GROUP CREDIT CARD TRAVEL ACCIDENT INSURANCE

Transcription

1 GROUP CREDIT CARD TRAVEL ACCIDENT INSURANCE Provided By Abu Dhabi National Insurance Company In association with National Bank of Abu Dhabi We take pleasure in welcoming you as a National Bank of Abu Dhabi Credit Cardholder to enjoy benefits of this Credit Card Travel Accident Insurance Protection provided by Abu Dhabi National Insurance Company. We request you to read through the cover details in order to understand fully the scope, conditions and limitations of the cover offered. Page 1 of 7

2 Cover Full 24 hour Personal Accident cover whilst on a trip including Death or Bodily Injury. Including accidents sustained whilst travelling in or mounting into or dismounting from any public or hired transport conveyance or as a result of being stuck by any air, land or water conveyance during the course of travel or as a result of exposure and disappearance as defined, but only when all or part of the fare or hire cost of travelling has been charged to any credit card issued by the National Bank of Abu Dhabi and Insured hereon. Important Notice 1. The Insured Member should be of age between 18 to 70 years in respect of Death benefit and 18 to 65 years in respect of Disability Benefit 2. The geographical limit of this policy is Worldwide/24 hours 3. The Bank is not at any time considered as an agent of Abu Dhabi National Insurance Company the Insurance Provider. Any claims or contestations for any insurance coverage can however be negotiated directly with Abu Dhabi National Insurance Company, Abu Dhabi, through the Policyholder s offices 4. Type of Cards Covered :All eligible credit cardholders having VISA Platinum Credit Card, Titanium Credit cards, and Master Card Platinum Credit cards are covered under this scheme. 5. Spouses and dependent children (under age of 25 years ) of cardholders are also covered. 6. Beneficiary is the Insured Credit Card Holder Scheme Highlights BENEFITS Compensation Limits (in USD ) Death 140,000 Loss of one limb 140,000 Loss of sight of one eye 140,000 Loss of more than one limb 140,000 Loss of sight of both eyes 140,000 Loss of one limb and loss of 140,000 sight of one eye Permanent Total 140,000 Disablement Hospital Daily Benefit 100 per day (up to a maximum of 30days / 3,000) Medical Expenses 140,000 Baggage Delay ( Reimbursement of actual purchase of essential items) Up to, fter 8 hours 250 increasing every 4 hours by 250 up to a maximum of 16 hours/ 1,000 - Baggage loss Loss & /or Damage & /or Partial Loss or Damage. Reimbursement should be based on replacement value if the claimant replaces & on current value if the claimant chooses not to replace - Single article limit - Jewelry and valuable items 2,500 1,000 1,000 Travel Delay Up to, After 8 hours 80 increasing every 4 hours by 40 up to a maximum of 24 hours / 240 Legal Expenses Up to 1,000 Loss of Passport & Business Documents Loss & /or Damage &/or Partial Loss or Damage Additional travel and accommodation expenses incurred due to loss of passport Additional travel and accommodation expenses incurred due to loss of business documents Travel Cancellation Up to 2,000 Repatriation of mortal Up to 5,000 remains BENEFITS for minors Compensation Limits (below age 18) (in USD ) Death 1,400 Baggage Delay ( Reimbursement of actual purchase of essential items) - Baggage loss Loss & /or Damage & /or Partial Loss or Damage. Reimbursement should be based on replacement value if the claimant replaces & on current value if the claimant chooses not to replace - Single article limit - Jewelry and valuable items Up to,after 8 hours 250 increasing every 4 hours by 250 up to a maximum of 16 hours/ 1,000 Up to 2,500 Up to 1,000 Up to 1,000 Page 2 of 7

3 Travel Delay Up to, After 8 hours 80 increasing every 4 hours by 40 up to a maximum of 24 hours / 240 Loss of Passport Loss & /or Damage &/or Partial Loss or Damage Additional travel and accommodation expenses incurred due to loss of passport Travel Cancellation Up to 2,000 Warlike operations means hostilities, mutiny, riot, civil commotion, civil war, rebellion, revolution, insurrection, conspiracy, military or usurped power and martial law or state of siege. It is hereby understood that the Company keeps the right to review the Terms & Conditions of this coverage at each annual anniversary date of the policy. PASSIVE WAR RISK RIDER: It is hereby agreed that, notwithstanding the terms and provisions of the basic policy Contract, the Company will cover the insured member of the group against Death, Permanent Total Disablement (due to accident) occurring as a direct or indirect consequence of any of the following: Invasion or acts perpetrated by foreign enemies (whether war be declared or not), hostilities, civil war, martial law or