Friday 22 January 2016

NATIONWIDE MUTUAL INSURANCE COMPANY PASSENGER PROTECTION PLAN GENERAL DEFINITIONS




Accident: means a sudden, unexpected, unusual, specific event that occurs at an identifiable time and place, but shall also include exposure resulting from a mishap to a conveyance in which You are traveling. Accidental Injury: means Bodily Injury caused by an Accident (of external origin) being the direct and independent cause in the Loss. Actual Cash Value: means purchase price less depreciation.

Additional Expense: means any reasonable expenses for meals and lodging which were necessarily incurred as the result of a Hazard and which were not provided by the Common Carrier or other party free of charge. Bankruptcy: means the filing of a petition for voluntary or involuntary bankruptcy in a court of competent jurisdiction under Chapter 7 or Chapter 11 of the United States Bankruptcy Code 11 L.S.C. Subsection 101 et seq.



Bodily Injury: means identifiable physical injury which is caused by an Accident and is independent of disease or bodily infirmity. Business Partner: means an individual who: (a) is involved in a legal partnership; and/or (b) is actively involved in the day-to-day management of the business

Host at Destination: means a person with whom You are sharing pre-arranged overnight accommodations at the host’s usual principal place of residence. Inclement Weather: means any severe weather condition that delays the scheduled arrival or departure of a Common Carrier. Individual Coverage Term: means the period of time beginning when You have been enrolled for coverage under the Policy and for whom the required premium has been paid. Insurance: means any one of the following types of policies or plans which provide benefits for hospital confinement, medical expenses for You on Your effective date of coverage, and such policy or plan requires You to pay a deductible and/or portion of coinsurance: 

individual, group or blanket insurance plans; group Blue Cross, Blue Shield, or other group prepayment coverage plans; coverage under labor management trustee plans, union welfare plans, employer organization plans, employee benefit organizational plans, or other arrangements of benefits for persons of a group. Insurance does not include Medicare or Medicaid
Land/Sea Arrangements: means any activities undertaken by You while in the Individual Coverage Term. Loss: means injury or damage sustained by You in consequence of happening of one or more of the occurrences against which the Company has undertaken to indemnify You. Physician: means a licensed practitioner of medical, surgical or dental services acting within the scope of his/her license.





The treating Physician may not be You, a Traveling Companion or a Family Member. Pre-Existing Condition: means any injury, sickness or condition of You, or Your Traveling Companion, 


Your Family Member booked to travel with You for which within the sixty (60) day period prior to the Effective Date of Trip Cancellation coverage under the Policy (a) first manifested itself or exhibited symptoms which would have caused one to seek diagnosis, care or treatment; (b) required taking prescribed drugs or medicine, unless the condition for which the prescribed drug or medicine is taken remains controlled without any change in the required prescription; 

or (c) required medical treatment or treatment was recommended by a Physician. 


The Pre-Existing Conditions exclusion is waived for You if You enroll in the Plan at the time You pay the deposit required for the Trip (or within ten (10) days of the initial deposit) and You purchase the coverage under the Plan for the full cost of the Trip. 

Scheduled Departure Date: means the date on which You are originally scheduled to leave on the Trip. Scheduled Return Date: means the date on which You are originally scheduled to return to the point of origin or to a different final destination. 

Sickness: means an illness or disease which is diagnosed or treated by a Physician after the Effective Date of insurance and while You are covered under the Policy. (sickness is defined as after the effective date, but pre-ex is sickness prior to Effective Date Strike: means any unannounced labor disagreement that interferes with the normal departure and arrival of a Common Carrier






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