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FS701206C CSA FreestyleCERTIFICATECertificate of Insurance for CSA Travel ProtectionFOR CERTIFICATE INQUIRIES OR CUSTOMER SERVICE, CALL: (800) 348-9505 FOR EMERGENCY ASSISTANCE 24 HOURS A DAY DURING YOUR TRIP, CALL:
IN THE U.S. (866) 816-2068
COLLECT WORLDWIDE (603) 328-1737 CSA LOGOThis plan is administered by CSA Travel Protection and Insurance Services. DESCRIPTION OF 24-HOUR EMERGENCY ASSISTANCE SERVICESASSISTANCE SERVICES ARE PROVIDED BY CSA'S DESIGNATED PROVIDER.
Available Services Various 24-Hour Emergency Assistance Services are provided along with the CSA Travel Protection plans. A description of all 24-Hour Emergency Assistance Services is contained in this document. The 24-Hour Emergency Assistance Services are only available to persons whose primary residence is in the United States or Canada. This plan is administered by CSA Insurance Services. How to Call the 24-Hour Emergency Hotline If you need emergency help for an available service, you can call toll-free 24 hours a day to (866) 816-2068 from within the United States, or call collect to (603) 328-1737 from anywhere else. When calling, you should have available your Certificate number, your location, a local telephone number, and details of the situation. The assistance provider will confirm your enrollment and assist you. If you cannot call collect from your location, dial direct and give the assistance coordinator your telephone number and location and they will call you back. To call collect from a foreign country you may first need to reach a live operator on the line. In some cases, that operator may not understand how to process collect calls to the United States. To be prepared, please visit www.consumer.att.com/global/english/away/directservice.html for information on how to reach an English-speaking operator. If you were unable to reach CSA collect and paid for your call, we will ask you for a number to phone you back at so you will pay no further charges. Seek local help if your emergency is immediate and life-threatening. As soon as it is reasonably possible, contact the assistance provider by calling the hotline. Help services have been included in this program to provide, whenever possible, on-the-spot and immediate assistance for those unexpected problems that can arise during your trip. There may be times when circumstances beyond the assistance provider's control hinder their endeavors to provide help services; they will, however, make all reasonable efforts to provide services and help resolve your problem. The assistance provider's staff will do their best to refer you to appropriate providers. However, the assistance provider and CSA cannot be held responsible for the quality or results of any services provided by these independent practitioners. Availability of Services Concierge services are available the day after you purchase this plan. Pre-Trip Travel Advice and Nurse Help Line are available upon the purchase of this plan. The 24-Hour Emergency Assistance Services become available when you actually start your trip. All Services end the earliest of: midnight on the day the program expires; when you reach your return destination; or when you complete your trip.
EMERGENCY ASSISTANCE SERVICES Nurse Help Line The assistance provider shall provide you with clinical assessment, education and general health information. This service shall be performed by Registered Nurses-available 24 hours a day, seven days a week-to assist in identifying the appropriate level and source(s) of care for you (based on symptoms reported and/or healthcare questions asked). Nurses shall not diagnose your ailments. Medical Referral If an emergency occurs during a trip that requires you to seek urgent medical advice, you should call the 24-Hour Emergency Hotline to obtain the names of local qualified doctors who speak your language. If additional medical services are required, the assistance provider is prepared to consult with the attending physician and provide such assistance, as they believe to be in your best interest. Emergency Cash Transfer If your cash or traveler's checks are lost or stolen, or unanticipated emergency expenses are incurred, the assistance provider will, whenever possible, help arrange for an emergency cash transfer in currency, traveler's checks, or other form acceptable to the assistance provider. These funds must come from your major credit card(s) or from family and/or friends. Legal Referral The assistance provider will provide travelers with access or referrals to the most conveniently located attorneys available during regular working hours. Assistance will also be provided in obtaining bail bonds in those geographical locations where such bonds are customarily issued. You are responsible for contracted legal fees. Lost Ticket and Passport Assistance The assistance provider will, whenever possible, provide you with referrals and information to assist in obtaining replacement for lost or stolen travel documents, passports, travel tickets, etc. Emergency Prescription Refill Assistance The assistance provider will assist you, whenever possible, in obtaining a replacement of an existing prescription when your medication has been lost, stolen, or if you are in need of a refill. The prescription will be refilled by a licensed pharmacist or other authorized personnel in the country in which you are traveling. It will be replaced with the same brand of medication prescribed in the U.S., or the equivalent in the country in which you are traveling. The refill may require a visit to a local physician. You should be prepared to furnish the assistance provider with a copy of your original prescription and/or the name and phone number of your regular attending physician. Replacement medication and visit to a local physician will be at your expense. Embassy and Consular Services The assistance provider will provide referrals to travelers needing the assistance of U.S. embassies and consulates. Pre-Trip Travel Advice The assistance provider can provide information on travel destinations, city profiles, weather, special events, ATM locations, currency exchange rates, immunization and passport requirements, and related services. Worldwide Medical Information The assistance provider can provide necessary inoculation and vaccination information, and detailed general health and medical descriptions of destinations around the world. Translation Services The assistance provider will assist with referrals to local interpreters or telephone translation services. Lost Baggage Tracking The assistance provider will assist travelers with the tracking of lost baggage. Emergency Messaging The assistance provider will provide emergency messaging to and from the traveler's home and/or family, friends, personal physicians and employers. CONCIERGE SERVICESCity profiles provide travelers access to information on over 10,000 destinations worldwide, including a complete report on local entertainment, social customs, and health advisories. Epicurean needs arranges the delivery of specialized foods and beverages to your home or office, including gourmet meats and fine