declaration of a state of siege, state of siege or any of the events or causes which determine the proclamation or maintenance of martial law or state of siege, civil disobedience, general mobilization, revolution, usurpation of power (military or politically), insurrection, rebellion, mutiny, riots, civil commotion, revolution, conspiracy, mutiny, strike, pillage any kind of military projectile or explosive including booby trapped vehicles or objects, cannon shells, rockets or other weapon of war, whatever their origin and type, any unlawful act perpetrated by armed individuals be they members of political, military or paramilitary organizations or parties or not and be they acting on their behalf or on behalf or on behalf of any other organizations. DEFINITIONS For the purpose of this policy, the following definitions shall apply unless the context otherwise requires: Accident means a sudden, unexpected, unusual, specific event which occurs at an unidentifiable time and place and shall also include exposure resulting from a mishap to a conveyance in which the Insured Person is travelling. Air Travel means being in or on or boarding an aircraft for the purpose of flying therein or alighting there from following a flight. Bodily Injury means bodily injury which: (a) is sustained by an Insured Borrower during the Period of Insurance. (b) is caused by an accident, and (c) solely and independently of any other cause, except illness directly resulting from, or surgical or medical treatment rendered necessary by, such injury, occasions the disablement of the Insured Person within twelve calendar months from the date of the accident. Permanent Total Disablement means disablement which entirely prevents the Insured Person from attending to any business or occupation of any and every kind and which lasts twelve calendar months and at the expiry of that period being beyond hope of improvement. Passive war cover is excluded if an insured is travelling to a country after a war has been declared in that country or after it has been recognized as a war zone by the United Nations or where there is war like operations, as described below. Page 3 of 7 Loss of Limb means loss by physical separation of hand at or above the wrist or of a foot at or above ankle and includes total and irrecoverable loss of use of hand, arm or leg. Loss of Eye means total and irrecoverable loss of sight of the eye. Medical Expenses means expenses necessarily incurred by an Insured Person or by the Insured in

4 respect of an Insured person, for medical, hospital, surgical, manipulative, massage, therapeutic, X-ray or nursing treatment, including the cost of medical supplies and ambulance hire. Illness means a disease or sickness first manifesting during a Covered Trip which requires immediate medical attention. Hospital means a hospital recognized and registered as such by local authority concerned. Assureds cards held by such cardholder shall be insured. It is noted and agreed that premiums shall be adjustable at expiry based on the number of cards issued during each month of the policy period. (i.e. total number of cards issued during the policy period) Normal Country of Residence means home or residence of an insured in the usual country of residence. Hi-Jack means the unlawful seizure or wrongful exercise of control of the aircraft or other conveyance or the crew thereof in which the Insured Person is travelling as a passenger. Exposure and Disappearance when by reason of an accident covered by this insurance the Insured Person is unavoidably exposed to the elements and as a result of such exposure suffers a loss for which indemnity is otherwise payable hereunder, such loss be covered under the terms of this insurance. If the body of the Insured Person has not been found within one year of the disappearance, sinking or wrecking of the conveyance in or on which the Insured Person is travelling at the time of the accident, it will be presumed that the Insured Person suffered death resulting from bodily injury caused by an accident at the time of such disappearance, sinking or wrecking and the company shall forthwith pay the death benefit under this policy provided that the person or persons to whom such sum is paid shall sign an underwriting to refund such sum to the company if the insured person is subsequent found to be living. It is hereby declared and agreed that the cover under this policy is subjected to the following clauses: 1. Proportional Benefit Clause: The amount of benefit collectible is limited to the percentage of the trip cost that has been paid for with the Insured Persons card. 2. One Card Clause In the event of a covered persons trip being paid or partially paid for by one or more of the insured s card any benefit will be paid only