AFI PET INSURANCE POLICY KEY FACTS - BASIC, PRIME, PRIME PLUS, SUPERIOR, SUPERIOR PLUS AND PRESTIGE
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1 AFI PET INSURANCE POLICY KEY FACTS - BASIC, PRIME, PRIME PLUS, SUPERIOR, SUPERIOR PLUS AND PRESTIGE This is a summary of the Animal Friends pet insurance policy and should be read in conjunction with it. The definitions referred to in italics are the definitions set out in the policy wording. This summary is designed to briefly highlight the main policy benefits and significant/unusual limitations/exclusions, but does not include all policy terms, which can be found in the policy document. You must always read Your policy schedule and wording. Who is the Insurer? This scheme is underwritten by Red Sands Insurance Company (Europe) Limited (Red Sands), registered in Gibraltar under number 87598, registered office at Level 3, Ocean Village Business Centre, 23 Ocean Village Promenade, Gibraltar. Red Sands is licensed and regulated by the Gibraltar Financial Services Commission under the Insurance Companies Act 1987 of Gibraltar and is a member of the Financial Services Compensation Scheme (FSCS) and the Association of British Insurers (ABI). Who is the Administrator? Our administrator, Animal Friends Insurance Services Limited, is authorised and regulated by the Financial Conduct Authority (FCA registered no: ). Are you eligible for this cover? To be eligible for cover under this policy You must own a dog or a cat which is not one of the excluded breeds (refer to the policy wording for a full list of excluded breeds) and is aged 5 weeks or older. What happens if I take out cover and then change my mind? (Please refer to Section 17 of the Policy) If AFI receives Your written request to cancel this Policy within the Cooling Off Period, then, if You have not made a claim, We will give You a full refund of any premium You have paid less any applicable taxes or duties payable. If You wish to cancel after 14 days of the Commencement Date and You have not made a claim You can cancel at any time and will be entitled to the return of the unexpired portion of Your premium. However, We will deduct the reasonable cost of setting up and administering this policy. Please note If a claim has been submitted or is pending, We will not refund any premium We may cancel this policy at any time, in which case We will return the premiums paid less a reasonable amount for the time the policy has been in force. Our liability then ceases immediately but without affecting Your or Our rights under this policy up to the End Date. Notice will be treated as sufficiently given if posted to Your last known address. Following the cancellation charge, no refund will be made of any amount equal to or less than 5. What cover does this policy provide? What is covered? Section 2 Veterinary Fees - Basic & Prime policies Vet s fees cover for 12 months (max limit shown in Schedule) for necessary Treatment following Accident or Illness including physiotherapy, treatment & referral. Upgrade for Lifetime and Non-Lifetime policies - Any upgrade in cover or benefit What is not Covered? - Significant Exclusions - Please refer to Your Policy for Full List of Exclusions Costs for cosmetic, preventative, routine Treatments/examinations. Prescribed diets other than those detailed. Treatment connected with spaying, castration, pregnancy or giving birth. Costs for house / out-of-hours calls unless for a life-endangering Condition. Costs incurred more than 365 days after Benefits Lifetime Condition Limit n/a. Annual Benefit Limit 500. Annual Policy Limit Lifetime Condition Limit n/a. Annual Benefit Limit Annual Policy Limit 7000.
2 levels endorsed on the policy during the policy term or at renewal of the policy shall not apply to any Condition for which a claim has been notified or to a Condition showing Clinical Signs prior to such upgrade becoming effective. the condition first manifested. Accidents or injuries sustained within 5 days of the Policy Commencement Date Lifetime Condition Limit n/a. Annual Condition Limit Annual Policy Limit 10,000. Section 2 Veterinary Fees - Superior and Prestige Policies Vet s fees cover for lifetime cover (max limit in Schedule) for necessary Treatment following Accident or Illness including physiotherapy & referral. Excess An excess is payable for each Condition. Where the Treatment dates fall within different policy years, an excess is payable for each of the different years. Section 3 Death from Accident or Illness. Death from accident or Illness cover is provided up to the price paid for or Market Value of Your Pet whichever is the lesser. Costs for cosmetic, preventative, routine Treatments/examinations. Prescribed diets other than those detailed. Costs for or related to cosmetic Treatment, elective Treatment, routine Treatment or preventative Treatment recommended by a Vet to prevent an Injury or Illness for whatever reason. This includes but is not limited to the following: Vaccination; Spaying; Castration; Cryptorchidism (retained testes);stem cell/ gene therapy; Grooming, nail clipping; Breeding, whelping, kittening, Bathing; Dematting; Killing and controlling fleas and worms; Spaying to prevent the re-occurrence of false pregnancy; and any claims as a result of these procedures unless specifically noted on the Schedule. Any dental or gum treatment including root canal treatment. Any costs for house calls; out-of-hours calls; hospitalisation and ambulance costs (where covered) unless a Vet confirms that Your Pet was suffering from an imminent life-endangering Condition which required immediate emergency intervention. Please note that in the event We deem that the out of hours treatment was not required, We will only ever pay the standard consult fees charged by Your normal Vet. Please note any personal loses will not be covered. The cost of any food, even if prescribed by Your Vet. Death due to Illness of any dog or cat aged 8 years or over. We will calculate the Market Value of Your Pet based upon a sliding scale of value, depending on the age, breed and condition of Your Pet. Our decision on the Market Value of Your Pet will be final and We will endeavour to provide You with reasons for the value We arrive to. Lifetime Condition Limit 20,000. Annual Benefit Limit 2,000. Annual Policy Limit n/a. Lifetime Condition Limit 30,000. Annual BenefitLimit 4,000. Annual Policy Limit n/a. Lifetime Condition Limit 40,000. Annual Benefit Limit 6,000. Annual Policy Limit n/a ,500.
