Explore the world. Leave the rest to us.

Transcription

1 TRAVELEASE INSURANCE Explore the world. Leave the rest to us. FORWARD Your Protection Don t let unforeseen events ruin your precious holidays; make TravelEASE your perfect companion for an enjoyable trip! That s our promise. A good travel insurance plan is your best protection against the unexpected. Get TravelEASE, and your trip will be worry-free before, during and after your trip! KEY FEATURES Medical Expenses Incurred Overseas Coverage up to,000 for accident or sickness including pre-existing conditions that manifest while overseas Personal Accident - Coverage up to S$600,000. Unlimited Emergency Medical Evacuation and Repatriation TravelEASE Shopping Shield Specially tailored for CIMB travellers to safeguard shopping items purchased while overseas Alternative Accommodation Arrangement Due to pre-booked accommodation cancellation during trip Financial Collapse of Licensed Tour Operator Full Terrorism Cover Covers Amateur Sports - Hot-air ballooning, para-sailing, white-water rafting, snow-skiing, bungee jumping Optional Coverage to include PetCare Cash benefit to cover pet accommodation if return trip is delayed EMERGENCY SERVICES 24/7 Emergency Hotline Medical Assistance for doctor and to medical facility Medical Arrangements for evacuation/repatriation Travel Assistance to trace lost luggage and passport replacement advice CHOOSING YOUR TRAVELEASE PLAN ELIGIBILITY FAMILY PLAN MAXIMUM DURATION MAXIMUM NO. OF TRIPS REFUND POLICY SINGLE TRIP ANNUAL MULTI-TRIP Insured must be a Singaporean, Permanent Resident, or Foreigner residing in Singapore with valid Employment Pass, Work Permit, Dependent Pass, Student Pass or Long Term Social Visit Pass. If Insured is below 16 years of age under an Individual Plan, the application must be made in the name of the parent or guardian. Limits applicable are those of a child insured under a Family Plan. Any 1 or 2 adults travelling with any number of children. The 2 adults need not be related but the children must be the legal child^ or ward (in the case of a guardian), grandchild, brother, sister, nephew, niece or cousin of either of the adults. Only for the Insured, spouse and their dependent children. Trip undertaken by the insured child^ must be accompanied by at least 1 insured adult under the Plan. ^Child insured must be a dependent child below 21 years of age who is not married or in employment during the policy period. Age limit will be extended to 25th birthday if the child is in full-time tertiary institutions. Age refers to age next birthday. Up to 182 days Not applicable No refund once policy has been issued Up to 90 days for each trip Unlimited to the selected Area of travel Subject to the Company s short period rates for cancellation For enquiries, please call Sompo Insurance at (65) or cimb-query@sompo.com.sg. To view full coverage details and apply online, visit

2 YOUR GETAWAY BENEFITS AT A GLANCE PERSONAL COVERS 1. Personal Accident Child 2. Medical Expenses Incurred Overseas * *Includes treatment by Chinese physician & Chiropractor (S$30 per visit up to ) and Physiotherapist or Dentist (up to ) 3. Medical Expenses Incurred Upon Return To Singapore * Treatment must first be sought overseas. Upon return to Singapore, follow-up treatment must be sought within 5 days from date of return, for treatment up to 10 days from date of return 4. Overseas Hospitalisation Allowance 5. Post-Trip Hospitalisation Allowance In Singapore 6. Emergency Medical Evacuation & Repatriation 7. Additional Accommodation & Travelling Expenses 8. Guardian for Return of Dependent Child(ren) 9. Compassionate Visit by a Relative or Friend (I) Due to your injury, sickness or disease Compassionate Visit by a Relative or Friend (II) Due to your death INCONVENIENCE/LIABILITY COVERS 10. Travel Document & Money 11. Loss or Damage to Baggage & Personal Effects 12. TravelEASE Shopping Shield 13. Trip Cancellation or Postponement 14. Trip Curtailment Including Disruption 15. Financial Collapse of Licensed Tour Operators MAX EASY LITE S$600,000 No aggregate per family,000 S$1,200,000 S$30,000 S$150/day; up to 90 days S$13,500 S$100/day; up to 10 days Unlimited S$150,000 S$25,000 S$40,000 S$15,000 S$30,000 S$7,500 Loss of money limit of. Limit to any one article or pair or set of articles. Limit to for S$2,000 Limit to any one article or pair or set of articles. Limit to for S$15,000 S$25,000 S$12,000 S$300,000 No aggregate per family S$300,000 S$600,000 S$150/day; up to 90 days S$13,500 S$100/day; up to 5 days Unlimited S$15,000 S$30,000 Loss of money limit of. S$4,000 S$7,000 Limit to any one article or pair or set of articles. Limit to for Limit to any one article or pair or set of articles. Limit to for 16. Personal Liability / Family Liability,000 and Family S$150,000 No aggregate per family S$150,000 S$300,000 S$2,000 S$600,000 Loss of money limit of. Limit to S$250 any one article or pair or set of articles. Limit to for

