Common use of / EXCLUSIONS OF COVER Clause in Contracts

/ EXCLUSIONS OF COVER. In addition to the exclusions provided for in the Terms and Conditions, the Insurer’s cover cannot be requested in the following cases: - An atypical pneumonia or severe acute respiratory syndrome (SARS, COVID), avian influenza or the A-H1N1 flu, as well as any pandemic or epidemic recognised by national or international health organisations, - When damage or accidents result from the use of a two-wheeled motorised land vehicle, a jet ski or a snow scooter, - Damage constituting harm to the environment by natural elements such as air, water, fauna and flora, the use of which is common to all, as well as damage to the associated aesthetics or enjoyment, - Pre-existing convalescences, conditions and pathologies or those currently under treatment, - The consequences of serious bodily injuries occurring before the insured’s start date of cover, - Psychological, mental or depressive illnesses, - Benign affectations or lesions which can be treated on the spot and do not prevent the continuation of the stay or journey, - The costs of thermal, slimming or rejuvenation treatments or any other convenience or aesthetic treatment, physiotherapist fees, the costs of vaccination, prostheses, devices, glasses or contact lenses, implants, - Pregnancy from the 32nd week, - Trips undertaken for the purposes of diagnosis and/or treatment, - The costs incurred after returning from the trip or when the cover has expired, - The costs incurred without agreement from the Insurer, - Telephone costs other than for communicating to the Insurer, - The taxis costs incurred without agreement from the Insurer, - Pregnancy-related events: childbirth, caesarean, newborn care, elective abortion, - Pre-existing illnesses or injuries diagnosed and/or treated, having been hospitalised in the 6 months prior to the trip, - The costs resulting from care or treatment that was not the result of a medical emergency, - The costs resulting from care or treatment of a therapeutic nature not recognised by French legislation, - Medical expenses in the insured’s country of residence with the exception of cover for medical expenses in France, valid for French residents. IN THE EVENT OF A LOSS WHAT ARE YOUR OBLIGATIONS IN THE EVENT OF A LOSS? When Insurance cover comes into play, the insured person must: Advise Gritchen Affinity in writing of any losses that would invoke the cover contained in the insurance contract within five working days (brought forward to two working days in the event of theft). These timeframes will begin once the insured discovers the loss that would involve the arrangement of cover. Once this timeframe has passed, the insured will be deprived of any right to compensation if the delay caused damage to the Company. TRIP INTERRUPTION OR CANCELLATION Your declaration must be accompanied by: - your contract reference number - a copy of the rental agreement clearly indicating the identity of the Lessee, the amount of the advance payment, the rental amount and the initially planned rental dates - a supporting document which includes the date of booking the holiday rental - any documents that prove the date of cancellation from the lessee and the possible reason - you agree to send us, upon simple request, all of the documents necessary for us to investigate your case - a receipted invoice of the debit that you are required to pay to the trip organiser or that this latter has kept, - in the event of illness or accident, a medical certificate specifying the origin, nature, gravity and foreseeable consequences of the illness or accident, - in the event of death, a certificate and civil status certificate, - in other events, any supporting documents, - you must send us the necessary medical documents and information for us to investigate your case on behalf of the consulting physician, using the pre-printed envelope that we will send you following receipt of the claim declaration, as well as the medical questionnaire to be completed by your doctor, - if you do not have these documents or this information, you must convey this information to your treating physician and send us the information using the pre-printed envelope described above, - you must also send us the transmission of these additional documents, which must be done using a pre-printed envelope on behalf of the consulting physician, and any information or documents that you may be asked for in order to justify the reason for your cancellation, including: - Any photocopies of prescriptions of medication, analyses or examinations, as well as any documents justifying their issue or execution, and in particular the medical insurance card comprising, for prescribed medication, a copy of the corresponding labels, - The detailed account from the French Social Security system and any other similar body, in relation to the reimbursement of treatment costs and the payment of daily compensation allowances, - in the event of an accident, you must clarify the causes and circumstances and provide us with the name and address of the liable parties, as well as, if necessary, any witnesses. IN THE EVENT OF A LACK OF OR EXCESS SNOW Your written claim declaration must be accompanied by: - the snow report - proof of the ski area closure - in any other event, any document justifying the reason for your cancellation.

