etravelinsure.com
Travel Insurance for Ireland Travel Insurance Policy Travel Insurance for Ireland
Etravelinsure Travel Insurance 2012
  (EURO policy for residents of the Republic of Ireland)  
 

Travel and Activities Insurance produced and administered by

Etravelinsure Limited
77 Mansell Street, London E1 8AF
Telephone: +44 333 2400 631

Etravelinsure Limited are Insurance Agents of
Optimum Underwriting Limited
19 Bartlett Street, Croydon, Surrey CR2 6ET

Optimum Underwriting Limited are Underwriting Agents for the insurers
Groupama Insurance Company Limited
6th Floor, One America Square, 17 Crosswall, London EC3N 2LB

Groupama Insurance Company Limited are members of the Association of British Insurers

The above companies are authorised and regulated in the United Kingdom by the Financial Services Authority

 
etravelinsure travel insurance policy
travel insurence claim
 
HOW TO MAKE A CLAIM

If anything happens that may lead to a claim being made, you must do your best to minimise its affect, and be careful to gather all the supporting evidence needed under the relevant section of the policy to prove it occurred, and to quantify its value accurately. See GENERAL CONDITIONS FOR CLAIMS.

You should contact the appropriate Service as follows, and in doing so be prepared to provide details from your Certificate of Insurance, and confirm which section of the policy you are claiming under. You will receive instructions on how to deal with your particular circumstances, and on how to lodge your claim.

Contact the 24-Hour Emergency and Repatriation Service:
FirstAssist Group Limited
Telephone: +44 208 763 3334 Fax: +44 208 763 3035
In an emergency under section (A) MEDICAL EMERGENCY & REPATRIATION;
As soon as circumstances arise that might lead to a claim under section (D) CURTAILMENT.

Charge Care International - If you are in Spain, Greece, Cyprus, Portugal or Turkey and need out-patient medical treatment please provide a copy of your Certificate of Insurance to the doctor and your treatment will be paid by ChargeCare International in line with the policy. You will be asked to fill in a simple form to confirm the treatment. The doctor will send the form to ChargeCare International together with the balance of the medical bill after deduction of the policy excess you have paid to the doctor. Email: newcase@chargecare.net

Contact the Claims Service:
OSG Travel Claims
Merrion Hall, Strand Road, Sandymount, Dublin 4. Telephone: 01 661 9133 Fax: 01 661 5249. www.osgtravelclaims.ie Office hours: Monday to Friday 0900 to 1730 hours.

As soon as circumstances arise that might lead to a claim under the following sections of the policy:
(C) PERSONAL ACCIDENT, (E) TRAVEL DELAY (abandon at Trip), (J) PERSONAL LIABILITY, (K) CATASTROPHE, or (O) CANCELLATION.

OTHERWISE, if you need to make a claim, you must notify the Claims Service at least within 28 days of returning Home. You will be sent a claim form, or you can download the appropriate form from their website. Complete the form and return it promptly with your Certificate of Insurance and the original documentary evidence required in the circumstances.

Contact the Legal Claims & Advice Service:
Lexceteras Limited
Minerva House, Holbeach Technology Park, Park Road, Holbeach, Lincolnshire PE12 7PT. Tel: +44 843208 2031, Fax: +44 1406 493083, email;enquiries@lexceteras.co.uk
As soon as circumstances arise that might lead to a claim under section (I) LEGAL EXPENSES

Financial Services Compensation Scheme (FSCS)
Groupama Insurance Company Limited are covered by the Financial Services Compensation Scheme (FSCS). This means that you may be entitled to compensation from the scheme if we cannot meet our obligation. This depends on the type of business and the circumstances of the claim. Further information about compensation is available from the FSCS at www.fscs.org.uk or telephone +44 20 7741 4100

DATA PROTECTION
Please note that any information provided to us will be processed by us and our agents in compliance with the provisions of the Data Protection Act 1998, for the purpose of providing insurance and handling claims, if any, which may necessitate providing such information to third parties.

 
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Insurance Policy
 
Item Wording Contents
1. SCHEDULES OF COVER
2. MASTER POLICY OPT0149
3. DEFINITION OF CERTAIN WORDS AND TERMS
4. MATERIAL FACTS DISCLOSURE
5. PRE-EXISTING CONDITIONS
6. GENERAL CONDITIONS
7. GENERAL CONDITIONS FOR CLAIMS
8. GENERAL EXCLUSIONS
9. PERSONS ELIGIBLE
10. PERIOD OF INSURANCE
11. EXTENDING THE PERIOD OF INSURANCE
12. GEOGRAPHICAL AREAS
13. LONG STAY INSURANCE
14. RECIPROCAL HEALTH CARE
Policy Sections
15. (A) MEDICAL EMERGENCY & REPATRIATION
16. (B) HOSPITAL BENEFIT
17. (C) PERSONAL ACCIDENT
18. (D) CURTAILMENT
19. (E) TRAVEL DELAY
20. (F) BAGGAGE DELAY
21. (G) MISSED DEPARTURE
22. (H) HIJACK
23. (I) LEGAL EXPENSES
24. (J) PERSONAL LIABILITY
25. (K) CATASTROPHE
26. (L) LOSS OF PASSPORT
27. (M) PERSONAL POSSESSIONS
28. (N) MONEY & TRAVEL TICKETS
29. (O) CANCELLATION
30. (P) WINTER SPORTS
31. (Q) GOLF COVER
32. (R) BUSINESS COVER
33. (S) ACTIVITIES
34. SCHEDULE OF ACTIVITIES
35. (T) SEARCH & RESCUE
36. (U) PARACHUTING, SKYDIVING, PARAGLIDING, HANG-GLIDING
37. COMPLAINTS PROCEDURE
   
 
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1.
 

SCHEDULES OF COVER

COVER FOR LONG STAY INSURANCE
  • The policy is divided into sections for the various aspects of cover provided. Each section has a limit on the amount that we pay in the event of a claim. Some sections include other specific limits. Some sections also have an Excess as detailed below, which means that your will have to bear this amount of any claim.
  • Certain sections of cover are subject to an excess applying to each claim. An excess means that you are responsible for the first sum of the excess amount when you claim. The standard excess is €100 per person, per incident. The standard excess can be varied when taking out insurance, within the range of nil to €500, at additional or reduced cost. Excesses that are not €100 in the Schedule of Cover are fixed, and are not subject to any variation. The amount of the excess that applies to each section is detailed in the Schedule of Cover on your Certificate of Insurance.
  • Sections (L), (M), (N), (0) and (U) are subject to availability for cover selected, and payment of the appropriate additional premium when applicable.
  • Schedule of Cover Limits apply: per Person, per Claim.
 
 
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  Long Stay Backpacker Levels of Cover SUPER STANDARD    
  Policy Sections Limits Limits   Excess
EURO EURO EURO
(A) MEDICAL EMERGENCY & REPATRIATION 3million 2million   100
  (a) Unauthorised costs 500 500
(b) Emergency dental 200 200
(c) Burial abroad 1,500 1,500
(d) Additional support 1,000 1,000
(B) HOSPITAL BENEFIT 500 -   nil
  Each 24 hours 25 -
(C) PERSONAL ACCIDENT 15,000 10,000   nil
  Death 10,000 5,000
(D) CURTAILMENT 3,000 1,000   100
(E) TRAVEL DELAY 150 -    
  (a) Each 12 hours 30 -   nil
(F) BAGGAGE DELAY (cost of necessities) 100 -   nil
(G) MISSED DEPARTURE 500 500   100
(H) HIJACK 500 500   nil
  Each 24 hours 50 50
(I) LEGAL EXPENSES 25,000 25,000   100
(J) PERSONAL LIABILITY 2million 2million   100
(K) CATASTROPHE 500 500   100
(L) LOSS OF PASSPORT 200 200   100
(M) PERSONAL POSSESSIONS in total 1,500 1,000   100
  (a) Single item limit 200 150
(b) Valuables 300 250
(c) Sports equipment 250 250
(d) Items no receipt in total 250 250
(e) Item no receipt per item 50 50
(N) MONEY & TRAVEL TICKETS 300 200   100
  (a) Cash 200 150
(O) CANCELLATION 3,000 1,000   100
  (a) Loss of Deposit 1,000 500
(S) ACTIVITIES - Cover under Section(A) 3million 2million    
  (1) Holiday       100
(2) Work       100
(4) Medium Risk       300
(5) High Risk including Winter Sports       500
(6) Parachuting, Skydiving, Paragliding, Hang-gliding cover under Section(U)
(T) SEARCH & RESCUE 1,500 1,500   100
(U) PARACHUTING, SKYDIVING, PARAGLIDING, HANG-GLIDING    
  excluding participating whilst in USA    
  (1) Medical Emergency & Repatriation 3million 2million   500
(2) Search & Rescue 5,000 5,000
     
 
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COVER FOR ANNUAL MULTI-TRIP & SHORT SINGLE TRIP INSURANCES
  • The policy is divided into sections for the various aspects of cover provided. Each section has a limit on the amount that we pay in the event of a claim. Some sections include other specific limits. Some sections also have an Excess as detailed below, which means that your will have to bear this amount of any claim.
  • Certain sections of cover are subject to an excess applying to each claim. An excess means that you are responsible for the first sum of the excess amount when you claim. The standard excess is €100 per person, per incident. The standard excess can be varied when taking out insurance, within the range of nil to €500, at additional or reduced cost. Excesses that are not €100 in the Schedule of Cover are fixed, and are not subject to any variation. The amount of the excess that applies to each section is detailed in the Schedule of Cover on your Certificate of Insurance.
  • Sections (L), (M), (N), (0), (P), (Q). (R) and (U) are subject to availability for cover selected, and payment of the appropriate additional premium when applicable.
  • For Annual Insurance the Schedule of Cover Limits apply: per Person, per Trip.
  • For Short Trip Insurance the Schedule of Cover Limits apply: per Person, per Claim.
 
