
Please read this
Insurance Certificate/brochure carefully, as it is your
evidence of coverage under the policy (once you have paid the appropriate
premium). If you have any questions about the coverages offered or
to report a claim, please contact Travelex 360° Claims
at 1-800-965-8859. Claims may also be reported online and claim forms
downloaded at: www.travelexinsurance.com Plan
Number: 750D
Schedule
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| Pre-Departure Trip Cancellation |
Trip Cost* |
| Post-Departure Trip Interruption |
150% of Trip Cost* |
| Travel Delay (Up to $150 Per Day) |
$750 |
Accidental Death
and Dismemberment
|
|
| Air Flight |
$50,000 |
| Any Other Circumstances |
$25,000 |
| Baggage and Personal Effects |
$2,500 |
| Baggage Delay |
$250 |
Medical Expense/Emergency
Assistance |
|
| Accident and Sickness Medical
Expense
|
$50,000 |
| Emergency Evacuation and Repatriation
|
$250,000 |
* The Pre-Departure Trip Cancellation and Post-Departure
Trip Interruption Benefits are optional benefits that are included only
if elected and the appropriate premium paid. If you elect these benefits
and insure an amount less than your total prepaid Trip costs that are subject
to cancellation penalties or restrictions, the maximum benefit for Pre-Departure
Trip Cancellation and Post-Departure Trip Interruption will be limited
to the amount of coverage you purchased. |
|
A person who has arranged to take a Trip, and pays the required premium,
and is a citizen or resident of the U.S.A. or Canada.
All coverages (except Pre-Departure Trip Cancellation and Post-Departure
Trip Interruption) will take effect on the later of 1) the date the
premium has been received; 2) the date and time you start your Trip;
or 3) 12:01 A.M. Standard Time on the Scheduled Departure Date of
your Trip. Pre-Departure Trip Cancellation coverage will take effect
on the date your premium is received. Post-Departure Trip Interruption
coverage will take effect on the Scheduled Departure Date of your
Trip if the required premium payment is received.
Your coverage automatically ends on the earlier
of: 1) the date the Trip is completed; 2) the Scheduled Return Date;
3) your arrival at the return destination on a round-trip, or the
destination on a one-way trip; 4) cancellation of the Trip covered
by the Policy.
Termination of the policy will not affect a claim for loss that occurs
after premium has been paid. All coverages under the policy will
be extended if your entire Trip is covered by the policy and your
return is delayed by unavoidable circumstances beyond your control.
If coverage is extended for the above reasons, coverage will end
on the earlier of the date you reach your originally scheduled return
destination or seven (7) days after the Scheduled Return Date.
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Please see Definitions for
an explanation of Pre-Existing Conditions which are excluded under
the Pre-Departure Trip Cancellation, Post-Departure Trip Interruption,
Travel Delay and Medical Expense/Emergency Assistance Benefits.
(Unless this exclusion is waived, see
the Waiver of the Pre-Existing Condition Exclusion for details) |
|
Optional Pre-Departure Trip Cancellation
We will pay a Pre-Departure Trip Cancellation Benefit,
up to the amount in the Schedule, if you are prevented from taking your
Trip due to your, an Immediate Family Member’s, Traveling Companion’s,
or Business Partner’s Sickness, Injury, or death, that occurs before
departure on your Trip. The Sickness or Injury must: a) commence while
your coverage is in effect under the policy; b) require the examination
and treatment by a Physician at the time the Trip is canceled; and c) in
the written opinion of the treating Physician, be so disabling as to prevent
you from taking your Trip.
We will pay a benefit if you are prevented from taking your Trip due to
Other Covered Events, as defined, that occur before departure on your Trip.
Pre-Departure Trip Cancellation Benefits: We will reimburse you,
up to the amount in the Schedule for the amount of prepaid, forfeited,
non-refundable Payments or Deposits that you paid for your Trip. We will
pay your additional cost as a result of a change in the per person occupancy
rate for prepaid travel arrangements if a Traveling Companion’s Trip
is canceled and your Trip is not canceled.
