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Underwritten by: American Home Assurance Company (New Zealand Branch)
Trading as AIG New Zealand, incorporated with limited liability in the USA
A Member Company of American International Group, Inc.
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UNI-CARE TRAVEL & MEDICAL INSURANCE
POLICY
COVERS WORKING HOLIDAY,
STUDY AND VISITOR VISA APPLICANTS
FOR WORK, STUDY AND TRAVEL IN NEW ZEALAND OR AUSTRALIA
This policy, underwritten by American Home Assurance Company (New Zealand Branch) incorporated with limited liability in the USA, trading as AIG New Zealand, a member of American International Group, Inc., consists of several Sections and provides You with insurance cover under those Sections as shown in the Policy Schedule. All cover is subject to payment of the required premium, and is also subject to all the terms, conditions and exclusions of the Policy including anything noted in the Policy Schedule. This Policy does not cover any event which happens to You unless, at the date of such event, You are aged 65 years or under.
YOUR DUTY OF DISCLOSURE
Before You enter this Contract of Travel Insurance You have a duty
to disclose to Us every material fact that You know, or could reasonably
be expected
to know which is relevant to Our decision whether to accept the risk
of the insurance and if so on what terms. You have the same duty to
disclose
such material facts to Us before You renew, extend, vary or reinstate
this Contract. Your duty however, does not require disclosure of material
facts:-
1. that diminish the risk to be undertaken by Us; 2. that are of common
knowledge; 3. that We know or in the ordinary course of Our business
ought to know; 4. as to which compliance of Your duty is waived by
Us.
NON DISCLOSURE
If You fail to comply with Your duty of disclosure, We may be entitled
to reduce Our liability under the Contract in respect of a claim, or
may cancel the Contract. If Your non-disclosure is fraudulent We may
also have
the option of avoiding the Contract from the beginning.
YOUR POLICY
This Policy is designed to provide cover for non New Zealand and Australian
residents aged 65 years or under, who Travel to study, work and temporarily
reside in New Zealand or Australia.
In respect to Australia no cover is provided for any Medical Expenses
incurred by Eligible Persons under the Health Act 1973 (as amended),
unless the
claim is outside their Country Of Origin’s Reciprocal Health Care
Agreement with Australia and has been declined by Medicare. • Please
read Your Policy carefully.
The benefit amounts shown on the Schedule of Benefits Payable (under
the Certificate of Insurance) are the maximum amounts payable for
Your selected
Policy. Sub-limits apply to some Sections.
GENERAL CONDITIONS - APPLICABLE TO ALL SECTIONS UNLESS SPECIFIED
OTHERWISE
1. AUTOMATIC EXTENSIONS
(a) We will automatically extend the Period of Insurance for up
to 3 consecutive months from the completion date shown in the Certificate
of Insurance, if Your
return to Your Country of Origin is put back due to a delay of transport
or
Your inability to Travel due to an Illness or Injury for which
a
claim is payable
under this Policy.
(b) You are covered up to 9 days, each way, in transit between Your Country
of Origin and New Zealand or Australia, during The Period of Insurance.
(c) You are covered for a maximum of 31 days for temporary visits to
Bali, Lombok and the Islands of the South Pacific and return to New Zealand
or
Australia during
the Period of Insurance.
2. AUTOMATIC REINSTATEMENT
The Policy is subject to automatic reinstatement without additional payment,
following any one claim for loss or damage.
3. CANCELLATION
1. This Policy may be cancelled by You at any time:
(a) between the Date of Issue stated on Your Certificate of Insurance
and the Start Date of Your Policy, by giving Us written notice of a future
date and;
(b) after the Start Date of the Policy, providing You are terminating
Your Travel and have not claimed.
Upon cancellation of this Policy by You we will refund premium as follows:
(i) If cancellation takes place within 14 days of the Date of Issue and
you have not claimed or commenced travel, premium will be refunded in
full.
(ii) For cancellations after 14 days from the Date of Issue, when you
have not claimed or commenced travel, We will retain a proportion of
the premium
for the
period during which Loss of Deposits and Cancellation cover was in force.
(iii) If you cancel after the start date of the Policy, Your Policy was
issued for a period of 90 days or longer and you have not claimed, We
will retain
the proportion of the premium for the period the Policy was in force
and refund any
unused premium less 15% of the brochure premium retained for administrative
purposes.
(iv) If you cancel after the start date of the Policy and Your Policy
was issued for a period of less than 90 days, We will retain the unexpired
premium for
administration purposes.
2. We can cancel this Policy of insurance upon giving You 14 business
days notice in writing if:
(a) You fail to comply with the duty of the utmost good faith.
(b) You fail to comply with the duty of disclosure.
(c) You, at the time when the contract was entered into, made a misrepresentation
to Us during the negotiations for the contract but before it was entered
into.
(d) You fail to comply with a provision of the contract, including a
provision with respect to payment of the premium.
