ACE Membership Auto Deductible Reimbursement Insurance (ADR) TERMS AND CONDITIONS I. Definitions Auto Insurance refers to a policy of insurance issued to the Member or Family Member for which the Member or Family Member is the Named Insured covering a vehicle owned by the Member or Family Member against all risks including direct physical damage. The Auto Insurance policy must be a valid and active program/form. Loss refers to an accidental physical loss or damage to the Member s or Family Member s Covered Vehicle and/or personal effects. Member Effective Date refers to the date the Member is enrolled in the ACE membership. Covered Vehicle refers to a non commercial, four (4) wheel vehicle of the Member or Family Member, which is recognized and covered by an Auto Insurance policy issued to the Member or Family Member for which the Member or Family Member is the Named Insured. Theft refers to the taking or removing of property with intent to deprive the rightful owner. It includes robbery, burglary and larceny. Member means the person who is a member in good standing in the ACE Membership: 1. who has paid the membership fee; and 2. whose name is shown on the enrollment/registration form. Family Member means a Member s spouse or Domestic Partner. Family Member also includes a Member s, spouse s or Domestic Partner s: 1. unmarried children (including those who the Member is their legal guardian) under twenty-one (21) years of age. 2. unmarried children (including those who the Member is their legal guardian) under twenty-three (23) years of age if a full-time student at an accredited college or university. 3. dependents with documented disabilities who have the same primary residence as the Member and who rely on the Member for maintenance and support. Any Family Member who does not reside at the Member s home is not eligible for coverage, except unmarried children (including those who the Member is their legal guardian) under twenty-three (23) years of age if a full-time student at an accredited college or university. Family Member coverage is only extended to those Family Members for whom the applicable family membership fee has been paid as defined on the enrollment/registration form. ACE-ADR (040214) 1
Domestic Partner means a person designated in writing by the Member who is registered as a Domestic Partner or legal equivalent under laws of the governing jurisdiction or who: 1. is at least eighteen (18) years of age and competent to enter into a contract; 2. is not related to the Member by blood; 3. has exclusively lived with the Member for at least twelve (12) consecutive months prior to the effective date of coverage; 4. is not legally married or separated; and 5. as of the date of coverage, has with the Member at least two (2) of the following financial arrangements: a. a joint mortgage or lease; b. a joint bank account; c. joint title or ownership of a home, motor vehicle or status as joint lessee on a motor vehicle lease; d. a joint credit card account with a financial institution. Neither the Member nor the Domestic Partner can be married to nor in a civil union with anyone else. We, Us and Our refer to the Company providing this insurance. Administrator refers to cynosure Financial, Inc., P.O. Box 7690, St. Clair Shores, MI 48080. You should contact the Administrator if you have questions regarding this coverage or would like to make a claim. The Administrator can be reached by phone at 1-800-711-4280. NOTE: Auto Deductible Reimbursement coverage is excess to any other applicable insurance or indemnity available to the Member. Coverage is limited to only those amounts not covered by any other insurance or indemnity, subject to the conditions, limitations, and exclusions described herein. II. Auto Deductible Reimbursement Insurance We will reimburse the covered Member or Family Member, if the applicable family membership fee has been paid, for a Loss to the Member s or Family Member s Covered Vehicle equal to the deductible limit shown on the Member s or Family Member s Auto Insurance policy up to a maximum of $500. Only one (1) Auto Deductible Reimbursement benefit will be paid per Covered Vehicle per claim occurrence and only two (2) claims per Member or Family Member per twelve (12) month period. Auto Deductible Reimbursement coverage does not apply if: 1. the Member or Family Member does not maintain in force Auto Insurance on the Member s or Family Member s Covered Vehicle at the time of occurrence; 2. the claim under the Member s or Family Member s Auto Insurance is not covered or has been denied by the Member s or Family Member s Auto Insurance company; 3. the Loss does not exceed the current Auto Insurance deductible or does not cause a payment to be made by the current Auto Insurance carrier to the Member or Family Member, because the Loss to the Member s or Family Member s Covered Vehicle does not exceed the current Auto Insurance deductible. 4. the Member s or Family Member s Auto Insurance company has waived the Auto Insurance deductible. ACE-ADR (040214) 2
III. LIMITS OF INSURANCE 1. The most we will pay for a loss in any one occurrence is $500. 2. Only one (1) Auto Deductible Reimbursement benefit will be paid per Covered Vehicle per claim occurrence and only two (2) claims per Member or Family Member per twelve (12) month period. 3. Auto Deductible Reimbursement coverage is excess to any other applicable insurance or indemnity benefit or program. IV. EXCLUSIONS A. We will not pay for loss caused by or resulting from any of the following: 1. Delay, loss of market, loss of use, or any other causes of consequential loss, including (but not limited to) Losses arising from loss of time, inconvenience, lost profits or savings or other incidental, special, or consequential damages arising out of the use of or inability to use the Member s or Family Member s Covered Vehicle. 