2015 INSURANCE GUIDE ALUMNI PRIVATE TRAVEL INSURANCE
|
|
- Conrad Garey Barber
- 8 years ago
- Views:
Transcription
1 2015 INSURANCE GUIDE ALUMNI PRIVATE TRAVEL INSURANCE This guide is provided to University of Adelaide Alumni who wish to apply for cover under the University's Travel Insurance policy. The guide outlines the insurance available to alumni and details the process to be applied when claiming against that insurance, should there be a need Legal & Risk Division of Services & Resources
2 ALUMNI PRIVATE TRAVEL INSURANCE APPLICATION Your Details Insured Person (Authorised University member) / / Spouse / Partner / / Accompanying Dependent / / Accompanying Dependent / / Full Postal Address Phone Number Address Country or Countries visiting Travel Details Total Period of Travel From / / leave Home in Australia To / / return to Home in Australia Pre-Existing Medical Condition Do you have any condition that prevents your doctor from agreeing to your travel? If Yes, you will need to obtain and complete a medical declaration or cover may be affected This Application should be returned to Gallagher Australia Yes No Arthur J Gallagher (Aus) Pty Ltd A.B.N David Clarke or Lyn Brice PO Box 2544 Kent Town SA 5067 Telephone: Facsimile: david_clarke@ajg.com (david_clarke@ajg.com) or lyn_brice@ajg.com (lyn_brice@ajg.com) UoA_Application Form_Alumni Private Travel_2015.docx Page 1 of 1
3 Insurance Cover Summary Corporate Travel Category 2 Contact Details: Arthur J. Gallagher 155 Fullarton Road Rose Park SA 5067 Contact Brokers: David Clarke david_clarke@ajg.com
4 Insurance Cover Summary This Cover Summary is not the policy schedule. It is issued for ease of reference only by Arthur J. Gallagher. Reference should be made to the original policy issued by the insurer for full policy terms and conditions including policy exclusions or subjectives. Class of Insurance: Insurer: Policy Number: Insured: Corporate Travel Ace Insurance Limited, Adelaide 03PP and its controlled and associated entities and businesses as declared from time to time and/or subsidiary and/or related incorporated and unincorporated parties, cooperative research centres, each council member, board member, committee member, officer, employee, student appointee, trustee, servant, agent, honorary research fellow and any student, volunteer worker, visiting academic or professional, student union, clubs, societies, colleges, halls of residence, foundations, centres, institutes, alumni and including minority interest incorporated and unincorporated parties for whom the University undertakes to insure. Insured ABN / ITC: ABN (if applicable) Registered for GST Yes Input Tax Credit 100% Period of Insurance: From: 4.00 pm ACST on 31/12/2014 To: 4.00 pm ACST on 31/12/2015 Both local time at the Insured s head office and any subsequent period for which the Insured shall pay or agree to pay and the Insurer(s) shall agree to accept a premium. The Business: Consisting principally but without limiting the generality: Tertiary education and research institution and the various controlled and associated entities and businesses thereto Insured Persons: Category 2 Staff and others not otherwise categorised All persons authorised by the University to travel for and on behalf of the University and those persons not otherwise categorised All Categories and excludes spouses, partners and dependent children unless specifically declared at agreed terms Territorial Limits: Covering: A Journey: Worldwide Insured Persons for their Category Benefits insured whilst undertaking A Journey Shall include authorised business travel, study and research travel and tours and/or private travel as declared from time to time Page 2
5 Journey Definition: A Journey is as described in the Policy noting in addition that; 1. Private travel is limited to 50% of the business component or 28 days whichever is the lesser unless otherwise extended at agreed terms 2. A Journey will not exceed 180 days unless otherwise extended at terms agreed and where that Journey extends beyond the due date of this policy cover continues to the return date as declared, and 3. A Journey must be a distance greater than 100 kilometres from either the normal place of residence or the normal place of work of the Insured Person and retuning to one of those places and there be overnight accommodation but excludes daily commuting to and from the Insured Person s normal place of work; and 4. A Journey must commence during the Period of Insurance; and 5. A Journey must be authorised by the Insured; and 6. A Journey must begin in Australia unless otherwise specifically declared at agreed terms A journey commences at the time the Insured Person leaves the Insured Person s normal place of residence or normal place of work, whichever is the place of departure for the Journey, and ends at the time the Insured Person returns to the Insured Person s normal residence or normal place of work, whichever occurs first. Premium: Age Limit: The definition of Premium in the Policy document is extended to include and other premiums as declared from time to time and paid by an Insured Person No age limit but certain Section 1 benefits may be restricted in accordance with the Policy document Page 3
