Plans for US Citizens
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SUMMARY OF BENEFITS
| SECTION I | |
| Worldwide Emergency Assistance Services are available through WA. These are not insurance benefits, but rather a service to assist you in case of an emergency. | |
| SECTION II | |
| The following Plan Benefits are provided under an insurance policy underwritten by Virginia Surety Company, Inc. (HTP97072A): Emergency Evacuation and Related Coverages, Emergency Accident & Sickness Medical Expenses and 24 Hour Accidental Death & Dismemberment (coverage as shown on Membership Confirmation Letter); | |
| SECTION III | |
| The following Optional Plan Benefits are provided under an insurance policy underwritten by Virginia Surety Company, Inc. (HTP97072A): Trip Cancellation, Trip Interruption, Baggage/Personal Effects, Baggage Delay (outbound journey only), Accidental Death & Dismemberment, Common Carrier (Air Only) (coverage as shown on Membership Confirmation Letter); | |
| SECTION IV | |
| Exclusions, Definitions, Claims Procedures, Term of Coverage, Beneficiary | |
| SECTION V | |
| Subrogation | |
SECTION I: WORLDWIDE EMERGENCY ASSISTANCE SERVICES
A 24-hour emergency
telephone assistance service is available for Your benefit so that, in the event
of an emergency while on the Trip, English speaking help and advice may be
furnished to You.
| PART
I - TRAVELER'S ASSISTANCE WA's multilingual staff can assist You in solving a variety of unexpected complications during the Trip such as lost tickets or belongings. If necessary, WA may also help locate legal counsel. Pre-Trip information such as cultural, visa requirements and exchange rates can also be provided. |
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| PART
II - MEDICAL ASSISTANCE If a medical emergency arises during travel, WA may help You find local medical care. Physicians and hospitals worldwide can contact WA to confirm coverage. If required, WA will help You arrange immediate settlement of medical expenses resulting from an Illness or Injury during Your Trip. Please note that You may be required to pay for medical expenses up front and claim reimbursement afterwards. This may be the case where the medical provider requires immediate payment and does not accept Your insurance coverage available through this plan. WA will coordinate emergency medical situations, with Your home Physician and arrange Emergency Evacuation services. |
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| PART
III - EMERGENCY CASH TRANSFER WA can help arrange a fund transfer through Your credit cards, family, friends, employer or similar source if You need cash while on the Trip. |
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| NOTE: Problems of distance, information and communication make it impossible for TAI Acquisition Company, Virginia Surety Company, Inc., Specialty Risk International, or WA, to assume any responsibility for the availability, quality, use or result of any emergency service. In all cases, You are still responsible for obtaining, using and paying for Your own required services of all types. |
SECTION II: EXPLANATION OF PLAN BENEFITS
These benefits are provided only if the required fee has been paid and when members are at least 100 miles from their principal residence. Your Membership Confirmation Letter indicates which of the following described coverages You have purchased.
Excess Insurance Provision: The insurance, for benefits provided below, shall be in excess of all other valid and collectible insurance or indemnity and shall apply when such other benefits are exhausted.
Emergency
Evacuation/Medically Necessary Repatriation: The Insurer will pay benefits
up to the maximum shown for Covered Expenses if an Injury or Sickness commencing
during the course of the covered Trip results in Your necessary Emergency
Evacuation. Emergency Evacuation/Medically Necessary Repatriation means:
"Covered
Expenses" are reasonable and customary expenses for medically necessary
Transportation, medical services, and medical supplies incurred in connection
with Your Emergency Evacuation. All Transportation arrangements made for Your
evacuation must be by the most direct and economical route possible. Expenses
for Your Emergency Evacuation must be:
"Transportation" means any land, water, or air conveyance required to transport You during an Emergency Evacuation/Repatriation. Transportation includes, but is not limited to, air ambulances, commercial and regularly scheduled airlines, land ambulances, and private motor vehicles. TAI will not pay for any expenses covered by another party at no cost to You or already included in the cost of the scheduled Trip. Note that if You are transported home, You must return Your original travel tickets to WA.
Repatriation of Remains: The Insurer will pay benefits up to the maximum shown for reasonable covered expenses incurred to return Your body to Your place of residence if You die during the covered Trip. Covered expenses include expenses related to: Embalming, cremation, minimally necessary container for transport, and transportation. All services must be arranged and approved in advance by WA.
Visit by Family Member or Friend: When You are traveling alone, and are hospitalized for more than seven (7), consecutive days, the Insurer will pay benefits up to the maximum shown for the cost of transportation, up to $1,000, to the place of hospitalization for one person chosen by You, provided medical repatriation is not imminent. Covered expenses are limited to the cost of the most direct economy round-trip common carrier ticket to the place of hospitalization. All services must be arranged and approved in advance by WA.
Return of Dependent Children/Grandchildren: When Dependent Children traveling under this plan are with You, and if they are left unattended as a result of Your hospitalization, the Insurer will reimburse Your expenses for the cost of transport, up to $1,000, for such minors to the domicile of a person nominated by You or next of kin. Covered expenses are limited to a one-way Common Carrier economy ticket by the most direct route. Expenses for attendants will be provided if necessary. All services must be arranged and approved in advance by WA.