3 YOUR GETAWAY BENEFITS AT A GLANCE CASH BENEFITS ( is Applicable to /Family) 17. Baggage Delay 18. Travel Delay MAX EASY LITE S$200 for 1st 6 hours Singapore) & S$125 per Singapore) & S$65 per S$200 for 1st 6 hours Singapore) & S$125 per Singapore) & S$65 per Singapore) & $100 per full 6 hours thereafter Singapore) & S$100 per full 6 hours thereafter 19. Flight Overbooked Whilst Overseas S$150 S$150 S$ Flight Deviation 21. Delay Due to Hijack 22. Loss of Hotel Facilities BONUS COVERS & S$65 per full 4 hours thereafter per 12 hours S$200 per 24 hours S$300 & S$65 per full 4 hours thereafter per 12 hours S$100 per 24 hours S$200 S$100 per full 6 hours 23. Full Terrorism Cover,000 S$250, War Cover Extend to the Accidental Death & Permanent Disablement Extend to the Accidental Death & Permanent Disablement 25. Leisure Underwater Activities S$250,000 S$250, Alternative Accommodation Arrangement Per Trip 27. Alternative Travel Arrangement S$100 S$200 S$400 S$100 S$200 S$ Emergency Phone Charges /Family S$200 S$150 S$ Reconstructive Surgery Due to Burns 30. Recuperation Allowance Due to Accidental Miscarriage 31. Quarantine Allowance Due to 16 Infectious Diseases Upon Return to Singapore 32. Golf Cover a. Loss of damage of golf equipment b. Hole-in-one c. Unused green fees d. Damage of buggy S$40,000 S$40,000 S$200 S$100 OPTIONAL TOP UP COVERS (Applicable for Single Trip only) S$100 per day for 5 days S$50 per day for 5 days 33. Rental Vehicle Excess Cover /Family per vehicle per vehicle per vehicle S$ Home Protect /Family 35. Pet Care /Family S$200 S$200 S$200

