Access America
Travel Insurance & Assistance
Insurance benefits are underwritten by
BCS Insurance Company. Plan administered by World Access Service Corp.
Access America is a Service mark and a
division of World Access Service Corp.
Form No. 52.401 J-01
CERTIFICATE OF INSURANCE
This Certificate of Coverage describes all of the travel
insurance benefits, underwritten by BCS Insurance
Company and herein referred to as the Company, and
assistance services provided by a variety of Access
America programs. The insurance benefits and assistance
services vary from program to program. Please refer to
the accompanying Letter of Confirmation. It provides You
with specific information about the program You purchased. Please contact Access America immediately if
You believe that the Letter of Confirmation is incorrect.
* Indicates insurance coverage provided under a Master
Policy issued by BCS Insurance Company.
Massachusetts Residents Only: This Certificate is
governed by the laws of Massachusetts.
RENEWAL CONDITIONS
This Certificate is issued for a single term as stated in the
Letter of Confirmation and is non-refundable.
SATISFACTION GUARANTEE
Within 10 days of purchasing the program, Access
America will process a full refund of premium to You, as
long as You have not already departed on Your Trip or
filed a claim. No refunds shall be paid to You after 10
days of purchasing the program.
PLEASE READ THIS CERTIFICATE CAREFULLY FOR FULL DETAILS.
PROGRAM FEATURES
TABLE OF CONTENTS
Part I. Definitions
Part II. Effective Date
Part III. Termination Date
Part IV. Family Coverage
Part V. General Program Exclusions
Part VI. Description of Travel Insurance Benefits
Part VII. General Provisions Related to Insurance Benefits
Part VIII. Description of Travel Assistance Services
Part IX. Claim Filing Procedures
Signed for BCS Insurance Company, 2 MidAmerica Plaza,
Suite 200, Oakbrook Terrace, IL 60181.
TRAVEL INSURANCE AND ASSISTANCE SERVICES
Part I. DEFINITIONS
Accident means an unexpected, unintended, unforeseeable event causing Injury.
Active Military Duty means serving in the United
States Armed Forces on a full-time basis, not including
the United States Armed Forces Reserves.
Actual Cash Value means the amount an item is determined to be worth based on its market value, age and
condition at the time of loss.
Baggage means luggage and personal possessions,
whether owned, borrowed or rented, taken by You on the
Trip.
Common Carrier means an entity licensed to carry passengers for hire on land, water or air, excluding vehicle
rental companies.
Coverage Period means the time during which benefits
are payable hereunder, beginning on the effective date
and ending on the termination date.
Covered Service means a service or supply specified
herein for which benefits will be provided.
Deductible means a specified dollar amount shown on
the Letter of Confirmation that You must incur before the
Company or We will assume any liability for all or part of
the remaining Covered Services.
Emergency Dental Care means the services or supplies
provided by a licensed dentist, Hospital or Other Licensed
Provider that are medically and immediately necessary to
treat dental problems resulting from Injury, infection,
breakage to tooth surface or loss of filling.
Emergency Medical Care means the services or supplies provided by a Physician, Hospital or Other Licensed
Provider that are Medically Necessary to treat any
covered medical Illness or Injury that is acute (onset is
sudden and unexpected) and:
- considered life threatening; or
- which, if left untreated, could deteriorate
resulting in serious and irreparable harm.
Family Coverage is the insurance plan under which You
and Your Traveling Family Members are covered if You
have selected this on Your application.
Family Member means Your
- spouse;
- parent;
- child(ren),
including children who are, or are in the process of
becoming, adopted;
- sibling;
- grandparent or grand-child(ren);
- step-parent;
- step-child; or
- step-sibling;
- in-laws
(parent, son, daughter, brother or sister);
- aunt;
- uncle;
- niece;
- nephew;
- legal guardian;
- ward;
- business partner;
- an employed caregiver who lives with You; or
- a person
with whom You have lived for 12 continuous months
prior to the effective date of coverage;
whether or not
they travel with You.
Felonious Assault is an act of violence against You or a
Traveling Companion requiring medical treatment in a
Hospital.
Financial Default is a complete suspension of operations due to financial circumstances whether or not a
bankruptcy petition is filed.
Hospital means a provider that is a short-term, acute,
general Hospital that:
- is a duly licensed institution;
- in return for compensation from its patients, is primarily engaged in providing Inpatient diagnostic and therapeutic services for the diagnosis, treatment, and care of
injured and sick persons by or under supervision of
Physicians;
- has organized departments of medicine and major
surgery;
- provides 24-hour nursing service by or under the
supervision of registered graduate nurses; and
- is not other than incidentally:
- a skilled nursing facility, nursing home, custodial care home, health resort, spa
or sanatorium, place for rest, place for the aged, place for
the provision of rehabilitation care;
- a place for the
treatment of mental illness;
- a place for the treatment
of alcoholism or drug abuse;
- a place for the provision
of hospice care; or
- a place for the treatment of pulmonary tuberculosis.
Illness means a sickness, infirmity or disease that causes a loss that begins during a Coverage Period and is not
a Pre-existing Condition.
Immediate Family Member means Your
- spouse;
- parent;
- child(ren), including children who are, or are in the
process of becoming, adopted;
- Your siblings;
- Your grandparent or grandchild(ren);
- step-parent;
- step-child; or
- step-sibling.
Individual Coverage is the insurance plan under which
only You are covered if You have selected this on Your
application.
