leisure travel - aa new zealand · 2016-06-27 · leisure travel. 2 baggage, personal effects and...
TRANSCRIPT
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It is important to give you the choice and flexibility in travel insurance that best suits your needs. We offer the following standard policy features: •Medicalandrepatriationexpenses•EmergencyAssistanceprovided24hours/7daysbyAllianzGlobalAssistancewithaworldwidenetworkofcompanies
•Replacementcoveronbaggageitemslessthan2yearsold•Freecoverfordependentchildrenunder21years•RentalVehicleexcesscover•RecreationalSportscoveredfreeofcharge:
LeisureskiingandsnowboardingScubadiving(withPADIorNAUIqualification)HotairballooningParasailingandparaglidingBungeejumpingWhite-waterraftingingrade4orlessrivers
Check out our other policy options:•PrivateHospitalcareoption•ExcessBuyoutoption•IncreasedcoverforSpecifiedHighValueItems•CivilUnrestinthePacificIslands•Terrorismcover•Automaticfreecoverforsomepre-existingmedicalconditions
IntroductionThisdocumentisourleisuretravelinsurancepolicywording.OurtopoftherangeComprehensivecoverprovidesawiderangeofbenefitsandsuperiorcoverwhileEssentialsandLossofDepositscoversprovidecheaperandmorebasiccoveragefortravellerswhowishtoreducepremiumcosts.
ThispolicyisunderwrittenbyAllianzAustraliaInsuranceLimitedABN15000122850(IncorporatedinAustralia)andadministeredbyAllianzGlobalAssistanceNewZealand,12–14NorthcroftSt,Takapuna,Auckland.EmergencyassistanceisprovidedbyAllianzGlobalAssistance.
What we will pay Inconsiderationofthepaymentofthepremium,weagreetoindemnifyyouinthemannerandtotheextentsetoutinthisdocument.
Thisdocument,thePolicyCertificate,applicationformandanywrittenconfirmationissuedbyusextendingorlimitingcoverformyourinsurancecontract.
WewillpayclaimsuptotheMaximumBenefitamountsshownintheScheduleofBenefits,dependingonwhetheryouhaveelectedtopurchasetheComprehensive,EssentialsorLossofDepositsPolicyOption.YourPolicyCertificatedetailsthetypeofcoveryouhavepurchased.ThepolicylimitsapplyperinsuredpersonandarestatedinNewZealandDollars.
Pleasereadthispolicywordingcarefullyandnotetheexclusionsineachsectionandalsothegeneralconditionsandexclusionsattheendofthepolicywordingtoensurethatyouunderstandthecoverprovidedbyus.
Ifyouneedanyclarificationonyourcoverorthepolicywordingpleasecontacteitheryourissuingagent,orourCustomerServiceCentreonTollFree0800 800 048
InsuredTheinsuredpersonunderthisinsurancepolicyis;
1. The“insuredperson”underthisinsurancepolicyisthepersonorpersonsnamedinthePolicyCertificatewhohavepaidtherequiredpremium.
2. Dependentchildrenunder21yearsofageorgrandchildrenunder21 yearsofageplusuptooneothernon-relateddependantchildunder21 yearsofagetravellingwithaninsuredpersonarecovered
freeofcharge.Theirpolicybenefitswillbesharedwithinthetravellinginsuredperson’spolicylimits.
Inthisdocument,theinsuredpersonisalsoreferredtoas“you”or“your”.
Period of insuranceYourpolicycommencesonceaPolicyCertificatehasbeenissuedtoyouandtherequiredpremiumispaid.LossofDepositscoverexpiresoncethefullJourneyhasbeenpaidfor.TheperiodofinsuranceforallotherPolicyOptionscontinuesuntiltheexpirydateshownonyourPolicyCertificateoruntilyoureturntoyournormalplaceofresidence,whicheveristheearlierdate.
ForfrequentflyerpoliciesyourpolicyisactivatedatthecommencementofeachJourneyundertakenintheperiodofinsurance.IfyouhavepurchasedafrequentflyerpolicyoptiontheneachJourneyiscovereduptoamaximumof60days.
ExcessAnexcess,asstatedinyourPolicyCertificate,willbedeductedfromoursettlementifyoumakeaclaim(unlessahigherexcesshasbeenimposedonyourcoverbyusandconfirmedtoyouinwriting).Theexcessappliesunderthispolicytoeachseparateeventgivingrisetoaclaim.TherewillbenoexcesschargedifyouhavepurchasedandpaidtheadditionalpremiumforaNoExcesspolicy.ThiswillbeshownonyourPolicyCertificate.
Important claims informationIfduringyourJourneyyouaretobehospitalised,requireevacuationorrepatriationservices,needtomakealternativetraveloraccommodationarrangementsorhavelostyourbaggageormoney,pleasenotifyusassoonaspossible.
Allclaimsmustbenotifiedassoonaspossibleandinanyeventnolaterthan30daysafterthecompletionoftheJourney.Ifyoudonotcontactusthismayaffecttheacceptanceorpaymentofyourclaim.
Weprovideourcustomerswitheasyaccesstoour24houremergencyassistanceservice.Asinglecallwillputyoudirectlyintouchwithadoctorortravelspecialistwhowillbeabletoassistyouandconfirmcoveravailableunderyourpolicy.Youwillbeadvisedofanystepsyouwillneedtofollowinclaimingunderyourpolicy.Youcancallcollectfromanywhereintheworldforemergencymedicalandtravelassistanceoruseoneofourtollfreenumbers:
Within New Zealand: 0800 486 686 Australia Toll Free: 1 800 554 114 UK Toll Free: 0500 893 893 USA Toll Free: 1 800 326 1543 Reverse charge call through telephone operator: +64 9 486 6868
Ifyourbaggage,personaleffectsormoneyarestolen,youmustnotifythelocalpoliceorlocalgovernmentauthoritywithin24hoursandyoumustobtainacopyoftheirincidentreport.Anylossordamagetopersonalbaggagewhilstinthecustodyofthecarriers(e.g.anairlineorbuscompany)mustbenotifiedtothemimmediatelyandapropertyirregularityreportobtained.
Youmustprovideuswithallreports,receipts,doctor’scertificates,informationandproofwereasonablyrequiretohelpsubstantiateanyclaim.
Pre-existing medical conditionsItisimportanttounderstandthatPre-existingmedicalconditionsmaynotbecoveredunderyourpolicy.CertainPre-existingmedicalconditionsarecoveredautomaticallywithincertaincriteriafortravellerswhoareinsuredundertheComprehensivePolicyonly.Coverforconditionsoutsideofthoselistedinsection2maybeavailablefollowinganonlinemedicalassessment.
PleasenotethatnocoverforPre-existingmedicalconditionsisavailableundertheEssentialsPolicyOption.
Ifyouhaveanyqueriesonthiscoveryoucancontactoursupportteamon0800800048.
Leisure Travel
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Baggage, Personal Effects And Money Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Personal Baggage – Total Limit $30,000 $5,000 NilBaggage – Item Limit $1,500 $750 NilElectronic, Video and Camera Equipment $2,500 $750 NilEmergency Baggage $1,500 $250 NilReplacement of Travel Documents $3,000 $500 NilMoney $500 Nil NilAdditional Expenses as a result of Terrorism $3,000 Nil Nil
Personal Liability Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Rental Vehicle Excess $6,000 $1,000 NilPersonal Liability $2,500,000 $500,000 NilWrongful Arrest $10,000 Nil Nil
Schedule of BenefitsCancellation / Travel Disruption Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Loss of Deposit/Cancellation Unlimited $5,000 $10,000Curtailment Unlimited $5,000 NilMissed Connection/Travel Delays $15,000 $500 NilFrequent Flyer Points $5,000 Nil NilStrikes/Hijacks $10,000 Nil NilResumption of Travel $10,000 Nil NilEvacuation – Civil Unrest in Pacific Islands $1,500 Nil NilAdditional Expenses/Terrorism $3,000 Nil Nil
Life Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Funeral Expenses $25,000 $10,000 NilAccidental Death or Permanent Disablement $50,000 Nil NilAccidental Death Terrorism $25,000 Nil Nil
Medical Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Medical Unlimited $250,000 NilMedical/Terrorism $250,000 Nil NilFollow on Treatment $2,000 Nil NilDental as a result of Injury $3,000 $500 NilEmergency Dental – Pain relief $1,000 Nil NilIncidental Hospital Expenses $4,000 Nil Nil
Accompanying Person Reasonable Costs Nil NilSearch & Rescue $20,000 Nil Nil
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Cancellation and Travel Disruption Benefits
BasedonthePolicyOptionshownonyourPolicyCertificateyouwillbeeligibleforeachCancellation/TravelDisruptionBenefituptotheMaximumBenefitshownintheabovetable.
