Travel Protection Description of Coverage
| Travelocity Flight Protection
Plan Domestic Destinations Description of Coverage Policy Number 9500394 Schedule of Coverages & Services |
| Part A Travel Arrangement Protection | Max Benefits per Person: |
| Trip Cancellation | Up to Total Original Flight Cost (maximum $500) |
| Trip Interruption | Up to Total Original Flight Cost (maximum $500) |
| Part B Travel Accident Protection | |
| Accidental Death & Dismemberment (Air Common Carrier) | $100,000 |
The benefits in this plan are subject to certain restrictions and exclusions. This is only a brief description of the coverages available under policy series 52735MO. The policy contains reductions, limitations, exclusions, and termination provisions. | |
| Part A. Travel Arrangement Protection | |
| Trip Cancellation/Trip Interruption |
In the event You are prevented from taking or completing Your Flight because:
Trip Cancellation - non-refundable Flight cancellation charges. Trip Interruption - the airfare paid, less the value of applied credit from an unused return travel ticket, to return to Your city of residence or rejoin the original Trip (limited to the cost of one-way economy airfare by a scheduled carrier, from the point of destination to the point of origin shown on the original travel tickets). IMPORTANT: You must be medically capable of travel on the day You purchase this coverage. The covered reason for cancellation or interruption of Your Flight must first occur after the date that Your cancellation coverage began under this plan.
In no event shall the amount reimbursed for Trip Cancellation/Trip Interruption exceed Your total Flight cost ($500 maximum). |
| Part B. Travel Accident Protection | |
| Accidental Death & Dismemberment (Air Common Carrier) |
| If You sustain an Injury (1) while as a passenger in, on, boarding, or alighting from an air conveyance organized and licensed for the transportation of passengers for hire; or (2) being struck or run down by an aircraft which results in death or loss of limb, eyesight, speech, or hearing within 365 days of the date of the accident; the Insurer will pay the largest applicable amount as follows: the benefit amount shown in the Schedule of Coverages for death, loss of speech and hearing in
both ears, or loss of any combination of two hands, feet, or eyes; one-half the benefit amount for loss of any one of these; and one quarter the benefit amount for loss of thumb and index finger of the same hand. In no event will the Insurer pay more than the maximum benefit amount shown on the Schedule of Coverages for all losses due to the same accident. Beneficiary: Your estate, unless notice of a designated beneficiary is provided to BerkelyCare. |
| Definitions | |
| "Air Common Carrier" - an air conveyance operating under a valid license for the transportation of passengers for hire. "Business Partner" - an individual who is: (a) involved with You in a legal partnership; and (b)actively involved in the day-to-day management of the business. "Domestic Partner" - means a person who is at least 18 years of age and has met the following requirements for at least six (6) months: (1) resides with You; and (2) shares financial assets and obligations with You. The Insurer may require proof of the Domestic Partner relationship in the form of a signed and completed Affidavit of Domestic Partnership. "Flight" - air tickets prepaid to Travelocity. "Immediate Family" - Your children, children-in-law, step-children, parents, parents-in-law, step-parents, siblings, siblings-in-law, step-siblings, grandparents, grandchildren, legal or common-law spouse (including Domestic Partner), aunts, uncles, nieces, nephews, or Business Partner, or those of Your Traveling Companion. "Injury" - bodily injury caused by an accident occurring while this plan is in force and resulting directly and independently of all other causes in loss covered by this plan. The Injury must be verified by a Physician. "Insurer" - National Union Fire Insurance Company of Pittsburgh, PA. "Original Flight Cost" - means the dollar value prepaid to Travelocity for your Flight. "Physician" - licensed practitioner of the healing arts acting within the scope of his/her license. The treating Physician may not be yourself, a Traveling Companion, or an Immediate Family member. "Sickness" - an illness or disease which is diagnosed or treated by a Physician after the effective date of coverage and while You are covered under this plan. "Traveling Companion" - one person booked to accompany You on Your Flight. "You" or "Your" - a person who has purchased a Flight and who has paid Travelocity the required plan cost for the coverage provided hereunder. |
| Exclusions | |
| Naturally, as with any insurance program, limitations exist. These exclusions enable us to provide a broad range of benefits at an economical cost to You, without the necessity of medical questionnaires and to supplement Your existing insurance plans. THIS INSURANCE DOES NOT COVER: IN PARTS A & B: ANY LOSS CAUSED BY OR RESULTING FROM: Sickness or disease except as provided for in the policy; war or any act of war whether declared or not; while serving as a member of the armed services; while or as a result of riding in any device for aerial navigation other than as provided for in the policy; being under the influence of drugs or intoxicants unless prescribed by a duly licensed Physician; participation in any felonious act or attempt thereat; elective surgery; elective, non-emergency dental treatment or surgery; elective abortion; normal pregnancy, unless hospitalized; mental or nervous disorders, unless hospitalized. IN PART B: ANY LOSS CAUSED BY OR RESULTING FROM: suicide or attempted suicide while sane; intentionally self-inflicted injuries; participation in any professional, semiprofessional, or inter-scholastic team sports; scuba diving; skydiving; hang gliding; parachuting (not including parasailing); contests of speed. |
| Term of Coverage | |
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| Claims Procedure | Policy No.: 9500394 |
| TRIP CANCELLATION CLAIMS: Contact
Travelocity and BerkelyCare IMMEDIATELY to notify them of Your cancellation and to avoid any non-covered expenses due to late reporting. You will then be forwarded the appropriate claim form which must be completed by You AND THE ATTENDING PHYSICIAN, if applicable. ALL OTHER CLAIMS: Report Your claim as soon as possible to BerkelyCare. Provide the above policy number, Your booking number, Your travel dates, and details describing the nature of Your loss. Upon receipt of this information, You will promptly be forwarded the appropriate claim form to complete. | |
| BerkelyCare P.O. Box 9022 Jericho, NY 11753 |
1-800-453-4031 1-516-342-2500 www.travelclaim.com |
| Enrollment Procedure | |

