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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
FOR APPLICANTS WHOSE COUNTRY OF ORIGIN IS NEW ZEALAND
This Policy, underwritten by American Home Assurance Company (New Zealand Branch), a member of the American International Group. Inc. (AIG), consists of several sections and provides You with insurance cover under those sections as shown in the Certificate of Insurance. 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 Certificate of Insurance. This Policy does not cover any event which happens to You unless You, at the date of such event, are aged 80 years or less
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 cover any insured person as noted on the Certificate
of Insurance for Travel beyond the territorial limits of New Zealand
and for temporary return visits to New Zealand for up to 3 months where
a Policy
is
taken for 6 months or longer. Travel can be for business, leisure or
educational purposes, but cover is not provided for Manual or dangerous
work (eg. trade
persons, machine operators, handlers of toxic substances and the like)
or Hazardous leisure pursuits unless We have agreed to their inclusion
in writing
prior
to the departure date of the particular Travel or the commencement date,
whichever is applicable.
•
Please read Your Policy carefully.
GENERAL
CONDITIONS - APPLICABLE TO ALL SECTIONS
1. AUTOMATIC EXTENSIONS
(a) We will automatically extend cover for up to 3 calendar months from
the date of Your expected return to New Zealand if such return is put
back
due to delay of transport or Your inability to Travel due to an Injury
or Sickness
for which a claim is payable under this Policy.
(b) You are covered for stopovers of up to 9 days, each way enroute
from New Zealand, while Travelling.
2. AUTOMATIC REINSTATEMENT
The Policy is subject to automatic reinstatement without additional
premium, following any one claim for loss or damage except for Section
6 - Kidnap & Ransom.
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 commencement date of Your Policy, by giving Us written notice
of a
future date
and;
(b) after the commencement 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 cover was in force.
(iii) If you cancel after the commencement 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 commencement 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
3. We can cancel this policy of insurance upon giving You 31 days notice
in writing to the address shown on Your Certificate of Insurance.
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 or under
any reciprocal health agreement between the Government of New Zealand and the
Government of any other country or is payable by any other source. 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) Contact Uni-Care Assist on 00 64 9 359 1678 if You are to be Hospitalised,
evacuated or repatriated or have lost Your luggage or money.
iii) As soon as possible after suffering Injury or Sickness obtain
and follow proper medical advice from a legally qualified medical practitioner.
iv) Lodge a written claim against any person, party, hotel or transporter
who may be legally liable for Your loss, Injury or Sickness.
v) Contact Uni-Care Claims Service 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. NEW ZEALAND CURRENCY
All amounts stated in the Certificate of Insurance are in New Zealand
currency (or its equivalent at the time of the loss in other currencies).
7. NEW ZEALAND LAW
This Policy is governed by New Zealand law and any dispute or action
in connection therewith shall be conducted and determined in New Zealand.
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, provided We receive 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. Country Of Origin is that country in which You have established
permanent residency and is where Your Travel commenced.
2. 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 Travel. The benefit is twice the individual
amount shown
in the Schedule of Benefits and is shared by the Family.
3. 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.
4. Hazardous means a risk likely to cause Injury or loss of life.
5. 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.
6. Injury means physical and bodily injury which happens to You as
a result of external violence while Travelling and which results solely
and directly
and independently of any other cause including any known or unknown
Pre-Existing
physical or congenital condition within 12 calendar months of the date
of occurrence of the external violence which caused the injury.
7. Kidnapping/Kidnapped means the seizing, detaining or carrying away
of You by force or fraud for the purpose of demanding Ransom.
8. Manual Work means heavy physical work, involving considerable bodily
strength.
9. 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 legally qualified registered medical practitioner,
nurse, Hospital and/or ambulance service for medical, surgical, x-ray,
Hospital or nursing treatment, including physiotherapy and chiropractic
services and
the cost of medical supplies and ambulance hire prescribed by a legally
qualified registered medical practitioner.
10. Period of Insurance is from the commencement date shown in the
Certificate of Insurance until Your return to New Zealand, 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.
11. Permanent means having lasted for 12 consecutive months and at
the end of that time being beyond any hope of improvement.
12. 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 commencement date of your cover under this policy as defined
under Period of Insurance.
13. 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.
14. 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.
15. Relative means the spouse, parent, parent-in-law, grandparent,
step-parent, child, step-child, grandchild, brother, brother-in-law,
sister, sister-in-law,
daughter-in-law, son-in-law, fiancée, fiancé, half-brother,
half-sister or legal guardian, provided such person(s) are aged 80
years or less and reside
in New Zealand.
16. Rental Vehicle means a vehicle, such as a sedan or station wagon,
rented from a licensed motor vehicle rental agency.
17. Serious Injury or Serious Sickness (in respect of a Relative or
any other person on whose state of health Your Travel depends) means
a life
threatening
medical condition which first manifested itself while Travelling.
