A Guide to Insurance Policy in Pakistan

Transcription

1 National Insurance Company Limited (OwnedbytheGovernmentofPakistan)Form:TIC*02 CARTIFICATENO:NICL/TIC/../20 ONPOLICYNO.. CERTIFICATEOFTRAVELINSURANCE(INCLUDINGTERRORISM COVER)FORVISITINGFOREIGNBUYERSORTHEIRFOREIGN AGENTS NameofInsured:..... Nationality:. Father sname:..... Address:.... TypeofCover: Classic Superior Premier SumInsured: US$. RiskCovered: ACCIDENTALDEATH,TOTALPERMANENTDISABILITY,REPATRIATION, EVACUATIONANDMEDICALEXPENSES. PeriodCovered:..To.. We,herebycertifythatthiscertificateisevidenceofinsurancecoverunderthetermsandconditionsof theabovementionedpolicy. Disclaimer: Thiscertificateisintendedfortheabovenamedinsured,ifyouarenottheintendedinsuredyoumast notcopythiscertificateoranypartofitorotherwisedisseminateordiscloseanyinformation,contained thereinortakeanyactioninrelianceonit.allsuchactionsshellbestrictlyinvalid. NICLdonotacceptliabilityforanycorruption,delay,interceptionorunauthorizedamendmentsofthe certificate. Forandonbehalfof NationalInsuranceCompanyLimited

2 National Insurance Company Limited (OwnedBytheGovernmentofPakistan) Form:TIC*03 PROPOSALFORMFORTRAVELINSURANCE 1. Youareapplyingas: Individual: Group(ifapplyingingroupplease Giveseparatedetailsforeachtraveler AspergroupForminadditiontothisForm. 2. NameofApplicant(asonPassport): 3. Citizenship: 4. PassportNumber: (Pleaseuseadditionalsheetifmarethenonetravelersareapplying) 5. Organization: 6. Date/PlaceofEntryinPakistan: 7. FlightNumber: 8. TimetoArrival: 9. Date/PlaceofExitfromPakistan: 10. TimeofDeparture: 11. StayDurationinDays: 12. NumberoftravelerstobeInsured: 13. CoveragePlanchosen(PleaseTick) a. Classic b. Superior c. Premier 14. Purposedofvisit(PleaseTick) a. Govt.DelegatesOfficialTradeDelegates b. BusinessTravelersTourists

3 Form:TIC*03(page/02) 15. ContactInformation: EXMailAddress: Mobile#: Phone#: Fax#: 16. NomineeName: (PleaseuseadditionalSheetifthereismoretheonerepresentative) 17. NomineeAddressPhoneNo.EXMail: 18. Ideclarethatthisinformationistruetothebestormyknowledge Name: Signature: Date: GroupForm:* 1. NameofApplicant(asonPassport): 2. PassportNumber: 3. NomineeName: (PleaseuseadditionalSheetifthereismoretheonerepresentative) 4. NomineeAddressPhoneNo.EXMail:

4 NationalInsuranceCompanyLimited (OwnedBytheGovernmentofPakistan) Form:TIC*04 ClaimForm AllRisksCover TravelInsurance PolicyNo. ClaimNo. 1. NameofClaimant 2. Fullresidential/PostalAddress 3. PlanSelected 4. PurposeofTravel a. DateofTravel b. DateofDeparture c. No.ofDaysStayed d. NameAddressofGovt.AgencyHostingyou 5. DateTimeofAccident 6. ExactLocation 7. NatureofInjury/Sickness 8. CauseofInjury 9. WerethePoliceNotified 10. ContactDetailsoftheHospitalor Doctorwhomyouvisited