Injury means bodily Injury caused by an Accident, directly and independently of all other causes and sustained
on or after the effective date of this coverage and before
the termination date. Benefits for Injury will not be paid
for any loss caused by sickness or other bodily diseases
or infirmity.
Inpatient means a person who is treated as a registered
bed patient in a Hospital or Other Licensed Provider and
for whom a room and board charge is made.
Medically Necessary or
Medical Necessity means the
services or supplies provided by a Hospital, Physician or
Other Licensed Provider that are required to identify or
treat Your Illness or Injury and which, as determined by
Us, are:
- consistent with the symptom or diagnosis and treatment of Your condition, disease, Illness, ailment or Injury;
- appropriate with regard to standards of good medical
practice;
- not solely for the convenience of You, a Physician or
other provider; and
- the most appropriate supply or level of service that
can be safely provided to You.
When applied to the care of an Inpatient, it further
means that Your medical symptoms or condition requires
that the services cannot be safely provided to You as an
Outpatient.
Normal Pregnancy or
Childbirth means a pregnancy
or Childbirth that is free of complications or problems.
Other Licensed Providers means any person or entity
other than a Hospital or Physician which is licensed,
where required, to render medical or dental services.
Outpatient means a person who receives medical or
dental services or supplies while not an Inpatient.
Physician means a person who is licensed and legally
entitled to practice medicine in the applicable field for
which services are delivered.
Pre-existing Conditions means:
- Any injury occurring to You, a Traveling Companion, or
a Family Member prior to and including the effective
date of Your insurance; and
- Any illness occurring to You, a Traveling Companion, or
a Family Member during the 120 days prior to and
including the effective date of Your insurance for which:
- medical diagnosis or treatment by a Physician has
been sought or advised or for which symptoms exist
which would cause a prudent person to seek diagnosis,
care or treatment; or
- require taking prescribed drugs
or medicine unless the illness remains controlled without
any change in the required prescription.
For the purposes of determining any Pre-existing
Conditions, the effective date of Your insurance will be
Your Trip Cancellation Insurance effective date, if Trip
Cancellation Insurance is purchased. If no Trip
Cancellation Insurance coverage is purchased, it will be
Your Trip departure date.
Primary Residence means a person's fixed, permanent
and principal home for legal and tax purposes.
Reasonable and Customary Charge means a charge
in an amount consistently made by other
vendors/providers for a given service in the same geographic area and which reflects the complexity of the
service taking into account availability of experienced
personnel, availability of services or parts, and with
respect to Collision Damage Insurance, reflects the effort
of the vendor/provider to repair the damaged vehicle (as
measured by the ratio of total repair time to total time
the vehicle is in the vendor/provider's possession).
Rental Car means a land motor vehicle with four or
more wheels, that is designed for use mainly on public
roads and which You have rented for the period of time
shown on the Rental Car Agreement.
Rental Car Agreement means the entire contract that
You receive when renting a car from a rental car agency
that describes in full all of the terms and conditions of
the rental, as well as the responsibilities of all parties
under the Rental Car Agreement.
Refund means:
- Money returned to You by the travel agent, tour operator, airline, cruise line or other travel supplier;
- Any credit or voucher for future travel provided to You
by the travel agent, tour operator, airline, cruise line or
other travel supplier; or
- Any credits, recoveries or reimbursements from Your
employer, another insurance company, a credit card
issuer or any other institution.
Scheduled Departure Date means the date You have
selected to begin travel as shown on Your application
and for which paid travel arrangements have been made.
Terrorism means the unsanctioned and illegal use of
force that 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. Terrorism does not include general civil protest,
unrest, rioting, or an act of war.
Traveling Companion is a person traveling with You
who must be listed on Your application and who shares
the same accommodations as You.
Traveling Family Member is Your spouse, and any of
Your unmarried children under age of 23, including step-children or legally adopted children, or grandparents and
grandchildren when traveling together without a parent.
Any unmarried child, regardless of age, who is incapable
of self-sustaining employment by reason of mental illness, developmental disability, mental retardation or
physical handicap and became so incapable prior to age
23, shall be eligible for coverage.
Trip means:
- a period of round-trip travel to and from a destination
that is at least 100 miles from Your main place of residence; and
- such travel is not to obtain health care or treatment of
any kind.
We, Us or
Our refers to Access America and World Access
Service Corp.
You or
Your refers to all persons listed on the Letter of
Confirmation under the program purchased.
Part II. EFFECTIVE DATE
Insurance shall be effective at 12:01 A.M. on the date the
scheduled Trip begins. Trip Cancellation coverage, if purchased, begins the day after Your application is postmarked, Your telephone order is placed, Your faxed order
is received or Your web order is received, and Your application is accepted.
In no event will coverage be effective if all premiums due
have not been received prior to the Scheduled Departure
Date or prior to the Trip Cancellation date if You cancel
Your Trip or it is canceled for any reason.
Part III. TERMINATION DATE
Coverage ends at midnight on the date of return selected, or upon return to Your city of residence or when the
Trip is canceled, whichever is earliest. If return is delayed
for any covered reason, coverage is extended until You
are able to return to Your city of residence. The day You
depart and the day You return are counted and included
as separate days when determining duration of coverage.
Part IV. FAMILY COVERAGE
If Family Coverage is purchased, as reflected on Your
application, the Family Members eligible for coverage
hereunder are those defined as Traveling Family
Members.