wine. Event ticketing provides tickets to virtually any sporting, theater or concert event worldwide. Flowers and gift baskets include the purchase and shipment of flowers and gift baskets to friends, family members, and business associates. Golf outings and tee times provide referrals and tee times at golf courses around the world. Hotel accommodations offers research and recommendations on hotels worldwide and book reservations if requested by you. Meet-and-greet services include the pick-ups of friends; family members or business associates at airports or other common carrier destinations by limousine personnel. Personalized retail shopping assistance includes purchasing selected retail items at your request. Pre-trip assistance provides information on travel destinations, city profiles, weather, special events, ATM locations, currency exchange rates, immunization and passport requirements, and related services. Procurement of hard-to-find items ensures our associates will use every means possible to obtain an obscure or exotic item at your request. Restaurant reviews and reservations provides you with information on restaurants worldwide and the ability to book reservations from anywhere, anytime. Rental car reservations provide worldwide reservations through most major rental car agencies. Airline reservations provide full-service air travel accommodations to destinations worldwide. 10-DAY RIGHT TO EXAMINE CERTIFICATEIf you are not satisfied for any reason, you may return your certificate within 10 days after receipt. Your plan payment will be refunded, provided there has been no incurred covered expense. When so returned, the certificate is void from the beginning. Return the certificate to us at our Home Office. After this 10-day period, the payment for this plan is non-refundable. INSURING PROVISIONS 1. Eligibility: Each person for whom Travel Arrangements have been purchased for a Covered Trip is eligible for coverage under this policy: subject to the appropriate premium being remitted with the Covered Trip beginning when the policy is in force. This insurance may be purchased if you are a resident of the United States or you purchase this insurance within the United States. 2. Insured's Term of Coverage:For Trip Cancellation: Coverage begins 12:01 A.M. Standard Time on the day after the date your plan payment is received by us. Coverage ends on the earlier of:
For Trip Interruption: Coverage begins on the Scheduled Departure Date. Coverage ends on the earlier of:
For all other coverages: Coverage begins on the later of
Coverage ends on the earlier of:
In the event the Scheduled Departure Date and/or the Schedule Return Date are delayed, or the point and time of departure and/or point and time of return are changed because of circumstances over which neither the Travel Supplier nor an Insured has control an Insured's term of coverage shall be automatically adjusted accordance with the Travel Supplier's notice to the Company of the delay or change.
3. Benefits: When an Insured sustains a loss specified under any attached coverage(s) of the policy under which he or she is covered as shown in the Schedule of Coverages, the Company will pay benefits as specified in such attached coverage(s) subject to all policy limitations and exclusions.
COVERAGE AACCIDENTAL DEATH AND DISMEMBERMENT - FLIGHT ONLY
PART A BENEFITS When an Insured sustains covered Injuries: a. while riding solely as a passenger in an aircraft on a regularly scheduled airline flight or regularly scheduled charter flight. b. Received while riding as a passenger in any land or water conveyance provided at the expense of the air carrier as a substitute for an aircraft covered by this policy. c. Received while riding as a passenger in a vehicle licensed to carry passengers for hire, but only:
d. Received while upon airport premises designated for passenger use immediately before boarding or immediately after alighting from an aircraft on which you are covered by this policy. Benefits will be paid as follows: Loss of Life 100% Loss of Both Feet, Both Hands or Both Eyes 100% Loss of One Hand and One Foot 100% Loss of One Hand and One Eye or One Foot and One Eye 100% Loss of One Hand, One Foot or One Eye 50% Loss of hand or hands, or foot or feet, means severance at or above the wrist joint or ankle joint, respectively. Loss of eye or eyes means the total and irrecoverable loss of the entire sight thereof. Only one of the amounts shown above (the largest applicable) will be paid for Injuries resulting from one accident. The benefit for loss of:
These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy. An Insured must receive initial medical treatment within 2 days of the date of accident. Eligible Medical Expenses must be incurred within 180 days of the date of accident. This insurance does not cover injuries received while making a parachute jump (unless to save a life). To receive benefits, loss must be independent of sickness and all other causes. PART B EXPOSURE AND DISAPPEARANCE If, while insured under Coverage A, an Insured is unavoidably exposed to the elements because of a covered accident and suffers a loss for which benefits are payable under Coverage A, such loss will be covered. If, while insured under Coverage A, an Insured is in an accident resulting in the disappearance, sinking or damaging of an air or water conveyance on which he or she is covered by Coverage A, and if his or her body has not been found within 52 weeks from the date of the accident, it will be presumed, unless there is evidence to the contrary, that he or she suffered loss of life as a result of those Injuries. COVERAGE B ACCIDENT AND SICKNESS MEDICAL EXPENSE PART A DEFINITIONS Covered Expense means expense incurred for services and supplies:
PART B BENEFITS Benefits will be paid for the expense incurred, up to the Maximum Benefit Amount, if an Insured incurs a Covered Expense as a result of a Sickness, which manifests itself during a Covered Trip or as a result of an accidental Injury that occurs during the Covered Trip. For Sickness, an Insured must receive initial Medical Treatment for the Sickness within 5 days of the onset of the Sickness. For Injury, and Insured must receive initial Medical Treatment for Injury within 5 days after the date of the accident, which caused the Injury. All services, supplies or treatment must be received within the 180 days following the onset of the Sickness or within 180 days after the date of the accident. Benefits will include expenses for emergency dental treatment due to Sickness or accidental Injury not to exceed $750.00. Benefits will not be paid in excess of the Usual and Customary Charges. Benefits will only be paid after benefits have been paid under any other group policy or contract which provides for payment of the medical expenses incurred. These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy. COVERAGE C EMERGENCY MEDICAL EVACUATION, MEDICAL REPATRIATION AND RETURN OF REMAINSPART A BENEFITS
When an Insured suffers loss of life for any reason or incurs a Sickness or Injury during the course of a Covered Trip, the following benefits are payable, up to the Maximum Benefit Amount.
