Policy Type: Corporate travel Policy Number: 0027508 Insured: Insured Persons: Period of Insurance: Arrangement Date: 01/11/2017 Broker: Policy Wording: Scope of Cover: POLICY SCHEDULE Australian Football League (NEAFL) All Players, Management and Coaching Staff of the Insured Inception: 01/11/2017 at 4:00 pm (local standard time in ) Expiry: 01/11/2018 at 4:00 pm (local standard time in ) JLT Sport CT PDS/WRD 01/14 ST All Clubs that play in representative games, travel interstate to play games and all interstate based competitions Australia Wide Territorial Limits: Worldwide PREMIUM Premium: $11,500.00 G.S.T.: $1,150.00 Stamp Duty: $1,252.88 Policy Fee: $0.00 Policy Fee GST: $0.00 Total: $13,902.88 AUSTRALIA 6000 AUSTRALIA 4000
SCHEDULE OF BENEFITS Aggregate Limit of Liability $2,000,000 Limit Any One Event for Charter/Non-scheduled flights $1,000,000 Limit Any One Event for Nuclear, Biological and Chemical Terrorism $1,000,000 Age Limit (sub-limits may apply) 85 Section Maximum Benefits Payable Each Insured Person SECTION 1 - PERSONAL ACCIDENT Death and Capital Benefits $100,000 Maximum benefit limited to annual Salary multiplied by: 7 Non-Income Earners limited to the lesser of the sum insured or: $100,000 Temporary Total Disablement Weekly Benefit (Accident) $0 Maximum % of salary payable under this benefit: 100% Deferral period Nil Maximum Benefit Period (refer wording) 156 Weeks Broken Bones Benefit $5,000 Temporary Total Disablement Weekly Benefit (Sickness) $0 Maximum % of salary payable under this benefit: 100% Deferral period Nil Maximum Benefit Period (refer wording) 156 Weeks Vocational Rehabilitation Benefit $6,000 Monthly Benefit: $1,000 6 Months Education Fund Supplement $7,500 Any one event limited to: $15,000 Spouse Accidental Death Benefit $30,000 Corporate Image Protection $15,000 Partner Retraining Benefit $15,000 Independent Financial Advice $10,000 SECTION 2 - MEDICAL EXPENSES Uninsured Employee Emergency Evacuation $25,000 Any one event limited to: $100,000 SECTION 3 - ADDITIONAL EXPENSES Additional and/or Forfeited Expenses $10,000 Legal Expenses $50,000 AUSTRALIA 6000 AUSTRALIA 4000
Illegal Detention $15,000 Daily Benefit: $500 30 Days Hijack $30,000 Daily Benefit: $1,000 30 Days Repatriation of Mortal Remains / Funeral Expenses Unlimited Hospital Inpatient Benefit $6,000 Daily Benefit: $200 30 Days Missed Transport Connection $10,000 Trauma Counselling $500 Any one event limited to: $10,000 SECTION 4 - BAGGAGE, TRAVELLERS' CHEQUES, TRAVEL DOCUMENTS, CREDIT CARDS AND MONEY Baggage, Travellers' Cheques, Travel Documents and Credit Cards $5,000 Maximum percentage of the sum insured payable for any one item: 50% Deprivation of Baggage $3,000 Money $1,000 Electronic Equipment $5,000 Excess $250 Keys and Locks $1,000 SECTION 5 - LOSS OF DEPOSITS AND CANCELLATION CHARGES Loss of Deposits and Cancellation Charges $5,000 SECTION 6 KIDNAP, DETENTION, EXTORTION AND RANSOM Kidnap, Detention, Extortion and Ransom $0 Mexico, Central and South America limited to: $250,000 SECTION 7 - EXTRA TERRITORIAL WORKERS' COMPENSATION Extra Territorial Workers Compensation $0 SECTION 8 - HIRE CAR EXCESS EXPENSES Hire Car Excess Expenses $2,000 SECTION 9 - ALTERNATIVE EMPLOYEE EXPENSES Alternative Employee Expenses $0 SECTION 10 - PERSONAL LIABILITY Personal Liability $5,000,000 SECTION 11 EVACUATION COVER AND PERSONAL SAFETY (AHI ASSIST) Evacuation Cover and Personal Safety $0 Accommodation Expenses $7,000 Daily Benefit: $500 14 Days AUSTRALIA 6000 AUSTRALIA 4000
SECTION 12 LIFE INSURANCE Life Insurance $0 SECTION 13 DIFFERENCE IN CONDITIONS Difference in Conditions Not Included SECTION 14 - TRAVEL & EMERGENCY ASSISTANCE Travel and Emergency Assistance Included SECTION 15 - PROACTIVE PLATINUM MEMBERSHIP ProActive Platinum Membership Not Included If there is no amount shown against any one or more of the above Sections, no cover is provided in respect of them. AUSTRALIA 6000 AUSTRALIA 4000
ENDORSEMENTS TO POLICY WORDING / SCHEDULE Full Insured Name Each State and Territory Association directly affiliated to the Australian Football League and their Affiliations, Associations and Clubs (excluding the 18 National Clubs forming the National AFL competition) Client Specific Endorsements EMERGENCY MEDICAL EVACUATION It is hereby declared and agreed that cover for Emergency Medical Evacuation is covered to a limit of $10,000 AUSTRALIA 6000 AUSTRALIA 4000
Supplementary Product Disclosure Statement Changes to your PDS Your PDS is amended by the following: This section of the Supplementary Product Disclosure Statement (SPDS) is dated 28 December 2015 and applies to change the Product Disclosure Statement (PDS) for a policy to the extent it relates to an eligible product taken out for the first time, or with a renewal effective date, on or after 28 December 2015. Specifically your PDS is amended by the deletion of the Duty of Disclosure notice. This section of the Supplementary Product Disclosure Statement (Supplementary PDS) is dated 01 August 2017 and will apply to any policies taken out, or renewed, on or after this date. The information in this Supplementary PDS updates and should be read with the last Product Disclosure Statement (PDS) you received for the policy specified in your policy schedule and any other applicable Supplementary Product Disclosure Statements. Change 1: Change to details of CGU Insurance Limited ABN 27 004 478 371 AFS Licence No. 238291 All references to CGU Insurance Limited ABN 27 004 478 371 AFS Licence No. 238291 are deleted and replaced by Insurance Australia Limited ABN 11 000 016 722 AFSL 227681 trading as CGU Insurance (CGU). Change 2: Change to details of CGU Insurance Limited All references to CGU Insurance Limited are deleted and replaced by Insurance Australia Limited trading as CGU Insurance (CGU). Removal of General Exclusion. If this policy contains a General Exclusion in relation to the Insured Person suffering directly or indirectly from any psychiatric or psychological disorder, stress, stress-related disorders, including, but not limited to depression, stress, anxiety or any psychosomatic, psychotic, mental or nervous disorder then that General Exclusion is deleted in its entirety. All other terms, conditions and exclusions of this policy remain unaltered. Insurer Insurance Australia Limited ABN 11 000 016 722 AFSL 227681 trading as CGU Insurance