Medical travel insurance with a Big Tick! Any condition. Any age. Anywhere.
Your AllClear Travel Insurance Policy
ACOP4 IMPORTANT NOTICE - PLEASE READ ALLCLEAR TRAVEL INSURANCE POLICY - ACOP4
RedArc Serious Illness and Bereavement Support Service
AllClear Travel Insurance are pleased to announce the introduction of the RedArc Serious Illness and Bereavement Support Service with effect from 1st June 2016.
This benefit is only available if you have made a claim under Section 1 Cancellation, Section 2 Curtailment or Section 6 Medical Emergency Expenses. The following clause will be added to 'Your Cover' commencing on page 15 of the policy wording:
RedArc Serious Illness and Bereavement Support Service
Cover is only available under this section if you have made a claim under Section 1 Cancellation, Section 2 Curtailment or Section 6 Medical Emergency Expenses.
YOU ARE COVERED
If you have made a claim due to: a) you falling ill from a serious health condition whilst travelling or; b) you having suffered a serious trauma whilst travelling or; c) someone close to you has died causing you to cancel or curtail your trip.
If you are eligible for this service, your claims handling company will notify RedArc who will then make contact with you to discuss the service. The service provides practical help and emotional support by telephone from a dedicated RedArc Personal Nurse Adviser. RedArc’s qualified and highly experienced Nurses can help with many situations e.g. questions about your health condition, help in getting services from NHS on return to UK following illness, support if you are bereaved or have suffered a major trauma. The RedArc service offers unlimited access during office hours (Mon- Fri excl. bank holidays in England 9am -5pm), for a maximum of 6 months.
YOU ARE NOT COVERED FOR
1. any medical, therapy or counselling expenses 2. support beyond 6 months 3. travelling expenses 4. anything mentioned in the General Exclusions
All other terms remain unaltered.
ACOP4 Important Contact Information
Emergency & general contact numbers
Before you leave
If you need to amend your policy, add a new medical condition or talk about your policy: Telephone the AllClear Call Centre 01708 339029
When you are away
If you need medical emergency assistance while abroad:
Telephone MAPFRE Assistance UK 0207 748 0521 Outside UK +44 207 748 0521 (24 Hour Helpline Important – please quote reference AllClear)
When you get back
If you need to make a claim:
Telephone AllClear Travel Insurance Claims 01420 383014
(See page 4 for full details)
00 All Clear Travel Insurance – Exclusions and Conditions Welcome…
Thank you for choosing AllClear Travel Insurance. We believe everyone deserves the right to travel and for that reason we have developed this travel insurance policy for your peace of mind.
To assist you finding your way around this document we have identified key information for you by the use of colour coding and icons.
Sections denoting YOU ARE COVERED are highlighted in green and sections denoting YOU ARE NOT COVERED are highlighted in red.
Throughout the policy wording your attention is drawn to Important Information by the following icon:
AllClear Travel Insurance – Welcome 1 Contents
Introduction 3 Important Things to Remember 4 Before you go – If you need to cancel your trip 4 While you are away – If you need medical emergency assistance 4 On your return – How to make a claim 4
Your Policy 5 Summary of Cover 6 General Policy Information 7 Conditions 10 Geographical Limits 11 Definitions 12 Reciprocal Health Agreements/EHIC 14
Your Cover 15 Section 1 Cancellation 16 Section 2 Curtailment 17 Section 3 Missed Departure 18 Section 4 Travel delay 18 Section 5 Personal Accident 19 Section 6 Medical Emergency Expenses 19 Section 7 Personal Property 21 Section 8 Personal Public Liability 22 Section 9 Home Help or Nanny 23 Section 10 Ski Equipment 23 Section 11 Ski Pack 24 Section 12 Piste Closure 24 Section 13 Legal Costs and Expenses 25 Section 14 Loss and Hire of Golf Equipment 26 Section 15 Loss of Green Fee 26 Section 16 Hole in One 27 Section 17 End Supplier Failure 27
General Exclusions 28 Complaints Procedure 31 Amateur Sporting and Hazardous Activities 32
2 AllClear Travel Insurance – Contents Introduction
This insurance policy contains full details of the cover provided plus the conditions and exclusions which apply to it. You must read the insurance policy carefully. It is only available to persons resident in the United Kingdom and Republic of Ireland and is only valid for trips commencing in and returning to your Home Country. There are conditions and exclusions which apply to individual sections and general conditions and exclusions and warranties which apply to the whole policy. Under some sections there is an amount deducted (an excess) per incident, which applies to each insured person involved in an incident, as do the sums insured under each section.
Your policy is governed by the law applicable to where Details about the extent of regulation by the Financial you reside within the United Kingdom or Republic of Conduct Authority and the Prudential Regulation Ireland if this is your usual country of residence. Please Authority are available on request. refer to page 12. MAPFRE Asistencia Compañia International de Seguros y The policy applies to all persons named on the Policy Reaseguros, S.A. branch in the United Kingdom (trading Schedule who are eligible to be insured and for whom as MAPFRE Assistance) has registered offices at 5th the premium has been paid. You must have resided in Floor, Alpha House, 24a Lime Street, London, EC3M 7HS. the UK or Republic of Ireland for no less than 6 months, MAPFRE Asistencia main office is based in Spain which have a permanent UK or Republic of Ireland address forms part of the EEA (European Economic Area) as a and be registered with a UK or Republic of Ireland member state. The Kingdom of Spain is responsible for General Practitioner. controlling the insurance activity of MAPFRE Asistencia S.A., through the Spanish Ministry of Economy and the This insurance is underwritten by MAPFRE Asistencia Treasury, and specifically the General Directorate for Compañia International de Seguros y Reaseguros, Insurance Matters and Pensions Fund (Dirección General Sociedad Anonima, 5th Floor, Alpha House, 24a Lime de Seguros y Fondos de Pensiones). Its branch in the Street, London, EC3M 7HS. Company Number: FC021974. United Kingdom is also under the United Kingdom Branch Number BR008042. Trading under the name FCA (Financial Conduct Authority) and PRA (Prudential MAPFRE Assistance. Regulation Authority) supervision in certain situations We (MAPFRE Asistencia) are authorised by the Dirección according to the European Union Regulation. General de Seguros y Fondos de Pensiones and are AllClear Ltd act as agents of the insurer in collecting subject to limited regulation by the Financial Conduct premiums; such monies are deemed to be held by the Authority and the Prudential Regulation Authority. insurers with which your insurance is arranged.
AllClear Travel Insurance – Introduction 3 Important things to remember
Before you go On your return If you need to cancel your trip contact the AllClear Travel How to make a claim Insurance Claims helpline on 01420 383014 1) AllClear Travel Insurance Claims are handled by While you are away Reactive Claims Ltd. 1) If you need medical emergency assistance If you need to make a claim please obtain a claim MAPFRE Assistance provides immediate help in the form by telephoning or writing to the claims service event of an Insured Person’s illness or injury arising below within 28 days of your return, quoting outside your Home Country – they provide a 24 hour AllClear Travel Insurance and which section of the multilingual emergency service 365 days a year and can policy you are claiming under. be contacted by telephone. Alternatively you can register your claim online, UK 0207 748 0521 download claim forms and access a comprehensive list of FAQ’s to help you with the claims process: Outside UK +44 0207 748 0521 Fax +353 91 501619 or Reactive Claims Ltd Attwood House, Email: [email protected] Mansfield Business Park When an Insured Person calls upon the services of Four Marks MAPFRE Assistance it is a condition of service that Hampshire MAPFRE Assistance shall solely be responsible for all GU34 5PZ decisions on the most suitable and reasonable solution to any medical problem. The service includes, where 01420 383014 necessary: Email : [email protected] www.reactiveclaims.com i) Multilingual assistance with hospitals and doctors ii) Repatriation arrangements by escort by a medical attendant 2) Then return your completed claim form to the claims iii) Travel arrangements for other members of your service together with your original policy and Policy party or immediate relative Schedule, confirmation of booking, all original receipts and police reports (which must be obtained within iv) On arrival in your Home Country, an ambulance 48 hours of discovery in the event of loss, burglary or service to hospital or home. theft of money, valuables or any items of personal Please note that failure to contact the baggage) and any other evidence requested on the assistance company may result in a claim claim form. being invalid.
2) If you are treated as an outpatient If you receive medical treatment abroad as an outpatient, you should pay the hospital or clinic and claim back your medical expenses from AllClear Travel Insurance Claims when you return home, unless your outpatient treatment is likely to cost more than £500, in which case you must contact MAPFRE Assistance immediately (please refer to the 24 hour medical emergency section above for contact details). A twilight view of Port Vell 3) In the event of loss, burglary or theft of personal and the Mediterranean city of Barcelona, capital baggage, valuables or money, you must report this in of Catalonia, Spain. A rich full to the police within 48 hours, and obtain a written and fascinating combination police report failure to do so will invalidate your claim. of contemporary culture and historical landmarks See Section 7 Personal Property on page 21 for full makes the city a popular details of cover. destination for many.