PART B CONDITIONS If benefits are payable under this Coverage C and an Insured has other insurance that may provide benefits for this same loss, the Company reserves the right to recover from such other insurance. An Insured shall:
COVERAGE D TRIP CANCELLATION BENEFITSBenefits will be paid up to the Maximum Benefit Amount purchased to cover an Insured for the Published Penalties and unused non-refundable prepaid expenses for Travel Arrangements when an Insured is prevented from taking his or her Covered Trip due to:
Provided such circumstances occurred after the Insured's Effective Date. If the Insured must reschedule the Covered Trip due to a covered reason they will be eligible for benefits up to a maximum of $150 for the reissue fee charged by the airline for the Insured's tickets. The following limitation applies to Trip Cancellation: All cancellations must be reported directly to the Travel Supplier within 72 hours of the event causing the need to cancel, unless the event prevents it, and then as soon as is reasonably possible. If the cancellation is not reported within the specified 72-hour period, the Company will not pay for additional charges which would not have been incurred had an Insured notified the Travel Supplier in the specified period. If the event prevents an Insured from reporting the cancellation, the 72-hour notice requirement does not apply; however, an Insured must, if requested, provide proof that said event prevented him or her from reporting the cancellation within the specified period. The maximum payable under this benefit is the lesser of a) total cost of the Insured's Covered Trip; or b) the total amount of coverage the Insured purchased. Single Supplement Benefits will be paid, up to the Maximum Benefit Amount, for the additional cost incurred as a result of a change in the per person occupancy rate for prepaid Travel Arrangements if a Traveling Companion has his or her Covered Trip delayed, canceled or interrupted for a covered reason and an Insured does not cancel. These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy.
COVERAGE E TRIP INTERRUPTION BENEFITSBenefits will be paid, up to the Maximum Benefit Amount, for the non-refundable, unused portion of the prepaid expenses for land or water Travel Arrangements and the Additional Transportation Cost paid to return home or rejoin the Covered Trip, when an Insured's arrival on the Covered Trip is delayed or an Insured is prevented from completing his or her Covered Trip due to:
Provided such circumstances occurred after the Insured's Effective Date and while coverage is in effect. If the Insured must reschedule the Covered Trip due to a covered reason they will be eligible for benefits up to a maximum of $150 for the reissue fee charged by the airline for the Insured's tickets. All cancellations must be reported to the Travel Supplier within 72 hours of the event causing the need to cancel. If the event delays the reporting of the cancellation beyond the 72 hours, the event should be reported as soon as possible. All other delays of reporting beyond 72 hours will result in reduced benefit payments. If a Traveling Companion must remain hospitalized, benefits will also be paid for reasonable accommodation and transportation expenses incurred by an Insured to remain with the Traveling Companion up to $150 per day and limited to 10 days. If an Insured cannot continue travel due to a covered Injury or Sickness not requiring hospitalization, and an Insured must extend his or her Covered Trip due to medically imposed restrictions, as certified by a Legally Qualified Physician, benefits will also be paid for reasonable accommodation and transportation expenses incurred by an Insured up to $150 per day and limited to 10 days. These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy. COVERAGE F TRIP DELAY BENEFITS PART A TRIP DELAY If an Insured is delayed for 6 hours or more during the Covered Trip, due to:
PART B PET CARE If the Insured is delayed by a Common Carrier while en route to their return destination after the Covered Trip is completed and has placed their cat or dog in a kennel for the duration of the Covered Trip and the Insured is unable to collect them on the day previously agreed with the kennel, benefits will be paid at $25 per day, on a one-time basis, up to the Maximum Benefit Amount to cover the necessary additional kennel fees. PART C CONDITIONS The Insured must provide the following documentation when presenting a claim for these benefits:
Benefits will not be paid for any expenses, which have been reimbursed, or for any services that have been provided by the Common Carrier. These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy. COVERAGE G BAGGAGE AND PERSONAL EFFECTS PART A DEFINITIONS Baggage and Personal Effects means luggage, personal possessions and travel documents taken by an Insured during a Covered Trip. The term Baggage and Personal Effects does not include:
PART B BENEFITS For Baggage and Personal Effects: Coverage will be provided to an Insured:
The lesser of the following amounts will be paid:
A combined maximum of $600 will be paid for jewelry, watches, articles consisting in whole or in part of silver, gold or platinum, articles trimmed with fur, cameras and their accessories and related equipment.
A maximum of $100 will be paid for the cost of replacing a passport or visa.
A maximum of $100 will be paid for the cost associated with the unauthorized use of lost or stolen credit cards, subject to verification that the Insured has complied with all conditions of the credit card company.
