Common use of GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE Clause in Contracts

GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at 00-00, xxx xx Xxxxxxxxxx, 00000 Xxxxx. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, company governed by the French Insurance Code having its headquarters at 0 Xxxxxxxxx xx xx Xxxxxxxx – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 0xx Xxxxx, 0-0 Xxxx Xxxx, Xxxxxx 0, X00 X0X0, Ireland, registered in Ireland under certificate n° 907089. TABLE OF COVERAGE COVERAGE COVERAGE AMOUNTS AND LIMITS MEDICAL COSTS in a foreign country or the country of residence (if included in the special terms and conditions) In the event of hospitalization: Mandatory call to the Assistance Centre Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE Other than hospitalization Up to 100% of real costs Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE Psychiatric and psychological care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Not covered Maximum per person: 300 € / 333 $ Maximum per person: 600 € / 666 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 € / 222 $ Maximum per person: 200 € /222 $ Maximum per person: 400 € / 444 $ Real costs Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum per person: 200 € / 222 $ Maximum per person: 400 € / 444 $ Maximum per person: 800 € / 888 $ Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to an accident Maximum 420 € / 462 $ MEDICAL ASSISTANCE AND REPATRIATION Dispatch of essential medication not available locally Real costs Repatriation of the policy holder to their home Real costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment of a travel ticket for one or two of the policy holder’s family members (in the event of extended hospitalization or for the identification of the policy holder’s body) Maximum per person: 1,400 € / 1,540 $ if hospitalization is in excess of 3 days 2,800 € / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Repatriation of the remains in the event of the death of the policy holder Real costs Coffin costs in the event of the death of the policy holder 2,000 € / 2,200 $ Early return of the policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ BAGGAGE COVER Baggage loss, theft or damage Maximum per policy holder: 3,000 € / 3,330 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 € / 222 $ per person And Maximum 1,000 € / 1,100 $ per event PERSONAL ACCIDENT Death benefit Amount per policy holder: 15,000 € / 16,650 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 € / 111,000 $ Relative excess for disability: NONE CIVIL LIABILITY Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 € / 1,110,000 $ Maximum property liability: 500,000 € / 555,000 $ Legal assistance included DELAYED TRANSPORT In the event of a delay of more than 24 hours compared to the scheduled time Excess per claim: 24 hours Compensation amount: 70 € / 77 $ per additional 24 hours Maximum: 000 X / 000 $ per person

Appears in 1 contract

Samples: Assistance Agreement

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GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at 00-00, xxx xx Xxxxxxxxxx, 00000 Xxxxx. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, company governed by the French Insurance Code having its headquarters at 0 Xxxxxxxxx xx xx Xxxxxxxx – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 0xx 4th Xxxxx, 0-0 Xxxx Xxxx, Xxxxxx 0, X00 X0X0, Ireland, registered in Ireland under certificate n° 907089. TABLE OF COVERAGE COVERAGE COVERAGE AMOUNTS AND LIMITS MEDICAL COSTS in a foreign country or the country of residence (if included in the special terms and conditions) In the event of hospitalization: Mandatory call to the Assistance Centre Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of hospitalization in the country of residence (Spain), mandatory call to the Assistance Centre Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Other than hospitalization Up to 100% of real actual costs Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of medical expenses other than hospitalization in the country of residence (Spain) Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Psychiatric and psychological care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Not covered Maximum per person: 300 192 € / 333 211 $ Maximum per person: 600 385 € / 666 423 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 140 € / 222 154 $ Maximum per person: 200 140 /222 / 154 $ Maximum per person: 400 280 € / 444 308 $ Real Actual costs Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum per person: 200 140 € / 222 154 $ Maximum per person: 400 280 € / 444 308 $ Maximum per person: 800 560 € / 888 616 $ Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to an accident Maximum 420 € / 462 $ MEDICAL ASSISTANCE AND REPATRIATION Dispatch of essential medication not available unobtainable locally Real costs Repatriation of the policy holder to their home Real costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment of a travel ticket for one or two of the policy holder’s family members (in the event of extended hospitalization or for the identification of the policy holder’s body) Maximum per person: 1,400 € / 1,540 $ if hospitalization is in excess of 3 days 2,800 € / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Repatriation of the remains in the event of the death of the policy holder Real costs Coffin costs in the event of the death of the policy holder 2,000 € / 2,200 $ Early return of the policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ BAGGAGE COVER Baggage loss, theft or damage Maximum per policy holder: 3,000 2,000 € / 3,330 2,310 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 175 € / 222 192 $ per person And Maximum 1,000 € / 1,100 $ per event PERSONAL ACCIDENT Death benefit Amount per policy holder: 15,000 10,500 € / 16,650 11,550 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 52,500 € / 111,000 57,750 $ Relative excess for disability: NONE CIVIL LIABILITY Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 750,000 € / 1,110,000 832,500 $ Maximum property liability: 500,000 385,000 € / 555,000 423,600 $ Legal assistance included DELAYED TRANSPORT In the event of a delay of more than 24 hours compared to the scheduled time Excess per claim: 24 hours Compensation amount: 70 € / 77 $ per additional 24 hours Maximum: 000 X 420 E / 000 462 $ per person

