PolicyWording en
PolicyWording en
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Safe Travels!
Table of Contents
Contact Information 1
10-day Full Refund Provision 3
Insuring Agreement 3
Family & Friends 3
Plans
Emergency Medical Insurance — Multi Trip Annual & Single Trip 4
Trip Cancellation & Trip Interruption Insurance or
Trip Interruption Insurance Only — Multi Trip Annual & Single Trip 20
Accidental Death and Dismemberment Insurance —
Multi Trip Annual & Single Trip 32
Non-Medical Package — Single Trip 36
All Inclusive Holiday Package — Single Trip 37
Optional Coverages
Baggage Insurance 38
Rental Car Protection 41
Sports & Activities Coverage 43
Cancel for Any Reason Coverage 45
Contact Information
Contact us anytime by phone or online at https://www.tugo.com/en/company/contact-us/.
Dialing instructions vary by country. We recommend that you save or download the policy
wording or print a copy of this page and the international access codes on page 2 before you
leave on your trip.
Our global toll-free service from outside North America and Mexico listed below may not
be accessible from all countries. We also accept collect calls, but many countries have
discontinued this service.
Alternatively, you can call us direct at +1-604-278-4108 and we’ll reimburse the charges
incurred for making this call.
Claims/Hospitalization
In the event of hospitalization, call us immediately:
*To use the global toll-free service from outside North America and Mexico, dial the
international access code shown on page 2 for the country you’re in, then enter our 11-digit
toll-free number (for example, if you are in Australia, dial 0011 + 800-663-00399).
**To call us collect, contact the local operator, and let them know you’d like to make a collect
call to Canada and provide our number:
• For policy extensions, renewals and customer service, call 604-276-9900
• For claims and hospitalizations, call 604-278-4108
2
Argentina 00 Latvia 00
Australia 0011 Luxembourg 00
Austria 00 Macau 00
Belarus 810 Malaysia 00
Belgium 00 Netherlands 00
Brazil 0021 New Zealand 00
Bulgaria 00 (Aotearoa)
China 00 Philippines 00
Denmark 00 Slovenia 00
France 00 Spain 00
Germany 00 Sweden 00
Hungary 00 Taiwan 00
Italy 00
Japan 010 or 0061+010 or
001+010 or 0033+010
3
Insuring Agreement
You will become insured once you have:
a Completed the online application, including any applicable Medical Questionnaire,
provided by us or your agent, and
b Paid the premium in full for the selected coverages; and
c Received a policy number and Policy declaration.
This policy wording along with your Policy declaration become your insurance contract.
We will provide Insurance for the coverages you have selected and paid for according to
the terms and conditions as detailed in this policy wording. Refer to each applicable plan or
optional coverage for details on the coverages you have purchased insurance for.
All the limits of Insurance under each benefit are aggregate limits per insured, per trip,
unless otherwise stated.
Plans
Emergency Medical Insurance —
Multi Trip Annual & Single Trip
The wording in this section applies to Emergency Medical:
• Multi Trip Annual and Single Trip Worldwide
• Multi Trip Annual and Single Trip for Travel within Canada
• Single Trip Worldwide excluding USA
Eligibility
At the time of application, you are eligible for coverage if:
1 You are a Canadian resident.
2 You are not travelling against a physician or other registered medical
practitioner’s advice.
3 You have not been diagnosed with a terminal condition.
4 You are not receiving palliative care or palliative care has not been recommended.
Period of Coverage
Multi Trip Annual
This Policy begins at 12:01 AM on the effective date of the Policy and continues in force for a
period of one year from the effective date of the Policy. You may travel as many times as you
wish during the period of coverage provided that no one trip exceeds the maximum number
of days as specified and contracted for at the time of application.
Coverage commences on the date and time of each departure from your province/territory
of residence.
Coverage terminates each time you return to your province/territory of residence, or at 11:59 PM
on the expiry date of the Policy, whichever occurs first.
For the Worldwide plan, when travel is within Canada but outside of your province/territory of
residence, coverage is automatically provided beyond the maximum number of days selected
at the time of purchase but limited to the expiry date of the Policy.
When travel is outside of Canada, coverage is limited to the maximum number of days
selected. The trip duration begins on the date you leave Canada and terminates when
you return to Canada.
Single Trip
Coverage commences on the later of:
1 The date and time you depart from your province/territory of residence or Canada; or,
2 The date and time you depart from your province/territory of residence when travel is
within Canada only but outside of your province/territory of residence; or,
3 The effective date of the Policy.
5
Top-up
If you are covered by another insurance provider for the first part of your trip, you can purchase
this Insurance as a top-up Policy to cover the remaining duration of your trip. However, you
should verify with that provider that they allow their coverage to be topped-up by another
insurance provider as they may void or restrict coverage if you don’t extend or top-up with
them.
1 When this Policy is purchased before departure to top-up another emergency medical
insurance plan, coverage commences either:
a the day following the expiry date of the insurance plan being topped-up; or,
b the day following the expiry date of the trip length of the annual insurance plan being
topped-up.
2 When symptoms or treatment by a physician or other registered medical practitioner
for an emergency medical condition begin before the effective date of this top-up
Policy and while you are covered by the insurance plan being topped-up, we will pay
eligible expenses incurred on or after the date this top-up Policy takes effect as if the
emergency medical condition began under this top-up Policy.
Coverage for emergency medical conditions which began before the effective date of
this top-up Policy is only provided if there is no lapse between the insurance plan being
topped-up and this top-up Policy.
We will not pay for expenses incurred if other insurance policies, plans or contracts,
including but not limited to any private or provincial automobile insurance, cover the
loss. Coverage is also subject to all other policy terms and conditions.
3 Expenses incurred before this top-up Policy takes effect are not covered.
6
Benefits
Maximum limit — $5,000,000
We will pay reasonable and customary charges for medical and related expenses up to the
coverage limits for an acute, sudden and unexpected emergency medical condition. The
charges must result from an emergency that first occurs after coverage commences (including
after any applicable waiting period) and while you are travelling outside your province/territory
of residence.
Eligible medical and related expenses are described below.
COVID-19
We will pay up to the Policy limit or as specified under each benefit limit in this plan for
expenses incurred due to COVID-19.
Coverage is provided if, before your date of departure, you are travelling in accordance with
all federal travel vaccine requirements issued by the Government of Canada for entry and/or
return to Canada.
Follow-up Visit
One follow-up visit within the 14 days after the initial emergency treatment, provided the
follow-up visit is required as a direct result of the initial emergency.
Fracture Treatment
Following the initial emergency treatment and the one follow-up visit, we will pay up to a
maximum of $1,250 for the following treatments related to fractures:
• X-ray examinations; and,
• Re-examination physician visits; and,
• Casting and re-casting, if medically necessary; and,
• Cast removal
Eligible expenses must be incurred during the same trip and before your return to your
province/territory of residence.
This benefit is only available in lieu of the Airfare to Return Home for Treatment Benefit.
Hospital Allowance
Up to $100 per day to cover incidental hospital charges, which are billed by the hospital,
such as TV rental and telephone charges.
Dental Services
The services of a dentist or dental surgeon for emergency dental treatment, including the cost
of prescription drugs and x-rays, as follows:
a Up to the Policy limit for dental expenses you incur while on your trip, for an accidental
blow to the face requiring the repair or replacement of sound natural teeth or
permanently attached artificial teeth, including crowns, bridges and dental implants.
You are also covered for continuous treatment in your province/territory of residence
for up to 30 days after your return, provided the treatment is related to the accidental
blow to the face.
All treatment whether it occurs during your trip or in your province/territory of
residence must be completed no later than 90 days after the initial treatment began.
This benefit does not cover dental treatment for veneers or dentures.
b Up to a maximum of $700 for dental expenses you incur while on your trip for any dental
emergencies other than pain caused by an accidental blow to the face. Treatment must
be completed within the 90 days after the treatment began and before your return to
your province/territory of residence.
8
Remote Evacuation
This benefit is payable only when pre-approved by us, unless contacting us is
not possible.
Up to a maximum of $6,000 for reimbursement of expenses for non-medical emergency
evacuation from a remote location (including mountain, sea or other location) by professional
services to the nearest accessible point. This includes search and rescue services for
mountain, sea or other remote locations.
Medical Attendant
This benefit is payable only when pre-approved by us
If you are returned under the Emergency Air Transportation Benefit or the Airfare to Return
Home for Treatment Benefit, we will pay:
a The cost of a round trip economy airfare on a commercial flight via the most direct route
for a qualified medical attendant (or travelling companion in lieu) to accompany you if
the attending physician providing treatment outside your province/territory of residence
indicates in writing that it is medically required; and,
b The cost of an airline seat upgrade for the medical attendant (or travelling companion
in lieu) if the attending physician providing treatment outside your province/territory of
residence indicates in writing that it is medically required.