Return of Traveling Companion: If You are hospitalized outside the United States and it is necessary for Your Traveling Companion(s) to remain with You, thereby interrupting a pre-arranged travel itinerary, and causing the original ticket(s) to be invalid, the Insurer will pay up to the maximum shown for the lesser of the following: the airfare paid less the value of applied credit from an unused return travel ticket to return Traveling Companion(s) to the original return destination, rejoin the original tour, or charges incurred to change the original ticket to a new return date. All services must be arranged and approved in advance by WA.
Vehicle Return Service: Any non-commercial vehicle (i.e., auto, motor home, rental cars etc.) left unattended or which You are physically unable to operate as a result of Your medical emergency, will be returned to Your residence or place of rental. The vehicle must be in good driving condition and capable of being driven on the highway in compliance with local laws. You will not be reimbursed for services provided to You at no cost. Limit: $1,000. All services must be arranged and approved in advance by WA.
Meals and Accommodations: If Your Traveling Companion is hospitalized outside the United States, the Insurer will pay for expenses incurred by You, up to $100 per day to a maximum of 10 days, for reasonable additional accommodation and transportation expenses incurred to remain near Your Traveling Companion. All services must be arranged and approved in advance by WA.
Access to Emergency Blood Supply: If You are traveling more than 100 miles from Your primary residence and You become involved in an accident and require blood and/or resuscitation fluids, WA,(having determined, following consultation with the local attending medical provider, that an adequate supply of blood, screened to standards set by the American Association of Blood Banks, is not available) will coordinate the delivery of blood to Your location. A trained technician and sterile transfusion equipment may accompany the delivery of blood and/or resuscitation fluid. (NOTE: Access to emergency blood supplies is not underwritten by Virginia Surety Company, Inc.)
Emergency Accident & Emergency Sickness Medical Expenses: The Insurer will pay benefits, up to the maximum shown on the Membership Confirmation Letter, subject to a $100 deductible per person, per occurrence, if You incur Covered Medical Expenses for a Sickness or an accidental Injury occurring during the course of the scheduled Trip. You must receive the Emergency Treatment during the course of the scheduled Trip and upon recommendation of the attending Physician. If You are hospitalized outside of the United States (due to a Sickness or an accidental Injury which first occurred during the course of the scheduled Trip) beyond the date of Your scheduled return, coverage will be extended until You are released from the hospital or until maximum benefits under the policy have been paid.
"Covered Medical Expenses" are medically necessary services and supplies which are recommended by the attending Physician. They include the services of a legally qualified Physician, surgeon, graduate nurse, dentist, or osteopath; charges for semi-private hospital confinement and use of operating rooms; charges for anesthetics (including administration), x-ray examinations or treatments, and laboratory tests; ambulance service, drugs, medicine, therapeutic services and supplies. The Insurer will not pay benefits in excess of the reasonable and customary charges commonly used by providers of medical care in the locality in which the care is furnished.
24-Hour Accidental Death & Dismemberment: The Insurer will pay benefits for (below) that occur during the covered Trip. The loss must occur within 180 days after the dates of the accidental Injuries resulting in a loss, as described in the table of losses accident causing the loss. The principal sum is shown on the schedule. If more than one loss is sustained as the result of an accident, the amount payable shall be the largest amount shown in the table of losses.
TABLE OF LOSSES
Loss of:
Life 100%
Both Hands or Both Feet 100%
Entire Sight of Both Eyes 100%
One Hand and One Foot 100%
Either Hand or Foot & Entire Sight of One Eye 100%
Speech plus Hearing in Both Ears 100%
One Hand or One Foot 50%
Speech 50%
Hearing in Both Ears 50%
Entire Sight of One Eye 50%
Thumb and Index Finger of the Same Hand 25%
Loss with regard to hand or foot means actual severance through or above the wrist or ankle joints; eye means entire and irrecoverable loss of sight; speech or hearing means entire and irrecoverable loss of speech or hearing of both ears; thumb and index finger means actual severance through or above the joint that meets the finger at the palm.
Exposure: The
Insurer will pay benefits for covered losses which result from You being
unavoidably exposed to the elements due to an accident.
Disappearance: The Insurer will pay benefits for loss of life if Your body
cannot be located one year after the disappearance of the conveyance in which
You were a passenger due to forced landing, stranding, sinking, or wrecking.
