Companion:
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resulting from suicide, attempted suicide, or any
intentionally selfinflicted Injury while sane or
insane (in Missouri, sane only);
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resulting from a Terrorist Incident, hostilities
or an act of declared or undeclared war;
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while participating in maneuvers or training
exercises of an armed service;
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while riding, driving or participating in races,
or speed or endurance contests;
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while mountaineering (engaging in the sport of
scaling mountains generally requiring the use of
picks, ropes or other special equipment);
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while participating as a member of a team in an
organized sporting competition;
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while participating in skydiving, hang gliding,
bungee cord jumping, scuba diving or deep sea
diving;
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while piloting or learning to pilot or acting as
a member of the crew of any aircraft;
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received as a result or consequence of being
Intoxicated or under the influence of any
controlled substance unless administered on the
advice of a Legally Qualified Physician;
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to which a contributory cause was the commission
of or attempt to commit a felony or being engaged
in an illegal occupation;
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resulting from a governmental regulation or
prohibition;
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unless medically fit to travel at the time of
purchase of coverage;
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relating to a diagnosed Sickness from which no
recovery is expected and for which only
palliative treatment is provided and which
carries a prognosis of death within 12 months of
the policy Effective Date;
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resulting from non-physical Sickness such as
mental, nervous, emotional or personality
disorders in any form whatsoever unless the
affected person is hospitalized for 3 consecutive
days or more after the policy Effective Date;
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due to normal childbirth, normal pregnancy
(except complications of pregnancy) or
voluntarily induced abortion;
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for dental treatment (except as coverage is
otherwise specifically provided herein);
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where coverage has been purchased for travel to
or through countries for which travel warnings
have been issued by the United States Department
of State at the time this insurance is purchased;
or
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resulting from the intentional release of a
biological material.
For Residents of California, benefits are not payable
if during the 60 days prior to Your Effective Date, a
Legally Qualified Physician advised You or Your
Traveling Companion not to travel due to a Sickness
or Injury.
EXCLUSIONS FOR BAGGAGE & BAGGAGE DELAY
ONLY
Benefits are not payable for:
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animals;
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automobile and automobile equipment, boats or
other vehicles or conveyances, trailers, motors,
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aircraft, bicycles (except when checked as
baggage with a Common Carrier);
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household effects and furnishings, antiques and
collector’s items;
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sunglasses (prescription or non-prescription),
contact lenses;
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artificial teeth, dental bridges;
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hearing aids;
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prosthetic limbs;
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prescribed medications;
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keys;
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money, credit cards, tickets and documents
(except as coverage is otherwise specifically
provided herein), securities;
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stamps;
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professional or occupational equipment or
property whether or not electronic business
equipment, telephones, computer hardware or
software.
Maximum Limit of Liability: All limits are
applied per trip. The Company’s maximum limit
of liability resulting from the same occurrence will
be $10,000,000. If the loss for all Insureds from
such an occurrence exceeds $10,000,000 the Company
will pay each Insured that proportion of the benefits
stated which $10,000,000 bears to the total loss of
all persons insured under all travel and flight
insurance in force under this policy. The Company
will pay no more than $500,000 per occurrence to or
on account of any person insured.
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Plan costs and fees: All protection plan costs
and fees are nonrefundable. In the event the plan
cost paid for coverage is less than the required plan
cost for coverage, benefits will be paid in direct
proportion of the actual amount paid to the required
plan cost due.
Medical Records: In the event of a claim, the
Company reserves the right to review any and all of
Your medical records, whether or not the contents of
such records were made known to You.
Duplicate Coverage: If You have two or more
Protection Plans underwritten by the Company that
duplicate benefits, You will be paid up to the
highest benefit amount under only one plan for each
Covered Trip. Maximum Flight Accident is $500,000 for
any one person at any one time under this
coverage.
Subrogation: The Company, upon making any
payment or assuming liability thereon under this
policy, shall be subrogated to all rights of Your
recovery against any person or corporation and may
bring action in the name of the covered person to
enforce such rights.
Coordination of Benefits: If an Insured is
entitled to similar benefits through any other
insurer the benefits payable under this insurance
shall be coordinated so that total benefits from all
insurers shall not exceed the actual loss
insured.