Optional Post-Departure Trip Interruption
We will pay a Post-Departure Trip Interruption Benefit, up to the amount in
the Schedule, if: 1) your arrival on your Trip is delayed beyond the Scheduled
Departure Date or 2) you are unable to continue on your Trip after you have
departed on your Trip due to your, an Immediate Family Member’s, Traveling
Companion’s, or Business Partner’s Sickness, Injury, or death.
For item 1) above, the Sickness or Injury must: a) commence while your coverage
is in effect under the policy; b) for item 2) above, commence while you are
on your Trip and your coverage is in effect under the policy; and c) for both
items 1) and 2) above, require the examination and treatment by a Physician
at the time the Trip is interrupted or delayed; and d) in the written opinion
of the treating Physician, be so disabling as to delay your arrival on your
Trip or to prevent you from continuing your Trip.
We will pay a benefit if: 1) your arrival on your Trip is delayed beyond the
Scheduled Departure Date or 2) you are unable to continue on your Trip after
you have departed on your Trip due to Other Covered Events, as defined.
Post-Departure Trip Interruption Benefits: We will reimburse you, less
any refund paid or payable, for unused land or water travel arrangements, plus
one of the following:
(1) the additional transportation expenses by the most direct route from the
point you interrupted your Trip: a) to the next scheduled destination where
you can catch up to your Trip; or b) to the final destination of your Trip;
or
(2) the additional transportation expenses incurred by you by the most direct
route to reach your original Trip destination if you are delayed and leave
after the Scheduled Departure Date.
However, the benefit payable under (1) and (2) above will not exceed the cost
of a one-way economy air fare (or first class, if the original tickets were first
class) by the most direct route less any refunds paid or payable for your unused
original tickets.
(3) your additional cost as a result of a change in the per person occupancy
rate for prepaid travel arrangements if a Traveling Companion’s Trip is
interrupted and your Trip is continued.
Travel Delay
If your Trip is delayed for 8 hours or more, we will reimburse you, up
to the amount shown in the Schedule for reasonable additional expenses
incurred by you for hotel accommodations, meals, telephone calls and local
transportation while you are delayed. We will not pay benefits for expenses
incurred after travel becomes possible.
Travel Delay must be caused by or result from: 1) Common Carrier delay;
or 2) loss or theft of your passport(s), travel documents or money; or
3) quarantine; or 4) hijacking; or 5) natural disaster or closure of public
roadways by government authorities due to adverse weather; or 6) Injury
or Sickness of you, an Immediate Family Member traveling with you, or a
Traveling Companion; or 7) death of you, an Immediate Family Member traveling
with you, or a Traveling Companion.
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Accidental Death and Dismemberment
We will pay this benefit up to the amount on the Schedule if you are injured
in an Accident which occurs while you are on a Trip and covered under the
policy, and you suffer one of the losses listed below within 365 days of
the Accident.
The Principal Sum is the benefit amount shown on the Schedule of Coverages.
We will pay 100% of the Principal Sum for loss of: life; both hands or
feet, or sight of both eyes; one hand and one foot; or one hand or one
foot and sight of one eye. We will pay 50% of the Principal Sum for loss
of: one hand or one foot; or sight of one eye.
Air Flight Benefits
The benefits provided by the policy for Air Flight applies only if you
sustain a covered loss in an Accident which occurs while a passenger in
or on, boarding or alighting from an aircraft of a regularly scheduled
airline or an air charter company that is licensed to carry passengers
for hire.
If you suffer more than one loss from one Accident, we will pay only for
the loss with the larger benefit. Loss of a hand or foot means complete
severance at or above the wrist or ankle joint. Loss of sight of an eye
means complete and irrecoverable loss of sight.
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Medical
Expense/Emergency Assistance
We will pay this benefit, up to the amount on the Schedule for the
following Covered Expenses incurred by you, subject to the following:
1) Covered Expenses will only be payable at the Usual and Customary
level of payment; 2) benefits will be payable only for Covered Expenses
resulting from a Sickness that first manifests itself or an Injury
that occurs while on a Trip; 3) benefits payable as a result of incurred
Covered Expenses will only be paid after benefits have been paid under
any Other Valid and Collectible Group Insurance in effect for you.