3 Section 4 Emergency Boarding Kennel And Cattery Fees Cover is provided for the cost of boarding Your Pet should You have to spend more than 4 consecutive days in hospital. Section 5 Holiday Cancellation Cancellation or curtailment of holiday because Your Pet needs life saving surgery following an accident or Illness within 14 days of Your holiday. Section 6 Theft or Straying We will pay up to the purchase price paid or the amount shown in policy Schedule if the insured Pet is not found within 45 days. We will also pay towards advertising and reward for Your Pet up to 15% of Your Pet s Sum Insured up to a maximum amount as shown * under the applicable cover type. Any costs resulting from You or Your partner being pregnant, giving birth or any Treatment that is not as a result of an injury or illness. Costs for any holiday booked less than 28 days before You leave. Any claim where You or the person looking after Your Pet has voluntarily parted with it, even if tricked into parting with it by a third party, or in circumstances where the Pet s loss would not be deemed to have been stolen i.e. abandoned deliberately. We will calculate the Market Value of Your Pet based upon a sliding scale of value, depending on the age, breed and condition of Your Pet. Our decision on the Market Value of Your Pet will be final and We will endeavour to provide You with reasons for the value We arrive to. Please note if we settle a claim for theft or straying we will cancel your policy with effect from the date we settle the claim. No refund of premium will be due to you ,500. n/a 1,500 1,500. 2, * * 600 * * 600 * 1,000. 1,500. * 1,500. Section 7 Accidental Damage Accidental damage caused to a third party s personal property. Damage to motor vehicles or contents. Damage if Your Pet is left unattended or from it vomiting, fouling or urinating. Damage while Your Pet is left unattended.
4 750. Section 8 Public Liability Your legal liability to a third party, for the damages and costs arising from Your ownership of the insured pet; Section 9 Transportation Costs Cover if Your Vet refers You to another practice or veterinary school. Section 10 Personal Accident If You have to take time off work as a result of being bitten by Your Pet. Section 11 Dog Walker If You suffer injury and are hospitalised for more than 4 consecutive days and if no Immediate Family member can look after Your dog cover is provided for the cost of a professional dog walker. If You are legally liable because of a contract You have entered into If the Claimant is a person who lives with You, is a member of Your Immediate Family or is employed by You. If You, a member of Your Immediate Family or any person who lives with You or is employed by You is responsible for or is looking after the property damaged. Death or bodily injury, loss or damage to property as a result of the insured Pet's interaction with other animals or worrying livestock. Fines, compensation and prosecution costs following your prosecution under the provisions of the Dogs Act 1871, Dogs (Protection of Livestock) Act 1953, Dangerous Dogs Act 1991 or Dangerous Dogs (Northern Ireland) Order Leads/collars/harnesses must be in good condition and fit pet to prevent escape. Lead to be used correctly to prevent pet slipping from grasp Any repeat journey costs unless agreed by Us. Any costs for wear and tear to Your vehicle. Any sums You may recover from any other source including Statutory Sick Pay. Any losses incurred without a doctor's report. Any losses incurred without a report from Your employer stating the period You were off work and confirming the sums by way of income You did not receive from any source as a result. Any costs resulting from You or Your partner being pregnant, giving birth or any treatment that is not as a result of an Injury or Illness. 1 million. 1.5 million million. 1.5million million. 2 million
5 Section 12 Overseas Travel Extension Cover is provided up to 2000 if Your Pet needs emergency vet Treatment abroad. A maximum of 3 trips per policy period any one trip no longer than 30 days. Any costs if the holiday was made to get Treatment abroad. Non-compliance with Pet Travel Scheme; travel outside EU ,000. 2,000. 2,000. 2,000. 2,000. 