TRAVEL PROTECTION PLAN
CERTIFICATE OF INSURANCE
Nationwide Mutual Insurance Company
1 Nationwide Plaza
PO Box 182690
Columbus OH 43218
This Certificate of Insurance describes all of the travel insurance benefits, underwritten by Nationwide Mutual
Insurance Company and herein referred to as the Company, and assistance services provided by Seven Corners Assist. The insurance benefits and assistance services vary from program to program. Please refer to the accompanying Confirmation of Coverage. It provides You with specific information about the program You purchased. Please contact the Plan Administrator immediately if You believe that the Confirmation of Coverage is incorrect.
This Certificate of Insurance is issued in consideration of the enrollment form and payment of any premium due. All statements in the enrollment forms are representations and not warranties. Only statements contained in a written enrollment form will be used to void insurance, reduce benefits or defend a claim.
NO DIVIDENDS WILL BE PAYABLE UNDER THE GROUP POLICY.
The President and Secretary of Nationwide Mutual Insurance Company witness the Group Policy.
TRAVEL PROTECTION CERTIFICATE
PASSENGER PROTECTION PLAN
Nationwide Mutual Insurance Company
Limit per Person
||100% of Trip
||100% of Trip
Daily Limit Applies)
Death & Dismemberment
LIMITATIONS AND EXCLUSIONS
Accident: means a sudden, unexpected, unusual, specific
event that occurs at an identifiable time and place, but shall
also include exposure resulting from a mishap to a conveyance
in which You are traveling.
Accidental Injury: means Bodily Injury caused by an
Accident (of external origin) being the direct and independent
cause in the Loss.
Additional Expense: means any reasonable expenses for
meals and lodging which were necessarily incurred as the result
of a Hazard and which were not provided by the Common Carrier
or other party free of charge.
Bodily Injury: means identifiable physical injury which
is caused by an Accident and is independent of disease or bodily
Checked Baggage: means a piece of baggage for which a
claim check has been issued to You by a Common Carrier.
Common Carrier: means any land, sea, and/or air conveyance
operating under a valid license for the transportation of passengers
Company: means Nationwide Mutual Insurance Company.
Covered Trip: means any class of scheduled trips, tours
or cruises for which You request coverage and remit the required
Cruise: means any prepaid sea arrangements
Economy Fare: means the lowest published rate for an
Effective Date: means the date and time Your coverage
begins, as outlined in the General Provisions section of this
Family Member: means Your or Your Traveling Companion’s
legal or common law spouse, ex-spouse, Domestic Partner, parent,
legal guardian, step-parent, grandparent, parents-in-law, grandchild,
natural or adopted child, step-child, children-in-law, brother,
sister, step-brother, step-sister, brother-in-law, sister-in-law,
aunt, uncle, niece or nephew, or Business Partner who reside
in the United States, Canada or Mexico.
Hazard: means (a) any delay of a Common Carrier (including
Inclement Weather); (b) any delay by a traffic accident en route
to a departure, in which You or a Traveling Companion is not
directly involved; (c) any delay due to lost or stolen passports,
travel documents or money, quarantine, hijacking, unannounced
strike, natural disaster, civil commotion or riot; (d) a closed
roadway causing cessation of travel to the destination of the
Covered Trip (substantiated by the department of transportation,
state police, etc.).
Hospital: means a facility that (a) holds a valid license
if it is required by the law; (b) operates primarily for the
care and treatment of sick or injured persons as in-patients;
(c) has a staff of one or more Physicians available at all times;
(d) provides twenty-four (24)-hour nursing service and has at
least one registered professional nurse on duty or call; (e)
has organized diagnostic and surgical facilities, either on
the premises or in facilities available to the hospital on a
pre-arranged basis; and (f) is not, except incidentally, a clinic,
nursing home, rest home, or convalescent home for the aged,
or similar institution.
Host at Destination: means a person with whom You are
sharing pre-arranged overnight accommodations at the host’s
usual principal place of residence.
Inclement Weather: means any severe weather condition
that delays the scheduled arrival or departure of a Common Carrier.
Individual Coverage Term: means the period of time beginning
when You have been enrolled for coverage under the Policy and
for whom the required premium has been paid.
