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two
coverage options
now
available
enhanced benefits with roundtrip choice
RoundTrip helps ensure that you are prepared in the event of an
accident, sickness or loss while traveling. By insuring your
non-refundable trip costs, you are protected against unforeseen events
that would cause your trip to be cancelled. In addition, you will receive
coverage for baggage protection, travel assistance services, accidental
death and dismemberment, and emergency medical evacuation and
repatriation.
RoundTrip offers enhanced benefits with RoundTrip Choice. Both policies
provide protection for your trip costs and your health while on your trip.
You can now choose Cancel for Any Reason with RoundTrip Choice.
We’ve optimized RoundTrip’s medical coverage for most travelers,
however, you may determine you need greater coverage for specific
benefits. Consider Liaison® International or other plans from Seven
Corners for up to $5,000,000 of international medical limits. We have a
plan that’s right for you.
protection plan outline
This brochure describes the highlights of our protection plan. Plan
details and an ID Card will be mailed to you after you have purchased
benefits or can be obtained immediately when using the online system.
These details provide complete information regarding the benefits,
exclusions and limits of the protection plan. Please read them carefully.
Note: Certain terms are defined in the Evidence of Benefits that will
be mailed to you with your confirmation.
eligibility
RoundTrip may be purchased if You are a resident of the United States
or if You purchase this plan within the United States.
Dependent Children are children of the Primary Applicant under 19 years
of age.

when you are eligible for benefits
"Effective Date" is 12:01 a.m. following the postmark of Your
enrollment form or the date You fax or transmit Your enrollment via the
Internet with the proper payment.
• trip cancellation and assistance services – Your eligibility
begins on Your Effective Date.
• trip delay / missed connection – In force while You are en route
to and from Your covered Trip.
• flight accident plan (if chosen) – Begins on the departure
date or the date Your completed enrollment form and fees are postmarked,
faxed, or transmitted via the Internet and ends when the Trip is completed
or after 30 days (unless additional days are purchased), whichever
comes first.
• collision damage waiver (if chosen) – Begins on the
departure date or the date Your completed enrollment form and fees are
postmarked, faxed, or transmitted via the Internet and ends when the Trip
is completed or after 30 days (unless additional days are purchased),
whichever comes first.
• cancel for any reason (if chosen) – Your eligibility
begins on Your Effective Date.
• all other coverages (includes trip interruption) – You
become eligible for benefits at 12:01 a.m. on Your scheduled departure
date or Your effective date whichever is later, and ends at the point and
time of return on the scheduled return date.
• maximum trip length – 30 days (unless additional days are
purchased).
trip cancellation/ interruption
The Company will pay a benefit, up to the maximum amount shown on the
Confirmation of Coverage, if You are prevented from taking Your Trip after
Your effective date* due to:
1. Sickness, Accidental Injury or death of You, Traveling Companion, or
Family Member or Business Partner; which results in medically imposed
restrictions as certified by a Physician at the time of loss preventing
Your continued participation in the Trip. A Physician must advise
cancellation of the Trip on or before the Scheduled Departure Date.
2. You or a Traveling Companion being hijacked, quarantined, required
to serve on a jury, subpoenaed, the victim of felonious assault within 10
days of departure; or having his/her principal place of residence made
uninhabitable by fire, flood or other natural disaster; or burglary of
his/her principal place of residence within 10 days of departure.
3. You or a Traveling Companion being directly involved in a traffic
accident substantiated by a police report, while en route to departure.
4. A transfer of You by the employer with whom You are employed on the
Effective Date that requires Your principal residence to be relocated.
5. The death or hospitalization of Your Host at
Destination.
6. A Terrorist Incident that occurs in a city listed
on Your Trip itinerary and within 30 days prior to Your Scheduled
Departure Date. This same city must not have experienced a Terrorist
Incident within the 90 days prior to the Terrorist Incident that is
causing the cancellation of Your Trip. Benefits are not provided if the
Travel Supplier offers a substitute itinerary. Your Scheduled Departure
Date must be no more than 15 months beyond Your Effective Date.