(e) You make a fraudulent claim under the contract or under some other
contract of insurance (whether with Us or with some other insurer) that
provides insurance
cover during any part of the period during which the first-mentioned
contract provides cover.
4. CLAIM OFFSET
Except for Section 4 Events 1 & 2 inclusive there is no cover under this
Policy for any loss or event or liability which is covered under any other insurance
Policy, health or medical scheme or Act of Parliament or to the extent that free
health care or treatment is readily available in New Zealand, Australia or under
any reciprocal health agreement between the Government of New Zealand or Australia
and the Government of any other country or is payable by any other source or
a Health Insurance Policy obtained as a condition of Your entry visa into Australia
or New Zealand. We will however pay the difference between what is payable under
the other insurance Policy, health or medical scheme or Act of Parliament or
reciprocal health agreement or such other source and what You would be otherwise
entitled to recover under this Policy.
5. DUTIES AND RESPONSIBILITIES
(a) In the event of a loss, You must immediately:
i) Do as much as You can to prevent any further loss or expense.
ii) In New Zealand contact Uni-Care Claims Service, P.O. Box 496 Wellington,
New Zealand, telephone toll free 0800 864 227 (0800 UNICARE) if You are
to be Hospitalised, evacuated or repatriated or have lost all of Your
luggage or money.
iii) In Australia contact Uni-Care Assist, telephone
toll free 1800 864 227 (1800 UNICARE) if You are to be Hospitalised,
evacuated or repatriated or have lost all of Your luggage or money.
iv) Direct all claims communications to: Uni-Care Claims Service, P.O.
Box 496 Wellington, New Zealand, claims@crombie.co.nz in NZ telephone
toll free
0800
864 227 (0800 UNICARE), in Australia telephone toll free 1800 864 227
(1800 UNICARE).
v) Outside New Zealand & Australia telephone: +64 4 381 8166 (collect).
vi) When You have completed a claim form, return it to the address shown
in iv) above, making sure You provide the Policy number, supporting reports
and
documentation:
such as police reports, doctor’s reports, Transport Provider’s reports,
receipts, valuations or proof of ownership.
vii) As soon as possible after suffering Injury or Sickness obtain and
follow proper medical advice from a Medical Practitioner.
viii) Lodge a written claim against any person, party, hotel or transport
provider who may be legally liable for Your loss, Injury or Sickness.
ix) Contact the claims department for prior approval of any claim requiring
surgery, or any claim where the costs are expected to exceed $2,500.
(b) You must not admit liability in respect of any loss.
6. CURRENCY
All amounts stated in the Policy including the Schedule of Benefits are
in Australian or New Zealand dollars depending on Your country of intended
work, study or travel.
7. LAW
If Your country of destination is New Zealand then this Policy shall
be governed by New Zealand law and any dispute or action in connection
therewith
shall
be conducted and determined in New Zealand.
If Your country of destination is Australia then this Policy shall be
governed by the laws of the state of New South Wales and any dispute
or action in
connection therewith shall be conducted and determined in New South Wales.
8. PROOF OF LOSS AND PHYSICAL EXAMINATION
You or any other person covered by this Policy, must provide Us immediately
with full particulars of any claim made against You by any other person
and all legal
documents served on You or any other person covered by this Policy. We
may at Our own expense conduct any medical examination or arrange for
an autopsy
to
be carried out.
9. RENEWAL
This Policy may be renewed, with Our consent, by payment of the applicable
renewal premium. You are unable to renew Your Policy retrospectively
so You must advise
Us if renewal is required before Your Policy completion date.
10. REQUIRED INFORMATION
All claims must be notified to Us as soon as practicable and all medical
certificates, accounts, receipts and information required by Us shall
be furnished in such
form and in such reasonable time as We require. Original documents must
be produced.
11. SUBROGATION
We have the right to commence or take over legal proceedings in Your
name, for the defence or settlement of any claim, or to sue or prosecute
any
other party
to recover any monies payable by them at law. You must co-operate with
Us and do nothing to hinder Our rights.
12. UNTRUE OR INCOMPLETE INFORMATION
You are covered under this Policy provided that the information You supply
relevant to Your application is both complete and factual. If any information
is untrue,
incomplete, misleading or is not disclosed to Us, We do have the right
to void this Policy and We are not obliged to pay Your claim.
DEFINITIONS In this Policy the following definitions apply:-
1. Alternative Medical Treatment means reasonable expenses necessarily
incurred by You within 12 calendar months of sustaining Injury or Sickness
in respect
of medical advice or treatment by Chiropractors, Acupuncturists, Osteopaths,
Podiatrists, Dieticians, Nutritionists and Dermatologists provided they
are registered members of a recognised professional body for that type
of Alternative
Medical
Treatment provider.
2. Country Of Origin is that country outside New Zealand and Australia
in which You have established permanent residency and is where Your Travel
commenced.
3. Eligible Person means persons who are entitled to access to the
New Zealand and/or Australian Public Health System due to Reciprocal
Health
Agreements
(RHCA’s)
with their Country Of Origin and New Zealand and/or Australia.