9
Return of Pets
Up to a maximum of $300 for the cost of returning your pets who are travelling with you,
to Canada if you are returned to your province/territory of residence under the Emergency
Air Transportation Benefit, the Airfare to Return Home for Treatment Benefit or the
Repatriation Benefit.
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Repatriation
In the event of your death during a trip covered under the Policy benefits, we will pay:
a The preparation and return of your body, including the cost of a standard shipping
container and one death certificate (excluding the cost of funeral and related expenses
or a burial coffin), to your province/territory of residence; or,
b Up to a maximum of $6,000 for burial at the place of death (excluding the cost of funeral
and related expenses or a burial coffin), including one death certificate in the event your
body is not returned to your province/territory of residence; or,
c Up to a maximum of $6,000 for cremation at the place of death (excluding the cost of
funeral and related expenses or an urn), including one death certificate and the standard
shipping cost to return your ashes to your province/territory of residence; and
d Transportation costs of one family member to go to the place of your death to identify
your body when it is necessary to be identified before the release of your body and
up to a limit of $400 per day to a maximum of $2,000 for meals and commercial
accommodation.
The family member identifying your body will also be covered for the period of time
required to identify your body. Coverage for the family member is limited to the
Emergency Medical Insurance plan.
Family Transportation
This benefit is payable only when pre-approved by us
If an attending physician considers it necessary, we will pay one round trip economy airfare or
ground transportation costs for one family member to be with you while you are hospitalized
if you are travelling alone; or for one additional family member other than your travelling
companion if you are not travelling alone, and up to a maximum of $500 per day to a maximum
of $2,500 for reasonable and necessary commercial accommodation, meals, telephone calls,
internet charges, taxi or bus fare.
Out-of-Pocket Expenses
Up to $500 per day to a maximum of $5,000 for your commercial accommodation, meals,
telephone calls, internet charges, taxi fare, parking charges, bus fare and rental car, if:
a Your travelling companion is transferred to a different hospital in another city for
emergency treatment; or,
b Your travelling companion is hospitalized on or after the date you are scheduled to
return to your province/territory of residence.
If you are claiming under part b), there is no coverage for any out-of-pocket expenses you
incur before the date you are scheduled to return to your province/territory of residence.
Child Care
Up to $500 per day to a maximum of $5,000 for child care costs for insured children 18 years
and under who are travelling with you (excluding child care provided by a family member) when:
a You are hospitalized; or,
b You are transferred to a different hospital in another city for emergency treatment.
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Return of Vehicle
This benefit is payable only when pre-approved by us
If the attending physician determines that as a result of an emergency, you are incapable of
continuing your trip by means of the vehicle used to depart from your province/territory of
residence and the vehicle you intended to use to return to your province/territory of residence
and your travelling companion is unable to do so for you, we will pay either:
a Up to the Policy limit for the charges incurred for a commercial agency to return a
vehicle that you own or rent to either your province/territory of residence or the nearest
appropriate vehicle rental agency; or,
b A one-way economy airfare to the destination where the vehicle is located; and gas,
meals and accommodation for a family member or friend to return a vehicle that you
own or rent to your province/territory of residence.
The maximum benefit payable is limited to reasonable and customary costs to return
your vehicle.
If the vehicle you used to depart from your province/territory of residence was towing an
object (such as a trailer or boat) and you had intended to use the same vehicle to tow the
object back to your province/territory of residence, the cost to return the towed object is also
included in this benefit. If the towed object must be returned separately, it is not covered.
Replacement of prescription glasses, contact lenses and hearing aids must be of similar or
lesser value to the ones that were stolen, lost or broken during the trip.
12
If you purchased this Policy to top-up any other insurance plan, the stability for medical
conditions is based on your total trip length.
Medical conditions that do not meet the stability criteria set out above are not covered.
Exclusions
In addition to the General Exclusions shown on page 46, we will not be liable to provide
coverage or services, or to pay claims for expenses incurred directly or indirectly as a result of:
1 Any complications that develop after departure, related to a pre-existing medical
condition that was not stable on or before the date of departure. For stability
requirements, refer to the Pre-existing Medical Condition Stability Exclusion.
This exclusion does not apply to Travel within Canada plans.
2 Any claim incurred after a physician advised you not to travel.
3 Any claim incurred after any other registered medical practitioner advised you not
to travel.
4 A trip that is undertaken after the diagnosis of a terminal condition.
5 A trip that is undertaken while you are receiving palliative care or after palliative care
has been recommended.
6 Medical conditions or any related medical conditions for which, on or before departure,
diagnostic tests took place, were scheduled to take place or were recommended and
for which results had not yet been received at the time of departure. This includes
diagnostic tests that were scheduled or recommended on or before departure, but had
not yet taken place at the time of departure.
This exclusion does not apply to:
a Tests to monitor an existing medical condition if there have been no new or more
frequent symptoms, whether or not results have been received; or,
b Screening tests intended to prevent illness or to detect medical conditions before
symptoms are noticed, whether or not results have been received.
7 Any medical condition related to COVID-19, except as specified in the COVID-19
benefit. This exclusion does not apply to travel within Canada.
8 The cost of any mandated test required for travel.
9 Medical conditions or any related medical conditions for which, on or before
departure, tests to follow up on the effectiveness or response to a procedure, surgery or
hospitalization were scheduled to take place or were recommended. This includes tests
that were scheduled or were recommended on or before departure, but had not yet
taken place at the time of departure.
10 Medical conditions or any related medical conditions for which before departure,
medical procedures, surgeries and/or referrals to a specialist were scheduled to take
place or were recommended but had not yet taken place at the time of departure.
11 Any cancer (other than basal cell or squamous cell skin cancer and/or cancer that is
in remission) for which you received or were recommended to receive active cancer
treatment on or within the 90 days before the date of departure. This includes active
cancer treatment that you were recommended to receive but chose to decline.
12 Tests and investigation except when performed at the time of the initial emergency
medical condition.
16
14 Any medical condition for which you are registered on a waiting list in Canada for
treatment or diagnosis.
15 Expenses incurred once the emergency ends and in the opinion of the attending
physician or other registered medical practitioner, you are able to travel to your
province/territory of residence for any further treatment relating to the medical
condition that led to the emergency, unless otherwise specified in a benefit.
16 The continued treatment, recurrence or complication of a medical condition or related
condition, following emergency treatment during your trip, if we determine that your
emergency has ended, unless otherwise specified in a benefit.
17 Any expenses incurred as a result of a disease or illness that originated or was
symptomatic during the waiting period. This exclusion does not apply when this Policy
is purchased to top-up any other insurance plan.
18 Expenses incurred for emergency air transportation and any expenses incurred
after emergency air transportation, when the emergency air transportation was not
arranged by us.
19 Any medical condition or related expenses if we determine that you should transfer
to another facility or could return to your province/territory of residence for treatment,
and you choose not to, benefits will not be paid for further treatment related to the
medical condition.
20 An official travel advisory issued by a Canadian government stating to “avoid all travel”
or “avoid non-essential travel” regarding the country, region or city of your destination,
before the effective date of the Policy or the date you travel to that destination (including
any stopovers, layovers or any other destinations you are transiting through).
To view the travel advisories, visit the Government of Canada Travel site.
If an official travel advisory is issued for the country, region or city of your destination
after you have already arrived to that country, region or city, your coverage for an
emergency or a medical condition related to the travel advisory in that specific
destination will be limited to a period of 30 days from the date the travel advisory was
issued. We may extend this coverage beyond 30 days if authorized at our discretion.
This exclusion does not apply to claims for an emergency or a medical condition
unrelated to the travel advisory or to claims incurred for COVID-19.
21 Expenses incurred when coverage is purchased after departure, unless we authorized
it in advance.
22 Any medical and related expenses in excess of $50,000, if you are not covered by a
provincial or territorial government health care plan at the time your claim occurred.
17
23 A medical condition for which symptoms arose or worsened or for which emergency
treatment was received after the date of departure but before the effective date of this
Policy, except as specified under the heading Period of Coverage, sub-heading Top-up.