Part V. GENERAL PROGRAM EXCLUSIONS
These exclusions apply to all program benefits and services. In addition to any exclusions that apply to a particular benefit, no coverage is provided for any loss aris-
ing directly or indirectly out of or as a result of the following:
- Intentionally self-inflicted harm, suicide or attempted
suicide, by You, a Traveling Companion or a Family
Member;
- Normal Pregnancy (unless as specifically covered here-in), fertility treatments, Childbirth or elective abortion,
other than unforeseen complications of pregnancy of
You, a Traveling Companion or a Family Member;
- Mental or nervous health disorders, including but not
limited to: anxiety, depression, neurosis or psychosis; or
physical complications related thereto, of You, a Traveling
Companion or a Family Member;
- Alcohol or substance abuse or use; or conditions or
physical complications related thereto, of You, a Traveling
Companion or a Family Member;
- War (whether declared or undeclared), acts of war, military duty (unless as covered herein), civil disorder, or
unrest (except as provided for in Travel Delay);
- Participation in professional or amateur sport events
(including training);
- All extreme, high risk sports including but not limited
to: bodily contact sports; skydiving; hang gliding, bungee
jumping, parachuting; mountain climbing or any other
high altitude activities, caving, heli-skiing, extreme skiing, or any skiing outside marked trails;
- Scuba diving (unless accompanied by a dive master
and not deeper than 130 feet);
- Operating or learning to operate any aircraft as pilot
or crew;
- Nuclear reaction, radiation or radioactive contamination;
- Natural disasters (unless as specifically covered
below);
- Epidemic;
- Pollution or threat of pollutant release;
- Any unlawful acts committed by You, Family
Members, or Traveling Companions, whether they are
insured or not;
- Any expected or reasonably foreseeable events; or
- Financial Default of a travel supplier (unless as
specifically covered below).
These programs do not cover You:
- If the purpose of the travel is to receive medical care,
medication or treatment;
- If the stated Trip departure and return dates do not
reflect Your intended departure and return dates;
- If the tickets do not indicate the travel dates;
- If You give incorrect data or facts; or
- If the loss is not submitted to Us within 90 days from
the date of loss, except as otherwise prohibited by law.
Maximum Limit of Liability:
All limits are applied per Trip. The Company's maximum
limit of liability resulting from same occurrence will be
$10,000,000 under all of Our programs. If loss for all
insureds for such an occurrence exceeds $10,000,000,
We will pay each insured that portion of the benefits
stated which $10,000,000 bears to the total loss of all
persons the Company insures under all travel and flight
insurance in force, under all of Our programs. The
Company will pay no more than $500,000 per occurrence,
under Our programs, to or on account of any person
insured under Our programs.
PRE-EXISTING CONDITIONS EXCLUSION
This exclusion applies to Trip Cancellation and
Interruption Protection, Emergency Medical and Dental
Benefits, and to those Travel Assistance Services related
to medical problems.
The program does not cover losses or expenses if
they result from:
- Any injury occurring to You, a Traveling Companion, or
a Family Member prior to and including the effective
date of insurance;
- Any illness occurring to You, a Traveling Companion, or
a Family Member during the 120 days prior to and
including the effective date of Your insurance for which:
- medical diagnosis or treatment by a Physician has
been sought or advised or for which symptoms exist
which would cause a prudent person to seek diagnosis,
care or treatment; or
- require taking prescribed drugs
or medicine unless the illness remains controlled without
any change in the required prescription.
For the purposes of determining any Pre-existing
Conditions, the effective date of Your insurance will be
Your Trip Cancellation Insurance effective date, if Trip
Cancellation Insurance is purchased. If no Trip
Cancellation Insurance is purchased, it will be Your Trip
departure date.
If You have purchased a program where Pre-existing
Conditions are waived, the Company and We cover these
Pre-existing Conditions provided:
- The insurance was purchased within fourteen calendar
days of initial Trip payment;
- The amount of Trip Cancellation coverage originally
purchased equals the full cost of all non-refundable Trip
arrangements;
- On the date of purchase of insurance, You were medically able to travel and You had not filed a claim for Trip
Cancellation due to a pre-existing illness within 120 days
prior to the purchase of insurance;
- The total Trip cost is less than $50,000; and
- On the date of purchase of insurance, You are a resident of the United States.
If You do not meet the above criteria, You may still be
covered for Trip Cancellation or Trip Interruption caused
by reasons other than those related to the Pre-existing
Condition.
Part VI. DESCRIPTION OF TRAVEL INSURANCE BENEFITS (what is covered)
The following insurance benefits are designed to protect
You against situations or losses that result from sudden
and unexpected conditions or events.
The benefits do
not cover conditions or events that, on the date of
purchase, are either known to You or likely to occur.
Please be aware that this stipulation may be
applied to policies purchased with the Pre-existing
Conditions Exclusion Waiver. The Company and We
reserve the right to reject applications.
A. TRIP CANCELLATION AND INTERRUPTION PROTECTION*
Trip Cancellation coverage provides benefits for loss(es)
You incur for Trips cancelled up to the time and date of
departure. Trip Interruption coverage provides benefits
for loss(es) You incur for Trips that are interrupted or
delayed after the time and date of departure.
For all of the covered reasons outlined below, You
must notify the appropriate travel supplier(s) of
Your cancellation or interruption within 72 hours of
the occurrence, unless the condition prevents it,
then as soon as reasonably possible. Otherwise the
right to compensation will lapse.
