Laya Healthcare Medicare Travel Insurance - Policy Document
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Laya Healthcare
Medicare Travel Insurance
Policy DocumentWelcome to your laya healthcare travel insurance policy. This policy document along with your insurance schedule and completed application form forms the basis of your contract of insurance. Together, these documents explain what you are covered for. The policy document contains conditions and exclusions which you should be aware of. You must keep to all the terms and conditions of the insurance. Different levels of cover apply depending on whether you have bought a Single Trip / Annual Multi Trip, Business Cover or Backpacker Cover policy. Please read this policy document to make sure that the cover meets your needs and please check the details outlined within your insurance schedule and completed application form to make sure that the information shown is correct. Signed for and on behalf of Aidan Connaughton General Manager AIG Europe S.A. 30 North Wall Quay, International Financial Services Centre, Dublin 1
1 Table of Contents General information about this insurance . . . . . . . . . . . . . . . 3 Important things you need to know about your insurance before you travel. . . . . . . . . . . . . . . . . 6 General definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Cover options available. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Important claim information. . . . . . . . . . . . . . . . . . . . . . . . . . 11 General exclusions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 General conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Sections of cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Section A Cancelling your trip. . . . . . . . . . . . . . . . . . . . . . 15 Section B1 Medical and other expenses outside of the Republic of Ireland. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Section B2 Hospital benefit. . . . . . . . . . . . . . . . . . . . . . . . . 17 Section C Cutting your trip short. . . . . . . . . . . . . . . . . . . . 18 Section D1 Missed departure . . . . . . . . . . . . . . . . . . . . . . . 19 Section D2 Missed connection . . . . . . . . . . . . . . . . . . . . . . 19 Section E1 Travel delay. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Section E2 Abandoning your trip . . . . . . . . . . . . . . . . . . . . 20 Section F1 Replacing staff. . . . . . . . . . . . . . . . . . . . . . . . . . 20 Section G1 Personal belongings and baggage. . . . . . . . . . . 21 Section G2 Delayed baggage. . . . . . . . . . . . . . . . . . . . . . . . 21 Section G3 Personal money. . . . . . . . . . . . . . . . . . . . . . . . . 21 Section G4 Passport and travel documents. . . . . . . . . . . . . 22 Section G5 Business equipment . . . . . . . . . . . . . . . . . . . . . 23 Section G6 Business money . . . . . . . . . . . . . . . . . . . . . . . . 23 Section H Personal accident . . . . . . . . . . . . . . . . . . . . . . . 24 Section I Personal liability . . . . . . . . . . . . . . . . . . . . . . . . 25 Section J Legal expenses . . . . . . . . . . . . . . . . . . . . . . . . . 25 Section K Hijack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
2
Section L Uninhabitable accommodation . . . . . . . . . . . . . 26
Section M1 Winter sports equipment. . . . . . . . . . . . . . . . . . 27
Section M2 Winter sports equipment hire. . . . . . . . . . . . . . 27
Section M3 Lift pass. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Section N Ski pack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Section O Piste closure. . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Section P Avalanche cover. . . . . . . . . . . . . . . . . . . . . . . . 29
Section Q1 Golf equipment. . . . . . . . . . . . . . . . . . . . . . . . . 29
Section Q2 Golf equipment hire. . . . . . . . . . . . . . . . . . . . . .30
Section R Green fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Section S1 Ceremonial attire. . . . . . . . . . . . . . . . . . . . . . . . 31
Section S2 Wedding gifts . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Section S3 Wedding rings. . . . . . . . . . . . . . . . . . . . . . . . . . 31
Section T1 Cancelling your trip. . . . . . . . . . . . . . . . . . . . . . 33
Section T2 Additional expenses if you are stranded
at your point of departure in the Republic
of Ireland.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Section T3 Additional cost to reach your destination
if you decide to go on your trip. . . . . . . . . . . . . 32
Section T4 Additional cost if you are stranded on an
international connection. . . . . . . . . . . . . . . . . . 33
Section T5 Additional expenses if you are stranded
on your return journey home . . . . . . . . . . . . . . 33
Section T6 Additional expenses to get you home. . . . . . . . 33
Section T7 Additional car parking costs . . . . . . . . . . . . . . . 33
Section T8 Additional kennel or cattery fees. . . . . . . . . . . . 34
Table of Benefits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Tables of benefits for Single Trip / Annual Multi Trip,
Business Cover and Backpacker Cover . . . . . . . . . . . . . . . . 35
Table of benefits for Golf Cover. . . . . . . . . . . . . . . . . . . . . . 36
Table of benefits for Wedding Cover . . . . . . . . . . . . . . . . . . 37
Table of benefits for Natural Catastrophe Cover . . . . . . . . . 37
Summary of important contact details. . . . . . . . . . . . . . . . OBC3
General information about this insurance
Insurance providers 2. It covers each person insured under this
insurance for a degree of medical expenses
Laya healthcare Medicare travel insurance is cover while abroad.
underwritten by AIG Europe S.A.. AIG Europe S.A., 3. You are familiar with and fully comply with
an insurance undertaking with R.C.S. Luxembourg the rules of your private medical insurance.
number B 218806. AIG Europe S.A. has its head 4. Your private medical insurance will remain
office at 35 D Avenue J.F. Kennedy, L-1855, in force for the duration of the trip.
Luxembourg, http://www.aig.lu/. AIG Europe
S.A. is authorised by the Luxembourg Ministère Please Note; Your private medical insurance may
des Finances and supervised by the Commissariat provide a degree of medical expenses insurance
aux Assurances 7, boulevard Joseph II, L-1840 cover abroad. The amount of this cover will
Luxembourg, GD de Luxembourg, Tel.: (+352) 22 typically depend on your insurer and the plan you
69 11 - 1, caa@caa.lu, http://www.caa.lu/. have chosen.