4. Family means You and/or Your Spouse and Your financially dependant
children and legal wards 18 years of age and under who remain in Your
full custody
and control during the trip. The benefit shown in the schedule of benefits
is twice
the individual amount shown and is shared by the Family.
5. Financial Default means insolvency, bankruptcy, provisional liquidation,
liquidation, financial collapse, appointment of a receiver, manager or
administrator, entry
into any official or unofficial scheme of arrangement, statutory protection,
restructuring or composition with creditors, or the happening of anything
of a similar nature under the laws of any jurisdiction.
6. Hazardous means a risk likely to cause Injury or Loss
7. Hospital means any institution lawfully operated for the care and
treatment of sick or injured persons with organised facilities for diagnosis
and
surgery and having 24 hours a day nursing service and medical supervision;
but does
not include any institution used primarily as a nursing or convalescent
home, a place
of rest, a geriatric care facility, a mental institution, a rehabilitation
or extended care facility or a place for the care or treatment of alcoholics
or
drug addicts.
8. Injury means physical and bodily injury which happens to You as a
result of external violence during the Period of Insurance and which
results solely
and
directly and independently of any other cause within 12 calendar months
of the date of occurrence of such injury.
9. Kidnapping/Kidnapped means the seizing, detaining or carrying away
of You by force or fraud for the purpose of demanding Ransom.
10. Manual Work means skilled and unskilled manual work, other than that
of an academic nature.
11. Medical Expenses means reasonable expenses necessarily incurred by
You within 12 calendar months of sustaining Injury or sickness in respect
of
medical advice
or treatment by a Medical Practitioner, nurse, Hospital and/or ambulance
service for medical, surgical, x-ray, Hospital or nursing treatment,
including physiotherapy,
the cost of medical supplies and ambulance hire prescribed by a Medical
Practitioner. It includes Alternative Medical Treatment if that treatment
has followed
referral by a Medical Practitioner.
12. Medical Practitioner means any person who is, or is deemed
to be, registered with the Medical Council of New Zealand or Australia as a
practitioner of the profession
of medicine and who holds a current practicing certificate.
13. Permanent means having lasted for 12 consecutive months and at the
end of that time being beyond any hope of improvement.
14. Public Place means but is not limited to shops, airports, train stations,
streets, hotel foyers and grounds, restaurants, beaches, public toilets
and any place to which the public has access.
15. Period of Insurance means from the commencement date shown in the
Certificate of Insurance until Your return to Your Country Of Origin,
or the completion
date shown in the Certificate of Insurance, whichever occurs first, except
for section
1B(1) where cover shall start on the day the premium is paid or six months
prior to the commencement of your journey whichever is the later, provided
the cover
is granted by the Company.
16. Pre-existing Condition/s means, in relation to You or any other person
on whom Your Travel depends, any medical or physical conditions or circumstances:
a) which you are aware of, or ought to have been aware of; or
b) for which advice, care, treatment, medication or medical attention
has been sought, given or recommended; or
c) which have been diagnosed as a medical condition, or an illness or
indicative of an illness; or
d) which are of such a nature to require, or which potentially may require
medical attention; or
e) which are of such a nature as would have caused a prudent, reasonable
person to seek medical attention
prior to the start date of your policy.
17. Ransom means any monetary loss which is incurred in the provision
and delivery of cash, marketable goods, services or property to secure
the
release of You
when Kidnapped.
18. Relative means Your Spouse, de-facto Spouse, parent or step-parent
or guardian, parent-in-law, daughter, son, daughter or son-in-law, brother
or
sister, provided
such person(s) are under 76 years of age and is resident in Your Country
of Origin.
19. Rental Vehicle means a vehicle, such as a sedan or station wagon,
rented from a licensed motor vehicle rental agency.
20. Serious Injury or Serious Sickness (in respect of a Relative or any
other person on whose state of health the Travel depends) means a life
threatening
medical condition which first manifested itself during Your Period of
Insurance.
21. Sickness means any illness or disease (including symptoms thereof).
22. Spouse means Your husband or wife or the person with whom You have
continuously cohabited during the 90 days immediately preceding the Period
of Insurance.
23. Terrorist Act means any actual or threatened use of force or violence
directed at or causing damage, injury, harm or disruption, or committing
of an act dangerous
to human life or property, against any individual, property or government,
with the stated or unstated objective of pursuing economic, ethnic, nationalistic,
political, racial or religious interests, whether such interests are
declared or not. Robberies or other criminal acts, primarily committed
for personal
gain
and acts arising primarily from prior personal relationships between
perpetrator(s) and victim(s) shall not be considered Terrorist Acts.
Terrorism shall also
include any act which is verified or recognised by the (relevant) Government
as an act
of terrorism.
24. Total Disablement means disablement which continues for 12 consecutive
months and at that time is certified by a Medical Practitioner as being
beyond hope
of improvement which results in Your complete inability to engage in
or attend to any gainful employment for which You may become through
rehabilitation
and retraining reasonably qualified to perform by reason of education,
training
or experience.