7. Your Traveling Companion or Family Member, who
are military personnel, and are called to emergency duty for a natural
disaster other than war.
8. Strike that causes complete cessation of services
for at least 48 consecutive hours.
9. Weather that causes complete cessation of
services of the Common Carrier for at least 48 consecutive hours.
10. Bankruptcy and/or Default of Your Travel
Supplier that occurs more than 10 days following Your Effective Date.
Coverage is not provided for the Bankruptcy or Default of the travel
agency from whom You purchased the Land/Sea Arrangements. Your Scheduled
Departure Date must be no more than 15 months beyond Your Effective Date.
Benefits will be paid due to Bankruptcy or Default of an airline only if
no alternate transportation is available. If alternate transportation is
available, benefits will be limited to the change fee charged to allow You
to transfer to another airline in order to get to Your intended
destination.
11. You are terminated, or laid off from employment
subject to five years of continuous employment at the place of employment
where terminated.
12. Natural disaster at the site of Your destination
that renders their destination accommodations uninhabitable.
trip cancellation
The Company will reimburse You for the following:
1. Non-refundable cancellation charges imposed by
the Travel Supplier.
2. If the Travel Supplier cancels Your Trip, then
You are covered up to $75.00 for the reissue fee charged by the airline
for the tickets. You must have covered the entire cost of the Trip
including the airfare.
In no event shall the amount reimbursed exceed the
amount You prepaid for the Trip.
trip interruption
The Company will reimburse You for the following if Your Trip is
cancelled for any of the reasons listed above under Trip Cancellation/Trip
Interruption:
The Company will pay for the following:
(a) Unused, non-refundable land or sea expenses prepaid to the Travel
Suppliers;
(b) The airfare paid less the value of applied credit from an unused
travel ticket to return home, join or rejoin the original Land/Sea
Arrangements limited to the cost of one-way economy airfare or similar
quality as the originally issued ticket by scheduled carrier.
The Company will pay for reasonable additional accommodation and
transportation expenses incurred by You (up to $100 a day) if a Traveling
Companion must remain hospitalized, or if You must extend the Trip with
additional hotel nights due to a Physician certifying that You cannot fly
home due to an Accident or a Sickness but does not require
hospitalization.
In no event shall the amount reimbursed exceed the maximum benefit
shown on the Confirmation of Coverage.
trip delay
The Company will reimburse You for Covered Expenses on a one-time
basis, up to the maximum amount shown in the Confirmation of Coverage, if
You are delayed en route to or from the Trip for twelve (12) or more hours
due to a defined Hazard:
Covered Expenses include:
1. Any prepaid, unused, non-refundable land and water accommodations;
2. Any reasonable additional expenses incurred;
3. An Economy Fare from the point where You ended Your Trip to a
destination where You can catch up to the Trip; or
4. A one-way Economy Fare to return You to Your originally scheduled
return destination.
missed connection
This benefit covers missed Cruise departures that result from
cancellation or delay (for three or more hours) of all regularly
scheduled airline flights due to Inclement Weather or any Common Carrier
caused delay. Maximum benefits up to the
amount shown in the Confirmation of Coverage are provided to cover
additional transportation expenses needed for You to
join the departed Cruise, reasonable accommodation and meal
expenses (up to the per day amount shown in the Confirmation of
Coverage) and non-refundable Trip payments for the
unused portion of Your Cruise. Coverage is secondary to any compensation
provided by a Common Carrier. Coverage will not be provided to individuals
who are able to meet their scheduled departure but cancel their Cruise due
to Inclement Weather.
emergency medical sickness
& accident expense
The Company will pay benefits
up to the maximum amount shown on the Confirmation of Coverage, if You
incur Covered Medical Expenses as a result of Emergency Treatment of a
Sickness or Accidental Injury that first manifests itself during the Trip.