5 Form:TIC*04(page/02) 11. NatureofTreatmentReceived 12. ForHowManyDayswereyouHospitalized 13. TotalMedicalCostsoFarIncurred 14. DoyouAnticipateMoreExpense,ifso?PleaseSpecify Ideclarethatallstatementsmadeonthisformaretruetothebestofmyknowledgeandbeliefandthat thearticlesandpropertydescribedbelongtothepersonsnamed,nootherpersonhavinganyinterest therein,whetherasowner,mortgagee,trusteeorotherwise. Dated: Insured ssignature

6 OPERATIONAL MECHANISM / MODUS OPERANDI The concerned Pakistani Exporter shall apply to NICL, for issuance of Terrorism Insurance Policy, on behalf of foreign visiting buyer/purchaser, their inspector and sourcing agents etc. including date of arrival, duration of stay in Pakistan, age, nationality and name of visitor. On receipt of this information, NICL on receipt of premium from the applicant / exporter shall immediately issue Certificate / Certificates of TravelInsurance Policy(IncludingTerrorismCover)forVisitingForeignBuyerortheirforeignagentsand handover the same to Pakistani exporter, who will send a copy of that Certificate to visitor, thereby, giving him/her a certain level of comfort, before arrival in Pakistan. In case of any claims, NICL, Zonal Office (Islamabad) would be contacted by phone, fax or , by the insured or representative of visitor in Pakistan. Claim Form (TIC-04) should also follow as soon as possible. NICL, Zonal Office, thereafter, will arrange payment of claim on priority to the insured or their heirs. Specimen of requisite Preliminary Information Sheet (TIC-01), Proposal Form (TIC-02), Certificate of Insurance (Form TIC-03) and Claim Form (TIC-04), are attached.

7 National Insurance Company Limited (OwnedBytheGovernmentofPakistan) PRELIMINARYINFORMATIONSHEET FormTIC<01 TRAVELINSURANCE(INCLUDINGTERRORISMCOVER)FORVISITINGFOREIGNBUYERSORTHEIRFOREIGNAGENTS S.No. NameofApplicant Citizenship Dateofentry inpakistan Durationof StayinPakistan ChoseCoverage Plan ContactInformationi.e. PhoneNo; orFax NomineeAddressand ContactInformation

8 NATIONALINSURANCECOMPANYLIMITED (OWNEDBYTHEGOVERNMENTOFPAKISTAN) PolicyNo: TRAVELINSURANCEPOLICY(INCLUDINGTERRORISMCOVER)FORVISITING FOREIGNBUYERSORTHEIRFOREIGNAGENTS PERIODOFINSURANCE From:.To. SumInsurance : US$ Premium : US$... Whereasthepersonnamedinthescheduletothispolicy(hereinaftercalledthe Assured )byasigned ProposalFormandDeclarationwhichshallbethebasisofthispolicyandisdeemedtobeincorporated hereinhasappliedtonationalinsurancecompanylimitedfortheinsurancehereinaftercontainedand the premium has been paid in advance for such insurance in respect of sickness/accidental injury/accidental disability/accidental death occurring during the period of insurance and within territoryofpakistanincludingaccidentsduetoterrorismacts. The company hereby agrees to compensate the Assured or his legal representative subject to the provisions, conditions and exclusions of this policy, with respect to loss resulting from accidental Injury/Disability/Death to the extent herein provided. This policy takes effect on the date and hour