A maximum benefit of up to the amount indicated in
Your Letter of Confirmation is provided to cover certain
expenses as listed below which result from the cancellation or interruption of Your Trip due to:
- Any serious Injury or any unforeseen serious medical
condition:
- Occurring to You or a Traveling Companion, which is
so disabling as to cause a reasonable person to delay,
cancel, or interrupt their Trip;
- Occurring to a Family Member that is considered life
threatening or requiring hospitalization; or
- Occurring to a Family Member requiring Your care.
For Trip Cancellation benefits, an actual examination by
a licensed Physician must take place within 72 hours of
the cancellation. For Trip Interruption benefits, this
examination must take place during Your Trip. This
Physician may not be a member of Your or Your Traveling
Companion's immediate family or yourself, or an
Immediate Family Member of the person whose condition caused the cancellation or interruption.
- Your death, the death of a Family Member or a
Traveling Companion if the death occurs prior to Your
Scheduled Departure Date, or during Your Trip.
- Financial Default of a tour operator, airline or cruise
line provided that:
- On the Policy effective date, the tour operator, airline
or cruise line was approved for the Financial Default
coverage by the Company. For a current list of
approved suppliers refer to www.accessamerica.com,
or call 1-800-284-8300; and
- The insurance was purchased within 14 calendar
days of the initial Trip deposit or payment.
The Company will not cover losses resulting from a
Financial Default of the person, organization, agency or
tour operator, or their affiliate companies, that solicited
this coverage, and/or Your insured travel arrangements
to You. Financial Default occurring on or before the Policy
effective date or less than 7 days after the Policy effective date is not covered. The Company reserves the right
to substitute a Trip of similar value in lieu of cash payment.
- Strikes, natural disasters, bad weather or FAA mandated shutdown resulting in the complete cessation of services by the airline, the tour operator or the cruise line for at least 24 consecutive hours. The Company will not
cover losses resulting from strikes of the person, organization, agency, or tour operator, or their affiliate companies, that solicited this coverage and/or Your insured
travel arrangements to You.
- You or a Traveling Companion being hijacked or quarantined.
- You being required to serve on a jury, served with a
court order or subpoena.
- Your Primary Residence or Your Trip destination being
made uninhabitable by fire, flood, burglary, vandalism, or
natural disasters.
- You or a Traveling Companion being directly involved
in a traffic Accident while directly en route to a departure.
- A terrorist act committed by an organized terrorist
group (recognized as such by the U.S. State Department)
that results in property damage, Injury or loss of life. The
incident must take place in a domestic or foreign city in
which You are scheduled to arrive within 30 days following the incident and Your tour operator (if applicable)
must not have offered a substitute itinerary. For foreign
terrorism coverage only, coverage for travel to or
through countries in which such a documented or
reported incident has occurred during the 30 days
prior to purchase of insurance is excluded. Losses
resulting due to the issuance of travel advisories,
bulletin or alerts; war or acts thereof; civil disorder,
riot or unrest; bomb scares or threats of terrorist
activity; or terrorist acts against any Common
Carrier (e.g., airline or cruise line) are not covered.
- You or a Traveling Companion, who are on Active
Military Duty in the United States Armed Forces:
- having Your personal leave revoked within 10 days
prior to Your departure date (as long as such revocation is in writing by a superior officer and is not due to war-related situations, invocation of the War
Powers Act, base or unit mobilization, unit reassignment for any reason, or disciplinary action); or
- are personally reassigned within 10 days prior to
Your departure date, whether temporary or permanent.
- You or a Traveling Companion being the victim of a
Felonious Assault within 10 days prior to Your departure
date. A Felonious Assault may not be inflicted by You, a
Family Member, Traveling Companion or Traveling
Companion's Family Member.
- You or a Traveling Companion, after having been with
the same employer for at least one year, are terminated
or laid off, through no fault of Your own, after Your effective date of coverage.
- Your family or friends living abroad with whom You
were planning to stay, are unable to accommodate You
due to life threatening Illness, life threatening Injury or
death of one of them.
- A covered Travel Delay that results in the loss of more
than 50% of Your scheduled Trip length.
- You or a Traveling Companion become legally separated or divorced after the purchase of insurance and
prior to the departure date, provided that the insurance
was purchased within 14 calendar days of the initial Trip
deposit or payment.
- For Trip Cancellation only: Your Normal Pregnancy as
long as the pregnancy occurs after Your effective date of
coverage that can be verified by medical records.
- For Trip Cancellation only: You will be attending an
Immediate Family Member's Childbirth as long as the
pregnancy occurs after the effective date of coverage
that can be verified by medical records.
If You have purchased the BizPack Expanded
Coverage as shown on Your Letter of Confirmation,
You will have the following covered reasons
included:
- You or a Traveling Companion are required to work
during Your scheduled Trip. You must demonstrate proof
of requirement to work, such as a notarized statement
signed by an officer of Your employer.
- Your company being made unsuitable for business by
fire, flood, burglary, vandalism or natural disasters.
- Your company being directly involved in a merger or
acquisition. You must be an active employee of the company that is merging and You must be involved in such
an event.
In all cases You must notify the appropriate travel
supplier(s) of Your cancellation or interruption
within 72 hours, unless the condition prevents it,
then as soon as reasonably possible. Otherwise the
right to compensation will lapse.
