Common use of GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE Clause in Contracts

GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at ▇▇-▇▇, ▇▇▇ ▇▇ ▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, company governed by the French Insurance Code having its headquarters at ▇ ▇▇▇▇▇▇▇▇▇ ▇▇ ▇▇ ▇▇▇▇▇▇▇▇ – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 4th ▇▇▇▇▇, ▇-▇ ▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇ ▇, ▇▇▇ ▇▇▇▇, Ireland, registered in Ireland under certificate n° 907089. In the event of hospitalization: Mandatory call to the Assistance Centre Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of hospitalization in the country of residence (Spain), mandatory call to the Assistance Centre Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Other than hospitalization Up to 100% of actual costs Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of medical expenses other than hospitalization in the country of residence (Spain) Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Psychiatric and psychological care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Not covered Maximum per person: 300 € / 333 $ Maximum per person: 600 € / 666 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 € / 222 $ Maximum per person: 200 € / 222 $ Maximum per person: 400 € / 444 $ Real costs Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum per person: 200 € / 222 $ Maximum per person: 400 € / 444 $ Maximum per person: 800 € / 888 $ Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to an accident Maximum 420 € / 462 $ Dispatch of essential medication unobtainable locally Real costs Repatriation of the policy holder to their home Real costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment of a travel ticket for one or two of the policy holder’s family members (in the event of extended hospitalization or for the identification of the policy holder’s body) Maximum per person: 1,400 € / 1,540 $ if hospitalization is in excess of 3 days 2,800 € / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Repatriation of the remains in the event of the death of the policy holder Real costs Coffin costs in the event of the death of the policy holder 2,000 € / 2,200 $ Early return of the policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ Baggage loss, theft or damage Maximum per policy holder: 3,000 € / 3,330 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 € / 222 $ per person And Maximum 1,000 € / 1,100 $ per event Death benefit Amount per policy holder: 15,000 € / 16,650 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 € / 111,000 $ Relative excess for disability: NONE Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 € / 1,110,000 $ Maximum property liability: 500,000 € / 555,000 $ Legal assistance included In the event of a delay of more than 24 hours compared to the scheduled time Excess per claim: 24 hours Compensation amount: 70 € / 77 $ per additional 24 hours Maximum: 420 E / 462 $ per person

Appears in 1 contract

Sources: Assistance Agreement

GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at ▇▇-▇▇, ▇▇▇ ▇▇ ▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, company governed by the French Insurance Code having its headquarters at ▇ ▇▇▇▇▇▇▇▇▇ ▇▇ ▇▇ ▇▇▇▇▇▇▇▇ – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 4th ▇▇▇ ▇▇▇▇▇, ▇-▇ ▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇ ▇, ▇▇▇ ▇▇▇▇, Ireland, registered in Ireland under certificate n° 907089. In the event of hospitalization: Mandatory call to the Assistance Centre Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of hospitalization in the country of residence (Spain), mandatory call to the Assistance Centre Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Other than hospitalization Up to 100% of actual costs Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of medical expenses other than hospitalization in the country of residence (Spain) Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Psychiatric and psychological care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Not covered Maximum per person: 300 192 € / 333 211 $ Maximum per person: 600 385 € / 666 423 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 140 € / 222 154 $ Maximum per person: 200 140 € / 222 154 $ Maximum per person: 400 280 € / 444 308 $ Real Actual costs Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum per person: 200 140 € / 222 154 $ Maximum per person: 400 280 € / 444 308 $ Maximum per person: 800 560 € / 888 616 $ Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to an accident Maximum 420 € / 462 $ Dispatch of essential medication unobtainable locally Real costs Repatriation of the policy holder to their home Real costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment of a travel ticket for one or two of the policy holder’s family members (in the event of extended hospitalization or for the identification of the policy holder’s body) Maximum per person: 1,400 € / 1,540 $ if hospitalization is in excess of 3 days 2,800 € / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Repatriation of the remains in the event of the death of the policy holder Real costs Coffin costs in the event of the death of the policy holder 2,000 € / 2,200 $ Early return of the policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ Baggage loss, theft or damage Maximum per policy holder: 3,000 2,000 € / 3,330 2,310 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 175 € / 222 192 $ per person And Maximum 1,000 € / 1,100 $ per event Death benefit Amount per policy holder: 15,000 10,500 € / 16,650 11,550 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 52,500 € / 111,000 57,750 $ Relative excess for disability: NONE Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 750,000 € / 1,110,000 832,500 $ Maximum property liability: 500,000 385,000 € / 555,000 423,600 $ Legal assistance included In the event of a delay of more than 24 hours compared to the scheduled time Excess per claim: 24 hours Compensation amount: 70 € / 77 $ per additional 24 hours Maximum: 420 E ▇▇▇ ▇ / 462 ▇▇▇ $ per person