4 AllClear Travel Insurance – Important things to remember Your Policy
4 AllClear Travel Insurance – Important things to remember AllClear Travel Insurance – Your Policy 5 Summary of cover (per person)
Gold Cover Gold Plus Cover Page Cover Excess Cover Excess 1 Cancellation 16 £2,000 £250 £5,000 £150 (£15 for loss (£15 for loss of deposit) of deposit) 2 Curtailment 17 £2,000 £250 £5,000 £150
3 Missed departure 18 £750 Nil £750 Nil
4 Travel delay 18 £20 for the first 12 hours £10 Nil £20 for the first 12 hours £10 Nil for each 12 hours after up for each 12 hours after up to £100 to £100
Abandonment Up to £2,000 £250 Up to £5,000 £150 5 Personal accident 19 Death £15,000 Nil £15,000 Nil Permanent total disablement £25,000 Nil £25,000 Nil
If you are aged under 16 or over 75 at the time of the accident the death benefit will be limited to funeral and other expenses up to £1,500 and the permanent total disablement benefit will not apply.
6 Medical emergency expenses 19 £10,000,000 £250 £15,000,000 £150 repatriation and associated expenses Medical inconvenience benefit £25 per day up to £1,000 Nil £25 per day up to £1,000 Nil Loss of medication £300 £75 £300 £75 7 Personal property 21 Up to £2,000 £75 Up to £2,500 £75 Single article limit £200 (Except mobility aids) £75 £200 (Except mobility aids) £75 Valuables limit £250 £75 £250 £75 Prescription spectacles £300 £75 £300 £75 Replacement keys £50 Nil £50 Nil Mobility aids £500 £75 £2,500 £75 Delayed baggage £100 Nil £100 Nil Personal money Up to £400 £75 Up to £400 £75 (Cash limited to £250) (Cash limited to £250)
Under 16 limit Up to £100 £50 Up to £100 £50 (Cash limited to £50) £25 (Cash limited to £50) £25
8 Personal public liability 22 £2,000,000 Nil £2,000,000 Nil 9 Home help or nanny 23 £300 Nil £300 Nil 10 Ski equipment 23 £500 £75 £500 £75 Single article limit £200 £75 £200 £75 Ski hire £10 Per day up to £150 Nil £10 Per day up to £150 Nil Delayed ski equipment £150 Nil £150 Nil
11 Ski pack 24 £400 £75 £400 £75 12 Piste closure 24 £35 Per day up to £350 Nil £35 Per day up to £350 Nil 13 Legal costs and expenses 25 £25,000 (Maximum £50,000 Nil £25,000 (Maximum £50,000 Nil all insured persons all insured persons) 14 Golf equipment 26 Loss £750 £75 £750 £75 Hire £75 Per day up to £375 £75 £75 Per day up to £375 £75 Single article £250 £75 £250 £75 15 Loss of green fees 26 £75 per day up to £375 Nil £75 per day up to £375 Nil 16 Hole-in-one! 27 £100 Nil £100 Nil 17 End supplier failure 27 £5,000 Nil £5,000 Nil
Winter Sports Premium must be paid. Please check your policy schedule to confirm the level of cover you have. Golf Cover Premium must be paid. 24 Hour medical emergency service included.
6 AllClear Travel Insurance – Your Policy General Policy Information
Period of Insurance last known address. In this event, we will refund in full if The policy wording, including any endorsement issued it is a Single Trip policy. For Annual Multi-trip policies we by us, constitutes a contract between you and us and will calculate the premium for the period up to the date is made up of the schedule and this policy document, when the cancellation takes effect and we will refund which together forms the contract of insurance, and is the premium paid for the remaining period of insurance. based upon the information that you provided during However, if we cancel the policy due to dishonesty or your application. fraudulence, no refund of premium will apply.
This policy is not valid for trips taken within your Your right to cancel ‘Cooling Off Period ‘ Home Country unless pre-booked for a period of If, having examined your policy wording, you decide three nights or more. the insurance does not meet your needs, you can cancel the insurance within 14 days from the date For Single Trip Insurance you receive the policy wording, and we will refund This policy is not valid for trips exceeding 12 months. the premium provided you have not taken a trip to Winter sports trips are covered if the required which the insurance applies, and you have not made additional premium has been paid. a claim. To request cancellation of your policy, please contact For Annual Insurance AllClear by writing to: For travellers up to the age of 70 years, the AllClear Insurance Services, maximum trip duration of any one trip is 45 days. Customer Services Department For those aged 70 years and over, the maximum trip AllClear House duration of any one trip is 31 days. 1 Redwing Court Ashton Road If you have chosen an Annual Multi-trip Insurance, Romford the Outward and Return Journey must take place Essex, RM3 8QQ during the start and end date shown on the Schedule Email: [email protected] of Cover. Winter sports are limited to 17 days per policy year, where the appropriate additional Medical Health Requirements premium has been paid. Have you or anyone in your party: The cover under Section 1 – Cancellation 1) Taken any prescribed medication or required medical Cancellation cover applies as soon as the premium treatment within the last two years? has been paid or from commencement date and the 2) Been a registered in or out-patient in the last two years? policy wording is issued. We cannot therefore, refund 3) Been placed on a waiting list currently for your premium after this date, except within the first investigations or treatment? 14 days of the policy wording being received or before you travel (whichever is sooner). For Annual Multi- 4) Been diagnosed by a doctor or consultant as suffering trip insurance, the cover under Section 1 starts at the from a terminal illness? time you book the trip or the start date shown on the To avoid confusion, we want to highlight what we Schedule of Cover, whichever is later. will, and will not, cover with regard to claims for ill-health. The cover under remaining Sections Pre-existing medical conditions Cover under all other sections apply for the duration of We will cover you for claims associated with those the booked trip including the period of travel from home pre-existing medical conditions or disabilities you directly to the departure point and back home directly disclosed to us and we accepted in writing. afterwards not exceeding 24 hours in each case. If you come home earlier than planned then cover ends on We will not cover you for claims associated with pre- return to your home country. If the return is unavoidably existing medical conditions that you did not disclose delayed for an insured reason, cover will be extended to us and we did not accept in writing. You must free of charge for the period of that delay. tell us about ALL medical conditions for which you answer yes under 1 – 4 above. Cancelling this Policy We cannot provide cover for some conditions and Insurer's right to cancel not for others you choose not to include in your We may cancel any cover under this policy by giving you declaration to us. 14 days notice by recorded delivery letter to you at your
6 AllClear Travel Insurance – Your Policy AllClear Travel Insurance – Your Policy 7 Checking Your Documents Are In Order additional premium for waiting list cover. Refer to You must check your Policy documents. The pre- your policy schedule for cover details. If you think you existing medical conditions which you are covered have paid for this cover, please check your enclosed for are set out in the enclosed schedule headed documents to confirm this. This cover only applies to 'Statement of Fact'. If they are not correct, please Single Trip policies. contact the AllClear call-centre on 01708 339029. Change In State Of Health All Medical Conditions You must tell us if your state of health changes at the We will not cover you for any medical condition or earliest opportunity and consult with your Medical disability (pre-existing or otherwise) if: Practitioner but in any case before you book or commence your journey, or pay the balance or any 1) your state of health is significantly worse than you further instalments for your journey, i.e. if you develop told us; a new medical condition or an existing one deteriorates. 2) you know you have a terminal condition, but have Please call the AllClear call-centre 01708 339029. We not told us; have the right to amend, restrict or cancel your cover 3) you know you will need medical treatment during under this policy. your journey; 4) one of the purposes of your journey is to obtain Non-Travelling Relatives medical treatment; You may have a close relative with a medical condition who is not travelling with you. In some 5) you are travelling against the advice of a Medical cases, if their state of health deteriorates greatly, Practitioner; you may want to cancel or curtail your journey. 6) you are not fit to travel on your journey. Subject to all the other terms and conditions, such We have the right from the date of issue up to the date claims are covered if the relative’s doctor is prepared of travel to request a letter from your Medical Practitioner to state that at the date you booked your trip, he/she detailing your pre-existing medical condition(s), and would have seen no substantial likelihood of his/her confirming that your condition(s) have not changed or patient’s condition deteriorating to such a degree got worse, along with agreeing that you are fit to travel. that this would become necessary. If the doctor will not confirm this, your claim is not covered. In Waiting Lists the event of a claim the doctor must complete the If you are on a waiting list for medical treatment or medical certificate on the claim form. investigation which may mean you have to cancel or curtail your journey, we will not cover these cancellation or curtailment costs unless you have paid the required
8 AllClear Travel Insurance – Your Policy Travelling Companion Cancellation Cover Molar pregnancy or Hydatidiform mole – a pregnancy in Travelling companion cover offers cover for which a tumour develops from the placental tissue travelling companions insured under another travel Post-partum haemorrhage – excessive bleeding insurance provider, for cancellation and curtailment following childbirth due to your pre-existing medical condition that Retained placenta membrane – part or all of the we have agreed to cover in writing, providing the placenta is left behind in the uterus after delivery additional premium has been paid. This will be shown on your policy schedule. Placental abruption – part or all of the placenta separates from the wall of the uterus Travelling When Pregnant Hyperemesis gravidarum – excessive vomiting as a result Cover under this policy is provided for unforeseen of pregnancy events. In particular, cover is provided under Sections 2 Placenta praevia – when the placenta is in the lower part and 6 for unforeseen bodily injury or illness. Childbirth of the uterus and covers part or all of the cervix is not considered to be either unforeseen, or an illness Stillbirth or injury. Therefore there is no cover if at the start of your trip, during your trip or on your return date, you Miscarriage are more than 36 weeks and 6 days pregnant for a single Emergency Caesarean section pregnancy, or more than 32 weeks and 6 days for a A termination needed for medical reasons multiple pregnancy; Premature birth more than 8 weeks (or 16 weeks if you Cover is only provided under sections 2 and 6 for claims know you are having more than one baby) before the arising from complications of pregnancy and childbirth expected delivery date. which are defined as: Please make sure that your doctor and midwife Toxaemia – toxins in the blood are aware of your travel plans and that you are not travelling against medical advice. Airlines and ferry/ Gestational diabetes – diabetes arising as a result shipping companies including cruise liners have their of pregnancy own restrictions due to health and safety requirements. Gestational hypertension – high blood pressure arising You should check with them or any other mode of as a result of pregnancy transport you propose to take before you book. You Pre-eclampsia – where you develop high blood pressure, are not covered for claims arising from pregnancy, carry abnormal fluid and have protein in your urine where, at the point of checking in for or boarding your during the second half of pregnancy mode of transport, you fail to comply with the carrier’s Ectopic pregnancy – a pregnancy that develops outside conveyance of pregnant women policy. of the uterus