PART C CONDITIONS Benefits will not be paid for any expenses which have been reimbursed or for any services which have been provided by the Common Carrier, hotel or Travel Supplier; nor will benefits be paid for loss or damage to property paid or payable under any other insurance. These benefits will not duplicate any benefits payable under the policy or any coverage(s) attached to the policy. ADDITIONAL LIMITATIONS AND EXCLUSIONS SPECIFIC TO BAGGAGE AND PERSONAL EFFECTS Benefits are not payable for any loss caused by or resulting from:
ADDITIONAL CLAIMS PROVISIONS SPECIFIC TO BAGGAGE Insured's duties after loss of or damage to property or delay of baggage: In case of loss, theft, damage or delay of Baggage and Personal Effects, and Insured must:
Reductions in the Amount of Insurance: The applicable benefit amount will be reduced by the amount of benefits, if any, previously paid for any loss or damage under this coverage for this Covered Trip. No Benefit to Bailee: This insurance shall not benefit any Common Carrier or bailee. PART D BAGGAGE DELAY BENEFITS If, while on a Covered Trip, an Insured's checked baggage is delayed or misdirected by a Common Carrier for more than 24 hours from his or her time of arrival at a destination other than at his or her place of permanent residence, benefits will be paid, up to the Maximum Benefit Amount, for the actual expenditure for necessary personal effects. An Insured must be a ticketed passenger on a Common Carrier. The Common Carrier must certify the delay or misdirection. Receipts for the purchases must accompany any claim. COVERAGE H COLLISION DAMAGE WAIVER (Not available to residents of OR and TX) The Insured is eligible for benefits up to the Maximum Benefit Amount if the Insured rents a car while on the Covered Trip, and the car is damaged due to collision, theft, vandalism, windstorm, fire, hail, flood or any cause not in the Insured's control while in the Insured's possession, or the car is stolen while in the Insured's possession and is not recovered. The Company will pay the lesser of: a. The cost of repairs and rental charges imposed by the rental company while the car is being repaired; or b. The Actual Cash Value of the car, meaning purchase price less depreciation; or c. The amount shown on the Schedule. Coverage is provided to the Insured, provided the Insured is a license driver and is listed on the rental agreement. Coverage is not provided for loss due to:
ADDITIONAL CLAIMS PROVISIONS SPECIFIC TO COLLISION DAMAGE WAIVERThe following outlines the Insured's duties in the event of any damage to the vehicle. The Insured must:
DEFINITIONSIn the Certificate, "you", "your" and "yours" refer to the Insured. "We", "us" and "our" refer to the company providing this coverage. In addition, certain words and phrases are defined as follows:
Actual Cash Valuemeans the purchase price less depreciation.
Additional Transportation Cost means the actual cost incurred for one-way Economy Transportation by Common Carrier reduced by the value of an unused travel ticket. Common Carrier means any land, sea, and/or air conveyance operating under a valid license for the transportation of passengers for hire. Covered Trip means:
Domestic Partner means a person who is at least eighteen years of age and can show evidence of financial interdependence, such as joint bank accounts or credit cards, jointly owned property, and mutual life insurance or pension beneficiary designations; plus one of the following:
Economy Transportation means the lowest published available transportation rate for a ticket on a Common Carrier matching the original class of transportation that the Insured purchased for the Covered Trip, reduced by the value of an unused return travel ticket. Exotic Vehicle includes
Family Member means any of the following: an Insured's or an Insured's Traveling Companion's:
Hospital means
Inclement Weather means any weather condition that delays the scheduled arrival or departure of a Common Carrier. Injury or Injuries means accidental bodily injuries:
Insured means the individual who has arranged a Covered Trip and who has paid the required premium. Intoxicated means a blood alcohol level that equals or exceeds the legal limit for operating a motor vehicle in the state or jurisdiction where an Insured is located at the time of an incident. Legally Qualified Physician means a physician
Maximum Benefit Amount means the maximum amount payable for each coverage as shown in the Schedule of Coverages. Medical Treatment means treatment, advice or consultation given in person by a Legally Qualified Physician. Medically Necessary means a service or supply which:
Pre-existing Condition means any injury, sickness or condition of the Insured or Traveling Companion, or Family Member for which within the 180 day period prior to the Insured's Effective Date under this Policy which
Published Penalties means any published cancellation penalties issued by the Insured's travel agency or Travel Supplier that apply to all clients of the travel agency or Travel Supplier and can be documented at time of the Covered Trip sale. The Insured must be in the Travel Supplier's penalty period. The maximum amount reimbursable under the travel agency's Published Penalties is 10% of the Covered Trip cost (excluding taxes and other non-commissionable items) or 10% of the amount the Insured has paid, whichever is less. Maximum payable under any one claim is the Covered Trip cost, excluding taxes and other non-commissionable items. Schedule of Coverages means the coverage confirmation provided to an Insured following enrollment and payment of the applicable premium. Scheduled Departure Date means the date on which an Insured is originally scheduled to leave on the Covered Trip. Scheduled Return Date means the date on which an Insured is originally scheduled to return to the point of origin or the original final destination. Sickness means an illness or disease that is diagnosed or treated by a Legally Qualified Physician after the Effective Date of insurance and while the Insured is covered under this Policy. Strike means any stoppage of work:
Terrorist Incident means an act of violence that results in loss of life or major damage to property, by any person acting on behalf of or in connection with any organization that is generally recognized as having the intent to overthrow or influence the control of any government.
