Sentences with phrase «in schedule of benefits»

We will pay the Benefit Amount for Felonious Assault shown in the Schedule of Benefits, if Accidental Bodily Injury resulting from Felonious Assault causes a Primary Insured Person to suffer Covered Loss.
If a covered Injury or Illness requires continuing Treatment after the expiration of the Policy Period, an Insured Person may receive continuing Treatment for the covered Injury or Illness for up to 6 months per Injury or Illness, subject to the following: if the Policy Period expires while the Insured Person is outside the Home Country, a covered Injury or Illness incurred while outside and prior to returning to the Home Country, and that covered Injury or Illness requires continuing Treatment, the Company will review and determine the date of initial Treatment for the covered Injury or Illness, and if such date is prior to the expiration of the Policy Period, Eligible Medical Expenses for the covered Injury or Illness will continue to be reimbursed until there has been at least the minimum number of days of continuous Treatment for the covered Injury or Illness, subject to the limits set forth in the Schedule of Benefits / Limits, and all other Terms of the insurance plan.
Emergency Medical Reunion: When Emergency Medical Evacuation or Repatriation occurs, the Company will arrange and pay, for round - trip economy - class transportation for one individual selected by the Insured Person, from the Insured Person's Home Country to the location where the Insured Person is hospitalized and return to the Home Country up to the maximum stated in the SCHEDULE OF BENEFITS.
The benefits payable will include: (1) The cost of a roundtrip economy airfare; (2) Reasonable travel and accommodation expenses (not to exceed $ 200 per day) incurred in relation to the maximum stated in the Schedule of Benefits; (3) The period of Emergency Medical Reunion is not to exceed ten (10) days, including travel.
Interruption of Trip: If the Insured is unable to continue the Trip due to the death of a parent, spouse, sibling or child; or due to serious damage to the Insured's principal residence from fire, flood or similar natural disaster (tornado, earthquake, hurricane, etc.), the program will reimburse up to the maximum stated in the Schedule of Benefits the Insured for the cost of economy travel, less the value of applied credit from an unused return travel ticket, to return home to their area of principal residence.
OCCUPANCY UPGRADE We will reimburse You, up to the Maximum Benefit Amount shown in the Schedule of Benefits for Trip Cancellation, for the additional cost You incur as the result of a change in the per person occupancy rate for Your Travel Arrangements if Your Traveling Companion's Trip is canceled for a covered Unforeseen reason and You do not cancel Your Trip.
These expenses are eligible for reimbursement on a one - time basis up to the maximum amount shown in the Schedule of Benefits.
TRIP CANCELLATION Benefits will be paid, up to the Maximum Benefit Amount shown in the Schedule of Benefits to reimburse You for the amount of the Published Penalties and unused non-refundable Prepaid Payments or Deposits You paid for Travel Arrangements, including up to $ 75 for the cost of airline imposed fees to rebank frequent flyer miles for air flights to join Your Trip when You are prevented from taking Your Trip due to:
Benefits will be paid up to the Maximum Benefit Amount shown in the Schedule of Benefits under the Baggage Delay coverage, if Your checked Baggage is delayed or misdirected by a Common Carrier for more than six (6) hours, while on Your Trip (except for travel to Your final return destination or place of residence).
R. TRIP INTERRUPTION: Subject to the Terms of this insurance and in the event of the Unexpected death of a Relative of the Insured Person, or in the event the Insured Person's trip or travel plans must be cancelled or interrupted as a result of a break - in or substantial destruction due to a fire or Natural Disaster of the Insured Person's principal residence in his / her Home Country, the Company will reimburse the Insured Person's actual expense up to the amount shown in the SCHEDULE OF BENEFITS / LIMITS for the costs of a one - way air or ground transportation ticket of the same class as the unused travel ticket to transport the Insured Person from the International airport nearest to where the Insured Person was located at the time of learning of such death or destruction to the International airport nearest to: (i) the location of the Relative's funeral or place of burial, or (ii) the Insured Person's destroyed principal residence; subject to the following conditions and limitations: (1) The Insured Person must be outside of his / her Home Country at the time of the Unexpected death of the Relative or the substantial destruction of the principal residence; and
You are eligible for benefits, up to the Maximum Benefit Amount shown in the Schedule of Benefits, for all reasonable expenses incurred for Your transportation to the nearest place of safety, or to Your primary place of residence, if You must leave Your Trip for a Non-Medical Emergency Evacuation Covered reason, as defined below.