Insured: means the person who has enrolled for and paid
for coverage under the Policy.
Land/Sea Arrangements: means any activities undertaken
by You while in the Individual Coverage Term.
Loss: means injury or damage sustained by You in consequence
of happening of one or more of the occurrences against which
the Company has undertaken to indemnify You.
Maximum Benefit: means the largest total amount of Covered
Expenses that the Company will pay for Your covered Losses.
Physician: means a licensed practitioner (including a
Christian Science Practitioner) of medical, surgical or dental
services acting within the scope of his/her license. The treating
Physician may not be You, a Traveling Companion or a Family
Pre-Existing Condition: means any injury, sickness or
condition of You, or Your Traveling Companion for which within
the sixty (60) day period prior to the Effective Date of Trip
Cancellation coverage under the Policy (a) first manifested
itself or exhibited symptoms which would have caused one to
seek diagnosis, care or treatment; (b) required taking prescribed
drugs or medicine, unless the condition for which the prescribed
drug or medicine is taken remains controlled without any change
in the required prescription; or (c) required medical treatment
or treatment was recommended by a Physician. The Pre-Existing
Conditions exclusion is waived for You if You enroll in the
Plan at the time You pay the deposit required for the Covered
Trip (or within fourteen (14) days of the initial deposit) and
You purchase the coverage under the Plan for the full cost of
the Covered Trip.
Scheduled Departure Date: means the date on which You
are originally scheduled to leave on the Covered Trip.
Scheduled Return Date: means the date on which You are
originally scheduled to return to the point of origin or to
a different final destination.
Sickness: means an illness or disease which is diagnosed
or treated by a Physician after the Effective Date of insurance
and while You are covered under the Policy.
Strike: means any unannounced labor disagreement that
interferes with the normal departure and arrival of a Common
Terrorist Incident: means an incident deemed a terrorist
act by the United States Government that causes property damage
or Loss of life.
Traveling Companion: means a person or persons with whom
You have coordinated travel arrangements and intends to travel
with during the Covered Trip. Note, a group or tour leader is
not considered a Traveling Companion unless You are sharing
room accommodations with the group or tour leader.
Travel Supplier: means tour operator, cruise line, hotel,
airline, etc., that has made the land and/or sea arrangements.
You or Your: refers to all persons listed on the Confirmation
of Coverage under the program purchased by the Insured.
WHEN YOUR COVERAGE BEGINS
All coverage (except Trip Cancellation) will take effect at 12:01 A.M. local time, at Your location, on the Scheduled
Departure Date provided:
(a) coverage has been elected; and
(b) the required premium has been paid.
Trip Cancellation coverage will take effect at 12:01 A.M local time at Your location, on the day after the required premium for such coverage is received by the Company or its authorized representative.
WHEN YOUR COVERAGE ENDS
Your coverage will end at 11:59 P.M. local time on the date that is the earliest of the following:
(a) the Scheduled Return Date as stated on Your Confirmation of Coverage;
(b) the date You return to Your origination point if prior to the Scheduled Return Date;
(c) the date You leave or change Your Covered Trip (unless due to unforeseen and unavoidable circumstances covered by the Policy);
(d) if You extend the return date, Your coverage will terminate at 11:59 P.M., local time, at Your location on the Scheduled Return Date;
(e) the date You cancel the Covered Trip;
Extension of Coverage: All coverage (except Trip Cancellation) under the Policy will be extended, if:
(a) Your entire Covered Trip is covered by the Policy; and
(b) Your return is delayed by an event specified under Trip Cancellation and Interruption or Trip Delay.
This extension of coverage will end on the earlier of:
(a) the date You reach Your Return Destination; or
(b) if You are unavoidably delayed in traveling on the Scheduled Return Date due to a reason covered under this Plan, benefits will be extended for the period of time needed to arrive at the point of origin or to a different final destination.
In no event will coverage be extended for unscheduled extensions to Your Covered Trip (other than noted above) for which premium has not been paid in advance.
