CSA GROUP GO!
Certificate of Insurance for
CSA Travel Protection
CERTIFICATE
PLAN CODE GR80
for emergency assistance
24 hours a day during your trip, call:
i n t h e u .s .
(866) 922-0278
c o l l e c t w o r l d w i d e
(202) 974-6480
This plan is administered by CSA Travel Protection and Insurance Services.
SCHEDULE OF SERVICES AND COVERAGES
(Underwritten By United States Fire Insurance Company)
|
Coverages |
Maximum Limit per Policy |
| Trip Cancellation |
100% of Trip Cost |
| Trip Interruption |
150% of Trip Cost |
Trip Delay
($150 Daily Limit Applies) |
$750 |
| Baggage and Personal Effects |
$1,000 |
| Baggage Delay |
$200 |
Accident and Sickness Medical Expense
($750 dental expense limit applies) |
$50,000 |
Emergency Assistance
(Emergency Medical Transportation) |
$250,000 |
DESCRIPTION OF 24-HOUR EMERGENCY ASSISTANCE SERVICES
(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 are 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 Travel Protection and 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) 922-0278 from within the United
States, or call collect to (202) 974-6480 from around the world.
When calling, you should have available your Policy/Reference number
and Plan Code, your location, a local telephone number, and details of
the situation. After your coverage has been verified, the assistance
provider will assist you. If you cannot call collect from your
location, dial direct and give the assistance provider 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 call you back so you will pay no further charges.
In the event of a life-threatening emergency, please first call the
local emergency authorities to receive immediate assistance and then
contact the assistance provider.
There may be times when circumstances beyond the assistance provider's
control hinder their endeavors to provide help services; however, they
will make all reasonable efforts to provide services and help resolve
your problem.
The assistance provider cannot be held responsible for failure to
provide, or for delay in providing services when such failure or delay
is caused by conditions beyond its control, including but not limited
to flight conditions, labor disturbance and strike, rebellion, riot,
civil commotion, war or uprising, nuclear accidents, natural
disasters, acts of God or where rendering service is prohibited by
local law or regulations.
The assistance provider's staff will do their best to refer you to
the 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
You are eligible for informational and concierge services at any time
after you purchase this plan.
The Emergency Assistance Services become available when you actually
start your trip.
Emergency Assistance, Concierge and Informational Services end the
earliest of: midnight on the day the program expires; when you reach
your return destination; or when you complete your trip.
INFORMATIONAL SERVICES
The assistance provider offers a wide range of informational services
before you leave home and during your trip, including: Visa, Passport,
Inoculation and Immunization Requirements, Cultural Information,
Temperature, Weather Conditions, Embassy and Consulate Referrals,
Foreign Exchange Rates, and Travel Advisories.
EMERGENCY ASSISTANCE SERVICES
Medical Referral
If an emergency occurs during a trip that requires you to visit a
doctor, you should call the 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.
Traveling Companion Assistance
If a Traveling Companion loses previously-made travel arrangements due
to your medical emergency, the assistance provider will arrange for
your Traveling Companion's return home.
Emergency Cash Transfer
If your cash or traveler's checks are lost or stolen, or unanticipated
emergency expenses are incurred, the assistance provider will help
arrange for an emergency cash transfer in currency, traveler's checks,
or other forms as deemed acceptable by the assistance provider. The
assistance provider will advance up to $500 after satisfactory
guarantee of reimbursement from you.
Legal Referral
The assistance provider will locate attorneys available during regular
working hours. Assistance will also be provided to advance bail bond,
where permitted by law. You are responsible for contracted legal
fees.
Locating Lost or Stolen Items
The assistance provider will assist in locating and replacing lost or
stolen luggage, documents and personal possessions.
Replacement of Medication and Eyeglasses
The assistance provider will arrange to fill a prescription that has
been lost, stolen or requires a refill, subject to local law, whenever
possible. The assistance provider will also arrange for shipment of
replacement eyeglasses. Costs for shipping of medication or
eyeglasses, or a prescription refill, etc. are your responsibility.
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.
Embassy and Consular Services
The assistance provider will provide referrals to travelers needing
the assistance of U.S. embassies and consulates.
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.
Interpretation/Translation
The assistance provider will assist with telephone interpretation in
all major languages or will refer you to an interpretation or
translation service for written documents.
Emergency Message Relay
Emergency messages can be relayed to and from friends, relatives,
personal physicians and employers.
