Travel insurance Protects you on all your travels

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1 Travel insurance Protects you on all your travels This is a comprehensive travel insurance plan that you can count on for all your travels give you maximum coverage at competitive premiums for complete peace of mind. Attractive benefits include: Cover for Accidental Burns and Fractures Credit Card Indemnity due to Accidental Death and Permanent Total Disability TCM Rehabilitation Counseling Any number of friends or relatives for Emergency Travel and Compassionate Visit Travel Postponement, Rearrangement, Curtailment, Delay and Diversion due to Natural Disasters Travel Curtailment, Delay and Diversion due to Bomb Threat Flight Diversion due to Strike, Civil Unrest, Riot or Commotion, Inclement Weather, Bomb Threat or Natural Disasters Overbooking of Flight, Voyage and Train Delayed Baggage whilst Overseas or back to Singapore Jewellery Coverage Golf Benefit for Hole-In-One and Loss of Use Pet Care for delay in returning to Singapore Loss of Use of Entertainment Ticket Terrorism The annual plan will cover you for unlimited number of trips (each trip shall not exceed 90 days) you make within the period of insurance. In respect of a Family Plan under a Single Trip Policy, a maximum of 2 Adults named in the Policy. Child or Children shall mean an unmarried person or persons between 6 months and 18 years of age or up to 25 years of age if such person(s) is studying full-time or enrolled to study full-time in a recognized institution of learning or higher learning during the Policy period. Excluded Countries Afghanistan Al-Qaida Belarus Burma (Myanmar) Democratic Republic of Congo Egypt Eritrea Federal Republic of Yugoslavia & Serbia Iran Iraq Ivory Coast Lebanon and Syria Liberia Libya North Korea Republic of Guinea Somalia Sudan Syria Tunisia Zimbabwe Details to know The insurance is for a return trip departing from and returning to Singapore within the period of insurance. Maximum duration of each trip under a single trip policy shall not exceed 182 days. This brochure is not an insurance contract; please refer to the Policy for details on the Terms and Conditions.

2 TRAVEL INSURANCE MAXIMUM BENEFIT (S$) SUMMARY OF COVERAGE Plan 1 Plan 2 Plan Personal Accident Accidental Death & Permanent Disablement (Include Accidental Burns and Fractures) Personal Accident on Public Conveyance Accidental Death & Permanent Disablement Overseas Medical Expenses Post Journey Medical Expenses Child Education Benefit Pays for each dependent child as a result of Insured s Death and Permanent Total Disablement Traditional Chinese Medicine Covers treatment by traditional Chinese medical practitioner Hospitalisation Allowance Pays for your hospitalisation overseas Post Journey Hospitalisation Allowance Pays for your hospitalisation in Singapore Emergency Medical Evacuation Covers Medical Evacuation expenses Repatriation Covers expenses incurred in returning the Insured s mortal remains to Singapore or Home Country Emergency Travel Expenses Pays for the visit of any Relative or friend if you are hospitalised for more than 5 days Compassionate Visit Pays for sending any Relative or friend to assist in the repatriation arrangement of the Insured s remains overseas Child Protector Pays for sending any Relative or friend to accompany the Insured s children following the Insured s hospitalisation Emergency Telephone Reimburses for telephone charges incurred for medical assistance Automatic Extension Of Coverage Automatic extension up to 30 days due to the Insured s hospitalization and/or quarantine overseas 150, , , , ,000 1,000, , , ,000 15,000 30,000 50,000 5,000 5,000 5, ,000 30,000 50, ,000 1,000 Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Yes Yes Yes

3 TRAVEL INSURANCE MAXIMUM BENEFIT (S$) SUMMARY OF COVERAGE Plan 1 Plan 2 Plan Credit Card Indemnity Pays credit card expenses incurred during the trip in the event of death or permanent total disablement sustained whilst overseas Rehabilitation Counselling Reimburses necessary expenses as a result of death or permanent total disablement sustained whilst overseas Travel Cancellation Covers prior to the departure from Singapore for loss of travel and accommodation expenses due to - Death or Serious Injury / Sickness to the Insured or Relative at the planned destination - Serious damage to Insured s residence due to Natural Disasters - Witness summons or jury service Travel Postponement And Rearrangement Covers prior to the departure from Singapore for additional administrative charges due to - Death or Serious Injury / Sickness to the Insured or Relative - Serious damage to Insured s residence due to Natural Disasters - Witness summons or jury service Travel Curtailment Covers after the commencement of the Trip for loss of travel and accommodation expenses due to - Death or Serious Injury / Sickness to the Insured or Relative - Compulsory quarantine overseas - Bomb Threat at the planned destination - Serious damage to Insured s residence due to Natural Disasters - Witness summons or jury service Travel Delay Pays $100 for each full 6 consecutive hours of delay due to - Inclement weather - Bomb Threat at the planned destination Flight Diversion Pays $100 for each full 6 consecutive hours of delay due to - Inclement weather condition - Bomb Threat at the planned destination Travel Misconnection Pays for misconnection of conveyance whilst overseas for at least full 6 consecutive hours Overbooked Flight, Voyage Or Train Pays $100 in the event the Insured failed to board the scheduled conveyance whilst overseas due to an overbooking Baggage Covers loss or damage sustained overseas to baggage, clothing and personal effects Jewellery Coverage Covers the loss of jewellery whilst overseas due to robbery and theft or burglary Delayed Baggage Pays $200 for full 6 consecutive hours of baggage delayed whilst overseas or back in Singapore 5,000 5,000 5,000 2,500 2,500 2,500 5,000 10,000 15, ,000 2,000 5,000 10,000 15, ,000 5,000 5,