Appears in 1 contract

Sources: Assistance Agreement

GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at ▇▇-▇▇, ▇▇▇ ▇▇ ▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, company governed by the French Insurance Code having its headquarters at ▇ ▇▇▇▇▇▇▇▇▇ ▇▇ ▇▇ ▇▇▇▇▇▇▇▇ – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 4th ▇▇▇ ▇▇▇▇▇, ▇-▇ ▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇ ▇, ▇▇▇ ▇▇▇▇, Ireland, registered in Ireland under certificate n° 907089. In the event of hospitalization: Mandatory call to the Assistance Centre Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of hospitalization in the country of residence (Spain), mandatory call to the Assistance Centre Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Other than hospitalization Up to 100% of actual real costs Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of medical expenses other than hospitalization in the country of residence (Spain) Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Psychiatric and psychological care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Not covered Maximum per person: 300 € / 333 $ Maximum per person: 600 € / 666 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 € / 222 $ Maximum per person: 200 € / 222 /222 $ Maximum per person: 400 € / 444 $ Real costs Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum per person: 200 € / 222 $ Maximum per person: 400 € / 444 $ Maximum per person: 800 € / 888 $ Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to an accident Maximum 420 € / 462 $ Dispatch of essential medication unobtainable not available locally Real costs Repatriation of the policy holder to their home Real costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment of a travel ticket for one or two of the policy holder’s family members (in the event of extended hospitalization or for the identification of the policy holder’s body) Maximum per person: 1,400 € / 1,540 $ if hospitalization is in excess of 3 days 2,800 € / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Repatriation of the remains in the event of the death of the policy holder Real costs Coffin costs in the event of the death of the policy holder 2,000 € / 2,200 $ Early return of the policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ Baggage loss, theft or damage Maximum per policy holder: 3,000 € / 3,330 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 € / 222 $ per person And Maximum 1,000 € / 1,100 $ per event Death benefit Amount per policy holder: 15,000 € / 16,650 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 € / 111,000 $ Relative excess for disability: NONE Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 € / 1,110,000 $ Maximum property liability: 500,000 € / 555,000 $ Legal assistance included In the event of a delay of more than 24 hours compared to the scheduled time Excess per claim: 24 hours Compensation amount: 70 € / 77 $ per additional 24 hours Maximum: 420 E ▇▇▇ ▇ / 462 ▇▇▇ $ per person