24 A medical condition for which symptoms arose or worsened or for which treatment by
a physician or other registered medical practitioner was received during a temporary
visit to your province/territory of residence during the period of coverage or any medical
condition wholly or partly, directly or indirectly, related thereto. This exclusion does not
apply if the treatment was for either:
a The unchanged use of prescribed drugs or medication for a stable medical
condition, symptom or problem; or,
b A check-up where the physician or other registered medical practitioner observes
no change in a previously noted medical condition, symptom or problem.
25 Loss, theft or breakage of prosthetic devices or dentures.
26 Your participating, training, or practicing for the following sports or activities (except
when coaching and/or officiating as a referee or sports official) unless you have paid
the applicable surcharge(s) for the Sports & Activities Coverage as shown on your
Policy declaration:
• Backcountry skiing/snowboarding • Mixed martial arts
• Base jumping • Mountaineering over a 6,000-metre
• Boxing elevation
• Downhill freestyle skiing/ • Mountaineering up to a 6,000-metre
snowboarding in organized elevation
competitions • Parachuting/skydiving/tandem
• Downhill mountain biking skydiving
• Hang gliding/paragliding • Rock climbing
• High risk motorized speed activities • Scuba diving or free diving over
40 metres
• High risk snowmobiling and motorized
snow biking • White water sports – Class VI
• Ice climbing • Wingsuit flying
Deductible
We will pay eligible expenses for losses incurred in excess of the amount of the deductible as
shown on the Policy declaration, per insured per incident claimed. This deductible applies
to the portion of eligible expenses remaining after payment by your provincial or territorial
government health care plan or other insurance policies, plans or contracts, including private
or provincial automobile insurance.
Applicable to Insureds 60 Years and Over at the Time of Application
If you qualify for the coverage selected but you or a representative purchasing insurance on
your behalf have failed to answer truthfully and accurately any question asked in the Medical
Questionnaire, any incident claimed will be subject to an extra deductible of $15,000 USD in
addition to any other applicable deductible amount, and no future coverage will be provided
under this Policy unless you pay the additional premium reflecting true and accurate answers
to those questions.
The Medical Questionnaire may not be required for certain plans or trip lengths, refer to the
Medical Questionnaire for details.
Hospitalization
If you, your family travelling with you or your travelling companion are hospitalized. The
automatic extension will be provided to you for the remaining period of the hospitalization,
plus up to 7 days after hospital release to recover and/or travel home.
Quarantine
If you, your family travelling with you or your travelling companion are unable to travel on
your scheduled return date due to being placed under quarantine after a positive COVID-19
test, the automatic extension will be provided to you for up to 14 days. In the event of a claim,
written documentation must be provided to us to substantiate the quarantine.
19
Refunds
Refunds after the effective date of the Policy must be requested in writing. Refunds are
not available if a claim has been or will be submitted.
Applicable to Multi Trip Annual and Single Trip
1 When the request for refund is received BEFORE the effective date of the Policy, a full
refund is available.
2 When no travel has taken place and the request for refund is received AFTER the
effective date of the Policy:
a A full refund is available in the 10 days from the application date of the Policy; or,
b For Single Trip plans, a partial refund less an administration fee is available when the
request for refund is received more than 10 days after the application date of the
Policy but before the expiry date of the Policy.
c For Multi Trip Annual plans, a partial refund less an administration fee is available
when the request for refund is received more than 10 days after the application date
of the Policy but within the 90 days after the effective date of the Policy.
Eligibility
At the time of application, you are eligible for coverage if you are a Canadian resident.
Applicable to Trip Interruption Insurance Only
To be eligible for coverage this Insurance must be purchased before leaving for your trip.
Period of Coverage
Multi Trip Annual
Trip Cancellation
This Policy begins at 12:01 AM on the application date of the Policy and continues in force for
a period of one year from the effective date of the Policy and ends at 11:59 PM on the expiry
date of the Policy. Coverage is only provided for trips scheduled to start on or after the effective
date of the Policy and end before 11:59 PM on the expiry date of the Policy. If you have booked
a trip that is scheduled to start during this period of coverage but is not scheduled to end
before the expiry date of this Policy term, coverage for this trip would be provided if the Policy
is renewed, but it would only be available as of the application date of the renewed Policy.
Coverage for each trip commences at the time the trip is booked and terminates on the earlier of:
1 The date of the cause of cancellation before your departure date; or,
2 At 11:59 PM on the day before your departure date; or,
3 At 11:59 PM on the expiry date of the Policy, as shown on the Policy declaration.
Trip Interruption and Trip Interruption Only
This Policy begins at 12:01 AM on the effective date of the Policy and continues in force for a
period of one year from the effective date of the Policy and ends at 11:59 PM on the expiry date
of the Policy. Coverage is only provided for trips scheduled to start on or after the effective date
of the Policy and end before 11:59 PM on the expiry date of the Policy. If you have booked a trip
that is scheduled to start during this period of coverage but is not scheduled to end before the
expiry date of this Policy term, coverage for this trip would be provided if the Policy is renewed.
Coverage for each trip commences on the departure date and terminates on the earlier of:
1 The date you return to your departure point; or,
2 At 11:59 PM on the expiry date of the Policy, as shown on the Policy declaration.
If your return is delayed due to a covered risk, coverage terminates on the date you return to
your departure point or 30 days after the original scheduled return date, whichever is earlier.
21
Single Trip
Trip Cancellation
Coverage commences on the application date of the Policy and terminates on the
earlier of:
1 The date of the cause of cancellation before your departure date; or,
2 At 11:59 PM on the day before your departure date.
Covered Risks
Benefits will only be payable if the trip has been cancelled or interrupted as a result of one of
the following covered risks. Refer to pages 25 to 27 for a description of the benefits applicable
to the covered risks described below.
Health
1 Medical condition, death or quarantine of you or your travelling companion.
Trip Cancellation Benefits: 1, 2
Trip Interruption Benefits: 4, 5, 6, 7, 10
2 Medical condition, death or quarantine of your family member or your travelling
companion’s family member.
Trip Cancellation Benefits: 1, 2
Trip Interruption Benefits: 4, 5, 6, 7
3 Medical condition, death of your or your travelling companion’s business partner, employer
or key employee, caregiver, or death of a friend not travelling with you on the trip.
Trip Cancellation Benefits: 1,2
Trip Interruption Benefits: 4, 5, 6, 7
4 Medical condition, death or quarantine of your host at your destination.
Trip Cancellation Benefits: 1,2
Trip Interruption Benefits: 4, 5, 6, 7
5 Hospitalization (including home-based palliative care) or death of a family member not
travelling with you, that causes you to interrupt your trip before your scheduled return date.
Trip Cancellation Benefits: none
Trip Interruption Benefits: 9
Legal
13 You and/or your travelling companion have been advised by a Canadian government
(including provincial/territorial government) that if you travel to a specific country,
region or city, you will have to self-quarantine or self-isolate upon your return to your
province/territory of residence, provided such requirement was issued after the date
and time your trip is booked or after the date and time this Insurance is purchased,
whichever occurs later.
Trip Cancellation Benefits: 1, 2
Trip Interruption Benefits: none
14 You or your travelling companion (excluding law enforcement officers) being
subpoenaed, after the date and time the trip is booked or after the date and time this
Insurance is purchased, whichever occurs later, for jury duty, as a witness, or is required
to appear at a court proceeding during the period of travel.
Trip Cancellation Benefits: 1,2
Trip Interruption Benefits: 4, 5, 6, 7
15 You or your travelling companion being summoned to police, fire, paramedic or military
service (active or reserve).
Trip Cancellation Benefits: 1,2
Trip Interruption Benefits: 4, 5, 6, 7
16 An official travel advisory issued by a Canadian Government stating to “avoid all
travel” or “avoid non-essential travel” to any of your travel destinations (including any
stopovers, layovers or any other destinations you are transiting through), provided
such travel advisory was issued after the date your trip is booked or after the date this
Insurance is purchased, whichever occurs later, and the travel advisory is still in effect
on your scheduled departure date or at any time within the 7 days before your
scheduled departure date.
This covered risk also applies if a Canadian government (including provincial/territorial
governments) issues an advisory stating against travel to any province/territory, region
or city within Canada for Canadians travelling within Canada.
Trip Cancellation Benefits: 1,2
Trip Interruption Benefits: none
17 An official travel advisory issued after your departure by a Canadian Government stating
to “avoid all travel” or “avoid non-essential travel” to any of your travel destinations
(including any stopovers, layovers or any other destinations you are transiting through),
provided such travel advisory was issued for your scheduled travel dates and this
Insurance was purchased before the travel advisory being issued.
This covered risk also applies if a Canadian government (including provincial/territorial
governments) issues an advisory against travel to any province/territory, region or city
within Canada for Canadians travelling within Canada.