6 Schedule of Benefits (Summary Category 2): Policy Section Schedule of Benefits Category 1 Nominated Staff Section 1 Accidental Death & Disability Part A Capital Benefits 5x Salary up to $500,000 Parts B & C Weekly Benefits Bodily Injury & Sickness 85% of Salary up to $1,500 per week Excess Period 7 days Benefit Period 156 weeks Surgical Injury Benefit up to $20,000 Surgical Sickness Benefit up to $20,000 Part D Fractured Bones up to $3,000 Part E Loss of Teeth or Dental Procedures up to $1,000 Additional Cover: Specified Sickness - Death Benefit $25,000 Corporate Image Protection $15,000 Independent Financial Advice $7,500 Coma Benefit per day: $50 max period: 3 months Partner Retraining Benefit $15,000 Spouse/Partner Accidental Death Benefit $25,000 Dependent Child Supplement per child: $5,000 per family: $15,000 Orphaned Benefit per child: $5,000 per family: $10,000 Domestic Help Expenses for Accompanying Spouse per week: $500 max. period: 26 weeks Premature Birth / Miscarriage Benefit $5,000 Tuition or Advice Expenses per month: $750 max. period: 6 months Modification Expenses up to $10,000 Unexpired Membership Benefit up to 2,500 Chauffeur Services up to 2,500 Executor Emergency Cash Advance $25,000 Section 2 Kidnap & Extortion $500,000 Trauma Counselling per visit: $500 per person: $5,000 Section 3 Hijack & Detention $200 per day max. period: 60 days Legal Costs $50,000 Section 4 Medical, Evacuation and Additional Expenses Unlimited Additional Cover: Continuous Bed Confinement $100 per day max. period: 60 days Non-Medical Incidental Expenses per day: $50 maximum: $500 Trauma Counselling benefit $5,000 HIV / AIDS contracted through Bodily Injury $10,000 Section 5 ACE Assistance and Security Advice
7 Section 6 Loss of Deposits Unlimited Cancellation and Curtailment Expenses Unlimited Additional Cover: Frequent Flyer Points $10,000 Funeral Expenses $25,000 Pet Boarding Expenses per day: $250 maximum: $2,500 Missed Transport Connection $10,000 Overbooked Flight $2,500 Sub-Limits: Incidental Private Travel and/or Private Travel only as declared $20,000 Out of Pocket Expenses per day: $150 maximum: $1,500 Section 7 Alternative Employee / Resumption of Assignment Expenses Section 8 Baggage and Business Property $20,000 Limit $10,000 per item Electronic Equipment $10,000 Money and Travel Documents $5,000 Deprivation of Baggage $3,000 Additional Cover: Repatriation of Belongings $1,000 Home Burglary Excess Benefit $2,000 Keys and Locks $2,000 Identity Theft Extension $20,000 Section 9 Personal Liability $10,000,000 Court Attendance Benefit per day: $100 maximum: $1,000 Section 10 Rental Vehicle Excess $5,000 Personal Vehicle Excess $2,000 Additional Cover: Vehicle Hire per week: $500 maximum: $2,500 Towing Expenses $1,000 Section 11 Section 12 Extra Territorial Workers Compensation Weekly Benefits $1,000 Damages, Costs and Expenses $1,000,000 Aggregate Limit of Liability $1,000,000 Political & Natural Disaster Evacuation Evacuation Expenses $20,000 Specialist Security Services $50,000 Aggregate Limit of Liability $250,000 Section 13 Search and Rescue Expenses $20,000 Aggregate Limit of Liability $100,000
8 Sections 1 & 2 Aggregate Limit of Liability: Any one (1) Period of Insurance (A): $5,000,000 Non-Scheduled Flights (B): $2,000,000 Any one (1) event with respect to War / Civil War (C): $500,000 Any one (1) Period of Insurance with respect to War / $1,000,000 Civil War (D): Maximum Benefit payable per Insured Person subject to further sub limited amounts as stated within the policy document Currency: Policy Wording: All amounts shown are expressed in Australian Dollars, unless specified otherwise. 14PDSACEBT01 Ace Business Travel Insurance policy wording
9 Ace Assistance Travel and Medical Assistance Emergency Assistance Card Prior to departure, cut out the image of this card to keep with you at all times. 03PP Ace Assistance can help you with medical assistance, including emergency medical evacuation, repatriation and delivery of essential medicine or drugs when such medicine or drugs (or local equivalent) are not available at your location Ace Assistance also provides travel support, such as embassy referral, advice in the event of a lost passport and emergency travel services assistance If you need to incur unexpected or additional expenses in the event of an emergency, please inform Ace Assistance prior to expenditure Ace Insurance will not be responsible for any third-party expenses incurred without their authority If you need assistance or think you will need assistance, please inform Ace - Customer Care. To not do so may prejudice your right to claim assistance or reimbursement. How to use your Ace Assistance Card In the event of an emergency, when Legal & Risk cannot be reached, call Ace Assistance reverse charges on A call to the helpline incurs a charge which attaches to the claim made, but you will not be asked to cover this charge Please note that the card is for emergencies only and should not be used for minor claims such as luggage loss or care hire etc. These claims must be lodged through the Legal & Risk office In an emergency, call Ace Assistance and advise them: Deductible In the event of a claim against the policy, one of the following deductibles may be applied: For baggage claims $150 For lost or damaged electronic equipment $250 For deprivation of baggage (wait period) 8 hours o o o o o Your name Policy name Policy number Your contact number What has happened
