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DESCRIPTION OF COVERAGE |
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Schedule of Coverages & Services |
Maximum Benefit Per Person |
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PART A. TRAVEL ARRANGEMENT PROTECTION | |
| Trip Cancellation |
Total Trip Cost |
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| Trip Interruption |
Total Trip Cost |
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| Trip Delay |
$1,000 CAD ($100 CAD/day) |
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The obligations of Insight Vacations under this contract are underwritten by Virginia Surety Company, Inc. |
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Extra Feature (Provided by Insight Vacations) | |
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Total Trip Cost (Insight Vacations Travel Certificates) |
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PART B. MEDICAL PROTECTION | |
| Emergency Evacuation and Repatriation of Remains |
$15,000 CAD |
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| Accident Medical Expense |
$1,000,000 CAD * |
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| Sickness Medical Expense | $1,000,000 CAD * |
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PART C. BAGGAGE PROTECTION | |
| Baggage/Personal Effects |
$2,500 CAD |
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| Baggage Delay |
$250 CAD |
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PART D. TRAVEL ACCIDENT PROTECTION | |
| Accidental Death & Dismemberment Air Common Carrier Only |
$100,000 CAD |
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| Any other Circumstance |
$25,000 CAD |
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PART E. WORLDWIDE EMERGENCY ASSISTANCE (ON-CALL INTERNATIONAL) |
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Traveler's Assistance Emergency Dental
and
Medical Care |
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| The benefits provided in this program are subject to certain restrictions and exclusions, including the Pre-Existing Condition limitation.
Please read this brochure in its entirety for a complete description of all
terms and conditions.
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PART A: TRAVEL ARRANGEMENT PROTECTION | |||||||||||||||||
Pre-Departure
Cancellation Waiver Benefit
When
You purchase this Travel Protection Plan, You also receive the Insight
Vacations Pre-Departure Cancellation Waiver Benefit that allows
You to cancel Your Insight Vacations travel arrangements 48 hours or
more before Your scheduled departure for any reason not covered by the Travel Protection Plan provisions.
When a cancellation that is not covered by the Travel
Protection Plan provisions occurs during a penalty period, Your
cancellation penalty will be refunded in Insight Vacations Travel
Certificates, with the balance of the refund made either in cash or by
credit card credit. Please Note: The Insight
Vacations Pre-Departure Cancellation Waiver Benefit applies only
if the Travel Protection Plan is purchased within two (2) days of Your
deposit or initial Trip payment for Your Trip and does not cover
penalties associated with air or other travel arrangements not
provided by Insight Vacations. Trip
Cancellation/Trip Interruption In the event You are prevented
from taking Your Trip because: (a) You or Your Traveling Companion
suffers a death or an Injury or Sickness which results in medically
imposed restrictions, as certified by a Physician, at the time of loss
preventing Your continued participation in the covered Trip, or a
non-traveling Immediate Family member suffers an Injury, Sickness, or
death; or (b) You or Your Traveling Companion (i) is hijacked,
quarantined, required to serve on a jury, or subpoenaed; (ii) has a home
made uninhabitable by fire, flood, volcano, earthquake, hurricane, or
other natural disaster; or (iii) is directly involved in a documented
traffic accident while en route to departure; (iv) are delayed or have
arrangements cancelled by a Common Carrier due to delays resulting from
inclement weather, mechanical breakdown, or organized labor strikes that
affect public transportation, provided (a) the scheduled carrier
connecting times must be no less than ninety (90) minutes or longer; and
(b) the scheduled time between arrival at the Scheduled Tour Departure
City and the scheduled Trip departure must be four (4) hours or longer;
(vi) being called into active military service to provide aid or relief
in the event of a natural disaster; or (vii) has a transfer of
employment of 250 miles or more; the Insurer will pay benefits up to
Your total Trip cost for: a) Trip
Cancellation – non-refundable cancellation
charges imposed by Insight Vacations; or the
additional costs You may incur as a result of a change in the per-person
occupancy rate of prepaid travel arrangements if a Traveling Companion
cancels his/her Trip for a covered reason and You do not cancel. b) Trip
