Scratch & Patch Pet Insurance - Champ 4.0
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Scratch & Patch Pet Insurance Champ 4.0
Contents Your policy 4 What to do if you have a claim 7 Cancelling your policy 7 Important customer information 8 Keeping your policy up to date 8 Section A – Veterinary fees and alternative treatment 11 Section B – Death from accident, illness and euthanasia 13 Section C – Third party liability 14 Section D – Loss and recovery of your pet 16 Section E – Emergency boarding and pet minding fees 17 Section F – Holiday cancellation or curtailment 17 Section G – Accidental damage 18 Conditions applying to all sections of cover 19 General exclusions applying to all sections of cover 19 Complaints procedure 22 Data protection and your personal information 22 Regulatory Information 23 PAGE 2 OF 25
Scratch & Patch POLICY DOCUMENT Welcome to Scratch & Patch pet insurance. Thank you for choosing to insure your pet(s) with us. We are delighted to bring you and your pet(s) into our community of customers. The long term health and happiness of your pet is important. This can be achieved through exercise, feeding them well, providing a loving home and taking care of their routine health needs such as vaccinations and regular check-ups by your vet. Sometimes, pets become ill or have an accident which needs veterinary attention and this is where pet insurance can be of help from a financial point of view. We provide cover for this in the UK and within the EU PETS travel area as standard. Our policy also includes other useful sections of cover and a telephone careline for you to use if you want to check something out about your pet’s health without needing to go to a vet or if something troubles you outside of normal practice hours. This policy booklet along with your schedule will provide you with all the information you need to understand exactly what cover is provided, the terms and conditions of your cover as well as how to make a claim, amend your cover or tell us about changes. At Scratch & Patch our aim is to provide a first class level of service at all times and we want you to be delighted with this. We will ask for your feedback but if at any time you are not entirely happy please let us know, our contact numbers are included throughout the booklet and our complaints procedure is included on page 22. We value your opinion and custom and are always looking for ways to improve. We hope that your pet lives a long, happy and healthy life but if things go wrong we will be there to help. Scratch & Patch PAGE 3 OF 25
Scratch & Patch POLICY DOCUMENT Your policy This is your policy wording. We can choose not to offer renewal of Please read the policy together with your policy. If we do, we will let you your schedule, statement of fact and know before the renewal date so that you veterinary medical screening have time to make any alternative declaration as these documents arrangements. together form the legal contract between you and the insurer. In deciding to Defined terms accept this insurance and in setting the The following words or phrases have the terms and premium, we have relied on same meaning wherever they appear in the information you provided when you this policy. Please note, unless specified applied for this insurance. This is shown otherwise, words denoting singular may in the statement of fact and medical also include plural and vice versa. These screening declaration. words will appear in bold throughout the Please read the schedule to see which policy from the point they are first cover you have purchased and whether defined onwards. it is in force. Accident: a sudden, unforeseen, We recommend that you take time to external and unintended event causing check the documents we have sent you injury to your pet. as soon as possible, they contain your Accepted associations: any of the information, your pet's cover details, the following, Association of British period of insurance and the premium. All Veterinary Acupuncturists, Association of the sections of cover apply to dogs. Cats Chartered Physiotherapists in Animal are covered for all sections except Therapy, British Veterinary Rehabilitation section C – third party liability. The level and Sports Medicine Association, Canine of cover provided under each section is Hydrotherapy Association, Institute of detailed in your schedule. Registered Veterinary and Animal If any of the information is incorrect or Physiotherapists, International the policy does not meet your needs, Association of Animal Therapists, please call our Customer Service team International Veterinary Acupuncture on 0330 1026839 and they will be able to Society, International Veterinary help you. You can also call this number if Chiropractic Association, McTimoney you have any questions about your Chiropractic Association, National policy. Association of Registered Canine Hydrotherapists, National Association of Please ensure that you fulfil the Veterinary Physiotherapists, The Society obligations set out below in What to do if of Osteopaths in Animal Practice. you have a claim, Cancelling your policy, Important customer information, Alternative treatment: homeopathic or Keeping your policy up to date, and herbal medicine, physiotherapy, Conditions applicable to all sections of hydrotherapy, acupuncture, osteopathy, cover. Not doing so may affect a claim or laser treatment or chiropractic could result in your insurance being manipulation to treat injury or illness invalid. which is prescribed by and carried out by a vet, or the treatment is provided by We agree to provide the cover set out in a veterinary practice employee or a this policy and your schedule subject to suitably qualified member of an you paying the correct premium and accepted association. taxes due and complying with the terms and conditions of this policy. PAGE 4 OF 25