10 red24 Travel Security Advice and Assistance ACE Insurance has partnered with red24, a crisis management assistance company, to provide policyholders and covered travellers with a range of travel security services including; Immediate access to security experts for any security or safety concerns Ground support and/or evacuation assistance in the event of civil unrest, natural disaster or a terrorist incident Concerns about identity being compromised due to a data breach Note: these services can only be accessed if registered. Please log in and register at using the University policy number 03PP Also note that there are Apple and Android apps available at the respective app stores for red24. Options for claiming against this policy 1. Contact Tom Pontt by phone ( ) or by (thomas.pontt@adelaide.edu.au) to request a claim form 2. Provide a detailed description of the events that resulted in the claim 3. Attach all supporting documentation (photographs, receipts, letters, police reports, medical certificates etc.) to the claim form. You may be asked for proof of ownership 4. Send the completed claim form and supporting documentation to the above address 5. When your claim has been finalised you will receive notification from the Insurer Thomas Pontt Insurance Officer Legal & Risk Room GO7 Mitchell Building ADELAIDE SA 5005 For more information contact Legal & Risk
ACE BUSINESS TRAVEL INSURANCE
ACCIDENT & HEALTH ACE BUSINESS TRAVEL INSURANCE LOCAL EXPERTS, GLOBAL COVER Why choose ACE? A new and improved policy with broad coverage and a host of additional benefits Expert service from local underwriting
More informationArchery Australia Insurance Handbook 2009-2010
Archery Australia Insurance Handbook 2009-2010 Index Introduction... 3 Public & Products Liability (including errors & omissions)... 4 Who is Insured? 4 When are you Insured? 4 Where are you Insured? 4
More informationQuotation. Corporate Passport Travel Insurance
Named Insured: CATHOLIC CHURCH INSURANCE LIMITED; World Youth Day Policy Period: From: 01 Apr 2016 (at 4.00pm. Local Standard Time) To: 01 Apr 2017 (at 4.00pm. Local Standard Time) Broker: Catholic Church
More informationDear Parents, Please complete the details below:
Dear Parents, The school has in place travel insurance for students travelling within Australia (not Tasmania) and overseas. Travel insurance for all trips undertaken with the school is now compulsory
More informationGRM CORPORATE TRAVEL INSURANCE POLICY
As at 30 November 2012 Policyholder(s): GRM International Pty Limited, GRM Futures Group Pty Ltd and its/their subsidiary and related bodies corporate, as defined in the Corporations Law, controlled entities
More informationZurich Corporate Travel Insurance. Zurich Accident and Health
Zurich Corporate Travel Insurance Zurich Accident and Health Zurich Accident and Health Zurich Accident and Health is part of a global initiative which reflects our strong capability and dedication to
More information2014/2015 National Insurance Program Manual
2014/2015 National Insurance Program Manual Prepared by: Terry Berryman Account Executive OAMPS Insurance Brokers P: (07) 3367 5010 M: 0438 596 939 E: terry.berryman@oamps.com.au Closer to clients Closer
More informationGolf Australia Ltd Member Association Group Insurance Program Summary of Cover
Golf Australia Ltd s Insurance arranged for Queensland Golf Inc which includes District Golf Associations as per policies. All policies expire 30 th June 2010 1. Property Insurance (ISR) Interest Insured
More informationACE BUSINESS TRAVEL INSURANCE
ACCIDENT & HEALTH ACE BUSINESS TRAVEL INSURANCE LOCAL EXPERTS, GLOBAL COVER Why choose ACE? A new and improved policy with broad coverage and a host of additional benefits Expert service from local underwriting
More informationROTARY AUSTRALIA NATIONAL INSURANCE PROGRAMME Insurance Summary 2015/2016
ROTARY AUSTRALIA NATIONAL INSURANCE PROGRAMME Insurance Summary 2015/2016 INSURED Nominated Rotary Districts and Clubs, Rotaract and Interact Clubs including clubs in the course of formation, incorporated
More informationAonProtect Arranged By Aon Underwriting Managers
AonProtect Arranged By Aon Underwriting Managers Policy Number 14-PAT-0000000289 AonProtect Policy Schedule Policyholder Address Business Liverpool Hope University Hope Park Liverpool L16 9JD Educational
More informationPOLICY SCHEDULE. Corporate Travel
MARSH POLICY SCHEDULE Corporate Travel POLICY NUMBER INSURED PERIOD OF INSURANCE INSURED PERSON (S) / CATEGORIES SCOPE OF COVER JOURNEY INTERNATIONAL TRAVEL 766600013 UNIVERSITY OF OTAGO and/or their subsidiary
More information2015 INSURANCE GUIDE. PERSONAL ACCIDENT (Students)
2015 INSURANCE GUIDE PERSONAL ACCIDENT (Students) This guide is provided to assist University of Adelaide students in understanding the Personal Accident insurance cover available to them and how to make
More informationBUSINESS TRAVEL INSURANCE POLICY SCHEDULE
