Travelcover for Schools - Travel Insurance - Group Policy
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Travelcover for Schools Travel Insurance Group Policy
Contents Insurance agreement 03 The Cover 21 Important Information 04 Section A. Injury 22 Contact Us 05 Section B. Travel 24 Information for Travellers 05 Section B1 – Medical & other Eligibility 06 expenses 24 Policy Definitions 06 Section B2 –Personal Belongings & Business Equipment 28 Our Regulators 06 Section B3 – Money 31 Complaints Procedures 07 Section B4 – Disruption 35 Data Protection 08 Section B5 – Serious disruption 40 The Personal Information You Provide 08 Section B6 – Personal liability 45 Financial Services Compensation Section B7 – Winter Sports 47 Scheme 09 Section B8 – Passenger Protection 47 General Policy definitions 09 Section B9 – Assistance 48 Policy conditions 13 Section C. Legal Expenses 51 Policy Exclusions 16 Section D. – Crisis Management 55 Claims provisions 18 About Chubb 57 Notification of a Claim 18 Information Chubb may need about a Claim 18 Fraudulent Claims 18 Co-operation 19 Currency 19 Paying Claims 19 2
Insurance agreement Thank you for choosing this Policy The Group Policyholder should which is underwritten by Chubb check over this Policy wording and European Group SE. Group Policy Schedule carefully to ensure they are correct and meet the This Policy pays benefits in accordance Group Policyholder’s requirements, with this Policy wording and has been and notify Marsh immediately, if made available to Insured Persons anything is incorrect, as this could and Policyholders through the affect Policy cover in the event of a Group Policyholder. The Group Claim. The Group Policyholder Policyholder (as specified in the should keep these documents in a Group Policy Schedule) and Chubb safe place and should make them agree that the Group Policyholder available to the Insured Persons and shall pay the Premium as agreed. Policyholders, telling them where the The Group Policy Schedule and this documents can be viewed. The Group Policy wording constitute the full terms Policyholder must tell Chubb if either and conditions of the insurance with their insurance needs or any of the Chubb. The Group Policyholder information they have given Chubb acknowledges that Chubb has changes. A change in circumstances offered this Policy and calculated the may affect Policy cover, even if the Premium using the information which Group Policyholder does not think a they have asked for and the Group change is significant, and Chubb may Policyholder has provided, and that need to change this Policy. Chubb any change to the responses provided will update this Policy and issue a new by the Group Policyholder may result Group Policy Schedule each time a in a change in the terms and conditions change is agreed. of this Policy and/or a change in the Premium. 3
Important Information Contact Us If you need details in smartphone with a Large Print, Braille, or compatible operating Audio please call us on system, tablet, laptop 0345 841 0056 for details. or PC with an internet connection. If you have a hearing or speech impairment To use the Next and would like to speak Generation Text service, to Chubb and have a just dial 18001 and then textphone available, you our number - once the can do so by using the call is connected, a Text Action on Hearing Loss Relay Operator will Next Generation Text join the call to relay the service. This is available message. Our responses 24 hours a day, seven will then appear as text days a week and allows on your textphone, customers to contact smartphone, tablet, us via a Text Relay laptop or PC. For the Operator who will relay Next Generation Text instructions and other service, please call: requests verbally to us. 18001 0345 841 0056. To use the Next Generation Text service, you must have access to a textphone or a 4
Information for Travellers Pre-Travel Information During the Period of Insurance you Important Phone Numbers may call Chubb Assistance: Please make a note of the following phone numbers or add them to your From outside the UK on mobile; you may need them in an +44 (0) 20 3282 0107 emergency or if you need to make a claim. If during the Period of From within the UK on Insurance you require medical or 020 3282 0107 personal assistance or advice during a Journey, you should in the first For pre-travel information on: instance call Chubb Assistance. • Business and social customs • Political situations Chubb Assistance • Medical advice and medical facilities Medical Emergency and Referral overseas Services and Personal Assistance • Health precautions, including Services vaccinations • Visa and entry permit requirements From outside the UK on • Currency +44 (0) 20 3282 0107 • Banking hours • Time zones From within the UK on • Climate 020 3282 0107 • Driving restrictions in respect of: Helpful hints for your insurance • Medical Expenses; • Do take copies of your policy docs • Medical advice, referral or on your journey treatment; • Do report any loss or theft to the • Emergency repatriation; hotel or local police and get a report • Local payment of hospital bills; or from them • Replacement of essential • Do keep valuables safe (e.g. in a maintenance medication or drugs safety deposit box) • Don’t leave valuables lying around Claims or in view of other people From outside the UK on • Do leave yourself enough time to get +44 (0) 1444 335 170 to the airport, park, and get through security From within the UK on • Remember to allow time for delays 01444 335 170 in traffic or travel • Do contact us if you have a change in health that may lead to you having to cancel or alter your journey • Do contact us for advice before 5
incurring costs that you would seek Foreign, Commonwealth & to subsequently claim for under this Development Office (FCDO) policy. If the FCDO issue advice against all travel or all but essential travel to your Immunisations Journey’s destination after you have You may need extra immunisations booked your trip, this insurance does when travelling abroad. Check whether not cover any expenses which under you do before travelling by visiting the terms of any relevant contract, law www.nhs.uk/healthcareabroad or see a or regulation are recoverable (whether copy of the health advice for travellers successful or not) from the tour information leaflet which is available at operator, travel provider, airline, hotel your local Post Office. or other service provider, or otherwise from a compensation scheme. EHIC If you intend to travel to Europe (all EU countries plus Iceland, Liechtenstein, Eligibility Norway and Switzerland) you should obtain a Global Health Insurance Card The categories of Insured Persons are (GHIC) and take it with you when you described in the Schedule of Benefits. travel. European Health insurance Cards (EHIC) will still be valid until the card expires at which point you should Policy Definitions apply for the new GHIC replacement. Certain words in this Policy have a Both the EHIC or GHIC will allow you specific meaning. They have this to benefit from the reciprocal health specific meaning wherever they arrangements, which exist with these appear in this Policy and are shown countries and, if you have a valid Claim by using bold text and capital letters. for Medical Expenses under this Policy, All General Policy definitions are Chubb will not deduct the Excess applicable to this Policy as a whole, where the cost of your Claim has been and are detailed on pages 9 to 13 in this reduced by your using your EHIC or Policy document. Definitions that are GHIC. relevant only to individual Sections are located and contained in the You can get more information about the appropriate Section. EHIC and GHIC, and how to apply for GHIC: Online at: www.nhs.uk/ghic Our Regulators By phone: 0300 330 1350 By post: Forms available online Chubb European Group SE (CEG) is a Societas Europaea, a public company registered in accordance with the corporate law of the European Union. Members’ liability is limited. CEG 6
