SECTION 1: PERSONAL ACCIDENT POLICY COVER

Transcription

1 I. BENEFITS SECTION 1: PERSONAL ACCIDENT POLICY COVER 1. DEFINITIONS Words that use the masculine gender include the feminine and vice versa. Words using the singular include the plural and vice versa. Words with special meanings are defined here or in the part of the Policy where they are used and have the same meaning wherever they appear in bold print. A. Accident means a sudden, unexpected and specific event caused solely and directly by violent, external and visible means which occurs at an identifiable time and place, resulting in Injury. B. Accidental Death means a sudden, unexpected and specific event caused solely and directly by violent, external and visible means which occurs at an identifiable time and place, resulting in death. C. Beneficiary means the person or persons nominated by the Insured Person; if no such designation is then effective, such indemnity shall be payable to the Insured Person s legal heirs. D. Child or Children means the Insured Person s son or daughter, biological offspring, stepchildren and directly and biologically related children born outside of marriage aged above 6 months and under nineteen (19) years of age (or under twenty three (23) years of age if a full time student), unmarried and primarily dependent on the Insured Person for support. E. Company or Insurer means American Home Assurance Company (Dubai Br.). F. Covered Medical Expenses means Reasonable and Customary Charges incurred by the Insured Person for services and supplies which are recommended by an attending Physician. They include: (a) The services of a Physician; (b) Hospital confinement and use of operating room; (c) Anaesthetics (including administration), x-ray examinations or treatments and laboratory tests; (d) Ambulance service; (e) Drugs, medicines, and therapeutic services and supplies; G. Day means a period of 24 consecutive hours. H. Daily Benefit means the amount payable for each Day spent in the Hospital. I. Hospital means a place that: (a) holds a valid license (if required by law); (b) operates primarily for the care and treatment of sick or injured persons; (c) has a staff of one or more Physicians available at all times; (d) provides 24-hour nursing service and has at least one registered professional nurse on duty at all times; (e) has organized diagnostic and surgical facilities, either on premises or in facilities available to the hospital on a pre-arranged basis; and (f) is not, except incidentally, a clinic, nursing home, rest home, or convalescent home for the aged, or a facility operated as a drug and/or alcohol treatment center. J. Injury means bodily injury caused solely and directly by violent, accidental, external and visible means occurring during the Policy Period and requiring treatment by a Physician. K. Insured Person means as defined in the Policy Schedule and whose name is reported to the Company and accepted for coverage. L. Loss means the act or instance of losing and / or the disappearance of something cherished and / or a measurable reduction in some substance or process.

2 M. Medically Necessary means in the Company s opinion, the Physician's recommendation is: (a) Consistent with the symptoms, diagnosis and treatment of the Insured Person s condition; (b) Appropriate with regards to standards of good medical practice; (c) Its primary purpose is not for the convenience of the Insured Person. N. Osteoporosis means the thinning of the bone out of proportion to age. O. Pathological Fracture means any fracture in an area where pre-existing disease has caused weakening of the bone. P. Permanent Partial Disability means a disability in which an Insured Person is forever prevented from working at full physical capability because of an Injury. Q. Permanent Total Disability means a disability in which an Insured Person is forever prevented from working because of Injury. R. Physician means a legally licensed practitioner acting within the scope of his license practicing medicine, and concerned with maintaining or restoring human health through the study, diagnosis, and treatment of disease and injury. The attending Physician may not be: (a) the Insured Person; nor (b) the Insured Person s Relative. S. Policy means this document, the Policy Schedule and any endorsements that accompany it. T. Policy Effective Date means the date at which the Policy incepts as defined in the Policy Schedule. U. Policy Expiry Date means the date after which the Policy is no longer valid as defined in the Policy Schedule. V. Policyholder means the legal entity, employer and signatory of this document to whom the Policy is issued and as listed in the Policy Schedule. W. Policy Period means the time from the Policy Effective Date to the Policy Expiry Date as defined in the Policy Schedule. X. Policy Schedule means the document which gives details such as, but not limited to, Policyholder name, benefits selected, premiums, coverage limits, enclosed covers, extensions, exclusions and conditions. Y. Pre-existing Medical Condition means a condition for which medical care, treatment, or advice was recommended by or received from a Physician within a two (2) year period preceding the Policy Effective Date, or a condition for which hospitalization or surgery was required within a five (5) year period preceding the Policy Effective Date. Z. Premium means the periodic payments including but not limited to any adjustment or minimum and deposit made by the Policyholder for insurance protection which is based on the number of Insured Person and the Rate as defined in the Policy Schedule. AA. Principal Sum Insured (for Accidental Death) means the Sum Insured to be paid by the Company to the Beneficiary in the event of the Insured Person s Accidental Death. BB. Professional Sport means a competitive sport used as a source of livelihood. CC. Reasonable and Customary Charges means a charge which: (a) Is charged for treatment, supplies or medical services Medically Necessary to treat the Insured Person s condition; (b) Does not exceed the usual level of charges for similar treatment, supplies or medical services in the locality where the expense is incurred; and (c) Does not include charges that would not have been made if no coverage existed. DD. Relative means a Spouse, parent, parent-in-law, grandparent, step-parent, Children, grandchild, brother, brother-in-law, sister, sister-in-law, daughter-in-law, son-in-law, half-brother, half-sister, aunt, uncle, niece or nephew of the Insured Person. EE. Sickness means any fortuitous illness or disease contracted requiring treatment by a Physician.