We will pay that portion of Covered Expenses which exceed the amount
of benefits payable for such expenses under your Other Valid and Collectible
Group Insurance provisions. |
1) expenses for the following Physician-ordered medical services: services
of legally qualified Physicians and graduate nurses, charges for Hospital
confinement and services, local ambulance services, prescription drugs
and medicines, and therapeutic services, incurred by you within one year
from the date of your Sickness or Injury during a Trip;
(2) expenses for emergency dental treatment incurred by you during a Trip;
(3) expenses incurred by you for Physician-ordered emergency medical evacuation,
including medically appropriate transportation and necessary medical care
en route, to the nearest suitable Hospital, when you are critically ill
or injured and no suitable local care is available, subject to the Program
Medical Advisors’ prior approval;
(4) expenses incurred for non-emergency medical evacuation, including medically
appropriate transportation and medical care en route, to a Hospital or
to your place of residence in the United States of America or Canada, when
deemed medically necessary by the attending Physician, subject to the Program
Medical Advisors’ prior approval;
(5) expenses for transportation not to exceed the cost of one round-trip
economy class air fare to the place of hospitalization for one person chosen
by you, provided that you are traveling alone and are hospitalized for
more than 7 days;
(6) expenses for transportation not to exceed the cost of one-way economy
class air fare to your place of residence in the United States of America
or Canada, including escort expenses, if you are 18 years of age or younger
and left unattended due to the death or hospitalization of an accompanying
adult(s), subject to the Program Medical Advisors’ prior approval;
(7) expenses for one-way economy class air fare (or first class, if your
original tickets were first class) to your place of residence in the United
States of America or Canada, from a medical facility to which you were
previously evacuated, less any refunds paid or payable from your unused
transportation tickets, if these expenses are not covered elsewhere in
the policy;
(8) repatriation expenses for preparation and air transportation of your
remains to your place of residence in the United States of America or Canada,
or up to an equivalent amount for a local burial in the country where death
occurred, if you die while outside the United States of America or Canada. |
Baggage
and Personal Effects
We will reimburse you, less any amount paid or payable from any other
valid and collectible insurance or indemnity, up to the amount shown
in the Schedule, for direct loss, theft, damage or destruction of your
Baggage, passports or visas during your Trip.
We will also pay for loss due to unauthorized use of your credit cards,
if you have complied with all of the credit card conditions imposed
by the credit card companies. |
Valuation and Payment of Loss:
Payment of loss under the Baggage and Personal Effects Benefit will be
calculated based upon an Actual Cash Value basis. For items without receipts,
payment of loss will be calculated based upon 75% of the Actual Cash
Value at the time of loss.
At our option, we may elect to repair or replace your Baggage. We will
notify you within 30 days after we receive your proof of loss. We may
take all or part of a damaged Baggage as a condition for payment of loss.
In the event of a loss to a pair or set of items, we will: 1) repair
or replace any part to restore the pair or set to its value before the
loss; or 2) pay the difference between the value of the property before
and after the loss.
Items Subject to Special Limitations:
We will not pay more than $500 (or the Baggage and Personal Effects limit,
if less) on all losses to jewelry; watches; precious or semi-precious
gems; decorative or personal articles consisting in whole or in part
of silver, gold, or platinum; cameras, camera equipment; digital or electronic
equipment and media; and articles consisting in whole or in part of fur.
Items not included above are subject to a $250 per item limit.