The terms and conditions of our insurance differ
AIG Europe S.A. Ireland branch is an insurance from your private medical insurance and you
company and has its registered branch office at 30 will need to read both carefully and ensure you
North Wall Quay, International Financial Services understand the differences and that our product
Centre, Dublin 1, D01 R8H7 and branch registration meets with your requirements.
number 908876 and is regulated for conduct of
business in Ireland by the Central Bank of Ireland. If you are unsure if this insurance is suitable for
Contact details of the Central Bank of Ireland are your needs please contact AIG Customer Service
P.O. Box 559, North Wall Quay, Dublin 1, D01 F7X3. on 01 261 1508 or email us on layahealthcare.
Telephone: 1890 77 77 77. Fax: 01 6716561. E-mail: travelinsurance@ie.sedgwick.com
enquiries@centralbank.ie. Web: http://www.
Your travel insurance
centralbank.ie.
This policy document along with your insurance
If a solvency and financial condition report of AIG
schedule and completed application form forms
Europe S.A. is available, it can be found at http://
the basis of your contract of insurance. Together,
www.aig.lu/.
these documents explain what you are covered
Insurance Compensation Fund for. The policy document contains conditions and
exclusions which you should be aware of. You
You may be entitled to compensation from the must keep to all the terms and conditions of the
scheme in the unlikely event that AIG Europe S.A. insurance.
cannot meet its obligations. The maximum amount
that could be available in respect of any sum due Different levels of cover apply depending on
to a policyholder is 65% of the sum due or EUR whether you have bought a Single Trip / Annual
825,000, whichever is the lesser. Multi Trip, Business Cover or Backpacker Cover
Further information on the Insurance policy.
Compensation Fund is available on the Central This policy reflects the demands and needs of a
Bank of Ireland’s website though the following link: person who wishes to purchase travel insurance
https://www.centralbank.ie/regulation/industry- benefits.
market-sectors/insurance-reinsurance/solvency-ii/
insurance-compensation-fund Please read this policy document to make sure
that the cover meets your needs and please
AIG Europe S.A, Ireland branch does not provide check the details outlined within your insurance
advice or any personal recommendation about this schedule and confirmation email to make sure
product. that the information shown is correct.
About our Medicare Travel Insurance Alteration of Risk
Our Medicare Travel Insurance is only suitable for You must contact us immediately or as soon as
you if; reasonably possible, if any of the answers or
1. You already have private medical insurance information provided is inaccurate or has changed
in force. beyond what was reasonably contemplated when4
this contract of insurance was concluded. Failure Law
to do so may be regarded as a misrepresentation
(please refer to impacts of misrepresentation This insurance will be governed by laws of the
section for full details). Republic of Ireland, unless we agree in writing
otherwise before the insurance starts, and any
dispute arising hereunder will be subject to the
Impact of Misrepresentation
exclusive jurisdiction of the Courts of the Republic
The impact of any misrepresentation by you to of Ireland. All communication in respect of this
any of the answers provided on the completed insurance will be in English
application form is as follows:
(a) Innocent Misrepresentation:
How we use Personal Information
Where you have answered all questions in the AIG Europe S.A. is committed to protecting the
completed application form honestly and with privacy of customers, claimants and other business
reasonable care but where you made an innocent contacts.
misrepresentation (that is, one that is neither
negligent nor fraudulent) we will pay any covered “Personal Information” identifies and relates to
claim event subject to the terms and conditions of you or other individuals (e.g. your partner or other
this insurance. members of your family). If you provide Personal
Information about another individual, you must
(b) Negligent Misrepresentation: (unless we agree otherwise) inform the individual
If you make a negligent misrepresentation or about the content of this notice and our Privacy
fail to take reasonable care in completing the Policy and obtain their permission (where possible)
completed application form the cover under this for sharing of their Personal Information with us.
insurance may not fully operate and in the event
of a claim we will exercise one of the following The types of Personal Information we may
remedies: collect and why – Depending on our relationship
(a) If knowing the full details we would with you, Personal Information collected may
not have entered into this contract of include: contact information, financial information
insurance, we may avoid the contract, and account details, credit reference and scoring
refuse all claims and return any premiums information, sensitive information about health or
paid by you. medical conditions (collected with your consent
(b) If we would have entered into the insurance where required by applicable law) as well as other
contract, but on different terms (excluding Personal Information provided by you or that we
terms relating to the premium), this obtain in connection with our relationship with
contract of insurance may be treated as if it you. Personal Information may be used for the
had been entered into on those terms. following purposes:
(c) If we would have entered into this contract • Insurance administration, e.g. communications,
of insurance but have charged a higher claims processing and payment
premium, we may reduce proportionately • Make assessments and decisions about the
the amount to be paid on the claim. provision and terms of insurance and settlement
(d) Where there is no outstanding claim under of claims
this contract of insurance, we may either: • Assistance and advice on medical and travel
(i) give notice to you that in the event of a matters
claim we will exercise the remedies in • Management of our business operations and IT
paragraphs (a) to (c), or infrastructure
(ii) terminate the contract of insurance by • Prevention, detection and investigation of crime,
giving reasonable notice to you. e.g. fraud and money laundering
(c) Fraudulent Misrepresentation: • Establishment and defence of legal rights
If you make a fraudulent misrepresentation or • Legal and regulatory compliance (including
where any conduct by you or involves fraud of compliance with laws and regulations outside
any kind we shall be entitled to avoid this contract your country of residence)
of insurance and refuse any claims. • Monitoring and recording of telephone calls for5
quality, training and security purposes suspend our use of data. These rights may also
• Market research and analysis include a right to transfer your data to another
organisation, a right to object to our use of your
Sharing of Personal Information - For the above
Personal Information, a right to request that
purposes Personal Information may be shared with
certain automated decisions we make have human
our group companies and third parties (such as
involvement, a right to withdraw consent and a
brokers and other insurance distribution parties,
right to complain to the data protection regulator.
insurers and reinsurers, credit reference agencies,
Further information about your rights and how you
healthcare professionals and other service
may exercise them is set out in full in our Privacy
providers). Personal Information will be shared
Policy (see below).
with other third parties (including government
authorities) if required by laws or regulations.
