 |
TRAVEL ACCIDENT INSURANCE CERTIFICATE
Amex (Saudi Arabia) Limited, Policy Number 51UK428554
Underwritten by the Bahrain National Insurance Company (BNIC) herein called
the "Company"
This document provides details of insurance cover arranged by American Express
Global Network Service for and on behalf of Amex (Saudi Arabia) Limited.
It is hereby certified that the holder of this certificate, as an American
Express U.S. Dollar or Saudi Riyal billed Cardmember is insured against
loss in the amount of US $350,000 - subject to the Exclusions, Provisions
and other Terms of the Policy described herein.
The Company, having issued Master Policy Number PDAT/03/14054 to Amex (Saudi
Arabia) Limited, hereby certifies that the following persons are eligible
for cover under the Master Policy:
- The American Express US Dollars or Saudi Riyals billed Cardmember
who has The Gold Card (Basic or Supplementary) issued by Amex (Saudi
Arabia) Limited and is the recipient of the certificate (herein called
the Cardmember).
- The Cardmember's legally married spouses, and
- The Cardmember's dependent children under the age of 23, which means and includes legally dependent child, step child or legally adopted child of any eligible person described in 1 above.
COVER
Each eligible person shall be an Insured Person while taking a trip on a
public conveyance operated under a license for the transportation of passengers
for hire including taxis, fare for which has been charged to The Gold Card
account in the manner detailed herein.
Benefits specified below will be paid while the Master Policy is in force
and the Insured Person suffers loss resulting directly and independently
of all other causes from accidental bodily injury ("such injury")
received during a one-way or round trip taken by the Insured Person between
the Point of Departure and Destination (both as designated in the Insured
Person's ticket) on or after the date ticket purchased, provided however,
such injury is sustained under the circumstances specified in 1 or 2 as
follows:
- Such injury received while riding as a passenger and not as a pilot
or crew member, in or boarding or alighting from or being struck by
any air, land or water conveyance operated under a license for the transportation
of passengers for hire; provided the fare for transportation on such
public conveyance has been charged to The Gold Card, or
- Such injury received while riding as a passenger in a conveyance operated
under a license for the transportation of passengers for hire including
taxis or rental cars (whether charged to the Card or not) but only
- When going directly to an airport for the purpose of
boarding an aircraft on which the Insured Person is covered by the
Policy; or
- When leaving an airport after alighting from such an aircraft.
- A Common Carrier Benefit is payable if the Insured Person sustains
injury as a result of:
- An accident which occurs while riding solely as a passenger
in or boarding or alighting from a Common Carrier Conveyance for a
Covered Trip; or
- Being struck by such Common Carrier Conveyance.
"Common Carrier Conveyance" means an air, land or water vehicle
(other than a rental vehicle) operated by a common carrier licensed to
carry passengers for hire (including taxis).
- A trip is a "Covered Trip" if:
- It is a trip taken by an Insured Person between Point
of Departure and the Final Destination as shown on the Insured Person's
ticket; and
- the Insured Person's entire fare for such trip has been charged
to an American Express Card prior to any injury.
- Airport Transportation Benefit: If a Scheduled Airline ticket is purchased
for a Covered Trip prior to the Insured Person's departure for the airport,
this Benefit is payable if the Insured Person sustains any injury while
riding as a passenger in a land Common Carrier Conveyance rental car
or a scheduled helicopter operated as a Common Carrier Conveyance, but
only:
- When going directly to an airport for the purpose of
boarding an aircraft for a Covered Trip; or
- When leaving directly from an airport after alighting from an
aircraft from a Covered Trip. "Scheduled Airline" means
a flight in an aircraft where the airline is listed in the Official
Airline Guide or ABC World Airways Guide where the air carrier holds
a certificate, license or similar authorisations for Scheduled air
transportation issued by the relevant authorities in the Country
in which the aircraft is registered, in accordance with such authorisation,
maintains and publishes schedules and tariffs for passenger service
between named airports at regular and specific times.
- Airport Premises Benefit: If a Scheduled Airline ticket is purchased
for a Covered Trip prior to boarding, this Benefit is payable if the
Insured Person sustains any injury while upon any airport premises designated
for passenger use, but only when the Insured Person is upon such premises
immediately before boarding, or immediately after alighting from, an
aircraft from a Covered Trip.