Interruption – unused, non-refundable land
or sea expenses prepaid to Insight Vacations and/or the airfare paid, less
the value of applied credit from an unused return travel ticket, to
return home or rejoin the original Land/Sea Arrangements (limited to the
cost of one-way economy airfare by scheduled carrier, from the point of
destination to the point of origin shown on the original travel
tickets). Important:
The Sickness or Injury causing You to interrupt Your Trip must be
verified by a Physician before You terminate the Trip. In
no event shall the amount reimbursed exceed the amount You prepaid for
Your Trip. Special
Conditions:
You must advise Insight Vacations and BerkelyCare as soon as
possible in the event of a claim. The
Insurer will not pay benefits for any additional charges incurred that
would not have been charged had You notified these parties as soon as
reasonably possible. IMPORTANT: You
must be medically capable of travel on the day You purchase this
coverage. The event which
necessitated the trip cancellation/interruption must occur after Your
effective date of Trip Cancellation coverage. Benefits will not be paid for expenses not refunded in the
event of the Travel Supplier’s or Insight Vacations’ insolvency. The
Insurer will pay benefits for Covered Expenses, up to $1,000 CAD ($100
CAD per
day), if Your flight en route to or from Your Land/Sea Arrangements is
delayed for 12 hours or more due to inclement weather, strike or other
job action, or equipment failure of a Common Carrier; a traffic accident
en route to a departure in which You or Your Traveling Companion is not
directly involved; lost or stolen passports, travel documents, or money;
quarantine; hijacking; natural disaster including hurricane; civil
commotion or riot; Sickness, Injury, or death of You, Your Traveling
Companion, or an Immediate Family Member traveling with You.
Covered Expenses
include any reasonable additional expenses for meals and lodging, and
the cost of a one-way economy airfare ticket to catch up to the Land/Sea
Arrangements or return to the place of origin shown on
the travel documents.
Emergency
Evacuation and Repatriation of Remains The Insurer will pay benefits
for Covered Expenses up to $15,000 CAD if an Injury or Sickness commencing during the
course of the Trip results in Your necessary Emergency Evacuation. An Emergency Evacuation must be ordered by a legally licensed
Physician who certifies that the severity of Your Injury or Sickness
warrants an Emergency Evacuation. Emergency
Evacuations must be verified, approved, and arranged in advance by On
Call International. The
Insurer will also pay Repatriation of Remains benefits for
Transportation to return Your body to Your point of origin in the event
of Your death during Your Trip. The
Insurer will not cover any expenses provided by another party at no cost
to You or already included in the cost of the Trip. Emergency Evacuation
means: (a)
Your medical condition warrants immediate Transportation from the place
where You are injured or sick to the nearest hospital where appropriate medical treatment
can be obtained; and/or (b) after being treated at a local hospital,
Your medical condition warrants Transportation to Your origination point
to obtain further medical treatment or to recover. Covered Expenses
are customary and reasonable expenses, up to $15,000 CAD, for
Transportation, medical services, and medical supplies necessarily
incurred in connection with Your Emergency Evacuation.
Expenses for medical services and supplies must be recommended by
the attending Physician. All
Transportation arrangements made for Your evacuation must be by the most
direct and economical route possible.
Expenses for Special Transportation must be: (a)
recommended by the attending Physician; (b)
required by the standard regulations of the conveyance transporting You;
AND (c)
verified, approved, and arranged in advance by On Call International. Transportation means
any land, water, or air conveyance required to transport You during an
Emergency Evacuation. Special
Transportation includes, but is not limited to, air ambulances, land
ambulances, and private motor vehicles. Additional Covered Expenses:
If You are hospitalized for more than seven (7) days following a
covered Emergency Evacuation, the Insurer will pay: (a) to return Your
accompanying dependent children under 18 to their home, limited to the
cost of one-way economy airfare, less the value of applied credit from
an unused return travel ticket, with an attendant if necessary; and/or
(b) up to the cost of round-trip economy airfare to bring a person
chosen by You to and from Your bedside if You are traveling
alone. These expenses must
be authorized in advance by On Call International. The
Insurer will not cover any expenses provided by another party at no cost
to You or already included in the cost of the Trip. Repatriation of Remains
means the cost, according to airline tariffs, of the shipment of Your
deceased body to Your point of origin if You die during the Trip.