18. Sickness means any illness or disease (including symptoms thereof).
19. Spouse means Your husband or wife or the person with whom You have
continuously cohabited with during the 90 days immediately preceding
Your Travel.
20. 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.
21. Total Disablement means disablement which continues for 12 consecutive
months and at that time is certified by a legally qualified medical
practitioner as being beyond hope of improvement which results in Your
complete inability
to engage in or attend to any pre-loss comparable gainful employment
for which You may become, through rehabilitation and retraining, reasonably
qualified to perform by reason of education, training or experience.
22. Travel/Travelling means for the purpose of this Policy:
(a) Overseas leisure, business, and educational travel undertaken during
the Period of Insurance by You beyond the territorial limits of New
Zealand; and
(b) In respect of Section 1 B:1, specifically relating to deposits
paid in advance prior to the commencement date and following payment
of the
premium
to Us, at the time deposits are paid for the travel; and
(c) In respect of Section 2:5, specifically relating to money acquired
for the travel, 72 consecutive hours prior to the commencement date
for the travel
and following payment of the premium to Us; and
(d) In respect to all other sections from the time You depart Your
normal place of residence or place of business within New Zealand whichever
occurs last,
for commencement of the travel; and continues on a full time basis
until;
i) You return to Your normal place of residence or place of business
within New Zealand - whichever occurs first; or
ii) the expiration of the Period of Insurance (unless renewed); or
iii) the Policy's cancellation date; whichever occurs first.
23. 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.
24. Unforeseen means sudden, unexpected, and unintended.
25. 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.
26. We/Our/Us means American Home Assurance Company (New Zealand Branch).
27. You/Your means the Insured Persons as specified in the Certificate
of Insurance.
Note - 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.
2. Pregnancy, childbirth, infertility, abortion or birth control (except
where such costs are incurred because of unexpected medical complications
or emergencies).
3. In respect to a child born while Travelling, We will not pay for
postnatal care or for any amount in excess of $500,000 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 unless acquired
by blood
transfusion or medical misadventure.
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. The use, release or escape of nuclear materials that directly or
indirectly results in nuclear reaction or radiation or radioactive
contamination
or the dispersal, application, or release of pathogenic or poisonous
biological
or
chemical materials.
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: General Exclusions 8 & 9 do not apply to Sections 1A, 1B2(a), 1B2(b),
1B4, 1B5(a) & 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
at an overseas location (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. This exclusion
does not apply in respect to Sections 1A(1) for the first $10,000 incurred
and to Sections 1B(2) and 1B(4) provided that in the opinion of Our
medical advisor the condition is of such severity that You will not
recover sufficiently
to continue Your studies or complete the purpose for which You undertook
the Travel.
13. Diving underwater using an artificial breathing apparatus unless
You hold an open water diving license or You were diving under licensed
instruction,
but always excluding diving while alone.
14. Manual or Hazardous Work (except of an academic nature) unless
We have agreed to their inclusion.
15. You being under the influence of alcohol and/or drugs, except
for costs as specified under Section 1B(2) up to a maximum sum
insured of $10,000, & 1B(4).
16. You engaging in any activity associated with any criminal act.
17. Government Intervention.
18. Intentional self-inflicted injury or suicide or any attempted self-inflicted
injury or suicide.
19. Your failure to take precaution to avoid a loss after there was
warning not to Travel in the mass media or following notification from
the New
Zealand Ministry of Foreign Affairs and Trade and detailed on their
website at www.safetravel.govt.nz.
SECTION 1A: OVERSEAS MEDICAL AND RELATED EXPENSES
1. MEDICAL EXPENSES
We will reimburse You for Medical Expenses incurred outside of New
Zealand for the treatment of an Injury or Sickness suffered while Travelling.
2. CONTINUING TREATMENT IN NEW ZEALAND
We will also pay continuing Medical Expenses to a maximum of $1,500
incurred after You return to New Zealand following a period of overseas
Travel,
provided that the Medical Expenses relate to a condition that first
manifested itself
during the overseas Travel, and for which medical treatment was first
received during such Travel. Provided also that costs covered under
this section
are incurred within 12 months from the date of Your first valid claim
relating to the Injury or Sickness.
3. DENTAL EXPENSES
We will reimburse You for the cost of treatment for:
(a) Injury to teeth, using antibiotics, temporary dressings or extraction,
however We will not pay for elective treatment or normal maintenance.
Normal maintenance includes, but is not limited to, 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.
SECTION 1B: ADDITIONAL EXPENSES
1. LOSS OF DEPOSITS
We will reimburse You the non-recoverable unused portion of Travel
or accommodation arrangements paid for in advance by You following
cancellation,
alteration
or incompletion of the Travel due to:
(a) the Unforeseeable death, Serious Injury or Serious Sickness of
a Relative, close business associate or Travelling companion, provided
that this person
is aged 80 years or less;
(b) You suffering an Injury or Sickness while Travelling; or
(c) any other Unforeseeable 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.