3 FF. Spouse means the Insured Person s legally married husband or wife between the ages of 18 years and 69 years. GG. Sum Insured means the maximum amount afforded to each benefit according to the Table of Benefits. HH. Table of Benefits or Schedule of Benefits means the benefits included and as defined in the Policy Schedule. II. Terrorism means the use or threatened use of force or violence against person or property, or commission of an act dangerous to human life or property, or commission of an act that interferes with or disrupts an electronic or communication system, undertaken by any person or group, whether or not acting on behalf of or in any connection with any organization, government, power, authority or military force, when the effect is to intimidate, coerce or harm a government, the civilian population or any segment thereof, or to disrupt any segment of the economy JJ. Totally and Permanently Disabled means the Insured Person is forever prevented from working because of Injury. KK. War means war, whether declared or not, or any warlike activities, including use of military force by any sovereign nation to achieve economic, geographic, nationalistic, political, racial, religious or other ends

4 2. BENEFITS The coverage stated hereunder are valid only in respect of the Benefits specifically indicated in the Schedule of Benefits by the insertion of the amount of indemnity, its limitation and of the appropriate premium. 2.1 ACCIDENTAL DEATH If a covered Injury results in death of an Insured Person within one hundred eighty (180) days after the date of the accident, the Company will pay the Principal Sum Insured applicable to such Insured Person in accordance with the classification of Insured Persons and Schedule of Benefits, less any other amount paid or payable under Benefit (2.2). 2.2 PERMANENT TOTAL DISABILITY DUE TO ACCIDENT If, as the result of a covered Injury, and commencing within one hundred eighty (180) days after the date of the Injury, an Insured Person becomes totally disabled and such disability has continued for a period of twelve (12) consecutive months and if the Insured Person is Totally and Permanently Disabled at the end of this period, the Company will pay the Principal Sum Insured applicable to such Insured Person in accordance with the classification of Insured Persons and Schedule of Benefits in one lump sum. 2.3 ACCIDENTAL MEDICAL EXPENSE The Company will reimburse the Insured Person, subject to any Excess, up to the Sum Insured stated in the Policy Schedule for Covered Medical Expenses commencing within thirty (30) days after the date of the Injury for the treatment of an Injury sustained by the Insured Person while the Policy is in effect. All expenses must be incurred within fifty two (52) weeks from the date the Insured Person s coverage terminates under the Policy and are not to exceed the amount payable to such Insured Person in accordance with the classification of Insured Persons and Schedule of Benefits as a result of anyone accident. AGGREGATE LIMIT The Company shall not be liable for any amount in excess of the aggregate limit stated on the Policy Schedule. If the aggregate amount of all indemnities otherwise payable by reason of coverage provided under this Policy exceeds such aggregate limit, the maximum indemnity payable to anyone Insured Person will be a percentage of the indemnity otherwise payable. The percentage will be determined by dividing the aggregate limit by the aggregate amount of all such indemnities.

5 3. EXCLUSIONS FOR PERSONAL ACCIDENT COVER The Policy will not cover any Loss, damage or legal liability arising directly or indirectly from: A. Pre-existing Medical Conditions; B. Intentionally self-inflicted injury, suicide or any such attempt while sane or insane; C. Willful or deliberate exposure to danger (except in an attempt to save human life); D. War, civil war, invasion, insurrection, revolution, use of military power or usurpation of government or military power; The use, release or escape of nuclear materials that directly or indirectly results in nuclear reaction or radiation or radioactive contamination; The dispersal or application of pathogenic or poisonous biological or chemical materials; The release of pathogenic or poisonous biological or chemical materials; E. Terrorism; F. Any period an Insured Person is serving in the Armed Forces of any country or international authority, whether in peace or war, and in such an event, the Company, upon written notification by the Policyholder, shall return the pro rata Premium for any such period of service; G. Being in service or on duty with or undergoing training with any military or police force, or militia or paramilitary organization; H. a) an Insured Person being under the influence of alcohol with more than the legal limit of alcohol in his blood or breath; or b) an Insured Person being under the influence of drugs or narcotics unless such drugs or narcotics were administered by a Physician or unless prescribed by and taken in accordance with the directions of a Physician; or c) an Accident occurring whilst an Insured Person was driving a motor vehicle with more than the legal limit of alcohol in his blood or breath; or d) alcohol abuse, alcoholism, substance abuse, solvent abuse, drug abuse or addictive conditions of any kind; I. Any Loss of which a contributing cause was the Insured Person's attempted commission of, or wilful participation in, an illegal act or any violation or attempted violation of the law or resistance to arrest by the Insured Person; J. Any Loss sustained while flying in any aircraft or device for aerial navigation except as a passenger; exclusions include, but are not limited to, pilot, operator or crew member; K. Any costs incurred due to fluctuation in exchange rates; L. Bacterial infections except pyogenic infections which are caused by an accidental wound; M. Flying in any aircraft owned, leased or operated by or on behalf of (a) the Policyholder or any subsidiary or affiliate of the Policyholder, or (b) an Insured Person or any of his Relatives; N. Driving or riding as a passenger in or on (a) any vehicle engaged in any race, speed test or endurance test or (b) any vehicle being used for acrobatic or stunt driving; O. Any claim caused by opportunistic infection or malignant neoplasm, or any other sickness condition, if, at the time of the claim, the Insured Person had been diagnosed as having AIDS (Acquired Immune Deficiency Syndrome), ARC (AIDS Related Complex) or having an antibody positive blood test to HIV (Human Immune Virus); P. Sexually transmitted diseases and the conditions commonly known as AIDS or HIV and/or any related Sickness or condition including derivatives or variations thereof, howsoever, acquired or caused; Q. Any Loss sustained while the Insured Person is participating in any Professional Sports or school sports; R. Any hazardous pursuits, sports or activities which introduce or increase the possibility of a loss including but not limited to engaging in motor cycling (where the engine capacity exceeds 200cc or the cycle is under control of an unlicensed driver), steeple-chasing, polo or horseback riding, hunting, bungee jumping, abseiling, white water rafting, hiking (unless accompanied by a recognized guide or on a clearly marked route), mountaineering requiring the use of ropes or equipment, scuba diving (unless licensed or accompanied by a qualified instructor), fighting (except in bona fide self defense), racing (other than on foot or under sail in inland waters), being a crew member on a ship or boat traveling from one country to another, speed or endurance racing or practice thereof (other than athletics), or training for or engaging in contact sports where physical contact between players is an accepted part of play. Skiing, land-skiing, mono-skiing, cross-country skiing, heli-skiing, off-piste skiing, ice skating (no speed skating), snow boarding, ski boarding, sledging, tobogganing or ice skating, fishing, sail boarding, sailing, surfing, water skiing, wind surfing; S. Mental, nervous or emotional disorders including, but not limited to anxiety disorders, eating disorders, psychotic disorders, affective disorders, personality disorders, substance use disorders, somatoform