Covered Expenses
include, but are not limited to, expenses for embalming, cremation,
coffin for repatriation, and Transportation. PLEASE
NOTE:
In no event will
Covered Expenses for Emergency Evacuation and Repatriation of Remains
exceed $15,000 CAD. Accident
& Sickness Medical Expense The Insurer will pay benefits, up to $1,000,000 CAD*, if You incur necessary Covered Medical and Dental Expenses as a result of an Injury, or up to $1,000,000 CAD* if You incur necessary Covered Medical and Dental Expenses as a result of Sickness. The accident causing such Injury must occur while You are covered under the policy, and the Sickness must first manifest itself during Your Trip. You must receive initial treatment within ninety (90) days of the accident which caused the Injury or the onset of the Sickness. All services, supplies, or treatment must be received within 52 weeks of the date of the accident or the onset of the Sickness. Only dental expenses incurred during Your Trip are covered. * Note: The Accident & Sickness Medical Expense benefits of this plan are subject to a maximum benefit limit of $15,000 CAD for those persons who, at the time of a covered Injury or Sickness, do not have valid hospital and medical insurance under a Government Health Insurance Plan of a province or territory of Canada. Covered Medical and Dental Expenses
are necessary services and supplies which are recommended by the
attending Physician or dentist. They
include the services of a legally qualified Physician, surgeon, graduate
nurse, dentist, or osteopath; charges for hospital confinement and use
of operating rooms; charges for anesthetics (including administration);
x-ray examinations or treatments and laboratory tests; ambulance
service; drugs, medicines, and therapeutic services and supplies.
The Insurer will not pay benefits in excess of the reasonable and
customary charges commonly used by providers of medical care in the
locality in which the care is furnished. Important:
Medical Expense
benefits are subject to the Pre-Existing Condition limitation detailed
below and other Exclusions. PRE-EXISTING
CONDITIONS
The Insurer will not pay under coverages in Parts A
& B (EXCEPT EMERGENCY EVACUATION AND REPATRIATION OF REMAINS) for
any claims arising from any Injury, Sickness, or other condition
(INCLUDING ANY FROM WHICH DEATH ENSUES) affecting You, a Traveling
Companion, or an Immediate Family member booked to travel with You
which, WITHIN THE 90-day period before Your coverage
began under this PROTECTION plan: (A) first manifested itself or had
symptoms which would prompt a reasonable person to seek diagnosis, care,
or treatment; (B) required taking prescribed drugs or medicine, unless
the condition for which the prescribed drug or medicine was taken
remained controlled without any change in the required prescription; or
(C) required treatment or treatment was recommended by a Physician. important: We will WAIVE this Pre-Existing
Condition exclusion if You make payment for this coverage within two (2)
days of the date Your deposit or initial Trip payment is received by Insight
Vacations, provided that You are medically capable of travel on
the day You purchase this coverage.
Note: Satisfaction
of this prerequisite will be verified during claim processing. If
You have any questions concerning this exclusion, please call
BerkelyCare at 1-(866) 808-7161 for clarification.
The Insurer will reimburse You,
up to $2,500 CAD, for loss, theft, or damage to baggage and personal
effects. The Insurer will
pay the lesser of the following: original
cash value of the item less depreciation as determined by the Insurer;
or cost of repair or replacement. The
maximum benefit per article is $250 CAD.