Third Party means a person or entity other than an Insured or the Company. Transportation Expense means:
Travel Arrangements means:
Traveling Companion means a person or persons with whom the Insured has coordinated Travel Arrangements and intends to travel with during the Covered Trip. A group or tour leader is not considered a Traveling Companion unless the Insured is sharing room accommodations with the group or tour leader. Travel Supplier means any entity or organization that coordinates or supplies travel services for an Insured. Usual and Customary Charges means those comparable charges for similar treatment, services and supplies in the geographic area where treatment is performed. GENERAL LIMITATIONS AND EXCLUSIONSBenefits are not payable for Sickness, Injuries or losses of an Insured or an Insured's Traveling Companion caused by or resulting from:
MASTER POLICY PROVISIONSEntire Contract: Changes: This policy, and any attachments is the entire contract of insurance. No agent may change it in any way. Only an officer of the Company can approve a change. Any such change must be shown in the policy. Policy Term and Renewal: This policy is issued for an initial term that will begin on the Policy Date and will be for a period of time specified in the attached Application. Premiums and Payment of Premiums: The premiums for an Insured's coverage provided under this policy are shown in the Schedule of Coverages. An Insured's premium is due prior to his or her Scheduled Departure Date. All premiums should be submitted to the Company or to an authorized agent of the Company. Premiums are non-refundable except when an Insured is covered under more than one travel policy with the Company for each Covered Trip, or unless required by applicable state statutes. Clerical Error: Clerical error on the Company's part or that of a Travel Supplier in keeping records or furnishing information will not void an Insured's coverage if it is otherwise validly in force; nor will it continue an Insured's coverage if it is otherwise validly terminated under the terms of this policy. Conformity with State Statutes: The provisions of this policy must conform to the laws of the state in which the policy is issued. If any do not, they are hereby amended to conform. Subrogation: If the Company has made a payment for a loss under this coverage, and the person to or for whom payment was made has a right to recover damages from the Third Party responsible for the loss, the Company will be subrogated to that right. An Insured shall help the Company exercise the Company's rights in any reasonable way that the Company may request: nor do anything after the loss to prejudice the Company's rights: and in the event an Insured recovers damages from the Third Party responsible for the loss, the Insured will hold the proceeds of the recover for the Company in trust and reimburse the Company to the extent of the Company's previous payment for the loss. Arbitration: Any claim arising out of or relating to this contract, or the breach thereof, may be settled by arbitration. The arbitration will be conducted pursuant to the applicable rules of the American Arbitration Association in accordance with the Uniform Arbitration Act 710 ILCS 5/1 et seq within a reasonable time limit (30 days after the parties agree to arbitrate their dispute is a reasonable time limit for selecting and appointing independent arbitrators; 15 days is a reasonable time limit for an expedited review provision). The arbitration may be binding on both parties or non-binding upon the insured, but in all instances must be entered into on a voluntary basis. Arbitrators must be fair, impartial, and free of all conflicts of interest or the appearance of a conflict of interest. The rules and judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. All fees and expenses of the arbitration shall be borne by the parties equally. However, each party shall bear the expense of its own counsel, experts, witnesses, and preparation and presentation of proofs. By voluntarily agreeing to enter into an arbitration proceeding, the parties should be aware and understand that they may be giving up certain rights to have their dispute settled in and by a court of law, except to the extent that Illinois law may provide for judicial review of arbitration proceedings. An arbitration provision is not a substitute for a person's right to maintain a legal action if he or she so desires; and in no way affects or limits the person's ability to take legal action in a court of law, prior to voluntarily agreeing to enter into an arbitration proceeding. Furthermore, it in no way affects a person's ability to file a claim with the Illinois Department of Insurance in connection with a claim or dispute. To contact the Department write to: The Illinois Department of Insurance, Consumer Services Division, Springfield, Illinois 62767. GENERAL CLAIMS PROVISIONSNotice of Claim: Notice of claim must be reported within 30 days after a loss occurs or as soon as is reasonably possible. An Insured or someone on an Insured's behalf may give the notice. The notice should be given to the Company or designated representative and should include sufficient information to identify the Insured. Claim Forms: When notice of claim is received by the Company or designated representative, forms for filing proof of loss will be furnished. If these forms are not sent within 15 days, the proof of loss requirements can be met by sending a written statement of what happened. This statement must be received within the time given for filing proof of loss. Proof of Loss: Proof of loss must be provided within 90 days after the date of the loss or as soon as is reasonably possible. Proof must, however, be furnished no later than 12 months from the time it is otherwise required, except in the absence of legal capacity. Time of Payment of Claims: The Company or its designated representative, will pay the claim after receipt of acceptable proof of loss. Payment of Claims: Benefits for loss of life are payable to the Principal Insured, who is the beneficiary for all other Insureds. If:
All or a portion of all other benefits provided by this policy may, at the option of the Company, be paid directly to the provider of the service(s). All benefits not paid to the provider will be paid to the Principal Insured. Other than for loss of life, if any benefit is payable to:
Excess Insurance: The insurance provided by this Policy shall be in excess of all other valid and collectible Insurance or indemnity. If at the time of the occurrence of any loss there is other valid and collectible insurance or indemnity in place, the Company shall be liable only for the excess of the amount of loss, over the amount of such other insurance or indemnity, and applicable deductible. Recovery of losses from other parties does not result in a refund of premium paid. Physician Examination and Autopsy: The Company, at the expense of the Company, may have an Insured examined when and as often as is reasonable while the claim is pending. The Company may have an autopsy done (at the expense of the Company) where law does not forbid it. Legal Actions: No legal action for a claim can be brought against us until 60 days after we receive proof of loss. No legal action for a claim can be brought against us more than 3 years after the time required for giving proof of loss. This 3-year time period is extended from the date proof of loss is filed and the date the claim is denied in whole or in part. Concealment and Misrepresentation: The entire coverage will be void, if before, during or after a loss, any material fact or circumstance relating to this insurance has been concealed or misrepresented. Other Insurance with the Company: An Insured may be covered under only one travel policy with the Company for each Covered Trip. If an Insured is covered under more than one such policy, he or she may select the coverage that is to remain in effect. In the event of death, the selection will be made by the beneficiary or estate. Premiums paid (less claims paid) will be refunded for the duplicate coverage that does not remain in effect. TRAVEL INSURANCE IS UNDERWRITTEN BY: United States Fire Insurance Company, Eatontown, New Jersey under Policy / Certificate Form series TP-401. WHERE TO PRESENT A CLAIM All claims should be presented to the Program Administrator: CSA Travel Protection P. O. Box 939057 San Diego, CA 92193-9057 (800) 541-3522 (Toll-Free) STATE EXCEPTIONSCaliforniaFor California residents, the following amendments apply:
Sickness Medical Expense, the
term "manifest itself" is replaced with "occurs".