6 disorders, dissociate disorders, psychosexual disorders, adjustment disorders, organic mental disorders, mental retardation and autism; T. Services, supplies, or treatment, including any period of Hospital confinement, which were not recommended, approved, and certified as Medically Necessary by a Physician; U. Routine physicals or other examinations where there are no objective indications or impairment in normal health, and laboratory diagnostic or X-ray examinations except in the course of a disability established by the prior call or attendance of a Physician; V. Elective, cosmetic, or plastic surgery, except as a result of an Accident; W. Congenital anomalies and conditions arising out of or resulting there from, hernia or dental treatment except to sound natural teeth as occasioned by injury; X. Expenses incurred in connection with weak, strained or flat feet; corns, calluses, or toenails; Y. Deviated septum, including sub mucous resection and/or other surgical correction thereof; Z. Organ transplants that competent medical professionals consider experimental; AA. Well Child care including exams and immunizations; BB. Treatment provided in a government Hospital or services for which no charge is normally made; CC. Eyeglasses, contact lenses, hearing aids, and examination for the prescription or fitting thereof, unless Injury has caused impairment of vision or hearing; DD. Pregnancy and resulting childbirth, miscarriage or disease of the female reproduction organs and all related conditions, including services and supplies related to the diagnosis or treatment of infertility or other problems related to inability to conceive a child, birth control including surgical procedures and devices; EE. Consequential loss of any kind or financial loss and/or expense not otherwise specifically covered; FF. Engaging in occupational activities underground or requiring the use of explosives; GG. A fractured bone, if Osteoporosis or Pathological Fracture was diagnosed prior to the Policy Effective Date; HH. Any terrorist or member of a terrorist organization, narcotics trafficker, or purveyor of nuclear, chemical or biological weapons;

7 SECTION 2: WALLET PROTECTION COVER 1. DEFINITIONS Words with special meanings are defined in the Definitions section or in the part of the policy where they are used. Throughout the policy, defined terms will be bold when used. A. Accidental damage means items that can no longer perform the function for which they were intended, due to broken parts or material or structural failures resulting from an accident. B. Aggregate Limit is the maximum amount an insured person will receive during the whole policy period regardless how many occurrences. C. Break-in/ broken into means the illegal forced entry into the Insured person s residence or motor vehicle. D. Burglary means the unlawful taking of the Insured person s property, or an attempt thereof, by a person or persons who illegally entered his / her primary residence using force or violence with visible signs of forced entry. E. Business: a trade, profession or occupation engaged in on a full-time, part-time or occasional basis or any other activity engaged in for money or other compensation. F. Check(s) means any bank draft drawn against deposited funds to pay a specific sum, to a specified payee, on demand, other than drafts with a stamped signature. G. Covered content means the payment cards and personal papers contained in the Insured person s wallet. H. Coverage period begins when the Insured person s purchase a covered item and it ends 60 days later. I. Credit Accounts: any credit arrangements from a qualified financial institution for personal use, such as credit card account, car/ home loan account. J. Identity Theft: the unauthorized and/ or illegal use of the Insured Person s personal information such as the Insured Person s name or personal papers to open credit accounts and/ or bank accounts that the Insured Person did not authorize. K. Insured Person: a Policyholder s primary payment cardholders who have opted for the plan between the ages of 18 & 65. L. Lost means no longer in the Insured person s possession due to having been (i) inadvertently misplaced, or, (ii) in an irretrievable place. M. Money: currency, coins and bank notes in current use and having a face value. N. Motor vehicle means the Insured person s automobile, truck, sport utility vehicle (SUV), boat or airplane. O. Payment card: The primary Classic, Gold, VIP, MM and Platinum credit cards issued by the Policyholder for personal use only P. Per Occurrence Limit: is the maximum amount an Insured Person will receive on any covered occurrence. Q. Personal Papers: identification documents issued by Insured Person s country, state or province including but not limited to driver s license and passport of the Insured Person. R. Policy: these terms and conditions, a policy schedule, and all current and future endorsements and attachments made part of this contract. S. Policyholder: the individual or legal entity that enters into this policy, herein Mashreq Bank UAE. T. Policy Aggregate Limits: the maximum amount the insurer will pay to all Insured Person s under this policy during the policy period regardless of the number of occurrences. U. Policy Period: the period of time from the policy effective date to the policy expiration date. V. Relative: an Insured Person s legally married spouse, parent, step-parent, parent in-law, grandparent, child, stepchild, legally adopted child, grandchild, brother, brother in-law, sister, sister in-law, son in-law, daughter in-law, uncle, aunt, niece, nephew, and first cousin. W. Replacement cost means the current price of a similar item, with similar specifications. X. Residence means Insured person s r primary residence. Y. Robbery means the unlawful taking of the Insured person s property by a person or person(s) using violence or the threat of violence and who has/have caused or threatened physical harm to Insured person, his / her spouse, civil partner and/or children under age 21.