Coverage is for:
- Forfeited, published, Trip payments or deposits
incurred as a result of cancellation penalties for which
You are not eligible to receive a Refund;
- For Trip Interruption, the pro-rated portion of the prepaid Trip missed;
- The additional cost resulting from a change in the
per-person occupancy rate for prepaid travel arrangements if a Traveling Companion's Trip is canceled or
interrupted for one of the above covered reasons and
Yours is not;
- Reasonable, additional accommodation and transportation expenses up to $100 per day up to a maximum
of five days if a covered Traveling Family Member or
Traveling Companion must remain hospitalized;
- Reasonable, additional travel costs for You to reach
Your original destination if You must depart after Your
planned departure date due to one of the above reasons;
or
- Reasonable, additional transportation expenses
needed to reach the scheduled termination point of Your
Trip or to travel from the place Your Trip was interrupted
to the place where You can rejoin Your Trip and the
unused portion of any non-refundable land, sea and air
arrangements that were paid as part of Your Trip.
The benefits paid under 5. and 6. above will not exceed
the cost of economy airfare by the most direct route on
the next available carrier, less any Refunds paid to You.
Trip Cancellation/Interruption benefits do not cover
loss(es) due to:
- Any General Program Exclusion or Pre-existing
Condition;
- You or a Traveling Companion:
- making changes to
personal plans;
- having a business or contractual obligation;
- being unable to obtain necessary travel documents; or
- being detained or having property confiscated by any Customs authority;
- Carrier caused delays (including bad weather) unless
as covered above;
- Prohibition or regulation by any government; or
- Travel arrangements cancelled by the airline, cruise
line or tour operator.
Please refer to Your Letter of Confirmation to determine
which benefits are specifically included within the plan
You purchased and their corresponding maximum
amount of coverage.
B. EMERGENCY MEDICAL AND DENTAL BENEFITS*
A maximum benefit of up to the amount listed in Your
Letter of Confirmation is provided for covered Emergency
Medical or Dental Care expenses incurred as a result of
accidental Injury or Illness occurring during a Trip within
the Coverage Period.
We will only pay Reasonable and Customary Charges for
health care services or supplies provided by Physicians,
licensed dentists, Hospitals, and Other Licensed Providers
that are received
during Your Trip and that are
received greater than 100 miles from home and
which are Medically Necessary for:
- Emergency Medical Care; and
- Emergency Dental Care. There is a $500 maximum
for all covered dental expenses.
Coverage is not provided for:
- Expenses incurred as a result of any General Program
Exclusion or Pre-existing Condition;
- Non-emergency services, supplies, or charges (examples are those for cosmetic surgery, physical exams, allergies, hearing aids, eyeglasses, contact lenses, palliative
care or cosmetic foot care, experimental treatment, or
other services which are not Medically Necessary to provide Emergency Medical or Dental Care);
- Treatment received in unlicensed facilities or given by
unlicensed health care providers;
- Treatment given by a Family Member or a Traveling
Companion, whether or not a licensed provider;
- Any Illness or bodily Injury which occurs in the course
of employment if benefits or compensation is provided,
in whole or in part, under the provisions of any legislation of any governmental unit; or
- Benefits provided by any governmental agency or
unit.
Benefits may be coordinated with any other excess coverage You may have and any benefits paid in excess of
Your actual loss may be recovered.
Please refer to Your Letter of Confirmation to determine
which benefits are specifically included within the plan
You purchased and their corresponding maximum
amount of coverage.
California Residents: If You are purchasing a plan that
includes Emergency Medical and Dental Benefits, please
note the following: NOTICE: 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.
C. BAGGAGE COVERAGE*
Coverage is secondary to any coverage provided by a
Common Carrier.
If Baggage is lost, damaged or stolen, the Company will
pay the loss, up to the maximum amount indicated in
Your Letter of Confirmation, provided You have taken all
reasonable measures to protect, save and/or recover
Your property at all times.
Notwithstanding the foregoing, We will cover up to a maximum amount of
$500 for any and all
- jewelry,
- watches,
- gems,
- furs,
- cameras, and camera equipment,
- camcorders,
- sporting equipment,
- computers,
- radios and other
electronic items
and only when original receipts
are provided.
You must notify the appropriate local authorities at the
place the loss occurred and inform them of the value and
description of Your property within
24 hours after the
loss. Finally, You must file written proof of loss with the
Company within 90 days from the date of loss, except as
otherwise prohibited by law, attaching copies of airline,
cruise line or Common Carrier claim forms, original
police reports, an itemization and description of lost
items and their estimated value, and all receipts, credit
card statements, canceled checks, photos, or other
appropriate documentation as may be required.
Property or losses not covered:
- Losses incurred as a result of any General Program
Exclusion;
- Animals;
- Automobiles and equipment, motorcycles and
motors;
- Bicycles, skis, snowboards (except when checked with
a Common Carrier);
- Aircraft, boats or any other vehicles or conveyances;
- Eyeglasses, sunglasses, contact lenses, hearing aids,
artificial teeth and limbs;
- Tickets, keys, money, securities, bullion, stamps, credit
cards, documents (travel or otherwise) and deeds;
- Property shipped as freight or shipped prior to Your
Trip departure date;
- Rugs or carpets of any type;
- Perishables, medicines, perfumes, cosmetics and consumables;
- Property used in trade, business or for the production
of income or offered for sale or trade or components of
goods offered for sale or trade;
- Property that is left in or on a vehicle or in a car
trailer; or
- Damage to the property resulting from defective
materials or workmanship, ordinary wear and tear, and
normal deterioration.
The program will pay the lesser of:
- The actual purchase price of a similar item; or
- The Actual Cash Value of the item at the time of loss,
which includes deduction for depreciation (for items
without receipts, the program will pay up to 75% of the
determined depreciated value); or
- The cost to repair or replace the item.
Please refer to Your Letter of Confirmation to determine
which benefits are specifically included within the plan
You purchased and their corresponding maximum
amount of coverage.