25. Travel/Travelling means for the purpose of this Policy:
(a) Travel undertaken by You during the Period of Insurance to study,
work, travel and temporarily reside in New Zealand or Australia.
(b) In respect of Section 2(5) specifically relating to money acquired
for the Travel, 72 consecutive hours prior to the loss and following
payment of the premium
to Us.
(c) In respect to all other sections from the time You depart Your Country
Of Origin for commencement of the Travel; and continues until:
i) You return to Your Country Of Origin, other than as provided by Automatic
Extension 1(c)
ii) the expiration of the Period of Insurance (unless renewed).
iii) the Policy’s cancellation date
whichever occurs first.
26. Ultimate Net Loss means the final amount of Ransom cost less any
recoveries. If following Our payment part or all of the Ransom is recovered
You are
required to reimburse Us the value of the amount so recovered.
27. Unforeseen means sudden, unexpected, and unintended.
28. War means war, whether declared or not, or any warlike activities,
including use of military force by any sovereign nation to achieve economic,
geographic,
nationalistic, political, racial, religious or other ends.
29. We/Our/Us means American Home Assurance Company (New Zealand Branch).
30. You/Your means the Insured Persons as specified in the Certificate
of Insurance.
*Words in the singular include the plural and vice versa.
GENERAL EXCLUSIONS - APPLICABLE TO ALL SECTIONS
We will not pay under any Section of this Policy for any claim arising
directly or indirectly out of:
1. Air Travel except as a passenger in any properly licensed
passenger carrying aircraft. This does not apply to hot
air ballooning.
2. (a) Pregnancy, childbirth, infertility, abortion or
birth control if the pregnancy existed at the time the
Policy was issued.
(b) Pregnancy, childbirth, infertility, abortion or birth
control if the pregnancy commenced after the Policy was
issued, except where such
costs
are incurred
because of unexpected medical complications or emergencies
that occur up to and including
the 28th week of pregnancy.
(c) Infertility or birth control.
3. In respect to a child born during the Period of Insurance
We will not pay for post natal care or for any amount in
excess of $100,000 under
section
1A
for the treatment of condition(s) existing prior to or
at birth.
4. Sexually transmitted disease or Acquired Immune Deficiency
Syndrome (AIDS) or Human Immunodeficiency Virus (HIV) infection.
5. Hunting, racing (other than on foot), playing polo,
professional sport, mountaineering, rock climbing using
ropes or climbing equipment, pot
holing, motorcycling unless
the total engine capacity of the motorcycle is 200cc or
less (a motorcycle licence must also be held at the time
and place where the claim occurred),
skydiving
(unless under the supervision of a qualified instructor),
hang-gliding, ocean yachting (unless cover has been approved
by us), or deliberate
exposure to
exceptional danger, including Hazardous pursuits.
6. Radioactive contamination or radioactivity in any form
whatsoever whether occurring naturally or otherwise.
7. War, civil war, invasion, insurrection, revolution,
use of military power or usurpation of government or military
power.
8. Intentional use of military force to intercept, prevent,
or mitigate any known or suspected Terrorist Act.
9. Any Terrorist Act.
NOTE: Exclusions 8 and 9 do not apply to Sections 1A, 1B2(a),
1B2(b), 1B4, 1B5(a) and 1B5(b).
10. You Travelling against medical advice or when You are
medically unfit to Travel.
11. Travel undertaken for the purpose of receiving medical
treatment (whether or not this was the sole purpose for
such Travel) unless agreed
to by Us
prior to the departure date for the Travel.
12. Depression, stress, anxiety, mental or nervous disorder,
suicide or attempted suicide or self-Injury.
13. Diving underwater using an artificial breathing apparatus
unless You hold an open water diving license or You were
diving under licensed
instruction.
14. Manual or hazardous Work unless We have agreed to
their inclusion.
15. You being under the influence of alcohol and/or drugs.
16. You engaging in any activity associated with any
criminal act.
17. Government intervention.
Nor will We provide cover or service for;
18. Any loss, injury, damage or legal liability arising directly or indirectly from travel in, to or through Cuba.
19. Any loss, injury, damage or legal liability suffered or sustained directly or indirectly by an insured person if that insured person is:
(a) a terrorist;
(b) a member of a terrorist organisation;
(c) a narcotics trafficker; or
(d) a purveyor of nuclear, chemical or biological weapons.
SECTION 1A: MEDICAL AND RELATED EXPENSES
1. MEDICAL EXPENSES:
We will reimburse You for all reasonable Medical Expenses
incurred for the treatment of an Injury or Sickness suffered
during the Period of
Insurance including the
costs associated with medical evacuation which has been
approved by Us.
Please note: The maximum amount We will pay under this
section for Alternative Medical Treatment is $500 for
each 12 month period beginning on the commencement
date shown on the Certificate of Insurance.