Items Not Covered:
We will not pay for damage to or loss of: 1) animals; 2) property used
in trade, business or for the production of income, household furniture,
musical instruments, brittle or fragile articles, or sporting equipment
if the loss results from the use thereof; 3) boats, motors, motorcycles,
motor vehicles, aircraft, and other conveyances or equipment, or parts
for such conveyances; 4) artificial limbs or other prosthetic devices,
artificial teeth, dental bridges, dentures, dental braces, retainers
or other orthodontic devices, hearing aids, any type of eyeglasses, sunglasses
or contact lenses; 5) documents or tickets, except for administrative
fees required to reissue tickets; 6) money, stamps, stocks and bonds,
postal or money orders, securities, accounts, bills, deeds, food stamps
or credit cards, except as noted above; 7) property shipped as freight
or shipped prior to the Scheduled Departure Date; 8) contraband.
Losses Not Covered:
We will not pay for loss arising from: 1) defective materials or craftsmanship;
or 2) normal wear and tear, gradual deterioration, inherent vice; or
3) rodents, animals, insects or vermin; or 4) theft or pilferage from
an unattended vehicle; or 5) mysterious disappearance; or 6) electrical
current, including electric arcing that damages or destroys electrical
devices or appliances.
Notice to Florida Residents:
Your homeowners policy, if any, may provide coverage for loss of personal
effects. You are not required to purchase baggage insurance in connection
with purchase of tickets or with the lease or rental of a motor vehicle.
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Baggage Delay
We will reimburse you, less any amount paid or payable from any other
valid and collectible insurance or indemnity, up to the amount shown
in the Schedule for the cost of reasonable additional clothing and personal
articles purchased by you, if your Baggage is delayed for 24 hours or
more during your Trip.
We will also reimburse you up to $50 for expenses incurred during your
Trip to expedite the return of your delayed Baggage. This coverage terminates
upon your arrival at the return destination of your Trip.
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In this Policy, “you”, “your” and “yours” refer
to the Insured. “We”, “us” and “our” refer
to the company providing this insurance. In addition certain words and
phrases are defined as follows:
“Actual Cash Value” means current replacement cost for items
of like kind and quality less depreciation.
“Air Carrier” means any air conveyance operated under a license
for the transportation of passengers for hire.
“Baggage” means luggage, personal possessions and travel
documents taken by you on the Trip.
“Business Partner” means an individual who is involved, as
a partner, with you in a legal general partnership and shares in the
management of the business.
“Common Carrier” means any land, water or air conveyance
operated under a license for the transportation of passengers for hire,
not including taxicabs or rented, leased or privately owned motor vehicles.
“Domestic Partner” means a person who is at least eighteen
years of age and you can show: 1) evidence of financial interdependence,
such as joint bank accounts or credit cards, jointly owned property,
and mutual life insurance or pension beneficiary designations; 2) evidence
of cohabitation for at least the previous 6 months; and 3) an affidavit
of domestic partnership if recognized by the jurisdiction within which
they reside.
“Elective Treatment and Procedures” means any medical treatment
or surgical procedure that is not medically necessary including any service,
treatment, or supplies that are deemed by the federal, or a state or
local government authority, or by us to be research or experimental or
that is not recognized as a generally accepted medical practice.
“Financial Insolvency” means
the total cessation of operations due to insolvency, with or without
the filing of a bankruptcy petition, or the total cessation of operations
following the filing of a bankruptcy petition, by an airline, cruise
line, or tour operator, other than the person, organization, agency or
firm from whom you directly purchased or paid for your Trip provided
the Financial Insolvency occurs more than 15 days following your effective
date for the Trip Cancellation Benefits.
“Home” means your primary or secondary residence.
“Hospital” means an institution, which meets all of the following
requirements: 1) it must be operated according to law; 2) it must give
24 hour medical care, diagnosis and treatment to the sick or injured
on an inpatient basis; 3) it must provide diagnostic and surgical facilities
supervised by Physicians; 4) registered nurses must be on 24 hour call
or duty; and 5) the care must be given either on the hospital’s
premises or in facilities available to the hospital on a pre-arranged
basis. A Hospital is not: a rest, convalescent, extended care, rehabilitation
or other nursing facility; a facility which primarily treats mental illness,
alcoholism, or drug addiction (or any ward, wing or other section of
the hospital used for such purposes); or a facility which provides hospice
care (or wing, ward or other section of a hospital used for such purposes).