2. REPATRIATION OR CANCELLATION OF TRAVEL
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 New Zealand or place of departure within
New Zealand during the Travel due to the Unforeseeable death, Serious
Injury
or Serious
Sickness of a Relative, close business associate or Travelling companion,
provided that such a person is aged 80 years or less; or
(b) You suffering an Injury or Sickness while Travelling; or
(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 - RESUMPTION OF TRAVEL
If you wish to resume Your original Travel following a valid claim
under 2. above (Repatriation or Cancellation), We will pay the reasonable
and
necessary expenses incurred to return You to the same location and
position You were
in prior to Your claim, provided:
(a) You resume the original Travel schedule within 3 months of the
date of loss recorded on Your claim for item 2 above.
(b) The reason for the early return to New Zealand is covered under
Section 1B Additional Expenses; and
(c) At least 25% or 5 days of the original Period of Insurance, whichever
is the greater, was remaining when the event that necessitated Your
early return
occurred.
Note: There is no cover under this Policy for the resumption of Travel
where You have been repatriated to New Zealand due to an Injury or
Sickness, unless
Our prior written agreement has been provided.
4. ACCOMPANYING RELATIVES
We will reimburse You, or pay where We agree circumstances necessitate,
for the reasonable extra Travel and accommodation expenses, incurred
upon medical
advice and with Our written agreement, for up to two of Your Relatives
to Travel to, remain with or accompany You back to New Zealand, as
a result of You suffering
an Injury or Sickness while Travelling, or in the event of Your death
to accompany Your remains back to New Zealand. The maximum claim under
this
section is limited
to the amount listed in the Schedule of Benefits.
5. OTHER BENEFITS AND EXPENSES
We will pay You:
(a) IN HOSPITAL CASH
A cash benefit of $100 for each completed 24 hour period You are Hospitalised
overseas as an in-patient due to Injury or Sickness. The total payment
is limited to the amount listed in the Schedule of Benefits.
(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 while Travelling.
The total
payment
is limited to the amount listed in the Schedule of Benefits
(c) PERSONAL EFFECTS
The reasonable costs actually incurred in returning personal effects
to New Zealand following the death of the Insured person. The total
payment is limited
to $5,000.
(d) FALSE ARREST EXPENSES
The reasonable legal costs actually and necessarily incurred by You
as a result of Your false arrest or wrongful detention, while Travelling,
by any
legally
recognised foreign Government. The total payment is limited to the
amount
listed in the Schedule of Benefits.
(e) HIJACK CASH
A cash benefit of $100 for each 24 hour period that You are detained
as a result of the public transport in which You are Travelling being
hijacked.
The total
payment is limited to the amount listed in the Schedule of Benefits.
(f) 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
Sickness, Injury, or death, but only where You are liable for such
costs under the hire
agreement. The total payment is limited to the amount listed in the
Schedule of Benefits.
(g) 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.
The total payment is limited to the amount listed in the Schedule of
Benefits.
EXCLUSIONS
APPLYING TO SECTIONS 1A AND 1B. We will not pay for:
1. Charges You incur if You fail to return to New Zealand 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 or which had been prescribed prior
to the
commencement of
Travel or replenishment of medications being taken by You prior to
Your departure from New Zealand, unless the medication was lost, damaged,
or stolen.
3. Expenses arising from elective surgery or elective medical treatment,
unless otherwise agreed in writing by Us.
4. Expenses related to optical aides other than as provided under Section
2: Luggage.
5. 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.
6. Any Pre-existing Condition, as defined, in relation to the Insured,
or any other party on whom a claim may depend, that has not been declared
and
noted
on the Certificate of Insurance as an Insured Pre-existing Condition.
7. Any claim arising from:
(a) Cancellation, curtailment or diversion of scheduled public transport
services, including by reason of strikes, industrial action, civil
unrest, epidemic or
pandemic warnings, if there had been warning of such in the media or
travel safety notices issued by the Ministry of Foreign Affairs and
Trade before
the date the Travel was booked.
(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) Your failure to check in according to an itinerary supplied or
times advised to You.
(g) 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.
(h) Expenses that would have been incurred in Your original Travel
including budgeted Travel expenditure.
(i) Curtailment or changes to Your Travel arrangements at the request
of an employer.
8. More than one repatriation transit in relation to the same Relative,
condition, or event.
9. The first $100 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
Your Travel:
1. LOST OR DAMAGED PROPERTY
For accidental loss of or damage to Your accompanied luggage, personal
effects, business equipment, trade samples, laptop computers and/or
portable business
property which You use during Your Travel (including plans, business
papers, specifications, manuscripts and stationery for their face value
only).