Trip Cancellation Benefits: none
Trip Interruption Benefits: 4, 5, 6, 7
18 The non-issuance of your or your travelling companion’s travel or student visa
(not including an immigration or employment visa) for reasons beyond your or your
travelling companion’s control, provided you or your travelling companion were
eligible to make such an application, and the application was not submitted late.
Trip Cancellation Benefits: 1,2
Trip Interruption Benefits: none
24
Benefits
Maximum limit — Up to the sum insured as indicated on the Policy declaration
Sum insured amounts are aggregate limits per insured, per Policy and are payable up to the
maximum limit as shown on the Policy declaration, except for benefits 1b, 3b, 7, 10b, 10c and
11b which are payable up to the amount listed.
Conditions
In addition to the General Conditions shown on page 48, the following conditions apply:
1 Duplication of Coverage — If you are insured under more than one Policy, Plan or
Optional Coverage administered by us and they are in effect at the time of loss, the total
amount paid to you cannot exceed your total expenses. Expenses are paid to an overall
maximum limit of $100,000 for any trip cancellation and/or trip Interruption claim.
2 When the reason for cancellation occurs before departure, you must:
a Contact the travel or booking agent or airline on the day the reason for cancellation
occurs or on the next business day; and,
b Advise us within the same period. Claim payment will be limited to the cancellation
penalties specified in the trip contracts which are in effect at the time the cause of
cancellation occurs.
3 No claims will be considered unless the unused transportation ticket(s) or electronic
ticket(s) are provided to us. If applicable, we will also require copies of substitute
transportation tickets or electronic ticket(s) and travel or booking agent or travel
supplier invoices.
4 Trip Cancellation — If you need to cancel your trip because of a medical condition,
the patient must consult a physician before you cancel your trip and before the date
and time you are scheduled to leave from your departure point. If it’s not possible for
the patient to consult a physician on or before the date and time you are scheduled
to leave from your departure point, the patient must consult a physician within one
business day from the scheduled date of departure.
Trip Interruption — If you need to interrupt your trip because of a medical condition,
the patient must consult a physician at the place where the medical condition occurred,
on or before the date and time you interrupt or disrupt your trip.
In both cases, you must provide a medical certificate or letter completed by the
attending physician at the place where the medical condition occurred, advising against
travel that includes: a complete diagnosis, the date of onset of the medical condition,
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the dates and type of treatment, and the medical necessity of cancelling or interrupting
or disrupting your trip. If a physician was not consulted as required or if you do not
provide the complete written certificate, your claim will be denied.
5 If you purchased a single trip policy and your travel dates change, you must notify us of
your new travel dates. Failure to do so will result in denial of your claim.
6 The benefits are only applicable if:
a You had left enough travel time to comply with the travel provider’s recommended
check-in time before departure;
b Your trip, whether booked online or through a travel or booking agent, meets the
minimum connection times approved by the applicable travel provider.
7 If you purchased a Multi Trip Annual Trip Cancellation & Trip Interruption Policy or a
Multi Trip Annual Trip Interruption Insurance Only Policy, your trip must start on or after
the effective date of the Policy and end before 11:59 PM on the expiry date of the Policy
as noted on your Policy Declaration. Any trips scheduled to start before the effective
date of the Policy or end after the expiry date of the Policy are not covered, except as
specified under the heading Period of Coverage, sub-heading Multi Trip Annual.
8 We do not insure or reimburse the cash value of any travel costs that have been
booked and paid for with points, air miles or any other type of travel reward program.
However, we will insure and reimburse the cost of any applicable administration fees
to reinstate points.
9 If you increase your Policy sum insured, all exclusions below will apply to the date you
increased your sum insured, for the amount of the increase.
10 If you purchased a heli-ski package that includes accommodation, meals,
transportation and/or other amenities and you only miss the heli-ski portion of the
trip, but an itemized invoice breaking down the charges is not available from the travel
supplier, reimbursement will be limited to 70% of the total package costs for the unused
heli-ski portion of the trip.
Exclusions
In addition to the General Exclusions shown on page 46, we will not be liable to provide
coverage or services, or to pay claims for expenses incurred directly or indirectly as a result of:
1 A trip booked or for which Insurance is purchased after the diagnosis of a
terminal condition.
2 A trip booked or for which Insurance is purchased while receiving palliative care
or after palliative care was recommended.
3 Any claim incurred for a trip booked or for which Insurance is purchased after a
physician advised you or your travelling companion not to travel.
4 Any claim incurred for a trip booked or for which Insurance is purchased after any other
registered medical practitioner advised you or your travelling companion not to travel.
5 Cancellation or interruption caused by or related to a circumstance known to you or any
person purchasing insurance on your behalf before the date and time the trip is booked
or before the date and time this Insurance is purchased, whichever occurs later, and
which eventually prevents or interrupts travel as booked.
6 Cancellation or interruption caused by or related to the following events occurring
before the date and time this Insurance is purchased or before the date and time the
trip is booked: earthquakes, tsunamis, hurricanes, tornados, cyclones, avalanches,
rock slides, snow storms/blizzards, floods, wildfires, volcanic eruptions and volcano ash
29
clouds, political unrest, epidemics and/or pandemics. This exclusion applies whether or
not you were aware of these events at the date and time this Insurance was purchased
and/or the trip was booked and whether or not these events were affecting any of your
travel destinations at the date and time this Insurance was purchased and/or the trip
was booked.
7 Cancellation or interruption caused by or related to any of the following:
a Coronavirus disease (COVID-19);
b Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2);
c Any mutation or variation of SARS-CoV-2.
This exclusion does not apply if you must cancel or interrupt your trip as a result of a
medical condition caused by or related to any of the above.
8 Emotional or mental disorders, unless they result in hospitalization.
9 Acute psychosis if drug or alcohol induced.
10 A disease, illness or death (other than death caused by an accident) occurring within 72
hours after the date this Insurance is purchased if the Policy was purchased more than
72 hours after the transportation and/or commercial accommodations are booked.
11 Travel undertaken to visit an ailing family member where the medical condition or death
of that family member is the cause of the cancellation or interruption of the trip.
12 An early or late return due to a medical condition, unless ordered in writing by the
attending physician that you return to your province/territory of residence.
13 Any pre-existing medical condition affecting you or your family member, caregiver,
friend, business partner, host at destination, employer or key employee, unless the
pre-existing medical condition was stable:
Applicable to Multi Trip Annual
a On or within the 60 days before the date your trip is booked when the Insurance is
purchased before the date your trip is booked; or,
b On or within the 60 days before the date this Insurance is purchased when the
Insurance is purchased after the date your trip is booked.
Applicable to Single Trip
On or within the 60 days before the date this Insurance is purchased.
14 Any pre-existing medical condition affecting your travelling companion or your
travelling companion’s family member, caregiver, business partner, host at destination,
employer or key employee, unless the pre-existing medical condition was stable:
Applicable to Multi Trip Annual
a On or within the 60 days before the date your trip is booked when the Insurance is
purchased before the date your trip is booked; or,
b On or within the 60 days before the date this Insurance is purchased when the
Insurance is purchased after the date your trip is booked.
Applicable to Single Trip
On or within the 60 days before the date this Insurance is purchased.
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Refunds
Refunds must be requested in writing. Refunds are not available if a claim has been
or will be submitted.
24-hour Accident:
Maximum limit — $25,000
Eligibility
At the time of application, you are eligible for coverage if:
1 You are a Canadian resident.
2 You are not travelling against a physician or any other registered medical
practitioner’s advice.
3 You have not been diagnosed with a terminal condition.
4 You are not receiving palliative care or palliative care has not been recommended.
Period of Coverage
Multi Trip Annual
This Policy begins at 12:01 AM on the effective date of the Policy and continues in force for a
period of one year from the effective date of the Policy. Coverage commences on the date and
time you leave for your trip.
Coverage terminates on the date and time you return to your ordinary place of residence
or at 11:59 PM on the expiry date, whichever occurs first.
Single Trip
Coverage commences on the date and time you leave for your trip. Coverage terminates on
the earliest of the following:
1 At 11:59 PM on the expiry date of the Policy:
2 On the date and time you return to your ordinary place of residence, except as
outlined below:
a If you are also covered under the Trip Cancellation & Trip Interruption Insurance or
Trip Interruption Insurance Only and your trip is interrupted before the scheduled
return date as a result of an event as mentioned under the Trip Cancellation & Trip
Interruption benefit numbers 8 and 9; your Policy will not terminate, however you
will not be covered while in your province/territory of residence. There will be no
refund for the number of days you spend in your province/territory of residence.
b If you also are covered under the Emergency Medical Insurance and you are
returned to your province/territory of residence under the Emergency Air
Transportation Benefit or the Airfare to Return Home for Treatment Benefit during
the period of coverage, coverage will be suspended during your temporary return
and will resume once you return to your trip destination under the Return to Your
Destination benefit. In this case, your Policy will not terminate, however you will not
be covered while in your province/territory of residence. There will be no refund for
the number of days you spend in your province/territory of residence.