IfyouhavepurchasedanEssentialsorLossofDepositsPolicyOption,thereareanumberofinstancesunderthissectionwherecoveriseitherreducedorunavailable.
YoumustadviseusassoonasyouareawareofanyhealthorothercircumstancesthatarelikelytoresultincancellationorcurtailmentofyourJourney.Ifyouwishtocontinuewithyourtravelarrangements,wearenotobligatedtocoverthischangeinyourhealthorcircumstances.
1a. Loss of Deposits (AllPolicyOptions)
IfpriortopaymentofthefinalamountpayableforyourJourneyyoumustcanceloramendyourtravelarrangementsduetoanyunforeseeablecircumstancebeyondyourcontrolwewillpayuptothePolicyOption’sMaximumBenefitforyourirrecoverabletravelandaccommodationdepositsorexpenses,whichhavebeenpaidinadvance.
Inrespectofacancellationfeechargedbyyourtravelagent,providedthetravelagenthasdisclosedtheircancellationfeestoyouinwritingatthetimeofmakingyourtravelarrangements,wewillalsopayyouuptoamaximumof10%ofyourtotaltravelcosts(thatwerepaidthroughthetravelagent)or$500peradult,whicheveristhelesser.
1b. Cancellation of Journey Paid in Full(ComprehensiveandEssentialsPolicyOptionsOnly)
Iffollowingfullpaymentofyourtrip,youhadtocanceloramendyourtravelarrangements,duetoanyunforeseeablecircumstancebeyondyourcontrol,wewillpayuptothePolicyOption’sMaximumBenefitforyourirrecoverabletravelandaccommodationexpenses,whichhavebeenpaidinadvance.
1c. Curtailment (ComprehensiveandEssentialsPolicyOptionsOnly)
IfyoucannotcompleteyourJourneyduetoanunforeseeablecircumstancebeyondyourcontrolandhavetoreturntoyourCountryofOriginearlierthanplanned,wewillpayuptothePolicyOption’sMaximumBenefitforreasonable,additionaltravelandaccommodationexpenses(necessarilyandactuallyincurredbyyou,inordertoreturntoyourCountryofOrigin)whichareadditionaltoyourplanneditineraryproviding,youalreadyholdapre-paidreturnticket.Theamountclaimablewillbelessanyamountsrefundableonunusedtravelvouchersortickets.
1d. Missed connection (ComprehensiveandEssentialsPolicyOptionsOnly)
Ifyourscheduledpublictransportserviceiscancelledorcurtailedduetoriot,strikeorcivilcommotion,naturaldisasterorsevereweatherconditions,oryoumissyourconnectingscheduledpublictransportserviceduetoanyunforeseeablecircumstancebeyondyourcontrolwewillpayuptotheMaximumBenefittheadditionalnecessaryandreasonabletravelandaccommodationexpenses,appropriatetotheJourneybeingundertakenthatyouincurtoarrangealternativetransporttoenableyoutomaintainyouroriginaltravelitinerary,providedthat:
i. therewasnowarningthatthecancellationmayoccur;
ii. youhavemadereasonableeffortstoavoidanyadditionalexpenses;and
iii. refundsonunusedticketsortravelvouchershavebeenappliedfor.
Ifthepurposeofyourtripistoattendaweddingorconference,wewillpaythereasonablealternativetravelcoststoyourplanneddestinationiftheconferenceorweddingcannotbedelayedsolelyduetoyourlatearrival.
Theamountclaimableunderthissectionwillbelessanyamountsrefundableforunusedticketsorvouchers.
1e. Travel delay (ComprehensivePolicyandEssentialsPolicyOptionsOnly)
Ifthedepartureofthescheduledpublictransportinwhichyouhavearrangedtotravelisdelayed,foratleast12hoursfromthetimespecified,duetoanyunforeseeablecircumstancebeyondyourcontrol,wewillpayforthereasonablemealandaccommodationexpensesnecessarilyincurredduetothedelay,whicharenotrecoverablefromanyothersource.
Writtenproofofdelayfromthetransportprovidermustbesubmittedtogetherwithreceiptsfortheextracostsincurred.
Note:Ifyourtravelplansaredisrupted,byaclaimableevent,aclaimcanonlybelodgedundereitherSections1b.CancellationofJourneyPaidinFull,1d.MissedConnectionor1e.Traveldelay,aseparateclaimisnotabletobemadeundereachsection.
1f. Frequent flyer points (ComprehensivePolicyOptionsOnly)
IfanairlinetickethasbeenpurchasedusingFrequentFlyerorasimilarAirPointsrewardssystem,andtheairlineticketiscancelledduetoanyunforeseencircumstancesbeyondyourcontrol,wewillpayuptothePolicyOption’sMaximumBenefit,theretailpriceforthatticketatthetimeitwasissued.Thiscoverisprovidedonlyintheeventthatthelossofpointscannotberecoveredfromanyothersource.Iftheairpointscompanychargesareinstatementfeethenthiscostwillbeclaimableunderyourpolicy.
1g. Resumption of travel (ComprehensivePolicyOptionOnly)
IfyouareforcedtoreturntoyourCountryofOriginduetotheseriousInjury,illness,diseaseordeathofaCloseRelativeinyourCountryofOrigin,wewillpayuptotheMaximumBenefitthereasonabletransportcostsactuallyincurredbyyoutoreturntoyourCountryofOriginandthenresumeyourpre-bookedtravelplansasperyouroriginalitinerary,providedthat:
i. theseriousInjury,illness,diseaseordeathofaCloseRelativeoccurredafteryourdeparturefromyourCountryofOriginandwasnotcausedbyaPre-existingmedicalcondition;
ii. theJourneywasatleast14days;
iii. youhadbeenawayforlessthan50%ofthedurationofyourJourney;
iv. youhavenotmadeaclaimunderSection1c.Curtailment;and
Section 1 Cancellation and Travel Disruption Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Loss of Deposit/Cancellation Unlimited $5,000 $10,000Curtailment Unlimited $5,000 NilMissed Connection/Travel Delays $15,000 $500 NilFrequent Flyer Points $5,000 Nil NilStrikes/Hijacks $10,000 Nil NilResumption of Travel $10,000 Nil NilEvacuation – Civil Unrest in Pacific Islands $1,500 Nil NilAdditional Expenses/Terrorism $3,000 Nil Nil
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v. youheldareturnticketatthetimetheeventwhichhascausedyoutoreturntoyourCountryofOriginoccurred.
1h. Strikes and Hijacks (ComprehensivePolicyOptionOnly)
WewillpayuptothePolicyOption’sMaximumBenefitforirrecoverableadditionaltravelandaccommodationcosts,duetocancellationorcurtailmentofpublictransportservices,asaresultofastrikeorhi-jack.
1i. Evacuation – Civil unrest Pacific Islands(ComprehensivePolicyOptionOnly)
IntheeventthatyouareinthePacificIslandsandforyoursafetyyoumustevacuateforanyreason,notcoveredunderanyothersectionofthispolicy,wewillpayuptothePolicyOption’sMaximumBenefitinadditionalexpensesincurred.
1j. Additional expenses as a result of an Act of Terrorism(ComprehensivePolicyOptionOnly)
Sections1a.to1i.areextendedtoprovidecoverforthereasonableadditionalcostsincurred,whenyouoryourtravelarrangementsareaffecteddirectlyorinconnectionwithanyActofTerrorism.ProvidedthatanypaymentforanActofTerrorismwillbelimitedtoamaximumofNZ$3,000perinsuredpersonperperiodofinsurance.
Exclusions – applying to all Policy Options under Section 1Wewillnotpayforclaimsthatrelatetoloss,damage,liability,expensesorclaimsfororarisingdirectlyorindirectlyoutof:
1. yourdisinclinationtotravel,personalwishes,financialcircumstancesorbusinessreasons;
2. failuretocheckinatthecorrectdeparturetimeorclaimsresultingfromyoubeingastandbypassenger;
3. theseriousInjury,illness,diseaseordeathofanypersonwhoisnot:
i. You;or
ii. ApersontravellingwithyouonyourJourneyonwhosestateofhealththeJourneydepends;or
iii. ACloseRelativelivinginyourCountryofOrigin.