 
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  Levels of Cover 5 STAR 4 STAR    
  Policy Sections Limits Limits   Excess
EURO EURO EURO
(A) MEDICAL EMERGENCY & REPATRIATION 5million 5million   100
  (a) Unauthorised costs 500 500
(b) Emergency dental 200 200
(c) Burial abroad 1,500 1,500
(d) Additional support 1,000 1,000
(B) HOSPITAL BENEFIT 1,000 500   nil
  Each 24 hours 50 25
(C) PERSONAL ACCIDENT 20,000 15,000   nil
  Death 10,000 10,000
(D) CURTAILMENT 5,000 3,000   100
(E) TRAVEL DELAY 150 150    
  (a) Each 12 hours 30 30   nil
  (b) Abandonment (due to delay) 5,000 3,000   100
(F) BAGGAGE DELAY (cost of necessities) 100 100   nil
(G) MISSED DEPARTURE 1,000 500   100
(H) HIJACK 500 500   nil
  Each 24 hours 50 50
(I) LEGAL EXPENSES 25,000 25,000   100
(J) PERSONAL LIABILITY 2million 2million   100
(K) CATASTROPHE 800 500   100
(L) LOSS OF PASSPORT 300 200   100
(M) PERSONAL POSSESSIONS in total 2,000 1,500   100
  (a) Single item limit 250 200
(b) Valuables 300 300
(c) Sports equipment 250 250
(d) Items no receipt in total 250 250
(e) Item no receipt per item 50 50
(N) MONEY & TRAVEL TICKETS 500 300   100
  (a) Cash 250 200
(O) CANCELLATION 5,000 3,000   100
  (a) Loss of Deposit 2,000 1,000
(P) WINTER SPORTS        
  (1) Ski Equipment 800 500   100
Single item 200 150
  (2) Ski Equipment Hire 300 200   nil
(3) Ski Pack 300 200
(4) Piste Closure 300 200
(2), (3) and (4) Each day 20 20
(Q) GOLF COVER        
  (1) Golf Equipment 1,000 1,000   100
Single item 200 150
  (2) Golf Equipment Hire 300 200   nil
(3) Green Fees 300 200
(2) and (3) Each day 20 20
(R) BUSINESS COVER        
  (1) Business Equipment 1,200 1,000   100
Single item 600 500
(2) Resumption of your Trip 1,200 1,000
(3) Replacement Personnel 1,200 1,000
(S) ACTIVITIES - Cover under Section(A) 5million 5million    
  (1) Holiday       100
(2) Work       100
(3) Normal Winter Sports       100
(4) Medium Risk       300
(5) High Risk       500
(6) Parachuting, Skydiving, Paragliding, Hang-gliding cover under Section(U)
(T) SEARCH & RESCUE 1,500 1,500   100  
(U) PARACHUTING, SKYDIVING, PARAGLIDING, HANG-GLIDING    
  excluding participating whilst in USA    
  (1) Medical Emergency & Repatriation 5million 5million   500
(2) Search & Rescue 5,000 5,000
     
 
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2.
 
MASTER POLICY OPT0075

We have tried to make this Insurance Policy easy to follow, and to write it in plain English so that the meaning is clear throughout. Please read it carefully.

The policy gives full details of the terms and conditions of the insurance and the extent of cover provided by the insurers, Groupama Insurance Company Limited, under Master Policy OPT0149, issued to Etravelinsure Limited by Optimum Underwriting Limited, as underwriting agents of the insurers.

A Certificate of Insurance is issued to you when you take out this insurance, and it is dated on that date. It is documentary evidence that, in return for payment of the required premium, each person named in it is insured for the cover and the period of insurance stated, subject to the terms, conditions and exclusions of the policy. The Certificate of Insurance and any endorsements to it and the policy are a contract of insurance between the insured persons and the insurers. Your normal Statutory Rights are not affected by it.

 
3.
 
DEFINITION OF CERTAIN WORDS AND TERMS

You, your, and Insured person(s) applies to one or all persons named on your Certificate of Insurance, who are also referred to as:

Older Adult(s), means person(s) aged over 64 and under 71 years.

Adult(s), means person(s) aged over 16 and under 65 years.

Younger Adult(s), means person(s) aged over 16 and under 40 years.

Child, children means person(s) aged 16 years and under.

Our, we, us and Insurer(s) - means Optimum Underwriting Limited as an underwriting agent for Groupama Insurance Company Limited.

The policy sections give the details of the cover provided. Headings used in these sections have the full meanings as follows, and are highlighted in the policy by being in bold type:

You are covered for: means that, we will pay, indemnify, or reimburse you the amount of the loss that we agree you have suffered (subject to the terms, conditions and exclusions of the section, and after deducting the relevant Excess amount), up to the maximum limit(s) of the section that applies to your Schedule of Cover.

For a claim: means that when submitting a claim you will be required to provide the information stated under General Conditions for Claims of the policy.

Evidence of Loss: means the information that our Claims Service may ask you to provide as stated under Evidence of Loss in General Conditions for Claims of the policy.

Other words and terms are also defined because they always have the same meaning. They are highlighted in the policy by being in bold type, and are as follows:

Abroad is outside the territorial borders of your Home Country.

An Accident is a violent external event, occurring completely by chance at a given place and time, that suddenly and independently causes a person immediate and visible bodily injury and/or material damage to property.

Authorities are any Customs, Police, Fire, Transport, or Military Services; any National or Local Government; or any International Authority such as (but not limited to) the World Health Organisation.

Carrier means the airline, rail, bus, ferry or shipping company providing Transport services.

Disruption to Transport Services means failure of services to run to scheduled times due to adverse weather conditions, mechanical breakdown, accident, strike or industrial action, which were not common knowledge, and which you were unaware of when making your travel arrangements or taking out this insurance.

Home is your permanent place of residence in your Home Country, used for domestic purposes, including garages and outbuildings.

Home Country means that you are resident, with a Home, in the Republic of Ireland.

Immediate Family is your Partner, and: parents, children, stepchildren, fostered or adopted children, brothers, sisters, aunts, uncles, cousins, nephews, nieces, grandchildren, or grandparents, of either you or your Partner, who live in your Home Country.

International Departure Point means the international airport, seaport, bus or train station at which you embark on Transport for a main stage of the journey to or from your Home Country.

Qualified Medical Practitioner is a registered practising member of the medical profession who is not related to you or any person with whom you are travelling.

Partner is your spouse or someone of either sex with whom you have a permanent relationship, and who also lives with you at your Home.

Transport is a train, bus, coach, ferry, or scheduled airline flight, running as a public service to a published timetable.

Trip means a journey Abroad, to a destination in the Geographical Area and within the Period of Insurance stated on the Certificate of Insurance, which begins when you set out to travel Abroad, and which normally ends on the date you have planned to return Home.

your Schedule of Cover means the parts of the Schedule of Cover of the policy that apply to the level of cover and options of cover that you have chosen for your insurance. These are stated on your Certificate of Insurance.

 
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4.
 
MATERIAL FACTS DISCLOSURE

You must disclose all Material Facts that could influence us in accepting your insurance, and further inform us of any changes in circumstances that occur up to the time you depart. A Material Fact is a fact or circumstance that means there being a more than normal chance of you suffering a loss whilst insured under the policy. To disclose a Material Fact, you must contact the Customer Services Manager at Etravelinsure Limited to be advised of the procedure to follow in the circumstances.

 
5.
 
PRE-EXISTING CONDITIONS

A Pre-existing Condition is if, when this insurance is taken out or at any time before you depart on your Trip, any person travelling or anyone on whose health the start or continuation of the Trip may depend:
(1) is aware of any medical condition or set of circumstances which could reasonably be expected to give rise to a claim;
(2) has received treatment or consultation for any chronic or recurring illness during the last 12 months;
(3) is receiving, recovering from, or on a waiting list for in-patient treatment in a hospital or nursing home;
(4) is suffering from any clinically diagnosed psychiatric disorder, anxiety, depression, or eating disorder;
(5) is awaiting results of medical tests or investigations;
(6) has been diagnosed as having a terminal illness;
(7) is travelling by air or sea if at the start of the Trip, during the Trip or on your return date, is more than 36 weeks and 6 days pregnant for a single pregnancy, or more than 32 weeks and 6 days for a multiple pregnancy;
(8) is travelling against the advice of a Qualified Medical Practitioner;
(9) is travelling to receive medical treatment Abroad.


If the answer is positive to any one of the above conditions, the policy as a whole does not cover any loss directly or indirectly caused by or attributable to that condition; refer to the General Exclusions paragraph 2. Medical (1).

You must inform us immediately should a condition occur after insurance is taken out, and if a claim is not made for Cancellation of the Trip under Section (0) of the policy, we have the right to amend or cancel your cover.