is headquartered in France and a. In the event of a complaint relating governed by the provisions of the to a sale: French insurance code. Risks falling Marsh Limited, Education Practice within the European Economic Area are underwritten by CEG, which is Postal Address authorised and regulated by the French Marsh Limited Prudential Supervision and Resolution Education Practice Authority (4 Place de Budapest, CS 4 Milton Road 92459, 75436 Paris Cedex 09, France). Haywards Heath Registered company number: 450 327 West Sussex 374 RCS Nanterre. Registered office: La RH16 1AH Tour Carpe Diem, 31 Place des Corolles, Esplanade Nord, 92400 Courbevoie, T +44 (0) 1444 458 144 France. Fully paid share capital of E schools.uk@marsh.com €896,176,662. b. In the event of a complaint relating CEG’s UK branch is registered in to a claim: England & Wales. Registered address: The Customer Relations Manager, 100 Leadenhall Street, London EC3A Chubb 3BP. Authorised by the Prudential Regulation Authority and with deemed variation of permission. Subject to Postal Address regulation by the Financial Conduct Chubb European Group SE Authority and limited regulation by PO Box 682 the Prudential Regulation Authority. Winchester Details of the Temporary Permissions SO23 5AG Regime, which allows EEA-based firms to operate in the UK for a limited T 0800 519 8026 (calls are free period while seeking full authorisation, from a UK landline or mobile) are available on the Financial Conduct T +44 (0) 141 285 2999 Authority’s website (FS Register (International) number 820988). E customerrelations@chubb.com Complaints Procedures c. The Financial Ombudsman Chubb is dedicated to providing a Service (FOS) may be approached high quality service and wants to for assistance if there is still maintain this at all times. If the Group dissatisfaction with the final decision Policyholder, a Policyholder or from Marsh Limited or Chubb. an Insured Person feels that a first The FOS’s contact details are given class service has not been offered or a below. A leaflet explaining the complaint must be made regarding this procedure is available on request. Policy please contact: 7
Postal Address: details of assets, claims history) where Financial Ombudsman Service this is relevant to the risk Chubb is Exchange Tower insuring, services Chubb is providing London or to a Claim the Policyholder or the E14 9SR Insured Person is reporting. T +44 (0) 800 023 4567 (calls are Chubb is part of a global group, and free from a UK landline or Policyholders’ or Insured Persons’ mobile) personal information may be shared T +44 (0) 300 123 9 123 (calls with its group companies in other charged at the same rate as 01 or countries as required to provide 02 numbers on a mobile) coverage under this policy or to store E complaint.info@financial- Policyholders’ or Insured Persons’ ombudsman.org.uk information. Chubb also uses a www.financial-ombudsman.org.uk number of trusted service providers, who will also have access to the The existence of these Complaints Group Policyholder, Policyholders’ Procedures does not reduce the and Insured Persons’ information Insured Person's statutory rights including personal information subject relating to this Policy and does not affect to Chubb's instructions and control. the Insured Person's right to take legal action against Chubb. Policyholders and Insured Persons have a number of rights in relation to their personal information, including Data Protection rights of access and, in certain circumstances, erasure. The Personal Information You Provide This Section represents a condensed Chubb uses personal information explanation of how we use personal which the Group Policyholder, the information. For more information, Policyholders or the Insured Persons Chubb strongly recommends the supply to Chubb or, where applicable, Group Policyholder, Policyholders to the Group Policyholder's insurance and Insured Persons read its user- broker, in order to write and administer friendly Master Privacy Policy, available this Policy, including any Claims arising here: https://www.chubb.com/uk-en/ from it. footer/privacy-policy.aspx. The Group Policyholder, Policyholders and This information will include basic Insured Persons can ask us for a contact details such as Policyholders’ paper copy of the Privacy Policy at or Insured Persons’ names, addresses, any time, by contacting Chubb at and policy number, but may also mailto:dataprotectionoffice.europe@ include more detailed information chubb.com. about Policyholders or Insured Persons (for example, their age, health, 8
Financial Services Compensation Air Sports Scheme Air sports including but not limited to: ballooning; bungee-jumping; In the unlikely event of Chubb gliding; hang-gliding; micro lighting; being unable to meet our liabilities, parachuting; paragliding (including Policyholders who are located in the beach paragliding); or parascending. UK, Channel Islands, Isle of Man or Gibraltar (or who have risks located Aggregate Limit in these jurisdictions) may be entitled The maximum amount that Chubb to compensation under the Financial will pay for all Claims relating to cover Services Compensation Scheme. under each section where stated in the Further information can be obtained Group Policy Schedule. from Chubb or from the Financial Services Compensation Scheme at the Associate Company following address: A company or organisation of the Group Policyholder, the name of Financial Services Compensation which has been advised to and accepted Scheme by Chubb. PO Box 300 Mitcheldean Benefit Amount GL 17 1DY The maximum amount Chubb will pay based on the level of cover stated in the Tel 0800 678 1100 or 020 7741 4100 Schedule of Benefits, and this Policy. Website: www.fscs.org.uk On-Line Form: https://claims.fscs.org. Bodily Injury uk/ Injury to an Insured Person which happens while this Policy is in force; which is caused only by an Accident General Policy Definitions and on its own leads to death or disablement, within 24 months of the Certain words in this Policy have a Accident. specific meaning. They have this specific meaning wherever they appear in this Business Policy, the Group Policy Schedule, The business of the Group Schedule of Benefits, endorsements or Policyholder as declared to Chubb. memoranda and are shown by using bold text and capital letters. Business Equipment Equipment used primarily for Business Accident / Accidental purposes, which is the property of the A sudden, external and identifiable Group Policyholder, or for which the event that happens by chance and Insured Person is responsible and could not be expected, or unavoidable which is taken on or acquired during a exposure to severe weather. Journey by them. 9