Certificate Number: Policyholder(s): Broker: 01PP530564 YFU Australia Pty Ltd Aon Risk Services Australia Ltd Address: 201 Kent Street Sydney NSW 2000 Period of Insurance: From: 1 April 2015 (at 4:00pm)
More informationPersonal Accident and Business Travel
Personal Accident and Business Travel Policyholder University of Greenwich Period of Insurance 1 August 2014 to 31 July 2015 Policy No Lead Insurer 14-PAT-0000000318 ACE European Group Limited This is
More informationCitibank Travel Insurance Claim Form
ACE Insurance Limited ABN 23 001 642 020 AFSL. 239687 Level 1, 51 Berry Street rth Sydney NSW 2060 Australia PO Box 403 rth Sydney NSW 2059 Australia 1800 305 422 (02) 8912 9704 (02) 9231 3697 +61 2 8912
More informationGroup Personal Accident and Travel Insurance Schedule of Benefits Section A - Injury (a)
Section A - Injury (a) Category Insured Persons Operative Time Code A All employees and students MOT12 Operative Time Definition(s) Code MOT12 Definition All Business travel (including Incidental Holiday
More informationGLOBAL TRAVEL INSURANCE SCHEDULE OF BENEFITS Limit per travel ticket purchased SENIOR (Age 71 75) 2015
GLOBAL TRAVEL INSURANCE SCHEDULE OF BENEFITS Limit per travel ticket purchased SENIOR (Age 71 75) 2015 SENIOR (Age 71 75) Ages: 71 to 75 Maximum Period: Limit of Liability: 90 Day(s) For Period of Insurance
More informationWestpac Holiday Travel Insurance Product Disclosure Statement. Premium, excess and claims guide
Westpac Holiday Travel Insurance Product Disclosure Statement Premium, and claims guide Your guide to premiums, es and claims payment The purpose of this guide is to provide further detail about the amount
More informationCorporate Travel and Personal Accident Insurance Claim Form
Claim : Corporate Travel and Personal Accident Insurance Claim Form Prepared 03 January 2012 Email: travelclaims@allianzassistance.com.au Phone: 1800 761 173 Facsimile: (07) 3360 7854 Postal Address: Claims
More informationPersonal Accident and Business Travel (Secondees)
Personal Accident and Business Travel (Secondees) Policyholder University of Greenwich Period of Insurance 9 October 2013 to 8 October 2014 Policy No Lead Insurer 13-PAT-0000000628 ACE European Group Limited
More informationInternational Student
International Student travel insurance Insurance that looks after students from other countries while they are studying in New Zealand Effective from 18 March 2015 Why do you need International Student
More informationWhy do you need Visiting New Zealand insurance?
Visiting New Zealand travel insurance Insurance that looks after people who are visiting New Zealand Why do you need Visiting New Zealand insurance? Every year more than two million people visit New Zealand
More informationACE Insurance Limited 04PP007659. World Wide. Refer schedule. Refer schedule. Section 2 Kidnap & Ransom/Extortion Cover
Corporate Travel Insurer Policy Number Journey Insured Persons ACE Insurance Limited 04PP007659 Journey shall mean any trip involving travel exceeding 50klms from the Insured Person s normal place of residence
More informationClaim Form Travel Insurance
United Overseas Insurance Limited 3 Anson Road #28-01 Springleaf Tower Singapore 079909 Tel: (65) 6222 7733 Fax: (65) 6327 3869 / 6327 3870 Email: ContactUs@uoi.com.sg uoi.com.sg Co. Reg. No. 197100152R
More informationClaim Form TRAVEL INSURANCE
ACCIDENT & HEALTH INTERNATIONAL Claim Form TRAVEL INSURANCE Sydney Level 4, 33 York Street Sydney NSW 2000 GPO Box 4213, Sydney, NSW, 2001 T: +61 2 9251 8700 F: +61 2 9252 4385 ABN: 26 053 335 952 AFS
More informationAVANT TRAVEL INSURANCE CLAIM FORM
AVANT TRAVEL INSURANCE CLAIM FORM IMPORTANT: PLEASE READ BEFORE YOU COMPLETE THIS FORM 1. Pleas e answer all questions and provide all relevant doc umentation to avoid delays with your claim. We are unable
More informationTravel Insurance Report Form
ACE Insurance Limited ABN 23 001 642 020 28-34 O Connell Street Sydney NSW 2000 Australia GPO Box 4065 Sydney NSW 2001 Australia (02) 9335 3355 main (02) 9231 3697 fax www.aceinsurance.com.au 1800 815
More informationJames Cook University - Student Travel
James Cook University - Student Travel Am I eligible? You may be eligible to receive benefits under the James Cook University (JCU) Corporate Travel policy should you meet the following criteria: 1. You
More informationInternational Student
International Student travel insurance Insurance that looks after students from other countries while they are studying in New Zealand Why do you need International Student travel insurance? All international
More information2. For cancellation or amendment of travel arrangements due to you or your relatives illness /death (Complete Sections A, C D and E)
IMPORTANT: please read this before you start Use the check list below to help you complete your claims form, and identify you will need to attach. We don t want you to miss something. Delays can occur
More informationTravel Insurance Report Form
ACE Insurance Limited ABN 23 001 642 020 28-34 O Connell Street Sydney NSW 2000 Australia GPO Box 4065 Sydney NSW 2001 Australia (02) 9335 3355 main (02) 9231 3697 fax www.aceinsurance.com.au 1800 815
More informationSTUDENT CORPORATE TRAVEL INSURANCE
STUDENT CORPORATE TRAVEL INSURANCE INSURER American Home Assurance Company ABN 67 007 483 267 Policy No. 2400100200 The University's insurance program includes a Student Travel Insurance Policy with American
