Common use of Excluded Cases Clause in Contracts

Excluded Cases. Provided that IPA has first sought an agreement with the Insured and his/her Close Relative if the Insured and/or his/her Close Relative shall themselves be responsible for all reasonable costs incurred for such assistance, IPA will not be required to provide assistance to the following: • Pre-existing Illness or disabilities for which treatment are received prior to effective date of the Policy • Injuries due to insanity or self-infliction or conditions related to functional disorders of the mind; rest cure or sanatorium care; drug addiction or alcoholism; communicable diseases requiring by law isolation or quarantine • Congenital Abnormalities • Pregnancy and Maternity • Injuries arising directly or indirectly as a result of participation in any professional or competitive sports. • Injuries sustained contracted as a result of participation in illegal acts • Services rendered without the authorization and/or intervention of IPA • Costs which would have been payable if the event giving rise to the intervention of IPA had not occurred • Any expense more specifically covered under other insurance policy • Cases of minor Illness or injury which in the opinion of the IPA’s doctor can be adequately treated locally and which do not prevent the Insured from continuing their travels or work • Expenses incurred where the Insured in the opinion of the IPA’s doctor is physically able to return to his/her Place of Residence sitting as a normal passenger and without medical escort, unless deemed necessary by the IPA’s doctor • Cases related to psychiatric disorders • The Insured engages in any form of aerial flight except as a fare paying passenger on a regular scheduled airline or licensed charter aircraft over an established route • Infectious or Contagious Disease Exclusion during a PHEIC a) This policy does not cover claims in any way caused by or resulting from an infectious or contagious disease, an outbreak of which has been declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO). b) This exclusion shall apply to claims made after the date of any such declaration(s), other than where a relevant diagnosis has been made by a qualified medical practitioner before the date of any such declaration(s). c) This exclusion will continue to apply until the WHO cancels or withdraws any relevant PHEIC. d) Infectious or contagious disease means any disease capable of being transmitted from an infected person, animal or species to another person, animal or species by any means.

Appears in 2 contracts

Samples: Insurance Policy, Insurance Policy

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Excluded Cases. Provided that IPA has first sought an agreement with the Insured and his/her Close Relative if the Insured and/or his/her Close Relative shall themselves be responsible for all reasonable costs incurred for such assistance, IPA will not be required to provide assistance to the following: • Pre-existing Illness or disabilities for which treatment are received prior to effective date of the Policy • Injuries due to insanity or self-infliction or conditions related to functional disorders of the mind; rest cure or sanatorium care; drug addiction or alcoholism; communicable diseases requiring by law isolation or quarantine • Congenital Abnormalities • Pregnancy and Maternity • Injuries arising directly or indirectly as a result of participation in any professional or competitive sports. • Injuries sustained contracted as a result of participation in illegal acts • Services rendered without the authorization and/or intervention of IPA • Costs which would have been payable if the event giving rise to the intervention of IPA had not occurred • Any expense more specifically covered under other insurance policy • Cases of minor Illness or injury which in the opinion of the IPA’s doctor can be adequately treated locally and which do not prevent the Insured from continuing their travels or work • Expenses incurred where the Insured in the opinion of the IPA’s doctor is physically able to return to his/her Place of Residence sitting as a normal passenger and without medical escort, unless deemed necessary by the IPA’s doctor • Cases related to psychiatric disorders • The Insured engages in any form of aerial flight except as a fare paying passenger on a regular scheduled airline or licensed charter aircraft over an established route • Infectious or Contagious Disease Exclusion during a PHEIC a) This policy does not cover claims in any way caused by or resulting from an infectious or contagious disease, an outbreak of which has been declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO). b) This exclusion shall apply to claims made after the date of any such declaration(s), other than where a relevant diagnosis has been made by a qualified medical practitioner before the date of any such declaration(s). c) This exclusion will continue to apply until the WHO cancels or withdraws any relevant PHEIC. d) Infectious or contagious disease means any disease capable of being transmitted from an infected person, animal or species to another person, animal or species by any means.route

Appears in 1 contract

Samples: Insurance Policy

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Excluded Cases. Provided that IPA EAJ has first sought an agreement with the Insured and his/her Close Relative if the Insured and/or his/her Close Relative shall themselves be responsible for all reasonable costs incurred for such assistance, IPA EAJ will not be required to provide assistance to the following: • Pre-existing Illness or disabilities for which treatment are received prior to effective date of the Policy • Injuries due to insanity or self-infliction or conditions related to functional disorders of the mind; rest cure or sanatorium care; drug addiction or alcoholism; communicable diseases requiring by law isolation or quarantine • Congenital Abnormalities • Pregnancy and Maternity • Injuries arising directly or indirectly as a result of participation in any professional or competitive sports. • Injuries sustained contracted as a result of participation in illegal acts • Services rendered without the authorization and/or intervention of IPA EAJ • Costs which would have been payable if the event giving rise to the intervention of IPA EAJ had not occurred • Any expense more specifically covered under other insurance policy • Cases of minor Illness or injury which in the opinion of the IPAEAJ’s doctor can be adequately treated locally and which do not prevent the Insured from continuing their travels or work • Expenses incurred where the Insured in the opinion of the IPAEAJ’s doctor is physically able to return to his/her Place of Residence sitting as a normal passenger and without medical escort, unless deemed necessary by the IPAEAJ’s doctor • Cases related to psychiatric disorders • The Insured engages in any form of aerial flight except as a fare paying passenger on a regular scheduled airline or licensed charter aircraft over an established route • Infectious or Contagious Disease Exclusion during a PHEIC a) This policy does not cover claims in any way caused by or resulting from an infectious or contagious disease, an outbreak of which has been declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO). b) This exclusion shall apply to claims made after the date of any such declaration(s), other than where a relevant diagnosis has been made by a qualified medical practitioner before the date of any such declaration(s). c) This exclusion will continue to apply until the WHO cancels or withdraws any relevant PHEIC. d) Infectious or contagious disease means any disease capable of being transmitted from an infected person, animal or species to another person, animal or species by any means.route

Appears in 1 contract

Samples: Insurance Policy

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