DENTAL:
We will reimburse You for the cost of treatment for:
(a) Injury (as defined) to teeth.
(b) The initial consultation for the relief of sudden
and acute pain using antibiotics, temporary dressings
or extraction,
however We will
not pay
for elective treatment
or Normal Maintenance.
Normal Maintenance: includes fillings, root canals, polishing
and scaling, wisdom teeth extractions, replacement due
to Loss of dental bridges,
restoration work,
caps, crowns, precious metal costs or pins and fittings,
periodontal, titanium implants or any dental work resulting
from lack of regular dental
maintenance
and/or hygiene.
2. CONTINUING TREATMENT
Following your permanent return to your Country of Origin,
We will also pay for Your continuing treatment, to a
maximum of $20,000, always provided
any
costs
covered under this Section are incurred within 12 months
from the date of your first valid claim relating to the
injury, illness or disease.
SECTION 1B: ADDITIONAL EXPENSES
1. LOSS OF DEPOSITS
We will reimburse You the non-recoverable unused portion
of Travel, accommodation, educational fees or other deposits
paid for in advance by You following
cancellation, alteration or incompletion of the Travel
due to:
(a) The Unforeseen death, Serious Injury or Serious Sickness
of a Relative, close business associate or Travelling
companion, provided that this
person is under
76 years of age.
(b) You suffering an Injury or Sickness during the Period
of Insurance.
2. REPATRIATION AND CANCELLATION
We will reimburse You, or pay where We agree circumstances
necessitate, for the expenses reasonably and necessarily
incurred in addition to those
already
budgeted
for or likely to be incurred during the Travel but less
any refund on unused prepaid Travel and accommodation
arrangements, as a result of:
(a) You having to return to Your Country Of Origin during
the Period of Insurance due to the Unforeseen death,
Serious Injury or Serious Sickness
of a Relative,
close business associate or Travelling companion, provided
that such a
person is under 76 years of age.
(b) You suffering an Injury or Sickness during the Period
of Insurance.
(c) any other Unforeseen circumstance not covered elsewhere
in the Policy which is outside Your control other than
those circumstances described
in (a) & (b)
above or specifically described elsewhere in the Policy.
3. EXPATRIATION
If You wish to resume Your original trip following a
valid claim under item 2: (Repatriation and Cancellation)
above,
We will pay the reasonable
additional
costs of economy class air fares to return You to the
same location and position You were in prior to Your
claim.
Provided:
(a) Your Expatriation takes place within six months of
the date of loss recorded on Your claim for item 2 and,
(b) at least 28 days of the original Period of Insurance
was remaining when the event that necessitated Your return
occurred.
(c) if Your expatriation is necessary for educational
purposes such as completing examinations, lectures or
research commitments
or an existing
academic course,
We may, at our sole discretion, waive the 28 days requirement
of proviso 3(b).
4. ACCOMPANYING RELATIVES
If You are Hospitalised for a critical condition and
medical circumstances dictate, We will pay for the reasonable
return
air fare (economy class
unless otherwise
agreed to by Us), transportation and accommodation charges
incurred, for up to two of Your Relatives to attend You
and/or escort You to Your
Country
of
Origin,
or in the event of Your death to accompany Your remains
back to Your Country of Origin. The maximum sum payable
is $100,000.
5. Other Benefits and Expenses (Refer to Schedule of
Benefits for Amounts Payable). We will pay You:
(a) IN HOSPITAL CASH
A cash benefit of $100 for every continuous 24 hour period
You are confined to Hospital as an in-patient due to
Injury or Sickness.
(b) FUNERAL EXPENSES
The reasonable cost of returning Your remains to Your
Country of Origin or the reasonable funeral and related
costs if
the body is buried or
cremated at the
place of death in the event You die during the Period
of Insurance.
(c) FALSE ARREST EXPENSES
The reasonable legal costs actually and necessarily incurred
by You as a result of Your false arrest or wrongful detention,
during the Period
of Insurance,
by any legally recognised foreign Government.
(d) HIJACK CASH
A cash benefit for every continuous 24 hour period that
You are detained as a result of the public transport
in which You are Travelling being
hijacked.
(e) RENTAL VEHICLE RETURN
The reasonable costs incurred in returning Your Rental
Vehicle to the nearest Rental Vehicle depot if You are
unable to return it Yourself
due to Your
Illness, Injury, or death, but only where You are liable
for such costs under the hire
agreement.
(f) TRAVEL DELAY
If Your Travel arrangements are delayed for at least
6 consecutive hours due to any Accidental and Unforeseen
cause beyond Your control We will
pay for
Your reasonable extra costs necessarily incurred due
to
the delay, including the costs
of meals, which are not recoverable from any other source.
EXCLUSIONS APPLYING TO SECTIONS 1A AND 1B.
We will not pay for:
1. Charges You incur if You fail to return to Your Country
of Origin or to an alternative location at Our direction
once You may, in the opinion
of
Our medical
adviser, have safely undertaken to do so or after You
fail to follow Our
advice or instruction.