Scratch & Patch POLICY DOCUMENT Additional Excess: the amount stated on Family: Your husband, wife, civil partner, the schedule which is the amount you partner, parents, grandparents, brothers, have to pay towards the cost of your sisters, sons, daughters, grandsons and pet’s treatment in addition to the granddaughters. excess for the conditions declared by Financial Conduct Authority: the you in the veterinary medical Financial Conduct Authority is the screening declaration and accepted by independent watchdog that regulates us and noted therein and on your financial services. schedule. This additional excess is not payable where your pet has been Holiday: a vacation or pleasure trip insured by us under this policy for a including at least one overnight stay period of 24 continuous months without outside the UK which commences and receiving treatment for the named ends in the UK. condition. Home: The place in the UK where you Behavioural treatment: treating a usually live and which is shown in your change to your pet’s normal behaviour schedule. that is caused by a mental or emotional Illness: any change(s) to a normal disorder which could not have been healthy state, sickness, disease, defects prevented by training and/or spaying/ and abnormalities, including defects and castration and which is carried out by a abnormalities your pet was born with or veterinary practice employee, a were passed on by its parents which is Certified Clinical Animal Behaviourist not caused by an accident. (CCAB) or a member of the Association of Pet Behaviour Counsellors (APBC) or Injury: physical damage or trauma Canine and Feline Behaviour Association caused immediately by an accident. (CFBA) and is considered necessary by a qualified vet. Insurer: HDI Global Specialty SE Clinical sign(s): A change(s) in your registered in Germany (company pet’s normal healthy state, its bodily number HRB 211924) acting through its functions or behaviour. UK Branch which is situated at 10 Fenchurch Street, London EC3M 3BE Dental treatment: treatment to the Period of insurance: the period of time teeth and gums of your pet needed as a during which cover will be provided by direct result of an injury to your pet. us as stated in your schedule. Dog: the dog(s) named on your schedule. Pre-existing condition: An injury or illness that: Elective treatment, diagnostic or procedure: Any treatment, diagnostic or a. Happened or first showed clinical procedure you request, which the vet signs, confirms is not necessary. b. Has the same diagnosis or clinical Excess: the excess is the amount you signs as an injury, illness or have to pay towards the cost of your clinical sign your pet had, pet’s treatment for each injury or c. Is caused by, relates to, or results illness that is not related to any other from, an injury, illness or clinical injury or illness treated during the sign your pet had, same period of insurance. This means that if your pet receives treatment for before the start date of your pet’s first the same injury or illness in a separate period of insurance (inception) or before the date the cover level on your period of insurance, we will deduct a policy was increased. fixed excess from the first claim(s) for each injury or illness in each period of No matter where the injury, illness or insurance. clinical signs are noticed or happen in, or on, your pet’s body. PAGE 5 OF 25
Scratch & Patch POLICY DOCUMENT This does not include any injury, illness UK: England, Scotland, Wales and or condition declared by you in the Northern Ireland. veterinary medical screening declaration and accepted by us and Vet: A qualified veterinary surgeon noted therein and on your schedule. currently registered with the Royal College of Veterinary Surgeons. It does include any injury, illness or condition not declared by you in the Veterinary fees: the reasonable, veterinary medical screening necessary and essential amount vets declaration and any injury, illness or normally charge to provide treatment. condition declared by you in the Every claim will be reviewed by our pet veterinary medical screening claims handler and compared to charges declaration and not accepted by us and for the same or similar treatment locally any linked conditions which are shown to ensure that the fees meet this as not covered therein and on your requirement. A maximum 100% mark up schedule. on the manufacturer’s or wholesaler’s price will be allowed on veterinary Pet: the dog(s) and / or cat(s) named on medicines including any dispensing your schedule. fees. PETS countries: any European Union Veterinary medical screening member States and Territories which are declaration: the veterinary information included in the Pet Travel Scheme provided relating to your pets medical (PETS). history when applying for this insurance and which you have confirmed to be Pet Travel Scheme (PETS): a system complete, correct and up to date. that allows people in the UK to take their pets to certain countries and bring them We/Us/Our: Scratch & Patch on behalf back again without the need for of the insurer. quarantine. You, your: the person named on your Policy: this insurance wording. schedule as the policyholder Policy documents: the policy, schedule, statement of fact and veterinary medical screening declaration. All to be read as one. Scratch & Patch: a trading name of Only Pets Cover Limited. Schedule: the document which contains important information about you, your pet and your policy cover. It forms part of your policy documents which make up your legal contract with us. Statement of fact: the information provided when applying for this insurance and which you have confirmed to be correct. Treatment: any examination, consultation, advice, test, x-ray, slides, ultrasound, MRI, CT scan or other diagnostic procedure, surgery and nursing carried out by a vet, a veterinary nurse or veterinary practice employee under the supervision of a vet, and any medication legally prescribed by a vet. PAGE 6 OF 25