AllClear Travel Insurance – Your Policy 9 Conditions
Age Restrictions 6) You must take all reasonable steps to recover any lost Winter sports cover is only available to persons aged 65 or stolen article. years and under (at date of issue). 7) If any claim is found to be fraudulent in any way this policy will not apply and all claims will be forfeited. Age Restrictions for Annual Multi Trip Insurance For travellers up to the age of 70 years, the 8) You must not make any payment, admit liability, maximum trip duration of any one trip is 45 days. offer or promise to make any payment without written For those aged 70 years and over, the maximum trip consent from us. duration of any one trip is 31 days. 9) We are entitled to take over any rights in the defence Children Travelling Independently or settlement of any claim and to take proceedings in Children under 18 years who travel on their own must your name for our benefit against any other party. be dropped off and picked up at the departure point by 10) We may at any time pay to you our full liability a responsible adult aged over 21. under the policy after which no further payments will
be made in any respect. Conditions 1) Cover is only available for the whole duration of the 11) The terms of this insurance is based upon the booked trip. Cover cannot be effected once a journey information provided by you to us. The policy contains has commenced. conditions relating to health of the people travelling. You must take reasonable care to answer all questions 2) If your money, valuables or any items of personal put to you, about the health of the people travelling, baggage, are lost or stolen, you must notify the local honestly, accurately and to the best of your knowledge. police within 48 hours of discovery. Please make If you do not understand the meaning of a question sure you get a copy of the police report. Failure to put to you or if you do not know the answer it is vital comply will result in your claim being turned down. that you tell us. Once cover has been arranged you 3) No payment will be made under Sections 1, 2, 5, 6, 9, must immediately notify us of any changes to the 11 and 15 without appropriate medical certification. information that has previously been provided. Failure to provide full and accurate information before you 4) If we require any medical certificates, information, take out the insurance or when circumstances change evidence and receipts, these must be obtained by you at could invalidate the cover and may mean any claim will your expense. be rejected. If you are declaring on behalf of another 5) In the event of a claim, if we require a medical person you must ensure you are fully aware of their examination you must agree to this and in the event of medical history. death we are entitled to a post-mortem examination both at our expense.
10 AllClear Travel Insurance – Your Policy Geographical Limits
12) If at the time of making a claim there is any other Region 6 – Covers anywhere in the world except USA, policy covering the same risk we are entitled to contact Canada and Caribbean. that insurer for a contribution. Region 7 – Covers Australia and New Zealand only. 13) A person or company who is not a party to this policy has no right under the Contracts (Rights of Third Parties) Act 1999 to enforce any term of this policy but this does not affect any right or remedy of a third party which Annual Multi-Trip exists or is available apart from that Act. Region 8 – Covers trips by United Kingdom residents to 14) You are required to take all reasonable care to and from Europe, west of the Ural Mountains including protect yourself and your property and to act as though the Republic of Ireland and all countries bordering the you are not insured. Mediterranean Sea, as well as Madeira and The Azores and trips to the Channel islands by other United Kingdom residents. This region excludes countries mentioned in Geographical Limits – Single Trip Region 9. Region 1 – Covers trips to, from, and within the Region 9 – Covers anywhere in the world except USA, United Kingdom. Canada and The Caribbean. Region 2 – Covers trips by United Kingdom residents to Region 10 – Covers anywhere in the world including and from Europe, west of the Ural Mountains including USA, Canada and The Caribbean. the Republic of Ireland and all countries, bordering If your outward or return flight to your booked the Mediterranean Sea, as well as Madeira and The destination requires you to break your journey by Azores and trips to the Channel Islands by other United stopping over in an area which is not covered by Kingdom residents. This region excludes countries the region on the schedule of cover, your policy mentioned in Region 3. automatically covers you to spend 48 hours in the Region 3 – Covers Regions 1, 2 and Spain (including the area of the stopover each time you have to stop over Balearic Islands), The Canaries, Turkey, Cyprus and Malta. on both your outward and return journeys. Region 4 – Covers anywhere in the world except USA, Canada, Caribbean, Hong Kong, Singapore, Mexico and China. Region 5 – Covers anywhere in the world including USA, Canada and Caribbean.
AllClear Travel Insurance – Your Policy 11 Definitions
Definitions Immediate Relative – Mother, father, sister, brother, Wherever the following words and phrases appear in this wife, husband, partner (same or different sex), son, policy they will always have these meanings: daughter (including fostered/adopted son or daughter), Close Relative – see Immediate Relative. grandparent, grandchild, parent-in-law, son-in-law, daughter-in-law, sister-in-law, brother-in-law, step- Close Business Associate – Any person whose absence parent, step-child, step-brother, step-sister, or legal from business for one or more complete days at the guardian. same time as your absence prevents the effective continuation of that business. Medical Practitioner – A registered practising member of the medical profession who is not related to you or Complications of pregnancy and childbirth – to any person you are travelling with, or intending to see Travelling When Pregnant on page 9. stay with. Curtail/Curtailment – Return early to home in the Money – Cash, postal and money orders, travel tickets, United Kingdom or Republic of Ireland. lift passes (in respect of winter sports trips where Excesses – An excess means that you are responsible the appropriate premium has been paid), passports, for the first sum per person per incident when you petrol coupons and green cards held by you for social, claim. The amount of any excess is detailed in the Policy domestic and pleasure purposes. Wording on the Summary of Cover page, and under the Mobility Aids – Wheelchair, motorised wheelchair, Sections to which an excess applies. Claims under most prosthetic limb, walking frame, walking stick or crutches. sections of the policy will be subject to an excess, which applies to each insured person involved in an incident, as Personal Accident – Accidental bodily injury caused do the sums insured under each section. solely and directly by outward violent and visible means. Fitness to travel – is defined as taking into account Personal Baggage – Your suitcases (or similar luggage destination, duration and mode of travel, the insured are carriers) and their contents usually taken on a trip, not likely to need medical intervention during their trip. together with articles worn or carried by you for your individual use during your trip. Golf Equipment – golf clubs, golf balls, golf bag, golf trolley and golf shoes. Home – Your residential address in the United Kingdom or Republic of Ireland. Home Country – is the United Kingdom or the Republic of Ireland if this is your usual country of residence.
12 AllClear Travel Insurance – Your Policy AllClear Travel Insurance – Your Policy 13 Permanent Total Disablement – Disablement as a Unattended – where you are not in full view of or result of which you are unable to carry on or perform in a position to prevent unauthorised taking of your any business or occupation, and which, having lasted property unless it is in a locked room, safe, in a locked for a period of 12 months is, at the end of that period boot of a locked vehicle or in the luggage space at the beyond hope of improvement. back of a locked estate car or locked hatchback under a Pre-existing medical condition – any disease, illness or top cover and out of view. injury which: United Kingdom – England, Scotland, Wales, Northern • you have received medication, advice or treatment; or Ireland, the Scilly Isles, the Isle of Man and Channel Islands. • you have experienced symptoms whether the condition has been diagnosed or not. United Kingdom resident – You must have resided in the UK or Republic of Ireland for no less than 6 months, Preventative Medication – Any medication prescribed have a permanent UK or Republic of Ireland address or otherwise which is taken purely to prevent an illness or and be registered with a UK or Republic of Ireland medical condition occurring. Examples may include, beta General Practitioner. blockers to prevent Migraine Headaches, Blood thinning drugs to prevent blood clots on long haul flights (where Valuables – Watches, furs, leather goods, animal skins, no previously diagnosed related medical condition has silks, jewellery, items made of or containing precious existed). Statin drugs where high cholesterol has NOT stones, semi precious stones, gold, silver or platinum, been previously diagnosed, Birth Pill, HRT, etc. photographic, audio, video and electrical equipment of any kind, camcorders and accessories, all photographic/ Public Transport – Any fare paying passenger on the digital/optical/audio and video media, iPods, MP3 following regular scheduled forms of transport: Train, players and / or accessories, telescopes, and binoculars. Coach, Taxi, Bus, Aircraft and Sea Vessel. We/Us/Our – MAPFRE Asistencia Compañía Redundancy – Any person declared redundant, who Internacional de Seguros y Reaseguros, Sociedad is under 65 years and under the normal retiring age for Anonima. 5th Floor, Alpha House, 24a Lime Street, someone holding that person’s position, and who has London EC3M 7HS. Company Number: FC021974. Branch been employed for two continuous years with the same Number BR008042. Trading under the name MAPFRE employer at the time of being made redundant. Assistance. Ski Equipment – Skis (including bindings), ski boots, ski You/Your – Each Insured Person. poles and snowboards. Ski Pack – Pre-booked lift passes, hired skis and boots and ski school fees.