Pet Return
The assistance provider will arrange for the return of your pet to
your home if your pet is traveling with you and you are unable to take
care of your pet due to a medical emergency.
Vehicle Return
The assistance provider will make arrangements to have a designated
person or provider return your vehicle to your home (or your rental
vehicle to the closest rental agency) if you experience a medical
emergency or mechanical problems, which prevent you from driving the
vehicle.
CONCIERGE SERVICES
City 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.
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. INSUREDS 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: 1) the point and time of
departure on the Insured's Covered Trip; or 2) the point and
time of cancellation of the Covered Trip.
For Trip Interruption: Coverage begins on the Scheduled
Departure Date.
Coverage ends on the earlier of: 1) the point and time the
Covered Trip is completed; or 2) the Scheduled Return Date;
or 3) the arrival at the return destination on a round trip, or
the destination on a one-way trip.
For all other coverages: Coverage begins on the later of: 1)
the date and time you start your Covered Trip; or 2) 12:01
A.M. Standard Time on the Scheduled Departure Date of
your Covered Trip.
Coverage ends on the earlier of: 1) the point and time the
Covered Trip is completed; or 2) the Scheduled Return Date;
or 3) the arrival at the return destination on a round trip, or
the destination on a one-way trip.
In the event the Scheduled Departure Date and/or the
Scheduled 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 in accordance with
the Travel Suppliers 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 A
ACCIDENT AND SICKNESS MEDICAL EXPENSE
PART A DEFINITIONS
Covered Expense means expense incurred for services and
supplies: a) listed below; and b) ordered or prescribed by a
Legally Qualified Physician as Medically Necessary for diagnosis
or treatment; which are limited to:
1. the services of a Legally Qualified Physician;
2. Hospital or ambulatory medical-surgical center services
(this will also include expenses for a cruise ship cabin
or hotel room, not already included in the cost of the
Insured's Covered Trip, if recommended as a substitute
for a Hospital room for recovery of an Injury or Sickness);
3. transportation furnished by a professional ambulance
company to and/or from a Hospital;
4. prescribed drugs, prosthetics and therapeutic 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, an Insured
must receive initial Medical Treatment for the 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 that 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 B
EMERGENCY MEDICAL EVACUATION, MEDICAL
REPATRIATION AND RETURN OF REMAINS
PART 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.
1. For Emergency Medical Evacuation:
If the local attending Legally Qualified Physician and the
authorized travel assistance company determine that
transportation to a Hospital or medical facility is Medically
Necessary to treat an unforeseen Sickness or Injury which
is acute or life threatening and adequate Medical Treatment
is not available in the immediate area, the Transportation
Expense incurred will be paid for the Usual and Customary
Charges for transportation to the closest Hospital or medical
facility capable of providing that treatment.
If an Insured dies during the Covered Trip or is in the Hospital
for more than seven consecutive days and the Insured's
dependent children who are under 18 years of age and
accompanying the Insured on the Covered Trip, are left unattended,
Economy Transportation will be paid to return the
dependents to their home (with an attendant, if considered
necessary by the travel assistance company).
If an Insured is traveling alone and is in the Hospital for
more than seven consecutive days and emergency evacuation
is not imminent, upon request of the Insured or next
of kin if Insured is incapacitated, benefits will be paid to
transport one person, chosen by the Insured, by Economy
Transportation, for a single visit to and from his or her
bedside.
2. For Medical Repatriation:
- If the local attending Legally Qualified Physician and the
authorized travel assistance company determine that it is
Medically Necessary for an Insured to return to his or her
place of permanent residence because of an unforeseen
Sickness or Injury which is acute or life-threatening,
the Transportation Expense incurred will be paid for an
Insured's return to his or her permanent residence via:
i. one-way Economy Transportation; or
ii. commercial upgrade, based on an Insured's condition
as recommended by the local attending Legally
Qualified Physician and verified in writing.
Transportation must be via the most direct and
economical route.
- If the local attending Legally Qualified Physician and the
authorized travel assistance company determine that it is
Medically Necessary for an Insured to return to his or her
place of permanent residence for continued treatment of
an unforeseen Sickness or Injury which is acute or lifethreatening,
the Transportation Expense incurred will be
paid for transportation to the Hospital or medical facility
closest to an Insured's permanent place of residence capable
of providing that treatment. Transportation must be
by the most direct and economical route. Covered land or
air transportation includes, but is not limited to, commercial
stretcher, medical escort, or the Usual and Customary
Charges for air ambulance, provided such transportation
has been pre-approved and arranged by the authorized
travel assistance company.