More informationFor all claims the following documents must be sent to us along with this claim form:
IMPORTANT: please read this before you start Use the check list below to help you complete your claims form, and identify documents you will need to attach. We don t want you to miss something. Delays
More informationZurich Corporate Travel Insurance. Product Disclosure Statement
Zurich Corporate Travel Insurance Product Disclosure Statement Preparation date: 2 December 2015 Effective date: 28 December 2015 Contents About our Corporate Travel Insurance About Zurich... 2 How to
More informationLeisure Travel Insurance Application. Underwritten by
Underwritten by Leisure Travel Insurance Application Leisure Travel Even the most carefully planned travel can go unexpectedly wrong. Regardless of how careful you are, some events are simply beyond your
More information2015 INSURANCE GUIDE STUDENT WORK EXPERIENCE
2015 INSURANCE GUIDE STUDENT WORK EXPERIENCE This document is provided to assist staff and students in understanding what insurance cover is in place for students engaged in a work experience or community
More informationClaim Form Travel Insurance
United Overseas Insurance Limited 3 Anson Road #28-01 Springleaf Tower Singapore 079909 Tel: (65) 6222 7733 Fax: (65) 6327 3869 / 6327 3870 Email: Claims@uoi.com.sg uoi.com.sg Co. Reg. No. 197100152R Claim
More informationBusiness Travel Insurance. Vertex Policy Wording. Aon Risk Services Australia Limited ABN 17 000 434 720 AFSL No. 241141
Business Travel Insurance Vertex Policy Wording Aon Risk Services Australia Limited ABN 17 000 434 720 AFSL No. 241141 November 2014 Aon Product Design & Development Australia Pty Limited 2014. Other than
More informationQBE travel insurance claim form
QBE travel insurance claim form QBE Insurance (Australia) Limited ABN 78 003 191 035 AFSL 239 545 Office use only Claim number Please answer all questions and tick boxes where appropriate Leaving a question
More informationOVERSEAS TRAVEL STUDENTS 2015/2016 INSURANCE INFORMATION
OVERSEAS TRAVEL STUDENTS 2015/2016 INSURANCE INFORMATION This summary of UoN s Travel Insurance cover is not evidence that your travel is covered by UoN s insurance program. Proof of cover for your travel
More informationIMPORTANT INFORMATION
ACE JERNEH INSURANCE BERHAD (formerly known as Jerneh Insurance Berhad) (9827-A) Claim Services Department, Level 26 Menara Weld, 76 Jalan Raja Chulan, 50200 Kuala Lumpur, Malaysia 1800 88 2846 Tel 03
More informationZurich Business Travel Insurance. Product Disclosure Statement
Zurich Business Travel Insurance Product Disclosure Statement Preparation date: 10 September 2015 Effective date: 20 November 2015 Contents About our Business Travel Insurance About Zurich... 2 How to
More informationCONTENTS 1. PRIOR TO TRAVEL 2. PERSONAL ACCIDENT/TRAVEL INSURANCE 3. RESTRICTIONS TO TRAVEL FOREIGN OFFICE 4. INSURERS DETAILS AND POLICY NUMBER
CONTENTS 1. PRIOR TO TRAVEL 2. PERSONAL ACCIDENT/TRAVEL INSURANCE 3. RESTRICTIONS TO TRAVEL FOREIGN OFFICE 4. INSURERS DETAILS AND POLICY NUMBER 5. PERSONAL ACCIDENT 6. MEDICAL EXPENSES 7. CANCELLATION
More informationHow To Insure A Soccer Player
Group Personal Accident and Sickness Insurance WE hereby agree, to the extent and in the manner hereinafter provided, to indemnify or otherwise pay YOU in respect of the contingencies or events specified
More informationExpiry Date. If you have selected Cheque please nominate payee
TRAVEL INSURANCE CLAIM FORM IMPORTANT: PLEASE READ BEFORE YOU COMPLETE THIS FORM 1. Please answer all questions and provide all relevant documentation to avoid delays with your We are unable to process
More informationMaking a claim with COTA
Making a claim with COTA Before you start In order for us to process your claim quickly it s important that you complete all the relevant sections of this form with as much detail as you can If you do
More informationName of Traveller Mr Mrs Miss Ms. For prompt settlement please attach original or photostat copy of Insurance Certificate
The provision of this form by AIG is not an admission of liability or acceptance by AIG of your claim. All questions in this section must be answered Name of Traveller Mr Mrs Miss Ms Occupation: Date of
More informationName of Traveller Mr Mrs Miss Ms. Occupation: Date of Birth / /
Travel Insurance Report Form Claim Report This issue of this form is not an admission of liability and is without prejudice. All questions in this section must be answered Name of Traveller Mr Mrs Miss
More informationZurich Corporate Travel Insurance. Product Disclosure Statement
Zurich Corporate Travel Insurance Product Disclosure Statement Effective date 1 June 2011 / Preparation date 11 May 2011 Contents About our Corporate Travel Insurance About Zurich... 2 How to apply for
More informationName of Traveller Mr Mrs Miss Ms. For prompt settlement please attach original or photostat copy of Insurance Certificate
Staff/Student ID No. The provision of this form by AIG is not an admission of liability or acceptance by AIG of your claim. Please keep a photocopy of all documentation you send to us for your own records.