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Covered Risks
Air Flight/Common Carrier Accident
Death or dismemberment as a result of an accident sustained during the period of coverage
while riding as a fare-paying passenger, or while entering or leaving a lawfully operated
licensed common carrier.
Coverage is also applicable to insured children under 2 years accompanied by a
fare-paying passenger.
24-hour Accident
Death or dismemberment as a result of an accident sustained during the period of coverage in
any other situation not specifically mentioned under Air Flight/Common Carrier above.
Benefits
In the case of your accidental death or certain losses resulting from an accident, we will pay to
or on behalf of you, your estate or other beneficiary, the benefits as outlined below, but in no
event shall payment exceed the sum insured under this section:
1 100% of the sum insured for loss of life, double dismemberment or loss of sight in
both eyes.
2 50% of the sum insured for single dismemberment or loss of sight in one eye.
Benefits for loss of life, limb or sight are payable for loss which occurs in the 90 days from the
date of the accident.
Any claim for indemnity for loss of life, dismemberment or loss of sight must be substantiated
by a certificate from the attending medical physician at the place of the accident attesting to
the actual injuries sustained.
Condition
This plan cannot be purchased with an Emergency Medical Insurance plan that has been
purchased to top-up another emergency medical insurance plan. If you would like to purchase
the Accidental Death & Dismemberment Insurance with the Emergency Medical Insurance,
you must purchase them as separate Policies.
Exclusions
In addition to the General Exclusions shown on page 46, we will not be liable to provide
coverage or services, or to pay claims for expenses incurred directly or indirectly as a
result of:
1 Any claim incurred after a physician advised you not to travel.
2 Any claim incurred after any other registered medical practitioner advised you not
to travel.
3 A trip that is undertaken after the diagnosis of a terminal condition.
4 A trip that is undertaken while you are receiving palliative care or after palliative care
has been recommended.
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5 Any cancer (other than basal cell or squamous cell skin cancer and/or cancer that is
in remission) for which you received or were recommended to receive active cancer
treatment on or within the 90 days before the date of departure.
This includes active cancer treatment that you were recommended to receive but
chose to decline.
6 a Any medical condition, including symptoms of withdrawal, arising from, or in any
way related to, your chronic use of alcohol, drugs or other intoxicants whether prior
to or during your trip.
b Any medical condition arising during your trip from, or in any way related to, the
misuse or abuse of drugs or other intoxicants, or to the use or abuse of alcohol
when you have reached a blood alcohol level of 80 milligrams of alcohol per 100
millilitres of blood or when records indicate you were intoxicated and no blood
alcohol level is specified.
7 An official travel advisory issued by a Canadian government stating to “avoid all travel”
or “avoid non-essential travel” regarding the country, region or city of your destination,
before the effective date of the Policy or the date you travel to that destination (including
any stopovers, layovers or any other destinations you are transiting through).
To view the travel advisories, visit the Government of Canada Travel site.
If an official travel advisory is issued for the country, region or city of your destination
after you have already arrived to that country, region or city, your coverage for an
emergency or a medical condition related to the travel advisory in that specific
destination will be limited to a period of 30 days from the date the travel advisory was
issued. We may extend this coverage beyond 30 days if authorized at our discretion.
This exclusion does not apply to claims for an accident unrelated to the travel advisory.
8 Your participating, training, or practicing for any of the following activities (except when
coaching and/or officiating as a referee or sports official):
• Backcountry skiing/snowboarding • Mixed martial arts
• Base jumping • Mountaineering over a 6,000-metre
• Boxing elevation
• Downhill freestyle skiing/ • Mountaineering up to a 6,000-metre
snowboarding in organized elevation
competitions • Parachuting/skydiving/tandem
• Downhill mountain biking skydiving
• Hang gliding/paragliding • Rock climbing
• High risk motorized speed activities • Scuba diving or free diving over
40 metres
• High risk snowmobiling and motorized
snow biking • White water sports – Class VI
• Ice climbing • Wingsuit flying
9 Your participating, training, or practicing as part of a registered team, league,
association or club; or while competing in a registered tournament, competition or
sporting event for the following sports (except when coaching and/or officiating as a
referee or sports official) if you are 21 years of age or over at the time of application:
• Football • Ice hockey
(American and Canadian) • Rugby
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Limitation
The total aggregate limit is $10,000,000 for any one event under this Policy and all policies
administered and issued by us. If the total sum of all claims resulting from the same event
exceeds the total aggregate limit, the $10,000,000 will be shared proportionately among all
insureds. The proportionate share for each insured will not exceed the maximum limits of their
plan. Payment will be processed after we have completed the review of all submitted claims
related to the same event.
Refunds
Refunds requested after the effective date of the Policy must be in writing. Refunds are not
available if a claim has been or will be submitted.
Applicable to Multi Trip Annual and Single Trip
1 When no travel has taken place and the request for refund is received BEFORE the
effective date of the Policy, a full refund is available.
2 When no travel has taken place and the request for refund is received AFTER the
effective date of the Policy:
a A full refund is available in the 10 days from the application date of the Policy; or,
b For Single Trip plans, a partial refund less an administration fee is available when the
request for refund is received more than 10 days after the application date of the
Policy but before the expiry date of the Policy.
c For Multi Trip Annual plans, a partial refund less an administration fee is available
when the request for refund is received more than 10 days after the application date
of the Policy but within the 90 days after the effective date of the Policy.
Baggage Insurance
Maximum limit — $500
Condition
This plan cannot be purchased with an Emergency Medical Insurance Policy if that Policy
has been purchased to top-up another emergency medical insurance plan. If you would like
to purchase the Non-Medical Package and an Emergency Medical Insurance, you must
purchase them as separate Policies.
Refunds
When no travel has taken place, a full refund is available in the 10 days from the application
date of the Policy.
A refund less an administration fee is available when the trip is cancelled before any penalties
from the travel supplier apply.
If you purchased a trip cancellation sum insured that exceeded any payments or deposits
made for your trip, a partial refund less an administration fee may be provided. Proof of all
payments made up to the date the refund was requested must be submitted to us.
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Baggage Insurance
Maximum limit — $500
Condition
This plan cannot be purchased to top-up another plan with emergency medical insurance. If
you would like to purchase this Insurance, you must purchase it for the full duration of your trip.
Refunds
When no travel has taken place, a full refund is available in the 10 days from the application
date of the Policy.
A refund less an administration fee is available when the trip is cancelled before any penalties
from the travel supplier apply.
If you purchased a trip cancellation sum insured that exceeded any payments or deposits
made for your trip, a partial refund less an administration fee may be provided. Proof of all
payments made up to the date the refund was requested must be submitted to us.
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Optional Coverages
The optional coverages listed in this section may only be purchased as an endorsement
to an insurance plan or package described in this Policy. The Optional Coverages are also
subject to the 10-day Full Refund Provision, Insuring Agreement, General Exclusions, General
Conditions, Authorized Extensions, Automatic Annual Renewal Option, Definitions, Statutory
Conditions and How to Claim sections of the Policy.
Baggage Insurance
This optional coverage can be purchased as an endorsement to the following plans and will be
subject to the terms and conditions of the plan it is purchased with:
• A Single Trip Emergency Medical Insurance
• A Single Trip Trip Cancellation & Trip Interruption Insurance
• A Single Trip Trip Interruption Insurance Only
• A Single Trip Accidental Death & Dismemberment Insurance
• An All Inclusive Holiday Package
• A Non-Medical Package
Maximum limit — $1,500 per insured to a maximum of $3,000 for the family & friends plan
Period of Coverage
Coverage commences on the date and time you leave for your trip. Coverage terminates on
the earliest of the following:
1 At 11:59 PM on the expiry date of the Policy;
2 On the date and time you return to your ordinary place of residence, except as
outlined below:
a If you are also covered under the Trip Cancellation & Trip Interruption Insurance or
Trip Interruption Insurance Only and your trip is interrupted before the scheduled
return date as a result of an event as mentioned under the Trip Cancellation & Trip
Interruption benefit numbers 8 and 9; your Policy will not terminate, however you
will not be covered while in your province/territory of residence. There will be no
refund for the number of days you spend in your province/territory of residence.
b If you are also covered under the Emergency Medical Insurance and you are
returned to your province/territory of residence under the Emergency Air
Transportation Benefit or the Airfare to Return Home for Treatment Benefit during
the period of coverage, coverage will be suspended during your temporary return
and will resume once you return to your trip destination under the Return to Your
Destination benefit. In this case, your Policy will not terminate, however you will not
be covered while in your province/territory of residence. There will be no refund for
the number of days you spend in your province/territory of residence.