The maximum payable under this Trip Cancellation Benefit is the Maximum Benefit Amount shown in the Schedule of Benefits.
The Policy will pay Covered Expenses incurred up to the maximum stated in the Schedule of Benefits if any covered Injury or Illness commences during the Period of Coverage and results in Medically Necessary Emergency Medical Evacuation or Repatriation of the Plan Participant (The Plan Participant's medical condition warrants immediate transportation from the medical facility where He or She is located to the nearest adequate medical facility where medical Treatment can be obtained).
NATURAL DISASTER: Subject to the Terms of this insurance and in the event of a Natural Disaster that occurred during the Period of Coverage, the Company will pay the Insured Person up to the amount shown in the SCHEDULE OF BENEFITS / LIMITS if the Insured Person is displaced from scheduled, paid accommodations due to an evacuation before a forecasted Natural Disaster or following a Natural Disaster.
If Seven Corners Assist evacuates / repatriates you to your Home Country for a Covered Injury or Illness, the maximum stated in the SCHEDULE OF BENEFITS for Extension of Benefits does not apply to the Medical Benefits.
For Non-U.S. Residents: Your Covered Expenses will be paid up to the maximum stated in the SCHEDULE OF BENEFITS per Period of Coverage, for any covered Injury or Illness commencing during the Period of Coverage that results in Your Medically Necessary Emergency Medical Evacuation or Repatriation.
The maximum payable under this Trip Cancellation Benefit is the lesser of the total amount of coverage You purchased or the Maximum Benefit Amount shown in the Schedule of Benefits.
In no event shall the amount reimbursed for Trip Cancellation exceed the lesser of the amount You prepaid for Your Trip or the Maximum Benefit Amount shown in the Schedule of Benefits.
For U.S. Residents and Non-U.S. Residents when traveling outside of the United States: Your Covered Expenses will be paid up to the maximum stated in the SCHEDULE OF BENEFITS per Period of Coverage, for any covered Injury or Illness commencing during the Period of Coverage that results in Your Medically Necessary Emergency Medical Evacuation or Repatriation.
Beneficiary — The primary beneficiary and secondary beneficiary may or may not be listed in the schedule of benefits page.
H. EMERGENCY MEDICAL EVACUATION BENEFIT — Subject to the applicable Maximum Limit set forth in the Schedule of Benefits / Limits set forth in Section C, above, and the other Terms of this insurance, including the Exclusions set forth in Section T and the Conditions and Restrictions set forth below, the Company will reimburse the Insured Person for the following transportation costs, when the Company or Plan Administrator arranges such transportation, and expenses incurred by the Insured Person arising out of or in connection with an Emergency Medical Evacuation occurring while this Certificate is in effect and during the Period of Coverage:
K. RETURN OF MORTAL REMAINS — In the event of the death of the Insured Person during the Period of Coverage as a result of an Illness or Injury covered under this insurance while the Insured Person is outside of his / her Home Country, the Company will reimburse the authorized personal representative or the estate of the Insured Person up to the amount shown in the Schedule of Benefits / Limits for the costs and expenses incurred to return the Insured Person's Mortal Remains to his / her Home Country and thereafter to the place of burial or other final disposition (but not including any costs of burial or other disposition); provided, however, that the Company must coordinate and approve all costs and expenses related to the return of the Insured Person's Mortal Remains in advance as a condition to the availability of this benefit; or up to the amount shown in the Schedule of Benefits / Limits for preparation, local burial or cremation of the Insured Person's mortal remains at the place of death in accordance with the commonly accepted cultural and religious beliefs practiced by the Insured Person.