4. yourPre-existingmedicalcondition(s)orthoseofanyother
persononwhosestateofhealththeJourneydependsunlessthecondition/saredescribedasbeingcoveredunderthispolicyoracceptedbyusinwriting;
5. anyPre-existingmedicalconditionsufferedbyaCloseRelativeoranycomplicationsdirectlyattributabletothoseconditions;
6. anycircumstanceslikelytoleadtothecancellationorcurtailmentoftheJourneythatyouareawareof(includingstrikesorstrikenotices)thatwerepresentatthetimeyoupurchasedthisinsurance;
7. selfinflictedillnessorInjury,suicide,depression,anxiety,nervousdisorders,mentalillness,voluntaryabortion,influenceofalcoholordrugs,yourcriminalactivities,oranyAIDS,HIVorsexuallytransmitteddiseaserelatedconditions(unlesscoverfortheseconditionshasbeenappliedforandapprovedbyus);
8. thereceivership,statutorymanagement,administration,bankruptcy,liquidation,financialcollapseoradversefinancialpositionofany,airline,transportprovider,touroperator,travelagent,orwholesaler;
9. asaresultofyouoryourtravellingcompanionnothavingtheappropriatepassport,entryvisaorworkpermitdocumentationrequiredbyanyforeigngovernmentorforeignpower;
10.yourtravelplansbeingaffectedwhentravelispreventedorlimitedbylegislation,governmentorcourtorder;
11.theinabilityofatouroperatororwholesalertocompletearrangementsforagrouptour,duetoadeficiencyinthenumberofpersonsrequiredtocommenceorcompleteanypartofthetour;
12.costschargedbyorpayabletoasupplierresultingfromreschedulingorcancellingoftravelarrangementsbythatsupplier;
13.yourcurtailmentoryourcancellationformedicalreasonsunlessonwrittenmedicaladvice;
14.theinabilityornegligenceofatouroperator,charterairlineorwholesalertocompleteyourtravelarrangements;
15.costspaidinadvancethatexceedtherecommendedretailvalueofanyconcertorsportingeventticketthatisscheduledtotakeplaceduringyourJourney;
16.claimsunderSection1a.or1b.foranyunforeseeablecircumstanceoccurringbeforeorwithin7daysofpurchasingyourpolicy,unlessthepolicywaspurchasedatthesametimeasyourtravelarrangementswere made.
Medical Benefits
BasedonthePolicyOptionshownonyourPolicyCertificateyouwillbeeligibleforeachMedicalBenefituptotheMaximumBenefitshownintheabovetable.
IfyouhavepurchasedanEssentialsPolicythereareanumberofinstancesunderthissectionwherecoveriseitherreducedorunavailable.PleasenotetherearenobenefitsunderthissectionifyouhavepurchasedtheLossofDepositsPolicyOption.
Important information concerning pre-existing medical conditionsThereisnocoverforPre-existingmedicalconditionsundertheEssentialsPolicyOption.ThereislimitedcoverforPre-existingmedicalconditionsundertheComprehensivePolicyOption.
PleaserefertothedefinitionofPre-existingmedicalconditionsinGeneral Terms.
SomePre-existingmedicalconditionsarecoveredautomatically.Ifyouhaveapre-existingmedicalconditionwhichfalloutsidetheautomaticacceptancecriteriadetailedbelow,theconditionmustbedisclosedtous,whetherornotyouareseekingcoverforthecondition.Thisisbecausetheconditionmayaffectthetermsandavailabilityofcover.Iftheconditionisnotdisclosedtous,thereisariskthatnoclaimswillbepayableunderthispolicy.
(i) Comprehensive Policy Option Pre-existing medical conditions that are not covered
Somemedicalconditionscannotbecoveredunderthispolicy.Theseincludebutarenotlimitedtoanymedicalcondition:
Section 2 Medical Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Medical Unlimited $250,000 NilMedical/Terrorism $250,000 Nil NilFollow on Treatment $2,000 Nil NilDental as a result of Injury $3,000 $500 NilEmergency Dental – Pain relief $1,000 Nil NilIncidental Hospital Expenses $4,000 Nil Nil
Accompanying Person Reasonable Costs Nil NilSearch & Rescue $20,000 Nil Nil
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•whereyouaretravellingagainstadvicefromaregisteredmedicalpractitioner;
•whereyouaretravellingoroneofthereasonsyouaretravellingistoobtainmedicaltreatment;
•whichhasbeendiagnosedasbeingterminal;
• forwhichsurgeryisplannedorforwhichyouareonawaitinglist;
• involvingongoingandvariablepain(includingbackpain)forwhichyouarereceivingregulartreatmentormedication;
• thatisanongoingsymptomaticconditionforwhichyouhavehadorarewaitingforinvestigationsandnotyethadadiagnosis.
(ii) Comprehensive Policy Option Pre-existing medical conditions that are not automatically covered
Youarenotautomaticallycoveredinrespectofamedicalconditioniftheconditionrelatesto:
•yourheart(excludinghypertension);
•yourbrain;
•atransplantedorgan;
• thinningofthebones(osteoporosis);
•alungcondition,duetowhichyouarepermanentlylimitedbyshortnessofbreathordiagnosedascysticfibrosis;
• cancer;
•bloodorlungclots;
• insulindependentdiabetes;
•majorallergicreactions;
•backproblemsifyouhavehadspinalsurgery;and/or
•sexuallytransmitteddiseases,AIDS,HIVorrelatedconditions.
EvenifyoudonotseekcoverforthesePre-existingmedicalcondition,theymustbedisclosedtoustoavoidnon-disclosureissuesunderthispolicy.Ifwechoosetoprovidecoverrelatedtotheseconditionsanadditionalpremiumwillbechargedandwrittenconfirmationextendingcoverwillbeissuedbyus.
(iii) Comprehensive Policy Option Pre-existing medical conditions that are automatically covered
IfyouhavepurchasedtheComprehensivePolicyOptionandyourPre-existingmedicalconditionfallswithinthetermsdetailedbelowthenyouareautomaticallycoveredforthecondition.Youdonotneedtocontactusforapprovalif:
a.yourPre-existingmedicalconditionisstableandwellcontrolledandyourtreatment(includingmedication)hasnotchangedinthelast12months;and
b.yourconditionisnotanongoingorchronicconditionforwhichyouhavereceivedtreatmentatahospitalinthelast5years;and
c.youhavenothadsurgeryorhospitaltreatmentforthemedicalconditioninthepast12months;and
d.thePre-existingmedicalconditionisnotdetailedin(i)or(ii)aboveaseitheraPre-existingmedicalconditionthatyouneedtocontactusaboutorwhichcannotbecoveredunderthispolicy.
Ifyourconditiondoesnotmeettheabovecriteriapleasecompleteanonlinemedicalassessmenttodisclosethemedicalcondition,evenifyoudonotrequirecoverforthecondition,asthismayaffectthetermsandavailabilityofcoverunderthisPolicy.Ifcoverisapproved,youwillberequiredtopayanadditionalpremiumandwrittenconfirmationwillbeforwardedtoyou.Ifyouareinanydoubtastowhetheramedicalconditioniscoveredpleasecontactouroffice.
2a. Overseas medical expenses(ComprehensiveandEssentialsPolicyOptionsOnly)
Youarecoveredforreasonableandcustomaryoverseashospital,medical,surgical,nursinghomechargesorotherremedialattentionortreatmentgivenorprescribedbyaregisteredmedicalpractitioner,includingmedicalrepatriationexpenses,incurredasaresultofanillness,InjuryordiseasewhichoccurredonyourJourney.Thisbenefitonlyappliesinexcessofanyamountsyouareentitledtofromanyreciprocalarrangementsbetweenyourusualcountryofresidenceandthecountryinwhichthechargesorexpenseswereincurredand
inexcessofanyamountsthatarerecoverablebyoronbehalfofyoufromanyothersource.
PleasenotethatNewZealandhasreciprocalhealtharrangementswithAustraliaandtheUnitedKingdom.UnlessyouhavepurchasedaPrivateHospitalcoverextension,andthisisnotedonyourPolicyCertificate,youwillberequiredtoseektreatmentinthesecountriesfromtheirpublichealthsystem.