3. For Return of Remains: In the event of an Insured's
death, the expense incurred will be paid for minimally necessary
casket or air tray, preparation and transportation of an
Insured's remains to his or her place of residence or to the
place of burial.
These benefits will not duplicate any benefits payable under
the policy or any coverage(s) attached to the policy.
PART B CONDITIONS
If benefits are payable under this Coverage B 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:
- notify the Company of any other insurance;
- help the Company exercise the Company's rights in any
reasonable way that the Company may request, including
the filing and assignment of other insurance benefits;
- not do anything after the loss to prejudice the Company's
rights; and
- reimburse to the Company, to the extent of any payment
the Company has made, for benefits received from such
other insurance.
COVERAGE C
TRIP CANCELLATION BENEFITS
Benefits 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:
- death of an Insured, Traveling Companion or
Family Member;
- a covered Sickness or Injury involving an Insured,
Traveling Companion or Family Member which
necessitates Medical Treatment at the time of
cancellation and results in medically imposed
restrictions, as certified by a Legally Qualified Physician,
which prevents an Insured's participation in the
Covered Trip;
- an Insured or Traveling Companion being hijacked,
quarantined, required to serve on a jury (notice of jury
duty must be received after the Effective Date) or
served with a court order to appear as a witness in a
legal action in which an Insured or Traveling Companion
is not a party (except law enforcement officers);
- an Insured's or Traveling Companion's principal place
of residence being rendered uninhabitable by burglary,
fire, flood, volcano, earthquake, hurricane, or other
natural disaster within 10 days of departure;
- an Insured or Traveling Companion being directly
involved in a traffic accident, which must be
substantiated by a police report, while en route to an
Insured's scheduled point of departure;
- a documented theft of passports or visas;
- a permanent transfer of employment of 250 miles
or more;
- unannounced Strike that causes complete cessation
of services of the Insured's Common Carrier for at
least 24 consecutive hours;
- Inclement Weather that causes complete cessation of
the Insured's Common Carrier for at least 24
consecutive hours;
- mechanical breakdown that causes complete
cessation of the Insured's Common Carrier for at least
24 consecutive hours;
- mandatory evacuation or public official evacuation
advisements where there is no mandatory evacuation
ssued by local government authorities at your
destination due to adverse weather or natural disaster.
In order to cancel your Covered Trip, you must have
4 days or 50% of your total Covered Trip length or less
remaining on your Covered Trip at the time the
mandatory evacuation ends;
- an Insured or Traveling Companion is in the military
and called to emergency duty for a national disaster
other than war;
-
a Terrorist Incident that occurs in a city listed on the
itinerary of the Insured's Covered Trip and within 7
days prior to the Insured's Scheduled Departure Date.
This same city must not have experienced a Terrorist
Incident within the 60-day period prior to the Insured's
Effective Date under this Policy. Benefits are not provided
if the Travel Supplier offers a substitute itinerary.
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.
COVERAGE D
TRIP INTERRUPTION BENEFITS
Benefits 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:
- death of an Insured, Traveling Companion or
Family Member;
- a covered Sickness or Injury involving an Insured,
Traveling Companion or Family Member which
necessitates Medical Treatment at the time of
interruption or delay and results in medically imposed
restrictions, as certified by a Legally Qualified Physician,
which prevents an Insured's continued participation in
the Covered Trip;
- an Insured or Traveling Companion being hijacked,
quarantined, required to serve on a jury (notice of jury
duty must be received after the Effective Date) or
served with a court order to appear as a witness in a
legal action in which an Insured or Traveling Companion
is not a party (except law enforcement officers);
- an Insured's or Traveling Companions principal place
of residence being rendered uninhabitable by burglary,
fire, flood, volcano, earthquake, hurricane, or other
natural disaster;
- an Insured or Traveling Companion being directly
involved in a traffic accident, which must be
substantiated by a police report, while en route to an
Insured's scheduled point of departure;
- a documented theft of passports or visas;
- a permanent transfer of employment of 250 miles
or more;
- unannounced Strike that causes complete cessation
of services of the Insured's Common Carrier for at
least 24 consecutive hours;
- mechanical breakdown that causes complete
cessation of the Insured's Common Carrier for at least
24 consecutive hours;
- mandatory evacuation or public official evacuation
advisements where there is no mandatory evacuation
issued by local government authorities at your
destination due to adverse weather or natural disaster.