D. BAGGAGE DELAY COVERAGE*
If Your personal Baggage is delayed or misdirected for at
least 24 hours by a Common Carrier, the program will
reimburse You on a one-time basis for the reasonable,
additional purchase of essential items. Verification of the
delay by the Common Carrier and receipts for the emergency purchases must accompany any claim.
No coverage will be provided for loss(es) due to any
General Program Exclusion.
Please refer to Your Letter of Confirmation to determine
which benefits are specifically included within the plan
You purchased and their corresponding maximum
amount of coverage.
E. TRAVEL DELAY COVERAGE*
Coverage under the program will pay on a one-time basis
up to the maximum amount listed in Your Letter of
Confirmation for reasonable, additional accommodation
and traveling expenses due to a departure delay of 6 or
more hours. Prepaid expenses are not covered. Expenses
must be incurred by You. Payments for the above expenses will not exceed $150 per day per person.
Covered reasons for Travel Delay are:
- Carrier caused delay (including bad weather);
- Lost or stolen passports, money, or travel documents;
- Quarantine;
- Hijacking;
- Unannounced strikes;
- Natural disaster; or
- Civil disorder or unrest.
B
enefits are payable under either Travel Delay or Missed
Connection for any one incident resulting in a delay.
No coverage will be provided for loss(es) due to any
General Program Exclusion.
Please refer to Your Letter of Confirmation to determine
which benefits are specifically included within the plan
You purchased and their corresponding maximum
amount of coverage.
F. MISSED CONNECTION COVERAGE*
This coverage provides up to the maximum amount indicated in Your Letter of Confirmation per person to cover:
- Reasonable additional transportation and accommodation expenses needed for You to reach Your destination or the departure of Your cruise;
- Any unused prepaid Trip payments lost as a result of
You missing at least 24 hours of Your vacation.
In order for You to receive benefits, the missing of Your
connection or cruise must be caused by:
- You or a Traveling Companion being delayed by a traffic Accident while en route to a departure, even if You or
the Traveling Companion have not been directly involved
in the Accident;
- You or a Traveling Companion being delayed by bad
weather while en route to a departure provided the car
was scheduled to arrive at the point of departure at least
two hours before the scheduled time of departure; or
- Your regularly scheduled airline flight being canceled
or delayed solely due to bad weather for at least 3
hours and for this reason You miss Your cruise.
Coverage is secondary to any coverage provided by a
Common Carrier.
Benefits are payable under either Travel Delay or Missed
Connection for any one incident resulting in a delay.
No coverage will be provided for losses due to any
General Program Exclusion or for losses incurred
because You cancelled the Trip even though You were
able to make Your departure or cruise.
Please refer to Your Letter of Confirmation to determine
which benefits are specifically included within the plan
You purchased and their corresponding maximum
amount of coverage.
G TRAVEL ACCIDENT COVERAGE*
This benefit provides coverage for a loss due to a covered
Accident. The loss must occur within 365 days of the
covered Accident.
The program will pay the full amount
(as listed on Your Letter of Confirmation), in a lump sum,
for loss of
- life or any combination of two eyes, hands or
feet;
and one half of the amount for
- loss of one eye, hand
or foot.
Loss of eye means total and irrecoverable loss of
entire sight; and loss of hand or foot means the actual
complete and permanent severance at or above the wrist
or ankle joint. Death or loss must be a direct result of the
Accident sustained during the Coverage Period.
Benefits will be payable for only one loss, that being the
greatest amount. Benefits are payable to You or, if
applicable, to Your estate unless a beneficiary is named
on Your application.
No coverage will be provided for loss due to any General
Program Exclusion, nor for any loss due to air travel
except while You are riding, boarding or alighting as a
ticketed passenger on a certified passenger aircraft provided by a regularly scheduled airline on a regularly
scheduled Trip or charter.
Please refer to Your Letter of Confirmation to determine
which benefits are specifically included within the plan
You purchased and their corresponding maximum
amount of coverage.
H. COLLISION/LOSS DAMAGE INSURANCE*
The program will pay up to the amount indicated in Your
Letter of Confirmation for:
- Physical damage to a Rental Car that occurs while You
are driving or while the Rental Car is left unattended during the rental period (under this benefit, You refers to the
insured and licensed drivers who are designated as drivers on the Rental Car Agreement);
- Reasonable and customary rental charges which may
be imposed by the car rental company while the car is
being repaired; and
- Any loss of, or damage to the Rental Car resulting from
causes other than collision (for example: fire, storm, vandalism, theft).
The program will cover the lesser of:
- The reasonable and customary cost of repairs and
rental charges while the car is being repaired, or
- The Actual Cash Value of the Rental Car.
This coverage is secondary to any other coverage You
may have, but becomes primary in cases where there is
no other applicable coverage.
Collision/Loss Damage
Insurance is available for travel in the United
States and most foreign countries. No coverage is
p rovided for motor vehicles rented in Isra e l ,
Jamaica, Republic of Ireland or Northern Ireland.
Additionally, coverage is not applicable where precluded by law or in violation of the territorial terms
of the rental agreement or prohibited by individual
merchants.
As a condition of payment, You must provide the
Company and Us with all proper documentation and
information required to assess and process the claim.