IfyouhaveComprehensivecoverwewillalsopayreasonableincidentalexpensesincurredbyyou,relatedtoyourInjuryorillnessincludingemergencytelephonecallsandtaxifaresuptoanamountofNZ$100perperson.Receiptsmustbeprovided.
Inallcases:
1. Wewillonlypaycostsincurredwithin12monthsoftheillnessorInjury;
2. You,orsomeoneactingonyourbehalf,mustwhereverpossiblecontactAllianzGlobalAssistancepriortotreatmentorhospitalisation.Failuretoobtainourpriorapprovalbeforeanyhospitalisationortreatmentmayresultinyourmedicalexpensesclaimbeingdeclined;
3. WehavetheoptionofreturningyoutoyourCountryofOriginforfurthertreatmentifyouaremedicallyfittotravelandwewillcoverthecostsforyourrepatriation.Ifyoudeclinetoreturnwewillnotpayforanyongoingoverseasmedicalexpenses;
4. IfyouchoosenottoreturntoyourCountryofOriginonorpriortotheexpirydateshownonyourPolicyCertificate,wewillnotpayforanyongoingmedicalexpenses,includingmedication,thatyouincuraftertheexpirydateinconnectionwithanyInjury,illnessordiseasethatoccurredduringtheperiodofinsurance;
5. FollowonmedicalexpensesinNewZealand(Comprehensiveonly)–onyourrepatriationorreturntoNewZealandwewillpayuptoNZ$2,000perinsuredpersonforcontinuingfollowontreatmentprovidedtheseexpensesarenecessarilyandreasonablyincurredwithina12-monthperiodfollowingthedateoftheillnessorInjury.ThecoverprovidedexcludesdentalexpensesasthesearecoveredunderSection2c.Emergencydentalexpenses;
6. Thecoverprovidedunderthissectionwillbeextendedtocoverreasonablecostsincurredtotreatyouand/orreturnyoutoyourCountryofOriginupondiagnosisofanypsychosomatic,psychological,psychiatricdisorder,anxietyordepressionuptoamaximumpolicylimitofNZ$10,000–unlessthisconditionexistedpriortoyourdeparturefromyourCountryofOrigin.
2b. Terrorism overseas medical expenses(ComprehensivePolicyOptionOnly)
Section2a.isextendedtoprovidecoverforoverseasmedicalexpensesandrepatriationcosts,incurreddirectlyfromorinconnectionwithanyActofTerrorism,subjecttothePolicyOption’sMaximumBenefitforOverseasmedicalexpenses.
2c. Emergency dental expensesEmergencyDentalTreatment–PainReliefOnly
(ComprehensivePolicyOptionOnly)
WewillreimburseyouforemergencydentalexpensesuptothePolicyOptionsMaximumBenefittorelievesuddenandacutedentalpainfirstmanifestingitselfduringtheJourney,provided:
1. thetreatmentistoasoundnaturaltooth.Soundnaturalteethdoesnotincludedenturesoranytoothwhichhasafillingorbeensubjecttorestorationwork,cappingorcrowning;and
2. youhavebeentoadentistinthelast24monthsaspartofyourroutinedentalmaintenanceandreceivedallrecommendedtreatment.
EmergencyDentalTreatmentasaresultofanInjury(ComprehensiveandEssentialsPolicyOptions)
WewillpayfordentalexpensesuptothePolicyOption’sMaximumBenefitforemergencytreatmentasaresultofanInjurytosoundnaturalteethduringtheJourney.
2d. Incidental hospital expenses(ComprehensivePolicyOptionOnly)
IfyouareconfinedtoahospitaloverseasasaresultofanInjury,
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illnessordiseasewewillpayyouNZ$150foreach24hourperiodyouarehospitalised,providingtheperiodofconfinementexceedsatleast48hoursandlimitedtothePolicyOption’sMaximumBenefitperinsuredperson.Thiscoverisforreimbursementofincidentalnon-medicalexpenses.
2e. Accompanying person(ComprehensivePolicyOptionOnly)
Wewillpaythenecessaryoverseastravelandaccommodationexpensesofonerelativeorfriend,whoontheadviceofourregisteredmedicalpractitioner,travelstoorremainswithyouandaccompaniesyoubecauseoftheseverityofanyInjury,illnessordiseasesuffered.Youmustcontactusforapprovalbeforeanyexpenseisincurred.
2f. Search and Rescue – Natural Disaster(ComprehensivePolicyOptionOnly)
WewillpayuptoNZ$20,000towardsthecostsofaprivatesearchifyouaredeclaredmissingfollowinganaturaldisaster,duringtheperiodofinsurance.Providedthat:
i. oneofyourclosefamilymembersrequeststhesearch;
ii. thesearchisapprovedbylocalauthorities;and
iii. thesearchcommenceswithin72hoursoftheofficialnotificationthatyouaremissing.
Exclusions – applying to all Policy Options under Section 21. Wewillnotpayclaimsdirectlyorindirectlycausedbyorarisingout
of:a. Pre-existingmedicalconditionsthatarenotdescribedasbeing
coveredunderthispolicyorconfirmedasbeingcoveredbyusinwritingpriortothecommencementofyourJourney;
b. activeparticipationin:i. competitivesnowandicesports,butnotleisureskiingand
snow-boardingon-pisteonaregularskifield;ii. divingusingbreathingapparatusifyoudonotholdaNAUI
orPADIdivingticket;iii. flyinghangortowgliding,microliteflying,parachuting,sky
divingandotheraerialactivitiesotherthanthefollowing;• hotairballooning;• paragliding;• parasailing;• bungeejumping;or• asafare-payingpassengerinapowerdrivenaircraft
licensedtocarrypassengersflownbyapilotlicensedtocarrypassengers;
iv. mountainandrockclimbing;v. professionalsport;vi. individualorteamsportcompetitions;vii. contactsports;
viii. racingofanykind(otherthanonfoot)includingtraining;ix. oceanyachting25nauticalmilesormorefromthemainland;x. whitewaterrafting,whitewaterkayakingorblackwater
raftingingrade5ormorerivers;xi. potholing;xii. rodeoactivities;xiii. hunting;xiv. anyactivityatanaltitudeabove2500metres;xv. anyactivityinremoteareasexceptaspartofanorganised
tourgroup;xvi. extremeversionsofanysport.
c. depression,anxiety,psychological,mental,nervousorstressdisorders,unlesscoverisprovidedunderSection2a.Overseasmedicalexpenses;
d. AcquiredImmuneDeficiencySyndromeorHumanImmunodeficiencyVirusoranyvariantortheircomplications,unlessappliedforandapprovedbyusinwriting;
e. theuseofalcoholordrugsnotprescribedornotusedasprescribedbyaregisteredmedicalpractitioner;
f. youengaginginanyactivityassociatingwithprostitutionoranyillegalorcriminalact;
g. sexuallytransmitteddiseases;orh. anycomplicationsarisingfromamedicalconditionwhereyou
aretravellingagainstmedicaladvice.
2. Wewillnotpayanymedicalexpensesrelatingtohospitalisationorsurgicaltreatmentwhereourpriorapprovalhasnotbeensoughtandobtained,unlessnotificationisnotpossible.
3. CoverwillceaseunderthissectionifyoufailtofollowourrequirementsasperSection2a.
4. Wewillnotpayanymedicalexpensesincurredforcontinuingtreatmentincludingmedicationwhichcommencedpriortothisjourney.
5. Wewillnotpayforprivatemedicaltreatmentwhenpublictreatmentisavailable,unlessyouhavepaidforthePrivateMedicalCarepolicyextensionandthisisshownonyourPolicyCertificate.
6. Wewillnotpayforclaimsthatrelatetoloss,damage,liability,expensesorclaimsfororarisingdirectlyorindirectlyoutof:a. theextractionofwisdomteethunlessthesehavebecome
Impacted;b. dentalexpensesincurredinyourCountryofOrigin;c. normaldentalhealthmaintenance,oranytreatmentresulting
fromalackofregulardentalhealthmaintenanceorhygieneincludingdentures,fillings,rootcanals,polishingandscaling,replacementduetothelossofdentalbridges,restorationwork,capsorcrowns;
d. preciousmetalcostorpinsandfittings,titaniumimplantsinrelationtodentaltreatment.
Life BenefitsSection 3 Life Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Funeral Expenses $25,000 $10,000 NilAccidental Death or Permanent Disablement $50,000 Nil NilAccidental Death Terrorism $25,000 Nil Nil
BasedonthePolicyOptionshownonyourPolicyCertificate,youwillbeeligibleuptotheMaximumBenefitshownintheabovetableforeachLife Benefit.