Definitions, the definition of Pre-Existing
conditions is amended by deleting the following:
General Limitations and Exclusions, Number
14 is amended by adding the following to the last
sentence: "or (c) Sickness Medical Expense coverage."
General Limitations and Exclusions, the
following exclusion is added:
"15. due to a condition for which the Insured or Traveling companion, or the Insured's and/or Traveling Companion's Family Member or the Insured's Business Partner has received advice 2-months prior to the coverage effective date from a Legally Qualified Physician advising against travel." This Endorsement will not vary, alter or extend any agreement, provision, condition or declaration of the Policy other than as stated above. FloridaIt is agreed and understood that the following changes apply to residents of Florida; all other terms and conditions remain unchanged. Legal Actions is deleted and replaced with the following: Legal Actions: No legal action for a claim can be brought against us until 60 days after we receive proof of loss. No legal action for a claim can be brought against us more than 5 years after the time required for giving proof of loss. This 5-year time period is extended from the date proof of loss is filed and the date the claim is denied in whole or in part. Except as stated herein, this Amendatory Endorsement does not change coverage in any other way and is subject to all provisions, terms, and conditions of the Policy. If there is a conflict between the Policy and this Amendatory Endorsement, the terms of this Amendatory Endorsement will govern. IllinoisThis Amendatory Endorsement changes the Policy, as follows:
The definition of Pre-existing Condition in the
DEFINITIONS section is deleted and replaced with the
following:
Pre-existing Condition means any disease, illness, sickness, malady or condition of an Insured, or Traveling Companion, or the Insured's and/or Traveling Companion's Family Member, or the Insured's Business Partner for which: medical advice, diagnosis, consultation, or treatment was received from a Legally Qualified Physician within 6-months prior to the effective date of coverage; or Symptoms existed within 6-months prior to the effective date of coverage which, in the opinion of a Legally Qualified Physician, would indicate that the disease, illness, sickness, malady or condition probably began and manifested itself prior to the effective date of coverage and would cause a reasonable person to seek diagnosis, care, or treatment.
The following statement is added to GENERAL CLAIM
PROVISIONS, the section titled Time of Payment Of
Claims:
All claims will be paid within 30-days after receipt of due written proof of loss. If we have not paid the claim within this timeframe, we will pay interest at the rate of 9% from the 30th day after receipt of all necessary proof of loss, to the date of payment. We will not pay interest amounting to less than one dollar. Except as stated herein, this Amendatory Endorsement does not change coverage in any other way and is subject to all provisions, terms, and conditions of the Policy. If there is a conflict between the Policy and this Amendatory Endorsement, the terms of this Amendatory Endorsement will govern. LouisianaThe provision entitled Concealment and Misrepresentation is amended to read: Concealment and Misrepresentation: The entire coverage will be void, if when applying for coverage, You made a fraudulent statement or misrepresentation with the intent to deceive. Fraud or misrepresentation with the intent to deceive after coverage is enforce is grounds for cancellation and grounds to deny coverage for benefits related to such fraud, concealment, or misrepresentation. Coverage for other benefits will continue until the cancellation is effective. The provision entitled Subrogation is amended to read: Subrogation: If we make any payment under this policy and the person to or for whom payment is made has a right to recover damaged from another the company shall be subrogated to that right. However, the companies right to recover is subordinate to Your right to be fully compensated. The provision entitled Legal Actions is amended to read: Legal Actions: No legal action for a claim can be brought against us until 45 days after we receive proof of loss. No legal action for a claim can be brought against us more than 3 years after the time required for giving proof of loss. This 3- year time period is extended from the date that proof of loss is filed and the date the claim is denied in whole or in part. South DakotaIn the provision entitled "Legal Actions", the 3 year time period is amended to read "6-years". The exclusion that states: "received as a result or consequence of being Intoxicated, as specifically defined in the policy, or under the influence of any controlled substance unless administered on the advise of a Legally Qualified Physician;" does not apply to South Dakota residents except to the extent that the action is a felony or attempted felony. Regarding any covered emergency dental expenses, "sound natural teeth" means a person's natural teeth that are considered sound prior to the accident. Minor dental work on a tooth, including fillings will not, by itself, cause the tooth to be considered unsound or not natural. TexasThe provision entitled "Notice of Claim" is amended by the addition of the following paragraphs: The Company shall, not later than the 15th day after receipt of such notice of a claim: acknowledge receipt of the claim; commence any investigation of the claim; and request from the Claimant all items, statements, and forms that the Company reasonably believes, at that time, will be required from the claimant. Additional requests may be made if during the investigation of the claim such additional requests are necessary. If the acknowledgement of the claim is not made in writing, the Company shall make a record of the date, means, and content of the acknowledgement. The Company shall notify a claimant in writing of the acceptance or rejection of the claim not later than the 15th business day after the date the Company receives all items, statements, and forms required by the Company, in order to secure final proof of loss. If the company rejects the claim, the Company