Scratch & Patch POLICY DOCUMENT What to do if you If your pet dies or is euthanised and you are making a claim under your policy, have a claim you must arrange at your expense for your vet to certify your pet’s death You can notify us of a claim and obtain a stating the cause and date. If euthanised, claim form by: we will need a certificate stating that this was necessary for humane reasons and Telephone: 0330 1026839 – Select Option to stop incurable suffering. 3. Email: claims@scratchandpatch.co.uk Cancelling your Our website: www.scratchandpatch.co.uk. policy Completed claims forms along with You can cancel your policy at any time supporting documents should be sent by calling us on 0330 102 6839. by: If you cancel within 14 days of the start Email: claims@scratchandpatch.co.uk date of the first period of insurance or the date you receive your policy Post: documents, if later, then the insurer will Scratch & Patch Claims refund any premium paid providing no PO Box 8000 claims have been made on the policy. Elland We will charge you an administration fee HX1 9ET as outlined in our Terms of Business. If you cancel at any other time and no Your claim should be notified to us claims have been made against you or within 60 days of any incident. We will your pet the insurer will refund your not pay any claims for vet bills that are premium less a pro-rata premium charge 12 months old or older when they are for your time on cover. We will also sent to us. charge an administration fee. If we request it, the attending vet, or If you cancel at any time and you have your usual or previous vet must at your made a claim on the policy or if a claim expense, provide us with all information has been made against you or your pet about your pet, including its full clinical any remaining annual premium not yet and medical history and / or the paid, and our administration fee will treatment provided. become due. You and your vet or other institution or The insurer may cancel this policy by person requested should complete the sending you 30 days’ notice by recorded claim form without charge before it is post to your correspondence address sent to us. We cannot process any shown in the schedule. The insurer will incomplete claims and will request any only do this for a valid reason. The outstanding information before insurer will return any premium you proceeding with any claim. have paid for any period of insurance Where requested by us, you will need to remaining. provide an original receipt, certificate or other form of proof issued to you, at your home address, showing your pet’s details, if relevant and providing itemised breakdown of the cost incurred and dates as appropriate. These are to be provided at your own cost. PAGE 7 OF 25
Scratch & Patch POLICY DOCUMENT If you pay the premium in instalments Electronic documents and an instalment remains unpaid 15 days after the due date, we may cancel Your policy documents, schedule, this policy. In this event, the period of statement of fact and veterinary insurance will equate to the period for medical screening declaration are which premium instalments have been available online and will be emailed to paid by you. Before we cancel your you. Only in limited circumstances will policy we will write to you in order to we write to you by post. Because of this, give you the opportunity to pay any you must give us a valid email address premium due to us. and keep us informed if this changes Important Customer Giving us all the facts Information When asked by us, if you do not reveal all relevant facts to us your insurance may not be valid and may not protect Renewal you if you need to make a claim. This Your policy runs for a year at a time. duty applies at application stage, at renewal and during the period of Your insurance contract may insurance of your policy. automatically renew at the end of your period of insurance, where we will use Occasionally, we are deliberately or the information and payment details you recklessly given false information. If this originally supplied. happens we will treat this insurance as if it never existed and decline all claims. We will contact you before your renewal date to give you information about the If you acted carelessly when giving us insurance contract so that you can make your information several things could an informed decision about your policy happen: and let us know if you do not want to 1. If we provided insurance cover that renew. we would not otherwise have offered, we will treat this insurance Each year we may change any details of as if it had never existed. If this your policy and premium or not offer happens, we will give you back renewal, in doing this we will take into your premium. account the information we have about 2. If we would have insured you on your policy, your pet’s medical history, different terms, we will amend this claims made and expected future insurance retrospectively and apply treatment and claims costs. In general, these amended terms to the claim. 3. If we would have charged you more premiums increase with the age of your premium, we will proportionately pet and if claims have been made. reduce the amount of any claim You should take reasonable care to payment. inform us of any changes since the If we do any of the above, we will write to policy started or was last renewed. you explaining why this is happening. If If you pay premium by instalments and you disagree with what we are doing, have received a default notice in your please tell us. If you are still not satisfied, policy term, we may not offer the you may ask the Financial Ombudsman monthly payment option when you are Service to review your case without due to renew. If we cannot collect your affecting your legal rights. first Direct Debit when your policy has renewed, we will assume you prefer to not continue your insurance and we will cancel your policy from your renewal date. PAGE 8 OF 25
Scratch & Patch POLICY DOCUMENT Non-payment of premium Language You must pay the premium on the dates All communication between you, the agreed for this policy to remain in force. insurer and us in relation to this policy If you do not pay the premium on the will be in English. due date, you have 15 (fifteen) days from the date of the default to contact us to Governing Law and Courts organise payment. If we do not receive This contract will be governed by payment your policy will be cancelled English law, and you and the insurer from the default date and all cover and agree to submit to the non-exclusive benefits will stop on this date. If you have jurisdiction of the courts of England and made a claim the full annual premium Wales. will become due. Assignment Changing cover level You cannot transfer your interest in this If you change your cover to one that policy to anyone else without the gives a higher level of cover the higher insurer’s written permission. level will apply to any injury and illness which first showed clinical signs after Sanctions the transfer date. The higher limit will not apply to any pre-existing condition. The insurer will not provide any cover or be liable to provide any indemnity, If you change your