Child / Children Due to Any person under 18 years of age or Directly or indirectly caused by, arising under 23 years of age if in Full Time from or in connection with. Education. Effective Time Chubb The time during a Period of Insurance Chubb European Group SE. when an Insured Person is covered, as detailed in the Group Policy Chubb Assistance Schedule. The assistance services arranged by Chubb. Employee(s) Any person(s) under a contract of Claim service or apprenticeship or under A single loss or a series of losses Due to a work experience scheme with the one cause insured by this Policy. Group Policyholder. Communicable Disease Excess Means an illness or disease that may The first amount of a Claim, expressed be transmitted directly or indirectly by as a monetary amount or a percentage one person to another due to a virus, of the loss, which the Policyholder or bacteria or other microorganism. Group Policyholder must bear. Director Full Time Education Any person holding the position of A programme of learning provided by director or company secretary with a recognised educational body, which the Group Policyholder but not non- leads to a qualification by examination executive director unless otherwise or assessment which is either: agreed in writing with Chubb. a. full-time study; or b. a mixture of study and work Doctor experience as long as at least two A doctor or specialist who is registered thirds of the total time for the course or licensed to practice medicine or is spent on study. dentistry under the laws of the country in which they practice other than: Group Policy Schedule a. the Insured Person; or The document issued to the Group b. a Partner or member of the Policyholder by Chubb, detailing the immediate family of the Insured Insured Person's cover and other Person; or important information. c. an Employee or Director of the Group Policyholder; Group Policyholder unless approved by Chubb. The person, firm, company or organisation named as the Group Policyholder in the Group Policy Schedule. 10
Group Journey Immediate Family Member All Journeys organised for a common An Insured Person’s Partner or trip or purpose and authorised by the fiancé(e) or the grandchild, child, Group Policyholder or Participating brother, sister, parent, grandparent, School during the Period of grandchild, stepbrother, step-sister, Insurance. step-parent, parent-in-law, son-in-law, daughter-in-law, sister-in-law, brother- Hijack in-law, aunt, uncle, nephew, niece, of The unlawful seizure or taking control an Insured Person, or anyone noted as of an aircraft or conveyance in which next of kin on any legal document and the Insured Person is travelling. not any Person Insured. Hospital In-patient An establishment which: An Insured Person's Hospital Stay a. exists primarily for the diagnosis, as a resident bed patient, for which a medical care and treatment of sick or clinical case record has been opened injured people on an In-patient basis and which is necessary for the medical under the supervision of Doctor(s) care, diagnosis and treatment of injury one or more of whom is available for or illness covered by this Policy and consultation at all times; and not merely for any form of nursing, b. provides (where appropriate) recovery, rehabilitation, rest, or facilities for major surgery within extended-care. the confines of the establishment Insured Person or in facilities controlled by the Any person or category of persons establishment; or shown in the Group Policy Schedule. c. provides full-time nursing service by and under the supervision of nursing Journey staff; Any trip (or in respect of individual trip This does not include a special unit or a travel, 'the declared trip'), other than a place existing primarily: period of Secondment over 12 months a. for the treatment of psychiatric undertaken by an Insured Person with disease or sub-normality; the authorisation of the Participating b. for the care of the aged, drug addicts School during the Period of Insurance or alcoholics; or and including:- c. as a health hydro or nature cure a. an additional period of up to 31 days clinic, a long-term nursing or long- necessary to complete the trip in term convalescent home, extended which the Insured Person is taking care facility, rest-home or hospice. part (by return to the official place of dispersal of the trip or by return Hospital Stay to the Insured Person's United Admission to a Hospital as an In- Kingdom address) subject to the patient on the advice of, and under Insured Person being delayed in the regular care and attendance of a the course of the trip by unforeseen Doctor. circumstances beyond their control 11
and provided all reasonable action is is the subject of a Claim under this taken to minimise delay; and Policy. b. any trip undertaken by an Insured Person to travel directly from the Participating School Insured Person's United Kingdom A school within the jurisdiction of the home address to the place of official Group Policyholder stated in the assembly at the commencement Group Policy Schedule and which has of the trip and travel directly from been declared to Chubb by the Group the official place of dispersal to the Policyholder. Insured Person's United Kingdom home address upon completion of Period of Insurance the trip. The period between and inclusive of the dates shown From: and To: in the Kidnap Group Policy Schedule commencing The illegal abduction and holding at 00.01 hours on the earliest date hostage of the Insured Person for shown and expiring at 24.00 hours on the purpose of demanding payment of the latest date shown. Both dates and extortion/ransom monies as a condition times refer to local standard time at the of release. A kidnap in which more than address of the Group Policyholder as one Insured Person is abducted shall shown in the Group Policy Schedule. be considered a single kidnap. Personal Belongings Marsh Personal articles which are the property Marsh Limited - Education Practice of the Insured Person, or for which 4 Milton Road, Haywards Heath they are responsible and are taken on or West Sussex, RH16 1AH acquired during the Journey. Parent or Legal Guardian Policyholder A person with parental responsibility, Any person or category of persons or a legal guardian, both being in described as an Insured Person in the accordance with the Children Act Group Policy Schedule or, in respect 2004 and any statutory amendment of Insured Persons under the age of 18 modification or re-enactment of it. years, the Parent or Legal Guardian of such Insured Person. Partner a. An Insured Person's spouse; or Premium b. an Insured Person's civil Partner, The amount stated in the Group Policy registered pursuant to the Civil Schedule in respect of the specified Partnership Act 2004; or Period of Insurance or any amount c. someone of either sex with whom an which subsequently becomes due as Insured Person is living as though a result of alteration, adjustment or they are their spouse or civil partner renewal of this Policy. at the time of the occurrence which 12