NON-TRAVELLING RELATIVES
You may have an immediate relative with a medical condition who is not travelling with you. In some cases, if their state of health deteriorates greatly, you may want to cancel or curtail your trip.
Subject to all the other terms and conditions, such claims are covered if the relative’s doctor is prepared to state that at the date you bought this policy, he/she would have seen no substantial likelihood of his/her patient’s condition deteriorating to such a degree that this would become necessary. If the doctor will not confirm this, your claim is not covered.

TRAVELLING WHEN PREGNANT
Pregnancy is not a medical condition, so you are able to travel until you are quite late into your pregnancy. Airlines and ferry/shipping companies including cruise liners have their own restrictions due to health and safety requirements. You should check with them or any other mode of transport you propose to take before you book. Please make sure that your Doctor and Midwife are aware of your travel plans, that there are no known complications and that you are not travelling against any medical advice. We have the right to request a Medical Certificate to confirm this.
By Air: After 28 weeks most airlines will require a letter from your Doctor or Midwife confirming your Estimated Date of Delivery and stating that there are no complications. You may travel, but your travel must be completed by 36 weeks and 6 days for single uncomplicated pregnancies and 32 weeks and 6 days for multiple uncomplicated pregnancies.
By Sea: Ferry companies and Cruise liners have their own restrictions and may refuse heavily pregnant women beyond 32 weeks.
By Car, Coach and Train: There are no known restrictions. Please make sure your Doctor or Midwife are aware of your travel plans and that there are no known complications.

 
6.
 
GENERAL CONDITIONS

The policy, as a whole, has the following conditions:

1. Your general obligations, you must:
(1) before taking out this insurance, take reasonable steps to satisfy yourself that the cover provided is what you require
(2) disclose all Material Facts that could influence us in accepting your insurance, and further inform us of any changes in circumstances that occur up to the time you depart
(3) ensure that you will not suffer any uninsured loss due to exclusions of cover for Pre-existing Conditions of persons travelling, or persons on whose health your Trip depends
(4) in taking out the insurance, make sure that all persons to be insured are eligible for cover, and give accurate details of their names and age, your Home address, together with your cover commencement date and destination area. If you find that any particulars finally stated on the Certificate of Insurance are incorrect, or are not fully to your requirements, or changes occur subsequently (such as your Home address), you must notify us immediately
(5) ask for the insurance to be cancelled if circumstances arise that make you uninsured, or not eligible, or if within 14 days of taking out the insurance or before you travel (whichever is earlier) you decide that it is not what you want. The insurance will then be cancelled as if never issued, and the premium will be refunded in full
(6) take advantage whenever reasonably possible of Reciprocal Health Care Agreements that can provide you with free or reduced-cost medical treatment
(7) take reasonable care to protect yourself from injury and illness, to safeguard your property, and to act responsibly; as though you were uninsured.

2. Legal interpretation, unless otherwise agreed:
The policy is governed by English Law.


3. Extension of Cover:
If your return Home is necessarily delayed for insured reasons, the Period of Insurance may be extended by us or our Emergency Service for a reasonable period to allow for your return Home.








 
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7.
 
GENERAL CONDITIONS FOR CLAIMS

The policy, as a whole, has the following conditions that apply in circumstances that might lead to a claim, and in submitting a claim:

1. You must:
(1) not admit fault, promise compensation or offer payment to anyone, or become involved in litigation without our consent
(2) make a reasonable effort to find and recover lost or stolen items, and protect damaged items from further loss or damage
(3) not dispose of or abandon any item that is subject to a claim.
(4) cooperate fully with our Claims Service, and at your own expense provide promptly such Evidence of Loss, medical history details, and other information specifically required, as is reasonably requested.


Evidence of Loss is any of the following that you may be asked to provide as original documents:
Financial:
(a) an invoice identifying the item or service you purchased.
(b) a receipt showing how and when you paid for the item or service in question.
(c) in the absence of (b) a bank or card-providers statement or confirmation showing payment.
(d) for items within personal possessions classed as valuables, in the absence of (a) to (c), a recent professional valuation dated before the date of the loss.
(e) original travel tickets or counterfoils, travel documents and itinerary schedules.
(f) any document for refund, compensation, repayment, recovery, credit note, or transfer of value.
Reported:
(a) a loss or theft must be reported to the local Police within 48 hours of it being discovered. The resulting Police report is required, bearing a crime/incident reference, confirming the details reported.
(b) if loss, damage or theft occurs whilst you are in a hotel, in accommodation, or using Transport or other services Abroad, or if such loss occurs whilst the service had custody of your belongings; you must report it in writing to the management of the service, in addition to the local Police, as soon as possible, and at least within 48 hours of it being discovered. A written response/report is required from the management of the service confirming the circumstances you reported.
(c) loss, damage or delay in transit must be reported to the Carrier as soon as possible after you discover it. A written report is required from the Carrier (a Property Irregularity Report of an airline) acknowledging your reported losses. If you were unable to obtain this report at the time, evidence is required that within the following 7 days you made a written request to the Carrier to obtain it.
Medical:
Written confirmation from the Qualified Medical Practitioner(s) who treated you detailing the nature of the illness or injury, and:
(a) confirming that treatments and medication prescribed were medically necessary
(b) for Cancellation or Curtailment of your Trip on medical grounds, confirming why you are or were unfit to travel.
Other: any evidence that is more specifically required or deemed necessary by our Claims Service.
(5) submit any claim as soon as possible, and no later than 28 days after your return Home, in writing using the claim form downloaded from the website, or provided by our Claims Service
(6) provide your original Certificate of Insurance when lodging a claim
(7) send immediately any writ, summons, legal document or correspondence in connection with a claim to our Claims Service, and only respond to it on receiving written advice to do so.

2. Our rights, we are entitled to:
(1) refuse payment of any claim and cancel the policy with immediate effect if any fraudulent means is used to benefit from the policy or a dishonest claim is made
(2) at our expense, and at our own discretion, take proceedings in your name to recover compensation or enforce an indemnity for our own benefit
(3) take over your rights in the defence or settlement of a claim
(4) take over your ownership of any unused travel tickets or bookings where a valid claim results in you having other travel arrangements
(5) require you to reimburse us, within 30 days of our request to you, any amount already advanced on your behalf that turns out to be paid in error
(6) pay the amount due up to the limit shown under your Schedule of Cover for any loss to fully discharge us of any further liability in that respect
(7) repatriate you to your Home Country on medical grounds when in the opinion of our Emergency Service you are fit for the journey by the means that has been arranged
(8) at our expense, require you to be examined by a doctor or suitably qualified person whom we shall appoint, and in the event of death to conduct a post-mortem examination
(9) if another insurance covers the same loss, we are entitled to contact insurers of that policy for a contribution.

 
8.
 
GENERAL EXCLUSIONS

The policy, as a whole, does not cover any loss directly or indirectly caused by or attributable to:


1. General
(1) the Policy Excess, which is the first part of any claim which you are liable to pay or bear, up to the amount shown for the section under the heading of Policy Excess in the Schedule of Cover applicable to your insurance, and by which a claim is reduced on payment to you
(2) Material Facts that you fail to disclose
(3) you not being eligible for this insurance
(4) losses due to changes in currency exchange rates
(5) any other loss connected to the event you are claiming for unless we specifically provide cover under this policy
(6) any claim which arises from you not being allowed to board a flight, train, sea vessel, coach or bus for any reason whatsoever.

2. Medical:
(1) your death, illness or injury, or that of anyone on whose health your Trip depends, that is caused by or is exacerbated by or is traceable or related to a Pre-existing Condition
(2) pregnancy, childbirth, or any related complication of these conditions, if you are travelling by air or sea if at the start of the Trip, during the Trip or on the return date, you are more than 36 weeks and 6 days pregnant for a single pregnancy, or more than 32 weeks and 6 days for a multiple pregnancy
(3) before departure on your Trip, failure to obtain the recommended vaccinations and inoculations, or failing to take with you an adequate supply of all the medications you will require
(4) you having or transmitting any venereal or sexual infections
(5) any injury, illness, death, loss, expenses or other liability due to Human Immunodeficiency Virus (HIV), and/or HIV related illness and/or any mutant derivatives or variations thereof however caused
(6) you or your travelling companion travelling against the advice of a Medical Practitioner or travelling for the purposes of obtaining medical treatment.

 
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3. Behaviour:
(1) you failing to take reasonable precautions to avoid a loss following public warnings about bad weather, strikes, civil commotion or other dangers
(2) you being under the influence of alcohol, solvents or drugs (including drugs prescribed for drug addiction)
(3) you being financially insolvent, committing an illegal or malicious or criminal act, being put in prison, being deliberately careless or negligent, or failing to minimise a loss through neglect
(4) you committing suicide or attempted suicide, inflicting self-injury, or wilfully exposing yourself to risk or exceptional danger (except in an attempt to save human life)
(5) you taking part in operations of the military, police or emergency services
(6) you not following the recommendations of Authorities against travel to particular countries or areas
(7) you going on dangerous expeditions, or going anywhere that is extremely remote or outside the range of normal rescue facilities
(8) you driving a motor vehicle or riding on a motorcycle, quad bike, or any mechanically assisted cycle without an appropriate licence or when not insured under a motor insurance policy
(9) you riding on a motorcycle, quad bike, or any mechanically assisted cycle with an engine capacity in excess of 125cc, and in any event if you fail to wear a crash helmet.