In order to interrupt your Covered Trip, you must have
4 days or 50% of your total Covered Trip length or less
remaining on your Covered Trip at the time the
mandatory evacuation ends;
- an Insured or Traveling Companion is in the military
and called to emergency duty for a national disaster
other than war;
-
a Terrorist Incident that occurs in a city listed on the
itinerary of the Insured's Covered Trip. This same city
must not have experienced a Terrorist Incident within
the 60-day period prior to the Insured's Effective Date
under this Policy. Benefits are not provided if the Travel
Supplier offers a substitute itinerary;
- an Insured misses the cruise or tour departure
because their airline flight is delayed for 3 or more
hours, due to: a) any delay of a Common Carrier. The
delay must be certified by the Travel Supplier; or b)
Inclement Weather preventing the Insured from getting
to the point of departure; or c) quarantine, hijacking,
Strike, natural disaster, terrorism or riot.
Provided such circumstances occurred after the Insured's
Effective Date and while coverage is in effect.
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 E
TRIP DELAY
PART A BENEFITS
If an Insured is delayed for 12 hours or more during the
Covered Trip, due to:
- any delay of a Common Carrier. The delay must be certified
by the Travel Supplier;
- a traffic accident in which an Insured or Traveling Companion
are directly involved (must be substantiated by a police
report);
- lost or stolen passports, travel documents or money (must
be substantiated by a police report);
- quarantine, hijacking, Strike, natural disaster, terrorism or
riot; or
- documented weather condition preventing the Insured
from continuing on the Covered Trip.
Benefits will be paid, on a one-time basis, up to the Maximum
Benefit Amount, for: reasonable expenses for hotel
accommodations, telephone calls, meals, and local transportation
up to $150 per day necessarily incurred by an Insured
for which he or she has proof of purchase and which were
not paid for or provided by any other source.
PART B CONDITIONS
The Insured must provide the following documentation when
presenting a claim for these benefits: written confirmation of
the reasons for delay from the Travel Supplier whose delay
resulted in the loss, including but not limited to; scheduled
departure and return times and actual departure and return
times;
Benefits will not be paid for any expenses, which have been
reimbursed, or for any services that have been provided by
the Travel Supplier.
These benefits will not duplicate any benefits payable under
the policy or any coverage(s) attached to the policy.
COVERAGE F
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:
- animals;
- automobiles and automobile equipment;
- boats or other vehicles or conveyances;
- trailers;
- motors;
- aircraft;
- bicycles, except when checked as baggage with a
Travel Supplier;
- household effects and furnishings;
- antiques and collectors items;
- sunglasses, contact lenses, artificial teeth, dental
bridges or hearing aids;
- prosthetic limbs;
- prescribed medications;
- keys, money, credit cards (except as coverage is
otherwise specifically provided herein);
- securities, stamps, tickets and documents (except as
coverage is otherwise specifically provided herein);
- professional or occupational equipment or property,
whether or not electronic business equipment; or
- telephones, computer hardware or software.
PART B BENEFITS
For Baggage and Personal Effects: Coverage will be provided
to an Insured: a) against all risks of permanent loss, theft
or damage to baggage and personal effects; b) subject to all
Exclusions and Limitations in the policy; c) up to the
Maximum Benefit Amount; and d) occurring while this coverage
is in force.
The lesser of the following amounts will be paid:
- the Actual Cash Value at the time of loss, theft or damage;
- the cost to repair or replace the article with material of a
like kind and quality; or
- $300 per article.
A combined maximum of $600 will be paid for jewelry,
watches, articles consisting in whole or in part of silver, gold
or platinum, articles trimmed with fur, cameras and their accessories
and related equipment.
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 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:
- breakage of brittle or fragile articles;
- wear and tear or gradual deterioration;
- confiscation or appropriation by order of any
government or custom's rule;
- property illegally acquired, kept, stored or transported;
- an Insured's negligent acts or omissions; or
- property shipped as freight or shipped prior to the
Scheduled Departure Date.
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, an Insured must:
- take all reasonable steps to protect, save or recover
the property;
- promptly notify, in writing, either the police, hotel
proprietors, ship lines, airlines, railroad, bus, airport
or other station authorities, tour operators or group
leaders, or any Travel Supplier or bailee who has
custody of an Insured's property at the time of loss;
- produce records needed to verify the claim and its
amount, and permit copies to be made:
- provide to the Company, within 90 days from the date
of loss, a detailed proof of loss signed and sworn to;
and
- have Baggage and Personal Effects be examined, if
requested.