8 Z. Suit: a civil proceeding seeking monetary damages as a result of identity theft, or a criminal proceeding in which the Insured Person is charged with illegal acts committed by someone else while engaged in the theft of the Insured Person s identity AA. Terrorism: the use or threatened use of force or violence against person or property, or commission of an act dangerous to human life or property, or commission of an act that interferes with or disrupts an electronic or communication system, undertaken by any person or group, whether or not acting on behalf of or in any connection with any organization, government, power, authority or military force, when the effect is to intimidate, coerce or harm a government, the civilian population or any segment thereof, or to disrupt any segment of the economy. BB. Theft means the unlawful taking of property from the Insured person care and/or custody without consent with the intent to gain, as a result of robbery or burglary. CC. DD. Transportation ticket means any ticket purchased for any type of public or private transportation. War: war, whether declared or not, or any warlike activities, including use of military force by any sovereign nation to achieve economic, geographic, nationalistic, political, racial, religious or other ends.

9 2. COVERAGES 2.1 Identity theft The Insurer will pay for the Insured Person s expenses resulting from his/ her efforts to resolve his / her identity theft, up to the applicable limit of liability in the schedule subject to the excess of AED seventy five (75). The Insured Person will only pay one deductible per identity theft occurrence during the policy period. Expenses can be submitted up to 12 months after the claim is made. The following expenses are covered: a. Legal Expenses The Insurer will reimburse the Insured Person for attorney and court fees incurred by him / her for: defending any suit brought against him / her by a creditor or collection agency or someone acting on their behalf as a result of the identity theft; removing any civil or criminal judgment wrongfully entered against him / her as a result of the identity theft; challenging the accuracy or completeness of any information in a consumer credit report provided this information is inaccurate and falsely provided to the credit agency or financial institution as a result of identity theft. b. Lost Wages - The Insurer will reimburse the Insured Person for time taken from work solely as a result of his / her efforts to correct financial records that have been altered due to identity theft up to the applicable lost wages sublimit in the schedule. Payment of lost wages includes compensation for whole or partial unpaid workdays. The Insured Person must take these unpaid days within 12 months of making a claim. c. Obligation to pay - If any credit accounts and or bank accounts were opened in the Insured s name without his / her authorization, the Insurer will pay for the actual loss from the unauthorized account. The Insurer will pay for the Insured Person s legal obligation to pay a creditor when the account was created as part of the identity theft. d. Miscellaneous Expenses The Insurer will reimburse the following expenses: the cost of re-filing applications for credit accounts or banking accounts that are rejected solely because the lender received incorrect information as a result of his/ her identity theft; the cost of notarizing documents related to his / her identity theft, long distance telephone calls, and certified mail reasonably incurred as a result of efforts to report an identity theft or to correct financial and credit records that have been altered as a result of his / her identity theft; the cost of contesting the accuracy or completeness of any information contained in credit history as a result of his / her identity theft; and the cost of a maximum of three (3) credit reports from an entities approved by the Insurer The credit reports shall be requested at time of claim. 2.2 Purchase protection (60 days) The Insurer will cover items that Insured Person purchase worldwide from loss due to theft, burglary, robbery and or accidental damage for the coverage period from the date of purchase, up to the per occurrence and per policy period limits set forth in the policy.