Appears in 1 contract

Samples: Assistance Agreement

GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at 00-00, xxx xx Xxxxxxxxxx, 00000 Xxxxx. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, company governed by the French Insurance Code having its headquarters at 0 Xxxxxxxxx xx xx Xxxxxxxx – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 0xx Xxxxx, 0-0 Xxxx Xxxx, Xxxxxx 0, X00 X0X0, Ireland, registered in Ireland under certificate n° 907089. TABLE OF COVERAGE COVERAGE COVERAGE AMOUNTS AND LIMITS MEDICAL COSTS in a foreign country or the country of residence (if included in the special terms and conditions) In the event of hospitalization: Mandatory call to the Assistance Centre Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE Other than hospitalization Up to 100% of real actual costs Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE Psychiatric and psychological care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Not covered Maximum per person: 300 192 € / 333 211 $ Maximum per person: 600 385 € / 666 423 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 140 € / 222 154 $ Maximum per person: 200 140 /222 / 154 $ Maximum per person: 400 280 € / 444 308 $ Real Actual costs Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum per person: 200 140 € / 222 154 $ Maximum per person: 400 280 € / 444 308 $ Maximum per person: 800 560 € / 888 616 $ Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to an accident Maximum 420 € / 462 $ MEDICAL ASSISTANCE AND REPATRIATION Dispatch of essential medication not available unobtainable locally Real costs Repatriation of the policy holder to their home Real costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment of a travel ticket for one or two of the policy holder’s family members (in the event of extended hospitalization or for the identification of the policy holder’s body) Maximum per person: 1,400 € / 1,540 $ if hospitalization is in excess of 3 days 2,800 € / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Repatriation of the remains in the event of the death of the policy holder Real costs Coffin costs in the event of the death of the policy holder 2,000 € / 2,200 $ Early return of the policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ BAGGAGE COVER Baggage loss, theft or damage Maximum per policy holder: 3,000 2,000 € / 3,330 2,310 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 175 € / 222 192 $ per person And Maximum 1,000 € / 1,100 $ per event PERSONAL ACCIDENT Death benefit Amount per policy holder: 15,000 10,500 € / 16,650 11,550 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 52,500 € / 111,000 57,750 $ Relative excess for disability: NONE CIVIL LIABILITY Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 750,000 € / 1,110,000 832,500 $ Maximum property liability: 500,000 385,000 € / 555,000 423,600 $ Legal assistance included DELAYED TRANSPORT In the event of a delay of more than 24 hours compared to the scheduled time Excess per claim: 24 hours Compensation amount: 70 € / 77 $ per additional 24 hours Maximum: 000 X / 000 $ per person