under the highest priced card to which all or part of the trip cost has been charged, in the same way applicable when the amount of the trip cost is charged to the highest priced card only. In the event of a cardholder having more than one card the premium shall be payable only on one card which bears the highest premium, however all of the Page 4 of 7 3. Additional Persons Clause The coverage included Additional Persons, whose trips are paid for by the Cardholders. These additional persons shall be limited to a maximum of 5 persons for every cardholder for each loss. It is also noted and agreed that the cover under this policy is extended to include: 1. Cover for any Insured person whilst under the influence of alcohol. 2. Suffocation by smoke/poisonous fumes and drowning. 3. Winter sports but excluding participation of any kind in competition or racing as a profession and/or for income. 4. Driving or riding on motorcycle or motor scooters but excluding participation of any kind in competition. 5. Hijacking/ Assault 6. Passive war, sabotage and terrorism. Subject to the attached Nuclear, Chemical and Biological Terrorism Exclusion clause. 7. Strike, Riots, and Civil Commotion as an innocent bystander. CONDITIONS 1. If the consequences of an accident shall be aggravated by any physical disability or condition of the Insured Person which existed before the accident occurred, the amount of any compensation payable under this Insurance in respect of the consequences had not been so aggravated 2. Notice of claim must be given to the company as soon as possible but within 30 days from the date of arrival in country of normal residence, if applicable of any accident to an Insured Person which causes or may cause disablement within the meaning of this Insurance, and an Insured Person must as early as possible place himself under the care of a duly qualified medical practitioner. Notice must be given to the company in the event of the death of an Insured Person resulting

5 or alleged to result from an accident as soon as possible but within 30 days from the date of accident. In no case will the company be liable to pay compensation to the insured or his representatives unless the medical adviser or advisers appointed by the company for the purpose shall be allowed as often as may be deemed necessary to make an examination of the Insured Person. 3. Any fraud, misstatement or concealment by an Insured Person if unknown to the insured either in the proposal on which this Insurance is based or in relation to any other matter affecting this Insurance or in connection with the making of any claim hereunder shall render this Insurance null and void in so far as it relates to the Insured Person in question, but any such fraud, misstatement or concealment by or known to the insured shall render this whole Insurance null and void and all claims hereunder shall be forfeited. 4. All differences arising out of this policy shall be referred to the decision of an Arbitrator to be appointed in writing by the parties in difference. If the parties fail to nominate a sole arbitrator within 30 days from the date when the claimant s request for arbitration has been communicated to the other party, the dispute is to be referred to three arbitrators; each party shall nominate one of them. The two arbitrators shall agree on the third arbitrator (the Chairman) within 15 days from their nomination. Every arbitrator must be and remain independent of the parties. Arbitration award shall be a precedent condition to any liability of the company or any right to action against the company in respect of any claim. This award shall be in addition to dealing within the merits of the case, fix the costs of the arbitration and decide which of the parties shall bear the costs or in what proportions the costs shall be borne by the parties. 5. Any difference arising out of the terms and conditions of this insurance shall be referred to the Competent Courts in Abu Dhabi. 6. All settlement under this insurance shall be made at the Company Head Office in Abu Dhabi and shall be in UAE Dirham 7. The cover is extended to both primary and secondary card holders provided the premiums are duly accounted for these cardholders. 8. (Lodged Cards are excluded): A Lodged card is one that is issued to a group cardholder of the National Bank of Abu Dhabi and is for the purpose of purchasing travel on behalf of a Page 5 of 7 number of individuals within the group, rather than being for the sole use of an individual cardholder. 