IfyouhavepurchasedanEssentialsPolicythereareanumberofinstancesunderthissectionwherecoveriseitherreducedorunavailable.PleasenotetherearenobenefitsunderthissectionifyouhavepurchasedtheLossofDepositsPolicyOption.
3a. Funeral expenses(ComprehensiveandEssentialsPolicyOptionsOnly)
WhereyourdeathoccurswewillpayuptothePolicyOption’s
MaximumBenefitforthereasonablefuneralandcremationorburialexpensesintheareawheredeathoccurred,orforthecostsofreturningyourbodyorashestoyourCountryofOriginexcludingfuneralandintermentcosts.
3b. Accidental death or permanent disablement (ComprehensivePolicyOptionOnly)
IfduringtheperiodofinsuranceyousustainanInjurywhichwithin12monthsofsuchInjuryresultsinyourdeath,wewillpaytoyourestatethePolicyOption’sMaximumBenefitasstatedintheabovescheduleofbenefits.
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Baggage, Personal Effects And Money Benefits
BasedonthePolicyOptionshownonyourPolicyCertificate,youwillbeeligibleuptotheMaximumBenefitshownintheabovetableforeachBaggage,PersonalEffectsandMoneyBenefit.
IfyouhavepurchasedanEssentialsPolicythereareanumberofinstancesunderthissectionwherecoveriseitherreducedorunavailable.PleasenotetherearenobenefitsunderthissectionifyouhavepurchasedtheLossofDepositsPolicyOption.
Ifyourbaggageorpersonaleffectsarestolen,youmustnotifythelocalpoliceorlocalgovernmentauthoritywithin24hoursandyoumustobtainacopyoftheirincidentreport.Anylossordamagetopersonalbaggagewhilstinthecustodyofthecarriers(airline,buscompanyetc)mustbenotifiedtothemimmediatelyandapropertyirregularityreportobtained.Youmusttakeallreasonableprecautionstoprotectthepropertyinsuredbythispolicyandtopreventanyclaimarising.
4a. Personal baggage (ComprehensiveandEssentialsPolicyOptionsOnly)
WewillpayuptothePolicyOption’sMaximumBenefitsforaccidentallossordamagetoyourpersonalbaggage,whichhasbeentakenorpurchasedonyourJourney.ThelossordamagemustoccurinthecourseoftheJourneyandduringtheperiodofinsurance.
Atourdiscretionwemayelecttorepairorreplacethepropertyorwe
willpaythePresentDayValueofthelostordamageditemincash,aftermakinganallowancefordepreciationandwearandtear.Proofofpurchaseandownershipwillberequiredtosupportanyclaimover$500.
Thespecialitemlimitperitemforcameraandvideoequipmentincludesattachedorunattachedlensesoraccessories.
ItemsUnder2yearsofage
Foritemsthatarelessthan2yearsold,PresentDayValuemeansthelesserofthepurchasepriceorthereplacementpriceoftheitem(s).
ItemsOver2yearsofage
Ifanitemismorethan2yearsold,PresentDayValueiscalculatedbyapplyingaminimum20%depreciationperannum(fromthedateofpurchase)tothelesserofthepurchasepriceorcurrentreplacementpriceoftheitem.Depreciationmaybemeasuredbyusingthecurrentsecondhandvalueofthelostordamageditem.
Itemswheretheageoftheitemcannotbedetermined
Ifyoucannotestablishthepurchasedateofanyitem,PresentDayValueiscalculatedbyapplyingaminimumof50%depreciation,(whichmaybeincreasedfurtherbaseduponourassessmentoftheageoftheitem)tothelesserofthepurchasepriceorcurrentreplacementpriceoftheitem.
Alternatively,ifduetoanInjuryduringtheperiodofinsurance,youarepermanentlydisabled,wewillpayyouthePolicyOption’sMaximumBenefit.PermanentdisablementmeansanInjurywhichwithin12monthsoftheaccidentresultsinparaplegia,quadriplegia,tetraplegia,thelossofoneormorelimbs,lossofsightinoneorbotheyes,lossofhearingorspeech.
3c. Accidental death or permanent disablement as a result of Terrorism (Comprehensive Policy Option Only)
Section3b.isextendedfortheComprehensivePolicyOptiontoprovidecoverwheredeathorpermanentdisablementresultsdirectlyfromorinconnectionwithanyActofTerrorism.ProvidedthatanypaymentunderthissectionwillbelimitedtoamaximumofNZ$25,000perinsuredpersonperperiodofinsurance.
Exclusions – applying to all Policy Options under Section 31. WewillnotpayforFuneralExpensesunderSection3a,where
deathoccursasaresultofPre-existingmedicalconditionsthatarenotdescribedasbeingcoveredunderthispolicyorconfirmedasbeingcoveredbyusinwritingpriortothecommencementofyourJourney.
2. Wewillnotpayclaimsarisingfrom:a. ActofTerrorismunderSection3b;b. manualorhazardouswork;c. deliberateexposuretodangerunlessintheattempttosavea
humanlife;d. disease,illnessoranynaturalcauses;(underSections3band
3c);e. accidentaldeathorpermanentdisabilityorInjuryincurredasa
resultofyourparticipationin:i. competitivesnowandicesports,butnotleisureskiingand
snow-boardingon-pisteonaregularskifield;
ii. divingusingbreathingapparatusifyoudonotholdaNAUIorPADIdivingticket;
iii. flyinghangortowgliding,microliteflying,parachuting,skydivingandotheraerialactivitiesotherthanthefollowing;• hotairballooning;• paragliding;• parasailing;• bungeejumping;or• asafare-payingpassengerinapowerdrivenaircraft
licensedtocarrypassengersflownbyapilotlicensedtocarrypassengers;
iv. mountainandrockclimbing;v. professionalsport;vi. individualorteamsportcompetitions;vii. contactsports;viii. racingofanykind(otherthanonfoot)includingtraining;ix. oceanyachting25nauticalmilesormorefromthemainland;x. whitewaterrafting,whitewaterkayakingorblackwater
raftingingrade5ormorerivers;xi. potholing;xii. rodeoactivities;xiii. hunting;xiv. anyactivityatanaltitudeabove2500metres;xv. anyactivityinremoteareasexceptaspartofanorganised
tourgroup;xvi. extremeversionsofanysport.
f. theaccidentaldeathorpermanentdisablementofpersonsundertheageof16years.
3. IfyoufailtofollowourrequirementsunderSection2,anywheresuchfailurecausesorcontributestoaclaimunderSection3,noclaimbenefitunderSection3shallbepayable.
Section 4 Baggage, Personal Effects And Money Benefits Maximum Benefits
Policy Option Comprehensive Essentials Loss Of Deposits
Personal Baggage – Total Limit $30,000 $5,000 NilBaggage – Item Limit $1,500 $750 NilElectronic, Video and Camera Equipment $2,500 $750 NilEmergency Baggage $1,500 $250 NilReplacement of Travel Documents $3,000 $500 NilMoney $500 Nil NilAdditional Expenses as a result of Terrorism $3,000 Nil Nil
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4b. Emergency baggage (ComprehensiveandEssentialsPolicyOptionsOnly)
Ifyourbaggageistemporarilylostintransit,andisnotrestoredtoyouwithin12hoursofthediscoveryoftheloss,wewillreimburseyoufortheemergencypurchaseofessentialreplacementitems.WewillreimburseyouuptoNZ$500afterthefirst12hoursundertheComprehensivePolicyOptionand$250undertheEssentialsPolicyOption.Ifthebaggageisstillmissingafterafurther48hoursthenanadditionalamountofNZ$500isclaimableundertheComprehensivePolicyOption.Afterafurther72hoursthenafurtheramountofNZ$500isalsoclaimableundertheComprehensivePolicyOption,ifyouarestilldeprivedofyourluggage.
Receiptsofpurchasesmustbeproducedtosupportanyclaim.
Thissectiondoesnotapplyifyourbaggageistemporarilylostwhenyouarereturningtoyournormalplaceofresidence.
PleasenotethatwherethemislaidluggageisnotfoundandaclaimismadeunderSection4a,thecostsoftheitemspurchasedunderthispolicysectionwillbedeductedfromtheclaimamountpaidunderSection4a.