cover to one that payment or other benefit under this gives a lower benefit the lower amounts policy where doing so would breach any will apply to all claims from the date you prohibition or restriction imposed by law change onwards including those you are or regulation. already making. Rights of Third Parties Fraud It is not intended by you or the insurer You must be honest and truthful in your that any term in this agreement is dealings with us and the insurer at all enforceable pursuant to the Contracts times. If you or anyone acting on your (Rights of Third Parties) Act 1999 or any behalf attempts to deceive us or amendments to the Act or replacement knowingly makes a false claim, the legislation. Keeping your policy up to insurer has the right to cancel your date. policy, refuse claims and keep any premium paid. We may recover from you Changes which may affect any costs we have incurred, including the costs of investigating the claim. We your cover will not pay a claim which is in any way As some changes will affect your cover, fraudulent, false or exaggerated. We will you should tell us as soon as possible also not deal with any claims following about any change to the details you have discovery of this behaviour regardless of previously declared on your statement when the claims occurred. In addition, of fact, for example but not limited to: we have the right to share details of this • you no longer own the pet. behaviour with other organisations to prevent further fraud. We may also • you change address or move outside involve the relevant authorities who are the UK. empowered to bring criminal • you intend to use your pet for proceedings. guarding, breeding or financial gain. • your pet is neutered or spayed. • your pets’ health changes. PAGE 9 OF 25
Scratch & Patch POLICY DOCUMENT • your pets’ behaviour changes or there are complaints about its behaviour. • your pet no longer lives with you. If you do not tell us about these changes it may affect any claim you make or could result in your policy being invalid. As a result of a change we may either decline to continue with the insurance or accept the change to your policy. If we accept the change this may be on the same terms as before or lead to a change of terms and conditions, an extra premium being charged or a refund of your premium. We will also charge you an administration fee. Further information is provided in our Terms of Business. PAGE 10 OF 25
Scratch & Patch POLICY DOCUMENT If your policy is not renewed all cover Section A – stops at the end of the most recent period of insurance. Veterinary fees and alternative What is not covered treatment Veterinary Fees All amounts are for each pet insured. The insurer will not cover the following: Cover is provided in the UK and PETS 1. The excess shown in your countries. schedule for each new injury or What is covered illness in the period of insurance. 2. The additional excess shown in Veterinary Fees your schedule for the injury, The insurer will pay the cost of illness or condition specified. veterinary fees for the treatment your 3. The cost of any treatment or claim pet has received in the UK or PETS for a pre-existing condition. countries to treat injury and illness. 4. The cost of routine examinations, Included within and part of the amount for veterinary fees the insurer will pay nail clipping, bathing, de-matting, up to the inner limit amounts stated in grooming, spaying, castration or your schedule for: retained/undescended testicles (cryptorchidism). • Cruciate ligament damage treatment; 4. The cost of treatment to prevent • MRI / CT Scans and the cost of injury or illness. general anaesthetic, sedation, 5. The cost of elective treatment, drugs, hospital and interpretation diagnostic or procedure or any fees; treatment that you choose to have • Alternative treatment; carried out that is not directly related to an injury or illness, • Dental treatment; including any complications that • Diet food prescribed by a vet to result from this. dissolve bladder stones or crystals 6. The cost of any treatment in in urine; connection with breeding and any • Behavioural treatment; complications of breeding, pregnancy, giving birth or rearing in each period of insurance. puppies or kittens. These inner limits are part of and not in addition to the veterinary fees limit. 7. The cost of treatment in connection with false pregnancy if The most the insurer will pay in any your pet has received treatment period of insurance under this section for two or more episodes of false is up to the amount shown on your schedule for veterinary fees. If this pregnancy. limit is reached in a period of 8. The cost of any vaccinations, flea insurance, the insurer will not make tick or worming prevention or any more payments under this section until your policy is renewed. treatment and the cost of general health improvers. The amount the insurer will pay is reinstated at the beginning of each period of insurance based on your renewal invitation. PAGE 11 OF 25
Scratch & Patch POLICY DOCUMENT 9. The cost of a house call unless a 19. The cost of pheromone products, vet confirms that your pet is including DAP diffusers and Feliway suffering from a serious injury and / or similar feline facial or illness and that moving your pheromone products used in either pet would either endanger its a spray or an electrical diffuser life or significantly worsen the format and any general health serious injury or illness. enhancers 10. The extra costs for treating your pet 20. The cost of dental or gum treatment outside usual surgery hours, unless not as a direct result of an accident a vet confirms that an emergency or injury or for routine, consultation is necessary. preventative or cosmetic purposes 11. The cost of hospitalisation and any including but not limited to scaling associated treatment, unless a vet and polishing. confirms your pet must be 21. The cost of any diet food not hospitalised for essential treatment. specifically covered, any obesity 12. The cost of buying or hiring food, supplements or pro-biotics. equipment or machinery or any 22. The cost of diet foods allowed once form of housing, including cages. bladder stones or crystals are 13. The cost of transplant surgery dissolved. including pre and post-operative 23. Any treatment costs incurred after care. the limit shown on your schedule is 14. The cost of prosthesis, including any reached in a period of insurance. veterinary treatment needed to fit 24. Any treatment costs incurred after the prosthesis, other than the cost of the period of insurance has ended, hip, knee and / or elbow unless you and the insurer have replacement(s). agreed to a further period of 15. The cost of stem-cell or gene insurance. therapy. 25. Anything detailed in the general 16. The costs charged by a vet to fill out exclusions. a claim form or provide a prescription. 17. The cost of surgical items which can be used more than once. 18. The cost of cremation and disposal, including post mortem examination costs, coffins and caskets. PAGE 12 OF 25