2. Intentional or dishonest acts by: the Member or Family Member, or anyone else with an interest in the Member s or Family Member s Covered Vehicle; the Member s or Family Member s employees or authorized representatives; whether or not acting alone or in collusion with other persons and whether or not occurring during the hours of employment. 3. Wear and tear, depreciation or obsolescence. 4. Deterioration, hidden or latent defects, or any quality issues in the Member s or Family Member s Covered Vehicle. 5. Warlike action by military force including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other authority using military personnel or other agents; or 6. Insurrection, rebellion, revolution, usurped power or action taken by governmental authority in hindering or defending against any of these. B. We will not pay for Loss caused directly or indirectly by any of the following: 1. Seizures or destruction of Member s or Family Member s Covered Vehicle by order of governmental authority; 2. Any weapon employing atomic fission or fusion; or 3. Nuclear reaction or radiation, or radioactive contamination from any other cause. 4. War, including undeclared or civil war. Such Loss is excluded regardless of any other cause or event that contributes to the Loss, whether concurrently or in any other sequence. C. What this agreement does not cover: 1. Any Loss involving liability or medical payments coverage provided for under the Member s or Family Member s Auto Insurance policy including, but not limited to, personal injury to others, personal injury to others injured on the Member s or Family Member s property or damage to property of others. 2. Any Loss which occurred while the Member or Family Member was not an active and paid Member or Family Member of the program. 3. Any loss or damage to a non covered vehicle of any type, or a watercraft, aircraft, manufactured home or other motorized items intended for storage, display, competition or habitation that may be recognized and covered by an Auto Insurance policy issued to the Member or Family Member. ACE-ADR (040214) 3
IV. How To File An Auto Deductible Reimbursement Claim: To make a valid claim, the Member should contact the Administrator by phone at 1-800-711-4280 within ninety (90) days of the date that the Loss occurred. Failure to give notice within ninety (90) days of the incident may result in a denial of the claim. The Administrator will send a claim form, which should be completed and mailed back to the Administrator at ACE Membership, c/o cynosure Financial, Inc., P.O. Box 7690, St. Clair Shores, MI 48080 along with a copy of the following: 1. A copy of the Declarations Page from the Member s or Family Member s Auto Insurance policy in effect at the date of loss; and 2. A copy of the vehicle registration in effect at the date of loss; and 3. A copy of the estimate of repairs, or the total loss statement; and 4. A copy of the claim payment check and/or settlement letter from the Member s or Family Member s Auto Insurance company showing the amount that the Auto Insurance paid and that the Member s or Family Member s deductible was satisfied; and 5. A copy of the check, charge or cash receipt showing that the Member s or Family Member s deductible was paid; and 6. Any other documentation that the Administrator may reasonably request in order to process the claim. All these required items, including the claim form, must be postmarked within one hundred and eighty (180) days of the date of the Loss or within an additional sixty (60) days thereafter for additional settlement items as may be requested by the Administrator during the one hundred and eighty (180) day period following the original date of Loss. V. LOSS CONDITIONS A. ABANDONMENT There can be no abandonment of any property to us. B. LOSS PAYMENT We will pay or make good any loss covered under this Policy within thirty (30) days after: a. We reach agreement with the Member; or b. The entry of final judgment. C. RECOVERIES Any recovery or salvage on a loss will accrue entirely to our benefit until we have been fully reimbursed for our payment. D. REINSTATEMENT OF LIMIT AFTER LOSS The maximum limit of insurance will not be reduced by the payment of any claim. E. DUTIES IN THE EVENT OF LOSS The Member or Family Member must see that the following are done in the event of Loss: 1. Notify the police if a law may have been violated; 2. Take all reasonable steps to protect and preserve the Member s or Family Member s Covered Vehicle from further damage. Also, keep and produce a record of expenses, receipts and/or ACE-ADR (040214) 4
statements that provide proof of expenses incurred for consideration of the settlement of the claim; 3. Permit us to inspect the Member s or Family Member s Covered Vehicle and records proving Loss; 4. If requested, permit us to question the Member or Family Member under oath, at such times as may be reasonably required, about any matter relating to this insurance or the claim, including Member s or Family Member s books and records. In such event, the Member s or Family Member s answers must be signed; 5. Promptly send us any legal papers or notices received concerning the Loss; and 6. Cooperate with us in the investigation or settlement of the claim. F. CONCEALMENT, MISREPRESENTATION OR FRAUD No coverage will be provided if, whether before or after a Loss, any Member or Family Member at any time has: a. Concealed or misrepresented any material circumstance concerning this insurance, or b. Made false statements or engaged in fraudulent conduct. G. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US If any person or organization to or for whom we make payment under this insurance has rights to recover damages from another those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after Loss to impair them. This Auto Deductible Reimbursement Insurance described herein is underwritten by Voyager Indemnity Insurance Company, an Assurant Specialty Property company. ACE-ADR (040214) 5
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