More informationSingapore Airlines Claim Form
Singapore Airlines Claim Form IMPORTANT NOTE: Please answer all questions contained in this claim form as leaving items blank, using ticks, dashes and N/A may make it necessary for us to return your claim
More informationBICYCLE NEW SOUTH WALES PERSONAL INJURY CLAIM FORM
Office use only Policy Number: AN A044041 PAD Claim Number: BICYCLE NEW SOUTH WALES PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR BICYCLE NEW SOUTH WALES INC V-Insurance Group Pty Ltd V-Insurance Group
More informationTRAVEL INSURANCE CLAIM FORM
PLEASE READ BEFORE COMPLETING FORM 1. THIS FORM MUST BE FULLY COMPLETED IN THE SECTIONS APPLICABLE TO YOUR CLAIM. 2. THE PRIVACY CONSENT SECTION MUST BE SIGNED. 3. The issue of this form is not an admission
More information2015 INSURANCE GUIDE
2015 INSURANCE GUIDE (Masters of Psychology Placement) This guide is provided to assist staff and students from the School of Psychology in understanding the insurance available to post-graduate students
More informationImportant notice each incident requires a separate claim form. Postal Address Risk/Cost Centre
Travel Claim Form 221 St George s Terrace, Perth GPO Box K837 Perth WA 6842 Telephone (08) 9264 3333 Facsimile (08) 9322 1557 Website www.riskcover.wa.gov.au Important notice each incident requires a separate
More informationNTUC Income Travel Claim Submission Procedure
NTUC Income Travel Claim Submission Procedure Step 1 - Print the claim form. Step 2 - Complete the claim form and refer to the claim matrix for supporting documents required. Step 3 - Get the authorized
More informationCLAIM FORM - EQ TRAVEL. Section 1 - Particulars of Insured. Section 2 - Details of Incident/Loss/Illness (must be completed)
CLAIM FORM - EQ TRAVEL Agency: Policy No.: Please note: Sections 1, 2 and 12 must be completed. Sections 3 to 11 complete only the relevant sections. The acceptance of this form is NOT an admission of
More informationTravel Insurance for Local Operators and Leaders
Travel Insurance for Local Operators and Leaders About this document This document aims to help Exodus local operators and leaders understand the key issues surrounding travel insurance. Having a clear
More informationtravel insurance travel claim report
claim report travel insurance travel CGU Insurance Limited ABN 27 004 478 371 An IAG Company Please retain this page for your information IMPORTANT Please read this before completing the report. Please
More informationPlease print out for signatures and post original to your broker if applicable or to AIG Insurance New Zealand Limited.
Corporate Travel Insurance Claim Form Please print out for signatures and post original to your broker if applicable or to AIG Insurance New Zealand Limited. Corporate Policies Only: This section MUST
More informationPROBUS TRAVEL INSURANCE IMPORTANT INFORMATION BOOKLET PLAN B AUSTRALIA
PROBUS TRAVEL INSURANCE IMPORTANT INFORMATION BOOKLET PLAN B AUSTRALIA For travel cover activated between 1 February 2015 and 30 November 2015 Issued: 1 February 2015 Schedule of Benefits and Scope of
More informationMOTOR INSURANCE PREMIUM, EXCESS, DISCOUNTS & HELPLINE BENEFITS GUIDE
MOTOR INSURANCE PREMIUM, EXCESS, DISCOUNTS & HELPLINE BENEFITS GUIDE 1 This NRMA Insurance Premium, Excess, Discounts & Helpline Benefits Guide should be read with the NRMA Insurance Product Disclosure
More informationSGIO Motor Insurance Helpline Benefits Guide
SGIO Motor Insurance Helpline Benefits Guide WA Helpline benefits 132 900 24 hour assistance This SGIO Motor Insurance Helpline Benefits Guide forms part of the SGIO Motor Insurance Product Disclosure
More informationTravel Insurance Report Form
ACE Insurance Limited ABN 23 001 642 020 28-34 O Connell Street Sydney NSW 2000 Australia GPO Box 4065 Sydney NSW 2001 Australia 1800 688 640 claims phone 1800 815 675 customer service +61 (0)2 9231 3697
More informationPOLICY SUMMARY. Flybe Travel Insurance
Flybe Travel Insurance POLICY SUMMARY The purpose of this Policy Summary is to help you understand the insurance by setting out the significant features, benefits, limitations and exclusions. You still
More informationZurich Group Personal Accident and Sickness Insurance. Zurich Accident and Health
Zurich Group Personal Accident and Sickness Insurance Zurich Accident and Health Zurich Accident and Health Zurich Accident and Health is part of a global initiative which reflects our strong capability
More informationAll paid up members and voluntary workers of Bicycle QLD.