4c. Specified high value items(ComprehensivePolicyOnly)
IfyouwishtoincludeitemsofbaggageorpersonaleffectsthathaveaPresentDayValuemorethantheapplicablepolicylimitperitem,youcanspecifythemontheapplicationform.Youwillberequiredtoprovideareceiptofpurchaseand/orvaluationcertificateforeachspecifieditemintheeventofaclaimandpayanadditionalpremiumpriortothecommencementofyourpolicy.TotalLimitperitemisNZ$10,000withanoveralltotallimitforallspecifieditemsofNZ$20,000perpolicy.
4d. Travel documents (ComprehensiveandEssentialPolicyOptions)
WewillpayuptothePolicyOption’sMaximumPolicyBenefitperinsuredperson,forthecostofreplacingyourpersonaltraveldocumentsincludingpassportsandentryvisas,creditcardsandtravellerscheques,carriedwithyouonyourJourneyarisingoutofaccidentallossortheft,andthecostofsubsequentunauthorisedusebyotherpersons,providedthatyouhaveobservedalltermsandconditionsassetdownbytheissuingauthorityandyoucannotrecoveryourlossfromanyothersource.
Assoonasthelossisdiscoveredyoumustnotifythepoliceandtheissuingauthoritytoensurethattheappropriatecancellationmeasuresaretaken.
4e. Personal money(ComprehensivePolicyOnly)
WewillpayuptothePolicyOption’sMaximumPolicyBenefitfortheaccidentallossortheftfromyourpersonorfromalockedsafeorfromyouraccommodationwhenyouarepresentintheroomofcash,couponsorvoucherstakenonyourJourneyforpersonaluse.
4f. Additional expenses as a result of an Act of Terrorism (ComprehensivePolicyOptionOnly)
Sections4a.to4e.areextendedtoprovidecoverforthereasonableadditionalcostsincurred,whenyourtravelarrangementsoryourbelongingsareaffecteddirectlyorinconnectionwithanyActofTerrorism.ProvidedthatanypaymentforanActofTerrorismwillbelimitedtoamaximumofNZ$3,000perinsuredperson.
Exclusions – applying to all Policy Options under Section 41. Wewillnotpayforlossordamageto:
a. householdfurniture(otherthansoftgoods);b. fragileorbrittlearticlesunlessdamageiscausedbyfireor
accidenttotheconveyanceinwhichtheyarebeingcarried;c. toolsoftrade,bicycles,skis/snowboardsand/orbindings,
surfboards,windsurfersorsimilarwaterequipmentotherthanwhentheyaredamagedintransitonalicensedcommercialtransporterorresultingfromfireinorburglaryfromlockedaccommodationpremises;
d. anyothersportingequipmentwhilstinuse;e. stockorsamplesofanykindrelatedtobusinessortrade;f. personalbaggagesentinadvanceorarticlesmailed,sentor
shippedbyfreightorcargoseparately;g. personalbaggageleftunattendedbyyouoryourtravelling
companioninapublicplace.Thisincludeswhereanitemisatadistancefromyouthatyoucannotpreventitfrombeingtaken;
h. personalbaggageleftinamotorvehicleunlessstoredinalockedluggagecompartmentofthemotorvehicleandforcedentryisgained.Ifthereisnolockableluggagecompartmentinthemotorvehicletheitemsmustbeunabletobeseenfromoutsidethelockedvehicle;
i. traveldocumentsnotreportedwithin24hourstothepoliceortheissuerofanycreditcardortravellerscheque(s)ortraveldocumentswhereyouhavenotcompliedwiththeconditionsunderwhichtheyhavebeenissuedanddoneeverythingtominimisetheloss;
j. jewellery–exceptwhenatthetimeofthelossordamagetheitemisbeingwornbyyou,orwasinyourbedroomwhileyouarepresentinthesameroom,orinalockedsafe;
k. anyelectronicdevicecausedbythemalfunctionofthatdevice;l. anyelectronicdataorsoftware.
2. Wewillnotpayforlossordamagearisingfrom:a. delay,detentionorconfiscationbyCustomsOfficersorother
officials;orb. scratching,denting,grazing,staining,wearandtear,rot,mould,
mildew,rust,corrosion,theactionofinsectsorvermin,orclothingandpersonaleffectsbeingcleaned,dyed,alteredorrepaired.
3. Wewillnotpayforlossofpersonalmoneyexceptwhenatthetimeofthelossordamagethemoneywasonyourperson,orwasinyourbedroomwhileyouarepresentinthesameroom,orinalockedsafe.
Personal Liability Benefits
BasedonthePolicyOptionshownonyourPolicyCertificate,youwillbeeligibleuptotheMaximumBenefitshownintheabovetableforeachPolicy Benefit.
IfyouhavepurchasedanEssentialsPolicythereareanumberofinstancesunderthissectionwherecoveriseitherreducedorunavailable.PleasenotetherearenobenefitsunderthissectionifyouhavepurchasedtheLossofDepositsPolicyOption.
5a. Rental vehicle excess (ComprehensiveandEssentialsPolicyOptionsOnly)
Youarecoveredfortheinsuranceexcessyouarerequiredtopay,asaresultoflossordamagetoarentalvehicleyouhavehired,uptothePolicyOption’sMaximumBenefit,providedthat:
a.youwerethedriverofthevehicleatthetimeoftheaccidentorifthevehiclewasnotbeingdrivenitwasunderyourcustodyand
Section 5 Personal Liability Benefits Maximum Benefits
Policy Option Comprehensive Essentials
Rental Vehicle Excess $6,000 $1,000Personal Liability $2,500,000 $500,000Wrongful Arrest $10,000 Nil
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controlwhenstolenordamaged;
b.youhaveobservedalllocaldrivinglicenserulesandregulations;
c.yourvehiclewasrentedfromalicensedrentalagency;
d.youhavenotbreachedyourrentalvehiclehirecontract;
e.theexcessisnotrecoverablefromanyothersource;and
f. youhavemadeaclaimwiththemotorvehicle’sinsurerwhichhasbeenaccepted,orwouldhavebeenacceptedexceptfortheapplicationoftheexcess.
5b. Personal liability (ComprehensiveandEssentialsPolicyOptionsOnly)
WewillindemnifyyouuptothePolicyOption’sMaximumBenefitforallsumsthatyoubecomelegallyliabletopayasdirectcompensationconsequenton:
a.accidentalInjury,deathorillnesstopersons;or
b.accidentallossordamagetotangibleproperty;occurringduringthecourseofyourJourneyandduringtheperiodofinsurance.
Inrespectofaclaimtowhichtheaboveindemnityapplieswewillpayanycostsoflitigationlegallyrecoveredbyanyclaimantfromyouandallothercostsandexpensesincurredwithourwrittenconsent.
5c. Defence Costs – including wrongful arrest (ComprehensivePolicyOptiononly)
Wewillpayfordefencecostsincurredbyyouwithourconsentindefendingclaimsmadeagainstyou,includingsuchcostsincurredwhicharethedirectresultofyourfalsearrestorwrongfuldetentionbyanygovernmentorgovernmentagency,uptothePolicyOption’sMaximumBenefit.
Exclusions – applying to all Policy Options under Section 51. WewillnotbeliableinrespectofyourlegalliabilityforInjuryor
damagecausedbyorarisinginconnectionwith:
i. landorbuildingsowned,orheldintrustbyyouorinyourcustodyand control;
ii. yourbusinessoroccupation;
iii. theownershiporuseofanylandorbuilding,aircraftoraerialdeviceotherthanmodelaircraft;
iv. mechanicallypropelledvehicles;
v. watercraftotherthanarowboat,surfboard,sailboard,bodyboard,water-skiormodelboat.
2. Wewillnotpayclaimsarisingfrom:a. damagetopropertybelongingtoyouoranyemployeeor
memberofyourfamilyorunderyourortheircontrol;b. Injury,deathorillnesstoyou,youremployeeormembersof
yourfamily;c. damagetoanystructureorlandduetovibrationortothe
withdrawalorweakeningofsupport;d. fines,penaltiesandpunitive,exemplary,aggravatedor
liquidateddamagesimposeduponorawardedagainstyou;e. yourliabilityunderacontract;f. yourunlawful,malicious,deliberateorintentionalacts;org. transmissionofanycommunicabledisease.
General terms General termsEachsectionofthispolicyissubjecttoallthetermsandexclusionsoftherelevantsection,andallthegeneraltermsofthissection.