SECTION III - OPTIONAL COVERAGE
| Optional Coverage: Coverage is provided only if stated on Your Membership Confirmation Letter. In the event of a claim, You must advise SRI as soon as possible. The Insurer will not pay benefits for any additional charges incurred that would not have been charged had You notified SRI as soon as reasonably possible. |
Trip Cancellation/Interruption: In the event You are prevented from taking or continuing Your Trip due to Injury, Sickness, or death of Yourself, an Immediate Family Member, or a Traveling Companion, the Insurer will pay benefits up to the maximum shown on the Membership Confirmation Notice for:
| Trip Cancellation: non-refundable cancellation charges imposed by Your travel supplier. In no event shall the amount reimbursed exceed the amount You prepaid for Your Trip. | |
| Trip Interruption: the airfare paid less the value of applied credit from an unused return travel ticket to return home or rejoin the original Trip (limited to the cost of one-way economy airfare by scheduled carrier from the point of destination to the point of origin shown on the original travel tickets). Total benefit limit of $1,000. In no event shall the amount reimbursed exceed the amount You prepaid for Your Trip. |
Baggage/Personal Effects: The Insurer will reimburse You up to the maximum shown on Your Membership Confirmation Notice for loss, or damage to baggage and personal effects while checked with a Common Carrier or as a carry-on while a passenger on a Common Carrier. The Insurer will pay the lesser of the following: Actual cash value at the time of loss, less depreciation as determined by the Insurer, or the cost of repair or replacement. Per article limit of $250. There will also be a combined maximum limit of $500 for the following: Jewelry; watches and cameras, including related equipment; articles consisting in whole or in part of silver, gold, or platinum; furs and articles trimmed with or made mostly of fur. Subject to $100 deductible and $1,000 benefit limit.
Baggage Delay (Outward Journey Only): The Insurer will reimburse You for expenses of necessary personal effects, up to the maximum shown on Your Membership Confirmation Notice if Your checked baggage is delayed or misdirected by Common Carrier for more than 24 hours from the time You arrive at the destination stated on the ticket, except travel to return destination or Your place of residence. You must be a ticketed passenger of a Common Carrier. The maximum limit for this benefit is $200.
Accidental Death & Dismemberment, Common Carrier (Air Only): The Insurer will pay benefits for accidental Injuries resulting in a loss as described in the table of losses below, that occurs while You are riding as a passenger in or on, boarding or alighting from, any air conveyance operated under a license for the transportation of passengers for hire during the covered Trip; or being struck or run down by an aircraft. The loss must occur within 180 days after the dates of the accident causing the loss. The principal sum is shown on the schedule.
If more than one loss is sustained as the result of an Accident, the amount payable shall be the largest amount shown in the Table of losses.
TABLE OF LOSSES
Loss of:
Life 100%
Both Hands or Both Feet 100%
Entire Sight of Both Eyes 100%
One Hand and One Foot 100%
Either Hand or Foot & Entire Sight of One Eye 100%
Speech plus Hearing in Both Ears 100%
One Hand or One Foot 50%
Speech 50%
Hearing in Both Ears 50%
Entire Sight of One Eye 50%
Thumb and Index Finger of the Same Hand 25%
Loss with regard to hand or foot means actual severance through or above the wrist or ankle joints; eye means entire and irrecoverable loss of sight; speech or hearing means entire and irrecoverable loss of speech or hearing of both ears; thumb and index finger means actual severance through or above the joint that meets the finger at the palm.
Exposure: The Insurer will pay benefits for covered losses which result from You being unavoidably exposed to the elements due to an accident. Disappearance: The Insurer will pay benefits for loss of life if Your body cannot be located one year after the disappearance of the conveyance in which You were a Passenger due to forced landing, stranding, sinking, or wrecking.
SECTION IV: EXCLUSIONS, DEFINITIONS, CLAIMS PROCEDURES, TERM OF COVERAGE, BENEFICIARY
Exclusions: The following apply to Services & Coverages in Sections I & II. This plan does not cover any loss caused by or resulting from:
The following exclusions apply to Baggage/ Personal Effects Coverage only in Optional Coverages:
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Any loss or damage to: Animals; automobiles and their equipment; boats or other vehicles; trailers; motors; motorcycles; aircraft; other conveyances and their equipment (except bicycles while checked as baggage with a Common Carrier); household effects and furnishings; antiques and collectors items; eye glasses sunglasses or contact lenses; artificial teeth and dental bridges; hearing aids; prosthetic limbs; keys, money, securities and documents; tickets; credit cards; professional or occupational equipment or property; personal computers; electronic notebooks or games; sporting equipment if loss or damage results from the use thereof. Any loss caused by or resulting from: Breakage of brittle or fragile articles; wear and tear, gradual deterioration; insects or vermin; inherent vice or damage while the article is actually being worked upon or processed; confiscation or expropriation by order of any government; radioactive contamination; war or any act of war whether declared or not; theft or pilferage while left unattended in any vehicle; mysterious disappearance; property illegally acquired, kept, stored or transported; insurrection or rebellion; imprudent action or omission; and property shipped as freight or shipped prior to the Scheduled Departure Date. Definitions:
The following is a listing of definitions used in this Description of
Services and Coverage:
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John K. Arnold
Managing General Agent
International Insurance Website www.insurance-network.com
E-Mail: John K. Arnold
Phone: 407-592-0311
Fax: 407-386-7053
If outside the US, it is best to e-mail as we can respond more
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