2. Expenses relating to the continuation or maintenance
of any course of treatment You were receiving prior to
the commencement of Insurance
or
replenishment of prescribed medications being taken by
You prior to Your departure from
Your
Country
of Origin, unless the prescribed medication was lost
or damaged.
3. Expenses arising from elective surgery or elective
medical treatment, unless otherwise agreed in writing
by Us.
4. Any expenses incurred more than 12 calendar months
after the date of Injury or, in the case of Sickness,
more than
12 calendar months after
the date
on which the first Medical Expense is incurred or the
expiry of the Policy whichever
occurs
last.
5. Any Pre-existing Condition that has not been declared
and noted on the Certificate of Insurance as an Insured
Pre-existing Condition.
6. Disposable contact lenses.
7. Any claim arising from:
(a) Cancellation, curtailment or diversion of scheduled
public transport services, including by reason of
strikes or other industrial action,
if there had been
warning in the news media or current notifications
in the local Government or New Zealand Government (MFAT) “Country Warning” web
sites, before the date the Travel was booked, that
such events were likely to occur.
(b) Carrier caused delays where the costs are recoverable
from the carrier.
(c) Any business or financial or contractual obligation
or commitment of You or of any other person on whom the
Travel depends.
(d) Any change of plans or disinclination to Travel on
Your part or of any other person on whom the Travel depends.
(e) The inability of any tour operator or wholesaler
to complete arrangements for any tour due to a deficiency
in the required number of persons to
commence any tour or journey.
(f) The refusal, failure or inability of any person,
company or organisation, including but not limited to
any airline,
other transportation provider,
hotel, car rental agency, tour or cruise operator, travel
wholesaler, booking agent
or other provider of travel or tourism related services,
facilities or accommodation, to provide services, facilities
or accommodation, by reason
of their own
Financial Default or the Financial Default of any person,
company or organisation with
whom or with which they deal.
8. More than one repatriation transit in relation to
the same Relative, condition or event.
9. The first $75.00 of any claim under this section
of the policy.
SECTION 2: LUGGAGE, PERSONAL EFFECTS, TRAVEL DOCUMENTS,
MONEY AND CREDIT CARDS
We will pay You should any of the events described below
occur during the Period of Insurance:
1. LOST OR DAMAGED PROPERTY
For accidental loss of or damage to Your accompanied
luggage, personal effects, laptop computers and/or portable
electronic
property which You
use during
the Period of Insurance (including papers, specifications,
manuscripts and stationery
for their face value only).
2. DEPRIVATION OF LUGGAGE
For emergency replacement of essential luggage if Your
luggage is delayed, misdirected or temporarily misplaced
by any carrier for more than 8 consecutive
hours. Claims
must be supported by written confirmation from the carrier
responsible and receipts for the replacement items You
needed to purchase. Claims
are limited
to a maximum
of $1,000 for an individual or a Family.
3. REPLACEMENT OF TRAVEL DOCUMENTS
For the non recoverable cost of replacing Travel documents,
credit cards and Travellers cheques accidentally lost
or damaged.
4. UNAUTHORISED USE OF TRAVEL DOCUMENTS
For Your legal liability for payment arising out of the
unauthorised use of Your Travel documents, credit cards
or Travellers cheques which
are
stolen during
the Period of Insurance by any person other than You,
Your Relative or Travelling companion, limited to $5,000.
5. MONEY
For accidental loss of cash, bank or currency notes,
cheques, postal or money orders or other negotiable instruments
taken with You. Maximum
payable
is
$1,000.
Please note: In regard to Section 2.1, the maximum amount
We will pay for any one item, set or pair of items is
$2,500 unless the item, set
or pair
of items
is specified on the Certificate of Insurance and the
additional premium has been paid. The limit for any specified
item,
set or pair of items
is $5,000
with a
maximum for all specified items of $30,000. In the event
of a claim You must be able to support Your claim with
receipts or valuations.
BASIS OF SETTLEMENT UNDER THIS SECTION
For payment under this section We have the option, at
Our sole discretion, to:
(a) pay the replacement cost of the item(s) being claimed;
or
(b) choose to repair or replace the item(s) being claimed;
or
(c) pay the depreciated value of the items being claimed;
or
(d) pay You an amount that covers Your loss, being the
lesser of Our reasonable cost to replace the item with
an item that is of equivalent
age, general
condition, quality and capability or the cost of indemnifying
you under a), b) or c) above.
CONDITIONS
1. It is a condition of payment under this Section that
all losses including damage attributable to theft or
vandalism be reported to the local police
or appropriate authority as soon as possible after the
discovery of the loss and
a written acknowledgement of the report obtained. Also
any loss of credit cards, Travellers cheques or Travel
documents must be reported as soon
as possible
to the issuing authority and the appropriate cancellation
measures taken.