4 PREMIUMS AREA A AREA B AREA C AREA D DURATION (DAY/S) MAX EASY LITE MAX EASY LITE MAX EASY LITE MAX EASY LITE SINGLE TRIP - INDIVIDUAL 1 4 S$41 S$31 S$24 S$55 S$44 S$34 S$74 S$60 S$47 S$80 S$65 S$ S$55 S$42 S$34 S$72 S$56 S$44 S$92 S$81 S$63 S$103 S$90 S$ S$71 S$57 S$45 S$93 S$73 S$57 S$124 S$107 S$84 S$133 S$119 S$ S$88 S$70 S$55 S$110 S$90 S$70 S$148 S$129 S$102 S$155 S$141 S$ S$105 S$82 S$64 S$129 S$106 S$83 S$166 S$147 S$115 S$179 S$160 S$ S$118 S$96 S$75 S$144 S$118 S$92 S$182 S$164 S$128 S$198 S$178 S$ S$127 S$109 S$86 S$156 S$125 S$98 S$195 S$176 S$138 S$209 S$184 S$144 Each Add l Week S$35 S$25 S$20 S$39 S$31 S$24 S$46 S$38 S$30 S$52 S$43 S$34 SINGLE TRIP - FAMILY 1 4 S$98 S$73 S$58 S$131 S$99 S$78 S$168 S$136 S$107 S$185 S$150 S$ S$129 S$101 S$80 S$172 S$129 S$101 S$210 S$185 S$145 S$235 S$206 S$ S$169 S$137 S$107 S$224 S$167 S$131 S$284 S$246 S$192 S$305 S$272 S$ S$210 S$168 S$132 S$264 S$207 S$162 S$339 S$297 S$233 S$357 S$323 S$ S$252 S$196 S$154 S$308 S$243 S$190 S$380 S$338 S$264 S$411 S$367 S$ S$290 S$230 S$181 S$345 S$269 S$210 S$417 S$375 S$294 S$454 S$408 S$ S$305 S$262 S$206 S$373 S$286 S$225 S$447 S$403 S$316 S$480 S$423 S$331 Each Add l Week S$81 S$60 S$48 S$94 S$71 S$56 S$105 S$86 S$67 S$118 S$99 S$77 WORLDWIDE (AREA A TO AREA D INCLUDED) DESCRIPTION INDIVIDUAL (PER INSURED INDIVIDUAL) FAMILY (PER INSURED FAMILY) SINGLE TRIP OPTIONAL TOP-UP* Rental Vehicle Excess Cover S$4.50 S$10.80 Home Protect S$3.50 S$8.50 Pet Care S$2.00 S$4.80 *Applicable to Single Trip only. AREA B (AREA A INCLUDED) AREA D (WORLDWIDE) DESCRIPTION MAX EASY MAX EASY ANNUAL MULTI-TRIP Individual S$323 S$256 S$410 S$345 Family S$583 S$496 S$730 S$625 AREA A AREA B AREA C AREA D Brunei, Indonesia, Malaysia, Philippines, Thailand, Vietnam. Australia, Cambodia, China (excluding Tibet and Mongolia), Hong Kong, India, Japan, Laos, Macau, Myanmar, New Zealand, South Korea, Taiwan, and all countries listed under Area A. Andorra, Austria, Belgium, Canada, Cyprus, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Liechtenstein, Luxembourg, Monaco, Morocco, Norway, Pakistan, Portugal, San Marino, Spain, Sri Lanka, Sweden, Switzerland, The Netherlands, Turkey, United Kingdom, United Arab Emirates (UAE), United States of America, Vatican City, and all countries listed under Area B. Worldwide excluding countries in the Country Exclusion List: Afghanistan, Cuba, Democratic Republic of Congo, Iran, Iraq, Liberia, Somalia, Sudan, Syria. (The Country Exclusion List is subject to change. Please check sompo.com.sg for the most updated list). Note: If your travel crosses more than one Area on the same trip, premium should be calculated based on the Area with the higher premium.