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
Travel Supplier or bailee.
PART D BAGGAGE DELAY BENEFITS
If, while on a Covered Trip, an Insured's checked baggage is
delayed or misdirected by a Travel Supplier 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 Travel
Supplier must certify the delay or misdirection. Receipts for
the purchases must accompany any claim.
DEFINITIONS
In 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 Value means purchase price less depreciation.
Additional Transportation Cost means the actual cost
incurred for one-way Economy Transportation by Common
Carrier.
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: 1) a period of round-trip travel away
from the Insured's primary place of residence to a destination
outside the Insured's city of residence; the purpose of
the trip is business or pleasure and is not to obtain health
care or treatment of any kind; the trip has defined departure
and return dates specified when the Insured enrolls; the trip
does not exceed 365 days; or 2) a period of one-way travel
that starts in the U.S. or Canada (except U.S. citizens may
begin their trip outside the U.S., if returning to the U.S.); the
purpose of the trip is business or pleasure and is not to
obtain health care or treatment of any kind; the trip has defined
departure and arrival places specified when the Insured
applies; and the trip does not exceed 31 days in length.
Default means the inability to provide contracted services
due to a material financial failure.
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: 1) evidence of
continuous cohabitation throughout the 180 day period prior
to the Insured's Effective Date of the Plan; or 2) an affidavit
of domestic partnership if recognized by the jurisdiction
within which they reside.
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.
Family Member means any of the following: an Insured's legal
spouse (or common-law spouse where legal), legal guardian,
son or daughter (adopted, foster, step or in-law), brother
or sister (includes step or in-law), parent (includes step or
in-law), grandparent (includes in-law), grandchild, aunt, uncle,
niece or nephew, Domestic Partner, an employed caregiver
who lives with the Insured, or a person for whom the Insured
is the primary caregiver with whom the Insured have lived
for 12 continuous months prior to the effective date of the
Insured's plan, whether or not they travel with the Insured.
Hospital means a) a place which is licensed or recognized
as a general hospital by the proper authority of the state in
which it is located: b) a place operated for the care and treatment
of resident inpatients with a registered graduate nurse
(RN) always on duty and with a laboratory and X-ray facility:
c) a place recognized as a general hospital by the Joint Commission
on the Accreditation of Hospitals. Not included is a
hospital or institution licensed or used principally: 1) for the
treatment or care of drug addicts or alcoholics: or 2) as a
clinic continued or extended care facility, skilled nursing facility,
convalescent home, rest home, nursing home or home for
the aged.
Inclement Weather means any weather condition that delays
the scheduled arrival or departure of a Common Carrier.
Injury or Injuries means accidental bodily injuries: a) received
while insured under this policy and any attached coverages:
b) resulting in loss independently of Sickness and all other
causes.
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 a) other than
an Insured, a Traveling Companion or a Family Member:
b) practicing within the scope of his or her license: and c)
recognized as a physician in the place where the services are
rendered.
Maximum Benefit Amount means the maximum amount
payable for each coverage as shown 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: a) is
recommended by the attending Legally Qualified Physician:
b) is appropriate and consistent with the diagnosis in accord
with accepted standards of community practice: c) could not
have been omitted without adversely affecting an Insured's
condition or quality of medical care: d) is delivered at the
most appropriate level of care and not primarily for the sake
of convenience: and e) is not considered experimental unless
coverage for experimental services or supplies is required by
law.
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 a) manifested itself, became
acute or exhibited symptoms which would have caused
one to seek diagnosis, care or treatment; or b) required
taking prescribed drugs or medicine, unless the condition for
which the prescribed drug or medicine is taken remains controlled
without any change in the required prescription; or c)
required Medical Treatment or treatment was recommended
by a Legally Qualified Physician.
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: a) as a result of a
combined effort of workers which was unannounced and
unpublished at the time travel services were purchased: and
b) which interferes with the normal departure and arrival of a
Common Carrier.
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: a) the cost of conveyance of
an Insured and any medical personnel (if Medically Necessary):
and b) Medically Necessary services or supplies.
Travel Arrangements means: a) transportation: b) accommodations:
and c) other specified services arranged by the Travel Supplier for the Covered Trip.