9. Company is NOT liable in respect of any Benefit, which would otherwise be payable under this Policy, should there be another insurance in force Covering the same contingencies. Company at its discretion will consider reimbursing any expenses, totally or partially, after an internal assessment and case study is done. The above clause does not apply to Death, Accidental and Permanent Total Disablement cases including loss of limbs & eyes ELIGIBILITY CONDITIONS 1. All Visa Platinum Cardholders, Titanium Cardholders and MasterCard Platinum Cardholders. Spouses & dependent children (under the age of 25 years) of the Cardholders are also covered. 2. The Cardholder must meet the eligibility criteria stipulated by the Policyholder to become an Insured Cardholder. 3. The Insured Member (Primary Cardholder) shall be within the age criteria specified in the Policy. 4. Residing in the UAE, however, all Insured cardholders are covered whilst traveling anywhere in the world on a 24 hour basis. Maximum Sum Insured: USD,140,000/- TERMINATION OF COVER The benefits under this Cover shall terminate upon the happening of any one or more of the following. 1. Failure to pay the premium ; 2. Cancellation of the Cardholder s Credit Card Facility; 3. The Cardholder having attained the Age of 70 years for Death benefit, however the cover shall terminate on Insured member having attained age of 65 years for Permanent Total disablement; 4. The Insured Cardholder s Death or Disablement. Cancellation of the benefits under this Cover by the Bank or the Insured Member at any time in accordance with the terms and conditions of this policy.

6 GENERAL EXCLUSIONS This Insurance does not cover death or disablement directly or indirectly resulting from or consequent upon: 1. Insured person engaging in or taking part in naval, military or air force service or operations This Exclusion is not deemed to apply to such personnel: i). whilst not on active duty ie off duty or ii). People in the armed forces but whose nature of work is not military i.e. purely administrative work. 2. Insured persons taking part in any of the following hazardous sports or activities (list non exhaustive) as a profession and / or for income: a) Winter sports other than skating or curling and skiing at any winter sports resort; b) Skin diving involving the aid of breathing apparatus, diving beyond a depth of 20 meters, rock climbing or mountaineering, normally involving the use of ropes or guides pot holing, caving, parachuting, hunting or horseback or equestrianism in competition, or diving or riding in any kind of race, maritime navigation beyond 20 nautical miles from coastal shelter, sports or combat, bungee jumping, rafting, any activity in desert areas, or sports needing the use of a motor engine; c) Driving or riding on motorcycles or motor scooters for the purpose of racing or competition. 3. The Insured Person engaging in air travel, except as a passenger in a properly licensed multi-engine aircraft being operated by a licensed commercial air carrier or owned and operated by a commercial concern. 4. Disability within three calendar months of the expected date of confinement, resulting to Pregnancy, childbirth or complications thereof, miscarriage, or abortion, illness, slipped disk, hernia or muscular strain not resulting from accidental bodily injury or external shock. 5. Suicide or attempted suicide or intentional selfinjury or the Insured person being in a state of insanity. 6. Deliberate exposure to exceptional danger (except in an attempt to save human life), or the insured persons own criminal act. 7. Ionizing radiations or contamination by radioactivity. 8. Acquired Immune Deficiency Syndrome (AIDS) or AIDS related complex (ARC) howsoever this syndrome has been acquired or may be named. 9. An act of terrorism involving the use or release or the threat thereof of any nuclear or device or chemical or biological agent. For the purpose of this exclusion an act of terrorism means an act, including but not limited to the use of force or violence and / or the threat thereof, of any person or group of persons, whether acting alone or on behalf of or in connection with any organization or government, committed for political, religious, ideological or ethnic purposes or reasons including the intention to influence any government and/ or put the public or any section of the public in fear. If the insurer alleges that by reason of this exclusion any claim is not covered by this insurance the burden of proving the contrary shall be upon the insured. EXCLUSIONS APPLICABLE TO 1. Hospital Cash Benefit: The Company shall not be liable for expenses: I. Arising from any pre-existing defect, infirmity or condition for which the Insured Person is receiving regular medical treatment, advice or consultation at the commencement of a covered trip. II. Incurred in the Insured Person normal country of residence or expenses which is a continuation of treatment already received outside the Insured Person s normal country of residence