“Immediate Family Member” includes your or the Traveling
Companion’s spouse, child, spouse’s child, son-daughter-in-law,
parent(s), sibling(s), grandparent(s), grandchild, step brother-sister,
step-parent(s), parent(s)-in-law, brother-sister-in-law, aunt, uncle,
niece, nephew, guardian, Domestic Partner, foster-child, or ward.
“Injury” means bodily harm caused by an accident which: 1)
occurs while your coverage is in effect under the policy; and 2) requires
examination and treatment by a Physician. The Injury must be the direct
cause of loss and must be independent of all other causes and must not
be caused by, or result from, Sickness.
“Insured” means an Eligible Person who arranges a Trip and
pays any required premium.
“Insurer” means Stonebridge Casualty Insurance Company.
“Other Covered Events” means only the following unforeseeable
events or their consequences which occur while coverage is in effect
under this Policy:
1. Air Carrier delays resulting from inclement weather, mechanical breakdown
of the aircraft on which you are scheduled to travel or organized labor
strikes that affect public transportation;
2. arrangements canceled by an airline resulting from inclement weather,
mechanical breakdown of the aircraft on which you are scheduled to travel
or organized labor strikes that affect public transportation;
Items #1 and #2 above apply only to Post-Departure Trip Interruption
benefits and are subject to a limit of $500.
3. arrangements canceled by an airline, cruise line, or tour operator
resulting from Financial Insolvency as defined.
Item #3 above is subject to your premium being received within 14 days
of the initial deposit/payment for your Trip.
4. a change in plans by you, an Immediate Family Member traveling with
you, or Traveling Companion resulting from one of the following events
which occurs while coverage is in effect under this Policy: a) being
directly involved in a documented traffic accident while en route to
departure; b) being hijacked, quarantined, required to serve on a jury,
or required by a court order to appear as a witness in a legal action,
provided you, an Immediate Family Member traveling with you or a Traveling
Companion is not 1) a party to the legal action, or 2) appearing as a
law enforcement officer; c) your Home is made uninhabitable by fire,
flood, volcano, earthquake, hurricane or other natural disaster; d) being
called into active military service to provide aid or relief in the event
of a natural disaster; e) a documented theft of passports or visas; f)
a transfer of employment of 250 miles or more; g) a Terrorist
Act which
occurs in your departure city or in a city which is a scheduled destination
for your Trip provided: 1) The Terrorist Act occurs within 30 days of
the Scheduled Departure Date for your Trip; and 2) Your premium is received
within 14 days of the initial deposit/payment for your Trip.
“Other Valid and Collectible Group Insurance” means any group
policy or contract which provides for payment of medical expenses incurred
because of Physician, nurse, dental or Hospital care or treatment; or
the performance of surgery or administration of anesthesia. The policy
or contract providing such benefits includes group or blanket insurance
policies; service plan contracts; employee benefit plans; or any plan
arranged through an employer, labor union, employee benefit association
or trustee; or any group plan created or administered by the federal
or a state or local government or its agencies. In the event any other
group plan provides for benefits in the form of services in lieu of monetary
payment, the usual and customary value of each service rendered will
be considered a Covered Expense.
“Payments or Deposits” means the cash, check, or credit card
amounts actually paid for your Trip. Payments made in the form of a certificate,
voucher or discount are not Payments or Deposits as defined herein.
“Physician” means a person licensed as a medical doctor by
the jurisdiction in which he/she is resident to practice the healing
arts. He/she must be practicing within the scope of his/her license for
the service or treatment given and may not be you, a Traveling Companion,
or an Immediate Family Member of yours.
“Policy” means the contract issued to the Policyholder providing
the benefits specified herein.
“Policyholder” means the legal entity in whose name this
Policy is issued, as shown on the Declarations.