4. Travel:
(1) your disinclination to travel, phobia, anxiety or depression
(2) the residual value of any loss that could be transferred or compensated
(3) expenses paid or payable using promotional credits, vouchers, or air-miles
(4) compensation for unused timeshare or air-miles entitlement
(5) travel by any aircraft except as a passenger in a fully licensed passenger carrying aircraft on a scheduled flight or chartered by a tour operator
(6) liabilities occurring from the use of motor vehicles
(7) costs that you would normally have incurred even if a claim had not arisen
(8) the financial failure or the seeking of judicial protection from creditors of any Transport operator or travel services provider
(9) air travel within 24 hours of scuba diving.

5. Personal Property:
(1) losses for which you are unable to provide the required Financial Evidence of Loss, other than the cover provided to the limits shown in your Schedule of Cover under the heading: PROPERTY LIMITS FOR ALL SECTIONS
(2) the value of property above that which takes into account depreciation due to age, and wear and tear
(3) the part(s) of a pair or set of items which have not been lost, stolen, damaged or destroyed
(4) loss or theft of property that is left unattended, which is when it is not within your immediate reach or can be taken without your knowledge; unless it was locked in a fixed safety deposit box, or was securely locked inside your residential accommodation, and there is evidence of a forced break-in
(5) loss or theft of property from an unoccupied vehicle; unless it was securely locked out of sight in a compartment or boot, and there is evidence of a forced break-in
(6) any loss from an unoccupied vehicle at any time between the hours of 9.00pm and 9.00am
(7) items within luggage damaged by the contents of broken liquid containers or perishable goods
(8) any property more specifically insured or recoverable under any other source.

6. Events:
(1) actions or orders of Authorities that result in:
(a) restricting your movements
(b) seizure of your property
(c) preventing you having access to your personal belongings, or
(d) the suspension of or disruption to Transport services.
(2) any loss when your Trip is deliberately continued beyond:
(a) the original period of insurance expiry date
(b) the expiry date extended by endorsement
(c) the maximum permitted for any one Trip, or
(d) the final date set and agreed by our Emergency Service.
(3) acts of war and terrorism
(a) war; invasion; acts of foreign enemies; hostilities or warlike operations (whether war be declared or not); civil war; rebellion; revolution; insurrection; civil commotion or uprising; blockade; military or usurped power;

(b) the discharge, explosion, or use of a weapon of mass destruction whether or not employing nuclear fission, or chemical, biological, radioactive or similar agents, by any party at any time for any reason;

(c) any act of terrorism; an act of terrorism means an act, including but not limited to the actual or threatened use of force or violence undertaken by any person(s) or group(s), whether acting alone or on behalf of or in connection with any organisation(s) or government(s), committed for political, religious, ideological or similar purpose including the intention to influence any government and/or to put the public, or any section of the public at fear;

(d) any loss, damage, cost or expense of any nature that results from or is in connection with anything mentioned in clauses (a), (b) and/or (c) above regardless of any other cause or event or sequence of events or any action taken in controlling preventing or suppressing anything mentioned in the said clauses;

You are responsible for proving why this Exclusion, in whole or in part, should not be applied. If any portion of this Exclusion is found to be invalid or unenforcable, the remainder of it will remain in force and effect.

(4) failure of any computer hardware or software or other electrical equipment to recognise or process any date as the true calendar date (this exclusion does not apply to claims made under Section (A) Medical Emergency & Repatriation, Section (B) Medical Benefit, and Section (C) Personal Accident)
(5) any loss or damage to any property and expense or legal liability arising from (a) ionising radiations or contamination by radioactivity from any nuclear fuel or nuclear waste from the combustion of nuclear fuel; (b) the radioactive, toxic, explosive or other dangerous properties of any explosive nuclear assembly or nuclear component thereof; (c) pressure waves from aircraft and other flying objects travelling faster than the speed of sound
(6) escape of harmful biological particles, chemical substances, or pollutant
(7) the death or illness of any pet or animal
(8) loss of enjoyment, or experiencing less than expected enjoyment, in any aspect of your Trip.






 
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9.
 
PERSONS ELIGIBLE

You must have cover for the whole duration of any Trip on departure from your Home Country, and all those named on a Certificate of Insurance must reside in that same country.

ADULTS: are within three bands: younger adults, adults and older adults. Only younger adults are eligible for Long Stay insurance. Age bands apply to the age of a person at the cover commencement date. For Annual Insurance this date is the start date of the annual policy. For Single Trip and Long Stay Insurances this date is the start date of the Trip. Adults insured on the same Certificate of Insurance may travel independently.
CHILDREN: are aged 16 years and under at the cover commencement date. Up to 6 children may be included. Children can only be insured to travel with adult(s) on the same policy or who also insure with us for the same trip. Children do not necessarily have to be the offspring of the adult(s) insured.

For Annual Insurance: children must be dependents of an adult insured, and must travel with or set out to be with at least one adult insured.
For Short Trip Insurance: at least one child must be a dependent of an adult insured on the same policy. Other children need not necessarily be the dependents of the adult(s) insured.

 
10.
 
PERIOD OF INSURANCE (WHEN COVER STARTS AND ENDS)

For Cancellation, under Section (0) of the policy, cover starts when whichever of the following occurs last:
For Short Trip and Long Stay Insurance: when the Certificate of Insurance is issued on taking out insurance, or when the Trip is booked;
For Annual Insurance: at 00.01 hours on the commencement date as started on the Certificate of Insurance, or when a Trip is booked within the annual period;
Cover ends for Cancellation when cover is deemed to start for a Trip , or the expiry of the Annual Insurance (whichever is earlier).

For a Trip , insurance must be taken out before you leave your Home Country, and cover starts when whichever of the following occurs last (the time is Local Standard Time):
(a) 00.01 hours on the commencement (from) date as stated on your Certificate of Insurance, or the time when the Certificate of Insurance is issued (if later on that day);
(b) you leave your Home to set out on the Trip ;
(c) you leave your place of business to set out on the Trip ;
Cover ends when whichever of the following occurs first:
(a) midnight on the expiry (to) date as stated on your Certificate of Insurance;
(b) you return to your Home Country before the planned end of the Trip , having abandoned the Trip ;
(c) you return to your place of business at the planned end of the Trip ;
(d) you return to your Home at the planned end of the Trip ;
(e) 24 hours after you return to your Home Country at the planned end of the Trip ; and
(f) for Annual Insurance: cover ends at midnight on the day of the maximum days allowed for a Trip .

 
11.
 
EXTENDING THE PERIOD OF INSURANCE

Short Trip and Long Stay: If you want to extend cover you must apply in writing (letter, fax or email) well before the period expiry. An extension of cover will be granted at our discretion, and on payment of the appropriate additional premium, an Endorsement will be issued stating the new expiry date.
Annual Insurance: you may extend the planned end of your Trip without applying to us, but the duration of the whole Trip must not exceed the maximum permitted, nor extend past the annual expiry date without the policy being renewed for the following year.

 
12.
 
GEOGRAPHICAL AREAS

Cover is provided for travelling to one of the following Geographical Areas:

Area 1 The Continent of Europewest of the Ural Mountains, Madeira, Canary Islands, the Azores, Mediterranean Islands, and non–European countries bordering the Mediterranean. Travel to the following countries (excluding your home country): Albania, Andorra, Armenia, Austria, Azerbaijan, Belarus, Belgium, Bosnia-Herzegovina, Bulgaria, Channel Islands, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Georgia, Germany, Gibraltar, Greece, Hungary, Iceland, Ireland, Isle of Man, Italy, Kazakstan (west of Ural River), Latvia, Liechtenstein, Lithuania, Luxembourg, Macedonia, Malta, Moldova, Monaco, Montenegro, Netherlands, Norway, Poland, Portugal, Romania, Russian Federation (west of Ural Mountains), San Marino, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Ukraine, United Kingdom, Vatican City. Including all Islands in the Medeterranean, and the Atlantic Islands: Azores (Portugal), Canary Islands (Spain), Madeira (Portugal). Including Non-European countries bordering the Medeterranean: Algeria, Egypt, Israel, Lebanon, Libya, Morocco, Syria, Tunisia, Turkey.

Area 2 Australia and New Zealand (including 3 days out of area stop-over on any one Trip).

Area 3 Worldwide excluding United States of America, Canada, Caribbean & the Bahamas.

Area 4 Worldwide (inclusive of countries in other Areas).

 
13.
 
LONG STAY INSURANCE

OUT OF AREA STOP OVER: On a Long Stay Trip to Areas 2 or 3 you are allowed a number of days (calculated on the number of months duration of the whole Trip) to stop over in another area. A stop over can be taken on either the outward or inward legs of the Trip, or split between both.The number of days allowed is stated on your Certificate of Insurance.

TEMPORARY RETURNS HOME: On temporary return Home during a Long Stay Trip, cover under the policy is suspended whilst you are in your Home Country, and for further travel Abroad there will be no cover under Sections (E), (F), (G) and (0).

 
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14.
 
RECIPROCAL HEALTH CARE

If you require emergency medical treatment for reasons covered under the policy, you will be expected to take advantage (whenever it is reasonably possible) of existing Reciprocal Health Care Agreements. These can provide certain treatments under the State Health Care of various countries, at reduced cost, or even free in some cases. For example, there is such an agreement between EU member countries using the European Health Insurance Card (EHIC). Other non-EU countries are also party to this agreement. UK and the Republic of Ireland also have similar arrangements with Australia, New Zealand, and several other countries.