Emergency Treatment means necessary medical treatment, including services
and supplies, that must be performed during the Trip due to the serious
and acute nature of the Sickness. Covered Medical Expenses are
necessary services and supplies that are recommended by the attending
Physician. They include but are not limited to: 1. The services of a
Physician; 2. Charges for Hospital confinement and use of operating rooms;
3. Charge for anesthetics (including administration); x-ray examinations
or treatments, and laboratory tests; 4. Ambulance service; and 5. Drugs,
medicines, prosthetics and therapeutic services and supplies. If You
are hospitalized due to a Sickness that first occurred during the course
of the scheduled Trip beyond the date of the Scheduled Return Date,
coverage will be extended until You are released from the Hospital or
until maximum benefits under the Group Policy have been paid. The
Company will pay benefits, up to $750.00, for emergency dental treatment
for Accidental Injury to sound natural teeth.
emergency medical
evacuation/ repatriation
The Company will pay benefits
for Covered Expenses incurred, up to the maximum amount shown on the
Confirmation of Coverage, if an Accidental Injury or Sickness commencing
during the course of the Trip results in Your necessary Emergency
Evacuation. An Emergency Evacuation must be ordered by a Physician who
certifies that the severity of Your Accidental Injury or Sickness warrants
Your Emergency Evacuation.
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;
(b) after being treated at a local Hospital, Your
medical condition warrants transportation to the United States where You
reside, to obtain further medical treatment or to recover; or
(c) both (a) and (b), above.
Covered Expenses are reasonable and customary
expenses for necessary transportation, related medical services and
medical supplies incurred in connection with Your Emergency Evacuation.
All transportation arrangements made for evacuating You must be by the
most direct and economical route possible. Expenses for transportation
must be:
(a) recommended by the attending Physician;
(b) required by the standard regulations of the
conveyance transporting You; and
(c) authorized in advance by the Company or its
authorized representative.
Transportation of Dependent Children: If You are in
the Hospital for more than seven (7) days following a covered Emergency
Evacuation, the Company will return Your dependents, who are under
nineteen (19) years of age and accompanying You on the scheduled Trip, to
the domicile of a person nominated by You or Your next of kin with an
attendant if necessary.
Transportation to Join You: If You are traveling
alone and are in a Hospital alone for more than seven (7) consecutive days
or if the attending Physician certifies that due to Your Injury or
Sickness, You will be required to stay in the Hospital for more than seven
(7) consecutive days, upon request the Company will bring a person, chosen
by You, for a single visit to and from Your bedside provided that
repatriation is not imminent.
Transportation services are provided if authorized
in advance by the assistance provider, and are limited to necessary
economy fares less the value of applied credit from unused travel tickets,
if applicable.
Transportation means any Common Carrier, or other
land, water or air conveyance, required for an Emergency Evacuation and
includes air ambulances, land ambulances and private motor vehicles.
The Company will not cover any expenses provided by
another party at no cost to You or already included within the cost of the
Trip.
excess insurance limitation
The insurance provided by the Plan shall be in excess of all other
valid and collectible insurance or indemnity. If at the time of the
occurrence of any loss there is other valid and collectible insurance or
indemnity in place, the Company shall be liable only for the excess of the
amount of loss, over the amount of such other insurance or indemnity, and
applicable deductible.
repatriation of remains
The Company will pay the reasonable Covered Expenses incurred to return
Your body to Your primary place of residence if You die during the Trip.
This will not exceed the maximum amount shown on the Confirmation of
Coverage.
Covered Expenses include, but are not limited to, expenses for
embalming, cremation, casket for transport and transportation.
lost baggage
The Company will reimburse You, Your Family Member up to the maximum
amount shown on the Confirmation of Coverage, for loss, theft or damage to
baggage and personal effects, provided
You have taken all reasonable measures to protect, save and/or recover
Your property at all times. The baggage and personal effects must be owned
by and accompany You during the Trip.
This coverage is secondary to any coverage provided by a Common Carrier
and all other valid and collectible insurance indemnity and shall apply
only when such other benefits are exhausted.
baggage delay
The Company will reimburse You for the expense of necessary personal
effects, up to the maximum amount shown on the Confirmation of Coverage,
if Your Checked Baggage is delayed or misdirected by a Common Carrier for
more than twenty-four (24) hours, while on a Trip, except for travel to
final destination or place of residence.
accidental death & dismemberment (ad&d)
You will receive benefits for loss of life or dismemberment due to an
accidental injury while on Your Trip.
optional collision damage waiver
Note: this benefit is not available if traveling to the following
countries: Israel, Jamaica, Republic of Ireland or Northern Ireland.