39
Benefits
Baggage and Personal Effects
We agree to pay for the loss, damage, destruction or theft of personal effects owned by and
travelling with the insured while in transit, or while in any hotel or other building, en route
anywhere in the world, on land or water or in the air.
Currency
We agree to pay for loss of currency through theft or robbery of personal currency (excluding
unexplained disappearance; police report required), up to a limit of $100.
Baggage Delay
If your baggage is delayed beyond 12 hours while you are en route and before you return
to your ordinary place of residence, we will pay for personal necessities up to a maximum
of $200, if purchased before you return to your ordinary place of residence and before your
baggage has been returned to you.
Limitation
Coverage for risk of loss of or damage to your property for any single item is limited to not
more than 25% of the sum insured per insured per claim.
Conditions
In addition to the General Conditions shown on page 48, the following conditions apply:
1 This insurance offers coverage on a first payor basis unless the property that is lost,
stolen or damaged is:
a insured for a specific value under another insurance policy; or,
b in the care of any common carrier at the time of loss, theft or damage.
2 Notice of Loss — If the insured property is lost, stolen or damaged, you must promptly
notify the police, any hotel, hostel, campground, timeshare, vacation rental, airline or
any other commercial common carrier in whose custody the property was at the time of
loss, damage or theft. You must also notify us within 30 days from the date of return and
take all reasonable measures to protect, save and/or recover the property.
3 Payment of Loss — Any claim hereunder for damage and/or destruction shall be paid
immediately after we have been presented evidence substantiating such damage
and/or destruction.
4 Valuation — We shall reimburse the repair or replacement with a like kind and quality or the
actual cash value of the property at the time any loss or damage occurs, whichever is less.
5 Duplication of Coverage — If you are insured under more than one Policy, Plan or
Optional Coverage administered by us and they are in effect at the time of loss, the total
amount paid to you cannot exceed your total expenses. Expenses are paid to an overall
maximum limit of $5,000 per insured for the Baggage plan. The maximum limit for the
Family & Friends plan is $7,500 for the Baggage plan.
6 This optional coverage cannot be purchased as an endorsement to an Emergency
Medical Insurance plan when this Policy is purchased to top-up another emergency
medical insurance plan. If you would like to purchase this optional coverage with the
Emergency Medical Insurance plan, you must purchase the Emergency Medical
Insurance for the full duration of your trip.
7 Coverage is not subject to the deductible as specified in the section entitled Emergency
Medical Insurance.
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Exclusions
In addition to the exclusions of the plan this optional coverage is purchased with and to the
General Exclusions shown on page 46, we will not be liable to provide coverage or services, or
to pay claims for expenses incurred directly or indirectly as a result of:
1 Loss, damage or theft of:
• Animals; or, • Money (except as specified under the
• Motorized vehicles of any kind and Currency Benefit), securities, tickets
their accessories and/or related and documents; or,
equipment; or, • Electronic and/or mobile devices
• Trailers, boats, motors, aircrafts or and their accessories and/or related
other vehicles and their accessories equipment; or,
and/or related equipment; or, • Professional or occupational
• Bicycles except while checked as equipment or property; or,
baggage with a common carrier; or, • Works of art, antiques and collectors’
• Household goods and furnishings; or, items; or,
• Artificial teeth and limbs; or, • Property illegally acquired, kept, stored
or transported; or,
• Hearing aids; or,
• Jewellery or furs; or,
• Prescription and non-prescription
glasses (including sunglasses) and • Cameras, camera accessories and/or
contact lenses; or, related equipment.
Period of Coverage
Coverage commences either when you take control of the rented or leased automobile or on
the effective date of the Policy, whichever is later.
Coverage terminates at the earliest of:
1 The time the rental or leasing agency or company assumes control of the
automobile; or,
2 The time the rental or lease agreement expires or is terminated; or,
3 The expiry date of the Policy.
Benefits
Maximum limit — $75,000
The sum insured is an aggregate limit per automobile, per trip.
We agree to pay you up to a maximum of $75,000 per trip for physical damage to a rented
or leased automobile anywhere in the world while the automobile is in your care, custody or
control or of those persons permitted to operate the automobile under the terms of the rental
or lease agreement.
This includes the reasonable general average costs of towing, salvage, fire department
charges, custom duties and the reasonable loss of use of the rented or leased automobile for
which you are responsible.
Coverage will be limited to the amount of physical damage which would have been waived
had you purchased collision damage waiver from the automobile rental or leasing agency or
company.
Conditions
In addition to the General Conditions shown on page 48, the following conditions apply:
1 You must hold a valid driver’s license.
2 No coverage is provided for any form of third party automobile liability or personal
accident insurance benefits.
3 No coverage is provided if collision damage waiver is purchased from the rental or
leasing agency or company.
4 No coverage is provided unless all terms and conditions of the rental or lease agreement
or contract have been met and no restrictions are violated.
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Exclusions
In addition to the exclusions of the plan this optional coverage is purchased with and to the
General Exclusions shown on page 46, we will not be liable to provide coverage or services, or
to pay claims for expenses incurred directly or indirectly as a result of:
1 Operation of the automobile contrary to the terms of the rental or leasing contract that
results in damage or damage-related expenses.
2 Injury to or for the death of any insured under this Insurance.
3 Damage to the property of third persons other than damage to the rental automobile of
the licensed automobile rental or leasing agency.
4 Expenses resulting from any kind of race or speed contest.
5 Any amount payable under any automobile insurance policy.
6 Any amount assumed, waived or paid by the rental or leasing agency or company or
its insurer.
7 Contents of the rental or leased automobile.
8 The mechanical failure or breakdown of any part of the rented or leased automobile,
rust, corrosion, wear and tear, gradual deterioration, inherent defect or freezing.
9 Physical damage arising from the neglect or abuse of the leased or rented automobile
by you or any persons listed in the rental or lease agreement.
10 The rental or lease of an exotic car.
11 Physical damage caused by theft from an unattended automobile unless the
automobile was securely locked and displayed visible signs of forced entry.
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Benefits
This coverage does not increase the maximum limits of the Emergency Medical Insurance
plan stated in this Policy.
Coverage is subject to the terms and conditions specified in the section entitled Emergency
Medical Insurance.
The charges must result from an emergency that first occurs after coverage commences
(including after any applicable waiting period) and while you are travelling outside of your
province/territory of residence.
For any of the sports or activities listed above, if you are coaching and/or officiating as
a referee or sports official, the Sports & Activities Optional Coverage is not required for
coverage to apply.
Any sports or activities with a benefit limit of $500,000 have a combined limit of $500,000
total for all sports & activities selected.
44
Benefits
If you decide to cancel your trip for any reason other than a Covered Risk listed in this Policy,
we will pay up to 50% of either a) or b) below, whichever is less:
a Prepaid travel costs which are non-refundable and non-transferable to another date; or,
b The sum insured selected before departure which is non-refundable and
non-transferable to another date.
Coverage is subject to the terms and conditions specified in the section entitled Trip
Cancellation & Trip Interruption Insurance, however, the Trip Cancellation & Trip Interruption
exclusions and General Exclusions do not apply to this Optional Coverage.
Conditions
1 Insurance must be purchased:
a In the 5 days from the date you make an initial payment, whether it’s a full payment,
partial payment or deposit; or,
b At any time before any cancellation penalties apply.
2 You must cancel the trip more than 5 days before your departure date.
46
6 Your participating in, training or practicing for any of the following sports or activities:
• Barrel racing • Rodeo bareback racing
• Bronc riding • Rodeo clowning
• Bull riding • Rodeo team roping
• Chariot racing • Steer wrestling/chute dogging
• Chuck wagon racing • Trick riding
• Harness racing
7 Any medical condition or recognized complication of a medical condition, where the
purpose of your trip is to seek treatment, advice or services, and where the medical
evidence indicates the treatment, advice or services received are related to that medical
condition.
8 a Routine pre-natal or post-natal care; or,
b Pregnancy, delivery, or complications of either, arising within the 9 weeks before the
expected date of delivery or within the 9 weeks after.