There will be a combined maximum of $500 CAD for the following:
jewelry; watches; articles consisting in whole or in part of
silver, gold, or platinum; furs, articles trimmed with or made mostly of
fur; and lost cameras and their related equipment. You will be
reimbursed for expenses of necessary personal effects, up to $250 CAD, if
Your checked baggage is delayed or misdirected by a Common Carrier for
more than 24 hours from the time You arrived at the destination stated
on Your ticket. You must be
a ticketed passenger on a Common Carrier. EXCESS
COVERAGE PROVISION
THE COVERAGE PROVIDED UNDER PARTS A, B,
AND C SHALL BE IN EXCESS OF ALL OTHER VALID AND COLLECTIBLE INSURANCE OR
INDEMNITY AND SHALL APPLY ONLY WHEN SUCH OTHER BENEFITS ARE EXHAUSTED. Accidental
Death & Dismemberment If You sustain an Injury while
on the Trip which results in a loss of life, actual severance of limb,
or entire and irrecoverable loss of eyesight, speech, or hearing within
365 days of the date of the accident, the Insurer will pay the largest
applicable amount as follows: the
benefit amount shown in the Schedule of Coverages for death, loss of
speech and hearing in both ears, or loss of any combination of two
hands, feet, or eyes; one-half the benefit amount for loss of anyone of
these; and one-quarter the benefit amount for loss of thumb and index
finger of the same hand. In
no event will the Insurer pay more than the maximum benefit amount shown
on the Schedule of Coverages for all losses due to the same accident. The Air Common Carrier benefit
applies only to Injury sustained by You while in, on, boarding, or
alighting from an air conveyance organized and licensed for the
transportation of passengers for hire; or after being struck or run down
by an aircraft. Beneficiary: Your
estate, unless notice of a designated beneficiary is provided to
BerkelyCare.
On Call
International (On Call) provides a 24-hour emergency telephone
assistance service for Your benefit so that, in the event of an
emergency during the term of this coverage, English-speaking help and
advice may be furnished. Pre-Trip Health, Safety, & Weather Information On
Call can provide updated information on passport and visa requirements,
vaccination information, travel advisories, or even expected weather at Your
destination. Travel
Changes On
Call can effect changes to Your itinerary should delays or cancellations
affect Your flights or hotel reservations. Lost
Luggage Assistance On
Call can provide assistance in coordinating delivery or re-routing of
misplaced luggage when checked with a Common Carrier. Emergency
Cash Transfer Assistance If You need
emergency cash during Your Trip, On Call can help arrange a transfer
through Your credit cards, family, friends, employer, or similar source. Medical
Consultation &
Monitoring Should You
need local medical care during Your Trip, On Call can assist in
contacting Your personal
Physician
or family, if necessary, to provide information on the care You are
receiving. During the
course of Your Trip, You may visit many foreign countries. Should any problems arise requiring legal assistance, On Call
can help You find English-speaking local counsel. Emergency
Medical & Dental Assistance Unexpected
medical and dental emergencies can happen anywhere, anytime. You may be in unfamiliar surroundings when You suddenly need
medical or dental care. On
Call can help You locate an English-speaking Physician or dentist or the
nearest qualified medical facility, and can also assist in arranging for
special emergency medical transportation, such as an air ambulance. Lost
Travel Documents Assistance On Call’s
multilingual staff can provide assistance in handling unexpected
complications such as lost passports, tickets, luggage, or other
valuable travel documents or belongings. Emergency
Medical Payment Assistance Many foreign
hospitals require immediate settlement of bills before treatment or may
withhold Your passport until they receive full payment.
Physicians and hospitals worldwide can contact On Call to help
You arrange, if required, immediate settlement of Covered Medical
Expenses if other sources are not available. TO
ACCESS EMERGENCY ASSISTANCE, CALL
1-(800)
246-5249 OR, FROM
OUTSIDE THE U.S. OR CANADA, CALL
COLLECT: 1-(603) 898-9159 Note that
the problems of distance, information, and communications make it
impossible for Virginia Surety Company, Inc., BerkelyCare, or On Call
International to assume any responsibility for the availability,
quality, use, or results of any emergency service.
In all cases, You are still responsible for obtaining, using, and
paying for Your own required services of all types. 1. “Air Common Carrier” - means an air conveyance operating under a valid license for the transportation of passengers for hire. 2. “Common Carrier” - means an air, land, or sea conveyance operating under a valid license for the transportation of passengers for hire. 3.