Pupil sub-Sections of this Policy. These are Any person in Full-Time Education shown in the appropriate Sections or who is enrolled to attend classes at a sub-Sections. Participating School. Acquisitions Secondment If during the Period of Insurance A posting made by the Policyholder the Group Policyholder acquires that requires a Director or Employee or creates a subsidiary or Associate to live and work outside of the United Company either directly or through Kingdom for a temporary and specified one of its own subsidiaries, cover period not exceeding 12 months. under this Policy automatically extends to include such subsidiary United Kingdom or Associate Company from the England, Scotland, Wales and Northern date of its acquisition or creation, Ireland, including the Isle of Man and provided that the revised underwriting the Channel Islands, for the purposes of information does not vary by more this insurance. than 20% from the information upon which the Premium at inception or last War renewal (whichever occurred last) was Armed conflict between nations, calculated. Underwriting information invasion, act of foreign enemy, civil war, for the purposes of this Condition shall or taking power by organised military mean the numbers of Insured Persons. force. If the revised underwriting information Winter Sports varies by more than 20% Chubb Skiing (including skiing outside the agrees to provide cover from the date area of the normal compacted snow of creation or acquisition of such or ski-slope, i.e. off-piste, but only subsidiary or Associate Company, whilst accompanied by a guide or ski for a period of 30 days during which instructor), tobogganing and snow- time the Group Policyholder shall boarding. provide any additional information as Chubb may require and pay such NOTE: Definitions relevant only to additional Premium as may become the individual Sections are located due. Otherwise, Chubb agrees to and contained in the appropriate provide cover for such subsidiary or Section. Associate Company from the date that the revised underwriting information is provided. Policy Conditions Arbitration In addition to these Policy Conditions If any difference arises as to the there may be Specific Conditions amount to be paid under this Policy relevant to individual Sections and (liability being otherwise admitted) 13
such difference shall be referred 30 days’ notice in writing and cover to an arbitrator to be appointed by for all Insured Persons will cease the parties in accordance with the from the end of the notice period. The relevant statutory provisions. Where Group Policyholder is responsible any difference is to be referred to for informing all Insured Persons arbitration in accordance with this of cancellation. Provided no Claims Condition, the making of an award shall have been made during the Period of be a condition to any right of action Insurance a pro-rata return Premium against Chubb. will be paid. Assignment Changing Cover Subject to the Policy Conditions headed a. The Group Policyholder may, ‘Claims provisions’, the benefits during the Period of Insurance, under this Policy may not be assigned add or delete Insured Persons by the Group Policyholder or the from this Policy. The Group Policyholder and Chubb shall not Policyholder may not make any be bound to accept or be affected by other changes to this Policy except any notice or any trust, charge, lien, where specifically agreed in writing purported assignment or other dealing by Chubb. with or relating to this Policy. b. Chubb reserves the right to make changes, add to the Policy terms Bank Charges and/or to change the total amount Chubb shall not be liable for any payable for this insurance for legal, charges applied by the receiving bank regulatory or taxation reasons. If for any transactions made in relation to this happens, Chubb will write a Claim. to the Group Policyholder with details of the changes at least 30 Cancellation days before they make them. It The Group Policyholder may cancel is the responsibility of the Group this policy at any time. Policyholder to inform Insured Persons of such changes. Any This Policy could be cancelled if the changes Chubb make will be the Group Policyholder, a Policyholder, same for all Insured Persons or an Insured Person if applicable, under this Policy. Chubb will not have knowingly provided incomplete, make changes that only apply to a false or misleading information that particular Insured Person. Chubb has asked for during the Policy application process, at any time whilst Choice of Law this Policy is in force, or in respect of a Unless agreed otherwise in writing any Claim. dispute concerning the interpretation of this Policy shall be governed by and In respect of policies on a pre-paid construed in accordance with the Law annual basis, the Group Policyholder of England and Wales and the English may cancel this Policy by giving Chubb Courts alone shall have jurisdiction 14
in any dispute unless the Group such certificates, information or Policyholder is registered within evidence; and Scotland, Northern Ireland, or the b. at the base rate established by the Isle of Man, in which case the Law of Bank of England on such date. Scotland, Northern Ireland, or the Isle of Man (as applicable) and the Scottish, Disclosure Northern Irish, or Isle of Man courts (as In the event of a fraudulent breach of applicable) alone shall have jurisdiction the duty of fair presentation by the in any dispute. Communication of and Group Policyholder, an Insured in connection with this Policy shall be Person or a Policyholder; in the English language. a. If the breach is before this Policy is entered into, Chubb may avoid Contracts (Rights of Third Parties) this Policy and refuse all Claims, Act and need not return any of the A person who is not a party to this Premiums paid by the Group Agreement including specifically any Policyholder. Insured Person or Policyholder has b. If the breach is in relation to a no right under the Contracts (Rights of variation of this Policy, Chubb may Third Parties) Act 1999 to enforce any treat this Policy as if the variation term of this Policy except where such was never made and need not return rights exist apart from the operation of any of the Premiums paid in respect the Contracts (Rights of Third Parties) of the variation, in respect of the Act 1999. Group Policyholder. Hijack / Kidnap It is agreed that in the event of a breach If an Insured Person is the victim of the duty of fair presentation by the of Hijack or Kidnap the insurance Group Policyholder, an Insured provided by this Policy for such Person or a Policyholder, which is not Insured Person shall continue for a fraudulent, Chubb irrevocably waives period not exceeding 12 months from all and any rights and remedies it has/ the date of the Hijack or Kidnap until may have as a result of the breach of such time as the Insured Person has the duty of fair presentation including, returned to their place of residence. for the avoidance of doubt, any remedy that would have been available under Interest the Insurance Act 2015. It is for Chubb No sum payable by Chubb under to show that a breach was fraudulent. this Policy shall carry interest unless payment has been unreasonably For the purposes of this clause, the delayed by Chubb following receipt of phrase “duty of fair presentation” shall all the required certificates, information have the same meaning as given to it in and evidence necessary to support the Insurance Act 2015. the Claim. Where interest becomes payable by Chubb, it will be calculated: a. From the date of final receipt of 15