NOTICE OF CLAIM: Written notice of claim must be given by the Claimant (either You or someone acting for You) to the Company or its designated representative within twenty (20) days after a covered Loss first begins, or as soon as reasonably possible. Notice should include Your name, and be sent to the Company's administrative office, at Nationwide Claims Administration; Seven Corners, 303 Congressional Blvd., Indianapolis, IN 46302.
PROOF OF LOSS: The Claimant must send the Company, or its designated representative, proof of Loss within ninety (90) days after a covered Loss occurs, or as soon as reasonably possible.
SUBROGATION: To the extent the Company pays for a Loss suffered by You, the Company will take over the rights and remedies You had relating to the Loss. This is known as subrogation. You must help the Company to preserve its rights against those responsible for the Loss. This may involve signing any papers and taking any other steps the Company may reasonably require. If the Company takes over Your rights, You must sign an appropriate subrogation form supplied by the Company.
PAYMENT OF CLAIMS: The Company, or its designated representative, will pay a claim after receipt of acceptable proof of Loss. Benefits for Loss of life are payable to Your beneficiary. If a beneficiary is not otherwise designated by You, benefits for Loss of life will be paid to the first of the following surviving preference beneficiaries:
a) Your spouse
b) Your child or children jointly
c) Your parents jointly if both are living or the surviving parent if only one survives
d) Your brothers and sisters jointly, or
e) Your estate
All other claims will be paid to You. In the event You are a minor, incompetent or otherwise unable to give a valid release for the claim, the Company may make arrangement to pay claims to Your legal guardian, committee or other qualified representative.
All or a portion of all other benefits provided by the Policy may, at the option of the Company, be paid directly to the provider of the service(s). All benefits not paid to the provider will be paid to You.
Any payment made in good faith will discharge the Company's liability to the extent of the claim.
The applicable benefit amount will be reduced by the amount of benefits, if any, previously paid by other Insurance Policies. In no event will the Company reimburse You for an amount greater than the amount paid by You.
TRIP CANCELLATION & TRIP INTERRUPTION
The Company will pay a benefit, up to the maximum shown on the Confirmation of Coverage, if You are prevented from taking or unable to continue Your Covered Trip due to:
(a) Sickness, Accidental Injury or death of You, Traveling Companion, or Family Member; which results in medically imposed restrictions as certified by a Physician at the time of Loss preventing Your continued participation in the Covered Trip. A Physician must advise cancellation of the Covered Trip on or before the Scheduled Departure Date.
(b) You or a Traveling Companion being hijacked, quarantined, required to serve on a jury, subpoenaed, the victim of felonious assault within ten (10) days of departure; or having his/her principal place of residence made uninhabitable by fire, flood or other natural disaster; or burglary of his/her principal place of residence within ten (10) days of departure.
(c) You or a Traveling Companion being directly involved in a traffic accident substantiated by a police report, while en route to departure.
(d) The death or hospitalization of Your Host at Destination.
(e) Strike that causes complete cessation of services for at least twenty-four (24) consecutive hours.
(f) Weather that causes complete cessation of services of Your Common Carrier for at least twenty-four (24) consecutive hours.
(g) A Terrorist Incident that occurs in a city listed on Your Covered Trip itinerary and within thirty (30) days prior to Your Scheduled Departure Date. This same city must not have experienced a Terrorist Incident within the ninety (90) days prior to the Terrorist Incident that is causing the cancellation of Your Covered Trip. Benefits are not provided if the Travel Supplier offers a substitute itinerary.
(h) Mandatory evacuation is ordered by local authorities at
Your scheduled Trip destination due to hurricane or other natural
disaster. You must have less than 50% and no more than four
(4) days of Your Trip remaining at the time the mandatory evacuation
ends in order to interrupt Your Trip.
The Company will reimburse You for the following:
Non-refundable cancellation charges imposed by the Travel Suppliers.
In no event shall the amount reimbursed exceed the amount You prepaid for the Covered Trip up to the maximum benefit shown on the Confirmation of Coverage.
SPECIAL CONDITIONS: You must advise the Travel Supplier and the Company as soon as possible in the event of a claim. The Company will not pay benefits for any additional charges incurred that would not have been charged had You notified the Travel Supplier as soon as reasonably possible.