Scratch & Patch POLICY DOCUMENT Section B – Death Euthanasia The insurer will pay the reasonable and from accident, necessary cost of a vet putting your pet to sleep where this is needed for humane illness and reasons and to stop incurable suffering. euthanasia The most the insurer will pay is up to the amount shown on your schedule. What is covered What is not covered Death by accident or illness The insurer will not cover the following: The insurer will pay a percentage of the 1. Dogs aged 8 years and over at the purchase or donation price you paid for date of death or being euthanised. your pet if it dies or is put to sleep (euthanised) by a vet as a result of an 2. Cats aged 10 years and over at the accident or illness in the period of date of death or being euthanised. insurance. 3. Death as a result of breeding, If you are unable to provide proof of pregnancy or giving birth. what you paid or donated, the insurer will pay the percentage based on an 4. The cost of cremation and disposal, initial value of £75 for cats or £150 for including post mortem examination dogs, or the amount you stated in your costs, coffins and caskets. original application and included in the statement of fact, whichever is the 5. Anything detailed in the general lesser. exclusions. The percentage payment in all cases will be based on the age of your pet at the date of death using the pets date of birth on your schedule and will be calculated follows: Age at date your Percentage pet dies or is payment euthanised Up to one year 100% One to two years 75% Three to four years 50% Five to six years 25% Seven years and 10% over The most the insurer will pay is the amount shown on your schedule. PAGE 13 OF 25
Scratch & Patch POLICY DOCUMENT Section C – Third 6. Any claim which results from your dog being used for any trade, party liability profession or business. 7. Your liability to any person All amounts are for each dog insured. claiming damages and compensation that lives with you at This section does not apply to cats. your home, is a member of your Cover is provided in the UK. family, is employed by you, or was looking after your dog with your What is covered permission. The insurer will pay damages and legal 8. Any liability for loss or damage to costs to others which you become property which belongs to, or is in legally liable to pay if your dog, causes the care of you, a member of your accidental death or injury to a person or accidental loss or damage to their family, any person who lives with property. you or is employed by you. 9. Any liability where you have not If someone who is not a member of your followed advice given to you by family is looking after your dog when the injury or damage happens, the previous owners of your dog or any insurer will still pay as long as you re-homing organisation about your asked them to look after your dog, you dog’s behavioural traits. did not agree to pay them to look after 10. Claims as a result of your dog’s your dog and the death, injury, loss or damage was not to them or their interaction with or attacking other property. The definition of you in this animals. section is extended to cover this 11. Any fines, penalties, punitive, situation. exemplary, aggravated, liquidated The most the insurer will pay for any and multiple damages or breach of claim or series of claims arising from any quarantine restrictions or import or one event occurring during the period export regulations. of insurance is shown on your schedule. 12. Any claim or other proceedings lodged or prosecuted outside the UK. What is not covered 13. Anything detailed in the general The insurer will not cover the following: exclusions. 1. Any claim where you are insured Special conditions relating to third under any other insurance policy party liability claims that covers the same loss, unless that cover has been exhausted. You must notify us, as soon as possible, after you become aware that your pet is 2. The excess shown in your involved in an incident which may give schedule. rise to a third party liability claim. 3. The cost of defending you if the You must not admit responsibility, agree insurer has not agreed to the to pay any claim or negotiate with any amount in writing beforehand. persons following an incident or incur 4. Your liability arising out of any any cost at all without our express contract that you have entered into, written agreement. unless liability would exist without If you receive any correspondence, writ, the contract. summons or any other legal document 5. Any claim which involves your from or on behalf of a third party you employment, profession, occupation must not answer any of these but they or business or happens at your should be forwarded to us as soon as workplace. possible. PAGE 14 OF 25
Scratch & Patch POLICY DOCUMENT You agree to the insurer taking charge of your claim and allow the insurer to prosecute, defend, settle it on terms the insurer is advised are reasonable in your name for the insurer’s benefit. You must provide the insurer with all and any information we request in relation to the claim including details of your dog’s medical and behavioural history, history of ownership and details of any other insurance policies that might contribute towards compensating the claimant. You agree to help us find out about all the circumstances of any incident leading to a claim, provide written statements and go to court if the insurer needs you to. PAGE 15 OF 25