Providing Information to Insured 4. Any expenses which are recoverable Persons (whether successful or not) by an The Group Policyholder must provide Insured Person, Policyholder, a copy of the Insurance Product Group Policyholder or Information Document (IPID) to all Participating School from: Insured Persons and must also make a. any tour operator, travel provider, this Group Policy wording and Group airline, hotel or other service Policy Schedule available too, stating provider under the terms of any where the documents can be viewed. contract or any relevant law or regulation; or Other Taxes and Costs b. any compensation scheme; Chubb is required to notify Insured 5. Devaluation of currency or shortages Persons and the Group Policyholder due to error or omission during that other taxes or costs may exist monetary transactions; which are not imposed or charged by 6. Any illegal act of an Insured Chubb. Person; 7. Misuse of alcohol or solvents by an NOTE: Conditions relevant only to Insured Person; the individual Sections are located 8. Drugs ingested by an Insured and contained in the appropriate Person except for drugs that are Section. properly prescribed; 9. The Insured Person driving a vehicle of any kind whilst the alcohol Policy Exclusions level in their blood exceeds the legal limit of the country where they are Chubb will not be liable for payment of driving; any benefit for Bodily Injury, loss or 10. Air travel, unless the Insured expense Due to: Person is travelling as a fare-paying 1. The Insured Person's needless passenger in a fixed wing aircraft, self-exposure to danger except in an which is provided by a licensed attempt to save human life; airline or air charter company; 2. War, whether declared or not, in the 11. Participation in: United Kingdom; a. Air Sports; or 3. Any actual or suspected b. motor cycling, other than in Communicable Disease which respect of mopeds or scooters results in restrictions impacting a hired during a Journey; or Journey being introduced or made c. quad biking; or by any travel or accommodation d. go-karting; or provider or any government or e. racing or speed or endurance governmental body. This Policy tests of any kind, other than on Exclusion does not apply to Claims foot, rowing or yachting in a boat under Section B1: Medical and other up to 10 metres in length and Expenses within coastal waters; f. paid manual work. 16
12. Participation in: subject to United Nations resolutions a. mountaineering or rock climbing or trade or economic sanctions or involving the use of ropes or other laws of the European Union, guides; or United Kingdom, or United States b. hiking, trekking or of America. mountaineering above 4,000 metres; or Applicable to US Persons only : c. pot-holing; or Policy cover for a Journey involving d. caving necessitating the use of travel to/from/through Cuba will caving equipment; or only be effective if the US Person’s e. diving involving the use of travel has been authorised by a external breathing equipment general or specific licence from (e.g. scuba diving); or OFAC (US Treasury’s Office of f. jet skiing, white water rafting, Foreign Asset Control). For any snow mobiling or snow tubing; Claim from a US Person relating (This Policy Exclusion does not to Cuba travel, Chubb will require apply to any Journey undertaken verification from the US Person of within the United Kingdom such OFAC licence to be submitted where the activity forms part of the with the Claim. US Persons shall be Participating School’s organised deemed to include any individual trip itinerary); wherever located who is a citizen 13. Participation in competitive Winter or ordinarily resident in the United Sports (including, but not limited States (including Green Card to ski or bob racing, mono skiing ski Holders) as well as any corporation, jumping, ski boarding, ice hockey or Partnership, association, or other the use of bobsleighs or skeletons); organisation, wherever organised or 14. Participation in Winter Sports, doing business, which is owned or other than skating or curling (this controlled by such persons. Policy Exclusion does not apply if the Winter Sports Extension is NOTE: Exclusions relevant only to the stated as ‘Included’ in the Group individual Sections are located and Policy Schedule). contained in the appropriate Section. 15. Chubb will not pay any Claims which would result in them being in breach of United Nations resolutions or trade or economic sanctions or other laws of the European Union, United Kingdom, or United States of America. An Insured Person should contact Chubb Customer Services Team on 0800 519 8026 for clarification of Policy cover for travel to countries which may be 17
Claims provisions Notification of a Claim Claim and any sums paid by Chubb in respect of the Claim are On the happening of any occurrence to be refunded; and likely to give rise to a Claim under this b. in addition, Chubb may by notice Policy notice shall be given to Marsh to the Group Policyholder Limited, Education Practice within 60 treat the Policy as having been days or as soon as reasonably possible terminated with effect from the after the date of the occurrence. Please time of the “fraudulent act”, quote the Policy Number. which means the behaviour that makes a Claim fraudulent. Postal Address: 2. If Chubb does treat this Policy as The Claims Section having been terminated: Marsh Limited a. it may refuse all liability to the Education Practice Group Policyholder under the 4 Milton Road Policy in respect of a relevant Haywards Heath event occurring after the time West Sussex of the fraudulent act (“relevant RH16 1AH event” refers to whatever triggers Chubb's liability under the T +44 (0) 1444 335 170 Policy); E epg.claims@marsh.com b. it need not return any of the Premiums paid under the Policy; however Information Chubb may need about c. such termination does not affect a Claim the rights and obligations of the parties to the Policy with respect The Group Policyholder, an Insured to a relevant event occurring Person or a Policyholder shall at before the time of the fraudulent its own expense provide Chubb act. such certificates, information and 3. Where a Policyholder or an evidence as Chubb may from time to Insured Person makes a fraudulent time reasonably require in the form Claim under this Policy, paragraphs prescribed by Chubb in order to action 1 and 2 above apply to the Claim as if a relevant Claim. Chubb will need to the cover provided for that Insured be sent any medical certificates or other Person were provided under an documents, which they ask for. Chubb individual contract between Chubb will not pay for these. and that Insured Person, such that: a. Chubb's rights under paragraphs 1 and 2 above are exercisable only Fraudulent Claims in relation to the cover provided for that Insured Person; and 1. If the Group Policyholder, makes a b. the exercise of any of those fraudulent Claim under this Policy: rights does not affect the cover a. Chubb is not liable to pay the provided under the Policy for 18