The Company will pay for the following:
(a) The airfare paid less the value of applied credit from an unused travel ticket to return home, join or rejoin the original Land/Sea Arrangements limited to the cost of one-way economy airfare or similar quality as the originally issued ticket by scheduled carrier.
The Company will pay for reasonable additional accommodation and transportation expenses incurred by You (up to $100 a day) if a Traveling Companion must remain hospitalized, or if You must extend the Covered Trip with additional hotel nights due to a Physician certifying that You cannot fl y home due to an Accident or a Sickness but does not require hospitalization.
In no event shall the amount reimbursed exceed the maximum benefit shown on the Confirmation of Coverage.
The Company will reimburse You for Covered Expenses on a one-time basis, up to the maximum shown in the
Confirmation of Coverage, if You are delayed en route to or from the Covered Trip for twelve (12) or more hours due to a defined Hazard.
Covered Expenses include:
(a) any reasonable Additional Expenses incurred;
(a) any delay of a Common Carrier (including Inclement Weather);
(b) any delay by a traffic accident en route to a departure, in which You or a Traveling Companion is not directly involved;
(c) any delay due to lost or stolen passports, travel documents or money, quarantine, hijacking, unannounced strike, natural disaster, civil commotion or riot;
(d) a closed roadway causing cessation of travel to the destination of the Covered Trip (substantiated by the department of transportation, state police, etc.).
This benefit covers missed Cruise departures that result from
cancellation or delay of three (3) or more hours of all regularly
scheduled airline flights due to Inclement Weather or any Common
Carrier caused delay. Maximum benefits of up to the amount shown
in the Confirmation of Coverage are provided to cover additional
transportation expenses needed for You to join the departed
Cruise, reasonable accommodation and meal expenses and nonrefundable
trip payments for the unused portion of Your Cruise. Coverage
is secondary to any compensation provided by a Common Carrier.
Coverage will not be provided to individuals who are able to
meet their scheduled departure but cancel their Cruise due to
ACCIDENTAL DEATH & DISMEMBERMENT
The Company will pay the percentage of the Principal Sum shown in the Table of Losses when You, as a result of an Accidental Injury occurring during the Covered Trip, sustain a Loss shown in the Table below. The Loss must occur within 181 days after the date of the Accident causing the Loss. The Principal Sum is shown on the Confirmation of Coverage.
The Maximum Benefits for any one single Accident is limited to $15,000,000 for all persons insured under the Policy. If more than one Loss is sustained, as the result of an Accident, the amount payable shall be the largest amount of a sustained Loss shown in the Table of Losses.
||Percentage of Principal Sum
|Both hands or both feet
|Sight of both eyes
|One hand and one foot
|Either hand or foot and sight of one eye
|Either hand or foot
|Sight of one eye
|Speech and hearing in both ears.
|Hearing in both ears
|Thumb and index finger of same hand
"Loss" with regard to:
1. Hand or foot means actual complete severance through and above the wrist or ankle joints;
2. Eye means an entire and irrecoverable Loss of sight;
3. Speech or hearing means entire and irrecoverable Loss of speech or hearing of both ears; and
4. Thumb and index finger means actual severance through or above the joint that meets the finger at the palm.
The Company will pay benefits for covered Losses that result from Your being unavoidably exposed to the elements due to an Accident. The Loss must occur within 365 days after the event that caused the exposure.
The Company will pay benefits for Loss of life if Your body cannot be located one (1) year after Your disappearance due to an Accident.