Bicycle QLD Summary of Member Insurances as at 31 st January 2014. Insured: Cover: Limits: All paid up members and voluntary workers of Bicycle QLD. The compensation provided shall be payable should an
More informationOverseas Travel Insurance claim form
Overseas Travel Insurance claim form for ANZ Visa Gold, ANZ Gold MasterCard and Qantas ANZ Visa Platinum cards By following the simple steps listed below you can avoid unnecessary delays when your claim
More informationCorporate Travel Insurance. Product Disclosure Statement and Policy Wording. DUAL Corporate Travel Plan PDSV110
Corporate Travel Insurance Product Disclosure Statement and Policy Wording DUAL Corporate Travel Plan PDSV110 Corporate Travel Insurance Product Disclosure Statement and Policy Wording Table of Contents
More informationSmartTraveller Claim Form
AXA Affin General Insurance Berhad (23820-W) Ground Floor Wisma Boustead 71 Jalan Raja Chulan 50200 Kuala Lumpur (603) 2170 8282 (603) 2031 7282 customer.service@axa.com.my www.axa.com.my SmartTraveller
More informationFrequently Asked Questions on Travel and Medical Insurance (World Elite MasterCard Credit Card)
Frequently Asked Questions on Travel and Medical Insurance (World Elite MasterCard Credit Card) What is the Schedule of Benefits under the travel insurance policy? Schedule of Benefits Amount of Benefits
More informationTitle Given name/s Surname Date of birth. Postal address Suburb State Postcode
AAA Auto Clubs Claim Form Submit your claim to Travel Insurance Partners by: Post: AAA Auto Clubs Claims Department PO Box 168, North Sydney NSW 2060 Fax: (02) 8362 9367 Email: claimsprocessing@travelinsurancepartners.com.au
More informationkaplan care insurance Guide 2015 Travel, academic and medical insurance policy www.kic.org.uk
kaplan care insurance Guide 2015 Travel, academic and medical insurance policy www.kic.org.uk welcome to kaplan care Kaplan Care has been specially designed for international students by Kaplan International
More informationKAPLAN CARE INSURANCE GUIDE 2015 TRAVEL, ACADEMIC AND MEDICAL INSURANCE POLICY www.kic.org.uk
KAPLAN CARE INSURANCE GUIDE 2015 TRAVEL, ACADEMIC AND MEDICAL INSURANCE POLICY www.kic.org.uk WELCOME TO KAPLAN CARE Kaplan Care has been specially designed for international students by Kaplan International
More informationWORLDWIDE HEALTH CARE
WORLDWIDE HEALTH CARE Worldwide comprehensive protection and assistance for you and your family Page 1 of 7 In this Overview: 1. Introduction 2. Overview of the Plan 3. 24hr Emergency Assistance 4. Australian
More informationJob Seekers undertaking Approved Activities in jobactive. A Guide to your Insurances
Job Seekers undertaking Approved Activities in jobactive. A Guide to your Insurances Introduction The Department of Employment has engaged Arthur J. Gallagher Australia (AJG) to arrange insurance for all
More information2. Insurance Cover purchased by the Trustee for the Trust and its Members. This is a contract of indemnity.
SUMMARY OF PROTECTION For the REDDIFUND Provided by the JARDINE LLOYD THOMPSON DISCRETIONARY TRUST As at SEPTEMBER 2009 The JLT (WACIRF) Discretionary Trust (JDT) Arrangement 2009/10 ABN 41 392 029 954
More informationINSURANCE GUIDE Student Volunteer/Internship Program
INSURANCE GUIDE Student Volunteer/Internship Program Insurer and Policies Travel - AHI Policy Number 0029651 Personal Accident AHI Policy Number 029654 Public Liability QBE Policy Number AT 1023390 PLB
More informationMaking a claim with TID
Making a claim with TID Before you start In order for us to process your claim quickly it s important that you complete all the relevant sections of this form with as much detail as you can If you do not
More informationPersonal Accident / Sickness Claim Form
Personal Accident / Sickness Claim form All relevant sections are to be answered in full. Please print your answers. The company does not admit liability by the issue of this form. It is issued to enable
More informationsample Gold Disability Income Cover
Gold Disability Income Cover Here is some important information about Gold Disability Income Cover. Please read this policy document and then keep it in a safe place. 1 Please take the time to read this
More informationROTARY NATIONAL INSURANCE SCHEME
ROTARY NATIONAL INSURANCE SCHEME Insurance Summary INSURED for all sections Nominated Rotary Districts and Clubs; Rotaract and Interact Clubs including clubs in the course of formation, incorporated or
More informationTravel Insurance Claim Form
Travel Insurance Claim Form 1 TRAVELLER details Please print your details clearly in CAPITAL letters using a pen Policy Number Name of Traveller (Mr/Mrs/Ms/Miss) Name of Policy Owner Telephone Home/work
More informationMotor Insurance. Aussie Assist Benefits Guide
Motor Insurance Aussie Assist Benefits Guide Aussie Assist benefits 24 hour assistance If you hold Comprehensive, Third Party Fire & Theft or Third Party Property Damage Insurance and would like more information
More informationThe Insured City of Melville including subsidiary companies for their respective rights and interests.