9 Your child born during the trip, except as specified under the Unexpected Birth of a
Child benefit.
10 Your voluntary termination of pregnancy or resulting complications.
47
15 Any medical condition or symptoms for which it is reasonable to believe or expect that
treatments will be required during your trip.
16 Unless otherwise stated in this Policy (see General Condition, number 4), expenses
incurred if other insurance policies, plans or contracts cover the loss. This includes, but
is not limited to, any private or provincial automobile insurance plan or any provincial
or territorial government health care plan. If, however, the loss exceeds the limits of the
other policies, plans or contracts and if this Insurance covers losses and periods not
covered by those other policies, plans or contracts, this Insurance shall then apply in
excess of all other valid insurance. This exclusion does not apply to Accidental Death
and Dismemberment Insurance and Baggage Insurance.
48
Authorized Extensions
You can extend your period of coverage before your Policy expires by calling your agent or us
during business hours.
Please refer to Contact Information on page 1.
An administration fee may be charged in addition to the premium for the additional number of
days required.
You must meet the following conditions:
Definitions
Active cancer surveillance
Also known as ‘watchful waiting’ is a treatment plan that involves monitoring cancer without
giving any other form of treatment. It is used to monitor changes in test results to see if the
cancer is getting worse and whether other forms of active cancer treatment might also be
needed. This method of treatment is often used when the cancer is newly diagnosed and
before it’s clear what types of treatment would be most effective, for conditions that progress
slowly and/or when the risks of active cancer treatment are greater than the possible benefits.
Active cancer treatment
Treatment that is not limited to but includes chemotherapy, radiation therapy, surgery,
medication, experimental treatment or active cancer surveillance.
Acts of terrorism
An act, or acts, of any person, or group(s), committed for political, religious, ideological,
ethnic or similar purposes with the intention to influence any government and/or, but not be
limited to, the use of force or violence and/or the threat thereof. Furthermore, the perpetrators
of acts of terrorism can either be acting alone, or on behalf of, or in connection with any
organization(s) or government(s).
Acts of war
War, civil war, riot, rebellion, insurrection, revolution, invasion, hostilities or warlike operations
(whether war be declared or undeclared), civil commotion, overthrow of the legally constituted
government, military or usurped power, explosions of war weapons.
Acute
Initial or emergency short course (not chronic) treatment by a physician phase of a medical
condition.
Aggregate limit
The maximum amount of coverage available, regardless of the number of separate claims.
Alteration
The medication usage, dosage or type has been increased, decreased or stopped and/or a
new medication has been prescribed.
Alteration does not include:
a Changes in brand to an equivalent name brand or to an equivalent generic brand of the
same or equivalent usage or dosage; or,
b Routine dosage adjustments within prescribed parameters for insulin or oral diabetes
medication to ensure correct blood levels are maintained; blood sugar levels must be
checked regularly and the medical condition must remain unchanged; or,
c Routine dosage adjustments within prescribed parameters for blood thinner medication
to ensure correct blood levels are maintained; blood levels must be checked regularly
and the medical condition must remain unchanged; or,
d A temporary stoppage of blood thinner medication up to a maximum of 24 hours if the
stoppage is required for a surgery or a procedure; or,
e Usage changes due to the combination of several medications into one; the medical
condition must remain unchanged.
Application date
The date when premium for this Insurance is paid.
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Automobile
A vehicle of the private passenger or station wagon type, but excluding: trucks (except pick-up
trucks with no attachments); off-road vehicles; motorcycles, motorbikes or motor scooters;
recreational vehicles; vans (except passenger vans); campers or trailers; antique cars which are
cars over 20 years old or have not been manufactured for 10 years or more.
Backcountry
An area that is not marked, not patrolled and/or not cleared for avalanche dangers, but where
public access is permitted. Backcountry is also known as slackcountry, sidecountry and/or
off-piste and does not include heli-skiing or cat skiing.
Beneficiary
Estate unless otherwise requested in writing.
Business meeting
A meeting between companies with unrelated ownership that pertains to your full-time
occupation or profession and is the primary purpose of your trip. The meeting must be
pre-arranged before the date the trip was booked or the date this Insurance was purchased,
whichever occurs later.
Courses and legal proceedings are not business meetings.
Canadian resident
An insured who is eligible for or has a provincial or territorial government health care plan in
place and:
a Is a Canadian citizen with a primary permanent residence in Canada; or,
b Has landed immigrant status in Canada and a primary permanent residence
in Canada; or,
c Has a permit to study or work in Canada.
Caregiver
A person entrusted with the care and guidance of your dependent(s) on a permanent,
full-time basis and whose absence cannot reasonably be replaced.
Common carrier
A boat, cruise ship, airplane, bus, taxi, train or other similar vehicle that is licensed, intended
and used primarily to transport passengers for hire.
Deductible
The portion of eligible expenses you must pay from your own pocket when an eligible claim
occurs. For all medical insurance plans, the deductible applies to the expenses remaining after
payment by your provincial or territorial government health care plan.
The deductible applies per insured, per incident claimed.
Departure date
The date you leave your departure point to begin your trip.
Departure point
The place you depart from on the first day of your trip.
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Dependent children
Unmarried children who are dependent on a parent or guardian and are:
a Up to and including 21 years, if they are residing with their parent or guardian; or,
b Up to and including 25 years, if they are attending an educational institution full-time,
whether or not they are residing with their parent or guardian; or,
c Any age, if they have a cognitive, developmental or physical disability, whether or not they
are residing with their parent or guardian.
Diagnostic tests
Tests required to:
a Assess, identify or investigate a symptom or a medical condition; or,
b Follow up on abnormal test results.
Medically necessary
The medical service or product in question is necessary to preserve, protect or improve your
medical condition and well being.
Mixed martial arts
A combat sport in which participants use fighting and grappling techniques from any
combination of wrestling, boxing and martial arts. Mixed martial arts include ultimate fighting.
Mountaineering over a 6,000-metre elevation
The act of climbing or descending a mountain to or from an elevation of over 6,000 metres
(measured from sea level) while using specialized equipment including but not limited to
pickaxes, ice axes, anchors, bolts, crampons, carabineers and lead or top rope anchoring
equipment. Mountaineering includes ski mountaineering also known as ‘skimo’.
For the Sports & Activities Optional Coverage:
• If you are mountaineering both below and above 6,000 metres elevation, you only need to
select mountaineering over a 6,000-metre elevation.
• If you are ice climbing and mountaineering over 6,000 metres elevation, you do not need
to select both activities. You only need to select mountaineering over a 6,000-metre
elevation, and ice climbing will automatically be covered as well.
Mountaineering up to a 6,000-metre elevation
The act of climbing or descending a mountain to or from an elevation of 6,000 metres or
less (measured from sea level) while using specialized equipment including but not limited
to pickaxes, ice axes, anchors, bolts, crampons, carabineers and lead or top rope anchoring
equipment. Mountaineering includes ski mountaineering also known as ‘skimo’.
For the Sports & Activities Optional Coverage, if you are ice climbing and mountaineering
up to a 6,000-metre elevation, you only need to select mountaineering up to a 6,000-metre
elevation, and ice climbing will automatically be covered as well.
Non-emergency
Any treatment, investigations or surgery either:
a not required for the immediate relief of acute pain and suffering; or,
b which reasonably could be delayed until you return to Canada; or,
c which you elect to have during a trip following emergency treatment by a physician
or other registered medical practitioner of a medical condition or the diagnosis of a
medical condition, which on medical evidence would not prevent you from returning to
Canada before such treatment or surgery.
Pet
Dog, cat, bird, small reptile or small mammal.
Physical damage
Loss or damage to the automobile (including glass but excluding tires unless coincidental
with other loss or damage covered herein) caused by fire, theft, explosion, earthquake,
windstorm, hail, rising water, malicious mischief or collision with another object or by upset.
Physician
A medical practitioner who is registered and licensed to practice their medical profession in
accordance with the regulations applying in the jurisdiction where the person practices. A
physician must be a person other than you or a family member.
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Terminal condition
A medical condition for which, before the date of departure, a physician has given you a
terminal prognosis with a life expectancy of 12 months or less.
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Travel costs
Non-refundable unused prepaid travel arrangements for: hotels, hostels and campgrounds;
timeshares and vacation rentals that are booked through a rental agency or platform with a
published cancellation process; airfares, car rentals, boat rentals, RV rentals, bus, train, ferry
and cruise tickets; conference, seminar, workshop, convention, symposium and training fees;
entrance fees, sports tickets and passes (intended for a participant or a spectator); tours,
retreats, excursions, city passes and ski passes.