Traveling Companion means a person or persons with whom
the Insured has coordinated Travel Arrangements and intends
to travel and share accommodations 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 Charge means those comparable
charges for similar treatment, services and supplies in the
geographic area where treatment is performed.
GENERAL LIMITATIONS AND EXCLUSIONS
Benefits are not payable for losses caused by or resulting
from:
- suicide, attempted suicide or any intentionally self inflicted
injury (except as a result of a mental or
nervous disorder in CT) while sane or insane (while
sane in CO & MO);
- mental, nervous, or psychological disorders;
- an act of declared or undeclared war;
- participating in maneuvers or training exercises of an
armed service;
- riding, driving or participating in races, or speed or
endurance contests;
- mountaineering (engaging in the sport of scaling
mountains generally requiring the use of picks, ropes,
or other special equipment);
- participating as a member of a team in an organized
sporting competition;
- participating in skydiving, hang gliding, bungee cord
jumping;
- piloting or learning to pilot or acting as a member of
the crew of any aircraft;
- being Intoxicated or under the influence of any controlled
substance unless administered on the advise of a
Legally Qualified Physician;
- a contributory cause was the commission of or attempt
to commit a felony or being engaged in an illegal
occupation;
- normal childbirth, normal pregnancy (except
complications of pregnancy) or voluntary induced
abortion;
- a Pre-existing Condition, as defined in this policy.
The Pre-existing Condition Limitation does not apply to:
a) Emergency Medical Evacuation, Medical Repatriation
and Return of Remains coverage, Baggage and
Personal Effects, Baggage Delay or b) to coverage
purchased prior to or within 24 hours of the final
payment for the Covered Trip and if the Insured is
medically able to travel when payment is made for the
insurance;
-
loss or damage (including death or Injury) and
any associated cost or expense resulting directly
from the discharge, explosion or use of any device,
weapon or material employing or involving chemical,
biological, radiological or similar agents, whether in
time of peace or war, and regardless of who commits
the act and regardless of any other sequence thereto;
- participation as a professional in athletics;
- riding or driving in any motor competition;
- civil disorder (does not apply to Trip Delay);
- any amount paid or payable under any Worker's
Compensation, Disability Benefit or similar law;
- elective treatment and procedures;
- Medical Treatment during or arising from a Covered
Trip undertaken for the purpose or intent of securing
Medical Treatment;
- business, contractual or education obligations;
- failure of any tour operator or other Travel Supplier,
person or agency to provide the bargained-for Travel
Arrangements;
- a loss that results from an illness, disease, or other
condition, event or circumstance that occurs at a time
when the plan is not in effect for you.
MASTER POLICY PROVISIONS
Entire 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 Schedule.
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 PROVISIONS
Notice 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
Insured's. If: a) the Principal Insured predeceases an Insured:
and b) a beneficiary is not otherwise designated by the Principal
Insured benefits for loss of life will be paid to the first of
the following surviving preference beneficiaries:
- the Principal Insured's spouse;
- the Principal Insured's child or children jointly;
- an Insured's parents jointly if both are living or the surviving
parent if only one survives;
- an Insured's brothers and sisters jointly; or
- the Principal Insured's estate.
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: a) an
Insured or the Principal Insured's beneficiary who is minor or
otherwise not able to give a valid release: or b) the Principal
Insured's estate: the Company may pay up to $1,000.00 to
the Principal Insured's beneficiary or any relative to whom the
Company finds entitled to the payment. Any payment made in
good faith shall fully discharge the Company to the extent of
such payment.
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 and Form#
25917.
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 EXCEPTIONS
CALIFORNIA (form# S 40653)
For 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: a) manifested itself,
became acute, or exhibited symptoms which would have
caused one to seek diagnosis, care or treatment.
- General Limitations and Exclusions, Number 13 (the exclusion
that refers to the Pre-Existing Condition) 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: due to a condition for which the Insured, Traveling
Companion, or Family Member 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.
FLORIDA (form# S 40653)
It 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.
ILLINOIS (form# TPE-401-IL)
This Amendatory Endorsement changes the Policy, as follows:
1. 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, Traveling
Companion, or Family Member, 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.
2. 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.
LOUISIANA (form# TP-401 CW LA)
The 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 DAKOTA (form# TP-401 CW SD)
In 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.
TEXAS (form# TP-401 CW TX)
The 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.
UTAH (form# TP-401 CW UT)
The 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.
WISCONSIN (form# TP-401 CRT WI)
The 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.
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