Privacy Policy - More details about your rights and
Personal Information (including details of injuries)
how we collect, use and disclose your Personal
may be recorded on claims registers shared with
Information can be found in our full Privacy Policy
other insurers. We are required to register all
at: https://www.aig.ie/privacy-policy or you may
third party claims for compensation relating to
request a copy by writing to: Data Protection
bodily injury to workers’ compensation boards.
Officer, AIG Europe S.A., 30 North Wall Quay,
We may search these registers to prevent, detect
International Financial Service Centre, Dublin 1 or
and investigate fraud or to validate your claims
by email at: dataprotectionofficer.ie@aig.com.
history or that of any other person or property
likely to be involved in the policy or claim. Personal Price
Information may be shared with prospective
purchasers and purchasers, and transferred upon a The price payable for this insurance is the
sale of our company or transfer of business assets. premium (including applicable government levies
and premium taxes). This premium, the rate at
International transfer - Due to the global nature which any applicable government levies and/or
of our business, Personal Information may be premium taxes are applied are separately specified
transferred to parties located in other countries in your insurance schedule.
(including the United States, China, Mexico
Malaysia, Philippines, Bermuda and other countries Commission & Fees
which may have a data protection regime which
When Laya healthcare sell you a policy, Laya
is different to that in your country of residence).
healthcare receive commission from the insurer
When making these transfers, we will take steps to
which is a percentage of the total premium.
ensure that your Personal Information is adequately
protected and transferred in accordance with Your right to cancel the Insurance within
the requirements of data protection law. Further the cooling off period
information about international transfers is set out
in our Privacy Policy (see below). If this cover is not suitable for you and you
want to cancel your insurance, you must contact
Security of Personal Information – Appropriate AIG Customer Service by e-mailing
technical and physical security measures are used layahealthcare.travelinsurance@ie.sedgwick.com,
to keep your Personal Information safe and secure. writing to the Laya Travel Department at Sedgwick
When we provide Personal Information to a third Ireland, Merrion Hall, Strand Road, Dublin 4 or
party (including our service providers) or engage a calling us on 01 261 1508 within (i) 14 days of
third party to collect Personal Information on our buying your insurance or (ii) the date you receive
behalf, the third party will be selected carefully and your insurance documents, whichever is the later.
required to use appropriate security measures. We will refund the premium you have paid within
Your rights – You have a number of rights under 5 working days of the date you contact us to ask
data protection law in connection with our use to cancel the insurance provided you have not
of Personal Information. These rights may only travelled, made a claim or an event which could
apply in certain circumstances and are subject give rise to a claim has not occurred before you
to certain exemptions. These rights may include asked to cancel the insurance within the 14-day
a right to access Personal Information, a right to period.
correct inaccurate data, a right to erase data or6
Your right to cancel after the cooling off could reasonably be expected to lead to a claim.
period Please see general exclusion number 1 on page 13
for further details.
After the cooling off period you may cancel this
policy by giving 30 consecutive days’ notice If there is a change in the state of health of
by emailing layahealthcare.travelinsurance@ yourself, anyone travelling with you, a relative
ie.sedgwick.com with the policy number details or business associate occurring after you have
included. Cancellation will only take effect upon bought this insurance but before you travel,
our receipt of your written cancellation request. and upon whom your trip depends, you must
Please be aware that due to the nature of the contact AIG Customer Service immediately on
cover provided by an annual travel insurance 01 261 1508 or e-mail layahealthcare.
policy, no refunds will be issued for policies travelinsurance@ie.sedgwick.com. We have the
cancelled after the 14-day cooling off period has right to alter the terms of cover in line with the
expired. change in risk.
Our right to cancel the Insurance Health agreements
We have the right to cancel this Insurance by If you are travelling to a country in the European
giving at least 30 days notice in writing to you at Union, you should take a European Health
your last known address. A pro rata refund of the Insurance Card (EHIC) with you. Application forms
premium paid will be made to you from the date to obtain an EHIC are available from your local
we cancel the Insurance. Health Office or you can download an application
form from the following website: www.ehic.ie.
Claims providers This entitles European citizens to benefit from the
health agreements which exist between countries
AIG Claims Services is administered by Sedgwick
in the European Union/EEA. If you are travelling
Ireland Travel Claims who are chartered loss
to Australia or New Zealand and you need medical
adjusters and provide travel insurance claims
treatment, you should enrol with Medicare or the
administration services on behalf of AIG Europe
equivalent scheme of these countries. Further
S.A.
information is available from the following
website: www.humanservices.gov.au
If you have any questions
If you present your EHIC to the treating doctor
If you have any questions about the cover or hospital if you need medical treatment within
provided under this Insurance or you would like the European Union or you enrol with Medicare
more information, please contact us on when travelling to Australia or New Zealand, this
01 261 1508 or e-mail layahealthcare. will save you paying the excess under Section
travelinsurance@ie.sedgwick.com B1 (Medical and other expenses outside of
the Republic of Ireland) if your medical costs
Important things you are reduced as a result of using your EHIC or
Medicare being involved.
need to know about your
insurance before you Subrogation
In the event of any payment under this insurance,
travel we shall be subrogated to the extent of such
payment to all of your rights of recovery,
Health conditions contribution and indemnity and you will provide
all reasonable assistance and will do nothing to
This Insurance contains conditions relating to
prejudice such rights.
your health, the health of people travelling with
you and the health of others who might not be
Without prejudice to the foregoing, we will not
travelling with you, but on whose health the
exercise its rights of subrogation against you in
trip depends (this would include a relative or
connection with a claim unless it is not permitted
a business associate). In particular, we do not
to do so under sections 23, 24 and 25 of the
cover claims arising from medical problems which
Consumer Insurance Contracts Act 2019 (Ireland).
you or they had before the cover started which7
Third Party Contract Rights • The activity is not part of a competition or
Nothing in this insurance is intended to confer tournament;
a directly enforceable benefit on any third party • The activity is not on a professional basis.