DefinitionsusedinthispolicyWhenthewordsbelowareusedinthisinsurancepolicytheyshallhavethemeaningsdetailedbelow.
1. Act of Terrorism Meansanact,includingbutnotlimitedtotheuseofforceorviolenceand/orthethreatthereof,ofanypersonorgroup(s)ofpersons,whetheractingaloneoronbehalfoforinconnectionwithanyorganisation(s)orgovernment(s),whichfromitsnatureorcontextis
donefor,orinconnectionwith,political,religious,ideological,ethnicorsimilarpurposesorreasons,includingtheintentiontoinfluenceanygovernmentand/ortoputthepublic,oranysectionofthepublic,infear.TerrorismalsoincludesanyactthatisverifiedorrecognisedbythelocalGovernmentasanActofTerrorism.
2. Close Relative Meansspouse,defactopartner,civilunionpartner,parent,stepparent,son,daughter,brother,sister,halforstepbrotherorsister,fiancé(e),grandparent,greatgrandparentorgrandchildofeithertheinsuredperson,spouseorpartnerprovidingthecloserelativeislivinginyourCountryofOrigin.
3. Country of Origin Meansthecountryinwhichyouprincipallyresidedpriortoapplyingforcover.
4. InjuryMeansanexternalorinternalbodilyInjurycausedsolelyanddirectlybyviolent,accidental,externalandvisiblemeans.
5. JourneyMeansfromwhenyouleaveyournormalplaceofresidenceinyourCountryofOriginuntilyoureturntoyournormalplaceofresidenceinyourCountryofOrigin,orforonewaytravellerstheexpirydateasshownonyourPolicyCertificateofInsurance.Ifyouhavepaidafrequentflyerpolicypremiumthenumberofjourneysperannumisunlimitedbuteachjourneyislimitedtoamaximumof60days.
6. Pre-existing Medical Condition Means:a)Anyphysicaldefect,infirmity,existingorrecurringillness,Injuryordisabilityofwhichyou,orthepersonduetowhomyouareclaiming,areawareof;orb)Anymedicalconditionforwhichyou,orthepersonduetowhomyouareclaiminghavehadorreceivedamedicalexamination,consultation,treatment,investigationand/ormedicationinthe12 monthspriortothedateyourpolicyisissued.
7.PublicPlaceMeansanyareatowhichthepublichasaccess(whetherauthorisedornot)includingbutnotlimitedtohotelfoyersandgrounds,restaurants,publictoilets,beaches,airports,railwaystations,busterminals,taxistandsandwharves.
General Conditions – applying to all sections1.Youmusttelluseverythingthatmaybematerialtoourdecisiontoissueoralterthispolicy,includingthedisclosureofanyPre-existingmedicalconditionsthatarenotautomaticallycoveredinSection2,whethercoverunderthePolicyisrequiredornot.
2.Youmusttellusofanychangestoanycircumstancesrelevanttothispolicyassoonasyouknowaboutthem.
3.Wemayatourownexpensetakeproceedingsinyournametorecovercompensation,damagesorotherwisefromanythirdpartyforlossordamagecoveredunderthispolicy.Anyamountrecoveredwillbelongtous.
4.Thispolicywillnotprovidecoverforanylossorexpensecoveredunderanyotherinsurancepolicy,compensationschemeorlegislation.Youmustfirstseeksettlementofyourcostunderthatpolicyorscheme.Wewillthenonlyconsiderpaymentofanydifferencebetweentheamountsettledandthepaymentyouwouldhavebeenentitledtounderthisinsurance.(ThisconditiondoesnotapplytoclaimsunderSection3b.AccidentalDeathorPermanent Disablement.)
5.Youmustprovideuswithallreceipts,certificates,informationandproofwereasonablyrequiretohelpsubstantiateyourclaim.Thiswillincludeadoctor’scertificateorletterifyourtripwascurtailedorcancelledduetoillnessorInjuryandyoumustprovideatyourownexpenseanymedicalcertificateorreportthatwemayrequiretoconsideranyclaimfurther.Amedicalreportandbloodtestwillalsoneedtobeprovidedifyouhavebeendruggedinvoluntarily.
6.Allstatementsmadebyyouoronyourbehalfeitherintheapplicationorotherwiseinsupportofthispolicyoranyclaimmustbecorrectinallrespects.Ifanyclaimunderthispolicyissupportedbyanyincorrectinformationorstatementorisinanyrespectfraudulent,
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thenyourclaimisnotpayableandthisentirepolicyautomaticallyterminatesfromthedatethattheincorrectstatementorfraudulentclaimwasmadetous.
7.Youmustnotmakeanyoffer,promiseorpaymentregardingadmissionorliabilityforanyloss.
8.Noclaimwillbepayablewhereanypersonentitledtoindemnityunderthispolicybreachesanypolicytermsandconditions.
9.Wherethispolicyisinjointnames,thenthispolicyisajointpolicy.Thismeansthatifoneinsuredpersondoesorfailstodoanythingsothatthereisnocovertherewillbenocoverforanyinsuredperson,notjusttheinsuredpersonresponsible.
10.YoumustadviseusifyouarepermanentlymigratingfromyourCountryofOriginorapplyingforpermanentresidenceinacountrywhenonyourJourney.Theperiodofinsurancewillexpire21daysafteryourarrivalinthecountrywhereyouwillbepermanentlymigratingtoorapplyingforpermanentresidence.
11.Youmustcomplywithallourrequestsrelatingtoyourclaimincludingprovidingallco-operation,informationandassistancerequested.
12.Youmustatalltimesactinaprudentmannerandtakeallreasonablestepstopreventlossandminimiseanyclaimmadeunderyourpolicy.
13.YoumustimmediatelyconsultandfollowtheadviceofaregisteredmedicalpractitionerifyouhavesufferedanInjuryorillness.General Exclusions – applying to all sections
a. Thispolicydoesnotcoveranyloss,damage,liability,deathorincapacitydirectlyorindirectlycausedbyorarisingfrom:
1. war,invasion,actofforeignenemy,warlikeoperations(whetherwarisdeclaredornot),civilwar,mutiny,rebellion,revolution,insurrection,militaryorusurpedpower.(Inrespectofcivilunrestonly,thisexclusiondoesnotapplytoSection1i.Evacuation–CivilUnrestPacificIslands);
2. ActofTerrorism(referto‘Generalterms’forfulldetails)–unlesscoverisotherwiseprovidedunderindividualsectionsofthispolicy.Ifweallegethatbyreasonofthisclause,anylossordamage,costorexpenseisnotcoveredbythisinsurancetheburdenofprovingthecontrarywillbeupontheinsured;
3. nuclearweaponsmaterial;
4. ionisingradiationsorcontaminationbyradioactivityfromanynuclearfuelorfromanynuclearwastefromthecombustionofnuclearfuel.(Forthepurposeofthisexclusion,combustionincludesanyselfsustainingprocessofnuclearfission);
5. yourdeliberateorrecklessactsoryourcriminalactivities;
6. anypersonlawfullyinyouraccommodationpremises;
7. anytravelwithinNewZealandunlessthisformspartofyourinternationalJourney;
8. theNewZealandGovernment’srecommendationthattravelnotbetakentoanycountry,territoryorregion,ifthewarninghasbeenissuedpriortothepurchaseofthisinsurance,whetherthisrelatestoessentialornon-essentialtravelorboth;
9. occupationsinvolvingunusualordangerouswork;
10. medicaltreatmentwhereyouaretravellingtoobtainthemedicaltreatment;
11. electiveorcosmeticsurgery;
12. activeparticipationin:
i. competitivesnowandicesports,butnotleisureskiingandsnow-boardingon-pisteonaregularskifield;
ii. divingusingbreathingapparatusifyoudonotholdaNAUIorPADIdivingticket;
iii. flyinghangortowgliding,microliteflying,parachuting,skydivingandotheraerialactivitiesotherthanthefollowing;• hotairballooning;
• paragliding;• parasailing;• bungeejumping;or• asafare-payingpassengerinapowerdrivenaircraft
licensedtocarrypassengersflownbyapilotlicensedtocarrypassengers;
iv. mountainandrockclimbing;v. professionalsport;vi. individualandteamsportcompetitions;vii. contactsports;viii. racingofanykind(otherthanonfoot)includingtraining;ix. oceanyachting25nauticalmilesormorefromthe
mainland;x. whitewaterrafting,whitewaterkayakingorblackwater
raftingin grade5ormorerivers;xi. potholing;xii. rodeoactivities;xiii. hunting;xiv. anyactivityatanaltitudeabove2500metres;xv. anyactivityinremoteareasexceptaspartofanorganisedtour
group;xvi. extremeversionsofanysport.