Appears in 3 contracts

Samples: Assur Lodge, Assur Lodge, Assur Lodge

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/ EXCLUSIONS OF COVER. In addition to the exclusions provided for in the Terms and Conditions, the Insurer’s cover cannot be requested in the following cases: - An atypical pneumonia or severe acute respiratory syndrome (SARS, COVID), avian influenza or the A-H1N1 flu, as well as any pandemic or epidemic recognised by national or international health organisations, - When damage or accidents result from the use of a two-wheeled motorised land vehicle, a jet ski or a snow scooter, - Damage constituting harm to the environment by natural elements such as air, water, fauna and flora, the use of which is common to all, as well as damage to the associated aesthetics or enjoyment, - Pre-existing convalescences, conditions and pathologies or those currently under treatment, - The consequences of serious bodily injuries occurring before the insured’s start date of cover, - Psychological, mental or depressive illnesses, - Benign affectations or lesions which can be treated on the spot and do not prevent the continuation of the stay or journey, - The costs of thermal, slimming or rejuvenation treatments or any other convenience or aesthetic treatment, physiotherapist fees, the costs of vaccination, prostheses, devices, glasses or contact lenses, implants, - Pregnancy from the 32nd week, - Trips undertaken for the purposes of diagnosis and/or treatment, - The costs incurred after returning from the trip or when the cover has expired, - The costs incurred without agreement from the Insurer, - Telephone costs other than for communicating to the Insurer, - The taxis costs incurred without agreement from the Insurer, - Pregnancy-related events: childbirth, caesarean, newborn care, elective abortion, - Pre-existing illnesses or injuries diagnosed and/or treated, having been hospitalised in the 6 months prior to the trip, - The costs resulting from care or treatment that was not the result of a medical emergency, - The costs resulting from care or treatment of a therapeutic nature not recognised by French legislation, - Medical expenses in the insured’s country of residence with the exception of cover for medical expenses in France, valid for French residents. IN THE EVENT OF A LOSS WHAT ARE YOUR OBLIGATIONS IN THE EVENT OF A LOSS? When Insurance cover comes into play, the insured person must: Advise Gritchen Affinity in writing of any losses that would invoke the cover contained in the insurance contract within five working days (brought forward to two working days in the event of theft). These timeframes will begin once the insured discovers the loss that would involve the arrangement of cover. Once this timeframe has passed, the insured will be deprived of any right to compensation if the delay caused damage to the Company. TRIP INTERRUPTION OR CANCELLATION Your declaration must be accompanied by: - your contract reference number - a copy of the rental agreement clearly indicating the identity of the Lessee, the amount of the advance payment, the rental amount and the initially planned rental dates - a supporting document which includes the date of booking the holiday rental - any documents that prove the date of cancellation from the lessee and the possible reason - you agree to send us, upon simple request, all of the documents necessary for us to investigate your case - a receipted invoice of the debit that you are required to pay to the trip organiser or that this latter has kept, - in the event of illness or accident, a medical certificate specifying the origin, nature, gravity and foreseeable consequences of the illness or accident, - in the event of death, a certificate and civil status certificate, - in other events, any supporting documents, - you must send us the necessary medical documents and information for us to investigate your case on behalf of the consulting physician, using the pre-printed envelope that we will send you following receipt of the claim declaration, as well as the medical questionnaire to be completed by your doctor, - if you do not have these documents or this information, you must convey this information to your treating physician and send us the information using the pre-printed envelope described above, - you must also send us the transmission of these additional documents, which must be done using a pre-printed envelope on behalf of the consulting physician, and any information or documents that you may be asked for in order to justify the reason for your cancellation, including: - Any photocopies of prescriptions of medication, analyses or examinations, as well as any documents justifying their issue or execution, and in particular the medical insurance card comprising, for prescribed medication, a copy of the corresponding labels, - The detailed account from the French Social Security system and any other similar body, in relation to the reimbursement of treatment costs and the payment of daily compensation allowances, - in the event of an accident, you must clarify the causes and circumstances and provide us with the name and address of the liable parties, as well as, if necessary, any witnesses. IN THE EVENT OF A LACK OF OR EXCESS SNOW Your written claim declaration must be accompanied by: - the snow report - proof of the ski area closure - in any other event, any document justifying the reason for your cancellation.