2. (a) You shall take all reasonable precautions for
the packaging, safety and supervision of any item(s)
including
laptop computers, portable electronic
property,
personal effects, Travel documents, money and credit
cards.
(b) You must not leave any item(s) unlocked or unattended
in a Public Place or in any unlocked and unattended building
or vehicle at any time,
nor
in a vehicle
overnight.
(c) You must secure laptop computers and portable electronic
property in a locked premise, safe or strongroom or out
of sight in a locked vehicle
and
carry such
items as personal hand luggage.
EXCLUSIONS
We will not pay for:
1. Reinstatement, Replacement or Damage to any electronic
data or software.
2. Scratching or breakage of fragile or brittle items.
This Exclusion does not apply to photographic or video
equipment, binoculars.
3. Damage or loss arising from wear and tear, deterioration,
atmospheric or climatic conditions, mould or fungus,
insects, rodents, vermin, or
any process
of cleaning,
ironing, pressing, repairing, restoring or alteration.
4. Any item(s) shipped under a freight agreement, sent
by a postal or courier service, or purchased over the
internet.
5. Losses due to depreciation or devaluation of currency.
6. Loss or damage arising from the confiscation or destruction
by Customs or any other authority.
7. Household furniture or household appliances being
used by You for domestic use and non portable business
property,
computer or electronic
equipment.
8. Damage to sporting equipment including surfboards,
sailboards, boogie boards and bicycles whilst in use.
9. Loss of data or any consequential loss.
10. The first $200 for any laptop computer claim and
the first $100 for any other claim under this section
of the
Policy.
11. More than $10,000 in total for any claim under this
Section in respect of insured items left in a vehicle.
SECTION 3: MISSED TRANSPORT CONNECTION
We will pay the cost of additional scheduled public transport
services if due to an Unforeseen circumstance occurring
during the Period of Insurance
and
outside Your control You miss a transport connection
and are required to make alternative
arrangements to arrive at a special event such as school
examination, start of the school year, conference or
wedding which cannot be delayed
because
of Your
late arrival.
EXCLUSIONS
We will not pay for:
1. Any missed transport connection arising from any business
or financial or contractual obligation or commitment
of You or of any other person
on whom
the Travel depends.
2. Claims arising from the inability of any tour operator
or wholesaler to complete arrangements for any tour due
to a deficiency in the number
of people
required
to commence any tour or journey.
3. Claims arising from a special event which could have
been rescheduled to a later time to coincide with Your
late arrival.
4. Any change of plans or disinclination to Travel on
Your part or of any other person on whom the Travel depends.
5. Claims arising from industrial disputes that You were
aware of prior to the commencement date.
6. The first $100 of any claim under this section of
the Policy.
SECTION 4: DEATH OR DISABLEMENT BY INJURY
1. DESCRIPTION OF COVER
In the event of an Injury resulting in Your death or
Total Disablement whilst travelling during the Period
of Insurance,
or within 12 calendar
months of
the Injury, we will pay the compensation listed under
the Schedule of Benefits Payable.
2. EXPOSURE
We will pay the compensation listed under the Schedule
of Benefits Payable if as a result of an Injury You are
exposed to the elements and as the
result of
that exposure within 12 calendar months suffer death
or Total Disablement.
3. DISAPPEARANCE
If Your body is not found within 12 calendar months after
an accident involving the conveyance in which You were
Travelling, death will be
presumed in
the absence of any evidence to the contrary.
CONDITIONS
1. After the occurrence of either of the events, all
cover under this Section shall cease.
2. Benefits shall not be payable for more than one of
the events.
3. Benefits payable to financially dependent children
and/or legal wards 18 years of age and under Travelling
under
a Family Policy shall only
be entitled
to claim
under Event 1 (Death) to a maximum benefit of $10,000.
4. All Compensation is payable to You, Your estate or
persons nominated by You.
EXCLUSIONS
We will not pay for any claim which directly or indirectly
arises from or is caused by:
1. Any type of illness, disease, infection or contagion,
even if contracted through an Injury. This Exclusion
shall not apply to medically acquired
infections or
blood poisoning.
SECTION 5: PERSONAL LIABILITY
We will pay all damages, compensation and legal expenses,
up to the benefit specified in the Schedule of Benefits
Payable for which You become legally
liable during
a Period of Insurance as a result of Your negligence
during the Travel causing:
1. Bodily Injury (including death or illness) of another
person.
2. Loss of or damage to property.
CONDITIONS
It is a condition of payment under this Section that
You do not admit fault or liability to any other person
without
Our prior written consent.
EXCLUSIONS
We will not pay damages, compensation or legal expenses
in respect of any liability directly or indirectly arising
out of or in connection
with:
1. Bodily Injury (including death or illness) to You
or to any member of Your Family ordinarily residing with
You.
2. Bodily Injury (including death or illness) to any
of Your employees arising out of or in the course of
employment.
3. Loss of or damage to property owned by or in the control
of You or any member of Your Family ordinarily residing
with You.