4 TRAVEL INSURANCE MAXIMUM BENEFIT (S$) SUMMARY OF COVERAGE Plan 1 Plan 2 Plan Money And Credit Cards Covers - Loss of money due to robbery or theft or burglary - Unauthorised charges on stolen credit cards Travel Document Pays for travel and accommodation expenses incurred for obtaining replacement of essential travel documents whilst overseas Hijack, Kidnap And Detention Pays $250 for each full 24 hours of unlawful seizure Personal Liability Covers against liability to third parties or damage to property caused by negligence Golf Benefit - Hole in One - Loss Of Use on green fees, hire fees of equipment or coaching fees Home Protection Pays for damage to household contents due to fire or theft Rental Vehicle Excess Pays for insurance excess of a rental vehicle whilst overseas Pet Care Pays $50 for each full 6 consecutive hours delay in returning to Singapore which results extension of time in placing the Insured s pet in a kennel/ cattery or pet hotel Loss Of Use Of Entertainment Ticket Pays for unused portion of entertainment ticket due to - Death or Serious Injury / Sickness to the Insured or Relative or Travel Companion at the planned destination - Compulsory quarantine - Bomb Threat 3,000 5,000 5, ,000 1,000,000 1,000, ,000 5,000 5, Terrorism Yes Yes Yes Major Exclusions: Pre-existing medical or physical conditions Age above 80 years War, hostilities, rebellion and the like HIV, Aids, childbirth, pregnancy, self-injury, suicide Manual occupation or flying as aircrew, cabin crew and technical crew or tour guide, tour leader on duty Participation in competitive or professional sports Extreme sports such as flying other than as a fare-paying passenger in a regular scheduled airline or licensed charter aircraft, bungee jumping, parachuting, ski diving, scuba diving, rock/mountain climbing, abseiling, hang gliding, caving, racing other than on foot, winter sports other than curling and skating and any other similar activities or sports.

5 PreMIUMS(S$) Asean Brunei, Cambodia, Indonesia, Laos, Malaysia, Philippines, Thailand and Vietnam Length of trip (days) Plan 1 Plan 2 Plan 3 Individual Family Individual Family Individual Family 1 3 $26 $54 $33 $75 $46 $ $33 $72 $42 $96 $58 $ $41 $90 $55 $119 $76 $ $52 $113 $69 $159 $96 $ $63 $137 $83 $192 $116 $ $75 $154 $95 $230 $133 $ $83 $174 $105 $255 $147 $ $94 $188 $114 $275 $160 $385 Each additional week or part thereof $22 $43 $26 $58 $37 $79 Annual Plan NA NA NA NA NA NA Asia Pacific Length of trip (days) ASEAN countries and Australia, Bangladesh, China, Hong Kong, India, Japan, South Korea, Macau, Mongolia, New Zealand, Pakistan, Sri Lanka and Taiwan Plan 1 Plan 2 Plan 3 Individual Family Individual Family Individual Family 1 3 $33 $74 $43 $93 $60 $ $41 $99 $55 $119 $76 $ $51 $123 $68 $149 $95 $ $65 $156 $86 $189 $120 $ $78 $172 $104 $228 $145 $ $89 $196 $119 $262 $167 $ $99 $217 $131 $289 $184 $ $107 $234 $142 $313 $199 $437 Each additional week or part thereof $26 $53 $33 $71 $45 $97 Annual Plan NA NA $284 $512 $418 $788 Worldwide ASEAN and Asia Pacific countries and the rest of the world excluding Excluded Countries Length of trip (days) Plan 1 Plan 2 Plan 3 Individual Family Individual Family Individual Family 1 3 $44 $97 $59 $135 $82 $ $62 $136 $75 $165 $105 $ $78 $170 $89 $206 $124 $ $98 $214 $112 $261 $158 $ $118 $261 $129 $300 $181 $ $135 $298 $147 $342 $206 $ $149 $329 $164 $380 $228 $ $162 $356 $177 $410 $247 $543 Each additional week or part thereof $33 $74 $40 $98 $56 $124 Annual Plan NA NA $392 $706 $549 $989