Scratch & Patch POLICY DOCUMENT Included within the amount for loss and Section D – Loss and recovery the insurer will pay up to £75 towards sundries for you to make recovery of your pet advertising material including leaflets, flyers, posters or similar. All amounts are for each pet insured. Cover is provided in the UK. If your pet is found or has returned after we have paid you, you must repay the What is covered insurer the full amount that you have received for its loss. The insurer will pay a percentage of the purchase or donation price you paid for The most the insurer will pay is up to the your pet if it goes missing from your amount shown on your schedule. home due to straying or theft in the period of insurance and is not found within 60 days from the date it goes What is not covered missing. The insurer will not cover the following: If you are unable to provide proof of 1. Dogs aged 8 years and over at the what you paid or donated, the insurer date they go missing. will pay the percentage based on an initial value of £75 for cats or £150 for 2. Cats aged 10 years and over at the dogs or the amount you stated in your date they go missing. original application and included in the statement of fact whichever is the 3. Theft which does not involve lesser. forcible or violent entry to a secure area, such as a pen or your home. The percentage payment in all cases will 4. Theft if you have not reported it to be based on the age of your pet at the date it goes missing using the pets date the police and have a crime of birth on your schedule and will be reference number. calculated follows: 5. Any loss if you have not reported a missing pet to at least one rescue Age at date your centre for cats and a dog warden for pet strays or is Percentage dogs. stolen payment 6. Any loss if you or any person responsible for your pet has Up to one year 100% voluntarily parted with it for any reason or abandoned it deliberately. One to two years 75% 7. Any reward to a member of your Three to four years 50% family, anyone who lives with you at your home, is employed by you, was looking after your pet when it Five to six years 25% went missing or is otherwise known to you. Seven years and 10% 8. Any reward that has not been paid over by you first. The insurer will pay local advertising 9. Any reward for which you do not costs and any reward which you have to have a signed receipt showing the pay which helps to find and recover your full name and address of the person lost pet, if it goes missing from your who found your pet. home due to straying or theft in the period of insurance, provided that you 10. Anything detailed in the general first obtain our written agreement to the exclusions. costs and of the reward, up to the amount paid or donated for your pet, to be 11. The cost of pheromone products. offered. PAGE 16 OF 25
Scratch & Patch POLICY DOCUMENT Section E – Section F – Holiday Emergency cancellation or boarding and pet curtailment minding fees The amounts are for each holiday. Cover is provided in the UK and PETS All amounts are for each pet insured. countries. Cover is provided in the UK. What is covered What is covered The insurer will pay for unrecoverable The insurer will pay for the cost of travel and accommodation costs you boarding your pet in a licenced kennels have to pay as a result of cancelling or or a cattery, or, for the services of a cutting short your holiday because your professional pet home carer whilst you pet goes missing or needs immediate are an in-patient of a hospital on medical emergency life-saving surgery either advice due to an accidental injury or whilst you are on holiday or within 7 illness for 5 or more consecutive days. days of the date you are due to leave. The most the insurer will pay is up to the The most the insurer will pay is up to the amount shown on your schedule. amount shown on your schedule. What is not covered What is not covered The insurer will not pay the cost of The insurer will not pay: boarding your pet due to: 1. For any holiday where the holiday 1. your stay in hospital that is not on was booked less than 4 weeks medical advice. before you are due to leave. 2. a stay in hospital that you knew you 2. Costs as a result of you delaying needed before the cover start date or telling the company or companies any chronic recurring condition you providing your travel and already have when taking out your accommodation that you are policy. cancelling or cutting short your holiday. 3. a stay in a convalescent or nursing home. 3. Any costs for anyone else that is on holiday or going on holiday with 4. hospital admission for alcoholism, you. drug abuse, attempted suicide, self- harm or self-inflicted injury or illness. 4. Any costs for cancellation or curtailment for any other reason or where surgery is not immediately needed to save the life of your pet. 5. More than the insurer’s share if you are insured under any other insurance policy that covers the same loss. 6. Anything detailed in the general exclusions. PAGE 17 OF 25
Scratch & Patch POLICY DOCUMENT Section G – Accidental damage All amounts are for each pet insured. Cover is provided in the UK. What is covered The insurer will pay if, while visiting someone else’s property your pet causes accidental damage to personal property. You do not have to be legally liable for the damage to make a claim under this cover. The most the insurer will pay is up to the amount shown on your schedule. What is not covered The insurer will not pay: 1. For damage to personal property owned by or in the control of you, your family, employee or guest. 2. For damage to any personal property belonging to any person entrusted with the care, control and custody of your pet. 3. For damage occurring when your pet is left in a home where no person aged 18 or over is present. 4. For damage to any motor vehicle or its contents. 5. For damage caused by your pet fouling, vomiting or urinating on/in any items. 6. More than the insurer’s share if you are insured under any other insurance policy that covers the same loss. 7. Anything detailed in the general exclusions. PAGE 18 OF 25
