Page 58 - European Health Cover
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15.2
AXA PPP International’s rights and responsibilities
(a)
We will tell the policyholder in writing the date the policy starts and any special terms
which apply to it. We can refuse to give cover and will tell you if we do.
(b)
We can refuse to add a family member to the policy and we will tell the policyholder if we
do.
(c)
We will pay for eligible costs incurred during a period for which the premium has been
paid.
(d)
If you break any of the terms of the policy which we reasonably consider to be
fundamental, we may (subject to
do one or more of the following:
•
refuse to make any benefit payment or if we have already paid benefits we can
recover from you any loss to us caused by the break;
•
refuse to renew your policy;
•
impose different terms to any cover we are prepared to provide;
•
end your policy and all cover under it immediately.
(e)
If you (or anyone acting on your behalf) make a claim under your policy knowing it to be
false or fraudulent, we can refuse to make benefit payments for that claim and may
declare the policy void, as if it never existed. If we have already paid benefit we can
recover those sums from you. Where we have paid a claim later found to be fraudulent,
(whether in whole, or in part), we will be able to recover those sums from you.
(f)
We and other service providers will not provide cover or pay claims under this policy if
doing so would expose us or the service provider to a breach of international economic
sanctions, laws or regulations, including but not limited to those provided for by the
European Union, United Kingdom, United States of America or under an United Nations
resolution. If a potential breach is discovered, where possible we will advise you in
writing as soon as we can.
(g)
We can change all or any part of the policy from any renewal date. We will give you
reasonable notice of changes to your policy terms.
(h)
This policy is written in English and all other information and communications to you
relating to this policy will also be in English unless we have agreed otherwise in writing.
Please see page 56 for an explanation of words that appear in bold
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