will inform the Claimant of the reasons for the rejection. If the Company is unable to accept or reject the claim within 15 business days after the date the Company receives all items, statements, and forms required by the Company, the Company shall notify the claimant within such 15 business day period. The notice provided must give the reasons that the Company needs additional time. Not later than the 45th day after the date the Company notifies a Claimant of the need for additional time to investigate a claim, the Company shall accept or reject the claim. Except as otherwise provided, if the Company delays payment of a claim following its receipt of all items, statements, and forms reasonably requested and required for more than 60 days, the Company shall pay, in addition to the amount of the claim, 18 percent per annum of the amount of such claim as damages, together with reasonable attorney fees. If suit is filed, such attorney fees shall be taxed as part of the costs in the case. Business Day means a day other than a Saturday, Sunday, or holiday recognized by Texas. The provision entitled "Payment of Claim" is amended by the addition of the following paragraph: If the Company notifies a claimant that the Company will pay a claim or part of a claim, the Company shall pay the claim not later than the fifth business day after the notice has been made. If the claimant conditions payment of the claim or part of the claim on the performance of an act, the Company shall pay the claim not later than the fifth business day after the date the act is performed. The "Proof of Loss" provision is amended to read: The Claimant must send the Company, or its designated representative, proof of loss within ninety-one (91) days after a covered loss occurs or as soon as reasonably possible. INSURING PROVISIONS, is amended by the addition of the following: Coverage will not end solely because a person becomes an elected official in Texas. UtahThe definition of Family Member is amended to include a child placed for adoption with the Insured. The provision entitled Proof of Loss is amended to read: Proof of loss must be provided within 90 days after the date of the loss or as soon as is reasonably possible. Failure to give notice or file proof of loss does not bar recovery under the policy if the Company fails to show that it was prejudiced by the failure to provide proof in a timely manner. The provision entitled Time of Payment of Claim is amended to read: The Company, or its designated representative, will pay the claim within 30 days after receipt of acceptable proof of loss. WisconsinThe provision entitled "Subrogation is amended to read: Subrogation: If the Company has made a payment for a loss under this coverage, and the person to or for whom payment was made has a right to recover damages from the Third Party responsible for the loss, the Company will be subrogated to that right. An Insured shall help the Company exercise the Company's rights in any reasonable way that the Company may request: nor do anything after the loss to prejudice the Company's rights: and in the event an Insured recovers damages from the Third Party responsible for the loss, the Insured will hold the proceeds of the recover for the Company in trust and reimburse the Company to the extent of the Company's previous payment for the loss. No subrogation will take place until the Insured is made whole. In the General Limitations and Exclusions section, the exclusion related to device, weapon or material employing or involving chemical, biological, radiological or similar agents is deleted in its entirety. DESCRIPTION OF I.D. THEFT PROTECTION SERVICES
This plan is brought to you by Intersections, Inc. and administered by CSA Insurance Services
(ONLY available to U.S. residents) AVAILABLE SERVICES AND COVERAGEIdentity theft protection services and insurance coverage are provided along with the CSA Travel Protection plans. A description of the service, insurance coverage and terms of use is contained in this document. The services and coverage are only available to persons whose primary residence is in the United States. This plan is administered by CSA Insurance Services. AVAILABILITY OF SERVICES AND COVERAGEThe Identity Theft Protect Services and Identity Theft Insurance become available at the start of your trip. Services end 180 days (six months)from the date of your scheduled trip departure. IDENTITY THEFT PROTECTION SERVICESIf you suspect someone has compromised your identity, call us toll-free at (800) 348-9505 and ask to be connected with the Identity Theft Recovery Unit. The Identity Theft Recovery Unit offers fast and responsive support to victims of identity theft. This unit's trained fraud specialists will help guide you through the necessary steps of restoring your credit profile. Specialists are proactive in contacting the credit reporting agencies, creditors and in providing helpful information to assist you with recovering and restoring your credit. The service provides the following benefits: • Obtain a three-bureau credit report with your authorization. • Assistance reviewing your report to review and identify instances of suspected fraud. • Assistance in placing fraud alerts at all three credit reporting agencies at your request. • Dispute letters written on your behalf for you to review and sign, and for you to forward to Bureaus and Creditors. • Assistance with contacting law enforcement agencies. • A "Recovering from Identity Theft" information kit, including a copy of the three-bureau report which was reviewed. • Convenient toll-free access to the Identity Theft Recovery Unit for follow-up questions or concerns. • Sixmonths of daily monitoring and alert service at all three bureaus. IDENTITY THEFT INSURANCEIn addition to receiving assistance from the Identity Theft Recovery Unit, you are eligible for up to $20,000 in financial reimbursement, with no deductible, for certain expenses associated with identity theft at no additional cost to you. Your $20,000 coverage includes: • Lost wages (up to $500 per week for a maximum of four weeks) as a result of time taken off work to deal with the fraud, including wrongful incarceration. Lost wages must occur during the policy period. • Notary and certified mailing costs for completing and delivering fraud affidavits or similar documents. • Loan application fees incurred when reapplying for loans when the original application is rejected solely because the lender received incorrect information due to identity theft. • Long-distance phone charges associated with reporting or discussing an actual identity fraud. • Attorney fees incurred (with prior Intersections consent) for defending suits