- Coverage Requirements: An Insured Person will be fully insured for
benefits under the Policy while taking a trip on a Common Carrier Conveyance
only when the entire fare is charged to The Gold Card.
- On-Board Ticketing: In the event that the Insured Person suffering
a Loss on board a Scheduled Airline flight for which the Airline sells
ticket on board the flight and the Insured Person has not purchased
his or her ticket by charging the ticket to The Gold Card prior to boarding
the flight, then the Company will evaluate and pay such loss where it
can establish that no other form of payment was used for the flight
in question.
Schedule of Benefits
When such injury to an Insured Person results in any of the following losses
within 100 days after the date of the accident, the Company will pay for.
| Loss of Life |
$350,000
|
| Loss of both hands or both feet |
$350,000
|
| Loss of one hand and one foot |
$350,000
|
| Loss of the entire sight of both eyes |
$350,000
|
| Loss of the entire sight of one eye and the loss of one hand or
one foot |
$350,000
|
| Loss of one hand or one foot |
$175,000
|
| Loss of the entire sight of one eye |
$175,000
|
"Loss" as above used with reference to hand or foot means complete severance
through or above the wrists or ankle joint and as used with reference
to an eye means the irrevocable loss of the entire sight thereof. Indemnity
provided hereunder will not be paid under any circumstances for more than
one of the losses, the greatest, sustained by an Insured Person as the
result of any one accident.
Exposure and Disappearance
If the Insured Person is unavoidably exposed to the elements because
of an accident on a Covered Trip which results in disappearance, sinking
or wrecking of a Common Carrier Conveyance, and as a result of such exposure,
the Insured Person suffers a loss for which benefits are otherwise payable
under the Policy, such loss will be covered under the Policy.
If the Insured Person disappears because of an accident on a Covered Trip
which results in the disappearance, sinking, wrecking of a Common Carrier
Conveyance, and if the Insured Person's body has not been found within
the 52 weeks after the date of such accident, it will be presumed, subject
to there being no evidence to the contrary, that the Insured Person suffered
Loss of Life as a result of injury covered by this Policy.
Extensions
- Hijack
If in the course of a Covered Trip the Common Carrier Conveyance in
which the Insured Person is travelling is hijacked, the Company will
pay:
- US $2,500 after the first 24 Hours during which Insured Person
is illegally detained as a result of a Hijack.
- A further US $5,000 after the first 72 Hours during which Insured
Person is illegally detained as a result of a Hijack.
For the purpose of this extension, a Hijack shall have occurred when the
control of the Common Carrier Conveyance, in which the Insured Person
is travelling as a passenger, is involuntarily passed from the regular
crew to a person or persons who has or have used, or threatened to use,
violent means to obtain such control.
- Accident Medical Expenses
If an Insured Person, while riding solely as a passenger or while boarding
or alighting from a Common Carrier Conveyance for a Covered Trip, sustains
injury and as a direct result necessarily incurs Medical Expenses, the
Company will indemnify the Insured Person for such expenses incurred
up to a maximum US $25,000. Medical Expenses shall mean all reasonable
and customary costs necessarily incurred outside the Insured Person's
country of domicile for hospital, surgical, or other diagnostic or remedial
treatment given or prescribed by a qualified medical practitioner. Dental
or optical expenses are excluded unless incurred as the result of an
emergency following injury, provided that all routine dental and optical
treatment is completed prior to the Covered Trip.
In respect of this extension, the following additional Exclusions will
apply:
- Any expenses which are recoverable from any other insurance policy,
Workmen's Compensation programmes, health policies or programmes or
national insurance programmes which are applicable to the Insured
Person.
- Any expenses incurred after 3 months from the time of the incurring
of the first expense.
- Expenses incurred as a result of:
- The Insured Person engaging in aviation (other than as a fare
paying passenger) or flying in any aircraft owned by or leased to
the Insured.
- Active service in any of the Armed Forces of any nation.
- Expenses incurred by an Insured Person over the age of 70 years.
