Pre-Existing Conditions
Exclusion Waiver
The Pre-Existing Condition Exclusion is waived provided you meet the
following requirements: 1) the payment for the plan is received within
7 days of the initial deposit/payment for your Trip and 2) you are not
disabled from travel at the time you make your plan payment. Please
note, this plan may not be purchased after
you have made your final payment for your Trip.
|
| The Vacation Protection
Waiver Benefits of this Part A are provided by Amtrak
Vacations, apply prior to departure only, and are not
insurance. |
|
VACATION
PROTECTION WAIVER
SCHEDULE OF COVERAGES |
Vacation Protection
Waiver
|
Up To Trip Cost |
VACATION
PROTECTION WAIVER
Amtrak Vacations’ Vacation Protection Waiver allows you to cancel
your Amtrak Vacations arrangements for any reason up to 12:00 noon Eastern
Time on last business day prior to the first services offered by Amtrak
Vacations. The waiver fee only covers airline tickets that are purchased
through Amtrak Vacations.
Important: Amtrak
Vacations’ Vacation Protection Waiver must be purchased
at time of booking or when deposit is paid and is non-refundable
and non-transferable. The Amtrak Vacations’ Vacation
Protection Waiver does not cover cancellation or “no
shows” on the day of departure. A “No Show” is
defined as a failure to notify Amtrak Vacations of a cancellation
prior to 12:00 noon Eastern Time on last business day prior
to departure.
Note: If
the number of individuals occupying a room decreases or if
the number of travelers sharing the cost of a component on
their trip changes, the remaining travelers will be responsible
for additional costs incurred as a result of a change in
the person occupancy rate. In this case, Amtrak Vacations
reserves the right to deduct the extra costs from the refund
to the person who cancels. If insufficient funds are deducted
from the canceling client, the traveling clients will be
charged the remaining portion of the additional costs.
AMTRAK VACATIONS' BEST PRICE
GUARANTEE
If you have purchased Amtrak Vacations’ Vacation Protection Waiver
and Amtrak Vacations advertises a discount on the exact same vacation
that you have booked (same date, flight, duration of stay, hotel, room
category and all other travel components), you can claim the savings
prior to departure.
When a cancellation is made,
the claim will be handled in this manner:
1) Cancellations made before 12:00 noon Eastern Time on last business
day prior to the first services offered by Amtrak Vacations will receive
refunds in cash or credit to the credit card depending upon the method
of payment. Refunds will be awarded upon receipt of the returned travel
documents to Amtrak Vacations. Refunds are processed through the booking
agent and agent commissions are not protected if cancellation occurs
prior to departure.
2) Best Price Guarantee Claims will also receive a refund for
advertised discount if the claim is made prior to departure.
WHERE TO PRESENT PART A
CLAIMS
To cancel your vacation prior to departure, contact your travel agent
who will notify Amtrak Vacations or call 1-800-225-2550 during normal
business hours, which are Monday through Friday 9:00 AM to 5:30 PM EST.
When filing a claim, please send any unused travel documents to: Amtrak
Vacations, Attn: Claims Department, 100 Cummings Center, Suite 120B,
Beverly, MA 01915.
|
| The Travel Insurance Benefits
of this Part B are provided by the insurance company
listed below. |
|
|
Schedule: Amtrak Vacations |
| Benefit |
Accidental Death
and Dismemberment
|
$25,000 |
| Medical Expense/Emergency Assistance
|
$25,000 |
| Accident and Sickness Medical
Expense
|
Included |
Emergency
Evacuation and Repatriation
|
Included |
Post-Departure
Trip Interruption
|
Up To Trip Cost |
Travel Delay (Up
to $100 Per Day)
|
$500 |
| Baggage and Personal Effects
|
$1,000 |
| Baggage Delay
|
$100 |
|
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 plan, 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.
|
Life
|
100% |
Both Hands; Both
Feet or Sight of Both Eyes
|
100% |
| One Hand and One Foot
|
100% |
| One Hand and Sight of One Eye
|
100% |
One Foot and Sight
of One Eye
|
100% |
One Hand; One Foot
or Sight of One Eye
|
50% |
|
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.
Please
see the Definitions for an explanation of
Pre-Existing Conditions which are excluded under
the Medical Expense/Emergency Assistance, Post-Departure
Trip Interruption and Travel Delay Benefits. (Unless
this exclusion is waived, see Pre-Existing Conditions
Exclusion Waiver for details) |
|
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 plan;
(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.
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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.
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Travel Delay
If your Trip is delayed for 12 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. |
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. |
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.
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 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 $25 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. |
A person who has arranged to take a Trip, pays the required plan payment,
and is a citizen or resident of the USA or Canada.
|
Post-Departure Trip Interruption coverage will take effect on the Scheduled
Departure Date of your Trip if the required payment for the plan is received.