2,000. What am I NOT covered for under this policy? In addition to the exclusions detailed above, Red Sands will not pay for: the Excess which is applicable on most sections of cover and varies dependent on Your plan type (Please see Policy Schedule for full details). Please note for Pets 8 years and over you are responsible for the first 69 or 99 of each claim, plus under vets fees a further 35% of the remaining claim; costs resulting from any Pre-existing Conditions or for an Accident, Injury or Illness that first showed Clinical Signs at any time before the Commencement Date of the policy. costs resulting from an Illness that occurs within 14 days of the Commencement Date of the policy. costs resulting from an Accident or Injury within 5 days of the Commencement Date of the policy costs arising from any vicious tendencies or behavioural problems shown by Your Pet. costs not backed up by a receipt/invoice showing full details of the costs incurred. Losses arising as a result of Your Pet undergoing organ transplants Any Pet less than 5 Weeks old. Any claim within the Waiting Period. As per the Section 27 of the Road Traffic Act 1998: "A person who causes or permits a dog to be on a designated road without the dog being held on a lead is guilty of an offence. It also states, in this section, "designated road" means a length of road specified by an order in that behalf of the local authority in whose area the length of road is situated - For further details see The Road Traffic Act With this in mind, a dog on a designated road must be on a collar and lead under control. When walking Your Pet in an area other than a designated road, You must ensure that Your Pet remains under Your control and reasonable steps must be taken to prevent Your Pet escaping onto a designated road. By way of example only, when in a field and nearing the exit/ entrance, You must ensure Your Pet is on a lead. You must ensure that any dog lead, collar and/ or harness is in good condition and fits Your Pet to prevent escape. You must also ensure that any lead is used in such a way as to prevent the same slipping out of your grasp should Your Pet suddenly pull away from you. You must ensure Your Pet cannot escape or stray from Your property and any area in which a dog is kept must be secure and appropriately fenced or otherwise secured and all reasonable steps must be taken to prevent escape. When loading Your Pet into or out of Your vehicle, You must ensure that the area is either secure or Your Pet is on a lead. We shall not pay any claims where your pet has been used for or in connection with a trade, profession, breeding (whether as a business or not) or where your pet has been bred for monetary gain or reward unless we have agreed in writing to cover such use. Please note if Your Pet first showed any clinical signs; or had an accident, injury or an illness; or was diagnosed with a condition during the waiting period or prior to the commencement date, We reserve the right to apply an exclusion to Your Policy in respect of this clinical sign, accident, illness or condition. Please refer the Exclusions and General Exclusions sections of the policy for further details.
6 Pets over the age of 8 years at the time that the policy is incepted or renewed will be classed as over 8. Please note We will only pay those Veterinary Fees deemed reasonable and essential by Our veterinary advisor in addition we reserve the right to pay only up to a 100% mark-up on veterinary medicines. How do you make a claim? (Please refer to page 9 of the policy) On the happening of any Accident, Illness, loss, destruction or damage giving rise or likely to give rise to a claim under this policy, You must either: download a claim form from or contact AFI by on or telephone on (option 5) and request AFI to send You a claim form. Full instructions of how to complete the claim form will be provided. Completed claim forms must be posted to AFI. How do you complain? (Please refer to Section 14 of the policy) If You are unhappy with the level of service You have received please write to the Customer Liaison Department at Animal Friends Insurance Services Limited at the below address. If You do not receive satisfaction through Our internal procedures, and we have issued You with a final response, You can then refer Your complaint to the Financial Ombudsman Service (FOS). Their address is: South Quay Plaza, 183 Marsh Wall, London, E14 9SR or they can be contacted on Would I receive any compensation if the Insurer were unable to meet its liabilities? (Please refer to Section 19 of the policy) If We are unable to meet Our liabilities You may be entitled to compensation under the Financial Services Compensation Scheme (FSCS). Further information about compensation scheme arrangements is available at by ing or by phoning the FSCS on Other Important Information English Law applies to this policy unless You have asked for another law and We have agreed to this in writing before the Commencement Date. In accordance with the Disability Discrimination Act 1995 We are able to provide, upon request, a textphone facility, audio tapes and large print documentation. Please advise Us if You require any of these services to be provided so that we can communicate in an appropriate manner. Animal Friends Postal address Animal Friends Insurance Services Limited, Animal Friends House, No. 1 The Crescent, Sun Rise Way, Amesbury, Wiltshire, SP4 7QA. Tel: Fax
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