The EHIC is essential for European travel, and is issued with a useful booklet containing advice on health precautions to take whilst abroad. It also gives details of all the countries where Reciprocal Health Care provisions apply, beside those to which the EHIC applies, and explains the types of treatment that are covered, and how to go about obtaining your entitlement, which differs from country to country.

 
etravelinsure travel insurance policy

Policy Sections

15.
 
SECTION (A) MEDICAL EMERGENCY & REPATRIATION

If you require emergency medical treatment whilst on a Trip as a result of: an injury sustained in an Accident, or an illness which first shows itself during a Trip,


You are covered for: reasonable and necessary costs that our Emergency Service agree to in advance for:
(1) transport to a suitable hospital, hospital accommodation, medical, surgical or other treatment, given or prescribed by a Qualified Medical Practitioner
(2) in the event of death, conveying the body or ashes to your Home Country
(3) repatriation on medical grounds by whatever means is agreed by our Emergency Service, and, for Short Trip and Annual Insurance, the return Home if necessary of all insured persons
And, up to specific limits on certain costs, shown in your Schedule of Cover for:
(4) unauthorised Costs - costs for treatment prescribed by a Qualified Medical Practitioner, which have not been authorised by our Emergency Service in advance
(5) emergency dental - costs for emergency dental treatment
(6) burial Abroad - costs of burial or cremation in the country where death occurs
(7) additional support - costs of economy class travelling and room accommodation for one relative or friend who is a resident of your Home Country, and who, on medical advice, must stay with you and/or accompany you Home.

For a claim: in an emergency contact our Emergency Service immediately, and you must provide the required Evidence of Loss (not already available to our Emergency Service). General Exclusions apply, in particular those headed Medical and Behaviour,
and specific exclusions are:
(1) any treatment not confirmed by a Qualified Medical Practitioner as being medically necessary for the relief of pain and suffering, or which could reasonably be postponed until after your return Home
(2) any amount recoverable under a Reciprocal Health Care Agreement with another country
(3) medication and / or treatment which is known to be required or continued whilst you are Abroad
(4) costs that arise after you have refused the offer of repatriation when in the opinion of our Emergency Service you are fit to travel by the means arranged
(5) additional costs of a private or single room at hospital unless approved by our Emergency Service
(6) costs that arise over 12 months after a claim was first notified
(7) costs incurred in your Home Country other than in transporting you or your remains Home from Abroad
(8) any medical test you have planned or expect to have Abroad
(9) the costs of telephone calls other than the first call to tell us about the medical problem.

 
16.
 
SECTION (B) HOSPITAL BENEFIT

Following a valid claim under Section (A) as a result of which you are confined as an in-patient in a hospital Abroad as agreed by our Emergency Service,

You are covered for: the benefit of a daily sum for every complete 24 hours of your stay in hospital.


 
17.
 
SECTION (C) PERSONAL ACCIDENT

If, within 12 months of it occurring, an Accident is the sole and direct cause of either your death or disablement caused by one of the following bodily injuries:
(1) loss by severance or total and permanent loss of use of one or both hands at or above the wrist, or one or both feet at or above the ankle,
(2) total and irrecoverable loss of all sight from one or both eyes,
(3) permanent total disablement: a disablement that has lasted for at least 12 months from which in our opinion you will never recover, and which entirely prevents you from attending to any employment or occupation.

You are covered for: an amount in compensation, as shown on your Schedule of Cover, for death or disablement from one of the above causes.

For a claim: contact our Claims Service immediately, and you must provide a fully detailed Medical Report from the Qualified Medical Practitioner(s) involved in the case, and the Death Certificate in the event of death. General Exclusions apply, in particular those headed Medical and Behaviour, and specific exclusions are: death or disability due to: a disease or any physical defect, injury or illness which existed before your Trip, or due to pregnancy.

 
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18.
 
SECTION (D) CURTAILMENT

If unforeseen and unavoidable circumstances make it necessary for you to return Home before the planned end of your Trip due to:
(1) you or your Immediate Family suffering death, severe injury, or sudden and serious illness
or, where you are:
(2) required to appear in Court as a witness, except in a professional capacity
(3) required by the Police or Fire Services to return Home immediately due to burglary or suspected burglary at your Home, or due to your Home being made uninhabitable by fire, explosion, storm or flood

You are covered for: your proportion of irrecoverable deposits and payments for unused travel and accommodation contracted for or paid for in advance taken from the date that you begin your journey Home, and reasonable additional costs, as agreed by our Emergency Service, for your return Home or the period you are hospitalised as an in-patient Abroad.

For a claim: contact our Emergency Service immediately, and you must provide the required Evidence of Loss, and documentary evidence confirming it necessary to curtail the Trip. General Exclusions apply in particular those headed Medical, Travel and Event , and specific exclusions are:
(1) failure of any service providers such as (but not limited to) travel agents, tour operators, hotels or accommodation agencies
(2) consequences of Authorities warning that it is unsafe to visit or remain in regions or countries
(3) changes being made to your holiday entitlement
(4) resuming the Trip after returning to your Home Country
(5) any additional costs arising from your failure to inform all parties involved immediately you knew that you should cut short your Trip
(6) Cost of any visa required in connection with your Trip
(7) Loss of BA miles, Airmiles, Loyalty card vouchers or points or unused Timeshare points.

 
19.
 
SECTION (E) TRAVEL DELAY

If Disruption to Transport Services causes a delay in the scheduled departure of your pre-booked Transport at the International Departure Point, of at least:
(1) 12 hours, on the first leg of your outward or return journey, or,
(2) 24 hours, on the first leg of your outward journey, causing you to abandon your Trip due to the delay.

You are covered for: the benefit amount (a) for the first full 12 hours delay beyond the intended departure time, and for each subsequent full 12 hours delay, up to the total limit, or, if you abandon your Trip, up to amount (b) for your proportion of irrecoverable deposits and payments for unused travel and accommodation contracted for or paid for in advance.

For a claim: you must provide written evidence from the Carrier confirming the length and nature of the delay, and if the claim is for abandonment of your Trip you must also provide the required Financial Evidence of Loss. General Exclusions apply, in particular those headed Events, and specific exclusions are:
(1) if you do not check-in before the intended departure time of the Transport service
(2) Transport not booked more than 48 hours before its planned departure time
(3) additional costs where Carriers or tour operators offer reasonable alternative travel arrangements.

 
20.
 
SECTION (F) BAGGAGE DELAY

If your baggage, containing your personal possessions (as defined under section (M) of the policy), is delayed, misdirected, misplaced or lost in transit by the Carrier on your outward journey for at least 12 hours from the time of your arrival at your destination Abroad

You are covered for: the cost of replacing essential items of clothing and toilet requisites up to the amount shown on your Schedule of Cover.

For a claim: you must provide the required Financial and Reported Evidence of Loss. General Exclusions apply, in particular those headed Travel and Events.

Costs incurred in replacing items will be deducted from any claim under section (M) if the items that were replaced are included in a claim for the permanent loss of personal possessions.

 
21.
 
SECTION (G) MISSED DEPARTURE

If you reach the International Departure Point on your outward journey, or final return journey, too late to commence your travel arrangements as planned due to:
(1) Disruption to Transport Services, or
(2) the motor vehicle you used breaking down or being directly involved in a traffic accident
(3) you failing to board the connecting flight in UK or Ireland to return Home as planned on your final return journey, due to delay in arrival or cancellation of the international flight to UK or Ireland
(4) you being delayed as a result of a major accident on a motorway.

You are covered for: additional costs of travel and accommodation necessarily incurred to reach your planned destination or to return Home by the most direct route up to the amount shown on your Schedule of Cover.

For a claim: you must provide the required Financial Evidence of Loss, and depending on the cause of the delay:
(1) written evidence from the Transport operator on the length and cause of the disruption
(2) written evidence that the vehicle used was roadworthy and properly maintained, and confirmation of the circumstances of the delay from the garage or Authority attending the breakdown or accident
(3) written confirmation from the police or motoring Authority to confirm a major accident on a motorway causing delays or closure on the motorway.
General Exclusions apply in particular those headed Travel and Events, and specific exclusions are:
(1) your failure to allow plenty of time for the journey to the International Departure Point to check-in for departure as the Carrier or service recommended, or allow the recommended connecting time as specified by the airline
(2) delays resulting from your journey to the International Departure Point involving connecting sea travel
(3) a vehicle failure due to it not having been properly serviced and maintained
(4) additional costs where reasonable alternative travel arrangements and accommodation are available from the Carriers or offered by tour operators
(5) claims for additional mechanical wear and tear or depreciation of your vehicle or mileage charges other than additional fuel and oil.

 
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22.
 
SECTION (H) HIJACK

If you are held hostage due to the hijack or the unlawful seizure of the Transport in which you are a passenger during the period of your Trip,

You are covered for: the daily benefit for every completed 24 hours that you are held by the hijackers.

For a claim: you must provide a written Police report confirming the length and exact nature of the hijacking. General Exclusions apply in particular those headed Events.

 
23.
 
SECTION (I) LEGAL EXPENSES

This section of cover is arranged and managed by Lexceteras Limited.

