ALC_Health_Travel_Policy_Wording_September_2012 - page 24

valid from 1
st
September 2011
cover benefit schedule
This policy is underwritten Millstream Underwriting Limited
on behalf of Mondial Assistance NV
and administered
in the UK by Mondial Assistance (UK) Ltd.
Section / Cover
Gold Cover
Limit (up to)
Gold
Excess
Silver cover
Limit (up to)
Silver
Excess
Page
1. Cancellation
€7,500
No excess
€3,750
€75 (deposit €50)
10-11
2. Curtailment
€7,500
No excess
€3,750
€75 (deposit €50)
11
3. Emergency Medical Expenses
€15 million
No excess
€7.5 million
€75
11-12
4. Additional Hospital Benefit
€30/day €1,500 max
No excess
€15/day €750 max
No excess
12
5. Personal Accident
- Death
- Loss of limb
- Total disablement
€15,000
€45,000
€45,000
No excess
€7,500
€22,500
€22,500
No excess
No excess
No excess
12-13
6. Baggage & Personal Belongings
- Single article, pair or set
- Valuables limit
- Tobacco, alcohol and fragrances
- Delayed baggage (after 24 hours)
€4,500
€450
€600
€60
€300 max
No excess
€2,250
€225
€300
€30
€150 max
€75
13-14
7. Cash & Documents
- Cash limit
€1,500
€450
No excess
€750
€225
€75
14
8. Loss of Passport
€750
No excess
€375
No excess
14
9. Travel Delay
- Delay
- Abandonment
€60/12 hrs max €350
€7,500
No excess
€30/12 hrs max €175
€3,750
No excess
€75
14
10. Missed departure/Missed Connection
€2,250
No excess
€1,125
No excess
15
11. Personal Liability
€3 million
No excess
€1.5 million
€150
15
12. Legal expenses
€30,000
No excess
€15,000
€150
15-16
13. Replacement business associate
€7,750
No excess
No Cover
N/A
16
Additional Cover Options
13. Winter sports cover
- Ski pack
- Delayed ski equipment
- Ski equipment (own)
- Single item limit
- Ski equipment (hired)
- Piste closure
€600
€15/day €300 max.
€1,200
€750
€450
€30/day €300 max
No excess
€300
€15/day €300 max
€600
€375
€225
€15/day €150 max
€75
No excess
€75
No excess
€75
No excess
16-17
14. Sports and Activities
See section for details
See section for details
17-19
15. Golf cover
- Loss of green fees
- Delayed golf equipment
- Golf equipment (own)
- Single item limit
- Golf equipment (hired)
- Hole in one
€225
€300
€1,200
€200
€300
€120
No excess
No cover
No cover
No cover
No cover
No cover
No cover
N/A
N/A
N/A
N/A
N/A
N/A
19
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