AllClear Travel Insurance – Your Policy 13 Reciprocal Health Agreements/EHIC
Reciprocal Health Agreements/ European Health If you use the EHIC the exclusion of the excess as shown Insurance Card (EHIC) in the Summary of Cover for each and every claim under If you are a UK resident you are entitled to medical Section 6 – Medical Emergency Expenses will not apply. treatment, which becomes necessary when Also, if you are travelling to Australasia there are temporarily visiting countries in the European Union reciprocal medical treatment arrangements for United (EU), Iceland, Liechtenstein, Norway or Switzerland Kingdom nationals. In-patient and out-patient public free of charge or at a reduced cost by using the EHIC. hospital treatment is given free of charge or at a minimal You can apply for an EHIC for your spouse/partner and cost. Should you be admitted to hospital then immediate any children up to the age of 16 (19 if they are in full time contact must be made with MAPFRE Assistance and education) at the same time as applying for your own. their authority obtained in respect of any treatment not available under the reciprocal arrangements before such Application forms are available via www.ehic.org.uk treatment is provided. You will need to have the following information for everyone you are applying for: • Name and date of birth • NHS or National Insurance (NI) number
Jinshanling Great Wall is part of the Great Wall of China, one of the Seven Wonders of the World! It's widely considered the most impressive section of the entire wall, which stretches for over 5,000 miles.
14 AllClear Travel Insurance – Your Policy Your Cover what you are covered for what you are not covered for
AllClear Travel Insurance – Your Cover 15 Section 1 Cancellation
YOU ARE COVERED YOU ARE NOT COVERED FOR
Up to the amount shown in the summary of cover on 1) the excess as shown in the summary of cover on page 6 if your travel and accommodation arrangements, page 6. The excess will apply for each trip that you excursions, tours and activities are cancelled before your have booked, for each and every incident and for each departure from your Home Country if this is your usual insured person; country of residence (including ski hire, ski school and 2) claims where a medical certificate has not been lift passes for winter sports trips where the appropriate obtained from a medical practitioner, confirming premium has been paid), which have not been used that cancellation of the trip is medically necessary; and which you have paid for or contracted to pay for, providing the cancellation is necessary and unavoidable 3) claims arising from pregnancy, where, at the point of (and is not a result of mere disinclination to commence checking in for or boarding your flight, you fail to comply your trip as arranged) due to: with the airline’s conveyance of pregnant women policy; 1) the death or disablement by bodily injury, illness, 4) anything caused directly or indirectly by: pregnancy or being subject to quarantine of a) you, b) a) any increased charges which may arise due to failure any person you are intending to travel or stay with, c) to notify your travel agent or tour operator immediately an immediate relative or yours or of any person you are it is found necessary to cancel; intending to travel with or d) a close business associate b) prohibitive regulations by the Government of any of yours; country; 2) you being called for jury service or as a witness (but not as an expert witness or where your employment 5) claims where a theft of passport has not been would normally require you to attend court) in a Court reported to the necessary authorities, including but not of Law; limited to, the Police and UK Passport Service (UKPS); 3) your redundancy or the redundancy of any person 6) claims for air passenger duty (which can be reclaimed you are intending to travel with, provided that we are by you through your travel agent or airline); informed in writing immediately notification of redundancy 7) you undertaking a trip if at the start of your trip, is received and that you were not aware of any impending during your trip or on your return date, you are redundancy at the time this policy was issued; more than 36 weeks and 6 days pregnant for a single 4) your home being made uninhabitable or place of pregnancy, or more than 32 weeks and 6 days for a business being made unusable, up to 14 days before multiple pregnancy; the commencement of your trip, due to fire, lightning, 8) anything mentioned in the General Exclusions. explosion, earthquake, subsidence, storm, flood, falling trees, riot or civil commotion, malicious damage, burst pipes, impact by aircraft, the police requesting your presence following burglary or attempted burglary at your home or place of business; 5) your passport, or the passport of any person you are intending to travel with being stolen during the seven days before your departure date; 6) your carer (who is insured on this policy) having to cancel their journey with you due to one of the reasons stated above. If you wish to continue your journey, we will pay up to £1,000 in total for the costs of extra accommodation and transport to replace your original carer; 7) you, an immediate relative of yours or any person you are travelling with, who is a member of the Armed Forces, emergency services or administrative government employees being ordered to return to duty.
16 AllClear Travel Insurance – Your Cover Section 2 Curtailment
This section includes the services of MAPFRE Assistance 3) Your carer (who is insured on this policy) having to (details shown on page 4) who must be contacted curtail their journey with you due to one of the reasons immediately in the event of a serious injury, illness or stated above. If you wish to continue your journey, hospitalisation, where repatriation has to be considered we will pay up to £1,000 in total for the costs of extra accommodation and transport to replace your original carer; YOU ARE COVERED 4) You, an immediate relative of yours or any person
you are travelling with, who is a member of the Up to the amount shown in the summary of cover on Armed Forces, emergency services or administrative page 6 for: government employees being ordered to return to duty. 1) The value of the portion of your travel and/or accommodation arrangements which have not been used and which were paid for before your departure YOU ARE NOT COVERED FOR from your Home Country (including ski hire, ski school and lift passes, which do not have to be paid for before 1) the excess as shown in the summary of cover on your departure from your Home Country, in respect of page 6. The excess will apply for each trip that you have winter sports trips where the appropriate premium has booked, for each and every incident and for each insured been paid), if you, and where appropriate a companion person; covered by this policy, have to curtail your trip and 2) claims that are not confirmed as medically return to your home earlier than planned due to: necessary by the MAPFRE Assistance and where a a) the death, severe injury or serious illness of: medical certificate has not been obtained from the attending Medical Practitioner abroad confirming it i) you or any person you are travelling with; necessary to curtail the trip; ii) an immediate relative of yours resident in your 3) additional travelling expenses incurred which are Home Country; not authorised either by us or MAPFRE Assistance , as iii) a close business associate of yours resident in your detailed on page 4; Home Country. 4) claims where a theft of passport has not been b) your home being made uninhabitable or place of reported to the necessary authorities, and a written business being made unusable due to fire, lightning, report obtained; explosion, earthquake, subsidence, storm, flood, falling 5) you undertaking a trip if at the start of your trip, trees, riot or civil commotion, malicious damage, burst during your trip or on your return date, you are pipes, impact by aircraft, the police requesting your more than 36 weeks and 6 days pregnant for a single presence following burglary or attempted burglary at pregnancy, or more than 32 weeks and 6 days for a your home or place of business; multiple pregnancy; c) you being unable to continue your trip, as detailed in your travel itinerary, due to loss or theft of your 6) anything mentioned in the General Exclusions. passport, or that of any person you are travelling with; MAPFRE Assistance only assists early return home These proportionate value of costs will be calculated for medical reasons, not for the other reasons listed from the date of return to your Home Country. under this section of the policy. 2) Reasonable additional travelling expenses incurred Curtailment is only applicable if you return to your by you for returning to your Home Country (Economy Home Country earlier than planned. Class) earlier than planned for a reason stated in benefit 1 of this section;
16 AllClear Travel Insurance – Your Cover AllClear Travel Insurance – Your Cover 17 Section 3 Missed departure
YOU ARE COVERED YOU ARE NOT COVERED
Up to the amount shown in the summary of cover on 1) if sufficient time has not been allowed for your page 6 for necessary hotel and travelling expenses journey in order to meet the check-in time specified by incurred in reaching your booked destination, if the the transport providers or agent; car you are travelling in breaks down or is involved in 2) if you are not proceeding directly to the departure an accident or you being delayed as a result of a major point; accident on a motorway or the public transport being used is delayed, resulting in you arriving too late to 3) unless you get a letter from the public transport commence your booked journey from or to your provider confirming that the service did not run on time; Home Country. 4) unless you obtain confirmation from the police or motoring authorities (eg. Highways Agency) to confirm a major accident on a motorway causing delays or closure on the motorway; 5) for any delay caused by a riot, civil commotion, strike or industrial action which began or was announced before the start date of your policy and the date your travel tickets or confirmation of booking were issued; 6) for anything mentioned in the General Exclusions. This section does not apply to trips within your Home Country (except for trips to the Channel Islands). Section 4 Travel delay
YOU ARE COVERED YOU ARE NOT COVERED
1) for a benefit of £20 for the first full 12 hours you are 1) for the excess as shown in the summary of cover on delayed and £10 for each full 12 hours you are delayed page 6. The excess will apply for each trip that you have after that, up to a maximum of £100 (regardless of the booked, for each and every incident and for each insured number of incidents of delay) or person (this is only applicable if you abandon the trip); 2) up to the amount shown in the summary of cover for 2) if you do not check-in for the flights, sea crossing, your travel and accommodation which has not been coach or train departure before the intended departure used and which you have been paid or been contracted time; to pay for if you abandon the trip (on the outward 3) if you do not obtain written confirmation from the journey only) after the first full 12 hours. airline, shipping, coach or train company stating the If your outward or return flights, sea crossing, coach period and the reason for the delay; or train departure to or from your Home Country are 4) for any claims arising from withdrawal from service delayed for more than 12 hours beyond the intended temporarily or otherwise of the aircraft, coach, train or departure time (as specified on your travel ticket) as a sea vessel on the orders or recommendation of the Civil result of: Aviation Authority or a Port Authority or similar body in a) strike or industrial action (provided that when this any Country; policy was taken out, there was no reasonable expectation 5) for any claims arising from volcanic ash; that the trip would be affected by such cause); 6) for anything mentioned in the General Exclusions. b) adverse weather conditions if the underlying and continuing cause; This section only applies for delays at your final international departure point to or from your c) mechanical breakdown or technical fault of the Home Country. aircraft, coach, train or sea vessel.