4. Loss of or damage to property or bodily Injury (including
death or illness), arising out of Your ownership, use
or possession of any mechanically
propelled
vehicle, aircraft or water-borne craft.
5. Loss of or damage to property or bodily Injury (including
death or illness) arising out of Your business or trade
or occupation, or out
of professional
advice given by You.
6. Any contract unless such liability would have arisen
in the absence of that contract.
7. Loss or damage or bodily Injury (including death or
illness) arising from a criminal or illegal act committed
by You, or one of Your employees,
or
a member of Your touring party.
8. Judgements which are not in the first instance either
delivered by or obtained from a court of competent jurisdiction
within New Zealand,
Australia
or the
country in which the accident occurred giving rise to
Your liability.
9. Aggravated, exemplary or punitive damages.
We will not pay:
10. The first $100 of any claim under this section of
the Policy.
SECTION 6: KIDNAP AND RANSOM
We will pay if You are Kidnapped:
1. The Ultimate Net Loss of Ransom paid by You, or Your
representative, following the Kidnapping of You during
the Period of Insurance.
2. The reasonable expenses, actually and necessarily
incurred following receipt of a Ransom demand after the
Kidnapping
of You during the Period
of Insurance,
for:
(a) The fees and expenses of a security consultant retained
as the result of such a demand, provided We have given
Our consent to the appointment
of the
security consultant.
(b) interest paid on monies borrowed from a financial
institution for the purpose of paying Ransom. The amount
We will pay
will be for a term
not
exceeding from
30 days prior to the payment of the Ransom until the
first business day after settlement from Us, on a principal
sum
not exceeding $250,000,
and for a
rate of interest not exceeding 2% above the contemporary
overdraft interest rate
changed by the ANZ Banking Group (New Zealand) Limited.
(c) any other expenses which are incurred for the purpose
of investigating, negotiating, or paying a Ransom demand
or recovering You.
CONDITIONS It is a condition of payment under this Section
that:
1. You must keep this insurance cover confidential.
2. We will not act as an intermediary or negotiator for
You, nor will We offer direct advice on dealing with
the Kidnapper.
3. On advice that You have or may have been Kidnapped,
it will be necessary to:
(a) determine whether You have been Kidnapped;
(b) notify the appropriate law enforcement agency and
comply with their recommendations and instructions;
(c) give Us immediate notification of the Kidnapping
or suspicion of it;
(d) record the serial numbers or other identifying characteristics
of any currency or goods delivered to secure the release
of You.
4. If investigation establishes collusion or fraud by
You, You must reimburse Us for any payment We have made
under
this Section.
EXCLUSIONS
We will not pay:
1. If You have:
(a) had kidnap insurance declined, cancelled or issued
with special conditions in the past;
(b) suffered a Kidnapping or attempted Kidnapping in
the past;
(c) had an extortion demand made against You in the past.
2. For Kidnapping occurring in Mexico or in any country
located in Central or South America or in any Nation
State where the United Nation armed
forces are
present.
SECTION 7: RENTAL VEHICLE COLLISION DAMAGE AND THEFT
EXCESS COVER
We will reimburse You for any excess, deductible, or
costs within the excess or deductible, for which You
become legally
liable to pay, limited
to the
sum listed in the Schedule of Benefits Payable, during
the Period of Insurance in respect of loss or damage
to a Rental Vehicle during the
rental period.
CONDITIONS
1. The Rental Vehicle must be rented from a licensed
rental agency.
2. As part of
the hiring arrangement
You must
take up the Rental
Organisation’s
comprehensive motor
insurance for the
duration of the
rental period.
3. You must comply with all of the requirements of the
rental organisation under the hire agreement and of the
insurer under the insurance.
EXCLUSIONS
We will not pay for:
1. Loss or damage arising from the operation of the Rental
Vehicle in violation of the terms of the rental or insurance
agreement.
2. Wear and tear, gradual deterioration, damage from
insects or vermin, inherent vice or damage.
3. The first $100 of any claim under this section of
the Policy.
If an emergency arises or you require assistance, contact the Assistance Service immediately to ensure that delays do not occur which might compromise their ability to act on Your behalf.
When you have completed a claim form, post it to the address shown on the form. Include Your insurance policy number, receipts and other documentation necessary to support Your claim.
Insurer Financial Strength Rating Insurance Companies (Rating and Inspections) Act 1994 - American Home Assurance Company (New Zealand Branch) has an A+ (Strong) insurer financial strength rating given by Standard & Poor’s (Australia) Pty Ltd on 2 March 2009. The rating scale is:
| AAA Extremely Strong | BBB Good | CCC Very Weak |
| AA Very Strong | BB Marginal | CC Extremely Weak |
| A Strong | B Weak | R Regulatory Action |
Plus (+) or minus (-): The rating from ‘AA’ to ‘CCC’ may be modified by the addition of a plus or minus sign to show relative standings within the major rating categories.
INBOUNDPDAUS 5.3
1 JULY 2009