The total payment is limited to the amount listed in the Schedule of
Benefits.
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 while Travelling by any person other than You, Your Relative
or Travelling
companion, limited to $5000.
5. MONEY
For accidental loss of cash, bank or currency notes, cheques, postal
or money orders or other negotiable instruments taken with You, maximum
amount
payable
$1,000.
LIMIT ANY ONE ITEM
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.
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 APPLYING TO SECTION 2
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. You:
(a) Shall take all reasonable precautions for the packaging, safety
and supervision of any item(s) including laptop computers, portable
business
property, personal
effects, travel documents, money and credit cards.
(b) Must not leave any item(s) unattended in a Public Place or in any
unlocked and unattended building or vehicle at any time, nor in a vehicle
overnight.
(c) Must secure laptop computers and portable business 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 APPLYING TO SECTION 2
We will not pay for:
1. Reinstatement, replacement, or damage to any electronic data or
software including any consequential loss.
2. Scratching or breakage of fragile or brittle items. This Exclusion
does not apply to photographic or video equipment, binoculars, spectacles
or
contact lenses.
3. Mechanical, electrical and hydraulic breakdown or derangement.
4. 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.
5. Any insured item shipped under any freight agreement or sent by
any postal or courier service, purchased over the internet, or sent
with
another person.
6. Losses due to depreciation or devaluation of currency.
7. Loss or damage arising from the confiscation or destruction by Customs
or any other authority.
8. Household furniture or household appliances being used overseas
by You for domestic use and non portable business property, computer
or
electronic
equipment.
9. Damage to sporting equipment while in use.
10. The first $200 for any laptop computer claim and the first $100
for any other claim under this section of the Policy.
SECTION 3: MISSED TRANSPORT CONNECTION
DESCRIPTION OF COVER
We will pay the cost of additional scheduled public transport services
if due to an Unforeseen circumstance occurring while Travelling and
outside Your control
You miss a transport connection and are required to make alternative
arrangements to arrive at an important scheduled business meeting,
conference, special
event, course of study, or examination, on time.
EXCLUSIONS APPLYING TO SECTION 3
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 scheduled business meeting, conference, special
event, course of study, or examination that 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
while Travelling, or within 12 calendar months of the Injury, we will
pay the compensation
listed under the Schedule of Benefits.
2. EXPOSURE
We will pay the compensation listed under the Schedule of Benefits
if as a result of an Injury You are exposed to the elements, and that
exposure
results
in Your death or Total Disablement within 12 calendar months.
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 APPLYING TO SECTION 4
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 who are Travelling under a Family Policy
shall
be limited
to a maximum benefit of $10,000.
4. Benefits are payable to You, Your estate or persons nominated by
You.
EXCLUSIONS APPLYING TO SECTION 4
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
Sum Insured listed under the Schedule of Benefits for which You become
legally
liable
while Travelling 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 APPLYING TO SECTION 5
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 APPLYING TO SECTION 5
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 waterborne 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, other than liability arising while You are undertaking
compulsory participation in an academic internship necessary for completion
of your tertiary studies.
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 act committed by You, or one of Your employees, or
a member of
Your touring party.
8. Judgments which are not in the first instance either delivered by
or obtained from a court of competent jurisdiction within New Zealand
or the
country
in which the accident occurred giving rise to Your liability.
9. Any claim for exemplary, punitive or aggravated damages.
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 while Travelling.
2. The reasonable expenses, actually and necessarily incurred following
receipt of a Ransom demand after the Kidnapping of You while Travelling
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 the
amount
listed in
the Schedule of Benefits, and for a rate of interest not exceeding
2% above the
contemporary overdraft interest rate charged 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 APPLYING TO SECTION 6
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
for the approved security consultant acting on Your behalf 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 APPLYING TO SECTION 6
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 country where United Nations armed
forces
are present.
SECTION 7 RENTAL VEHICLE COLLISION DAMAGE AND THEFT EXCESS COVER
We will reimburse You for any excess or deductible which You become
legally liable to pay while Travelling in respect of loss or damage
to a Rental
Vehicle during the rental period, provided that the maximum amount
payable shall
not exceed the sum insured listed in the Schedule of Benefits.
CONDITIONS APPLYING TO SECTION 7
1. The Rental Vehicle must be rented from a licensed rental agency.
2. As part of the hiring arrangement You must take up all comprehensive
motor insurance offered by the rental organisation, whether discretionary
or mandatory,
against loss or damage to the Rental Vehicle 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 APPLYING TO SECTION 7
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.
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 (NZ Branch) has an AA+ (Very Strong) insurer financial strength rating given by Standard & Poor’s (Australia) Pty Ltd on 3rd June 2007. 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.
OUTBOUNDPD 3.0
14 August 2007