All other coverages will take effect on the later of 1) the date the
plan payment has been received by Amtrak Vacations; 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.
|
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 plan. Termination
of the plan will not affect a claim for loss that occurs after payment
for the plan has been made. All coverages under the plan will be extended
if your entire Trip is covered by the plan 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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In this plan, “you”, “your” and “yours” refer
to the Plan Participant. “We”, “us” and “our” refer
to the company or Insurer providing this coverage In addition certain
words and phrases are defined as follows:
“Accident” means a
sudden, unexpected, unintended and external event, which causes
Injury.
“Actual Cash Value” means
current replacement cost for items of like kind and quality
less depreciation.
“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.
“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 plan; 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
plan payment.
“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 plan:
1. Common Carrier delays resulting from organized labor strikes that
affect public transportation;
2. arrangements canceled by an airline, cruise line, or tour operator,
resulting from inclement weather or organized labor strikes that affect
public transportation;
3. 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 plan: 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.
“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.
“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 Benefit Schedule.
“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 plan.
“Program Medical Advisors” means
ON CALL INTERNATIONAL.
“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 plan 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
plan is not a Sickness as defined herein and is not covered
by the plan.
“Traveling Companion” means
a person whose name appears with yours on the same Trip
arrangement and who, during the Trip, will share accommodations
with you in the same room, cabin, condominium unit, apartment
unit, or other lodging.
“Trip” means
a scheduled trip for which coverage has been elected
and the plan payment made and all travel arrangements
are arranged by Amtrak Vacations prior to the Scheduled
Departure Date of the Trip.
“Usual and Customary Charge” means
those charges for necessary treatment and services that
are reasonable for the treatment of cases of comparable
severity and nature. This will be derived from the mean
charge based on the experience in a related area of the
service delivered and the MDR (Medical Data Research)
schedule of fees valued at the 90th percentile.
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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, 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 plan, including death that results
therefrom. 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.
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The following exclusion applies
to all coverages:
3. We will not pay for
any loss under the plan, 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, default or failure to supply services by
a travel supplier; u) failure of any
tour operator, Common Carrier, or other travel supplier,
person or agency to provide the bargained-for travel
arrangements; v) a loss that results
from an illness, disease, or other condition, event or
circumstance which occurs at a time when the plan 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. |
|
Please
read this Insurance Certificate/brochure carefully,
as it is your evidence of coverage under the plan
(once you have made your plan payment). If you
have any questions about the coverages offered
or to report a claim, please contact Trip Mate
at 1-800-888-7292. Claims may also be reported
online and claim forms downloaded at www.tripmate.com Plan
Number 428W |
All claims should be presented to the Program
Administrator:
Trip Mate (In
CA, dba Trip Mate Insurance Agency)
9225 Ward Parkway, Suite 200
Kansas City, Missouri 64114
1-800-888-7292
Plan Number: 428W
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.
Part
B 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 428W.
Additional information about your policy is available
at www.tripmate.com. You can also request this
information by calling Trip Mate at 1-800-888-7292.
Note: This
policy contains disability insurance
benefits or health insurance benefits,
or both, that apply only during a covered
Trip. You may have coverage from other
sources that already provides you with
these benefits. You should review your
existing policies. If you have any
questions about your current coverage,
call your insurer or health plan.
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| International Travelers Assistance |
24-hour Telephone Service–Multi-lingual
professionals are available 24 hours a day to provide
help and advice with a medical or legal emergency.
International Medical Assistance–If
you are in need of medical attention, ON CALL will help you
locate local physicians, dentists, or medical facilities.
ON CALL will also monitor your condition and contact your
personal physician and family, if requested.
Nurse Helpline–Registered
nurses are available 24 hours a day before and during
your trip to provide general health information, clinical
assessment, and health counseling to give you assistance
in making appropriate healthcare decisions.
Medical Evacuation–If
you need to be transported to a different hospital or treatment
facility, or back home, ON CALL will arrange and pay for
transportation and a special medical escort if required.
Payment is available only for covered claims and up to
the amount of coverage provided in the plan.
Telephone Interpretation Service–In
a medical emergency, ON CALL provides interpretation services
in major languages and will transmit urgent messages to
family, friends, and business, if requested.
Failure to call ON CALL may invalidate
your Medical Expense and/or Trip Interruption or Delay
claim.
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The ON CALL Assistance Network extends worldwide.
If you are outside the United States or Canada, call
the local telephone operator for help in placing
your collect call. Within
the United States and Canada, use the toll free number.
Phone answered 24 hours daily.
|
|
Within U.S.A. & Canada Outside
U.S.A. & Canada
1-800-555-9095 1-603-894-4710*
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*From outside the United States & Canada,
you will first have to enter the International Access
Code of the country you are calling from.
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PLAN
NUMBER: 428W
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PLEASE NOTE: Neither
the Insurer nor ON CALL INTERNATIONAL shall be responsible
for the availability, quality or results of any medical
treatment or your failure to obtain medical treatment.
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. Use Program
Code 428W
The Traveler PDQ Service is provided by:
Worldwide PDQ, a division of Cargril Corporation
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