6 TRAVEL INSURANCE PROPOSAL Pursuant to Section 25(5) of the Insurance Act, you are to disclose in this Enrolment Form, fully & faithfully, all the facts which you know or ought to know, otherwise the policy issued hereunder may be void. ( ) Yes! I would like to sign up for Travel Insurance. My choice of cover is (please tick ): Type Of Cover Individual Single Trip Annual Family (No. of Children) Single Trip Annual Choice of Plan Plan 1 Plan 2 Plan 3 TRAVEL REGION ASEAN Asia Pacific Worldwide Country(ies) you are travelling to: DECLARATION I/We declare to the best of my/our knowledge and belief that: a. all the answers given in this Proposal are true; b. all material information affecting the assessment of the risk have been disclosed; c. all persons proposed are residents of Singapore d. all persons proposed are in good health, free from any physical defect or infirmity, are not receiving medical treatment of any kind and are not suffering nor have suffered from a recurring illness. I/We agree that this Proposal and Declaration shall be deemed incorporated in such contract, subject to the Terms and Conditions of the Policy. No insurance will be in force until this Proposal has been accepted by Royal & Sun Alliance Insurance Plc (Singapore Branch). I/We further declare that I/We are not travelling contrary to the advice of a Medical Practitioner, or for the purpose of obtaining medical treatment. If this Proposal has not been completed by me personally, I declare also that I have read the completed form and accept full responsibility for the answers. PERIOD OF INSURANCE Policy Start Date: Policy End Date: Signature of Proposer Date Duration: Days (Inclusive of start and end dates) PREMIUM PAYABLE S$ (No GST required) insured S PERSONAL PARTICULARS Name as in NRIC/Passport: Gender: Male Female NRIC/Passport No: Payment Instruction BY CREDIT CARD Please charge S$ to my VISA/Master Card Card No: C V V 2 No. (last 3 digits behind Credit Card on the signature panel): Name of Issuing Bank: Expiry Date: (If the Proposer is not the Cardholder, the Cardholder has to fully complete and sign this portion of the form.) Nationality: Date of Birth (DD/MM/YYYY): Marital Status: Correspondence Address: Name of Cardholder: Signature: (if different from Insured) Tel (H): Mobile Occupation/Type of Business: Tel (O): Fax: (as on your credit card) I/We agree to pay the premium and hereby authorize Royal & Sun Alliance Insurance Plc (Singapore Branch) to charge the stated premium to the above credit card/bank account. Where a third party credit card is used, I/We declare that the Cardholder has authorized and consented to its use. INSURED TRAVEL PARTNER S PARTICULARS (Applicable to family coverage only) Name as in NRIC/Passport: Relationship: Gender: Male Female NRIC/Passport No: I/We understand and agree that in the event of refund from the Company, payment will be made to the Insured/Policyholder stated in the Policy. BY CHEQUE I enclose my Cheque / Bank No. for S$ to Royal & Sun Alliance Insurance Plc. crossed and made payable Nationality: Date of Birth (DD/MM/YYYY): Authorized Agent: Date:

7 Underwritten by ROYAL & SUN ALLIANCE (RSA) Who is Royal & Sun Alliance? Royal & Sun Alliance (RSA) is one of the world s top ten insurers and second largest general insurer in the United Kingdom. With offices in more than 30 countries and 23,000 staff worldwide, RSA generates 5 billion from 20 million policyholders across the world. This strong base offers you financial security, global resources and superior expertise harnessed from three centuries of steady growth and development. RSA in Singapore brings you global expertise with a local response. DOING WHAT WE SAY WE LL DO We provide market leading claims handling for our customers by being prompt, reliable and efficient. We handle claims with integrity and work with you to ensure response to your unique claims situation. Our claims proposition delivers: Speed Timely solutions delivered to agreed service levels, including interim payments on large property losses to enable operational continuity for your business. Specialism Our claims teams have extensive knowledge and experience in all classes of business, such as Casualty, Property and Motor. We ensure that we have the right technical expertise and specialism on every claim every time. Solution You, your agent or broker will be given access to the right RSA people to follow the claims process from start to finish. For enquires, please contact your RSA agent, your broker or Royal & Sun Alliance Insurance Plc (Singapore Branch) 60 Anson Road #09-01 Mapletree Anson Singapore Hour RSA Assist Hotline (65) Customer Service Hotline (65) (Mon - Fri 8.30am - 5pm) Website Registered Office: 60 Anson Road #09-01, Mapletree Anson, Singapore (UEN No. T07FC6999H) UK Registered Office: St Mark s Court, Chart Way, Horsham, West Sussex RH12 IXL England (UK Registration Number 93792) This policy is protected under the Policy Owners Protection Scheme which is administered by the Singapore Deposit Insurance Corporation (SDIC). Coverage for your policy is automatic and no further action is required from you. For more information on the types of benefits that are covered under the scheme as well as the limits of coverage, where applicable, please contact your insurer or visit the GIA / LIA or SDIC websites (www.gia.org.sg or or

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