anyone else. to meet with external third parties, 4. Accordingly: approved by Chubb, to substantiate a. where a Policyholder or an their Claim. Insured Person makes a fraudulent Claim under this Chubb may insist on a post-mortem Policy: examination if the law allows them to i. Chubb is not liable to pay ask for one. Chubb will pay for this. the Claim and any sums paid by Chubb in respect of the Claim are to be refunded by Currency the ultimate recipient of such sums; Claims involving foreign currency ii. in addition, Chubb may will be converted into the currency by notice to the Group in which the Premium and Benefit Policyholder and the relevant Amounts /indemnity limits are Policyholder or Insured stated, at the selling rate of exchange Person treat the Policy as published in the Financial Times on the having been terminated day nearest to the date of the incident in respect of that Insured giving rise to the Claim. Person with effect from the time of the fraudulent act; b. if Chubb does treat the Policy Paying Claims as having been terminated in respect of the relevant Insured In the event of a Claim Chubb will Person, paragraph 2 shall apply deal with it based on the cover details as if it referred to that Insured shown in this Policy wording and Person instead of the Group Group Policy Schedule sent to the Policyholder. Group Policyholder, which is in force at the time of the occurrence leading to the Claim. Co-operation All benefit payments on valid Claims The Insured Person shall as soon as will be paid in GBP (£) and will be possible after the occurrence of any paid into the Insured Person's or the Accidental Bodily Injury: Policyholder's bank account. 1. obtain and follow the advice of a Doctor; and Chubb will deal with all Claims as 2. the Insured Person must agree to follows: a medical examination if Chubb 1. Chubb will pay the Benefit Amount ask for it. Chubb will pay for this for Accidental death to the estate of and, where agreed, offer reasonable the deceased Insured Person and transportation costs. the receipt given to Chubb by the The Insured Person may be required personal representatives shall be a 19
full discharge of liability by Chubb Guardian’s receipt shall be a full in respect of the Claim for such discharge of all liability by Chubb Benefit Amount. in respect of the Claim for such 2. If the Insured Person is age 18 Benefit Amount or reimbursement. years or over Chubb will pay 4. Other than Sections and sub- the Benefit Amount or assessed Sections of this Policy where the percentage or reimbursement to Benefit Amount is payable to the the Insured Person and their Group Policyholder for the benefit receipt shall be a full discharge of all of the Group Policyholder, any liability by Chubb in respect of the Benefit Amount paid by Chubb Claim for such Benefit Amount, to the Group Policyholder for the reimbursement or the assessed benefit of a Policyholder or other percentage. specified person(s) must be paid by 3. If the Insured Person is under age the Group Policyholder to such 18 years Chubb will pay the Benefit Policyholder or specified person(s) Amount or assessed percentage or to the extent that they have suffered reimbursement to the Parent or Bodily Injury, loss or expenses Legal Guardian (Policyholder) or are otherwise entitled to benefit of such minor, for the benefit of from this Policy. that minor. The Parent or Legal 20
The Cover The cover provided by this Policy will apply only if a Benefit Amount is stated in the relevant Section in the Group Policy Schedule. 21
Section A. Injury If during a Period of Insurance the time of sustaining Bodily Injury and whilst on a Journey an Insured will be taken into account by Chubb in Person has an Accident which assessing the level of Benefit Amount causes Bodily Injury, Chubb will pay payable for Permanent Disability. the Benefit Amounts stated in the Schedule of Benefits for Items 1, 2, 3, 4 Disappearance and 5 below. If an Insured Person disappears and it is reasonable for the Police or 1. Accidental death registration authorities to believe that Where Bodily Injury results in the Insured Person has died as a result Accidental death Chubb will pay of Bodily Injury, Chubb will pay the the Benefit Amount stated in the death Benefit Amount. The payment Schedule of Benefits. This Benefit will be subject to a signed undertaking Amount will only become payable given by the Insured Person's Legal on production of the final death Representatives that if the Insured certificate. Person is later found to be alive, 2. Where Bodily Injury results in the death Benefit Amount shall be permanent Loss of Sight in Both refunded to Chubb. Eyes Chubb will pay the Benefit Amount stated in the Schedule of Exposure Benefits. If an Insured Person suffers Bodily 3. Where Bodily Injury results in Injury as a result of unavoidable permanent Loss of Sight in One exposure to severe weather conditions, Eye Chubb will pay the Benefit Chubb will consider it as having been Amount stated in the Schedule of caused by an Accident. Benefits. 4. Where Bodily Injury results in Payment of Benefit under multiple permanent Loss of Limb (one or Items more) Chubb will pay the Benefit The total amount payable under Items Amount stated in the Schedule of 2, 3, 4 and 5 stated above will not Benefits. exceed the Maximum Benefit Amount 5. Where Bodily Injury results in stated in the Schedule of Benefits in Permanent Total Disablement respect of any one Accident. Chubb will pay the Benefit Amount stated in the Schedule of Benefits. Section A – Definitions Section A – Specific Provisos Loss of Limb a. In respect of a leg (lower limb): Known conditions i. physical severance or total loss of Any contributory degenerative functional use above the level of condition or disablement (as the ankle (talo-tibial joint); or determined by a Doctor) known by an ii. the permanent total loss of use of Insured Person to be in existence at an entire foot or leg. 22
b. In respect of an arm (upper limb): training, education or experience. i. permanent physical severance b. If the Insured Person was not in of the four fingers at or above gainful employment at the date of the metacarpal phalangeal joints the Accident: (where the fingers join the palm A form of Permanent Disability of the hand); or calculated on a medical assessment ii. the permanent total loss of by Chubb or an independent functional use of an entire hand medical expert appointed by or arm. Chubb, which results in the Insured Person's inability to perform, Loss of Sight in Both Eyes without assistance from another Permanent blindness which, based on person, at least 2 of the following medical evidence, the Insured Person activities of daily living: will never recover from, and which • eating; results in their name being added (on • getting in and out of bed; the authority of a qualified ophthalmic • dressing and undressing; specialist) to the Register of Blind • toileting; Persons maintained by the Government • walking 200 metres on level of the United Kingdom. ground. Loss of Sight in One Eye Permanent blindness which, based on Section A – Exclusions medical evidence, the Insured Person will never recover from, in an eye to Chubb will not be liable for payment of the degree that, after correction using any benefit for Bodily Injury, loss or spectacles, lenses or surgery, objects expense Due to: that should be clear from 60 feet away 1. Any illness or disease not directly can only be seen from 3 feet away or resulting from Bodily Injury; less. 2. Suicide, attempted suicide or deliberate self-inflicted injury by the Permanent Disability Insured Person regardless of the Disablement which has lasted for at state of their mental health; least 24 months which, in the opinion 3. Repetitive stress (strain) injury or of a Doctor, is beyond the hope of syndrome or any gradually operating recovery. cause; 4. Post-traumatic stress disorder Permanent Total Disablement or a related syndrome or any a. If the Insured Person was in gainful psychological or psychiatric employment at the date of the condition diagnosed before a Accident: Journey begins. A Permanent Disability which stops the Insured Person from carrying out gainful employment for which they are fitted by way of 23