other than you, unless permitted pursuant to • If you have any questions or if you wish
section 21 of the Consumer Insurance Contracts to take part in an activity not shown in the
Act 2019 (Ireland). lists below, you must contact AIG Customer
Service on 01 261 1508 or e-mail
layahealthcare.travelinsurance@
Residence Limitation ie.sedgwick.com before taking part to make
This policy offers coverage only to individuals sure that cover is provided.
ordinarily resident in the Republic of Ireland and List 1
is null and void as to nonresidents of the Republic Amateur athletics, angling, archery, badminton,
of Ireland. banana boating, basketball, boardsailing, bowling,
Travel delays - EC Regulations bridge walking (supervised by a fully trained
guide), bungee jumps (three jumps), cave tubing
This policy is not designed to cover costs which or river tubing, cricket, curling, cycling, fell
are met under the EC Regulation No. 261/2004. walking, gymnastics, handball, husky sledge
Under this Regulation if you have a confirmed driving, ice skating, jogging (not including
reservation on a flight, and that flight is delayed marathons), mountain biking (not including
by between 2 and 4 hours (length of time downhill racing and extreme terrain), netball,
depends on the length of your flight) the airline orienteering, parasailing, parascending (over
must offer you meals, refreshments and hotel water), rambling, ringos, roller blading (inline
accommodation. If the delay is more than 5 skating and skateboarding), running (not including
hours, the airline must offer to refund your ticket. marathons), safari trekking in a vehicle or on foot
The Regulations should apply to all flights, whether (only as part of an officially organised tour and
budget, chartered or scheduled, originating in the not including the personal use of firearms), sand
EU, or flying into the EU using an EU carrier. boarding, scuba diving (qualified, maximum depth
30 metres), sleigh rides (as part of an officially
If your flight is delayed or cancelled due to
arranged excursion), snorkelling, squash, surfing,
a natural catastrophe, you must in the first
swimming, swimming with dolphins (as part of an
instance approach your airline and clarify
officially arranged excursion), table tennis, tennis,
with them what costs they will pay under the
ten pin bowling, trekking (under 2,000 metres
Regulation.
altitude), triathlons, volleyball, wake boarding,
If you would like to know more about your water polo, waterskiing and white or black water
rights under this Regulation, additional useful rafting (grades 1 to 4).
information can be found on the Irish Aviation
Cover is provided for the activities named in the
Authority website (www.iaa.ie).
list below, however, no cover is available under
Sports and activities Section H (Personal accident) and Section I
(Personal liability):
You may not be covered when you take part in
certain sports or activities. For certain activities, List 2
cover under Section H (Personal accident) and Baseball, camel or elephant riding (supervised by
Section I (Personal liability) will not apply. If you a fully trained guide), canoeing, canopy walking
intend to take part in a sport or activity during or tree top walking, conservation or charity
your trip, please note that cover is available work (educational and environmental - working
for the activities named in the two lists below with hand tools only), cycle touring, dragon
provided: boat racing, dune and wadi bashing, football,
• You follow the safety guidelines for the go-karting, golf, hiking (over 2,000 metres but
activity concerned and where applicable you under 6,000 metres altitude), hockey, horse riding
use the appropriate and recommended safety (not polo, hunting, jumping), hot-air ballooning
equipment; (officially organised pleasure rides only), jet
• The activity is not the main purpose of your boating, jet skiing, kayaking, kite surfing (over
trip; water), motorcycling over 50cc (not racing), mud8
buggying, paintballing (wearing eye protection),
passenger (in private or small aircraft or If the lead insured wishes to opt out of automatic
helicopter), rowing, trekking (over 2,000 metres renewal or needs to tell us about any changes
but under 6,000 metres altitude), windsurfing and to your circumstances, health or insurance
yachting (no racing or crewing) inside territorial requirements please contact us by phoning
waters and zip lining. 01 261 1508 or by e-mailing layahealthcare.
travelinsurance@ie.sedgwick.com.
Automatic Renewal
If you are an Annual Multi-Trip policyholder and
General definitions
have actively selected to enrol on our automatic Wherever the following words or phrases appear
renewal facility, we will automatically renew your in bold in the policy document they will always
policy each year unless the lead insured has have the meaning listed below:
advised us that they do not want your policy to
be automatically renewed or you no longer meet Business associate
the eligibility criteria to be an AIG travel insurance Any person who works at your place of business
policyholder. We will write to the lead insured and who, if you were both away from work at
prior to the end date of your policy to remind the same time, would prevent the business from
them that your policy is due to be renewed. running properly.
Unless the lead insured has previously advised us Children
that they do not want your policy to be renewed Children of the insured or the insured’s partner
or prior to the end date of your policy the lead who are under 18 years of age at the date of
insured has advised us that they no longer wish to buying this insurance and are either in full time
renew your policy or you are no longer eligible for education or living with them.
cover, the renewal premium will again be collected
from the lead insured’s specified credit or debit Completed Application Form
card to make sure that you are always covered. The application form provided by us to you at
You should also be aware that we can only pre-contractual stage of a contract of insurance.
automatically renew your policy when: You must answer all of the questions on the
completed application form honestly and
• you have made us aware of any changes to with reasonable care, failure to do so may be
your policy details, if any; regarded as a misrepresentation (see impact of
• the credit or debit card details we have on misrepresentation section).
record have not changed; and
• the credit or debit card holder has given Cooling Off Period
his or her consent for his or her card being Means the 14 working days from the policy start
charged the following year. date of this insurance shown in your insurance
schedule or within 14 working days of receiving
If we are unable to automatically renew your your policy, whichever is the later.
policy (for example, if your credit or debit card
details have changed or if there have been
changes made to the terms and conditions of the Flood
policy) or if you no longer meet the eligibility A general and temporary covering of water of two
criteria for automatic renewal, we will notify the or more acres of normally dry land.
lead insured of this at least 21 days prior to the Home
end date of your policy. Your usual place of residence within the Republic
of Ireland.