If You rent a car while on the Trip, and the car is damaged due to
collision, theft, vandalism, windstorm, fire, hail, flood or any cause not
within Your control while in Your possession, the Company will pay the
lesser of:
(a) The cost of repairs and rental charges imposed by the rental
company while the car is being repaired; or
(b) The Actual Cash Value of the car, meaning purchase price less
depreciation; or
(c) The amount shown on the Confirmation of Coverage.
Coverage is provided to You, provided You and Your Traveling Companions
are licensed drivers and are listed on the rental agreement. Coverage
is not available to residents of Texas and Oregon.
optional cancel for any reason
(RoundTrip Choice Plan Only)
If You cancel Your Trip for any reason not otherwise covered by this
plan, the Company will reimburse You for seventy-five percent on deposits
You paid for Your Trip provided:
(a) Your plan payment is received within ten (10) days of the date Your
initial deposit/payment for Your Trip is received; and
(b) You insure all prepaid Trip costs that are subject to cancellation
penalties or restrictions; and
(c) You also insure within ten (10) days of the payment for those
arrangements the cost of any subsequent arrangements (or any other
arrangements not made through Your travel agent) added to Your Trip; and
(d) You cancel Your Trip two (2) days or more before Your Scheduled
Departure Date.
when benefits do not apply
Pre-Existing Conditions, as defined in the Definitions section
(except Emergency Evacuation and Repatriation of Remains) unless the
insurance is purchased within 10 days of the initial Trip deposit;
suicide, attempted suicide or any intentionally self-inflicted injury
while sane or insane (in Missouri, sane only) unless resulting in
the death of a non-traveling immediate Family Member; intentionally
self-inflicted injuries; war, invasion, acts of foreign enemies,
hostilities between nations (whether declared or not), civil war;
participation in any military maneuver or training exercise; any loss
starting while You are in the service of the armed forces of any country.
Orders to active military service for training purposes of two months or
less will not constitute service in the armed forces. Upon notice to the
Company of entering the armed forces, the Company will return to You- pro
rata any premium paid, less any benefits paid, for any period during which
You are in such service; piloting or learning to pilot or acting as a
member of the crew of any aircraft; mental or emotional disorders, unless
hospitalized; participation as a professional in athletics; participation
in underwater activities; being under the influence of drugs or
intoxicants, unless prescribed by a Physician, unless results in the death
of a non-traveling immediate Family Member; commission or the attempt to
commit a criminal act; participating in bodily contact sports; skydiving;
hang-gliding; parachuting; mountaineering; any race; bungee cord jumping;
and speed contest (speed contest shall not include any of the regatta
races, SCUBA diving, spelunking or caving, heliskiing, extreme skiing)
dental treatment except as a result of an injury to sound natural teeth
within twelve (12) months of the Accidental Injury limited to $750; any
non-emergency treatment or surgery, routine physical examinations, hearing
aids, eye glasses or contact lenses; pregnancy and childbirth (except
for complications of pregnancy) except if hospitalized; curtailment or
delayed return for other than covered reasons; traveling for the purpose
of securing medical treatment; services not shown as covered; directly or
indirectly, the actual, alleged or threatened discharge, dispersal,
seepage, migration, escape, release or exposure to any hazardous
biological, chemical, nuclear radioactive material, gas, matter or
contamination; Confinement or treatment in a government Hospital; however
the United States government may recover or collect benefits under certain
conditions; Care or treatment that is not medically necessary; Care or
treatment for which compensation is payable under Worker’s Compensation
Law, any Occupational Disease law; the 4800 Time Benefit plan or similar
legislation; Care or treatment that is payable under any Insurance policy
that does not require deductible and/or coinsurance payments by You;
Injury or Sickness when traveling against the advice of a Physician;
Cosmetic surgery except for: reconstructive surgery incidental to or
following surgery for trauma, or infection or other covered disease of the
part of the body reconstructed, or to treat a congenital malformation of a
child.