Definition of words that apply to this section of cover

Throughout this cover, the words and phrases listed below have the meanings given next to them and are printed in bold:
Insured person, you, your - any person shown on the Validation Certificate as being insured under this policy.
We, our, us - the Insurer and Lexceteras Limited


YOU ARE COVERED
If you die or are injured as a result of an accident which occurs during your trip during the period of insurance, and you or your legal representative take legal action to get compensation, we will do the following in an attempt to get compensation for the death or injury:
1) provide up to €25,000 for any fees and other disbursements reasonably incurred by your legal representatives in connection with any claim or legal proceedings, including costs and expenses of expert witnesses and costs incurred by us;
2) any costs payable by you following an award of costs by any court or tribunal and any costs payable following an out of court settlement made in connection with any claim or legal proceedings;
3) any fees, expenses and other disbursements reasonably incurred in appealing or resisting an appeal against the judgement of a court, tribunal or arbitrator;
4) provide up to €1,000 for each insured person, for travel costs that have to be paid to go to a foreign court in connection with any legal action under 1) above;
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;
6) if compensation is recovered for you then the usual costs rules of the relevant jurisdiction will apply. In some jurisdictions you will recover your costs, in others you will not. Any costs not recovered must first be met from the compensation. If the value of the costs not recovered exceeds the compensation then we will pay the balance of costs after the application of the compensation, subject to the limits of the cover in the policy and policy schedule.

YOU ARE NOT COVERED FOR
1) legal costs and expenses incurred in pursuit of any claim against a travel agent, tour operator, carrier, the Insurers or their agents, someone you were travelling with or another insured person;
2) legal costs and expenses incurred prior to the granting of support by us in writing;
3) any claims notified to us more than 180 days after the date of the incident giving rise to such claim;
4) any claim where the legal costs and expenses are likely to be greater than the anticipated amount of compensation;
5) any claim where you are insured for legal costs and expenses under any other insurance policy;
6) any claim where legal costs and expenses are based directly or indirectly on the amount of compensation award (Contingency Fee Agreement);
7) legal costs and expenses incurred if an action is brought in more than one country;
8) any claim where in our opinion there is insufficient prospect of success in obtaining a reasonable benefit;
9) anything detailed in the General Exclusions.

Conditions
1) We shall have complete control over the legal proceedings and the appointment and control of a lawyer. We shall appoint a lawyer on your behalf with the expertise necessary to pursue your claim.
2) You must follow the lawyer's advice and provide any information and assistance required. Failure to do so will entitle us to withdraw cover.
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.

 
24.
 
SECTION (J) PERSONAL LIABILITY

If a legal claim is made against you (in a personal capacity) for causing bodily injury, disease or death to any person, or loss or damage to material property due to an Accident that occurred during the period of your Trip

You are covered for: reasonable legal costs for defending claims, and the amount that you become legally liable to pay as damages or compensation, up to the amount shown on your Schedule of Cover.

For a claim: inform our Claims Service immediately. We shall take complete charge in the conduct of all negotiations and proceedings. General Exclusions apply, in particular those headed Behaviour, Travel and Events and specific exclusions are:
(1) causing loss, injury, disease or death to insured persons, travelling companions, or to your or their relatives, employees or household members
(2) causing loss or damage to property owned by, in trust to, or the responsibility of insured persons, travelling companions, or their relatives, employees or household members
(3) anything arising out of: (a) racing of any kind; (b) care, custody or control of animals (c) the ownership, custody, or use of: firearms or explosives, aircraft, aerial devices, motorised watercraft, horse-drawn vehicles, mechanically-propelled/motorised or towed vehicles; this exclusion does not apply to activities covered under Section (S) ACTIVITIES except where cover under this section is excluded for specific activities
(4) anything arising out of paid or voluntary work, conducting a trade, business or profession
(5) any liability arising through a contractual agreement, but for which no liability would arise
(6) any liability covered under any other insurance policy
(7) any form of ownership or occupancy of land or buildings, except occupation only of temporary holiday accommodation
(8) punitive or exemplary damages or compensation
(9) any deliberate act or omission.

(note: this insurance does not provide Third Party Cover if you use a motor vehicle)

 
25.
 
SECTION (K) CATASTROPHE

If the Authorities of the region or country where you are staying give directives that force you to quit or not to be able to occupy your pre-booked and pre-paid accommodation due to fire, explosion, earthquake, storm, flood, or medical epidemic

You are covered for: the necessary additional costs of providing similar alternative accommodation, up to the amount shown on your Schedule of Cover.

For a claim: inform our Claims Service immediately, and you must provide the required Financial Evidence of Loss and evidence of the directives from Authorities confirming the timing and occurrence of events that forced you to move. General Exclusions apply in particular those headed Travel and Events and specific exclusions are:
(1) you leaving your pre-booked accommodation voluntarily in the absence of or contrary to the advice of the Authorities
(2) losses that are wholly or partly recoverable from or compensated by Authorities, hotels, Carriers, or other service providers.

 
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26.
 
SECTION (L) LOSS OF PASSPORT

If you pay for cover under this section, and if your passport is lost or stolen whilst you are Abroad when it is: carried on the person of an adult insured, or is locked in a fixed safety deposit box,

You are covered for: your reasonable and necessary additional travel and accommodation expenses directly related to obtaining a temporary or permanent replacement, up to the amount shown on your Schedule of Cover.

For a claim: you must provide the required Financial and Reported Evidence of Loss, and for passports and visas a letter from the consulate where you obtained the replacement documents. General Exclusions apply, in particular those headed Events.

 
27.
 
SECTION (M) PERSONAL POSSESSIONS

If you pay for cover under this section, and if your personal possessions, comprising your suitcases or luggage, their contents of items taken for personal use, and items worn or carried by you, that you own (not hired, loaned or entrusted to you), includ ng valuables, are stolen or permanently lost or damaged by accident during your Trip,

You are covered for: the cost of repairing damaged items (if less than their value) or the value of items after making proper allowance for their depreciation. Within the overall limit for each person, as shown on your Schedule of Cover, the following specific limits apply:
(a) for any one single item, pair or set (a pair or set being items normally used or worn together)
(b) for all valuables in total
(c) for all sports equipment in total, if the equipment was not being used at the time of loss Or, if you are unable to provide the required Financial Evidence of Loss, further limits apply, which are in your Schedule of Cover under the heading Personal Property without Financial Evidence of Loss.

Valuables are the following items: Watches, furs, leather goods, animal skins, silks, jewellery, items made of or containing precious stones, semi precious stones, gold, silver or platinum, photographic, audio, video and electrical equipment of any kind, camcorders and accessories, all photographic/digital/optical/audio and video media, ipods/ipod touch/MP3/4 players or similar and/or accessories, ebook readers, telescopes and binoculars.

For a claim: you must provide the required Financial and Reported Evidence of Loss. General Exclusions apply in particular those headed Personal Property and Events, and specific exclusions from cover are:
(1) any of the following: any of the following: perishable goods; dentures; hearing aids; contact or corneal lenses; sunglasses; spectacles; certificates and documents of any kind; antiques; glass; china; fragile items; pictures; works of art; musical instruments; sports equipment whilst being used; vehicle parts; marine equipment; pedal cycles; household goods; tents; alcohol; cigarettes and any tobacco products; computers and all computer equipment/laptops/ipads/computer tablets or similar and/or accessories; game consoles (including hand held consoles) and their accessories; mobile phones/smart phones and/or their accessories; satellite navigation systems (GPS) and/or accessories; Personal Digital Assistants (PDA’s) and/or accessories; televisions; business merchandise or samples; tools of trade
(2)loss or theft of Valuables: (a) left as check-in luggage with Carriers; (b) worn or carried by Children; (c) left in an unoccupied motor vehicle;
(3) loss of jewellery (other than wedding rings) while swimming, or partaking in any hazardous pursuits.

 
28.
 
SECTION (N) MONEY

If you pay for cover under this section, and if current travellers cheques, travel tickets, banknotes and coins are lost or stolen whilst you are Abroad, when carried on the person of an adult insured or locked in a fixed safety deposit box,

You are covered for: your loss up to the amount shown on your Schedule of Cover, and for cash up to the limit for (a) Cash.

For a claim: you must provide the required Financial and Reported Evidence of Loss, and evidence that you reported the loss of travellers cheques to the issuing Bank or agent as soon as possible following the discovery of the loss. General Exclusions apply in particular those headed Events, and a specific exclusions is: for losses due to depreciation in value or shortage due to error or omission.

 
29.
 
SECTION (O) CANCELLATION

If you pay for cover under this section, and if unavoidable, unforeseen, circumstances occur outside your control during the cancellation Period of Insurance prior to departure that make it necessary for you to cancel or defer a pre-booked Trip due to:
(1) you or your Immediate Family suffering death, severe injury, or sudden and serious illness
(2) an epidemic or compulsory quarantine preventing travel
or, where you are:
(3) called upon for Jury service that you are unable to have deferred
(4) required to appear in Court as a witness, except in a professional capacity
(5) required for duty in the Armed Forces, or Emergency Services
(6) required by the Police or Fire Services not to go away, within 14 days before the planned start of your Trip, due to burglary or suspected burglary at your Home, or due to your Home being made uninhabitable by fire, explosion, storm or flood.

You are covered for: your proportion of irrecoverable deposits and payments for travel and accommodation contracted for or paid for in advance up to the amount shown on your Schedule of Cover

For a claim: contact our Claims Service immediately, and you must provide the required Financial and Medical Evidence of Loss, and documentary evidence confirming it necessary to cancel your Trip. General Exclusions apply, and specific exclusions are:
(1) failure of any service providers such as (but not limited to) travel agents, tour operators, hotels or accommodation agencies
(2) any consequences of Authorities advising against travel to a country or area
(3) loss of employment for any reason
(3) changes being made to your holiday entitlement except for members of the Armed Forces and Emergency Services
(4) any additional costs arising from failing to inform all parties involved immediately you knew that your Trip had to be cancelled.
(5) any claim arising from pregnancy, where, at the point of checking in or boarding, you fail to comply with the Transport's policy of conveyance of pregnant women
(6) cost of any visa required in connection with your Trip
(7) Loss of BA miles, Airmiles, Loyalty card vouchers or points or unused Timeshare points.