We are entitled to assume at renewal that your
details have not changed and the lead insured Insurance schedule
has the consent of the credit or debit card holder, The document showing the names and other
unless you inform us otherwise. We will through details of all the people insured under this policy
our administrative bank charge the payment document and any special conditions that apply.
details to the credit or debit card held on record
for the renewal premium due. Lead insured9
The person who is the main insured, tapes and electronic games), MP3 players,
has paid for this policy and is shown computer equipment, binoculars, antiques,
on the insurance schedule. jewellery, watches, furs, silks, precious stones
and articles made of or containing gold, silver or
Manual labour
precious metals.
Work involving physical labour, for example,
but not limited to, construction, installation and War
assembly. This does not include bar and restaurant War, whether declared or not, or any warlike
staff, music and singing, or fruit picking (not activities, including use of military force by any
involving machinery). sovereign nation to achieve economic, geographic,
nationalistic, political, racial, religious or other
Misrepresentation goals.
Innocent, negligent or fraudulent answers We, us, our
provided by you to the questions on your AIG Europe S.A.
completed application form.
You, your
Natural catastrophe Each insured person named on the insurance
Volcanic eruption, flood, tsunami, earthquake, schedule for whom the appropriate premium has
landslide, hurricane, tornado or wildfire. been paid. Each person must have lived in the
Republic of Ireland for at least six of the last 12
Pair or set of items
months and have a private medical insurance
A number of items associated as being similar or
policy in force providing medical expenses cover
complementary or used together.
whilst abroad for the duration of the trip.
Partner
A person who you live with, who is either your
husband or wife, common law husband or Cover options available
common law wife, civil partner, fiancé or fiancée, Trip options and durations
boyfriend or girlfriend. · Single Trip
Private medical insurance One trip of up to consecutive 30 days. By
A health insurance contract as defined in the Irish paying an additional premium you can buy
Health Insurance Acts, underwritten by either laya winter sports cover for trips lasting up to a
maximum of 17 days.
· Annual Multi Trip
healthcare, the Voluntary Health Insurance Board
or Irish Life Health, which incorporates cover for
medical expenses whilst abroad. This gives you cover to travel as many times as
you like within the period of insurance provided
Relative no single trip lasts longer than 45 consecutive
Your partner and your or your partner’s parent, days.
brother, sister, son, daughter, (including adopted By paying an additional premium you can
or fostered children), grandparent, grandchild, buy winter sports cover for up to 17 days in
step-parent, stepchild, stepbrother, stepsister or total within the period of insurance. Adults
next of kin. are entitled to travel independently. Children
Resident under 18 years of age are only entitled to
An individual who has lived in the Republic of travel separately to the main insured person
Ireland for at least six of the last 12 months. if they are travelling with a relative, guardian
or person with a legal duty of care.
Trip Cover is only provided in the Republic
Your holiday or journey starting from the time that of Ireland if you stay in pre-booked
you leave your home in the Republic of Ireland accommodation for at least one night away
or from the start date shown on your schedule, from where you usually live.
whichever is the later, until arrival back at your • Business
home address in the Republic of Ireland. One trip of up to 30 consecutive days. The
Valuables trip must be primarily for business purposes,
Photographic, audio, video and electrical but may incorporate up to a maximum of 5
equipment (including cds, dvds, video and audio days of incidental leisure travel.10
• Backpacker • Wedding cover
One trip of up to 12 consecutive months. You can buy cover for up to 21 consecutive
days on Single Trip policies.
Please note: • Natural Catastrophe cover
• Unless you have bought an Annual Multi Trip You can buy cover for the duration of your
Insurance, it does not matter how long you trip. Please see pages 32-34 for full details of
buy cover for, it ends when you return to the cover.
Republic of Ireland.
• If you travel for longer than the trip duration Please see pages 27-34 of this policy wording for
limits, cover will cease on the final day of the full details of cover.
trip limit.
Geographical areas
Policy options One of the following areas will be shown on your
• Individual insurance schedule. This describes the area of
One person aged 18 years and over. the world which this policy provides cover for you
• Couple to travel to.
An individual and his or her partner provided • Europe
they live together. A partner would include a The continent of Europe west of the Ural
civil partner. Mountains including its neighbouring islands
• Family and non-European countries bordering the
An individual and his or her partner provided Mediterranean (excluding Algeria, Lebanon,
they live together and their dependant children Libya, Israel and Jordan).
(which can include fostered or adopted • Australia and New Zealand
children) who are under 18 years of age at the • Worldwide excluding USA, Canada and the
date of buying this policy and are either in full Caribbean
time education or living with them. • Worldwide including USA, Canada and the
• Single Parent Family Caribbean
An individual and his or her dependant
children (which can include fostered or Please note: This policy will not cover any claim,
adopted children) who are under 18 years loss, injury, damage or legal liability arising
of age at the date of buying this policy and directly or indirectly from any planned or actual
are either in full time education or living with trip in, to or through Cuba, Iran, Syria, North
them. Korea or the Crimea region.
Period of cover
Optional Extras
Cover under section A (Cancelling your trip) starts
The following optional extras are available by at the time you book the trip or pay the insurance
paying an additional premium. premium, whichever is the later. If you have
arranged an Annual Multi-Trip policy, cover under
• Winter Sports section A (Cancelling your trip) starts at the time
For Single Trip policies you can buy cover that you book the trip or the first day of the period
for trips lasting up to a maximum of 17 of cover as shown on your insurance schedule,
consecutive days. For Annual Multi Trip whichever is the later. For Single Trip and Annual
policies you can buy cover for up to a Multi-Trip policies cover under section A (Cancelling
maximum of 17 days in total within the period your trip) ends as soon as you start your trip.
of insurance. For Backpacker policies cover under section A
• Golf cover (Cancelling your trip) continues throughout the
You can buy cover for up to 21 consecutive period of cover as shown on your insurance
days on Single Trip policies and on Annual schedule, for additional travel booked once you are
Multi Trip policies, by paying an additional outside of the Republic of Ireland.
premium, cover can be provided throughout
the period of insurance provided each golfing Cover under all other sections starts when you
holiday lasts no longer than 21 consecutive leave your home address in the Republic of
days. Ireland (but not earlier than 24 hours before the11
booked departure time) or from the first day of
the period of cover as shown on your insurance
Important claim
schedule, whichever is the later. information
Cover ends when you return to your home
address in the Republic of Ireland (but not later Medical and other emergencies
than 24 hours after your return to the Republic If you incur costs for emergency medical
of Ireland) or at the end of the period of cover as treatment whilst abroad or you need to be
shown on your insurance schedule, whichever is repatriated to the Republic of Ireland you must in
the earlier. the first instance contact your private medical
If you have arranged a One-Way policy, cover ends insurance emergency service provider.