The full details of your coverage are set forth in the following Certificate of Insurance. Insurance underwritten by Travelers Casualty and Surety company of America and its property casualty affiliates, Hartford, CT 06183. Coverage for all claims or losses depends on actual policy provisions. Availability of coverage can depend on underwriting qualifications and stat regulations. Coverage not available for residents of New York. CERTIFICATE OF INSURANCE FOR THE IDENTITY FRAUD EXPENSE COVERAGE MASTER POLICY This Certificate of Insurance is a coverage description intended to provide important information about the protection available to an Insured Person under the Identity Fraud Expense Coverage Master Policy (the "Master Policy"). Keep this coverage description for your records. This coverage description is not an insurance policy and does not amend, extend or alter the coverage afforded by the Master Policy described herein. Terms shown in bold in this coverage description are defined in the Master Policy. The insurance afforded by the Master Policy as described herein is subject to all the terms, exclusions and conditions of such Master Policy. The policy period is specified in the Master Policy. Policy Number: 104391562 Underwritten by: Travelers Casualty and Surety Company of America Hartford, CT 06183 ("Travelers") to provide insurance to an Insured Person as described in this Certificate Limit of Insurance for any one loss: Limit of Insurance = $20,000 Deductible = $0 The Master Policy has been issued to: Intersections Inc. Chantilly, VA 20151 (the "Master Policy Holder") General Information: Should you have any questions regarding the Membership Program provided by the Master Policy Holder, or wish to view a complete copy of the Master Policy, please call the customer service number located in your membership materials. Filing a Claim: To file a claim under the Master Policy, please contact CSA Travel Protection. Telephone: (800) 348-9505. INSURING AGREEMENT(1) IDENTITY FRAUD EXPENSE COVERAGE To reimburse an Insured Person for Expenses incurred by the Insured Person as the direct result of any one Identity Fraud discovered during the policy period. Only an Insured Person will be entitled to coverage under this Insuring Agreement (1). CONDITIONS
TERMS OF USELegally Binding Terms. You have purchased the product or service you have ordered (the "Product") from CSA Insurance Services ("CSA"). The Product is delivered to you by its provider Intersections Inc., a company located in Chantilly, Virginia ("Intersections"). Your order of the Product constitutes your acceptance of these Terms of Use and the enclosed Certificate of Insurance. If you ordered this Product on behalf of someone else, you must deliver these Terms of Use, together with the enclosed Certificate of Insurance, to that person as a condition of your use of the Product. These Terms of Use, together with the enclosed Certificate of Insurance, are binding on you and each other person on behalf of whom you ordered the Product.
Use. You may use the Product only for non-commercial purposes. You may not use the Product for anyone else. Service Period. You may use the Product for a period of six months commencing on your travel date, after which time your use of the Product expires. No Representations or Warranties. THE PRODUCT IS PROVIDED ON AN "AS IS" BASIS ONLY. INTERSECTIONS AND CSA DO NOT MAKE, AND EXPRESSLY DISCLAIM, ANY REPRESENTATION OR WARRANTY OF ANY KIND, WHETHER EXPRESSED, IMPLIED, OR ARISING OUT OF COURSE OF DEALING OR USAGE, INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NONINFRINGEMENT, NONINTERFERENCE WITH DATA, AVAILABILITY, OR THAT THE PRODUCT IS ERROR-FREE. YOU ARE SOLELY RESPONSIBLE FOR ANY USE YOU MAKE OF THE PRODUCT OR ACTION OR DECISION YOU MAKE BASED ON IT. Limitation of Liabilities. IN NO EVENT MAY INTERSECTIONS OR CSA BE LIABLE FOR ANY CONSEQUENTIAL, INDIRECT, SPECIAL, EXEMPLARY, PUNITIVE OR SIMILAR DAMAGES ARISING FROM OR RELATED TO THE PRODUCT, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES IN ADVANCE. INTERSECTIONS' AND CSA'S TOTAL LIABILITY ARISING FROM OR RELATED TO THE PRODUCT MAY NEVER EXCEED THE AMOUNT PAID BY YOU FOR THE PRODUCT. Third-Party Providers. The Product contains information provided by one or more credit reporting agencies, as identified in your materials: The Product may contain credit score analysis provided by one or more third-party providers, as identified in your materials. INTERSECTIONS DOES NOT CONTROL AND IS NOT RESPONSIBLE FOR THE INFORMATION PROVIDED BY ANY CREDIT REPORTING AGENCY OR SCORE ANALYSIS PROVIDER. Changes. Intersections in its sole discretion may modify or cancel the Product at any time without notice to you, and may modify these Terms of Use by posting the changes on the Product Web site. The changes will be binding on you. General. These Terms of Use are governed by the laws of the Commonwealth of Virginia, USA, exclusive of its choice of law principles. Any claim arising out of or relating to the Product shall be settled by binding arbitration in accordance with the commercial arbitration rules of the American Arbitration Association on an individual basis not consolidated with any other claim. Any party, however, may seek interim injunctive relief in a court of competent jurisdiction. Identity theft insurance is governed by additional terms and conditions stated in the certificate provided to you with these materials. These Terms of Use, together with the enclosed Certificate of Insurance state the exclusive terms, conditions, representations and warranties governing the Product. TRADEMARK AND COPYRIGHTIntersections, is a trademark or federally registered trademark of Intersections Inc.; and other trademarks are trademarks of their respective owners. © Intersections 2002-2005. All rights reserved. |