The program will not cover:
- Any loss(es) due to General Program Exclusions;
- Vehicles not required to be licensed;
- Trucks, campers, jeep-type vehicles, trailers, all terrain
vehicles, motorbikes, recreational vehicles, vans or minivans mounted on a truck chassis;
- Antique cars (meaning cars that are over 20 years old
or have not been manufactured for 10 or more years);
- Limousines;
- Vehicles used for commercial or livery use whether or
not licensed for such use (commercial use includes hauling or transporting materials or goods necessary to or
reasonably considered to be engaged in a commercial or
livery use);
- Any vehicle with an original manufacturer's suggested
retail price greater than $25,000;
- Any vehicle used off maintained roadways;
- Any loss not reported to the renting agency;
- Any obligation You assume under any agreement
(other than Your insurance collision or comprehensive
deductible);
- Any damage which occurs while You are in violation
of the Rental Car Agreement; or
- Any rental or leases exceeding 45 consecutive days.
If You incur a loss, You must contact the hotline center
immediately so that the Company or We can arrange for
an insurance adjuster to assess the damage.
Please refer to Your Letter of Confirmation to determine
which benefits are specifically included within the plan
You purchased and their corresponding maximum
amount of coverage.
Part VII. GENERAL PROVISIONS RELATED TO INSURANCE BENEFITS
- All information in this Certificate with regard to the
insurance benefits is subject to the terms and conditions
of the Policy underwritten by BCS Insurance Company.
- All suits, actions or legal proceedings arising from the
programs, benefits, or services provided through the programs (collectively "Controversies") may be submitted
to binding desk arbitration in accordance with the rules
then applying to the American Arbitration Association.
No demand for arbitration can be brought to recover
benefits until 60 days have elapsed following submission
of Your entire claim to World Access Service Corp. No
action in any form can be brought after three years from
the date Your claim was submitted to World Access
Service Corp.
- No agent or other person has authority to accept or
make representations or information or alter, modify or
waive any of the provisions of this Certificate.
- Claims must be submitted to World Access Service
Corp. within 90 days from date of loss, except as otherwise prohibited by law.
- In the event that You are covered under another policy
issued by the Company that provides the same or similar
coverage, the Company will adjust Your claim by applying
terms and conditions from the coverage that pays the
most. Any premium paid for duplicate coverage will be
refunded.
- Benefits are payable to You or, if applicable, to Your
estate unless a beneficiary is named on Your application.
- MISREPRESENTATIONS AND FRAUD: Coverage shall
be void if, whether before or after a loss, the insured has
concealed or misrepresented any material fact or circumstance concerning this Policy or the subject thereof, or the
interest of the insured therein, or if the insured commits
fraud or false swearing in connection with any of the foregoing.
- You have a duty to make all reasonable efforts to minimize losses from any insured benefit or Covered Service.
Assignment: You may assign Your interest under the
Policy by giving Us written notice of such assignment. The
assignment will not be effective until We receive the written notice. Neither the Company nor We assume any
responsibility for the validity of any assignment.
Subrogation: The Company or We have the right to
recover any payments We have made from anyone who
may be responsible for the loss. You and/or any person to
whom We make a payment must sign any papers and do
whatever is necessary to transfer this right to Us. You
and/or any person to whom We make a payment agree(s)
to cooperate with Us and to do nothing after the loss that
will adversely affect Our rights or those of the Company.
Physical Examinations and Autopsy: The Company
has the right to physically examine You as often as reasonably needed while a claim is pending. The Company
may also require an autopsy in the case of death, where
it is not forbidden by law. The Company will bear all costs
for these.
Part VIII. DESCRIPTION OF TRAVEL ASSISTANCE SERVICES
Our goal is to provide immediate help for common travel
problems almost everywhere in the world. However,
despite Our best efforts, situations arise which are beyond
Our control and under these circumstances, We can only
promise to make every reasonable effort to help You
resolve Your problems. The hotline center staff will do its
best to refer You to appropriate medical and legal
providers. However, We cannot be held responsible for
the quality of results of any medical or legal services provided by these independent practitioners.
If You are in trouble and need help:
- Call the hotline. From the U.S., call 1-800-654-1908.
From all other locations call collect to 1-804-281-5700.
If Your emergency is immediate and life threatening, seek
local emergency assistance at once and contact the hotline as soon as possible.
- Have the following information ready for the hotline
coordinator:
- Your name and Policy ID number; and
- Your location and local telephone number.
The hotline coordinator will confirm Your enrollment and
provide You with assistance.
Note: In some countries it may not be possible to call
collect. If You must phone the hotline directly, give Your
location and phone number to the hotline coordinator
who will call You back.
Medical Assistance
If You have medical problems and are unable to find local
care, We will refer You to a local Physician, dentist,
Hospital, medical facility or other appropriate resource,
when available.
Medical Consultation and Monitoring
If You are hospitalized, the hotline center medical staff
will keep in frequent contact with You and Your local
Physician to get information on the care You are receiving and to determine the need for further assistance. We
will also contact Your personal Physician and family at
home, if necessary.
On-Site Hospital Payments
We will advance payments to Hospitals or guarantee
payments up to the amount provided in medical expense
coverage (see Emergency Medical and Dental Benefits),
if needed, to secure Your Medically Necessary admission
to a Hospital.
Emergency Medical Transportation
All medical transportation services must be authorized in advance and organized by the Access
America Hotline Center. In the event that the medical transportation services are not authorized in
advance and organized by the Access America
Hotline Center, We will only pay up to $5,000.
We will arrange and pay for medical transportation services (specified below) required by You as a result of an
Injury or Illness that occurs during the Coverage Period
and requires medical evacuation and/or repatriation.