10 2.3 Lost wallet The Insurer will cover the following costs, up to the per occurrence and per aggregate limit, per policy period, as shown in the policy. a. Replacement cost for the Insured Person s wallet if it is either lost or the object of theft; b. Replacement cost for the Insured Person s covered content if they were in the Insured Person s wallet when the Insured Person s wallet was either lost or the object of a theft; and c. Application fees for new personal papers and/or payment cards if they were in the Insured Person s wallet when the Insured Person s wallet was either lost or the object of a theft. 2.4 Key replacement The Insurer will cover the following: a. Key Replacement The Insurer will reimburse the Insured Person for the cost of replacing his / her residence and/or motor vehicle keys which are lost or are the object of a theft. The covered cost is limited to the amount the Insured Person paid to a locksmith to obtain a new key, up to the per occurrence and per policy limit listed on the policy. b. Break-in Protection The Insurer will reimburse the Insured Person for the cost of replacing the Insured Person s locks and keys if his / her residence and/or motor vehicle is/are broken into. The covered costs for this coverage include the labor cost for replacing the lock(s), with one of like kind and quality as the original lock, up to the per occurrence and per policy limit listed on the policy. c. Lock Out Reimbursement The Insurer will reimburse the Insured Person for the cost of obtaining a locksmith if the Insured Person is locked out of his / her residence or motor vehicle. The covered costs for this coverage include the labor costs for replacing the lock(s), with one of like kind and quality as the original lock, up to the per occurrence and per policy limit listed on the policy. d. Rental Car Reimbursement The Insurer will cover the cost of a rental car for one day, not to exceed AED hundred (100), up to the per occurrence and per policy limit listed on the policy, if your motor vehicle keys are lost or the object of a theft, and it will take more than 24 hours to replace them.

11 3. EXCLUSIONS FOR WALLET PROTECTION COVER 3.1 General Exclusions for Section 2: a. losses that do not occur within the policy period stated herein; b. losses that result from or related to business pursuits including the Insured Person s work or profession; c. losses intentionally caused; d. losses that result from the direct actions of a relative, or actions that a relative knew of or planned;. e. losses due to war, invasion, act of foreign enemy, hostilities or warlike operations (whether war has been declared or not), civil war, rebellion, revolution, insurrection, civil commotion, uprising, military or usurped power, martial law, terrorism, riot or the act of any lawfully constituted authority; or f. losses due to the order of any government, public authority, or customers officials. 3.2 Exclusions Specific for Covers: A. Identity theft The Insurer will not pay for any expenses or loss as a result of: a. monetary losses other than the out-of-pocket expenses related to the resolution of an Insured Person s identity theft outlined in this policy; b. any physical injury, sickness, disease, disability, shock, mental anguish and mental injury including required care, loss of services or death; c. requesting credit reports before the discovery of an identity theft; d. taking time from self-employment or workdays that will be paid by an Insured Person s employer in order to correct financial records that have been altered due to identity theft. B. Purchase protection (60 days) The Insurer will not cover: a. any item purchased for less than AED five hundred (500) b. items that were stolen from a motor vehicle; c. any motor vehicle, or any motorized conveyance of any nature whatsoever and any equipment and/or parts necessary for their operation and/or maintenance; d. permanent household and/or business fixtures, including but not limited to carpeting, flooring and/or tile, air conditioners, refrigerators, or heaters; e. travelers check(s), cash, tickets of any kind, negotiable instruments, bullion, rare or precious coins or stamps, plants, animals, consumables, perishables and services; f. art, antiques, firearms, and collectable items; g. furs, jewelry, gems, precious stones and articles made of or containing gold (or other precious metals and/or precious stones); h. items the Insured Person have rented or leased; i. items, that were, at the time of purchase used, rebuilt, refurbished, or remanufactured; j. shipping and or handling expenses or installation and or assembly related costs; k. items that the Insured Person purchased for resale, professional, or commercial use; l. losses occurring to item(s) the Insured Person purchased online prior to taking possession of such item(s); m. losses that are caused by vermin, insects, termites, mold, wet or dry rot, bacteria or rust; n. losses due to mechanical failure, electrical failure, software failure, or data failure including, but not limited to, any electrical power interruption, surge, brownout or blackout, or telecommunications or satellite systems failure; o. items that the Insured Person damaged due to normal wear and tear, inherent product defect or normal course of play (such as, but not limited to, sporting or recreational equipment); p. items that the Insured Person damaged through alteration or abuse (including cutting, sawing, and shaping);

12 q. items that the Insured Person left unattended in a place to which the general public has access; r. losses due to or related to nuclear, biological or chemical event; s. losses that do not occur during the coverage period; t. losses that result from or related to business pursuits including the Insured Person s work or profession; u. losses caused by the Insured Person or relatives illegal acts; v. losses that the Insured Person have intentionally caused; w. losses that result from the intentional actions of a relative, or actions that a relative knew of or planned; x. losses due to war, invasion, act of foreign enemy, hostilities or warlike operations (whether war has been declared or not), civil war, rebellion, revolution, insurrection, civil commotion, uprising, military or usurped power, martial law, terrorism, riot or the act of any lawfully constituted authority or vandalism of any kind; y. losses due to the order of any government, public authority, or customs official; or z. losses due to pollution or contamination of any kind. C. Lost wallet The Insurer will not cover: a. costs other than those listed in Section 2.I; b. money, checks, transportation tickets or any item other than Insured person s covered content that were in his / her wallet when his / her wallet was either lost or the object of theft; c. losses caused by fire, water, normal wear and tear, manufacturing defects, abuse, vermin, insects, termites, mold, wet or dry rot, bacteria, rust, cleaning or repairs, or similar events; d. accidental damage to the Insured person s wallet and its covered content; e. any fraudulent/unauthorized charges and/or withdrawals on the payment cards that were in Insured person s wallet when his / her wallet was either lost or the object of a theft; f. any costs related to identity theft; g. losses that do not occur during the policy period; h. losses that result from, or are related to, Insured person s business pursuits, including any business related travel; i. losses caused by the Insured Person or relatives illegal acts; j. losses that the Insured Person have intentionally caused; k. losses that result from the intentional actions of a relative, or actions that a relative knew of or planned; l. losses due to war, invasion, act of foreign enemy, hostilities or warlike operations (whether war has been declared or not), civil war, rebellion, revolution, insurrection, civil commotion, uprising, military or usurped power, martial law, terrorism, riot or the act of any lawfully constituted authority or vandalisms of any kind; or m. losses due to the order of any government, public authority, or customs official. D. Key replacement The Insurer will not pay for: a. replacement costs of keys and/or locks of a residence other than Insured person s residence; b. replacement costs of keys and/or locks of motor vehicles that the Insured Person do not own for personal use; c. losses that do not occur within the policy period; d. the cost to replace keys to a boat, airplane, motorcycle, recreational vehicles and or campers that the Insured Person own; e. losses that result from, or are related to, business pursuits including the Insured Person s work or profession; f. losses caused by the Insured Person or relatives illegal acts;