If you are a non-United States Resident and suffer a Myocardial Infarction or Stroke and are admitted to a Hospital, this exclusion is waived only in order to pay a $ 200 per night benefit for each night spent in the Hospital, up to the maximum stated in the SCHEDULE OF BENEFITS.
Extension of Benefits: This Policy shall pay Eligible Benefits incurred in Your Home Country up to the maximum stated in the SCHEDULE OF BENEFITS, minus Your Deductible and selected Coinsurance option (Plan A, B, E, or F), for one hundred and eighty days (180) from the onset of a new covered Injury or Illness that begins while you are traveling and is first diagnosed and treated outside Your Home Country.
If your covered injury or sickness requires medical treatment, we will pay the coverage amounts listed in the schedule of benefits, minus your per person deductible.
Benefits will be paid up to $ 300 per day for: 1) the non-refundable, unused portion of the Prepaid expenses for Your Trip as long as the expenses are supported by proof of purchase and are not reimbursable by any other source; and 2) reasonable accommodation, meal and local transportation expenses incurred by You, up to the Maximum Benefit Amount shown in the Schedule of Benefits, if You are delayed for 6 hours or more while en route to or from, or during Your Trip, due to:
W. INCIDENTAL TRIP COVERAGE — As an accommodation and supplemental benefit, the Insured Person will be covered under this insurance during incidental return trips to his / her Home Country («Incidental Trips») up to the number of days shown in the Schedule of Benefits / Limits beginning with the date the Insured Person first arrives back in his / her Home Country, provided that:
Any cost above the amount specified in the schedule of benefits is your responsibility.
After you pay the deductible per incident, Inbound Immigrant insurance pays the fixed amounts per procedure as described in the schedule of benefits in the brochure.
V. INCIDENTAL TRIP COVERAGE — As an accommodation and supplemental benefit, the Insured Person will be covered under this insurance during incidental return trips to his / her Home Country («Incidental Trips») up to the number of days shown in the Schedule of Benefits / Limits beginning with the date the Insured Person first arrives back in his / her Home Country, provided that:
For this benefit, the Medical Maximum is reduced to the maximum stated in the SCHEDULE OF BENEFITS, minus Your Deductible and selected Coinsurance option (Plan A, B, E, or F).
Expenses incurred for an Accident or Sickness after the Benefit Period shown in the Schedule of Benefits or incurred after the termination date of coverage;
Benefits will be paid for the Covered Expense incurred, up to the Maximum Benefit Amount shown in the Schedule of Benefits, as a result of a Covered Accidental Injury or covered Sickness, which first occurs during Your Trip (of a duration of 90 days or less for Sickness).
We will reimburse You, up to the Maximum Benefit Amount shown in the Schedule of Benefits, for the amount of the unused non-refundable prepaid Payments or Deposits for the Travel Arrangements You purchased or were assessed for Your Trip, when You cancel Your Trip for a covered Unforeseen reason.
Maximum benefit is reduced to the maximum stated in the SCHEDULE OF BENEFITS for any Illness or Injury occurring while on an incidental Trip to your Home Country.
Benefits will be paid up to one hundred twenty - five dollars ($ 125) per day for: reasonable accommodation, meal, telephone call and local transportation expenses incurred by You, up to the Maximum Benefit Amount shown in the Schedule of Benefits, if You are delayed for twelve (12) hours or more while enrooted to or from, or during Your Trip, due to:
For this benefit, the medical maximum is as stated in the Schedule of Benefits, minus the Deductible and Coinsurance.
These amounts are provided in the schedule of benefits, both in the plan brochure and Plan Description of Coverage.
32.3 Emergency Reunion — Subject to the Terms of this insurance, Eligible Medical Expenses will be reimbursed up to $ 50,000 to the Participating Member as outlined in the Schedule of Benefits / Limits in cases where there has been an Emergency Medical Evacuation covered under the Terms of this insurance.