 
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30.
 
SECTION (P) WINTER SPORTS

If you pay for cover under this section, and if in the course of a Trip to a pre-booked winter sports destination you suffer a loss due to any of following:

You are covered, up to the amount shown on your Schedule of Cover, for:
(1) Ski Equipment: if your own Ski Equipment is permanently lost or damaged by accident:- the cost of repairing damaged items (if less than their value) or the value of items after making proper allowance for their wear and tear or depreciation.
(2) Ski Equipment Hire: if your own Ski Equipment is lost or damaged by accident, or is delayed in transit for more than 12 hours after your arrival at your destination:- the hire of equivalent Ski Equipment for each day that your own equipment is not available or usable.
(3) Ski Pack: if you are unable to use the Ski Pack facilities which were contracted for or paid for in advance prior to your departure due to you suffering an injury or illness that prevents you skiing, or if your ski pass is lost or stolen :- costs of the non-refundable proportion of unused facilities.
(4) Piste Closure: if lack of snow conditions or adverse weather results in the total closure of skiing at your resort and it is not possible to ski anywhere at your resort during a day :- the daily benefit in compensation for each day you are unable to ski.

Definitions: Winter Sports are the activities listed under the heading of Normal Winter Sports in the Schedule of Activities, with the specific conditions that apply to certain activities, covered under Section (S) of the policy.
Ski Equipment shall mean skis, ski boards, ski poles and ski boots.
Ski Pack shall mean hired Ski Equipment, lift passes, and ski tuition fees.

For a claim: you must provide the required Evidence of Loss, and:
(1) For unused Ski Pack facilities, if the claim is not being handled by our Emergency Service, a certificate from a local Qualified Medical Practitioner confirming that the injury or illness suffered prevented you from skiing for the period that your facilities were unused, and proof that refundable parts of the facilities were applied for
(2) For Piste Closure, evidence from your resort that all ski lifts and facilities were closed, and evidence that at the time of taking out this insurance or of booking your Trip the probable closure of the resort was not public knowledge nor known to you. Cover is only applicable under this section between 1 December and 30 April in the Northern Hemisphere, and between 1 April and 31 October in the Southern Hemisphere.

General Exclusions apply, in particular those headed Medical, Personal Property and Events. The limits in your Schedule of Cover under the heading Personal Property without Financial Evidence of Loss apply. And, a specific exclusion is participating in activities other than those listed under the heading of Normal Winter Sports in the Schedule of Activities.

 
31.
 
SECTION (Q) GOLF COVER

If you pay for cover under this section, and if in the course of a Trip you suffer a loss due to any of following:

You are covered, up to the amount shown on your Schedule of Cover, for:
(1) Golf Equipment: if your own Golf Equipment is permanently lost or damaged by accident, the cost of repairing damaged items (if less than their value) or the value of items after making proper allowance for their wear and tear or depreciation
(2) Hire of Golf Equipment: if your Golf Equipment is lost or damaged by accident, or is delayed in transit for more than 24 hours after your arrival at your destination :- the hire of replacement equipment for each day that your own equipment is not available nor usable
(3) Green Fees: if you suffer an illness or injury (subject to specific exclusions under Section (A) of the policy) which a certificate from a local Qualified Medical Practitioner confirms will totally prevent you from playing golf :- the cost of the non-refundable proportion of unused green fees which were contracted for or paid for in advance.

Golf Equipment means your own golf clubs, golf bag, non-motorised trolley, balls, tees, shoes, and umbrellas.

For a claim: you must provide the required Evidence of Loss. General Exclusions apply, in particular those headed Medical, Personal Property and Events. The limits in your Schedule of Cover under the heading Personal Property without Financial Evidence of Loss apply.

 
32.
 
SECTION (R) BUSINESS COVER

If you pay for cover under this section, and if in the course of a Trip you suffer a loss due to any of following:

You are covered, up to the amount shown on your Schedule of Cover, for:
(1) Business Equipment: if your own Business Equipment is permanently lost or damaged by accident, the cost of repairing damaged items (if less than their value) or the value of items after making proper allowance for their wear and tear or depreciation
(2) Resumption of your Trip: if your Trip is disrupted due to Curtailment or Medical Problems, the resumption of your Trip :- the costs (using economy class travel and other essential expenses) of transporting you to the point at which your original journey was curtailed, provided that the resumed journey begins within 4 months of the curtailment of the original Trip, OR
(3) Replacement Personnel: if your Trip is disrupted due to Curtailment or Medical Problems :- the cost of transporting a substitute employee (using economy class travel and other related expenses) to take your place.

Business Equipment means any item which is the property of you or your employer and for which you are responsible which is taken on or acquired during your Trip, and which is essential to your business. Curtailment or Medical Problems means a valid claim under Section (D) of the policy for the curtailment of your Trip, or you suffering an illness or injury (subject to specific exclusions under Section (A) of the policy) which a certificate from a local Qualified Medical Practitioner confirms will totally prevent you from attending to your business for a period in excess of 7 days.

For a claim: you must provide the required Evidence of Loss. General Exclusions apply, in particular those headed Medical, Personal Property and Events. The limits in your Schedule of Cover under the heading Personal Property without Financial Evidence of Loss apply.
Specific exclusions from cover are: defects in equipment; software malfunction or corruption; perishable goods; certificates or documents; antiques; glass; china; pictures; works of art; musical instruments; sports equipment whilst being used; vehicle parts; satellite navigation systems (GPS) and/or accessories; marine equipment; pedal cycles; household goods; alcohol; tobacco products.

 
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33.
 
SECTION (S) ACTIVITIES

You are covered for: ‘safe and normal’ participation in the sports and activities described in the Schedule of Activities, as an amateur to amateur competition level. The General Exclusions of the policy also apply, in particular those headed Behaviour.

Cover is provided under Section (A) MEDICAL EMERGENCY & REPATRIATION of the policy for all categories. Due to the greater degree of risk, the Standard Medical Excess limit that applies to claims under Section (A) is increased to the amounts shown in the Schedule of Cover under Medical Excess Limits for the MEDIUM RISK and HIGH RISK categories.
The categories are:
(1) HOLIDAY ACTIVITIES: The Standard Medical Excess applies.
(2) WORK: The Standard Medical Excess applies. Exclusions to the type of work covered are shown in the Schedule of Activities.
(3) NORMAL WINTER SPORTS: If you have cover under Section (P) WINTER SPORTS the Standard Medical Excess applies, otherwise the High Risk Medical Excess applies.
(4) MEDIUM RISK ACTIVITIES: The Medium Risk Medical Excess applies.
(5) HIGH RISK ACTIVITIES: The High Risk Medical Excess applies.
(6) PARACHUTING, SKYDIVING, PARAGLIDING, HANG-GLIDING: The terms and conditions of Section (U) of the policy apply.
(7) REFERRAL ACTIVITIES: Hazardous sports and activities which are not included in our Schedule of Activities, and which are therefore not covered, but which may be covered following your referral to us, with endorsement to the Certificate of Insurance for the terms agreed.

We reserve the right to add, remove, or re-categorise activities notwithstanding that cover is provided on the basis of the activities listed under each category heading in the Schedule of Activities at the date of taking out insurance.

 
34.
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SCHEDULE OF ACTIVITIES

 


You are covered for: ‘safe and normal’ participation in the sports and activities described below, as an amateur to amateur competition level. ‘Safe and normal’ participation means firstly that: .
(a) you are reasonably fit and competent to take part;
(b) you take notice of local warnings of danger or adverse weather conditions;
(c) you participate in safe areas and/or areas covered by rescue facilities;
(d) you have the necessary qualification or licence if such is needed to participate; and
(e) you wear suitable protective clothing and head gear.
(f) you observe the recognised safely procedures of the sport or activity.

Besides which, ‘safe and normal’ participation in certain activities is based on specific conditions that you are:
(1) accompanied by an experienced and/or suitably qualified instructor or guide;
(2) properly supervised, taking part in an organised event, match, game, session or outing;
(3) using a venue or purpose-built facilities approved by the activity’s local or national regulatory authorities.
For certain activities the condition is that cover under other sections of the policy is excluded:
(4) cover under Section (C) PERSONAL ACCIDENT;
(5) cover under Section (J) PERSONAL LIABILITY.
The specific condition numbers are annotated to the categories or the individual activities to which they apply below.
In any event, you are expected to wear an appropriate hard helmet when exposed to projectiles, or when riding vehicles or animals, or whenever travelling at speed, or for aerial activities, and to wear a personal floatation device for surface water sports.