BAGGAGE DELAY (OUTWARD JOURNEY ONLY)
The Company will reimburse You for the expense of necessary personal effects, up to the maximum shown on the Confirmation of Coverage, if Your Checked Baggage is delayed or misdirected by a Common Carrier for more than twenty-four (24) hours, while on a Covered Trip, except for travel to final destination or place of residence. You must be a ticketed passenger on a Common Carrier. Additionally, all claims must be verified by the Common
Carrier who must certify the delay or misdirection and receipts for the purchases must accompany any claim
LIMITATIONS AND EXCLUSIONS
The following exclusions apply to Trip Cancellation & Trip Interruption, Trip Delay, Missed Connection, and Accidental Death & Dismemberment:
Loss caused by or resulting from:
1. Pre-Existing Conditions, as defined in the Definitions section unless the insurance is purchased within fourteen (14) days of the initial Covered Trip deposit;
2. Suicide, attempted suicide or any intentionally self-inflicted injury while sane or insane (in Missouri, sane only);
3. War, invasion, acts of foreign enemies, hostilities between nations (whether declared or not), civil war;
4. Participation in any military maneuver or training exercise;
5. Piloting or learning to pilot or acting as a member of the crew of any aircraft;
6. Mental or emotional disorders;
7. Participation as a professional in athletics;
8. Being under the influence of drugs or intoxicants, unless prescribed by a Physician;
9. Commission or the attempt to commit a criminal act;
10. Participating in bodily contact sports; skydiving; hang-gliding; parachuting; mountaineering; any race; bungee cord jumping; and speed contests (speed contest shall not include any of the regatta races); scuba diving( unless accompanied by a dive master and not deeper than 50 feet); spelunking or caving; heliskiing; extreme skiing. Exclusion does not apply to Trip Cancellation. Bodily contact sports means any sport where the objective is to physically render an opponent unable to continue with the competition such as boxing and full contact karate;
11. Traveling for the purpose of securing medical treatment;
12. Pregnancy and childbirth (except for complications of pregnancy);
13.Care or treatment for which compensation is payable under Worker’s Compensation Law, any Occupational Disease law; the 4800 Time Benefit plan or similar legislation;
14. Services not shown as covered;
15. Directly or indirectly, the actual, alleged or threatened discharge, dispersal, seepage, migration, escape, release or exposure to any hazardous biological, chemical, nuclear radioactive material, gas, matter or contamination;
16. Care or treatment that is not medically necessary.
The following exclusions apply to Baggage Delay:
The Company will not provide benefits for any Loss or damage to:
2. Automobiles and automobile equipment;
3. Boats or other vehicles or conveyances;
8. Bicycles (except when checked as baggage with a Common Carrier);
9. Household effects and furnishing;
10. Antiques and collectors’ items;
11. Eyeglasses, sunglasses or contact lenses;
12. Artificial teeth and dental bridges;
13. Hearing aids;
14. Prosthetic limbs;
15. Prescribed medications;
16. Keys, money, stamps, securities and documents;
18. Credit cards;
19. Professional or occupational equipment or property, whether or not electronic business equipment;
20. Personal computers, telephones, computer hardware or software;
21. Sporting equipment if Loss or damage results from the use thereof.
24 Hour Travel Assistance Services:
(a) Message Services: We will transmit emergency messages to family, friends or business associates.
We will advise You if we have difficulty delivering Your message and let You know that the message has been received. We will also relay non-emergency e-mail or phone messages on Your behalf at any time during Your Covered Trip.
(b) Language Interpretation Services: We provide interpretation services in major languages and will refer You to appropriate local services, if needed.
(c) Pre-Trip Travel Services: We provide 24-Hour information, help and advice for Your planned Covered Trip such as: passport and visa information, requirements and replacement; travel health information or advisories; vaccine recommendations and requirements; government agency contact information (i.e. embassies, consulates, and other departments or agencies); weather and currency information.
To facilitate prompt claims settlement:
TRIP CANCELLATION / INTERRUPTION CLAIMS:
IMMEDIATELY Call Your Travel Supplier and the Claims Administrator to report Your cancellation and avoid non-covered expenses due to late reporting. The Claims Administrator will then advise You on how to obtain the appropriate forms to be completed by You and the attending Physician. Provide all unused transportation tickets, official receipts, etc. If appropriate, obtain medical statements from the doctors in attendance in the country where Sickness or Accident occurred. These statements should give complete diagnosis, stating that the Sickness or
Accident prevented traveling on the dates contracted.
TRIP DELAY CLAIMS:
Obtain receipts for any Additional Expenses (i.e.: meals, lodging, etc.) and submit with written documentation from the source which caused the delay for verification (i.e.: Common Carrier, police report, etc.).
Nationwide Claims Administration provided by:
303 Congressional Blvd.
Indianapolis, IN 46302
Hours: 8:00 – 5:00 EST Monday - Friday