whilst on a covered trip. III. Arising from treatment of alcoholism, alcohol abuse, drug abuse or from taking drugs not prescribed by a registered medical practitioner. Expenses arising from taking drugs prescribed for the treatment of drug abuse or drug dependency are also excluded. IV. Incurred after completion of a covered trip. 2. Medical Expenses The company shall not be liable for expenses: I. Arising from any pre- existing defect, infirmity or condition for which the insured person is receiving regular medical treatment, advice or consultation at the time of affecting this insurance or at the commencement of the covered trip. II. Incurred in the Insured Person s normal country of residence or expenses which are a continuation of treatment already received outside the normal country of residence. Page 6 of 7

7 III. Incurred more than 12 calendar months after completion of the covered trip. 3. Baggage Delay: The company shall not be liable for claims: I. Resulting from confiscation, requisition, detention, destruction or damage by customs authorities or other such officials. II. Resulting from Electrical or mechanical breakdown and machinery breakdown. 4. Baggage Loss The Company shall not be liable for claims: I. Resulting from electrical or mechanical breakdown and machinery breakdown. II. Which are not reported to the Police or appropriate authorities within 24 hours of discovery or as soon as reasonably practical, and a police or property irregularity report obtained. 8. Loss of Passport and Business Documents: The Company shall not be liable for claims: I. Which are not reported to the Police or appropriate authorities within 24 hours of discovery or as soon as it is reasonably practical and a police report obtained. II. Losses from unattended vehicles. III. Confiscation, requisition, detention, destruction or damage by customs authorities or other such officials. 9. Repatriation of Mortal Remains The Company shall not be liable for claims: I. Of interment, cremation or funeral ceremony. The Bank reserves the right, at any time, to change the terms, conditions, rates and/or reject, discontinue or cancel the Cover applicable without assigning any reason thereof General Claims Procedure The claims handling procedure for this Policy are as below: 5. Travel Delay The company shall not be liable for claims I. If the insured person fails to take all steps to arrive at the airport according to the official itinerary supplied. 6. Legal Expenses The company shall not be liable for claims I. Resulting from bodily injury to : a. Any member of the insured Person s family. b. Any person who is under a contract of service with the insured person and which arises out of and in course of his employment with the Insured Person. II. Bodily Injury to any person (s) with whom the Insured Person is travelling, irrespective of whether such person (s) is covered under this insurance or not. III. The practice of a profession or occupation of an Insured Person or the supply of goods and services by the insured person. IV. Costs incurred in the pursuit of claims against a travel agent, tour operator, carrier, insurer or insurer s agent. 7. Travel Cancellation The company shall not be liable for claims I. Any condition or set of circumstances known to an Insured Person at the time of a covered trip was booked where such condition or set of circumstances could reasonably have been expected to give rise to the cancellation of the Insured Persons covered trip. II. Lack of reasonable care taken over means of travel, route or departure time. Page 7 of 7 1. Written notice of accident/ death/ injury/illness which could result in a claim being made under the Policy must be given to the Company immediately. 2. Such notification, apart from stating name of the Insured Member in respect of whom the claim is reported, should provide basic details including date of death/ accident/sickness and the type of benefit claimed. 1. Upon receipt of Claim Notification, the Company shall: I. Register the claim and allocate a claim number, to be quoted in all subsequent communications relating to that claim. II. Advise the claim number to the Insured Member and request documentation considered necessary and reasonable for processing of the claim. 2. Upon receipt of the above, the corresponding claim form complete in all respects shall be submitted to the Company together with all supporting documents requested. 3. Upon receipt of the documented claim from the Insured, the Company shall advise any further documentation required to substantiate the claim or process the claim for settlement. 4. For all valid claims payable in accordance with the terms and conditions of this Policy, the full and final discharge receipt would be issued by the Company.