Appears in 1 contract

Samples: Assistance Agreement

GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at 00-00, xxx xx Xxxxxxxxxx, 00000 Xxxxx. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, company governed by the French Insurance Code having its headquarters at 0 Xxxxxxxxx xx xx Xxxxxxxx – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 0xx 4th Xxxxx, 0-0 Xxxx Xxxx, Xxxxxx 0, X00 X0X0, Ireland, registered in Ireland under certificate n° 907089. TABLE OF COVERAGE COVERAGE COVERAGE AMOUNTS AND LIMITS MEDICAL COSTS in a foreign country or the country of residence (if included in the special terms and conditions) In the event of hospitalization: Mandatory call to the Assistance Centre Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of hospitalization in the country of residence (Spain), mandatory call to the Assistance Centre Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Other than hospitalization Up to 100% of real actual costs Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of medical expenses other than hospitalization in the country of residence (Spain) Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Psychiatric and psychological care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Not covered Maximum per person: 300 € / 333 $ Maximum per person: 600 € / 666 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 € / 222 $ Maximum per person: 200 € /222 / 222 $ Maximum per person: 400 € / 444 $ Real costs Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum per person: 200 € / 222 $ Maximum per person: 400 € / 444 $ Maximum per person: 800 € / 888 $ Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to an accident Maximum 420 € / 462 $ MEDICAL ASSISTANCE AND REPATRIATION Dispatch of essential medication not available unobtainable locally Real costs Repatriation of the policy holder to their home Real costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment of a travel ticket for one or two of the policy holder’s family members (in the event of extended hospitalization or for the identification of the policy holder’s body) Maximum per person: 1,400 € / 1,540 $ if hospitalization is in excess of 3 days 2,800 € / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Repatriation of the remains in the event of the death of the policy holder Real costs Coffin costs in the event of the death of the policy holder 2,000 € / 2,200 $ Early return of the policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ BAGGAGE COVER Baggage loss, theft or damage Maximum per policy holder: 3,000 € / 3,330 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 € / 222 $ per person And Maximum 1,000 € / 1,100 $ per event PERSONAL ACCIDENT Death benefit Amount per policy holder: 15,000 € / 16,650 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 € / 111,000 $ Relative excess for disability: NONE CIVIL LIABILITY Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 € / 1,110,000 $ Maximum property liability: 500,000 € / 555,000 $ Legal assistance included DELAYED TRANSPORT In the event of a delay of more than 24 hours compared to the scheduled time Excess per claim: 24 hours Compensation amount: 70 € / 77 $ per additional 24 hours Maximum: 000 X 420 E / 000 462 $ per person