Errors or Mis-payments: If any benefit is paid
in error or payment is made in excess of the amount
allowed under the provisions of this policy, the
Company reserves the right to recover the excess or
ineligible payment from You, Your estate, any
institution, insurer or person to whom the payment
was made.
Currency: All monies described in this policy
are expressed in United States of America
currency.
Limitations of Time for Bringing Suit: No
action at law or in equity shall be brought to
recover on this policy prior to the expiration of
sixty days after proof of loss has been filed in
accordance with the requirements of this policy, nor
shall such action be brought at all unless brought
within two years from the expiration of the time
within which proof of loss is required by the
policy.
Limitations Controlled by Statute: If any time
limitation of this policy with respect to giving
notice of claim or furnishing proof of loss is less
than permitted by the laws of the jurisdiction of the
United States in which the Insured resides at the
time this policy is issued, such limitation is
extended to agree with the minimum period permitted
by such law.
Notice to Residents of Florida: The Benefits of the
Plan providing Your coverage are governed primarily
by the law of a state other than Florida. Your
homeowners policy, if any, may provide coverage for
loss of personal effects provided by the Baggage and
Personal Effects coverage. This insurance is not
required in connection with the purchase of Your
travel arrangements.
Note: This plan contains disability insurance
benefits or health insurance benefits, or both, that
only apply during the 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
provider.
Individual Travel Policy
Underwritten by:
Old Republic Insurance Company
414 West Pittsburgh Street
Greensburg, PA 15601 (called “the
Company”)
Administered by:
Old Republic Insurance Company
4600 Witmer Industrial Estates - Suite 6
Niagara Falls, NY 14305
Limited Benefit Short Term Travel Policy
This is a legal contract between Old Republic
Insurance Company and You. This Policy is issued in
consideration of the Application, Confirmation of
Coverage, this evidence of coverage and the payment
of the appropriate premium.
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Your Policy number for this individual Policy is the
number found on Your Confirmation of Coverage. Use
this number to identify Yourself and coverage in all
correspondence with the Company.
State Exceptions:
Oregon -
Clerical Error: Clerical Error on the Company’s
part or that of a Travel Supplier in keeping records
or furnishing information will not void coverage if
it is otherwise validly in force; nor will it
continue coverage if it is otherwise validly
terminated under the terms of this Policy. Conformity
with State Statutes: The provisions of this Policy
must conform to the laws of the state in which it was
issued. If they do not, they are hereby amended to
conform.
Kansas - Under the General Policy Provisions,
“Subrogation” does not apply to
reimbursement of medical, surgical, hospital or
funeral expenses.
New York - Under General Exclusions and
Limitations the following apply: 1) “while sane
or insane” is deleted; 2) add
“professional” in front of
“mountaineering”; 3) replace “scuba
diving and deep sea diving” with
“professional scuba diving (any diving that
requires more than an “Open Water 1”
certification from PADI, NAUI, or other recognized
diving certification organization.”; 4) delete
“due to normal childbirth, normal pregnancy
(except complications of pregnancy).
|
 |
Benefits (per person)
|
 |
Amount of Coverage
|
| |
Flight accident |
|
$300,000 |
| |
Accident medical expense |
|
$2,500 |
| |
Sickness medical expense |
|
$2,500 |
| |
Medical evacuation/repatriation |
|
$25,000 |
| |
Baggage |
|
$1,000 |
| |
Baggage delay |
|
$100 |
| |
24 Hour AD&D |
|
$10,000 |
| |
Travel assistance services |
|
Included |
|
|
Trip Length (max. 180 days)
|
|
Plan Rate Per Person
|
|
|
1-3 days
|
|
$20
|
|
|
4-8 Days
|
|
$31
|
|
|
9-15 Days
|
|
$42
|
|
|
16-22 Days
|
|
$47
|
|
|
Each Day Beyond 22
|
|
$47 + $1/Day
|
Include departure and return date when calculating
the number of days.
Additional Flight
Coverage
|
Additional Benefit
(Max. $500,000)
|
|
Plan Rate Per Person
|
|
|
$200,000
|
|
$8
|
|
|
$100,000
|
|
$4
|
Note: A non-refundable $4.00 processing fee will be
added to all enrollments. Maximum allowable Flight
Accident Coverage is $500,000 per traveler per
covered trip.
|
|
|
|