18 AllClear Travel Insurance – Your Cover Section 5 Personal accident
YOU ARE COVERED YOU ARE NOT COVERED
The following benefits, which will be paid to you or your Any claims for death, loss or disablement caused directly legal personal representative, if you have a personal or indirectly by: accident during your trip which, at the end of 12 months 1) your sickness, disease, physical or mental condition after the date of that accident, is the sole cause of your that is gradually getting worse; consequent death or disability: 2) an injury which existed prior to the commencement 1) Death – £15,000 of the trip; 2) Loss of limb, loss of sight or permanent total 3) pregnancy; disablement – £25,000. 4) any claims under this section not notified to us within If you are aged under 16 or over 75 at the time of the 12 months of the date of the accident; accident the death benefit will be limited to funeral and other expenses up to £1,500 and the permanent 5) anything mentioned in the General Exclusions. total disablement benefit will not apply. The following definitions apply specifically to this section: Loss of limb – means loss by permanent severance of an entire hand or foot or the total and permanent loss of use of an entire hand or foot. Loss of sight – means total and irrecoverable loss of sight which shall be considered as having occurred: a) in both eyes if Your name is added to the Register of Blind Persons on the authority of a fully qualified ophthalmic specialist and b) in one eye if the degree of sight remaining after correction is 3/60 or less on the Snellen scale
Section 6 Medical emergency expenses (not private health insurance)
This section applies to: extend your journey because of illness or accident, a) trips outside the United Kingdom; the emergency assistance company must be told immediately. b) if you are a Channel Islands resident visiting other parts of the United Kingdom; If during your trip, you become ill or are injured: c) if you are visiting the Channel Islands from other parts of the United Kingdom; Cover does not apply otherwise YOU ARE COVERED
to trips within the United Kingdom. Up to the amount shown in the summary of cover on Before a claim for emergency expenses can be page 6 for costs incurred outside your Home Country submitted under this section, you must have 1) for emergency medical and surgical treatment. Claims contacted the MAPFFRE Assistance as soon as you for emergency dental treatment (for the relief of pain are hospitalised. Please refer to page 4. only) shall be limited to £350; If you are taken into hospital or you think that you may have to come home early (be repatriated) or
18 AllClear Travel Insurance – Your Cover AllClear Travel Insurance – Your Cover 19 Section 6 Medical Emergency expenses Continued from page 19
2) for reasonable and necessary additional 5) if you have not obtained a written certificate accommodation (room only) and travelling expenses of fitness and ability to travel and endure the trip (economy class), including those of one relative or friend where you are undergoing medical treatment as a if you have to be accompanied home on medical advice hospital out-patient at the time of paying the final or if you are a child and require an escort home; balance of your trip; 3) loss of medication shall be limited to £300; 6) for claims that are not confirmed as medically necessary by the attending doctor or MAPFRE 4) in the event of death: Assistance. a) for conveyance of the body or ashes to your Home Country (the cost of burial or cremation is not included) 7) for the cost of any elective (non-emergency) or; treatment or surgery, including exploratory tests, which are not directly related to the illness or injury which b) local funeral expenses abroad limited to £1,500; necessitated your admittance into hospital; 5) for reasonable cattery or kennel costs you have to 8) for any additional hospital costs arising from single pay if for medical reasons you cannot return home as or private room accommodation unless medically planned; necessary; 6) up to £25 for each 24 hour period that you are in hospital as an in-patient up to £1,000 in total during 9) for treatment or services provided by a health spa, the journey. convalescent or nursing home or any rehabilitation centre; All receipts must be retained and produced in 10) for expenses incurred as a result of a tropical disease the event of a claim. Your claim may be rejected if where you have not had the recommended inoculations receipts are not produced. and/or taken the recommended medication; If you become ill or are injured we have the right 11) for taxi fares not considered medically necessary, and to bring you back home, if the MAPFRE Assistance where receipts have not been provided; Emergency Service doctor in consultation with the treating doctor concludes that you can safely travel 12) for telephone expenses; home. If you refuse to return home, we have the 13) for costs that arise over 12 months after a claim was right to stop cover. first notified; 14) if at the start of your trip, during your trip or on your return date, you are more than 36 weeks and 6 days YOU ARE NOT COVERED pregnant for a single pregnancy, or more than 32 weeks 1) for the excess as shown in the summary of cover on and 6 days for a multiple pregnancy; page 6. The excess will apply for each trip that you have 15) anything mentioned in the General Exclusions. booked, for each and every incident and for each insured person; 2) for any sums which can be recovered by you and which are covered under any National Insurance Scheme or Reciprocal Health Arrangement; 3) for any expenses incurred for illness, injury or treatment required as a result of: a) surgery or medical treatment which in the opinion of the attending doctor and the MAPFRE Assistance doctor can be reasonably delayed until your return to your Home Country; b) medication and/or treatment which at the time of departure is known to be required or to be continued outside your Home Country; 4) for preventative treatment which can be delayed until your return to your Home Country;
20 AllClear Travel Insurance – Your Cover Section 7 Personal property
YOU ARE COVERED YOU ARE NOT COVERED 1) Personal Baggage 1) for the excess as shown in the summary of cover on Up to the amount shown in the summary of cover page 6. The excess will apply for each trip that you have on page 6 for the value or repair of any of your own booked, each and every incident and for each insured personal baggage (not hired, loaned or entrusted to person (not applicable to 2, Delayed Baggage); you except mobility aids, hired, loaned or entrusted to 2) if you do not exercise reasonable care for the you by the NHS or similar body), which is lost, stolen, safety and supervision of your property; damaged or destroyed (after making proper allowance for wear and tear and depreciation). The maximum we 3) for loss, destruction, damage or theft of personal will pay for the following items; baggage, valuables, mobility aids or money left unattended in a public place, or a place to which • £250 for all valuables in total members of the general public have access. • £200 for single article limit – any one article, pair and/ 4) if in the event of loss, burglary or theft of personal or set of articles (except mobility aids) baggage, valuables or money. You do not report this to • £300 for all prescription spectacles (single article the police within 48 hours, and do not obtain a written limit applies) police report; • £50 for replacement keys (house and/or car only) 5) if your personal baggage is lost, damaged or delayed in transit, if you do not: • £2,500 gold plus cover and £500 gold cover for mobility aids, including the necessary costs to hire a) notify the carrier (ie. airline, shipping company, etc) other mobility aids. immediately and obtain a written carriers report (or Property Irregularity Report in the case of an airline) or, In the event of a claim for a pair or set of articles we shall be liable only for the value of that part of b) follow up in writing within 7 days to obtain a written the pair or set which is lost, stolen, damaged or carriers report (or Property Irregularity Report in the destroyed. case of an airline), if you are unable to obtain one immediately. 2) Delayed Baggage Up to £100 towards the cost of buying replacement 6) for loss, destruction, damage or theft: necessities if your own personal baggage is delayed in a) from confiscation or detention by customs or other reaching you on your outward journey for at least 12 officials or authorities; hours and you have a written report from the carrier (ie. airline, shipping company etc) or tour representative. b) of contact lenses, dentures, hearing aids, samples Receipts will be necessary in the event of a claim. or merchandise, bonds, coupons, securities, stamps or documents of any kind, vehicles or vehicle accessories Any amount we pay you under 2 (Delayed Baggage) (other than wheelchairs and pushchairs only), tents, will be refunded to us if your personal baggage antiques, musical instruments, pictures, typewriters, proves to be permanently lost. mobile phones and accessories, computers/games 3) Personal Money consoles (including handheld consoles) and/or Up to £400 (limited to £250 for each losses) if your own accessories, televisions, sports gear whilst in use (other money is lost or stolen whilst being carried on your than ski equipment for winter sports trips where the person or left in a locked safety deposit box. appropriate premium has been paid), pedal cycles, dinghies, boats and/or ancillary equipment, glass or If you are aged under 16, claims under Personal china, alcohol, cigarettes or any other tobacco products, Money are limited to £100 overall (cash £50). satellite navigation systems (GPS) and or/accessories, 4) Property Claims Personal Digital Assistants (PDA’s and/or accessories); These are settled on an indemnity basis – not on a “new c) due to wear and tear, denting or scratching, moth for old” or replacement cost basis, unless otherwise or vermin; stated in the policy. d) of valuables left as checked-in baggage.