5 TravelEASE Application Important Notice: 1. Statement Pursuant to Section 25(5) of the Insurance Act. You are to disclose on this Application Form fully and faithfully all the facts which you know or ought to know, otherwise the policy issued hereunder may be void. 2. Please note that this insurance is subject to the premium being paid and received in full by the Company, Sompo Insurance Singapore Pte. Ltd. (hereinafter called Sompo Insurance ) (a) before the inception date where the Policy is issued to an Individual; or (b) within the period specified in the Premium Payment Warranty applied to the Policy in all other instances, failing which there will be no liability under this cover. 3. The liability of the Company does not commence until this Application is accepted and the premium is paid in accordance with clause 2 above PERSONAL PARTICULARS Name: NRIC/FIN No.: Gender: Male Female Nationality: Residential Address (Please do not provide a P.O. Box address): Date of Birth (DD/MM/YYYY): 5. I/we am/are aware that where warnings are issued by government authorities prior to the departure of my/our trip of intended riot, strike, health threatening situations, impending natural disasters, this Policy will exclude any direct or indirect claims arising from such events. 6. I/we am/are not undischarged bankrupt(s). 7. I/we acknowledge and agree (in case of corporate policy, I/we represent that I/we have obtained the consent of the individuals in relation to this policy) that CIMB Bank Berhad (collectively CIMB ) and Sompo Insurance may collect, use, disclose and/or process my/our personal data (in case of corporate policy, personal data of individuals in relation to this policy) in accordance with the Personal Data Protection Act 2012 for the purposes and uses described in CIMB and Sompo Insurance s Privacy Policy (including the provision of protection, services related to this insurance policy, screening activities in accordance with legal/regulatory obligations/risk management procedures). This may include disclosure to CIMB and Sompo Insurance s business partners, intermediaries, third party service providers and industry associations. CIMB s Privacy Policy can be found at Sompo Insurance s Privacy Policy can be found at 8. I/we consent to receive marketing and promotional information from CIMB and Sompo Insurance (e.g. via , mail, SMS, etc.). I/We understand that I/we can withdraw or manage my/our consent to receive marketing and promotional information at and/or 9. I/we am/are aware of and agree to abide by the Policy terms, conditions and exclusions and confirm that the information given in this application/form is true, accurate and complete. PLEASE CHARGE S$ TO MY VISA/MASTERCARD * (*Please circle one) Where a third party credit card is used, I/we declare that the cardholder has authorised and consented to such use. CARD NO.: EXPIRY DATE: - I/WE ENCLOSE A CHEQUE FOR S$ BANK/CHEQUE NO.: MADE PAYABLE TO SOMPO INSURANCE SINGAPORE PTE. LTD. Postal Code: Tel No.: (HP) (H) (O) Occupation: PERIOD OF INSURANCE From: PLAN SELECTION (PLEASE TICK) Policy Type: Individual Family Plan: MAX EASY LITE Area: Single Trip: A B C D Destination: Annual Multi-Trip: B (Area A included) D (Worldwide) Optional Top-Up: Rental Vehicle Excess Cover Home Protect Pet Care To: Signature of applicant on behalf of person(s) to be insured Date: Important Notice This information is not a contract of insurance and is intended for general circulation only. Full details of the precise terms, conditions and exclusions of this plan are provided in the Policy. Please visit for a specimen copy of the Policy Wordings. This Policy is protected under the Policy Owners Protection Scheme which is administered by the Singapore Deposit Insurance Corporation (SDIC). Coverage for your Policy is automatic and no further action is required from you. For more information on the types of benefits that are covered under the scheme as well as the limits of coverage, where applicable, please visit or GIA/LIA or SDIC website ( or or When you have more than one TravelEASE policy, the Policy with the highest limit will respond to any claims made. If you have more than one Sompo policy covering terrorism, the maximum amount payable for acts of terrorism for all policies will be,000 per person. If you wish to nominate your beneficiary, please call us at (65) to request for the relevant forms. Fold to seal PERSON(S) TO BE INSURED Distributed by Underwritten by Name NRIC No. (NRIC No. not compulsory for Children) Relationship to Applicant Date of Birth (DD/MM/YYYY) DECLARATION I/We declare that: 1. I/we am/are in good health and free from any physical impairment. 2. I/we am/are not aware of any reason why the journey should be cancelled and am/are not travelling contrary to the advice of a medical practitioner or for the purpose of obtaining medical treatment. Aware that pre-existing conditions are excluded. 3. I/we am/are residing in Singapore who are Singaporeans, Permanent Residents or Foreigners with valid Employment Pass/Work Permit/Student Pass/Long Term Social Visit Pass/Dependent Pass. 4. I/we am/are aware that Child(ren) insured under a Family Plan must be dependent child(ren) below the age of 21 or 25 years old for those in full-time tertiary institutions who are not married nor in employment throughout the policy period. FOR OFFICIAL USE Referrer ID: Processor ID: Campaign Code: V2017 MAY

6 HOW TO USE THE BUSINESS REPLY ENVELOPE (BRE) 1. SOMPO INSURANCE SINGAPORE PTE. LTD. (Bancassurance department) 50 Raffles Place #05-01/06 Singapore Land Tower Singapore Business Reply Service Permit No Place documents together with the BRE. Fold inwards along the dotted lines as indicated. 3. Seal along edges with clear tape (do not staple). Drop sealed envelope into post box.