Scratch & Patch POLICY DOCUMENT Conditions applying General exclusions to all sections of applying to all cover sections of cover You must take care of your pet including The insurer will not pay: arranging and paying for any treatment recommended by your vet to prevent 1. Any claim for or as a result of a pre- the risk of injury or illness. existing condition. You must ensure that your pet is 2. Any claim for or as a result of an vaccinated against distemper, hepatitis, illness which leptospirosis, parvovirus for dogs, a. first showed clinical signs, kennel cough when entering a boarding kennel or show, and feline infections b. has the same diagnosis or such as enteritis, feline leukaemia and clinical signs as an cat flu for cats. You must also agree to illness that showed have your pet vaccinated against other clinical signs or diseases a vet says is necessary. You c. is caused by, relates to, must keep your pet’s vaccinations up to or,results from a clinical date, as recommended by your vet. If sign of an illness any of the above diseases are not vaccinated against they will be excluded that was noticed, in the first 14 days from your policy. of your pets cover. You must ensure that your pet is wormed This exclusion does not apply if and flea treated regularly and if there is a your pet was insured for veterinary risk of contagion you should keep your fee’s under another policy of pet isolated to avoid infection. insurance up to the start date (inception) of the first period of A dog on a public road must be on a insurance with the insurer and you collar and lead and under control at all provide proof of this to us. times. You should take steps to ensure that your dog does not escape or stray. 3. Any claim for or as a result of any Areas in which a dog is kept must be previous or existing adverse secure and properly fenced or otherwise behavioural or aggressive organised to prevent escape. characteristics at inception which have been noted by you, the In the UK your dog must always have a breeder, a veterinary practice, collar on that provides your contact rehoming organisation or any details in case your dog goes missing or previous owner(s) or for incidents runs off. before the start date of the first If your pet dies or is euthanised and you period of insurance. are making a claim under your policy, 4. Any claim resulting from your pet you must arrange at your expense for being neutered or spayed. However your vet to certify your pet’s death we will cover any cost arising from stating the cause and date. If euthanised, any complications of neutering or we will need a certificate stating that this spaying. was necessary for humane reasons and to stop incurable suffering. PAGE 19 OF 25
Scratch & Patch POLICY DOCUMENT 5. Any claim as a result of any sexually c. Any action taking in controlling, transmitted disease, rabies, foot and preventing, suppressing or in mouth, epidemic or pandemic any way relating to any outbreak outbreaks or any 'notifiable' disease of such epidemic or pandemic. as listed by DEFRA – UK Department 10. The cost of or compensation due, for Environment, Food and Rural where your pet is euthanised under Affairs or any claim as a result of a court order following its restrictions put on your pet by destruction for the protection of DEFRA. livestock. 6. Any claims as a result of an Act of 11. Costs arising as a result of a disease Parliament, by law or central or local transmitted from animals or birds to government regulation. humans. 7. Any costs as a direct result of the 12. Claims where your pet has been event which led to the claim you are used for commercial breeding, making under this policy. monetary gain, security purposes, as 8. Any loss or damage to any property, a guard dog, in any trade, profession or any legal liability, directly or or business, in any form of racing or indirectly resulting from or any pet trained to attack. contributed to or arising from: 13. Claims of any kind which result from a. Ionising radiations or your pet straying, escaping, contamination by radioactivity damaging property, or attacking from any nuclear fuel, or from people if your pet has done this any nuclear waste from the before. combustion of nuclear fuel, the 14. Any claims for a pet which should be radioactive, toxic, explosive, or registered under the Dangerous other hazardous properties of Dogs Act 1991 and the Dangerous any explosive nuclear assembly Dogs (Northern Ireland) Order 1991 or nuclear component of such or any subsequent amendments or assembly; re-enactments or wolf hybrids. b. war, act of terrorism, invasion, 15. Any pet less than 5 weeks’ old is an act of foreign enemy, hostilities excluded dog or cat. (whether war has been declared or not), civil war, rebellion, revolution, insurrection, military or usurped power. 9. Any loss, injury, damage, Illness, death or legal liability directly or indirectly resulting from, happening through, in consequence of or contributed to: a) An epidemic, pandemic or other such health warning, and declared as such by the Department of Health and Children and/or the World Health Organisation; b. Arising from any fear or threat (whether actual or perceived) of such epidemic or pandemic being declared or occurring; PAGE 20 OF 25
Scratch & Patch POLICY DOCUMENT Excluded dogs The following types/breeds and/or any The following dogs are not eligible for dog crossbred from these are also this insurance and are excluded from all excluded from cover under any section cover: of this policy: 1. Any dog used for trade, profession • American Bandogge / Bandogge or business except Assistance Dogs Mastiff • Australian Dingo 2. Any dog used for guarding, racing, coursing or beating whether for • Bully Kutta business or recreational purposes. • Canadian Inuit The following dogs, as outlined in the • Canary Dogs / Perro De Pressa Dangerous Dogs Act 1991, are Canarios/ Presa Canarios specifically excluded from cover under • Cane Corsos any section of this policy: • Central Asian Shepherd Dog • Czechoslovakian Wolfdogs / • Pit Bull Terrier Sarlooswolfhounds / Wolf Hybrids • Japanese Tosa / Tosa Inus • Irish Staffordshire Bull Terrier • Dogo Argentino (also referred to as • Racing Greyhounds Argentine Dogo and Argentinian Mastiff) • Tamaskan • Fila Brasileiro Including any “type”, as defined in the If your dog is found to be an excluded dog the insurer will cancel your policy, Dangerous Dogs Act 1991, considered to refuse all claims and keep any premium match the description of a prohibited you have paid. We will also charge you “type”; any breed crossed with the the cancellation fee. above; and any other breed or type deemed to be dangerous by the Secretary of State and subsequently added to the Dangerous Dogs Act 1991. PAGE 21 OF 25