A
medical evacuation is defined as You being transported to the nearest appropriate medical facility as a
result of Our consulting Physician and the local attending Physician's determination that adequate treatment is
not available locally.
A
medical repatriation takes place once You have
received medical care and the local attending Physician
and Our consulting Physician determines You are able to
return home.
All medical transportation services are provided only if
they are determined to be Medically Necessary by the
hotline center medical staff in consultation with the local
attending Physicians. We will arrange and pay, up to the
amount indicated in Your Letter of Confirmation for the
following services and expenses:
- Reasonable and necessary medical services required
for Your medical evacuation to an appropriate facility
nearest to the place where the Injury or Illness occurred;
- Reasonable and necessary escort expenses required by
You during a medical evacuation, if this service is
deemed Medically Necessary by Our consulting Physician
and the local attending Physician;
- If Our consulting Physician and the local attending
Physician anticipate that You will be hospitalized for
more than seven consecutive days, We will pay for either
the cost of a round-trip economy airline ticket over the
most direct route to bring a friend or Family Member to
Your bedside, or the cost to return accompanying dependents under 23 years of age back to their home;
- The cost of an economy class ticket to repatriate You
back home, less any Refunds from any unused return Trip
tickets; and
- The cost for reasonable and necessary services needed
for the transport of Your remains from the place of death
to Your place of residence.
Concierge Services
While on Your covered Trip, Access America can help
make Your vacation more memorable. Please contact Us
for:
- Restaurant and local event information
- Emergency and after hours hotel information and
reservations
- Golf tee times, information, referrals and reservations
Travel Document and Ticket Replacement Assistance
The program provides You with information to assist in
obtaining replacements of lost passports or other important travel documents. We also help You to replace lost
airline and other travel tickets and will assist You in
obtaining money for this purpose. These funds will come
from Your family or friends. We will make all the necessary arrangements for You, including assisting You to
return home if Your Trip is interrupted.
Legal Assistance
If You have legal problems, Our hotline center staff will
help You find a local legal advisor. If You require the
posting of bail or immediate payment of legal fees, We
will help arrange a cash transfer from Your family or
friends.
Emergency Cash Transfer
If Your cash or traveler's checks are lost or stolen, or
if You need funds for the immediate payment of unanticipated expenses, We will help arrange to have emergency cash (in currency, traveler's checks or any other
form acceptable to Us) transmitted to You in a timely
fashion. These funds will come from Your family or
friends. Our hotline center staff will make all the necessary arrangements for You. Emergency Message Center
In the event of an emergency, call the hotline center,
identify yourself by Your Policy ID number, and give the
hotline coordinator Your message. We will make at least
3 attempts in 24 hours to reach Your requested party, and
We will provide You with an update on the disposition of
Our attempts to deliver the message. (We are not responsible for delivery of a message if the recipient cannot be
reached.) This service can be used for Trips anywhere in
the world.
Flight Information
If You are faced with a canceled or missed flight, just call
the hotline center for 24-hour information on alternate
flights. We can provide You with scheduled departure
and arrival times of alternate, direct flights only. We do
not book reservations or pay for tickets. This service can
be used on Trips within the U.S., Canada, the Caribbean
and Mexico only.
Part IX. CLAIM FILING PROCEDURES
To obtain a claim form, visit our website at:
www.accessamerica.com or call 1-800-334-7525
24 hours a day, seven days a week. All benefits will be
paid in United States dollars.
We will need certain information from You in the event
You need to file a claim. This documentation will include,
but is not limited to, the following:
- General Documentation
- Receipts and itemized bills for all expenses.
- Original of any Refunds or expense allowances
received from Your tour operator, travel agency,
Common Carrier or other entity.
- Trip Cancellation/Interruption Claims
- Any appropriate documentation that officially
explains the cause of Your trip cancellation or
interruption. Any explanation of diagnosis along
with Your original itemized bills, receipts, and proof
of other insurance payments.
- Original unused tickets, copies of invoices, proof of
payments, and other documents that substantiate
the cost or occurrence of the trip cancellation or
interruption.
- Documentation of Refunds received from the travel
supplier(s) and/or Common Carrier(s).
- Copy of the supplier's literature that describes
penalties.
- A letter from the tour operator or an itemized bill
from the travel agent stating the non-refundable
amounts of the Trip costs.
- Emergency Hospital and Medical Claims
Any explanation of diagnosis(es) along with Your original
itemized bills, receipts, and proof of other insurance
payment(s).
- Baggage Insurance Claims
- Original claim determination from the Common
Carrier, if applicable.
- Original police report or other report from local
authorities.
- Original receipts and list of stolen, lost or damaged
items.
- Proof of loss providing amount of loss, date, time
and cause of loss.
- Baggage Delay Claims
Proof from the Common Carrier that personal Baggage
was delayed or misdirected for at least 24 hours.
- Travel Delay Claims
Original police, Common Carrier or other report that verifies the cause and duration of the delay.
- Missed Connection Claims
Original Common Carrier report that verifies the cause
and duration of the delay.
- Travel Accident Claims
Copy of death certificate
- Collision/Loss Damage Insurance Claims
- Original police report.
- Original Rental Car Agreement.
- An itemized statement of repairs for the rental vehicle (unless the Company's adjuster has seen the car).
California Residents: Please note that we are doing business
in California as WASC Insurance Agency and our California
License # is OBO1400.
Notice to Florida Residents: The benefits of the policy providing your coverage are governed primarily by the law of a
state other than Florida.
Form No. 52.401 J-01
©2006 World Access Service Corp. 6/06