20 AllClear Travel Insurance – Your Cover AllClear Travel Insurance – Your Cover 21 Section 7 Personal property Continued from page 21
7) for mechanical breakdown, derangement or for b) an unattended vehicle (other than motor caravans) breakage of fragile or brittle articles being transported left for any period between the hours of 9pm and 9am; by a carrier, unless the breakage is due to fire or other 10) for any shortages due to error, omission or accident to the vessel, aircraft or vehicle they are being depreciation in value; carried in; 11) for any property more specifically insured or 8) for valuables stolen from an unattended vehicle; recoverable under any other source; 9) for personal baggage stolen from: 12) for the cost of replacement locks; a) an unattended vehicle, unless it was in the locked 13) for anything mentioned in the General Exclusions. glove compartment, or rear boot or luggage area of the vehicle and is covered so as not to be visible from outside the vehicle, and there is evidence of forcible and violent entry or,
Section 8 Personal public liability
YOU ARE COVERED YOU ARE NOT COVERED FOR Up to a maximum of £2,000,000 for your legal expenses 1) fines imposed by a Court of Law or other relevant and legal liability for damages which were caused by an bodies; accident that happened during the trip, and leads to a 2) anything caused directly or indirectly by: claim made against you for: a) liability which you are responsible for, because of an 1) accidental bodily injury to a person who is not a agreement that was made; member of your family, household or employed by you; b) injury, loss or damage arising from: 2) loss of or damage to any property which does not belong to, is not in the charge or control of you, or any i) ownership or use of aircraft, horse-drawn or member of your family, household or employee; mechanical/ motorised vehicles, bicycles, vessels (other than rowing boats, punts or canoes), animals (other than 3) damage to your temporary holiday accommodation horses, domestic dogs or cats), or firearms (other than that does not belong to you, or any member of your guns being used for sport); family, household or employee. ii) the occupation (except temporarily for the purpose of the trip) or ownership of any land or buildings; iii) the carrying out of any trade or profession; iv) racing of any kind; v) any deliberate act; c) liability covered under any other insurance policy; 3) anything mentioned in the General Exclusions. If you are using a mechanical/motorised vehicle, make sure that you are adequately insured for third party cover, as you are not covered under this insurance.
22 AllClear Travel Insurance – Your Cover Section 9 Home help or nanny
YOU ARE COVERED FOR YOU ARE NOT COVERED FOR Up to £300 in total for the cost of home help services 1) any claim: or a registered nanny in your Home Country, if you a) which does not directly relate to the accident or get written advice from a doctor that you have to go illness, that happened during your journey; into hospital or stay in bed immediately after being b) which the emergency assistance company has not repatriated during your journey. authorised; c) where you needed home help or a registered nanny before you began your journey. 2) anything mentioned in the General Exclusions. Section 10 Ski equipment
YOU ARE COVERED FOR YOU ARE NOT COVERED
1) Ski Equipment 1) for the excess as shown in the summary of cover on Up to £500 for the value or repair of your own ski page 6. The excess will apply for each trip that you have equipment (after making proper allowance for wear and booked, each and every incident and for each insured tear and depreciation) or hired ski equipment, if they are person (not applicable to 2 and 3 above); lost, stolen or damaged during your trip. 2) if you do not exercise reasonable care for the safety and Claims for owned ski equipment will only be supervision of your own or your hired ski equipment; calculated as follows: 3) if you do not obtain a written police report within 48 hours of the discovery in the event of loss, burglary or Up to 12 months old 85% of purchase price theft of your own or your hired ski equipment if in the Up to 24 months old 65% of purchase price event of loss, burglary, or theft of your own or hired ski Up to 36 months old 45% of purchase price equipment, you do not report this to the police within 48 hours, and do not obtain a written police report; Up to 48 months old 30% of purchase price 4) if your own or your hired ski equipment is lost, Up to 60 months old 20% of purchase price damaged or delayed in transit, if you do not: Over 60 months old 0% a) notify the carrier (ie. airline, shipping company etc.) immediately and obtain a written carriers report (or 2) Ski Hire Property Irregularity Report in the case of an airline) or, For £10 per day up to a maximum of £150 in all for the b) follow up in writing within 7 days to obtain a written reasonable cost of hiring replacement ski equipment as Carrier’s Report (or Property Irregularity Report in the case a result of the accidental loss, theft or damage of your of an airline), if you are unable to obtain one immediately; own ski equipment during the period of insurance. 5) for loss, destruction, damage or theft from confiscation or detention by customs or other officials or authorities; 3) Delayed Ski Equipment Up to £150 towards the cost of hiring replacement ski 6) for your own or your hired ski equipment stolen from: equipment necessities, if your own ski equipment is a) an unattended vehicle unless it was in the rear boot delayed in reaching you on your outward journey for or luggage area of the vehicle and is covered so as not at least 12 hours and you have a written report from to be visible from outside the vehicle, or items stored on the carrier (ie. airline, shipping company etc.) or tour a roof rack (unless the vehicle is parked within sight of representative. Receipts will be necessary in the event you), and there is evidence of forcible and violent entry; of a claim. b) an unattended vehicle (other than motor caravans) left for any period between the hours of 9pm and 9am. This section of cover is only applicable if the 7) for anything mentioned in the General Exclusions. appropriate winter sports premium has been paid.
AllClear Travel Insurance – Your Cover 23 Section 11 Ski Pack
YOU ARE COVERED YOU ARE NOT COVERED
Up to a maximum of £400 in all for the unused portion of 1) for the excess as shown in the summary of cover on your ski pack costs paid for or contracted to be paid for page 6. The excess will apply for each trip that you have before your trip commenced, where you do not curtail booked, for each and every incident and for each insured the trip, but are certified by a Medical Practitioner in the person; resort as being unable to ski and unable to use the ski 2) for claims that are not confirmed as medically necessary pack facilities because of serious injury or illness occurring by MAPFRE Assistance and where a medical certificate during the trip and where there is confirmation that no has not been obtained from the attending Medical refund is available for the unused items. Practitioner abroad confirming that you are unable to ski This section of cover is only applicable if the and unable to use the ski pack facilities; appropriate winter sports premium has been paid. 3) for anything mentioned under YOU ARE NOT COVERED of Section 6 – Medical Emergency Expenses; 4) for anything mentioned under the General Exclusions.
Section 12 Piste Closure
Cover is only available under this Section between YOU ARE NOT COVERED 1st December to 30th April in the Northern Hemisphere, and between 1st April and 31st October in the Southern 1) for claims where you have not obtained confirmation Hemisphere. of resort closure from the local representative; If there is a lack of snow in your resort and it closes, 2) for claims where not all skiing facilities are totally which prevents you from skiing. closed;
YOU ARE COVERED 3) for claims where the lack of snow conditions are known or are public knowledge at the time of effecting 1) for a benefit of £35 per day towards the costs you this insurance; have to pay to travel to another resort or 4) for anything mentioned in the General Exclusions. 2) for the amount shown in the Summary of Cover for each full day you are unable to ski, up to a maximum of £350 if your resort stays closed and there is no other resort available, for as long as these conditions exist at the resort, but not exceeding the pre-booked period of insurance of your trip. This section of cover is only applicable if the appropriate winter sports premium has been paid.
24 AllClear Travel Insurance – Your Cover Section 13 Legal Costs and expenses
YOU ARE COVERED YOU ARE NOT COVERED FOR
If you die or are injured as a result of an accident which 1) legal costs and expenses incurred in pursuit of any occurs during your trip during the period of insurance, claim against a travel agent, tour operator, carrier, and you or your legal representative take legal action MAPFRE Assistance or their agents, someone you were to get compensation, we will do the following in an travelling with or another insured person; attempt to get compensation for the death or injury: 2) legal costs and expenses incurred prior to the 1) up to a maximum of £25,000 for each insured granting of support by us in writing; person (but not more than £50,000 in total for all 3) any claims notified to us more than 180 days after the insured persons) for any fees and other disbursements date of the incident giving rise to such claim; reasonably incurred by your legal representatives in connection with any claim or legal proceedings, 4) any claim where the legal costs and expenses are including costs and expenses of expert witnesses and likely to be greater than the anticipated amount of costs incurred by us; compensation; 2) any costs payable by you following an award of costs 5) any claim where you are insured for legal costs and by any court or tribunal and any costs payable following expenses under any other insurance policy; an out of court settlement made in connection with any 6) any claim where legal costs and expenses are based claim or legal proceedings; directly or indirectly on the amount of compensation 3) any fees, expenses and other disbursements award (Contingency Fee Agreement); reasonably incurred in appealing or resisting an appeal 7) legal costs and expenses incurred if an action is against the judgement of a court, tribunal or arbitrator; brought in more than one country; 4) provide up to £1,000 for each insured person, for 8) any claim where in our opinion there is insufficient travel costs that have to be paid to go to a foreign court prospect of success in obtaining a reasonable benefit; in connection with any legal action under 1) above; 9) anything detailed in the General Exclusions. 5) if no compensation is received either as a result of the claim being abandoned or failing, then subject to the limits of cover stated in the policy and policy schedule we will pay the costs incurred; CONDITIONS
6) if compensation is recovered for you then the usual 1) We shall have complete control over the legal costs rules of the relevant jurisdiction will apply. In some proceedings and the appointment and control of jurisdictions you will recover your costs, in others you a lawyer. We shall appoint a lawyer on your behalf will not. Any costs not recovered must first be met from with the expertise necessary to pursue your claim. the compensation. If the value of the costs not recovered 2) You must follow the lawyer's advice and provide exceeds the compensation then we will pay the balance any information and assistance required. Failure to of costs after the application of the compensation, do so will entitle us to withdraw cover. subject to the limits of the cover in the policy and policy schedule. 3) We must have access to any and all of the lawyer's file of papers. 4) We may include a claim for our legal costs and expenses.