13 g. losses that the Insured Person have intentionally caused; h. losses that result from the intentional actions of a relative, or actions that a relative knew of or planned; i. losses due to war, invasion, act of foreign enemy, hostilities or warlike operations (whether war has been declared or not), civil war, rebellion, revolution, insurrection, civil commotion, uprising, military or usurped power, martial law, terrorism, riot or the act of any lawfully constituted authority or vandalism of any kind; or j. losses due to the order of any government, public authority, or customs official.

14 4. CONDITIONS A. The fraudulent account must have been opened in the Insured Person s name without his / her authorization. B. Any false charge or withdrawal from the unauthorized opened account must be verified by the financial institution. C. Coverage for false charges is limited to the amount the insured is held liable for by the financial institution. D. The Insurer will be permitted to inspect the Insured Person s financial records. E. The Insured Person will cooperate with the Insurer and help the Insurer to enforce any legal rights the Insured Person or the Insurer may have in relation to the Insured Person s identity theft; this may include the Insured Person s attendance at depositions, hearings and trials, and giving evidence as necessary to resolve the Insured Person s identity theft. The Insured Person must provide an official police report that indicates the incident happened within the covered time frame in order for us to pay the claim. F. Payment card accounts must be valid and in good standing for coverage to apply. Benefits will not be paid if, on the date of occurrence, on the date of claim filing, or on the date of would-be claim payment, a payment card account is in delinquency, collection, or cancellation status. G. The Insured Person must use all reasonable means to avoid future loss at and after the time of loss. The Insurer has no duty to provide coverage under this policy unless there has been full compliance with the duties that are detailed for each coverage above. The Policyholder and the Insured Person s are required to cooperate with the Insurer in investigating, evaluating and settling a claim. H. The damage to, or theft of the items must occur during the coverage period. I. The Insurer will decide whether to have the item repaired or replaced, or to reimburse the Insured person (cash or credit) up to the amount documented in an original receipt showing the description of the item. J. If the item is part of a pair or set, the Insured person s will only receive compensation for the value of the damaged item unless the articles are unusable individually and or cannot be replaced individually; the theft or accidental damage of an item that is part of a pair or set will be viewed as one occurrence and the coverage limitation still applies. If we pay to replace a pair or set in the event a part of the pair or set is lost as the result of burglary, robbery or accidental damage, we will be entitled to keep the remaining parts of the original pair or set. K. Upon recovery of items that were lost as the result of theft or replaced as the result of accidental damage, those items will become our property and the Insured person s must cooperate in returning those items to us.

15 II. UNIFORM PROVISIONS 1. ENTIRE CONTRACT, CHANGES: This policy, including the endorsements and attached papers, if any, and the applications of the Insured Persons, if any, constitute the entire contract of insurance. No change in the policy shall be valid until approved by an officer of the Company and unless such approval be endorsed hereon or attached hereto. No agent has authority to change this policy or to waive any of the provisions of this policy. 2. EFFECTIVE DATE: This policy takes effect on the Policy Effective Date stated on the Policy Schedule. After taking effect this policy continues in effect until the Policy Expiry Date and may continue in effect thereafter subject to the "Grace Period and Renewal Conditions set forth herein. All periods of insurance shall begin and end at p.m. at the address of the Policyholder. 3. GRACE PERIOD: A grace period of thirty-one (31) days will be granted for the payment of each premium falling due after the first premium, during which time the policy shall be continued in force, unless the policy has been cancelled in accordance with "Cancellation". The Policyholder shall be liable to the Company for the payment of the premium for the period the policy continues in force. If loss occurs within the Grace Period, any premium then due and unpaid will be deducted in settlement. 4. PREMIUMS: All premiums and applicable taxes are payable by the Policyholder on or before the date they become due; unless official notice of termination has been given, a grace period will be granted for the payment of any premium falling due after the first premium, subject to the terms of the Uniform Provision entitled Grace Period. The premium for this policy is based on the number of Insured Persons and/or the volume of benefits in each classification as specified in the Policy Schedule. Additional Insured Persons may be added to or deleted from the List of Insured Persons on a pro rata basis by endorsement hereto. Change in Cover (Individual or Family) may be added or deleted from the List of Insured Persons on a pro rata basis by endorsement hereto. 5. EFFECTIVE DATE OF INDIVIDUAL INSURANCE AND CHANGES: The Persons eligible for inclusion as Insured Persons hereunder shall be persons designated on the Policy Schedule. If an Insured Person(s) joins the Plan on or before the Plan Effective Date, cover in respect of the Insured Persons(s) shall start on the Plan Effective Date. Commencing on the date the details are filed with, and approved by the Company of any such eligible person who comes within any classification established therein, such person shall then become an Insured Person with respect to such insurance as is offered by the policy as applicable to such person's class. Any change in the insurance offered to an Insured Person, which results from a change of class of such person, shall become effective on the date such person's class change is filed with, and approved by, the Company. If, on the date insurance or change would otherwise be effected, such person is absent from active fulltime work as a result of injury or sickness, then the insurance or change will become effective 7 days from the date such person returns to active full-time work. 6. TERMINATION DATES OF INDIVIDUAL INSURANCE: Insurance of any Insured Person shall terminate immediately on the earliest of: 1. the date this master policy is terminated; 2. the date the Insured Person is no longer eligible within the classification of Insured Persons; 3. the premium due date if the required premium is not paid. 4. the date the Insured Person opts out of the plan Any such termination shall be without prejudice to any valid claim originating prior to the date of termination.

