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GENERAL CONDITIONS
Age limits
- This Policy covers any event which happens to an Insured Person who is: from
the age of 3 months to 65 years of age at the date of such event on the
Individual, Family Plan;
Airlines
The Company will have no liability to pay any benefit in relation to any Insured
Event for which the Insured Person may be able to seek compensation from an
airline. If the Insured Person proves that he has taken all reasonable and
necessary steps to claim from the airline, the Company will pay a pro-rata
portion of the benefits. The Company’s liability will be calculated by reducing
the benefits by the amount for which the Company considers the airline to be
liable.
Currency
All amounts are shown in United State Dollar or in case of Schengen Plan limits
of benefits are shown in Euro. If expenses are incurred in a foreign currency
the rate of exchange used will be the rate at the time of incurring the expense
or suffering a loss.
Endorsements
This Policy may be extended, amended or altered by the Company issuing an
endorsement, provided that the application is made in writing to the Company
prior to the expiry of the existing Policy and there are neither existing nor
initiated claims on the existing Policy.
Liability
- The Company shall not be liable or responsible for: a) the negligence,
wrongful acts and/or omissions of any legal and/or health care professional or
any other person or persons or legal entity that provide direct or indirect
service to the Insured Person; b) The failure of any agent or broker to explain
adequately the terms, conditions, endorsements, terminations and exclusions of
this Policy.
Language
The official version of this Policy is in English. Words in the singular include
the plural and vice versa and words in the masculine gender include the feminine
gender.
Marketing
Should any discrepancies arise between the Policy and any literature received by
the Insured Person, the Terms, Conditions, Endorsements, Terminations and
Exclusions in the Policy will govern in all cases.
Misrepresentation
This Policy shall be considered void (at the discretion of the Company) in the
event of misrepresentation, miss-description or non-disclosure by or on behalf
of the Insured Person of any information material to this Policy.
Other financial products and services
The Company will accept no liability whatsoever for any of the insurance or
other financial products or services which are sold in conjunction with this
Policy that are provided or underwritten by any other insurance or assurance
companies and/or assistance companies and/or financial providers.
Other insurance
Except for Section 1 - Personal Accident, if the Insured Person is able to claim
under any other policies (including statutory insurance and/or automatic credit
card travel insurance) to be covered for the whole or any part of an Insured
Event (“Other Claims”), the Company will only be liable to pay its pro rata
portion of the claim submitted in terms of this Policy.
- If in the Company’s discretion it decides to pay the claim in full, then it
will not be obliged to make payment unless the Insured Person cedes to the
Company all of their rights in respect of the Other Claims.
- If the Company has already paid benefits in terms of this Policy, all of the
Insured Person’s rights in respect of the Other Claims will be ceded
automatically to the Company.
- Without limiting any provision of this Policy or any legal obligation, the
Insured Person must cooperate fully with the Company in relation to the Other
Claim or legal proceedings including: a) not doing anything to prejudice or
limit the Company’s rights; b) giving the Company whatever information and
documents it may require; c) signing any document or affidavit that the Company
may request to enable it to exercise its rights.
Payment of benefits
This Policy is between the Company and the Insured Person only and all of its
provisions and conditions are for the sole and exclusive benefit of those
parties. Nothing in this Policy, express or implied, is intended to confer upon
any other person any rights or remedies of any nature whatsoever under this
Policy or any of its provisions. Without limitation, no third party shall have
any rights under this Policy or any right to receive Policy benefits. Receipt of
Benefits paid as follows will be a valid discharge of the Company’s liability
under this Policy:
This Policy cannot be ceded, assigned or in any way transferred to a third
party. Benefits shall be payable only to the Insured Person or his legal
representative.
Public Conveyance tickets
The Company has the right to utilize the Insured Person’s Public Conveyance
ticket to offset the Company’s expenses.
Table of Benefits
The Table of Benefits referred to in this policy wording is the Table of
Benefits used in the Company marketing material. The policy wording is to be
read in conjunction with the Table of Benefits in the marketing material and
vice versa.
Country of Issuance Law
This Policy will be governed by the laws of country where the policy has been
issued and its courts shall have exclusive jurisdiction to the exclusion
of the courts of any other country.
Subrogation
The Company has the right to commence or take over legal proceedings in the
Insured Person's name for the defense or settlement of any claim, or to sue or
prosecute any other party to recover monies payable by them at law. The Insured
Person must co-operate with the Company and do nothing to hinder the Company’s
rights.
Tax or imposts
The onus will always be on the Insured Person to ensure, correctly admit and pay
any tax liability in consideration of any benefit being paid that may incur tax
or imposts of any nature.
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