Appears in 1 contract

Samples: Assur Lodge

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/ EXCLUSIONS OF COVER. In addition to the exclusions provided for in the Terms and Conditions, the Insurer’s cover cannot be requested in the following cases: - An atypical pneumonia or severe acute respiratory syndrome (SARS, COVID), avian influenza or the A-H1N1 flu, as well as any pandemic or epidemic recognised by national or international health organisations, - When damage or accidents result from the use of a two-wheeled motorised land vehicle, a jet ski or a snow scooter, - Damage constituting harm to the environment by natural elements such as air, water, fauna and flora, the use of which is common to all, as well as damage to the associated aesthetics or enjoyment, - Pre-existing convalescences, conditions and pathologies or those currently under treatment, - The consequences of serious bodily injuries occurring before the insured’s start date of cover, - Psychological, mental or depressive illnesses, - Benign affectations or lesions which can be treated on the spot and do not prevent the continuation of the stay or journey, - The costs of thermal, slimming or rejuvenation treatments or any other convenience or aesthetic treatment, physiotherapist fees, the costs of vaccination, prostheses, devices, glasses or contact lenses, implants, - Pregnancy from the 32nd week, - Trips undertaken for the purposes of diagnosis and/or treatment, - The costs incurred after returning from the trip or when the cover has expired, - The costs incurred without agreement from the Insurer, - Telephone costs other than for communicating to the Insurer, - The taxis costs incurred without agreement from the Insurer, - Pregnancy-related events: childbirth, caesarean, newborn care, elective abortion, - Pre-existing illnesses or injuries diagnosed and/or treated, having been hospitalised in the 6 months prior to the trip, - The costs resulting from care or treatment that was not the result of a medical emergency, - The costs resulting from care or treatment of a therapeutic nature not recognised by French legislation, - Medical expenses in the insured’s country of residence with the exception of cover for medical expenses in France, valid for French residents. IN THE EVENT OF A LOSS WHAT ARE YOUR OBLIGATIONS IN THE EVENT OF A LOSS? When Insurance cover comes into play, the insured person must: Advise Gritchen Affinity in writing of any losses that would invoke the cover contained in the insurance contract within five working days (brought forward to two working days in the event of theft). These timeframes will begin once the insured discovers the loss that would involve the arrangement of cover. Once this timeframe has passed, the insured will be deprived of any right to compensation if the delay caused damage to the Company. TRIP INTERRUPTION OR CANCELLATION Your declaration must be accompanied by: - your contract reference number - a copy of the rental agreement clearly indicating the identity of the Lessee, the amount of the advance payment, the rental amount and the initially planned rental dates - a supporting document which includes the date of booking the holiday rental - any documents that prove the date of cancellation from the lessee and the possible reason - you agree to send us, upon simple request, all of the documents necessary for us to investigate your case - a receipted invoice of the debit that you are required to pay to the trip organiser or that this latter has kept, - in the event of illness or accident, a medical certificate specifying the origin, nature, gravity and foreseeable consequences of the illness or accident, - in the event of death, a certificate and civil status certificate, - in other events, any supporting documents, - you must send us the necessary medical documents and information for us to investigate your case on behalf of the consulting physician, using the pre-printed envelope that we will send you following receipt of the claim declaration, as well as the medical questionnaire to be completed by your doctor, - if you do not have these documents or this information, you must convey this information to your treating physician and send us the information using the pre-printed envelope described above, - you must also send us the transmission of these additional documents, which must be done using a pre-printed envelope on behalf of the consulting physician, and any information or documents that you may be asked for in order to justify the reason for your cancellation, including: - Any photocopies of prescriptions of medication, analyses or examinations, as well as any documents justifying their issue or execution, and in particular the medical insurance card comprising, for prescribed medication, a copy of the corresponding labels, - The detailed account from the French Social Security system and any other similar body, in relation to the reimbursement of treatment costs and the payment of daily compensation allowances, - in the event of an accident, you must clarify the causes and circumstances and provide us with the name and address of the liable parties, as well as, if necessary, any witnesses. IN THE EVENT OF A LACK OF OR EXCESS SNOW Your written claim declaration must be accompanied by: - the snow report - proof of the ski area closure - in any other event, any document justifying the reason for your cancellation.,

Appears in 1 contract

Samples: Assur Lodge

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