24 hours after you first leave immigration control
in your final country of destination or at the end of Should the estimated cost of your medical
the period of cover as shown on your insurance expenses abroad exceed more than 50% of
schedule, whichever is the earlier. the medical expenses cover provided by your
private medical insurance, you must notify AIG
Cover cannot start after you have left the Republic Assistance Services.
of Ireland. Each trip must begin and end in the
Republic of Ireland, unless you have bought a The Medical Emergency Assistance Company,
One-Way policy, in which case your trip must AIG Assistance Services, will provide immediate
begin in the Republic of Ireland. additional help if you are ill, injured or die
Trip extensions outside the Republic of Ireland and your medical
and repatriation expenses are going to exceed
If, once you have left the Republic of the limits provided by your private medical
Ireland and before the end of the period of insurance. They provide a 24-hour emergency
insurance, you decide you want to extend service 365 days a year. The contact details are as
your insurance, please contact AIG Customer follows:
Service. Extensions can usually only be Phone: +44 (0) 1273 456 683
considered if there has been no change in Email: uk.assistance@aig.com
your health (or that of a relative or business
associate), you are not waiting for a claim to Please have the following information available
be settled and you do not know of a reason when you contact AIG Assistance Services so that
for a claim to arise. However, should there your case can be dealt with swiftly and efficiently:
have been a change in health or a claim arose • Your name and address;
under the original insurance then we may still • Your contact phone number abroad;
be able to consider the extension provided full • Your policy number shown on your
details are passed to AIG Customer Service for insurance schedule;
consideration. • The name, address and contact phone
number of your GP and;
If, due to unexpected circumstances beyond
• Details and a contact number for your
your control which fall within the conditions
private medical insurance provider.
of this cover, your holiday cannot be
completed within the period of insurance
Please note: This is not a private medical
outlined in your insurance schedule, cover
insurance and the medical expenses and
will be extended for you at no extra cost for
repatriation cover is in excess of the limits
up to 30 consecutive days. This also applies
provided by your private medical insurance.
to one person travelling with you who is
authorised to stay with you by the Medical
If you have to return to the Republic of Ireland
Emergency Assistance Company if the
under Section C (Cutting your trip short) outside
extension is due to medical reasons.
of the Republic of Ireland AIG Assistance Services
All requests for more than 30 consecutive must authorise this. If they do not, we may
days must be authorised by the Medical provide no cover or we may reduce the amount
Emergency Assistance Company. we pay for your return to the Republic of Ireland.12
The Customer Complaints Officer
Special note to US medical providers: AIG Europe S.A.,
Please contact AIG Travel by phoning: 30 North Wall Quay,
IFSC, Dublin 1,
+44 (0) 1273 456 683
D01 R8H7.
All claims and billing correspondence should be Phone: +353 1 208 1400
sent to: E-mail: customercomplaints.ie@aig.com
Website: www.aig.ie/complaints
AIG Travel, PO Box 0852
Attn: Laya healthcare Claims We will acknowledge the complaint within 5
Stevens Point, WI 54481 business days of receiving it, keep the complainant
United States informed of progress and provide an answer
within one month (unless specific circumstances
prevents us from doing so, in which case the
complainant will be informed).
At any stage you may contact any of the following:
If you need to make a claim
Insurance Ireland
You must register a claim by contacting; Insurance Centre,
5 Harbourmaster Place,
AIG Claims Services, Sedgwick Ireland Travel IFSC, Dublin 1,
Claims, Merrion Hall, Strand Road, Dublin 4. D01 E7E8.
Phone: (01) 261 1540 Phone: +353 1 676 1820
E-mail: travel@ie.sedgwick.com Fax: +353 1 676 1943
E-mail: feedback@insuranceireland.eu
Please note: All claims must be notified as soon Website: http://www.insuranceireland.eu
as it is reasonably practical after the event which
causes the claim. If our position is prejudiced by Financial Services and Pensions Ombudsman
the late notification of a claim then this may affect 3rd Floor,
our acceptance of a claim. Lincoln House,
AIG Claims Services are open Monday to Friday Lincoln Place,
between 9am and 5pm. A claim form will be sent Dublin 2,
to you as soon as you tell them about your claim. D02 VH29.
Claim forms can also be downloaded from Phone: +353 1 567 7000
www.sedgwick.com/ireland-claim-forms E-mail: info@fspo.ie
Website: www.fspo.ie
Fraud
As AIG Europe S.A. is a Luxembourg based
This contract of insurance is based on mutual
insurance company, complainants who are natural
trust. We provide cover and we assume that any
persons acting outside of their professional
claims you make are genuine. Our experience
activity may also, in addition to the complaints
in handling claims enables us to detect many of
procedure set out above, if they are not satisfied
those which are fraudulent and this includes those
with AIG’s Irish Branch response or in the absence
which are exaggerated. We investigate every claim
of response after 90 days:
and if we believe that a fraudulent claim is being
made we will inform the police. This may result in
• raise the complaint with our head office
criminal prosecution.
by writing to AIG Europe SA “Service
Customer service Reclamations Niveau Direction” 35D Avenue
JF Kennedy L- 1855 Luxembourg - Grand
AIG Europe S.A. wants to give you the best Duché de Luxembourg or by email at
possible service. If you feel you have cause for aigeurope.luxcomplaints@aig.com ;
complaint you should contact: • access one of the Luxembourg mediator
bodies the contact details of which are13
available on AIG Europe S.A.’s website: further details.
http://www.aig.lu/”: or
b. You are travelling against the advice of a
• lodge a request for an “out of court
medical practitioner.
resolution” process with the Luxembourg
Commissariat Aux Assurances (CAA) by c. You are travelling with the purpose of
writing to CAA, 7 boulevard Joseph II, L-1840 receiving medical treatment abroad.