- Ticket Upgrade Insurance
The Company will indemnify the Insured Person for the cost of upgrading
his or her outbound or return schedule flight to the next available
ticket class in the event that:
a. Departure of an Insured Person's confirmed Scheduled Flight from
any airport is delayed for four hours or more, is cancelled, or the
Insured Person is denied boarding of the aircraft due to over-booking,
and no alternative transportation is available to the Covered Person
within four hours of the scheduled departure time of such flight.
b. The Insured Person's confirmed onward connecting Scheduled Flight
is missed at the transfer point due to the late arrival of the Insured
Person's incoming confirmed connecting Scheduled Flight and no alternative
onward transportation is available to the Insured Person within four
hours of the actual arrival time of his or her incoming flight.
Exclusions
The Policy does not cover any Loss caused or contributed to by:
- Suicide or self-destruction or any attempt there at;
- War or any act of war whether declared or undeclared;
- Injury to which a contributory cause was the commission of, or attempt
to commit an illegal act by or on behalf of the Insured Person or
his or her beneficiaries;
- Injury received while serving as an operator or crewmember of any
conveyance.
- The actual, alleged or threatened discharge, dispersal, seepage,
migration, escape, release of or exposure to any hazardous biological,
chemical, nuclear or radioactive material, gas, matter or contamination.
Claims
Written notice of a claim must be given to the Company's claim representative
at the following address within 20 days after the occurrence or commencement
of any loss covered by the Policy, or as soon thereafter as is reasonably
possible. Benefits will be payable upon receipt of due written proof,
as requested by the Company for a legitimate covered loss.
Copies of the Record of Charge Forms relating to expenses incurred in
respect to which indemnity is claimed under this insurance must be supplied
to the Company. Also, the Record of Charge Form, verifying that the relevant
flight tickets were charged to the American Express Card account must
be supplied to the Company together with the following information:
- Full details of the Flight (Airline, Flight Numbers, Departure Airport,
Destination, Scheduled Times and Arrival Airport).
- Full details of the Delay.
- Full details of expenses for which reimbursement is claimed.
ACE Insurance S.A. - N.V.
Ashdown House
125 High Street
Crawley
West Sussex
RH10 1DQ
United Kingdom
Telephone: +44 1293 726070
Fax: +44 1293 726100
Indemnity for loss of life and any other accrued indemnities unpaid at
the Insured Person's death shall be payable in accordance with the designation
of beneficiary made by the Insured Person, subject to the laws of the
country of payment.
If no beneficiary has been designated or if the designated beneficiary
has predeceased the Insured Person, such indemnities shall, at the Company's
option and in accordance with the laws of the country of payment, be paid
to the Insured Person's executor(s) or administrator(s), legal heir(s)
or personal legal representative(s).
All other indemnities will be payable to the Insured Person. The receipt
from the person(s) to whom payment is made will fully discharge the Company.
Maximum Indemnity per Insured Person
In no event will duplicate or multiple American Express Cards or duplicate
or multiple American Express Travel Accident Insurance Certificates obligate
the Company in excess of the 'Schedule of Benefits' for any one loss sustained
by any one individual Insured Person as a result of any one accident or
incident under Policy Number PDAT/03/14054 or under American Express Travel
Accident Insurance Policies wherever issued.
Termination of Insurance
Insurance of the Cardmember shall terminate forthwith on the earliest of
the following events:
- The termination of Master Policy;
- The termination of the Cardmember's Card account serviced by Amex
(Saudi Arabia) Limited.
Governing Law and Jurisdiction
The Master Policy including any future amendments hereof, as well as its
present and future interpretation, shall be governed by and construed
in accordance with Saudi Arabian law.
In any action or proceeding brought against the Insurer in relation to
any matter arising under this Policy the Courts of Saudi Arabia shall
have exclusive jurisdiction.
It is a condition of this Policy that in any action against the Insurer
the Parties hereto are deemed:
- To have irrevocably submitted to the jurisdiction of the Courts of
Saudi Arabia and
- To have irrevocably waived any objection they may now or hereafter
have to the venue of such action or proceeding such Courts including,
but not limited to, any objection that such action or proceeding was
brought in an inconvenient forum.
The Benefits described herein are subject to all of the terms and conditions
of the Policy which is held by and Amex (Saudi Arabia) Limited. This Certificate
replaces any prior Certificate which may have been furnished in connection
with the Policy.
|