Section B. Travel Section B1 – Medical & other emergency that may potentially expenses give rise to a Claim. b. Where it is reasonable and Chubb Assistance is available practical to do so, the Group whenever an Insured Person is on a Policyholder, the Policyholder Journey covered by this Section B1. or the Insured Person must make arrangements for In- The number to call in an emergency patient treatment and/or is +44 (0) 20 3282 0107. day surgery only with the involvement and/or agreement of If during the Period of Insurance an Chubb Assistance. Insured Person becomes ill or sustains c. Chubb shall cease to cover the injury during a Journey Chubb will Insured Person if they elect pay the Group Policyholder or to remain in the country where the Policyholder up to the Benefit Medical Expenses were first Amounts stated in the Schedule of incurred after Chubb Assistance Benefits for any one Journey for the has deemed it to be appropriate following: to repatriate the Insured Person. 1. Medical Expenses outside the 2. Coma outside of the United United Kingdom Kingdom Reasonable and necessary costs If the Insured Person remains incurred outside of the United in a Coma outside of the United Kingdom for immediate medical, Kingdom up to a maximum of 730 surgical or other remedial attention days. or treatment given or prescribed by a Doctor, Hospital, or nursing 3. Hospital Confinement outside of home, ambulance charges, dental the United Kingdom and optical expenses incurred in an Admission to a Hospital outside the emergency or as a result of injury, United Kingdom for a continuous suicide or attempted suicide. Dental period of 24 hours or more on the expenses are restricted to those advice of and under the constant incurred only for the immediate supervision of a Doctor. The and direct relief of pain for the amount payable will be doubled for duration of the Journey. Expenses Hospital Confinement on a public associated with pregnancy are or bank holiday in the country covered if incurred in an emergency where the Insured Person has been as a result of complications (where admitted. such complications are diagnosed by a Doctor who specialises in 4. Hotel Confinement outside of the obstetrics). United Kingdom a. Chubb Assistance must be Following a payment for hospital informed immediately or as soon confinement outside of the United as reasonably possible of any Kingdom, a daily amount for which 24
the Insured Person is advised by the ii. the Group Policyholder Doctor to remain in their hotel after or the Policyholder will being discharged from Hospital. reimburse Chubb in respect of all costs incurred in the event 5. Supplementary Travel, Childcare of repatriation services being and Accommodation Expenses provided by Chubb Assistance Reasonable additional costs in good faith to any person not necessarily incurred for: insured under this Policy. a. travel and accommodation of up to three relatives, friends or 7. On-going treatment as an In- close business associates who, on patient following repatriation medical advice from a Doctor, If in the 52 weeks immediately are advised to travel to or remain following repatriation to the with the Insured Person whilst United Kingdom, the Insured outside of the United Kingdom; Person requires on- going medical and treatment as an In-patient for the b. the care of Children as a result same injury or illness, Chubb will of the Insured Person's Partner pay the Policyholder in respect who, on the medical advice of a of reasonable Medical Expenses Doctor, is required to travel to or necessarily incurred and arranged remain with the Insured Person by Chubb Assistance. The Insured as a result of the Insured Person Person will normally be admitted to sustaining injury or becoming ill a NHS hospital or local equivalent for during a Journey outside of the treatment. Private treatment will be United Kingdom. considered only where it is deemed necessary e.g. where, in the opinion 6. Repatriation Expenses of Chubb Assistance, a NHS hospital Reasonable costs necessarily or local equivalent cannot facilitate incurred in repatriating the Insured the Insured Person or provide the Person to the most suitable Hospital treatment within a reasonable period or to the Insured Person's normal of time. residence in the United Kingdom at the earliest opportunity provided 8. Search and Rescue Expenses that such repatriation is: If an Insured Person is reported a. medically necessary; and as missing outside of the United b. organised by Chubb Assistance Kingdom and it becomes necessary provided that: for the rescue or police authorities i. the Group Policyholder, the to instigate a search and rescue Policyholder or the Insured operation where: Person must not make or a. it is known or believed that the attempt to make arrangements Insured Person may have without the involvement sustained injury or suffered and/or agreement of Chubb illness; or Assistance; and b. weather or safety conditions are 25
such that it becomes necessary to Chubb in the event of a Claim. to do so in order to prevent the Insured Person from sustaining 9. Repatriation of Mortal Remains injury or suffering illness, Reasonable additional costs in the Chubb will pay the Group event of death to repatriate the Policyholder or the Policyholder Insured Person's body or ashes in respect of the necessary and and Personal Belongings and/or reasonable costs incurred by Business Equipment to the United Chubb Assistance and/or levied Kingdom or their country of origin by recognised rescue or police or domicile and for funeral expenses authorities in searching for such incurred provided that such Insured Person and for bringing repatriation is organised by Chubb them to a place of safety provided Assistance. that: a. all reasonable local safety advice 10. Petcare as a result of and precautions have been Hospitalisation obtained and followed; The costs incurred for additional b. Chubb Assistance is informed domestic cattery and kennel fees for immediately or as soon as pets owned by an Insured Person reasonably possible of any whilst the Insured Person is on emergency that may potentially a Journey outside of the United give rise to a Claim; Kingdom, if the Insured Person c. where it is reasonable and is admitted to Hospital as an In- practical to do so, the Group patient, which results in a delayed Policyholder, the Policyholder return for more than 24 consecutive or the Insured Person makes hours at the end of the original pre- arrangements for search and booked Journey. rescue only with the involvement and/or agreement of Chubb 11. Medical Expenses in the United Assistance; Kingdom d. expenses are only payable for the Reasonable and necessary costs Insured Person's proportion of incurred in the United Kingdom the search and rescue operation; for medical treatment deemed e. costs will only be covered up necessary by a Doctor, if an to the point where the Insured Insured Person has an Accident Person is recovered by search which causes injury whilst on a and rescue or at the time where Journey either within or outside the the search and rescue authorities United Kingdom. advise that continuing the search is no longer viable; 12. Funeral Expenses f. a written statement from the Reasonable and necessary costs appropriate rescue authorities approved by Chubb Assistance involved in the search and/or for funeral expenses incurred rescue is obtained and provided for the burial or cremation of an 26