Appears in 1 contract

Sources: Assistance Agreement

GENERAL TERMS AND CONDITIONS FOR ASSISTANCE SERVICES AND INSURANCE COVERAGE. This collective insurance contract has been subscribed by AVI INTERNATIONAL with EUROP ASSISTANCE, also acting in the name and on behalf if its Irish branch, EUROP ASSISTANCE SA IRISH BRANCH. AVI International – Les Assurances de Paris, simplified joint stock insurance and reinsurance brokerage company with a share capital of 100,000 euros, registered with the ORIAS under n° 07 000 002 and with the Paris company registration office under the number 323 234 575, with its headquarters at ▇▇-▇▇, ▇▇▇ ▇▇ ▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇. EUROP ASSISTANCE, a French company with a share capital of 35,402,786 €, registered at the Nanterre company register office under the number 451 366 405, company governed by the French Insurance Code having its headquarters at ▇ ▇▇▇▇▇▇▇▇▇ ▇▇ ▇▇ ▇▇▇▇▇▇▇▇ – 92230 GENNEVILLIERS. Also acting in the name and on behalf of its Irish branch, of which the trading name is EUROP ASSISTANCE SA IRISH BRANCH, and of which the main establishment is at 4th ▇▇▇▇▇, ▇-▇ ▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇ ▇, ▇▇▇ ▇▇▇▇, Ireland, registered in Ireland under certificate n° 907089. In the event of hospitalization: Mandatory call to the Assistance Centre Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of hospitalization in the country of residence (Spain), mandatory call to the Assistance Centre Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Other than hospitalization Up to 100% of actual costs Maximum entire world: 1,000,000 € / 1,100,000 $ Number of events: unlimited Excess per claim: NONE In the event of medical expenses other than hospitalization in the country of residence (Spain) Maximum: 50,000 € / 55,000 $ Excess per claim: NONE Psychiatric and psychological care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Not covered Maximum per person: 300 192 € / 333 211 $ Maximum per person: 600 385 € / 666 423 $ Reeducation, kinesitherapy, chiropractic: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Following an accident Maximum per person: 200 140 € / 222 154 $ Maximum per person: 200 140 € / 222 154 $ Maximum per person: 400 280 € / 444 308 $ Real Actual costs Emergency dental care: Trip less than 3 months Trip from 3 to 6 months Trip over 6 months Maximum per person: 200 140 € / 222 154 $ Maximum per person: 400 280 € / 444 308 $ Maximum per person: 800 560 € / 888 616 $ Dental care consecutive to an accident (orthodontic treatment) Maximum per person and per tooth: 420 € / 462 $ Optician expenses (spectacles/contact lenses) consecutive to an accident Maximum 420 € / 462 $ Dispatch of essential medication unobtainable locally Real costs Repatriation of the policy holder to their home Real costs Return of an accompanying policy holder 1st class rail travel or economy class flight Payment of a travel ticket for one or two of the policy holder’s family members (in the event of extended hospitalization or for the identification of the policy holder’s body) Maximum per person: 1,400 € / 1,540 $ if hospitalization is in excess of 3 days 2,800 € / 3,080 $ if hospitalization is in excess of 7 days (two persons) Accommodation expenses for one or two members of the family (in the event of hospitalization or for the identification of the policy holder’s body) 70 € / 77 $ per night limited to 1,050 € /1,155 $ 105 € / 115 $ per night limited to 1,575 € / 1,732 $ (for both persons) Payment of the extended trip costs for the policy holder 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Payment of the extended trip costs for the accompanying party 150 € / 165 $ per night limited to 1,500 € / 1,650 $ maximum total First class train travel or economy class flight Repatriation of the remains in the event of the death of the policy holder Real costs Coffin costs in the event of the death of the policy holder 2,000 € / 2,200 $ Early return of the policy holder in the event of the hospitalization or death of a family member One-way ticket (economy class) for trips of less than 5 months Return ticket (economy class) for trips longer than 5 months Legal assistance in a foreign country Maximum per policy holder: 3,000 € / 3,300 $ Advance of bail in a foreign country Maximum per policy holder: 7,500 € / 8,250 $ Advance of funds Maximum per policy holder: 1,000 € / 1,100 $ Transmission of urgent messages Real costs Search and rescue costs Maximum per policy holder: 2,000 € / 2,200 $ Maximum per event: 15,000 € / 16,500 $ Baggage loss, theft or damage Maximum per policy holder: 3,000 2,000 € / 3,330 2,310 $ Limit per valuable item: 350 € / 385 $ per item Maximum valuables: 700 € / 770 $ Baggage delayed over 24 hours Excess per claim: 24 hours Maximum 200 175 € / 222 192 $ per person And Maximum 1,000 € / 1,100 $ per event Death benefit Amount per policy holder: 15,000 10,500 € / 16,650 11,550 $ Permanent accidental disability benefit Maximum per policy holder: up to 100,000 52,500 € / 111,000 57,750 $ Relative excess for disability: NONE Private civil liability in a foreign country Maximum physical injury liability: 1,000,000 750,000 € / 1,110,000 832,500 $ Maximum property liability: 500,000 385,000 € / 555,000 423,600 $ Legal assistance included In the event of a delay of more than 24 hours compared to the scheduled time Excess per claim: 24 hours Compensation amount: 70 € / 77 $ per additional 24 hours Maximum: 420 E / 462 $ per person

Appears in 1 contract

Sources: Assistance Agreement