Luxembourg - Grand Duché de Luxembourg d. You or any person who your trip
or by fax at +352 22 69 10, or by email at depends on are receiving or waiting for
reclamation@caa.lu or online through the hospital investigation or treatment for
CAA website: http://www.caa.lu. any undiagnosed condition or set of
symptoms.
All requests to the CAA or to one of the
Luxembourg mediator bodies must be filed in e. You or any person who your trip
Luxembourgish, German, French or English. depends on have been given a terminal
prognosis.
If the insurance contract has been concluded 2. Any claim relating to an incident which you
online, the complainant may also use the European were aware of at the time you took out this
Commission’s platform for Online Dispute insurance or at the time of booking the trip
Resolution (ODR) using the following link: http:// and which could reasonably be expected to
ec.europa.eu/consumers/odr/ lead to a claim.
Following this complaint procedure or making use 3. Any claim if you, or any person whose
of the one of the above options does not affect condition may give rise to a claim, are
the complainant’s right to take legal action. suffering from or have suffered from any
diagnosed psychological or psychiatric
disorder, anxiety or depression.
General exclusions 4. Any claim arising out of war, civil war,
General exclusions apply to all sections of this invasion, revolution or any similar event.
insurance. In addition to these general exclusions, 5. Any claim arising from civil riots, blockades,
please also refer to ‘What you are not covered for’ strikes or industrial action of any type (except
under each policy section as this sets out further for strikes or industrial action which were not
exclusions which apply to certain sections. public knowledge when you booked your trip
or purchased this insurance, whichever is the
We will not cover the following. later).
1. Any claim where at the time of taking out this 6. Loss or damage to any property, or any
insurance, the following apply. loss, expense or liability arising from
a.
he claim relates to a medical condition
T ionising radiation or contamination by
or an illness or death related to a medical radioactivity from any nuclear fuel or from
condition which you or any person who any nuclear waste from burning nuclear
your trip depends on (this would include fuel or the radioactive, toxic, explosive or
a relative or a business associate) knew other dangerous properties of any explosive
about before you bought this insurance nuclear equipment or any part of it.
and which could reasonably be expected 7. Any claim if you already have a more specific
to lead to a claim. insurance covering this (for example, if an
You must make sure you tell us about item you are claiming for under Section
any change in the state of health of G1 (Personal belongings and baggage) is a
yourself, anyone travelling with you, specified item on your household contents
a relative or business associate insurance policy).
occurring after you have bought this
insurance but before you travel. Please 8. Any claim arising from using a two-wheeled
refer to the Health conditions section motor vehicle over 50cc as a driver or
on page 6 of this policy document for passenger if you are not wearing a crash14
helmet, or the driver does not hold an you would have paid for in any case).
appropriate driving licence. 20. Any claim arising as a result of you failing
9. Any consequential losses (losses which are to get the inoculations and vaccinations that
not listed under the headings ‘What you are you need.
covered for’ in sections A to T, for example, 21. Any claim arising from you acting in a way
loss of earnings if you cannot work after you which goes against the advice of a medical
have been injured or the cost of replacement practitioner.
locks if your keys are stolen).
22. Any claim, loss, injury, damage or legal
10. Any claim arising from the tour operator, liability arising directly or indirectly from
airline or any other company, firm or person any planned or actual trip in, to or through
becoming insolvent, or being unable or Cuba, Iran, Syria, North Korea or the Crimea
unwilling to fulfil any part of their obligation region.
to you. 23. Any claim arising under this insurance if you
11. Any claim resulting from you travelling to a are on any official government or police
country to which the Department of Foreign database of suspected or actual terrorists,
Affairs have allocated a security status of members of terrorist organisations, drug
‘Avoid non-essential travel’ or ‘Do not travel’. traffickers or illegal suppliers of nuclear,
chemical or biological weapons.
12. Any claim arising from you being involved in
any deliberate, malicious, reckless, illegal or 24. We shall not be deemed to provide cover
criminal act. and we shall not be liable to pay any claim or
provide any benefit hereunder to the extent
13. Motor racing, rallying or vehicle racing of any that the provision of such cover, payment
kind. of such claim or provision of such benefit
14. Any claim arising from you being in, entering, would expose us, our parent company
or leaving any aircraft other than as a or its ultimate controlling entity to any
fare-paying passenger in a fully-licensed sanction, prohibition or restriction under
passenger-carrying aircraft. United Nations resolutions or the trade or
economic sanctions, laws or regulations of
15. Any claim involving you taking part in the European Union or the United States of
manual labour or in any sport or activity America.
unless the activity has been authorised by us.
Please see the Sports and activities section
on pages 7-8 of this Policy document for General conditions
further details.
The following conditions apply to all sections of
16. Any claim relating to winter sports unless you
this insurance. You must tell us if you know about
have paid the necessary premium to extend
anything which may affect our decision to accept
your insurance to provide cover for this.
your insurance (for example, if you are planning
17. Any claim arising from to take part in a dangerous activity while you are
• your suicide or attempted suicide; or on holiday). If you are not sure whether to tell us,
tell us anyway.
• you injuring yourself deliberately or
putting yourself in danger (unless you 1. You must take all reasonable steps to avoid
are trying to save a human life). or reduce any loss covered under this
18. Any claim arising directly or indirectly from insurance.
using alcohol or drugs (unless the drugs have 2.