Scratch & Patch POLICY DOCUMENT Data protection and your Complaints personal information procedure Your personal information is made up of all the details we and the insurer hold We aim to ensure that all aspects of your about you and your transactions and insurance are dealt with promptly, includes information we gather from other organisations. This information will efficiently and fairly. At all times we are be used to administer this policy and committed to providing you with the handle claims. Your information will be highest standard of service. If you are held for no longer than is necessary. By dissatisfied about the handling of a claim providing this information you consent to or service received and wish to complain us and the insurer processing personal you should, in the first instance, contact and sensitive data about you where this us using the details below: is necessary or appropriate. If your complaint is about Policy Administration Transferring information to other countries Write to: We and the insurer may transfer your Scratch and Patch Customer Relations information to countries outside of the PO Box 1193 UK and EEA on the basis that anyone to Doncaster whom we or the insurer pass it provides DN1 9PW an adequate level of protection. However, Telephone: this information may be accessed by law- enforcement agencies and other 0345 074 4819 authorities to prevent and detect crime Email: and keep to legal obligations. complaints@scratchandpatch.co.uk Credit-reference agencies If your complaint is about Claims When we provided you with a quote, we Write to: searched the electoral roll and other information using a credit-reference Scratch and Patch Claims agency. A record of the check will be PO Box 8000 held by the credit-reference agency who Elland may place a footprint of ‘insurance HX1 9ET search’ on your credit file. This footprint Telephone: will not alter your credit score. 0330 102 6839 Information held about you Email: You are entitled to a copy of the information that is held about you. Your claims@scratchandpatch.co.uk request for information should be made If you remain dissatisfied after we have in writing, to us. considered your complaint you may also be able to refer your complaint to the Further information about your rights Financial Ombudsman Service without and how we deal with your data is affecting your legal rights. Further contained in our Privacy and Legal information can be found on their Statement website www.financial- https://scratchandpatch.co.uk/legal/priv ombudsman.org.uk. acy-legal-statement/ If you are unable to access this website, details can be obtained by contacting us using the contact information provided in the How to contact us section below. PAGE 22 OF 25
Scratch & Patch POLICY DOCUMENT Regulatory About Davies Group Limited (the claims handler) Information Davies Group Limited of 7th Floor, You can check the information below on 1 Minster Court, Mincing Lane, London, the Financial Conduct Authority register England, EC3R 7AA by visiting register.fca.org.uk or by Company number: 06479822 contacting the FCA on 0800 111 6768. About Scratch & Patch The Financial Services Compensation Scheme Scratch & Patch is a trading name of Only Pets Cover Limited. Only Pets Cover Limited of 77 Gracechurch Street, For risks located within the EEA we are London EC3V 0AS, United Kingdom is covered by the UK Financial Services authorised and regulated by the Compensation Scheme (FSCS). You may Financial Conduct Authority. Their be entitled to compensation from the Financial Service Number is 840293. scheme if we cannot meet our obligations. This depends on the type of Company number 09971968. business and the circumstances of the claim. Most insurance contracts are About URIS Group Limited covered for 90% of the claim with no upper limit. You can learn more about (the administrator) this scheme at www.fscs.org.uk or by URIS Group Limited of Quay Point, phoning 0800 678 1100 or 0207 741 4100 or writing to Financial Services Lakeside Boulevard, Doncaster, South Compensation Scheme, 10th Floor, Yorkshire DN4 5PL is authorised and Beaufort House, 15 St Botolph Street, regulated by the Financial Conduct London, EC3A 7QU. Authority. Their Financial Services Number is 307332. Company number is 02461657. About the Insurer HDI Global Specialty SE is registered in Germany, registration number HRB 211924. Registered Office Roderbruchstraße 26, 30655 Hannover, Germany. Authorised and regulated by Bundesanstalt für Finanzdienstleistungsaufsicht. Deemed authorised by the Prudential Regulation Authority. Subject to regulation by the Financial Conduct Authority and limited regulation by the Prudential Regulation Authority. Details of the Temporary Permissions Regime, which allows EEA- based firms to operate in the UK for a limited period while seeking full authorisation, are available on the Financial Conduct Authority’s website. (FRN: 659331) PAGE 23 OF 25
Scratch & Patch POLICY DOCUMENT How to contact us Scratch & Patch Careline Policy administration 0330 1026839, The Scratch & Patch Careline is available admin@scratchandpatch.co.uk 24 hours a day, 7 days a week, 365 days a year and provides advice and guidance Administration Complaints 0345 074 on how to care for your pet as well as in 4819, an emergency. complaints@scratchandpatch.co.uk If you have any concerns about your Claims & Claims Complaints 0330 pet: 1026839, claims@scratchandpatch.co.uk Or visit our website 1. Dial 0333 332 1926 www.scratchandpatch.co.uk 2. Provide the insurance policy number shown on your schedule Opening times 3. Describe your concerns, questions or Policy Administration your pet’s symptoms Monday – Friday: 9am – 7pm 4. A veterinary nurse will answer your Saturday 9am – 2pm questions and explain what you need to do next. Sunday & Bank Holidays: Closed Claims Before you make a claim, your pet must have seen a vet for a professional Monday – Friday; 9am to 5pm assessment. Saturday, Sunday & Bank Holidays - This is not a claims helpline. To notify Closed a claim call 0330 1026839. PAGE 24 OF 25
Quay Point, Lakeside Boulevard, Doncaster South Yorkshire DN4 5PL Telephone 0330 1026839 Email admin@scratchandpatch.co.uk www.scratchandpatch.co.uk Champ 4.0 Version 3.0 January 2021
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