9 stated in the Proposal Form and expires on the same hour at the end of the number of days stated therein. CoverageunderthispolicyshallceaseuponexitoftheinsuredfromPakistan sterritoryorattheendof thepolicyperiod,whichevershalloccurfirst. SUMMARYOFTHEPOLICYCOVERAGE THISPOLICYCOVERS: 1. Sickness 2. AccidentalDeathPermanent/PartialTotalDisability. 3. Repatriation/Evacuation 4. MedicalTreatment WhatisactofTerrorism? Anactisactofterrorismif: a. #the#effect#of#this#action#will#be#to,#strike#terror#or#create#a#sense#of#fear#and#insecurity#in#the#people,#or#any# section# of# the# people,# any# act# or# thing# by# using# bombs,# dynamite# or# other# explosive# or# inflammable# substances,#or#such#fire;arms#or#other#lethal#weapons#as#may#be#notified,#or#noxious#gases#or#chemicals,#in# such#a#manner#as#to#cause,#or#be#likely#to#cause,#the#death#of,#or#injury#to,#any#person#or#persons,#or#damage# to,#or#destruction#of#property#on#a#large#scale,#or#a#widespread#disruption#of#supplies#of#services#essential#to# the#life#of#the#community:#or#threatens#with#the#use#of#force#public#servants#in#order#to#prevent#them#from# discharging#their#lawful#duties;#or# b. Committed#as#a#scheduled#offence,#the#effect#of#which#will#be,#or#the#likely#to#be,#to#strike# terror,#or#create#a#sense#of#fear#and#insecurity#in#the#people,#or#any#section#of#the#people,#or# to#adversely#affect#harmony#among#different#sections#of#the#people;#or## c. Committed#as#an#act#of#gang,#rage,#child#molestation,#or#robbery#coupled#with#rape;#or# d. Committed#as#an#act#of#civil#commotion.# ASSUREDPERSONMEANS:

10 Thepersonwhosenameisstatedintheinsurancepolicy. PERIODOFCOVER: Asperpurchasedinsuranceprogram. COVEREDTRIP AcoveredtripshallmeanatripundertakenbytheAssuredfromoutsidehisusualcountryofresidence topakistanonly.thecoveredtripcommenceswhentheinsuredpersonenterstheterritoryofpakistan andceaseswhentheinsuredpersonleavestheterritoryofpakistan. Themaximumdurationofanyonecoveredtripmustnotexceedasperpurchasedinsurancecover. 1.SICKNESS/PERMANENTORPARTIALTOTALDISABILITY/ACCIDENTALDEATH Thiscoverisonlywithrespecttosickness/bodilyinjury/Disabilityorlossoflife(includingduetoanact ofterrorismoccurredduringstayinpakistan)tothemaximumlimitsstatedbelow: PriceandBenefits: Classic Superior Premium AccidentalDeathCompensation US$200,000 US$300,000 US$500,000 PermanentTotalDisabilityCompensation US$200,000 US$300,000 US$500,000 Repatriation/EvacuationCompensation ActualCostof AirTicket ActualCostofAir Ticket ActualCostofAir Ticket MedicalExpenseperweek US$6,000 US$7,000 US$8,500 (PerIncident) (PerIncident) (PerIncident) MedicalExpensepermonth US$10,000 US$12,500 US$15,000

11 (PerIncident) (PerIncident) (PerIncident) PremiumRates Plan Classic Superior Premier Week US$75 US$150 US$225 Month US$250 US$350 US$500 The payment in respect of above benefit will be made upon satisfactory presentation of proof of loss/claim. ExceptionsApplicabletoAccidentalDeathPermanent/partialDisability a) Thisinsuranceshallnotcovertriptohighriskhostileareasasdeclaredbythelocalauthorities. b) TheCompanyshallnotbeliableforanyclaimsunderthispolicyifthevisitorsareengagedinany activitythatisagainsttheinterestsofthestateandthereforeillegal. c) The Company shall not be liable for any claims under this policy occurring while religious propagationotherthanperformingusualreligiousactivitiesorrituals. d) Thisinsuranceshallnotprovidecoveragetotravelersifprovedhavingengagedinanykindof spyingactivityoronsecretassignments. e) This insurance shall not provide coverage to guest military troops on any kind of declared or underactivity. 2.MedicalTreatment IntheeventofillnessorinjuryoftheassuredoccurringwithinterritoryofPakistan,theCompanywill meettheusual,customary,necessaryandreasonablecostsofhospitalization,surgery,medicalfeesand PharmaceuticalproductsprescribedbytheattendingDoctorasperagreedtermsofthePolicy. Any miscellaneous service required by the Assured not covered through this policy shall remain at his/herownexpenseandresponsibility. ExclusionsofMedicalTreatments:

12 Exceptions Applicable to Sickness/Permanent or Partial Disability/Accidental Death also apply in this section. 3.Repatriation/EvacuationsInCaseOfIllness/Injury/DeathofInsured. The Company s Assistance Provider, through its medical team, will decide whether repatriation of Assuredisnecessary,dependingonthesituationorgravityofthestatetheassuredisin. Forminororlessseriousillnessoraccidents,whichintheopinionofthemedicalteamdonotrequire repatriationnocompensationwillbeprovided. IncaseofRepatriation/EvacuationmaximumcompensationtoAssuredislimiteduptoActualcostofAir ticketonly. GENERALEXCLUSIONS a) ThosecauseddirectlyorindirectlybythebadfaithoftheAssured,byhis/herparticipation incriminalacts,orasaresultofhis/herfraudulent,seriouslynegligentorrecklessactions. The consequences of the actions of the Assured in a state of Derangement or under psychiatrictreatmentarenotcovereither. b) Wars, with or without prior declaration, and any conflicts or international interventions usingforceorduress. c) Thosederivedfromradioactivenuclearenergy. d) Theuse,asapassengerorcrew,ofmeansofairnavigationnotauthorizedforthepublic transportoftravelers,aswellashelicopters. Inadditiontothepreviousexclusions,thisisalsonotcoveredbythisinsurance: e) TheservicesarrangedbytheAssuredonhis/herownbehalf,withoutpriorcommunication or without the consent of the insurer and/or Assistance Provider, except in the case of urgentnecessity.inthatevent,theinsuredmustfurnishthecompanywiththevouchers andoriginalcopiesoftheinvoice/bills.

13 CONDITIONS 1) Thispolicyandthescheduleshallbereadtogetherasonecontractandanywordorexpression towhichaspecificmeaninghasbeenattachedinanypartofthispolicyofthescheduleshall bearsuchspecificmeaningwhereveritmayappear. 2) In the event of any claim the liability of the Company shall be conditional on the Assured claiming compensation or benefit having complied with and continuing to comply with the termsofthispolicy. 3) IncaseofAssuredsdeathhislegalrepresentativeshallonlybeentitledtoreceivecompensation fromthecompany. 4) IntheeventofaclaimunderthisPolicytheAssuredshall; a) Takeallreasonableprecautionstominimizetheloss. b) AssoonaspossibletelephonetheAssistanceProvidertonotifytheclaim. c) FreelyprovidetheCompanywithallrelevantinformation. 5) Ifrequiredbythecompanythemedicalorotheragent(s)ofthecompanyshall,atallreasonable timeshaverighttoseeandexaminethenatureofsickness/injurysustainedbytheassuredand intheeventofdeathtomakepostmortemexamination. 6) Whereanydisputearisesunderapolicyoroveraclaimunderapolicybythecompany,thepart to the dispute may take up the case before the Insurance Tribunal in accordance with the provisionsofinsuranceordinancexxxixof ) TheAssuredmustreturnthepolicyinoriginalalongwithaletterwithreasoningwhenapplying forthecancellationofthepolicy.10%oftherespectivepremiumwillbedeductedincaseof cancellation. SCHEDULEOFCOMPENSATION A. Deathbyaccidentwithintwelvemonthsfromdateoftheaccident. 100%ofthecapitalsuminsured B. Permanenttotallossofsightoftwoeyesorlossoftwolimbs,orpermanenttotallossofsightof oneeyeandlossofonelimbbyaccidentwithintwelvecalendarmonthsofthedateofaccident

14 100%ofthecapitalsuminsured. C. Permanenttotallossofsightofoneeyeorlossofonelimbbyaccidentwithintwelvecalendar monthsofthedateofaccident 50%ofthecapitalsuminsured. D. Permanenttotaldisablement 100%ofthecapitalsuminsured