You must answer all questions on the
been prescribed by a doctor) or you are completed application form honestly and with
affected by any sexually transmitted disease reasonable care. Failure to do so may result
or condition. in this insurance being cancelled or we may
refuse to deal with any claims or reduce the
19. Any costs which you would have been liable amount of a claim payment, as detailed under
to pay had the reason for the claim not the impact of misrepresentation section.
occurred (for example, the cost of food which 3. You must give AIG Claims Services all the15
documents they need to deal with any claim. which you have paid for and which you
You will be responsible for the costs involved cannot get back; and
in doing this. For example, in the event of a • the cost of visas which you have paid for and
cancellation claim you will need to supply which you cannot get back.
proof that you were unable to travel, such Please note: If payment has been made using
as a medical certificate completed by your frequent flyer points, airmiles, loyalty card points
doctor. or the like, settlement of your claim will be based
4. You must at the time of purchasing this upon the lowest available published flight fare
insurance have a private medical insurance for the flight originally booked if they are non-
policy in force, providing medical expenses transferable.
cover whilst abroad for all persons to be
insured under this travel insurance. This We will provide this cover if the cancellation of
private medical insurance policy must your trip is necessary and unavoidable as a result
remain in force for the duration of the trip. of the following.
5. You must at all times follow the terms 1. You dying, becoming seriously ill or being
and conditions of your private medical injured.
insurance policy. 2. The death, serious illness or injury of a
6. You must reimburse us and/or assist us fully relative, business associate, a person who
in recovering any money that we have paid you have booked to travel with or a relative
under the insurance and which you are also or friend living abroad who you had planned
entitled to recover from anyone else or from to stay with. The incident giving rise to the
other insurers (including the Department of claim must have been unexpected and not
Social Welfare). something you were aware of when you took
7. If you try to make a fraudulent claim or if any out this insurance.
fraudulent means or devices are used when 3. You being made redundant, as long as you
trying to make a claim, this insurance may are entitled to payment under the current
become void and the premium you have paid redundancy payments law and that, at the
may be forfeited. Any benefits already paid to time of booking your trip, you had no reason
you must be repaid in full. to believe that you would be made redundant.
8. You must agree to have a medical examination 4. You or a person who you have booked to
if we ask. If you die, we are entitled to have a travel with being called for jury service (and
post-mortem examination. your request to postpone your service has
9. You must pay us back any amounts that we been rejected) or attending court as a witness
have paid to you which are not covered by (but not as an expert witness).
the insurance. 5. If the police or relevant authority need you
10. After a claim has been settled, any salvage to stay in the Republic of Ireland after a fire,
you have sent into AIG Claims Services will storm, flood, burglary or vandalism to
become our property. your home or place of business within
seven days before you planned to leave on
your trip.
Sections of cover 6. If you are a member of the armed forces or
police, fire, nursing or ambulance services
which results in you having to stay in the
Section A – Cancelling Republic of Ireland due to an unforeseen
your trip emergency or if you are posted overseas
unexpectedly.
7. If after the time you booked your trip the
What you are covered for
Department of Foreign Affairs allocates
We will pay up to the amount shown in the table of a security status of ‘Avoid non-essential
benefits for: travel’ or ‘Do not travel’ to your intended
• travel and accommodation expenses which destination.
you have paid or have agreed to pay under a 8. If you become pregnant after the date you
contract and which you cannot get back; arranged this insurance cover (or booked
• the cost of excursions, tours and activities your trip, whichever is earlier, if you have16
arranged Annual Multi Trip Insurance) and
you will be more than 26 weeks pregnant
Section B1 – Medical and
at the start of or during your trip. Or, if you other expenses outside of
become pregnant after the date you arranged
this insurance cover and your doctor the Republic of Ireland
advises that you are not fit to travel due to
complications in your pregnancy. Please note: If you are admitted into hospital
as an inpatient for more than 24 hours and the
What you are not covered for estimated total cost of your medical expenses
abroad is likely to exceed 50% of the medical
1. The excess as shown in the table of benefits expenses cover provided by your private medical
(or x35 if the claim relates to loss of insurance, someone must contact the Medical
deposit) which will apply for each trip that Emergency Assistance Company on your behalf
you have booked and for each insured immediately (please see the Medical and other
person. emergencies section on pages 11-12 for further
2. Cancelling your trip because of a medical details).
condition or an illness or death related to
a medical condition which you knew about What you are covered for
before you bought this insurance and which
could reasonably be expected to lead to We will pay up to the amount shown in the table
a claim. This applies to you, a relative, of benefits in excess of the amount payable by
business associate or a person who you your private medical insurance for the necessary
are travelling with, and any person you were and reasonable costs as a result of you becoming
depending on for the trip. ill, being injured or dying during your trip. This
3. You not wanting to travel. includes:
4. Any extra costs resulting from you not telling 1. Emergency medical, surgical and hospital
the holiday company as soon as you know treatment and ambulance costs.
you have to cancel your trip. 2. Up to x300 for emergency dental treatment
5. You being unable to travel due to your failure as long as it is for the immediate relief of
to obtain the passport or visa you need for pain only and is not recoverable from your
the trip. private medical insurance.
6. Airport taxes and associated 3. The cost of your return to the Republic
administration fees shown in the cost of of Ireland earlier than planned if this is
your flights. medically necessary, the Medical Emergency
7. Costs which have been paid for on behalf of Assistance Company approve this and it is
a person who has not taken out insurance not recoverable from your private medical
cover with AIG. insurance.
4. If you cannot return to the Republic of Ireland
Claims evidence required for Section A as you originally planned and the Medical
Emergency Assistance Company approves
• Insurance schedule this, we will pay for the following, provided
• Proof of travel cost (confirmation invoice, they are not recoverable from your private
travel tickets, unused excursion, tour or medical insurance.
activity tickets) • Extra accommodation (room only) and
• Cancellation invoice or letter confirming no travel expenses (economy class unless
refund is due a higher grade of travel is confirmed
• A medical certificate which we will supply for as medically necessary and authorised
the appropriate doctor to complete by the Medical Emergency Assistance
• An official letter confirming: redundancy, Company) to allow you to return to the
emergency posting overseas, the need for Republic of Ireland; and
you to remain in the Republic of Ireland • Extra accommodation (room only) for
• Summons for jury service someone to stay with you and travel
Please note: This is not a full list and we may home with you if this is necessary due
request other evidence to support your claim. to medical advice; orYou can also read