AllClear Travel Insurance – Your Cover 25 Section 14 Loss and hire of golf equipment
YOU ARE COVERED FOR 3) if in the event of loss, burglary or theft of your own or your hired golf equipment, you do not report this to 1) Loss of Golf Equipment the police within 48 hours, and do not obtain a written Up to £750 for the value of repair of your own golf police report; equipment (after making proper allowance for wear and 4) if your own or your hired golf equipment is lost, tear and depreciation) or hired golf equipment, if they damaged or delayed in transit if you do not; are lost, stolen or damaged during your trip, £250 for any one item. a) notify the carrier (ie. airline, shipping company etc.) immediately and obtain a written Carrier’s Report (or 2) Hire of Golf Equipment Property Irregularity Report in the case of an airline) or, For £75 per day, up to a maximum of £375, for the reasonable cost of hiring replacement golf equipment as b) follow up in writing within seven days to obtain a a result of the accidental loss, theft or damage of your written Carrier’s Report (or Property Irregularity Report own golf equipment during the Period of Insurance. in the case of an airline), if you are unable to obtain one immediately; Cover is only in place if the Golf cover premium has been paid. 5) for loss, destruction, damage or theft from confiscation or detention by customs or other officials or authorities; 6) for your own or your hired golf equipment stolen from: YOU ARE NOT COVERED a) an unattended vehicle unless it was in the rear boot 1) for the excess as shown in the summary of cover on or luggage area of the vehicle and is covered so as not page 6. The excess will apply for each trip that you have to be visible from outside the vehicle, or items stored on booked, for each and every incident and for each insured a roof rack (unless the vehicle is parked within sight of person; you), and there is evidence of forcible and violent entry; 2) if you do not exercise reasonable care for the safety and b) an unattended vehicle (other than motor caravans) supervision of your own or your hired golf equipment; left for any period between the hours of 9 pm and 9 am; 7) for anything mentioned in the General Exclusions.
Section 15 Loss of green fees
YOU ARE COVERED FOR YOU ARE NOT COVERED
Up to £75 per day, up to a maximum of £375 in total for 1) for claims that are not confirmed as medically the unused portion of your Green Fees costs paid for necessary by the MAPFRE Assistance and where a or contract to be paid for before your trip commenced, medical certificate has not been obtained from the where you do not curtail the trip, but are certified by attending Medical Practitioner abroad confirming that a Medical Practitioner as being unable to play golf you are unable to play golf and unable to use the golf and use the golf facilities because of serious injury or facilities; illness occurring during the trip and where there is 2) for anything mentioned under YOU ARE NOT COVERED confirmation that no refund is available for the unused for of Section 6 – Medical Emergency Expenses; Green Fees. 3) for anything mentioned under the General Exclusions. Cover is only in place if the Golf cover premium has been paid.
26 AllClear Travel Insurance – Your Cover Section 16 Hole-in-one!
YOU ARE COVERED YOU ARE NOT COVERED
For a benefit of £100 if you complete a hole in one stroke 1) if you do not produce written confirmation from the gross (ie. exclusive of handicap) during any organised secretary of the club, stating that the hole in one has been game on any golf course. performed to the satisfaction of the club, together with the original score card fully completed and duly signed; This benefit will only be payable once in any game. 2) for anything mentioned under the General Exclusions.
Section 17 End supplier failure
YOU ARE COVERED YOU ARE NOT COVERED
Up to £5,000 in total for each Person-Insured named on 1) for travel and accommodation not booked within the Invoice for: the United Kingdom, Channel Islands or Ireland prior to departure; 1) Irrecoverable sums paid in advance in the event of insolvency of the Travel or Accommodation provider not 2) for the financial failure of: forming part of an inclusive holiday prior to departure, or a) any travel or accommodation provider in Chapter 11 2) In the event of insolvency after departure: or any threat of insolvency being known at the date of issue of the ; a) additional pro rata costs incurred by the Person- Insured in replacing that part of the travel arrangements b) any travel or accommodation provider who is bonded to a similar standard to that originally booked, or or insured elsewhere (even if the bond is insufficient to meet the claim); b) if curtailment of the holiday is unavoidable – the cost of return transportation to the United Kingdom, c) any travel agent, tour organiser, booking agent Channel Islands or Ireland to a similar standard to that or consolidator with whom the insured has booked originally booked. traveller accommodation. 3) Any loss for which a third party is liable or which can be recovered by other legal means.
26 AllClear Travel Insurance – Your Cover AllClear Travel Insurance – Your Cover 27 General Exclusions
Beach villas on the Maldive Islands, in the Indian Ocean 250 miles south-west of India. The archipelago of twenty-six islands, surrounded by coral reefs are rich in marine life and a popular location for those who enjoy diving.
28 AllClear Travel Insurance – General Exclusions General Exclusions from your policy
YOU ARE NOT COVERED FOR i) this exclusion will not apply to Section 5 – Personal Accident or Section 6 – Medical Emergency Expenses Anything directly or indirectly caused by: provided that the Insured Person suffering personal accident injury or illness has not participated in or 1) your suicide, or attempted suicide, deliberately conspired in such activities, injuring yourself, being under the influence of drink or drugs (unless prescribed by a doctor), alcoholism or ii) provided also that in the event of benefit being other alcohol related illnesses, drug addiction, solvent payable the maximum payable in respect of any one abuse, self-exposure to needless danger (unless you are claim or series of claims arising from a single act of trying to save someone’s life); terrorism or series of acts of terrorism occurring within a 72 hour period is £2,500,000 in the aggregate. 2) you being compulsorily detained as a psychiatric patient in a hospital or other medical facility. (This c) any act of terrorism involving the use or release of or exclusion applies in all cases whether the premium threat thereof of any nuclear weapon or any chemical has been paid to cover a pre-existing medical condition or biological agents: An act of terrorism means an act, or not); including but not limited to the use of force or violence and/or threat, of any person or group(s) of person(s), 3) professional or organised sports, winter sports (unless whether they are acting alone or on behalf of or in the appropriate premium has been paid), racing, speed connection with any organisation(s) or government(s), or endurance tests, scuba diving to a depth greater than committed for political, religious, ideological or similar 30 metres, scuba diving without a qualified instructor, or purpose including the intention to influence any dangerous pursuits; government and/or to put the public, or any section of 4) air travel (other than as a fare-paying passenger on a the public at fear; regular scheduled airline or licensed charter aircraft); d) any loss, damage, cost or expense of any nature 5) air travel within 24 hours of scuba diving; that results from or is in connection with anything mentioned in a), b) or c) above regardless of any other 6) bankruptcy/liquidation of any tour operator, travel cause or event or sequence of events or any action agent or transportation company (except under the taken in controlling, preventing or suppressing anything terms of Section 17-End Supplier Failure); mentioned in a), b) or c) above; You are responsible for 7) any other loss connected to the event you are proving why this Exclusion, in whole or in part, should claiming for unless we specifically provide cover under not be applied. If any portion of this Exclusion is found this policy; to be invalid or unenforceable, the remainder of it will remain in force and effect; 8) loss or damage to any property and expense or legal liability; directly or indirectly caused by or contributed to 10) you riding on a motorcycle, Quad bike or any by or arising from: mechanically assisted cycle with an engine capacity in excess of 125cc and in any event if you fail to wear a a) ionising radiations or radioactive contamination crash helmet; from any nuclear fuel or nuclear waste which results in burning of nuclear fuel; 11) you driving a motor vehicle or riding a motorcycle, Quad bike or any mechanically assisted cycle without an b) the radioactive, toxic, explosive or other dangerous appropriate licence or when not insured under a motor properties of nuclear machinery or any part of it; insurance policy; c) pressure waves from aircraft and other flying objects 12) the cost of any elective (non-emergency) treatment travelling faster than the speed of sound. or surgery, including exploratory tests, which are not 9) directly related to the illness or injury which necessitated your admittance into hospital; a) war, invasion, acts of foreign enemies, hostilities or warlike operations (whether war be declared or not), civil 13) mountaineering or rock climbing, ordinarily war, rebellion, revolution, insurrection, civil commotion necessitating the use of picks, ropes or guides, or uprising, blockade, military or usurped power; or pot-holing; b) any act of terrorism not involving the use or release of 14) your manual work or hazardous occupation of or threat thereof of any nuclear weapon or any chemical any kind; or biological agents: Continued....
28 AllClear Travel Insurance – General Exclusions AllClear Travel Insurance – General Exclusions 29 General Exclusions from your policy Continued from page 29
15) taking part in dangerous expeditions or the crewing 22) any claim arising or resulting from you being of a vessel outside European waters; involved in any malicious, reckless, illegal or criminal act; 16) any payment which you would normally have made 23) any claim which arises directly or indirectly from during your travels, if nothing had gone wrong; you not being allowed to board a flight, train, sea vessel, coach or bus for any reason whatsoever. 17) failure of any computer hardware or software or other electrical equipment to recognise or process 24) Date Change Exclusion Changes in dates could any date as the true calendar date (this exclusion does see widespread failures of computer and other systems not apply to claims made under Section 5 – Personal containing computer chips, which depend on date Accident, Section 6 – Medical Emergency Expenses); related information in order to work properly. Certain sections of your policy exclude anything directly or 18) off-piste skiing except whilst under the supervision indirectly caused by failure of any computer hardware or of a qualified guide/instructor; software or other electrical equipment to recognise or 19) ski jumping, ice hockey, the use of skeletons or process any date as the true calendar date. bobsleighs; 25) You are not covered for anything directly or 20) ski or ski bob racing in International and National indirectly caused by any circumstances that are known events and their heats and officially organised practice at the time of purchasing this insurance or at the time of or training for these events; booking your trip, which could reasonably be expected to give rise to a claim. 21) your travel to a country or specific area or event to which the Travel Advice Unit of the Foreign and Commonwealth Office or the World Health Organisation has advised the public not to travel.