“Pre-Existing Condition” means
an illness, disease, or other condition during the 60 day period immediately
prior to your effective date for which you or your Traveling Companion
or Immediate Family Member scheduled or booked to travel with you: 1)
received or received a recommendation for a diagnostic test, examination,
or medical treatment; or 2) took or received a prescription for drugs
or medicine. Item (2) of this definition does not apply to a condition
which is treated or controlled solely through the taking of prescription
drugs or medicine and remains treated or controlled without any adjustment
or change in the required prescription throughout the 60 day period before
coverage is effective under this policy.
“Program Medical Advisors” means
ON CALL International, LLC.
“Scheduled Departure Date” means the date on which you are
originally scheduled to leave on your Trip.
“Scheduled Return Date” means the date on which you are originally
scheduled to return to the point where the Trip started or to a different
final destination.
“Sickness” means an illness or disease of the body which:
1) requires examination and treatment by a Physician, and 2) commences
while the insurance is in effect. An illness or disease of the body which
first manifests itself and then worsens or becomes acute prior to the
effective date of this insurance is not a Sickness as defined herein
and is not covered by the policy.
"Terrorist Act” means an act of violence, other than civil
disorder or riot, (that is not an act of war, declared or undeclared)
that results in loss of life or major damage to property, by any person
acting on behalf of or in connection with any organization which is generally
recognized as having the intent to overthrow or influence the control
of any government.
“Traveling Companion” means up to six persons whose names
appear with yours on the same Trip arrangement and who, during the Trip,
will accompany you.
“Trip” means a scheduled trip for which coverage has been
elected and the premium paid, and all travel arrangements are arranged
prior to the Scheduled Departure Date of the Trip.
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The following exclusion applies to the Accidental Death and Dismemberment
coverage:
1. We will not pay for loss caused by or resulting from
Sickness of any kind.
The following exclusion applies to the Medical Expense/Emergency Assistance,
Pre-Departure Trip Cancellation, Post-Departure Trip Interruption, and
Travel Delay coverages:
2. We will not pay for loss or expense caused by or incurred resulting
from a Pre-Existing Condition, as defined in the policy, including
death that results therefrom. (Unless this exclusion is waived, see
below for details)
This Exclusion does not apply to benefits under covered expenses item #3 (emergency
medical evacuation) or item #8 (repatriation of remains) of the Medical Expense/Emergency
Assistance Benefits coverage.
Waiver of the Pre-Existing Condition Exclusion
The Pre-Existing Condition Exclusion is waived provided
you meet the following requirements: 1) the premium for the coverage
is received within 14 days of the initial deposit/payment for your
Trip and 2) you are not disabled from travel at the time you pay
your premium.
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The following exclusion applies to all coverages:
3. We will not pay for any loss under the policy, caused by, or resulting
from:
a) suicide, attempted suicide, or intentionally self-inflicted
injury of you, a Traveling Companion, Immediate Family Member, or
Business Partner booked to travel with you, while sane or insane (while
sane in CO & MO);
b) mental, nervous, or psychological disorders;
c) being under the influence of drugs or intoxicants, unless prescribed
by a Physician;
d) normal pregnancy or resulting childbirth or elective
abortion;
e) participation as a professional in athletics;
f) participation in organized amateur and interscholastic athletic
or sports competition or events;
g) riding or driving in any motor competition;
h) declared or undeclared war, or any act of war;
i) civil disorder;
j) service in the armed forces of any country;
k) nuclear reaction, radiation or radioactive contamination;
l) operating or learning to operate any aircraft, as pilot or crew;
m) mountain climbing, bungee cord jumping, skydiving, parachuting,
hang gliding, parasailing or travel on any air supported device,
other than on a regularly scheduled airline or air charter company;
n) any unlawful acts, committed by you or a Traveling Companion (whether
insured or not);
o) any amount paid or payable under any Worker’s Compensation,
Disability Benefit or similar law;
p) a loss or damage caused by detention, confiscation or destruction
by customs;
q) Elective Treatment and Procedures;
r) medical treatment during or arising from a Trip undertaken for
the purpose or intent
of securing medical treatment;
s) business, contractual or educational obligations of you, an Immediate
Family Member, Business Partner, or Traveling Companion;
t) Financial Insolvency of the person, organization or firm from
whom you directly purchased or paid for your Trip, Financial Insolvency
which occurred before your effective date for the Trip Cancellation
Benefits, or Financial Insolvency which occurs within 15 days following
your effective date for the Trip Cancellation Benefits;
u) failure of any tour operator, Common Carrier, or other travel
supplier, person or agency to provide the bargained-for travel arrangements
other than Financial Insolvency;
v) a loss that results from an illness, disease, or other condition,
event or circumstance which occurs at a time when the policy is not
in effect for you.
