Insured events. 5.2.1. An insured event under the Contract is the fact of occurrence of the Insured's (the Insured person's) third party liability, which is recognised by them voluntarily, under the prior written consent of the Insurer or established by a court decision, which has become legally valid, under obligations arising out of causing harm to third party as a result of unintentional and negligent actions of the Insured (the Insured Person) (insurance risks).
5.2.2. Insurance risk under this Contract is the unintentional and negligent act of the Insured (the Insured person) during the trip, including (in the case of purchasing the active tourism option) during active tourism, defined in accordance with Section 3 of this Contract, which results in harm to health or death of a third party, or damage or destruction of their property.
5.2.3. The insured event occurrence shall be confirmed by a claim filed in written form, which was recognised by the Insured, subject to prior written consent of the Insurer, in relation to its substantiation, legality and absence of any grounds for objections regarding such claim; or a court decision under a lawsuit filed in accordance with the current legislation, which has come into force and provides for the obligation of the Insured (the Insured person) to indemnify the damage caused to third party.
5.2.4. The Insurer shall indemnify actual damages caused to the third party during the Insured person's trip if there is a causal link between the actions of the Insured and the damage caused.
5.2.5. The Insurer shall indemnify only losses incurred during the period and at the territory of the Contract.
5.2.6. Third party claims against the Insured for indemnification of damages shall be filed in accordance with the procedure and terms stipulated by the current legislation. Third party claims for indemnification of damages shall be deemed to be filed after the moment the Insurer receives written documentary evidence of their submission.
Insured events. 2.2.1. Insurance risk shall mean a sudden illness of the Insured Person (acute illness shall mean a sudden, unpredictable disruption of vital activity of the organism, which has led to a deterioration in the health of the Insured Person and which, in the case of failure to provide health care, can lead to prolonged health problems or threaten life, aggravation or complication of a chronic disease) that threatens the life and health of the Insured Person and requires the provision of health, medical and transportation assistance that cannot be postponed until the Insured Person returns from abroad, as evidenced by the relevant medical documentation.
2.2.2. Insured events under the terms and conditions of this Contract are the documented expenses, the necessity of which is caused by the effect of insurance risks during travel, incurred for medical and additional services provided to the Insured Person:
2.2.2.1. urgent in-patient treatment in a health care facility, namely the necessary consultations, immediate diagnostic, laboratory, instrumental studies, treatment, surgery, medication, stay in a xxxx of standard type, intensive care xxxx, reanimation xxxx, nutrition according to the standards of a health care facility; the Insurer reserves the right to pay for in-patient treatment of the Insured Person abroad within the limit of liability under p. 2.3.3. as long as the condition of the Insured Person does not allow transportation to Ukraine;
2.2.2.2. emergency medical evacuation (hereinafter referred to as medical evacuation) from abroad from the place of emergency by specialised medical transport to the nearest health care facility or to a doctor who can provide qualified health care (in urgent conditions) in the country of temporary stay of the Insured Person, if the need for evacuation is confirmed by the relevant documents. The Insurer shall not indemnify the expenses for the continuation of treatment of the Insured Person after the return to the place of permanent residence from abroad. If the doctors authorised by the Specialised Service of the Insurer (the Insurer) believe that the evacuation of the Insured Person is possible and the Insured Person refuses from it, the Insurer shall immediately terminate payment for inpatient treatment of the Insured Person;
2.2.2.3. repatriation of a body to the customs post of Ukraine in case of death of the Insured Person during travel as a result of insurance risks. Repatriation of the Insured Person's body shall...