“Immediate Family”
- means children, step- or adopted children, children-in-law, parents,
step-parents, parents-in-law, siblings, step-siblings, siblings-in-law,
grandparents, grandchildren, legal or common law spouse (including
Domestic Partner), aunts, uncles,
nieces, or nephews of You or Your Traveling Companion. 4.
“Domestic
Partner” – means
a person who is at least 18 years of age and has met the following
requirements for at least six (6) months: (1) resides with the
Insured; and (2) shares financial assets and obligations with the
Insured. The Insurer may require proof of the Domestic Partner
relationship in the form of a signed and completed Affidavit of Domestic
Partnership. 5.
“Injury” - means
bodily injury caused by an accident occurring while this plan is in
force and resulting directly and independently of all other causes in
loss covered by this plan. The
Injury must be verified by a Physician. 6.
“Insurer” - means Virginia Surety Company, Inc. 7.
“Land/Sea
Arrangements” - means land and/or sea arrangements made by Insight Vacations. 8.
“Physician” - means a licensed practitioner of the healing
arts acting within the scope of his/her license. The treating Physician may not be yourself, a Traveling
Companion, or an Immediate Family member. 9. “Scheduled Trip Departure City” – means a city where the scheduled land tour on which You are to participate originates. 10. “Sickness”
- means an illness or disease which is diagnosed or treated by a
Physician after the effective date of coverage and while You are
covered under this plan. 11.
“Travel Supplier” - means
the tour operator, cruise line, and/or airline providing travel
arrangements for Your Trip. 12.
“Traveling Companion”
- means one person who is booked to share accommodations with You on
Your Trip. 13. “Trip” - means prepaid Land/Sea Arrangements and shall include flight connections to join and depart such Land/Sea Arrangements, provided air arrangements are within ten (10) total days of the scheduled Land/Sea Arrangements. 14.
“You” or “Your” - means a person who has purchased a Trip and who has
paid the required plan cost for the coverage provided hereunder. Naturally,
as with any protection plan, limitations exist.
These exclusions enable us to provide a broad range of benefits
at an economical cost to You, without the necessity of medical
questionnaires, and to supplement Your existing insurance plans. THIS
PROTECTION PLAN DOES NOT COVER: IN PARTS A & B (except Emergency Evacuation and Repatriation of Remains): ANY
LOSS CAUSED BY OR RESULTING FROM:
Pre-Existing Conditions, unless this exclusion has been waived in
accordance with the parameters set forth following the Pre-Existing
Condition Exclusion section. IN PARTS A & B: ANY
LOSS CAUSED BY OR RESULTING FROM:
suicide or attempted suicide while sane; intentionally
self-inflicted injuries; Sickness or disease except as provided for in
the policy; war or any act of war whether declared or not; while serving
as a member of the armed services; while or as a result of riding in any
device for aerial navigation other than as provided for in the policy;
participation in any professional, semi-professional, or
inter-scholastic team sports; being under the influence of
drugs or intoxicants unless prescribed by a duly
licensed Physician; participation in any felonious act or attempt
thereat; scuba diving, unless it is recreational diving at less than 30
feet in depth; skydiving; snowskiing; hang gliding; parachuting (not
including parasailing); contests of speed; elective surgery; dental
treatment except as a result of Injury to sound, natural teeth; elective
abortion; normal pregnancy; mental or nervous disorders. IN PART C: ANY
LOSS OR DAMAGE TO: animals;
automobiles and their equipment; boats; motors; motorcycles; other
conveyances and their equipment (except bicycles while checked as
baggage with a Common Carrier); household furniture; eyeglasses,
sunglasses, and contact lenses; artificial teeth and dental bridges;
hearing aids; prosthetic limbs; money and securities; tickets and
documents; sporting equipment if loss or damage results from
the use thereof; personal computers. ANY LOSS CAUSED BY OR RESULTING FROM:
breakage of brittle or fragile articles, cameras, musical
instruments, radios, and similar property; wear and tear, gradual
deterioration; insects or vermin; inherent vice or damage; confiscation
or expropriation by order of any government; radioactive contamination;
war or any act of war whether declared or not; theft or pilferage while
