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LOST WORLD ADVENTURES
INC
TRIP
CANCELLATION/INTERRUPTION
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For Trip Cancellation:
All cancellations must be reported to the Travel Supplier within 72 hours
of the event causing the need to cancel. If the event delays the reporting
of the cancellation beyond 72 hours, report the event as soon as possible.
All other delays or reporting beyond 72 hours will result in reduced benefit
payments.
TRIP DELAY/MISSED
CONNECTION MEDICAL EXPENSE |
3) Advance payment will be made to a Hospital, up to the Maximum Benefit Amount, if needed to secure Your admission to a Hospital because of a covered Sickness or Injury which first occurs during the course of the Covered Trip. The authorized travel Assistance Company will coordinate advance payment to the Hospital. In all cases, benefits will not be paid in excess of the Usual and Customary Charges. ACCIDENTAL DEATH
& DISMEMBERMENT BAGGAGE & PERSONAL
EFFECTS BAGGAGE DELAY |
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"Transportation
Expense" means a) the cost of conveyance of You and any medical personnel
(if Medically Necessary); and b) Medically Necessary services or supplies. WHEN YOU ARE COVERED Trip Cancellation - begins on Your Effective Date. Coverage ends at the point and time of departure on Your Scheduled Departure Date. Trip Delay Missed Connection - In force while You are en route to and from Your Covered Trip. All Other Coverages (including Trip Interruption) begin at 12:01 a.m. on Your Scheduled Departure Date or Your Effective Date whichever is later, and end at the point and time of return on or before the Scheduled Return Date. WHAT IS NOT COVERED |
to which a contributory cause was the commission of or attempt to commit a felony or being engaged in an illegal occupation; due to normal childbirth, normal pregnancy (except complications of pregnancy) or voluntarily induced abortion; for dental treatment (except as coverage is otherwise specifically provided herein); or due to a Preexisting Condition. note, the Preexisting Condition limitation is automatically waived for medical evacuation/repatriation coverage, and coverage purchased within 14 days from the time the initial deposit is paid on the Covered Trip. In California, benefits are not payable if during the 60 days prior to the Effective Date, a Legally Qualified Physician advised the Insured or his/her Traveling Companion not to travel due to Sickness or Injury. FOR BAGGAGE &
BAGGAGE DELAY FILING A CLAIM
IS SIMPLE Old Republic Insurance
Company IMPORTANT: To facilitate prompt claims settlement You will be asked to provide proof of Your loss within 90 days after the date of less or as soon as is reasonably possible. Proof must however be furnished no later that 12 months from the time it is otherwise required, except in the absence of legal capacity. Therefore, be sure to obtain as applicable: when checked as baggage with a Common Carrier), household effects and furnishings, antiques and collectors items, sunglasses (prescription or nonprescription), contact lenses, artificial teeth, dental bridges, hearing aids, prosthetic limbs, prescribed medications, keys, money, credit cards, tickets, and documents (except as coverage is otherwise specifically provided herein), securities, stamps, professional or occupational equipment or property whether or not electronic business equipment telephones, computer hardware or software.
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FILING A CLAIM IS SIMPLE To receive a claim form: Call 1-888-322-6776, or send Your name, address, travel dates, details of Your loss along with the lD#, Group # and Plan # (listed at the top of page 1) within 30 days to: Old Republic Insurance
Company IMPORTANT: To facilitate prompt claims settlement You will be asked to provide proof of Your loss within 90 days after the date of less or as soon as is reasonably possible. Proof must however be furnished no later that 12 months from the time it is otherwise required, except in the absence of legal capacity. Therefore, be sure to obtain as applicable: for trip cancellation/interruption claims: Your travel invoice, the cancellation or interruption date, original unused tickets/vouchers, the travel organizers cancellation clause with regard to non-refundable losses. You will also be asked to provide proof of payment and related detailed medical documentation; for trip delay claims: statement from party causing delay and receipts for covered expenses; for medical claims: detailed medical statements from treating physicians where and when the accident or Sickness occurred; receipts for medical services and supplies; baggage and baggage delay claims: reports from parties responsible (i.e. airline, cruiseline, etc.) for less, theft, damage or delay. If applicable, a police report will be required. Please obtain receipts for lost or damaged items.Benefits under any coverage will not be paid for expenses reimbursed or services provided by any other source. Benefits cannot be duplicated under this Protection Plan.Unless You otherwise designate a beneficiary, or in the event the designated beneficiary predeceases You, indemnity for loss of life will be paid to the first of the following surviving beneficiaries: Your spouse; child or children, jointly; parents, jointly if both are living, or the surviving parent if only one survives; brothers and sisters jointly; or Your estate. This product is underwritten by Old Republic Insurance Company -Greensburg, PA. In Florida, Maryland and Texas this product is underwritten by American National Insurance Company (a member of National Accident Insurance Group). For additional inquiries, please call 1-488-322-4116 and provide ID #, Group # and Plan # (listed at the top of page 1). If You have two Protection Plans underwritten by Old Republic Insurance Company or American National Insurance Company, You will be paid up to the highest benefit amount under only one plan for each Covered Trip. Note: This plan contains disability insurance benefits or health insurance benefits, or both, that only apply during the Covered Trip. You may have coverage from other sources that already provide You with these benefits. You should review Your existing policies. If You have any questions about Your current coverage, call Your insurer or health plan. |