30 AllClear Travel Insurance – General Exclusions Complaints procedure
Whilst every effort is made to maintain the highest For complaints following a claim notification service standards, should there be an occasion when the Please contact MAPFRE Assistance at the below address: service you receive falls below the standard you expect, You can register your complaint by telephone or letter: please use the below contact details to inform AllClear or MAPFRE of your concerns: Telephone: 0330 400 1283 For complaints about the sale of Your Policy Please contact AllClear Insurance Services at the Postal address: below address: The Customer Relations Manager MAPFRE Assistance You can register your complaint by telephone, letter Maitland House or email: Warrior Square Telephone: Southend-on-Sea 01708 339001 Essex SS1 2JY Postal address: When you contact MAPFRE Assistance please quote AllClear Insurance Services your policy schedule number and claim number and AllClear House provide a telephone number to assist us in dealing with 1 Redwing Court your enquiry speedily. Ashton Road Romford MAPFRE Assistance follow the Financial Conduct Essex RM3 8QQ Authority guidelines to complaints handling, a copy of the MAPFRE Assistance complaints procedure is Email: available upon request. [email protected] When you contact AllClear Insurance Services please If you are still not satisfied quote your policy schedule number and provide a If you are still not satisfied you have the right to refer telephone number to assist us in dealing with your any dispute to the Financial Ombudsman Service by enquiry speedily. If possible AllClear Insurance Services writing to: will call you within one working day and try to resolve Financial Ombudsman Service the issue straight away. Otherwise AllClear Insurance Exchange Tower Services will record the nature of your complaint and London E14 9SR assign a complaints handler who will complete a full investigation and contact you in writing. AllClear Insurance Services follow the Financial Conduct Authority guidelines to complaints handling, a copy of AllClear Insurance Services complaints procedure is available upon request.
30 AllClear Travel Insurance – General Exclusions AllClear Travel Insurance – General Exclusions 31 Amateur Sporting and If the activity you wish to partake in is not listed please Hazardous Activities contact the AllClear call centre on 01708 339029 The following activities listed in the table below are covered under your policy. The conditions, indicated by pink numbers within the table, are listed at the top of the right hand corner of page 33.
Activity Acceptability Condition Number Abseiling Covered 2, 5, 6 Archery Covered 2 Badminton Covered Ballooning (Hot Air) Covered 2, 3 Banana boat rides (Beach activity) Covered Baseball Covered Basket ball Covered Blade skating Covered Bone fishing (see Deep Sea Fishing) Covered BOSS (Breathing Observation Submersible Scooter) Covered 1, 2, 9 Bowls Covered Camel riding Covered Canoeing (in calm waters) Covered Catamaran sailing (European waters only) Covered 1, 4, 9 Clay pigeon shooting Covered 1, 5 Climbing wall Covered 2, 7 Cricket Covered 4, 6 Cross country skiing (on recognised paths) Covered If winter sports premium is paid Curling Covered Cycling (excluding BMX/Mountain biking) Covered Deep sea fishing Covered 2 Dry skiing Covered If winter sports premium is paid Fell running Covered Fell walking Covered Fencing Covered 1, 6, 7, 8, 9 Fishing (see Deep Sea Fishing) Covered Flying Covered 3 Football (soccer not American football) Covered 2, 7, 9 Gaelic football Covered 2, 7, 9 Gliding Covered 1, 3, 8, 9 Go karting (up to 120cc) Covered 2, 6, 9 Golf Covered Gymnastics Covered Heli skiing Covered If winter sports premium is paid 1, 3, 6 Heptathlon Covered Hiking (on recognised routes) Covered Hobie catting (European waters only) Covered 1, 4, 9 Horse Riding Covered 4, 7 Hot dogging (Grades 1, 2 & 3) Covered 1, 7 Ice skating Covered 4, 6 Indoor climbing Covered 1, 5, 7 Inner tubing (in snow) Covered If winter sports premium is paid 4, 5 Inner tubing (on land or water) Covered 2 Jeep/Car trekking Covered 2, 3, 9 Jet boating Covered 2 Jet skiing Covered 6, 9 Jungle surfing Covered 5, 7 Kite buggying Covered 4, 6, 7, 9 Kite surfing (water) Covered 4, 9 Kayaking (in calm waters) Covered 1, 4, 9
32 AllClear Travel Insurance – General Exclusions Basic Conditions 6. This does not constitute the main purpose of the trip. 1. You are accompanied by, or accessible to, an experienced 7. Protective clothing and headgear must always be worn. and/or suitable qualified instructor or guide. 2. You are adequately supervised, taking part in an organised For certain activities the condition is that cover under some event, session or excursion. sections of the policy is excluded 3. You must be a fare-paying passenger in a chartered craft. 8. Cover under the Personal Accident section is excluded 4. You are not taking part in a league or competition. 9. Cover under the Personal Public Liability section is excluded 5. You are using natural or purpose/built facilities approved for use for the activity by a local or national regulatory authority.
Activity Acceptability Condition Number (see details above) Mono skiing (on Snow) Covered If winter sports premium is paid Netball Covered Off piste skiing Covered If winter sports premium is paid 1, 4 Orienteering Covered Parasailing (over water) Covered 2, 7, 8, 9 Parascending (over water) Covered 2 Passenger sledge (Horse and Carriage) Covered Pedaloes Covered Polo Covered 4, 8, 9 Pony trekking Covered Racket ball Covered Rambling Covered Rifle range Covered 5, 9 Roller skating/Blading Covered Rounders Covered Rowing Covered 4, 9 Rubber ring rides (Beach Activity) Covered Running Covered 4 Safari/Gorilla trekking Covered 2 Sail boarding Covered Sailing (including Flotilla. European waters only) Covered 4, 9 Sand yachting Covered 9 Scuba diving (to 30 metres deep) Covered 1 Skateboarding Covered Skiing Covered If winter sports premium is paid Sky diving indoor Covered 2, 7 Sledging Covered If winter sports premium is paid Snorkelling (to 10 metres deep) Covered Snow boarding Covered If winter sports premium is paid Snow mobile Covered If winter sports premium is paid 6, 9 Snow shoeing Covered If winter sports premium is paid Sphereing/Zorbing (including aqua) Covered 2 Squash Covered Street hockey Covered 9 Surfing Covered Table tennis Covered Ten pin bowling Covered Tennis Covered Tobogganing Covered If winter sports premium is paid Tree trekking Covered 2 Trekking hiking (up to 3000 metres) Covered Volley ball Covered Wake Boarding Covered War games/Paint balling Covered 7, 9 Water polo Covered Water skiing Covered White water rafting (Grades 1,2 & 3) Covered 7, 8, 9 Windsurfing Covered Yachting (European Waters only) Covered 4, 9 Zorbing/Sphereing (including aqua) Covered 2
AllClear Travel Insurance – General Exclusions 33 Emergency & General Contact Numbers
If you need medical emergency assistance while abroad:
Telephone MAPFRE Assistance UK 0207 748 0521 Outside UK +44 207 748 0521 24 hour helpline Quote reference AllClear If you need a claim form: Telephone AllClear Travel Insurance Claims 01420 383014
If you need to talk about your policy: Telephone the AllClear Call Centre 01708 339029
This insurance is underwritten by MAPFRE Asistencia Data Protection Act 1998 Compañia International de Seguros y Reaseguros, Sociedad Please note that any information provided to us will be Anonima, 5th Floor, Alpha House, 24a Lime Street, London, processed by us and our agents in compliance with the EC3M 7HS. Company Number: FC021974. Branch Number provisions of the Data Protection Act 1998, for the purpose of BR008042. Trading under the name MAPFRE Assistance. providing insurance and handling claims, if any, which may necessitate providing such information to third parties. We (MAPFRE Asistencia) are authorised by the Dirección General de Seguros y Fondos de Pensiones and are subject AllClear Insurance Services Limited are authorised and to limited regulation by the Financial Conduct Authority and regulated by the Financial Conduct Authority (Firm Reference the Prudential Regulation Authority. Details about the extent Number 311244). of regulation by the Financial Conduct Authority and the Prudential Regulation Authority are available on request. Financial Services Compensation Scheme MAPFRE Assistance is covered by the financial services MAPFRE Asistencia Compañia International de Seguros y compensation scheme (FSCS). This means that you may be Reaseguros, S.A. branch in the United Kingdom (trading entitled to compensation from the scheme if we cannot meet as MAPFRE Assistance) has registered offices at 5th Floor, our obligation. This depends on the type of business and the Alpha House, 24a Lime Street, London, EC3M 7HS. MAPFRE circumstances of the claim. Asistencia main office is based in Spain which forms part of the EEA (European Economic Area) as a member state. Further information about compensation is available from The Kingdom of Spain is responsible for controlling the the FSCS at www.fscs.org.uk or telephone 0800 678 1100. insurance activity of MAPFRE Asistencia S.A., through the Spanish Ministry of Economy and the Treasury, and specifically the General Directorate for Insurance Matters and Pensions Fund (Dirección General de Seguros y Fondos de Pensiones). Its branch in the United Kingdom is also under the United Kingdom FCA (Financial Conduct Authority) and PRA (Prudential Regulation Authority) supervision in certain situations according to the European Union Regulation.
00 All Clear Travel Insurance – Exclusions and Conditions All Clear Travel Insurance – Exclusions and Conditions 00