13. pregnancyorchildbirth(exceptforunforeseenmedicalcomplicationsoremergencieswithinthefirst20weeks/140daysofyourpregnancy).Thereisnocoverforachildbornoverseasunless,afterbirth,coverisappliedforandweagreeinwritingtoincludethechildinthiscover;
b. Anyconsequentialloss,lossofenjoymentorlossofincome.
Cancelling this policyYoumaycancelthispolicyatanytimepriortoyourdeparturebyreturningthePolicyCertificatetoyourissuingagent.Ifnoclaimhasbeenmadeorispendingwewillpro-ratarefundyourpremiumbetweenthedateofpurchaseandpolicyexpirydatelessanadministrationfeeofNZ$40.00.YoumaycancelthispolicyafteryourdeparturebywritingtoourofficeandreturningyourPolicyCertificate.IfnoclaimhasbeenmadeorispendingapremiumrefundwillbecalculatedbydeductingthesetpremiumapplicableforthedurationusedonyourJourneylesstheadministrationfeeof$40.00forearlycancellation.Wemaycancelthispolicyinthefollowingcircumstancesonly,bygivingyou14dayspriornoticebyemailsenttoyourlastknownemailaddresssuppliedtous:
a) Ifyoufailtocomplywithyourdutyofutmostgoodfaith;
b) Ifyoufailtocomplywithaprovisionofthispolicy,including aprovisionrelatingtothepaymentofthepremium;
c) Ifyoumakeafraudulentclaimunderthispolicy.
Reinstatement of amounts of insuranceIntheeventofalossforwhichaclaimispayableunderthispolicy,andintheabsenceofwrittennoticebyusoryoutothecontrary,theamountofinsurancecancelledbysuchalosswillbeautomaticallyreinstatedfromthedateofloss.Inthiscaseyouundertaketopaysuchapro-ratapremiumattherateapplicabletotheitemconcernedasmayberequiredforreinstatement.
Free extension of the period of coverIfthereisadelayoutsideofyourcontrol:
1. whereyouarerequiredtosuspendyourJourneyontheadviceofaregisteredmedicalpractitioner;or
2. toanyvehicle,vesseloraircraftinwhichyouaretravellingasaticketholdingpassengerwhichresultsinyourhomewardJourneynotbeingcompletedduringtheperiodofinsurance;
thispolicyisextendedbyupto6monthstoallowyoutocompleteyourJourneybythenextavailableandconvenienttransportation.
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Jurisdiction and Choice of LawThispolicyisgovernedbyandconstruedinaccordancewiththelawsofNew ZealandandyouagreetosubmittotheexclusivejurisdictionofthecourtsofNew Zealand.YouagreethatitisyourintentionthatthisJurisdictionandChoiceofLawclauseapplies.
Fair Insurance CodeAllianzsupportstheprinciplesoftheFairInsuranceCode.ThepurposeofthisCodeistoincreasethestandardsofpracticeandservicewithintheinsuranceindustry.BrochuresontheCodeareavailablefromouroffice.
Dispute Resolution ProcessIfyouhaveacomplaintordisputeinrelationtothisinsurance,ortheservicesofAllianzGlobalAssistanceNZLtd(‘AGA’)oritsrepresentatives,pleasecalluson0800800048orputthecomplaintinwritingandsendittoTheDisputeResolutionDepartment,POBox33313,Takapuna,New Zealand.AGAwillattempttoresolvethematterinaccordancewithitsInternalDisputeResolutionsprocess.
AdisputecanbereferredtotheFinancialServicesComplaintsLtd(FSCL),subjecttoitstermsofreferences.TheFSCLprovidesafreeandindependentdisputeresolutionserviceforconsumerswhohavegeneralinsurancedisputesfallingwithinitsterms.ThecontactdetailsfortheFSCLare:
Financial Services Complaints Ltd (FSCL) Freephone: 0800 347 257 Telephone: +64 (04) 472 3725 Fax: +64 (04) 472 3728 Post: PO Box 5967, Lambton Quay, Wellington 6145, New Zealand Email: [email protected]
Privacy NoticeToarrangeandmanageyourtravelinsurance,we(inthisPrivacyNotice“we”,“our”and“us”includesAllianzAustraliaInsuranceLimited,AllianzGlobalAssistanceNZLtd,andAGAAssistanceAustraliaPtyLtdandtheirauthorisedagents)collectpersonalinformationfromyouandothers(includingthoseauthorisedbyyousuchasyourdoctors,hospitals,andpersonswhomweconsidernecessary).
Anypersonalinformationprovidedtousisusedbyusandouragentstoevaluateandarrangeyourtravelinsurance.Wealsouseittoadministerandprovidetheinsuranceservicesandmanageyourandourrightsandobligationsinrelationtotheinsuranceservices,includingmanaging,processingandinvestigatingclaims.Wemayalsocollect,useanddiscloseitforproductdevelopment,marketing,research,ITsystemsmaintenanceanddevelopment,recoveryagainstthirdpartiesandforanyotherpurposewithyourconsent.
Yourpersonalinformationmaybedisclosedto(andreceivedfrom)thirdpartiesinNew Zealandoroverseasinvolvedintheaboveprocess,suchastravelconsultants,travelinsuranceprovidersandintermediaries,agents,distributors,reinsurers,claimshandlersand
investigators,costcontainmentproviders,medicalandhealthserviceproviders,transportationproviders,legalandotherprofessionaladvisers,youragentsandtravellingcompanions,andourrelatedandgroupcompanies.
Theuseanddisclosureofyourpersonalinformationwillbeprovidedtothirdpartiesfortheprimarypurposesstatedabove.Thepersonalinformation(butnotsensitiveinformation)mayalsobeusedforasecondarypurposebutonlyifyouwouldreasonablyexpectustousethatinformationforsuchsecondarypurpose.
Whenyougivepersonalinformationaboutotherindividuals,weandouragentsrelyonyoutohavemadeormakethemaware:
• thatyouwillormayprovidetheirinformationtous;
•ofthetypesofthirdpartiestowhomtheinformationmaybeprovided;
•oftherelevantpurposesweandthethirdpartieswewilldiscloseitto,willuseitfor;and
•ofhowtheycanaccessit.
Werelyonyoutohaveobtainedtheirconsentonthesematters.Ifyouhavenotdoneorwillnotdothesethings,youmusttellusorouragentsbeforeyouprovidetherelevantinformation.
Youcanseekaccesstoandcorrectyourpersonalinformationbycontactingus.Youmaynotaccessorcorrectpersonalinformationofothersunlessyouhavebeenauthorisedbytheirexpressconsentorotherwiseunderlaw,orunlesstheyareyourdependantsunder16years.
Ifyoudonotagreetotheaboveorwillnotprovideuswithpersonalinformation,wemaynotbeabletoprovideyouwithourservicesorproductsormaynotbeabletoprocessyourapplicationnorissueyouwithapolicy.Incaseswherewedonotagreetogiveyouaccesstosomepersonalinformation,wewillgiveyoureasonswhy.
Money back guaranteeIfyouarenotcompletelysatisfiedwiththeextentofcoverprovidedbythispolicy,justreturnittoyourissuingagentwithin48hoursofitsreceiptandifyouhavenothadaclaiminthemeantimeorcommencedyourtravelyourmoneywillberefundedinfull.
Privacy Act and the Insurance Claims Register (ICR)TheICRisadatabaseofinsuranceclaimstowhichparticipantinsurershaveaccess.ThepurposeoftheICRistopreventinsurancefraud.TheICRisoperatedbyInsuranceClaimsRegisterLimited(ICRLtd),POBox474,Wellington.
ThispolicyisissuedtoyouontheconditionthatyouauthoriseustoplacedetailsofanyclaimsmadeagainstthispolicyonthedatabaseofICRLtd,wheretheywillberetainedandbeavailableforotherinsurancecompaniestoinspect.YoualsoauthoriseustoobtainfromICRLtdpersonalinformationaboutyouthatis(inourview)relevanttothispolicyoranyclaimmadeagainstit.Youhavecertainrightsofaccesstoandcorrectionofthisinformation,subjecttotheprovisionsofthePrivacyAct1993.