 
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  1. HOLIDAY CATEGORY
(included with normal travel insurance at the Standard Medical Excess)
 
 
Abseiling
Archery
Athletics track events
Badminton
Basketball
Body boarding
Camal riding
Catamaran sailing
Canoeing to grade 3
Clay pigeon shooting
Cricket
Dinghy sailing
Elephant riding
Condition
(2)(4)
(2)
(2)



(5)
(2)(3)
(2)
(2)
(3)(5)
(5)
(2)(3)

Go-karting to 125cc
Golf
Gym fitness training
Handball
Hockey
Horse riding (school)†
Ice-rink skating †
Jet skiing
Kayaking to grade 3
Orienteering
Paint balling
Parascending water
† not jumping
Condition
(3)(5)
(3)
(1)
(2)
(3)(5)
(1)(3)(5)

(5)
(2)
(2)
(2)(5)
(2)(5)

Pony trekking
Rafting grade 1 to 3
Rappelling
Rifle shooting
Rowing
Roller blading/skating
Safari trekking
Sailboarding
Soccer football
Skateboarding
Scuba diving
special terms see below
Snorkelling
Condition
(2)
(1)(2)
(2)(4)
(2)


(1)

(3)

**




Surf boarding
Squash/Tennis
Trekking to 1500m
Volleyball
Wakeboarding
Water polo
Water skiing†
War games
Wheelchair athletics
Windsurfing
Yachting
(in coastal waters)
Zip-wiring
Condition


(1)



(2)
(3)
(2)
(5)
(5)

(3)(4)
 
  ** SCUBA DIVING
(Special Terms and Conditions)
 
  General: (a) All divers must be accompanied by a qualified Dive Instructor, except in circumstances where they are themselves qualified to dive without an Instructor, in which case diving must be with a companion on a 'buddy pair' basis. (b) Diving work of any kind is not covered. (c) Any illness or loss due to air travel within 24 hours of diving is not covered.
Levels of cover: (1) Holiday Category (above) covers divers with no grade/qualification to a maximum depth of 18m, and divers with a BSAC/PADI or equivalent grade/qualification to the maximum depth that their grade permits, or to a maximum depth of 30m (if their grade permits).
(5) High Risk Category (below) covers divers going over 30m to a maximum depth limit of 40m provided that their BSAC/PADI or equivalent grade/qualification permits.
Please contact us if your holiday scuba diving plans are beyond the limits of these conditions.
 
  2. WORK CATEGORY
(Specific condition (5) applies to all types of work, paid or voluntary. The Standard Medical Excess applies.)
 
  Work excludes (unless otherwise agreed by us): all professional sport; heavy manual labour; the use of plant, machinery or power tools; work in building trades, work in extraction or manufacturing industries; or forestry; or work at sea or as aircrew.
 
  3. NORMAL WINTER SPORTS CATEGORY
(included with cover under Section (P) at the Standard Medical Excess)
 
  Cross-country skiing
Ice skating
Mono skiing
(1)

(3)
Skidoo riding
Snowboarding off piste
(2)(5)
Øbelow
Snowoarding on piste
Snow skiing off piste
Snow skiing on piste

Øbelow

Sledging
Snow mobiling
Tubing

(2)(5)
(1)(3)
 
Excluding: acrobatics, stunting, event-racing, heli skiing, or use of skeletons/bobsleighs.
  Ø OFF PISTE SKIING AND SNOWBOARDING
(Special Terms and Conditions)
 
  Within designated safe areas: Off Piste Skiing and boarding within areas that are designated as being safe by the resort management is not covered (excluded) unless the following requirements are adhered to: (a) 'Check out' and 'check in' ie. you must let somebody know where you are going, how many are in the group, and when you are likely to return, and report back accordingly; (b) A minimum of four people to ski together in a group; (c) Avalanche transceivers must be worn.
Outside designated safe areas: Off Piste Skiing and boarding outside areas that are designated as being safe by the resort management is not covered (excluded) unless the following requirements are adhered to: the reguirements as detailed (a), (b), (c) above, and you must be accompanied by a qualified mountain guide who has knowledge of the resort.
 
  4. MEDIUM RISK ACTIVITIES
(Specific conditions (2), (4) and (5), and the Medium Risk Medical €300 Excess applies)
 
  Athletics field events
BMX biking
Boxing training
Bridge/gorge swinging
Bungee jumping
Canoeing grade 4
(3)
(3)
(3)
(3)
(3)
(3)
Dog sledging
Fencing
Hot-air ballooning
Indoor climbing
Judo and Karate

(3)

(3)
(3)
Jet boating
Kayaking grade 4
Kick boxing
Kite surfing
Martial arts training
Mountain biking (on trails
(Downhill see High Risk)

(3)
(1)

(1)
& tours)
Outwardbound pursuits
Rafting grade 4
Sand boarding
Sea canoeing
Trekking to 4000m

(3)
(3)

(1)
 
  5. HIGH RISK ACTIVITIES
(Specific conditions (2), (4) and (5) apply. The High Risk Medical Excess €500 applies)
 
  Cross-country skiing
Canyoning
Downhill mountain biking
Gymnastics
High diving max 10m
Iceskating
Ice speed skating
(1)

(3)
(3)
(3)

(3)
Mono skiing
Parascending land
Power kiting
Quad-biking to 125cc
Rafting grade 5 & 6
Rock climbing
Rugby
(3)

(3)

(3)
(3)


Scuba diving special
Shidoo riding
Snow skiing/boarding
on piste
off piste
Sledging
**



Øabove

Snow mobiling
Tobogganing
Track cycling
Trampolining
Tubing
Water ski jumping


(3)
(1)
(1)(3)
(3)
  6. PARACHUTING, SKYDIVING, PARAGLIDING, HANG-GLIDING
Section (U) of the policy applies. Additional premium is payable for cover under this section.
 
  Section (U) provides cover for participating in Parachuting, Skydiving, Paragliding or Hang-gliding,
EXCLUDING participating whilst in United States of America (USA)
 
  You are covered for: Medical Emergency and Repatriation costs, and Search and Rescue costs, due to participating in these activities.
The full terms and conditions that apply are already contained in the policy under sections: (A) MEDICAL EMERGENCY & REPATRIATION, (T) SEARCH & RESCUE. Apart from the conditions for 'safe and normal' participation, (a) to (e) above, the following further conditions apply for:
Parachuting and Skydiving: the diving provider and drop-zone are authorised by a local or national regulatory authority.
Paragliding and Hang-gliding: (a) the launch area is a natural or purpose-built area that is recognised or approved by a local on national regulatory authority, (b) you are supervised at least to the extent that your flight-plan is known to someone on the ground.
You are not covered for: parachuting, skydiving, paragliding or hang-gliding whilst in United States of America (USA). And, whilst participating in these activities, you are not covered under other sections of the policy, such as, section (C) PERSONAL ACCIDENT, (J) PERSONAL LIABILITY and (M) PERSONAL POSSESSIONS.

 
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35.
 
(T) SEARCH & RESCUE

You are covered for: the cost of rescue or recovery services you incur during a trip provided that the rescue or recovery is provided by a recognised recovery service.

For a claim: you must provide the required Evidence of Loss. General Exclusions apply, in particular those headed Behavior.

 
etravelinsure travel insurance policy
36.
 
(U) PARACHUTING, SKYDIVING, PARAGLIDING, HANG-GLIDING
excluding participating whilst in USA

If you pay for cover under this section, and you participate in parachuting, skydiving, paragliding or hang-gliding:

You are covered for: Medical Emergency and Repatriation costs, and Search and Rescue costs, due to participating in these activities. The full terms and conditions that apply are contained in the policy under sections: (A) MEDICAL EMERGENCY & REPATRIATION, (T) SEARCH & RESCUE. The conditions for 'safe and normal' participation, under section (S) ACTIVITIES apply. General Exclusions apply in particular those headed Behaviour, and the following further conditions apply for:
Parachuting and Skydiving: the diving provider and drop-zone are authorised by a local or national regulatory authority.
Paragliding and Hang-gliding: (a) the launch area is a natural or purpose-built area that is recognised or approved by a local on national regulatory authority, (b) you are supervised at least to the extent that your flight plan is known to someone on the ground.

You are not covered for: parachuting, skydiving, paragliding or hang-gliding whilst in United States of America (USA). And, whilst participating in theses activities, you are not covered under other sections of the policy, such as, section (C) PERSONAL ACCIDENT, (J) PERSONAL LIABILITY and (M) PERSONAL POSSESSIONS.

 
travel insurence claim
37.
 
COMPLAINTS PROCEDURE

We are dedicated to maintaining an excellent service. However, if you are unhappy with any aspect of our service, please let us know. We can sort out most problems quickly. If that fails, we have a standard procedure for handling complaints. You are asked to notify a complaint progressively as follows. The address of each party to the insurance is at the start of this Policy. At each stage it will be fully reviewed and if you are not sent a full reply within 15 working days, you will be told the reason why and when you can expect one.

1. the insurance provider
On anything to do with requirements for insurance or on taking out insurance, if you fail to be satisfied with initial attempts to resolve any difficulties, please write to the Managing Director, Etravelinsure Limited.

2. the Claims Service
On matters concerning claims procedures and handling, if you are not satisfied with the service, write to the Managing Director of the Claims Service involved.

3. the Underwriting Agent
If the matter is still unresolved, write to the Director, Optimum Underwriting Limited.

4. the Insurers
Finally, if you are still dissatisfied, write to the Chief Executive, Groupama Insurance Company Limited.

5. the Financial Ombudsman Service
Following the final reply to your complaint through this procedure you have the right to refer your complaint for review by the Insurance Ombudsman, by writing to: Financial Ombudsman Service, South Quay Plaza, 183 Marsh Wall, London E14 9SR. For further information on this service, visit: www.financial-ombudsman.org.uk.