16 7. RENEWAL CONDITIONS: The policy may be renewed with the consent of the Company from term to term by payment of the premium in advance at the Company's rate in force at the time of renewal. 8. REINSTATEMENT OF POLICY: When this policy terminates by reason of non-payment of premium, any subsequent acceptance of a premium and reinstatement of the policy by the Company shall solely be at the Company's option and shall only cover loss resulting from injury sustained after the date of such reinstatement. 9. CANCELLATION: The Company may cancel this policy at any time by written notice delivered to the Policyholder or mailed to the last address as shown by the records of the Company, stating, when not less than fifteen (15) days thereafter, such cancellation shall be effective. In the event of cancellation the Company will return promptly the pro rata unearned portion of any premium actually paid by the Policyholder. Such cancellation shall be without prejudice to any valid claim or originating prior thereto. In the event the policy is cancelled by the Policyholder, the earned premium shall be computed in accordance with the short rate table used by the Company at the time of cancellation. 10. NOTICE OF CLAIM: Written notice of claim must be given to the Company within thirty (30) days after the occurrence or commencement of any loss covered by the policy or as soon thereafter as is reasonably possible. In the event of Accidental Death immediate notice thereof must be given to the Company. Written notice of claim given by or on behalf of the Insured Person to the Company, or to any authorized official of the Company with information sufficient to identify the Insured Person and the Policyholder shall be deemed as notice to the Company. 11. CLAIM FORMS: The Company, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually required by the Company for filing proofs of loss. 12. TIME FOR FILING CLAIM FORMS: Completed claim forms and written proof of Loss must be furnished to the Company within ninety (90) days after the date of such Loss. Failure to furnish such proof within ninety (90) days shall not invalidate nor reduce any claim if it was not possible to give proof within such time. However, in no event will any claim be honoured if proof of Loss is not received within eighteen (18) months from the date of Loss. 13. TIME OF PAYMENT OF CLAIM: Benefits payable under this policy for any loss, other than loss for which this policy provides any periodic payments, will be paid immediately upon receipt of due written proof of such loss. Subject to due written proof, all accrued benefits for loss for which this policy provides periodic payment will be paid monthly and any balance remaining unpaid upon the termination of liability will be paid immediately upon receipt of due written proof. 14. TO WHOM BENEFITS ARE PAID: Any payment for Accidental Death becoming due hereunder shall be payable to the Beneficiary of record, who shall be the legal Beneficiary designated in writing and on file with the Company, unless such Beneficiary records shall be maintained by the Policyholder. If no such designation is then effective such indemnity shall be payable to the Policyholder. Any other accrued indemnities, may, at the option of the Company, be paid either to the Insured Person or to the Policyholder. Any payment made by the Company in good faith pursuant to this provision shall fully discharge the Company to the extent of the payment. The Insurer will decide whether to have the item repaired or replaced, or to provide a cash reimbursement up to the amount charged to the payment card, and not to exceed the original purchase price. 15. MEDICAL EXAMINATION: The Company, at its own expense, shall have the right and opportunity to examine an Insured Person when and as often as the Company may reasonably require during the pendency of a claim hereunder, and also the right and opportunity to make an autopsy in case of death where it is not forbidden by law. 16. LEGAL ACTIONS: No action at law or in equity shall be brought to recover on this policy prior to the expiration of sixty (60) days after written proof of loss has been furnished in accordance with the