Appears in 1 contract

Samples: Assistance Agreement

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GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if of its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at 00-00, xxx xx Xxxxxxxxxx, 00000 Xxxxx. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, a company governed by the French Insurance Code having its headquarters at 0 Xxxxxxxxx xx xx Xxxxxxxx – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 0xx 4th Xxxxx, 0-0 Xxxx Xxxx, Xxxxxx 0, X00 X0X0, Ireland, registered in Ireland under certificate n° 907089. TABLE OF BENEFITS COVERAGE COVERAGE COVERAGE MAXIMUM AMOUNTS AND LIMITS MEDICAL COSTS in a foreign country or the country of residence (if included in the special terms and conditions) In the event of hospitalization: Mandatory call to the Assistance Centre Medical costs / hospitalisation ALL DESTINATIONS Maximum entire worldWorld cover: 1,000,000 € / 1,100,000 $ Number Unlimited number of events: unlimited events Excess per claim: NONE Other For temporary trips of less than hospitalization Up 30 consecutive days to 100% the country of real costs origin Maximum entire world: 1,000,000 25,000 / 1,100,000 $ Number of events: unlimited Excess per claim: NONE Psychiatric and psychological care: Trip less than treatment Limited to 3 months Trip from 3 to 6 months Trip over 6 months Not covered calls or fees for psychologist / psychiatrist fees Refund of fees Maximum per person: 300 € / 333 $ Maximum per person: 600 € / 666 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 € / 222 $ Maximum per person: 200 Maternity treatments 75 % of costs, maximum 3,500 /222 $ Maximum per person: 400 € / 444 $ Real costs 180-day elimination period starting on the subscription date Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum care 500 € maximum per person: 200 € / 222 $ Maximum per person: 400 € / 444 $ Maximum per person: 800 € / 888 $ year Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to costs following an accident Maximum 420 € / 462 $ MEDICAL per tooth Maximum 1,000 € per year PERSONAL ASSISTANCE AND REPATRIATION IN THE EVENT OF AN ILLNESS OR AN ACCIDENT Dispatch of essential medication not available locally Real to a foreign country Actual costs Repatriation of the policy holder to their home Real country of origin Actual costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment Visit of a travel ticket for one or two of the policy holder’s family members (member in the event of extended hospitalization or for hospitalisation Round trip travel ticket and accommodation costs *1 person if the identification hospitalisation > 3 days Maximum 1,900 € *2 persons if the hospitalisation > 7 days Maximum 3,300 € Early return of the policy holder’s body) Maximum per person: 1,400 holder Return ticket Sending of urgent messages Telephone service Search and rescue costs 2,000 / 1,540 $ if hospitalization is Advance payment of bail in excess a foreign country 3,000 € Coverage of 3 days 2,800 legal representation fees 10,000 / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight ASSISTANCE IN THE EVENT OF DEATH Repatriation of the remains body in the case of death in a foreign country Actual costs Funeral costs including casket or urn costs 2,500 € Identification of the body and death-related formalities Return trip ticket ASSISTANCE DURING THE TRIP Advance of funds in the event of the death loss or theft of means of payment, identity documents & plane tickets Maximum 1,000 € Replacement costs for lost keys Maximum 40 € per set and per year CIVIL LIABILITY INSURANCE INCLUDING FOR “AU PAIR” ACTIVITY Physical injury Up to 4,500,000 € Damage to property Up to 450,000 € Damage to the host family’s property 500 € maximum Excess No excess BAGGAGE Loss, theft, destruction of baggage 2,500 € maximum per person Delayed baggage 175 € per person DELAYED TRANSPORT 420 € maximum PERSONAL ACCIDENT Death 10,000 € Disability 75,000 € Aesthetic damage 11,900 € “AU PAIR” COVER Refund of hotel costs if the policy holder Real costs Coffin is transferred to another host family 50 €/night – maximum 6 nights, i.e. 300 € Refund of schooling fees in the event of the early return of the Au Pair policy holder (medical repatriation, guaranteed early return) Prorata temporis Maximum 400 € “HOST FAMILY” COVER Refund to the family of the registration costs in the event of the death cancellation or interruption of the policy holder 2,000 au pair’s stay as a consequence of illness/accident/medical repatriation if their replacement is not possible Maximum 350 / 2,200 $ Early return Payment of compensation to the Host Family following: - The Hospitalisation of the policy Au Pair Policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ BAGGAGE COVER Baggage loss, theft or damage Maximum per policy holder: 3,000 € / 3,330 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 € / 222 $ per person And Maximum 1,000 € / 1,100 $ per event PERSONAL ACCIDENT Death benefit Amount per policy holder: 15,000 € / 16,650 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 € / 111,000 $ Relative excess for disability: NONE CIVIL LIABILITY Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 € / 1,110,000 $ Maximum property liability: 500,000 € / 555,000 $ Legal assistance included DELAYED TRANSPORT In the event of a delay of more than 24 hours compared to 3 days - Or following a medical repatriation, early return, change of au pair, and while waiting for the scheduled time Excess per claim: 24 hours Compensation amount: 70 arrival of another Au Pair Policy holder (not available if the Host Family does not want a replacement) 25 €/day Maximum 400 / 77 $ per additional 24 hours Maximum: 000 X / 000 $ per personSOME ADVICE...

Appears in 1 contract

Samples: Assistance Agreement

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