Insured Person outside of the 15. Childcare expenses as a result of United Kingdom or their country Hospital Stay or death of origin or domicile and the cost of Chubb will pay up to the Benefit transporting the Insured Person's Amount shown in the Schedule of Personal Belongings and/or Benefits for reasonable additional Business Equipment. costs necessarily incurred for childcare expenses as a direct result 13. Dental Expenses on return to the of a Hospital Stay or death of an United Kingdom Insured Person during a Journey Chubb will pay up to the Benefit outside of the United Kingdom. Amount shown in the Schedule Chubb shall only be liable for of Benefits for reasonable and expenses incurred during the first 14 necessary costs incurred with the days following the Hospital Stay or prior consent of Chubb in the death. United Kingdom or the Insured Person's country of origin or domicile for dental treatment Section B1 – Definition deemed necessary by a Doctor (this includes doctors/specialists Coma in dentistry, see definition on page An extended period of unconsciousness 10 for full details), if an Insured from which an Insured Person cannot Person has an Accident which be aroused even with the most painful causes injury whilst on a Journey stimuli and assessed by a Doctor as outside the United Kingdom or the scoring less than 9 on the Glasgow Insured Person’s country of origin Coma Scale (GCS). or domicile. 14. Emergency Dental Expenses in Section B1 – Exclusions the United Kingdom Chubb will pay up to the Benefit Journeys not covered: Amount shown in the Schedule 1. any Journey taken against the of Benefits for reasonable and advice of a Doctor; necessary costs for unforeseeable 2. where the purpose of the Journey emergency dental expenses for is to receive medical treatment or the relief of pain incurred within advice; or the United Kingdom or the 3. where the purpose of the Journey Insured Person’s country of is directly or indirectly related to origin or domicile and where the a medical condition or situation Journey is more than 100 miles known to exist by the Insured (160 kilometres) from their normal Person. residence and is for a duration of more than 3 consecutive days For Journeys that are covered, Chubb involving an overnight stay or an air shall not be liable for: flight. 1. any expenses which are recovered 27
from any national insurance the Schedule of Benefits for any one programme in connection with any Journey. Claim; 2. any expenses incurred 52 weeks 3. Personal Belongings Delay after the time of the incurring of the If access is denied to all or part of first expense for the treatment of the Insured Person's Personal psychiatric or mental disorders; or Belongings Chubb will reimburse 3. any expenses incurred 52 weeks the Policyholder in respect of sums after: paid for the purchase of reasonable a. emergency repatriation to the and essential items of replacement United Kingdom in respect of clothing or toilet requisites. Any expenses of on-going medical Benefit Amount paid under this treatment as an In-patient; or extension will be deducted from b. the time of the incurring of the any subsequent Benefit Amount first expense in respect of other payable under Personal Belongings expenses. in respect of the same loss. 4. The Excess as stated in the Schedule of Benefits per Claim. 4. Loss or Delay of Home Keys or Car Keys If access is denied to the Insured Section B2 –Personal Belongings & Person's home keys (including Business Equipment safe and alarm keys) or car keys (including leased or hired vehicles) 1. Business Equipment for more than 4 hours after the If during the Period of Insurance Insured Person's disembarkation the Group Policyholder sustains inside the United Kingdom on loss of or damage to Business completion of the final leg of their Equipment during a Journey Journey as a result of loss or theft undertaken by an Insured of such keys occurring outside of Person, Chubb will pay the Group the United Kingdom, or delay of Policyholder in respect of such Personal Belongings containing loss or damage up to the Benefit such keys, Chubb will pay the Amount stated in the Schedule of Policyholder up to the Benefit Benefits for any one Journey. Amount stated in the Schedule of Benefits for reasonable and 2. Personal Belongings necessary costs incurred for: If during the Period of Insurance a. having such keys or spare keys an Insured Person sustains loss couriered to the Insured Person; of or damage to their Personal or Belongings during a Journey, b. reasonable costs of travel to Chubb will pay the Policyholder obtain spare keys; or in respect of such loss or damage c. locksmiths charges in gaining up to the Benefit Amount stated in access and/or replacing locks 28
damaged in gaining access to destruction of any article of the Insured Person's home or Personal Belongings the basis car and the reprogramming of of settlement shall be the cost of remote control car keys. replacing the article as new provided that: 5. Repatriation of Personal a. the replacement article is Belongings substantially the same but not Chubb will pay up to the Benefit better than the original article Amount for reasonable and when new; and necessary costs approved by b. the receipt for the replacement Chubb Assistance of repatriating item is provided. the Insured Person’s Personal 3. In the event of total loss or Belongings in the event that the destruction of any article of Insured Person is required to be Business Equipment the basis repatriated for medical reasons of settlement shall be the market to the United Kingdom or their value of the article at the date of loss country of origin or domicile. taking into account wear, tear and depreciation. 6. Repatriation of Business Equipment Chubb will pay up to the Benefit Section B2 – Specific Proviso Amount for reasonable and necessary costs approved by The Insured Person shall take all Chubb Assistance of repatriating reasonable precautions for the safety the Insured Person’s Business of their Personal Belongings and Equipment in the event that the all reasonable steps to recover any Insured Person is required to be property which is lost or stolen. repatriated for medical reasons to the United Kingdom or their country of origin or domicile. Section B2 – Definition Valuables Section B2 – Basis of settlement Valuables means cameras and other photographic equipment, telescopes 1. On the happening of any loss or and binoculars, Audio/Video damage Chubb shall be entitled: equipment (including radios, cassette/ a. to take and keep possession compact disc players, ipods, mp3 of any article and to deal with and mp4 players, camcorders, DVD, salvage in a reasonable manner; video, televisions, and other similar and/or audio and video equipment), mobile b. at its own option to repair or phones, satellite navigation equipment, replace any article for which it is computers and computer equipment liable. (including PDAs, personal organisers, 2. In the event of total loss or laptops, notebooks, netbooks and 29
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