We will pay a percentage of the Principal Sum listed in the Schedule of Benefits when You, as a result of an Accidental Injury occurring during the Covered Trip, sustain a loss shown in the Table of Losses below.
Additional Trip Interruption Benefits: If You have insured $ 0 Trip cost, and You interrupt Your Trip for a covered Unforeseen reason, We will reimburse You for the additional cost incurred for one - way airfare (using the same class of fare as the original travel ticket) to return You to Your originally scheduled return destination, up to the Maximum Benefit Amount shown in the Schedule of Benefits.
R. TRIP INTERRUPTION — Subject to the Terms of this insurance and in the event of the Unexpected death of a Relative of the Insured Person, or in the event the Insured Person's trip or travel plans must be cancelled or interrupted as a result of a break - in or substantial destruction due to a fire or Natural Disaster of the Insured Person's principal residence in his / her Home Country, the Company will reimburse the Insured Person's actual expense up to the amount shown in the Schedule of Benefits / Limits for the costs of a one - way air or ground transportation ticket of the same class as the unused travel ticket to transport the Insured Person from the International airport nearest to where the Insured Person was located at the time of learning of such death or destruction to the International airport nearest to: (i) the location of the Relative's funeral or place of burial, or (ii) the Insured Person's destroyed principal residence; subject to the following conditions and limitations:
We will reimburse You, up to the Maximum Benefit Amount shown in the Schedule of Benefits, for unused, prepaid non-refundable Payments or Deposits for Your land or water Travel Arrangements, plus the Additional Transportation Cost paid to:
Q. TRIP INTERRUPTION — Subject to the Terms of this insurance and in the event of the Unexpected death of a Relative of the Insured Person, or in the event the Insured Person's trip or travel plans must be cancelled or interrupted as a result of a break - in or substantial destruction due to a fire or Natural Disaster of the Insured Person's principal residence in his / her Home Country, the Company will reimburse the Insured Person's actual expense up to the amount shown in the Schedule of Benefits / Limits for the costs of a one - way air or ground transportation ticket of the same class as the unused travel ticket to transport the Insured Person from the International airport nearest to where the Insured Person was located at the time of learning of such death or destruction to the International airport nearest to: (i) the location of the Relative's funeral or place of burial, or (ii) the Insured Person's destroyed principal residence; subject to the following conditions and limitations:
32.19 Trip Interruption — Subject to the Limits set forth in the Schedule of Benefits and Limits, and subject to the Conditions and Restrictions contained in this provision, the Scheme Administrator will pay the following Trip Interruption benefits:
We will reimburse You, up to the Maximum Benefit Amount shown in the Schedule of Benefits, for unused, prepaid non - refundable Payments or Deposits for Your land or water Travel Arrangements, plus the Additional Transportation Cost paid to:
If a Plan Participant is a U.S. resident traveling outside the United Staes and Canada, this plan shall pay, up to the maximum stated in the Schedule of Benefits subject to the chosen Deductible and Coinsurance, for Covered Expenses resulting from a sudden, unexpected recurrence of a Pre-existing Condition while traveling.
The plan will pay Covered Expenses incurred up to the maximum stated in the Schedule of Benefits if any covered Injury or Illness commences during the Period of Coverage and results in Your Medically Necessary Emergency Medical Evacuation or Repatriation (Your medical condition warrants immediate transportation from the medical facility where You are located to the nearest adequate medical facility where medical Treatment can be obtained).
The ExactCare Extra ® policy puts it right out there, under the heading of «Trip Cancellation and Interruption,» when it says it provides, «A maximum benefit of up to the amount indicated in the Schedule of Benefits to cover certain expenses as listed below which result in the cancellation or interruption of Your Trip due to any of the following Unforeseen Events.»
Benefits will be administered as stated in section F, Acute Onset of a Pre-Existing Condition (s), for eligible medical expenses incurred in the United States, minus your Deductible and subject to the scheduled limits for benefits as stated in the Schedule of Benefits.
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