The following exclusions apply to Baggage/Personal Effects and Baggage
Delay.
The Company will not provide benefits for any Loss or damage to:
1. Animals;
2. Automobiles and automobile equipment;
3. Boats or other vehicles or conveyances;
4. Trailers;
5. Motors;
6. Motorcycles;
7. Aircraft;
8. Bicycles (except when checked as baggage with a Common Carrier);
9. Household effects and furnishing;
10. Antiques and collectors’ items;
11. Eyeglasses, sunglasses or contact lenses;
12. Artificial teeth and dental bridges;
13. Hearing aids;
14. Prosthetic limbs;
15. Prescribed medications;
16. Keys, money, stamps, securities and documents;
17. Tickets;
18. Credit cards;
19. Professional or occupational equipment or property, whether or not
electronic business equipment;
20. Personal computers, telephones, computer hardware or software;
21. Sporting equipment if Loss or damage results from the use thereof.
Any Loss caused by or resulting from the following is excluded:
1. Breakage of brittle or fragile articles;
2. Wear and tear or gradual deterioration;
3. Insects or vermin;
4. Inherent vice or damage while the article is actually being worked
upon or processed;
5. Confiscation or expropriation by order of any government;
6. War or any act of war whether declared or not;
7. Theft or pilferage while left unattended in any vehicle;
8. Mysterious disappearance;
9. Property illegally acquired, kept, stored or transported;
10. Insurrection or rebellion;
11. Imprudent action or omission;
12. Property shipped as freight or shipped prior to the Scheduled
Departure Date.
The following exclusions apply to Collision Damage Waiver:
1. Any obligation the Insured assumes under any agreement
(except insurance collision deductible);
2. Rentals of trucks, campers, trailers, off-road or four-wheel drive
vehicles, motor bikes, motorcycles, recreational vehicles or Exotic
Vehicles;
3. Any loss that occurs if the Insured is in violation of the rental
agreement;
4. Failure to report the loss to the proper local authorities and the
rental car company;
5. Damage to any other vehicle, structure or person as a result of a
covered loss.
The following duties in the event of loss apply to Collision Damage
Waiver:
1. The Insured must take all reasonable, necessary steps to protect the
vehicle and prevent further damage to it;
2. The Insured must report the loss to the appropriate local
authorities and the rental company as soon as possible;
3. The Insured must obtain all information on any other party involved
in an Accident, such as name, address, insurance information and driver’s
license number;
4. The Insured must provide the Company all documentation such as
rental agreement, police report and damage estimate.
when "pre-existing" applies
The Pre-Existing Conditions exclusion is waived for You if You enroll
in the Group Policy at the time You pay the deposit required for Your Trip
(or within 10 days of the initial deposit)
and You
purchase the coverage under the Group Policy for the full cost of Your
Trip.
Pre-Existing Condition means any injury, sickness or condition of You,
Your Traveling Companion, Your Family Member booked to travel with You for
which within the sixty (60) day period prior to the Effective Date of Trip
Cancellation coverage under the Group Policy (a) first manifested itself
or exhibited symptoms that would have caused one to seek diagnosis, care
or treatment; (b) required taking prescribed drugs or medicine, unless the
condition for which the prescribed drug or medicine is taken remains
controlled without any change in the required prescription; or (c)
required medical treatment or treatment was recommended by a Physician.
definitions
actual cash value
means purchase
price less depreciation.
common carrier means any land, sea, and/or air conveyance operating
under a valid license for the transportation of passengers for hire.
covered expenses shall mean expenses incurred by You which are for
medically necessary services, supplies, care, or treatment; due to Illness
or Injury; prescribed, performed or ordered by a Physician; reasonable and
customary charges; incurred while
insured under the Group Policy; and which do not exceed the maximum
amount shown in the Confirmation of Coverage, under each stated benefit.