left unattended in any vehicle; mysterious disappearance. 1) This
protection is valid only upon payment to Insight Vacations of the total
required plan cost in advance of any losses and will not cover any
losses suffered prior to purchase. 2) The Trip
Cancellation protection provided under Part A takes effect upon receipt
of the required plan cost by Insight Vacations and ends upon the
commencement of Your Land/Sea Arrangements. 3) The remaining
coverages and services provided take effect at 12:01 A.M. local time at
Your location on the contracted departure date of Your Land/Sea
Arrangements and terminate on the earlier of the following: (a) Your
return to Your origination point (as specified in the travel tickets);
or (b) 11:59 P.M. local time at Your location on the day the Land/Sea
Arrangements are scheduled to be completed; or (c) the date You cancel
Your Trip. 4) The
duration of coverage shall be extended when You commence/terminate air
travel from/to Your origination point within ten (10) total days
before/after the commencement/termination of the Land/Sea Arrangements. 1) TRIP
CANCELLATIONS CLAIMS:
Call Insight Vacations
and BerkelyCare IMMEDIATELY
to notify them of Your cancellation and to avoid any non-covered
expenses due to late reporting. BerkelyCare
will then forward the appropriate claim form which must be completed by
You AND THE ATTENDING PHYSICIAN, if applicable. 2) EMERGENCIES ARISING DURING YOUR Trip: For covered emergencies requiring evacuation or interruption of Your Trip, contact On Call International immediately at the following numbers: Within the U.S. and Canada: 1-(800) 246-5249 or, outside the U.S. and Canada, call collect*: 1-(603) 898-9159. Identify yourself by the above policy number and give the details of Your problem or medical emergency. * If You have any difficulty making this collect call, contact the local phone operator to connect You to a U.S.-based, long-distance service. In this case, please let the Assistance Provider answering the phone know the number You are calling from, so that he/she may call you back. Any charges for the call will be considered reimbursable benefits. 3) CLAIMS
NOTIFICATION UPON YOUR RETURN:
Report Your claim in writing as soon as possible to BerkelyCare.
Provide the policy number above, Your travel dates, and details
describing the nature of Your loss.
Upon receipt of this information, BerkelyCare will promptly
forward You the appropriate claim form to complete.
IMPORTANT: In
order to facilitate prompt claims settlement upon Your return, be sure
to obtain as applicable: detailed
medical statements from Physicians in attendance where the accident or
Sickness occurred; receipts for medical services and supplies; receipts
from the hospital; police reports or claims reports from parties
responsible (i.e., airline, cruise line, hotel, etc.) for loss, theft,
damage, or delay. In the
event of a baggage claim, receipts for damaged items will be required.
In the event of a baggage delay or trip delay claim, receipts for
any additional covered expenses will be required, as well as
verification of any delay. PLEASE
NOTE
- Payment for the plan may not be
accepted more than two (2) days after deposit for Your Trip has been
made to Insight Vacations. Protection
Plan fees are non-refundable. Eligibility
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This plan is available to Canadian residents only. This program was designed for the
IN CALIFORNIA: BerkelyCareSM is a service mark of Aon Direct Insurance Administrators, CA License # 0795465. IN ALL OTHER STATES: BerkelyCareSM is a division of Affinity Insurance Services, Inc. in all states other than CA, except: AIS Affinity Insurance Agency, Inc. in MN and OK and AIS Affinity Insurance Agency in NH and NY. For
additional information regarding this plan, 1-(866) 808-7161 or 1-(516) 294-0220 Office
Hours: 8AM -
9PM (EST), Monday -
Friday
Policy terms and conditions are briefly outlined in this Description of Coverage. Complete provisions pertaining to this protection plan are contained in the Master Policy on file with the trustee, Marine Bank, Springfield and Insight Vacations. In the event of any conflict between this Description of Coverage and the Master Policy, the Policy will govern. 8/05 |
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web version 11/05 For BerkelyCare Privacy Policy and Insurance Licensing Information, please visit TravelClaim.com
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