Travelling companion
A person who has prepaid shared commercial accommodation or transportation with you for
the same period of travel.
Treatment, treat, treated
A procedure prescribed, performed or recommended by a physician for a medical condition.
This includes but is not limited to medication, investigative testing and surgery.
Trip
For Trip Cancellation & Trip Interruption Insurance and Trip Interruption Insurance Only
The period of time you are travelling and for which coverage under this Policy has been purchased.
Us, we, our
OneWorld Assist Inc. doing business as Claims at TuGo and North American Air Travel
Insurance Agents Ltd. doing business as TuGo. TuGo is a third party administrator for the
following insurers:
• For all insurance plans except Baggage Insurance and Rental Car Protection: Industrial
Alliance Insurance and Financial Services Inc.
• For Baggage Insurance and Rental Car Protection: Industrial Alliance Pacific General
Insurance Corporation.
Vehicle
Car, recreational vehicle, motorcycle, boat or other land or water conveyance used for
the trip.
Waiting period
For Emergency Medical Insurance
a If this Policy was purchased within the 7 days after departing from your province/territory
of residence, there is no coverage for any disease or illness arising in, occurring in or
symptomatic during the first 48 hours of the effective date of the Policy, including any
related expenses incurred after the first 48 hours from the effective date of the Policy; or,
b If this Policy was purchased more than 7 days after departing from your province/territory
of residence, there is no coverage for any disease or illness arising in, occurring in or
symptomatic in the first 7 days from the effective date of the Policy, including any related
expenses incurred after the first 7 days from the effective date of the Policy.
Statutory Conditions
The Contract
The application, this policy, any document attached to this policy when issued and any
amendment to the contract agreed on in writing after this policy is issued constitute the entire
contract and no agent has authority to change the contract or waive any of its provisions.
Waiver
The insurer is deemed not to have waived any condition of this contract, either in whole or in
part, unless the waiver is clearly expressed in writing signed by the insurer.
Copy of Application
The insurer must, upon request, furnish to insured or to a claimant under the contract a copy
of the application.
Material Facts
No statement made by the insured or a person insured at the time of application for the
contract may be used in defence of a claim under or to avoid the contract unless it is contained
in the application or any other written statements or answers furnished as evidence of
insurability.
Notice and Proof of Claim
Notice of a claim shall be given in accordance with the claims procedures clause included in
this policy as soon as practical but in no case later than 30 days from the date a claim arises
under this policy. You must also within 90 days from the date the claim arises under this policy
furnish such proof and additional information as is reasonably possible and if required by the
company, furnish a certificate from a physician detailing the cause or nature of the sickness or
injury for which the claim has been instituted.
Failure to Give Notice or Proof
Failure to give notice of claim or furnish proof of claim within the time required by this
condition does not invalidate the claim if (a) the notice or proof is given or furnished as soon
as reasonably possible, and in no event later than one year after the date of the accident or the
date a claim arises under the contract on account of sickness or disability, and if it is shown
that it was not reasonably possible to give notice or furnish the proof in the time required by
this condition, or (b) in the case of death of the person insured, if a declaration of presumption
of death is necessary, the notice or proof is given or furnished no later than one year from the
date a court makes the declaration.
Insurer to Furnish Forms for Proof of Claim
The insurer must furnish forms for proof of claim within 15 days after receiving notice of claim,
but if the claimant has not received the forms within that time the claimant may submit his
or her proof of claim in the form of a written statement of the cause or nature of the accident,
sickness or disability giving rise to the claim and of the extent of the loss.
Rights of Examination
As a condition precedent to recovery of insurance moneys under the contract,
a the claimant must give the insurer an opportunity to examine the person of the person
insured when and as often as it reasonably requires while a claim is pending, and
b in the case of death of the person insured, the insurer may require an autopsy, subject to
any law of the applicable jurisdiction relating to autopsies.
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Every action or proceeding against an insurer for the recovery of insurance money payable
under the contract is absolutely barred unless commenced within the limitation period
specified in the Insurance Act, Limitations Act, Civil Code of Quebec or other relevant
legislation of the applicable jurisdiction.
Applicable to Quebec Residents
Notwithstanding any other provisions herein contained, this contract is subject to the
mandatory provisions of the Civil Code of Quebec respecting contracts of Accident and
Sickness Insurance.
Privacy
Privacy Notice
The protection of your personal information is very important to us. TuGo is committed
to the protection of your personal information. TuGo fully complies with Canada’s privacy
laws. TuGo’s privacy policy determines our responsibilities on the collection and use of your
personal information. You can review TuGo’s entire Privacy Policy at tugo.com/en/privacy.
Personal information is gathered at the time of application to determine the premium and
appropriate coverage. In the event of a claim, we may need to collect additional medical
information to help provide the best possible assistance, arrange care, possible medical
evacuation, and to determine coverage. This information may be obtained or shared with your
agent, any affiliate or subsidiary, referring organization and third-party provider including but
not limited to health care providers and government health insurers. The information is used
by authorized personnel only as needed, and is maintained securely for the period required
by law. Your information may need to be shared with or by organizations located outside of
Canada, such as the country you are travelling to and will be also subject to the laws of those
foreign jurisdictions. We encourage you to review TuGo’s Privacy Policy occasionally as it could
be amended.
Upon written request, you may also review your personal information to verify its accuracy. For
more information about how TuGo collects and uses personal information, contact our privacy
officer: TuGo, Attn: Privacy Officer, 1200-6081 No. 3 Road, Richmond BC, Canada, V6Y 2B2.
Email: privacy@tugo.com Fax: (604) 276-9409.
In witness whereof this Policy has been authorized by the insurers listed in the definition of us.
K. Starko, Executive Director
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How to Claim
Claims Procedures & Payment of Benefits
For information on how to contact us, please refer to Contact Information at the beginning of
this policy wording booklet.
Applicable to All Claims
1 Any notices of claim or correspondence concerning a claim should be promptly sent to:
Claims at TuGo
1200-6081 No. 3 Road
Richmond, BC V6Y 2B2 Canada
2 Claims for medical, dental and trip cancellation & trip interruption can be opened online
at tugo.com/claims, although some restrictions apply.
3 Any cost incurred to obtain documentation required to confirm eligibility of your claim,
other than medical records requested by us is the responsibility of the claimant.
4 To receive benefits, any requested supporting documentation must be provided by the
claimant. Claim Forms will be provided to the claimant to complete and return to us.
It is the claimant’s responsibility to complete and/or produce any documentation that
we require to process and confirm the eligibility of the claim.
5 All required documentation must be received within one year from the date of loss.
Failure to do so will result in the denial of the claim.
6 To qualify for reimbursement, itemized receipts must be provided as support for all eligible
expenses. If itemized receipts are not provided, the expense will not be reimbursed.
7 If the claim is the result of a death, the following documents are required:
a A copy of the death certificate
b A copy of the Will or Power of Attorney
c A police report, if applicable
The claim forms must be signed by the Executor of Estate or the person who holds
Power of Attorney.
Applicable to Emergency Medical Insurance
1 We will submit a claim for medical expenses to your provincial or territorial government
health care plan offices PROVIDED THAT the Claim Forms, including the appropriate
Provincial Assignment Form are completed in full and forwarded together with itemized
receipts from your medical providers within the deadline that is established by your
provincial or territorial government health care plan. If you fail to meet their deadline,
you will be responsible for the provincial or territorial government health care plan
portion. While these deadlines vary across Canada, some deadlines are as short as 90
days. For the deadline that applies to you, please check with your provincial or territorial
government health care plan office.
2 Claims will not be considered unless the Claim Form is completed in full and signed by
the claimant (or legally authorized representative). Failure to provide fully completed,
original forms will invalidate your claim.
3 Only bills from physicians, hospitals and other medical care provider(s) that are
itemized and which state the insured’s name, diagnosis, date(s) of service and type of
treatment or service will be considered. Only official pharmacy prescription receipts will
be considered. For all other benefits, itemized receipts are required.
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To access this service, please refer to the Contact Information section at the
beginning of this policy wording.
tugo.com
Insurance is administered by North American Air Travel Insurance Agents Ltd. doing business as TuGo®, a licensed insurance
broker in all provinces and territories. The issuer of the contract is Industrial Alliance Insurance and Financial Services Inc.
and Industrial Alliance Pacific General Insurance Corporation. Claims at TuGo® and TuGo® are registered trademarks owned
by North American Air Travel Insurance Agents Ltd. doing business as TuGo®.