family member means You or Your Traveling Companion’s legal or
common law spouse, parent, legal guardian, step-parent, grandparent,
parents-in-law, grandchild, natural or adopted child, stepchild,
children-in-law, brother, sister, stepbrother, stepsister, brother-in-law,
sister-in-law, aunt, uncle, niece or nephew, who reside in the United
States, Canada or Mexico.
land/sea arrangements means any activities undertaken by You while
in the Individual Coverage Term.
sickness means an illness or disease which is diagnosed or treated
by a Physician after the effective date of insurance and while You are
covered under the Group Policy.
traveling companion means person(s) booked to accompany You on Your
Trip (to a maximum or four (4) persons including You). Note, a
group or tour leader is not considered a Traveling Companion unless You
are sharing room accommodations with the group or tour leader.
travel supplier means tour operator, cruise line, hotel etc. who
has made the land and/or sea arrangements.
trip means prepaid Land/Sea Arrangements and shall include flight
connections to join or depart such Land/Sea Arrangements provided such
flights are scheduled to commence within one day of the Land/Sea
Arrangements. Maximum Trip duration is 90 days.
you or your refers to all persons listed on the Confirmation of
Coverage under the program purchased by You.
claim questions
& situations
After You have enrolled, You will receive an Evidence of Benefits and
an ID Card, which will describe all aspects of the program, as well as who
to contact in case of an emergency or if a claim should occur. The
Assistance Company should be contacted if You require assistance while on
Your Trip. When purchasing Your Trip, be sure to keep all documentation.
This information will be required in order to process any claim.
Products underwritten by Nationwide Mutual Insurance Company,
Nationwide Life Insurance Company and Nationwide Mutual Fire Insurance
Company.
Please see Evidence of Benefits for Specific State filings, and/or
change in benefits.
assistance
with travel
pre-trip information:
Provide information concerning inoculation and
visa requirements for countries worldwide
weather information:
Concerning local weather conditions
exchange rate information:
Present-Day currency rates, etc.
embassy referral:
Providing contact information for the nearest
embassies around the world
interpreter referral:
Contact information for interpreters around
the world
lost passport:
Provide directions for lost passport recovery
to insureds while traveling outside of their home country
emergency message:
In the event of a medical emergency,
assistance in relaying urgent messages to family, friends, or business
associates at the insured’s request
hotel accommodation:
In case of insured’s hospitalization outside
of their home country, assistance in locating hotel accommodation for
insured’s traveling companion
medical assistance
while traveling
24-hour telephone contact:
Should medical emergencies arise, there is
help in locating medical care
conference calls:
Arranging telephone conferences between your
attending and home physicians
second opinions:
Arranging second medical opinions in hospital
cases
emergency messages:
Relaying emergency messages to family and
employer during medical emergencies
payment guarantee:
Guarantee or payment of medical bills or
authorizing medical benefits according to the program for eligible
benefits only.
ticketing services:
24-hour ticketing service to arrange emergency
family visits
medical evacuations:
Arranging emergency medical evacuation from
medically underserved areas
repatriation:
Arranging medical transportation home after
treatment
medical / travel escorts:
Arranging escorts and transportation for
unaccompanied children
medical records:
Arranging transfer of medical records
remains return:
Arranging repatriation of remains for deceased
travelers

ENROLLMENT
IS EASY
- Read the
entire brochure and complete the Roundtrip Application in full. Plan
cost for the entire package is due at the time of application.
Remember: Benefits must be purchased for the full cost of the trip.
- If paying by
check or money order, make payable to: "Seven Corners" and enclose
it together with completed Application.
- If paying by
credit card, complete the Application and mail or fax to ISA. Be
sure to sign the Method of Payment section (for all payment
methods).
Return the
Application with your payment to:
ISA
1757 E. Baseline Rd, Ste 126
Gilbert, AZ
85233
Fax: 480-821-9297
(credit card orders)
Phone: 800-647-4589
or 480-821-9052
Email:
health@woldwidemedical.com (You may fax if
paying by credit card only. Originals are not required if application is
faxed with credit card payment.)
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