17 requirements of this policy. No such action shall be brought after the expiration of three (3) years after the time written proof of loss is required to be furnished. 17. DESIGNATION OR CHANGE OF BENEFICIARY; ASSIGNMENT: The right of designation or change of Beneficiary is reserved to the Insured Person. No designation or change of Beneficiary under the policy shall be binding upon the custodian of Beneficiary records. No assignment of interest shall be binding upon the Company until the original of a copy thereof is received by the Company. The Company assumes no responsibility for the validity of such designation or change of Beneficiary or assignment. 18. CONSENT OF BENEFICIARY: Consent of Beneficiary, if any, shall not be requisite to change of Beneficiary or to any other changes in this policy. 19. MISSTATEMENT OF AGE: If the age of any Insured Person has been misstated, all amounts payable under this policy shall be such as the premium paid would have purchased at the correct age. If according to the correct age of the Insured Person, the coverage provided by the policy would not have become effective, or would have ceased prior to the acceptance of such premium or premiums, then the liability of the Company during the period the Insured Person is not eligible for coverage shall be limited to the refund, upon written request, or premiums paid for the period not covered by the policy. 20. CHANGE OF OCCUPATION: If an Insured Person sustains a loss after having changed occupation to one classified by the Company as more hazardous than that for which premium was paid or while doing, for compensation, anything pertaining to an occupation so classified, the Company will pay only such portion of the indemnities provided in this policy as the premium paid would have purchased at the rates and within the limits fixed by the Company for such more hazardous occupation. If an Insured Person changes occupation to one classified by the Company as less hazardous, the Company, upon receipt of proof of such change of occupation, will reduce the premium rate accordingly, and will return the excess pro rata unearned premium from the date of change of occupation or from the policy anniversary date immediately preceding receipt of such proof, whichever is the more recent. In applying this provision, the classification of occupation and the premium rates shall be such as have been last promulgated by the Company prior to the occurrence of the loss for which the Company is liable, or prior to the date of proof of change of occupation. 21. FILING OF PREMIUM RATES AND CLASSIFICATION OR RISKS: If the law of the country in which the Policyholder is located at the time this policy is issued requires that prior to the policy issue a statement of the premium rates and classification of risks pertaining to the policy shall be filed with a government official having supervision of insurance in such country. then the premium rates and classification of risks mentioned in this policy shall mean only such as have been last filed by the Company in accordance with such law, but if such filing is not required by such law, then they shall mean the Company's premium rates and classification of risks last made effective by the Company in such country prior to the occurrence of the loss for which the Company is liable. 22. COMPLIANCE WITH POLICY PROVISIONS: Failure to comply with any of the provisions contained in this policy shall invalidate all claims hereunder. 23. DATA FURNISHED BY POLICYHOLDER: The Policyholder shall maintain, and shall furnish to the Insurer upon request, the names of all persons initially insured, of all new persons who become insured and of all persons whose insurance is cancelled, together with the data necessary for the calculation of premium. The Policyholder will declare details of all enrolled payment cards to the Insurer on the fifth (5 th ) of every month. The Policyholder shall inform the Insurer as soon as reasonably possible of any discrepancies present in payment card numbers. 24. EXAMINATION AND AUDIT: The Company shall be permitted to examine the Policyholder's records relating to this policy at any time during the policy term and within three years after expiration of this policy or until final adjustment and settlement of all claims hereunder, whichever is later.

18 25. CHANGE IN PREMIUM RATES AT POLICY ANNIVERSARY DATE: Each year, as of the anniversary of the Date of Issue of the policy, the Company may change the premium rates for this policy, by advance written notice delivered to the Policyholder or mailed to his last address as shown on the records of the Company, no later than 31 days prior to such anniversary of the Date of Issue of the policy. In this case, it is the Policyholder's responsibility to advise all Insured Persons of the change in premium rates not later than 15 days prior to such anniversary of the Date of Issue of the policy. 26. CONFORMITY WITH STATUTES: Any provision of this policy which, on the policy effective date, is in conflict with statutes of the jurisdiction in which this policy is delivered is hereby amended to conform to the minimum requirements of such statutes. 27. NOT IN LIEU OF WORKER'S COMPENSATION: This policy is not in lieu of and does not affect any requirement for coverage by Worker's Compensation Insurance. 28. GOVERNING LAW & JURISDICTION: This policy shall be governed by the laws of the United Arab Emirates. A dispute between the Insurer and the Policyholder regarding any aspect of this policy which cannot be resolved by agreement between them within sixty (60) days from the date of written notice of such dispute shall be referred to arbitration in Dubai. 29. SANCTIONS: If, by virtue of any law or regulation which is applicable to an Insurer, its parent company or its ultimate controlling entity, at the inception of this Policy or at any time thereafter, providing coverage to the Insured is or would be unlawful because it breaches an applicable embargo or sanction, that Insurer shall provide no coverage and have no liability whatsoever nor provide any defense to the Insured or make any payment of defense costs or provide any form of security on behalf of the Insured, to the extent that it would be in breach of such embargo or sanction. 30. CONCEALMENT OR FRAUD: If an Insured Person willfully concealed or misrepresented any material fact or circumstance, the entire policy with respect to such Insured Person will be voided. 31. CHANGES: The Policyholder must notify the Company within thirty (30) days of any change in circumstance which will affect this insurance. The Company reserves the right to amend any of the terms or conditions of this insurance following at least thirty (30) days notice to the Policyholder by the Company. No change or modification of this policy shall be effective except when made by written endorsement signed by the Company s authorized representative. 32. ARBITRATION: Any dispute regarding the terms of this contract including any question regarding its existence, validity or termination will be referred to and resolved by arbitration in the United Arab Emirates in accordance with the Arbitration Rules of the United Arab Emirates during the term of this contract. 33. COMPLAINTS AND DISPUTES: If you have a complaint about your policy, please contact: Customer Service Group American Home Assurance Company (Dubai Br.) The H Hotel Complex, Trade Centre First, 27th Floor, P.O. Box 40569, Dubai, UAE Tel: , Fax: servicecenter-me@aig.com