| Important Note: Exclusion
3, Item v above applies to you, an Immediate Family Member, Traveling
Companion, or Business Partner. |
All claims should be presented to the Claims Administrator, Trip Mate*,
at the following address:
Travelex 360° Claims
P.O. Box 481127
Kansas City, Missouri 64148-1127
1-800-965-8859
Plan Number: 750D
In the event of a Medical or Dental
Expense: You must provide
us with all bills and reports for medical and/or dental expenses claimed;
you must provide any requested information, including but not limited to,
an explanation of benefits from any other applicable insurance; and you
must sign a patient authorization to release any information required by
us, to investigate your claim.
In case of loss, theft or damage to Baggage and
Personal Effects you should: Immediately report the situation to the hotel manager, tour guide or representative,
transportation official, local police or other local authorities and obtain
their written report of your loss; take reasonable steps to protect your
Baggage from further damage; and make necessary, reasonable and temporary
repairs. We will reimburse you for these expenses. We will not pay for
further damage if you fail to protect your Baggage.
The Travel Insurance is
Underwritten By: Stonebridge Casualty Insurance Company, Columbus, Ohio;
(all states except as otherwise noted) under Policy/Certificate Form series
TAHC5000. In CA, CT, HI, NE, NH, PA, TN and TX Policy/Certificate Form
series TAHC5100 and TAHC5200. In IL, IN, KS, LA, OH, OR, VT, WA and WY
Policy Form #’s TAHC5100IPS and TAHC5200IPS.
Notice: If you are a resident of one of the following states (IL, IN, KS,
LA, OH, OR, VT, WA, WY) your coverage is provided on an individual policy
form. Your policy number is your complete Name plus 750D. Additional forms
complete your policy and are available at www.travelexinsurance.com/tmforms.
You can also request these forms by calling Travelex Customer Service at
1-800-965-8859.
Travelex 360° claims are administered by: Trip Mate*
*In CA, dba Trip Mate Insurance Agency
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24 Hour Worldwide Assistance Service
Travelex Travel Assistance helps you find your way more easily whether
you are traveling domestically or internationally. You can access a
wide range of services on a 24/7 basis both before you go and during
your trip. Services include:
• 24-hour medical assistance helpline
• Medical evacuation/repatriation
• Baggage tracking
• Lost/stolen passport/card assistance
• Emergency air/hotel/car rental bookings
• Destination information and advice
• International dining recommendations
• Hospitality & event ticketing
All Travelex Travel Assistance Services
are included with this travel protection plan purchase. There are charges
associated with some services.
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Customers can call toll-free
for travel assistance by calling:
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Within USA & Canada
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1-800-784-0255
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Outside USA & Canada |
1-603-894-4710* |
*When outside the United States & Canada, you will first have to
call the local telephone operator for help in placing your collect
call, or if dialing direct, enter the International Access Code of
the country you are calling from.
Refer to Plan Number: 750D |
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Access Your Medical Records online |
With our exclusive Free Traveler PDQ Service, you can assure that your
important medical records are available to you or any Physician chosen
by you, at any time, anywhere in the world, quickly, wherever there
is internet access available. Register at www.travelerpdq.com or call,
toll free 1-800-379-9887. It’s free during your insured Trip! Use Program Code 750D
The Traveler PDQ Service is provided by: Worldwide PDQ, a division of Cargril
Corporation
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Questions? Call 1-800-965-8859
Please reference the the following information
when seeking travel assistance or reporting a claim:
PLAN NUMBER: 750D
LOCATION NUMBER:
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