Policy Schedule Class of Insurance Motor Fleet Policy Number 63-4002271-VFT The Insured City of Melville including subsidiary companies for their respective rights and interests. The Business Local Government
More informationSingle Trip Travel Insurance Frequently Asked Questions
Single Trip Travel Insurance Frequently Asked Questions Single Trip Travel Insurance is packaged exclusively for HSBC credit cardholders and their family members. It is a travel insurance covering individuals
More informationGold Disability Income Cover Policy
Gold Disability Income Cover Policy This is your Gold Disability Income Cover Policy. It is an important document and should be kept in a safe place. Please take the time to read this document. Contents
More informationPERSONAL INJURY CLAIM FORM
Office use only Policy Number: ANA042769PAD Claim Number: BICYCLE QUEENSLAND PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR BICYCLE QUEENSLAND; V-Insurance Group Pty Ltd Authorised Representative No.
More informationAngus Council School Journey Policy Summary of Cover
Angus Council School Journey Policy Summary of Cover Policy number: SJ-14U002-0016 Insurer: Zurich Municipal Policyholder: Angus Council This is a summary of the significant features, benefits and limitations
More informationPolicy & Procedures:... Travel Insurance Cover Note... 5 Appendix 1: Form FT1... 3 Appendix 2: Form FT2... 7 Appendix 3: Form FT3...
National Shared Services Directorate HSE Foreign & Domestic Travel Policy Document 1 1. Policy & Procedures:... Error! Bookmark not defined. 1.1 Overview... 3 1.2 Purpose... 3 1.3 Authorisation for Foreign
More informationNRMA Comprehensive Plus Motor Insurance Premium, Excess, Discounts and Helpline Benefits Guide NSW
NRMA Comprehensive Plus Motor Insurance Premium, Excess, Discounts and Helpline Benefits Guide NSW NRMA Comprehensive Plus Motor Insurance Premium, Excess, Discounts and Helpline Benefits Guide This NRMA
More informationMaking a claim with Suresave
Making a claim with Suresave Before you start In order for us to process your claim quickly it s important that you complete all the relevant sections of this form with as much detail as you can If you
More informationGROUP PERSONAL ACCIDENT POLICY SCHEDULE
QBE INSURANCE (AUSTRALIA) LIMITED ABN 78 003 191 035 GROUP PERSONAL ACCIDENT POLICY SCHEDULE Policy Number: AN A044726 PAD Policy Wording: The Insured: The Business: Period of Insurance: QBE QM 360-0312
More informationUniversal Travel Insurance
Universal Travel Insurance Whether you are traveling on holiday, business or planning a short-term overseas study trip for your children, Universal Travel Insurance from BOCG Insurance provides you with
More informationACE TRAVEL INSURANCE ONE TRIP TRAVEL PROTECTION COMBINED FINANCIAL SERVICES GUIDE (FSG), POLICY WORDING AND PRODUCT DISCLOSURE STATEMENT (PDS)
ACE TRAVEL INSURANCE ONE TRIP TRAVEL PROTECTION COMBINED FINANCIAL SERVICES GUIDE (FSG), POLICY WORDING AND PRODUCT DISCLOSURE STATEMENT (PDS) FINANCIAL SERVICES GUIDE (FSG) ABOUT THIS FINANCIAL SERVICES
More informationMaximum Skating. Sports Injury Insurance Cover for Junior Members. Closer to clients Closer to communities
Closer to clients Closer to communities Insurance Program Summary Dear Members, We are pleased to present this quick guide to the 2013-2014 Maximum Skating Sports Injury Insurance Program. The purpose
More informationCorporate Travel Claim Form
Corporate Travel Claim Form Important Notice The acceptance of this Form is NOT an admission of liability on the part of Zurich Insurance Company Ltd (Singapore Branch) (the Company ). Any documentary
More informationUpgraded coverage with natural disaster and re-route expenses cover
Upgraded coverage with natural disaster and re-route expenses cover i-travel (Single Trip) i-travel (Single Trip) Upgraded Coverage with Natural Disaster and Re-route Expenses Cover Natural disaster cover:
More informationHow To Claim From Safari Safari Insurance In Korea
Date sent to us: / /20 Claim Reference Number (if known): Please answer all relevant questions on the claim form. Leaving items blank, using ticks, dashes and n/a may result in us returning the claim form
More information