 | Phone: (800)-335-0477 (Weekdays, 8:00am - 5:00pm EST) |
 | E-mail: [email protected] |
 | Mail: Seven Corners, Inc 303 Congressional Boulevard Carmel, Indiana 46032 |
FILING A CLAIM
You can download the appropriate claim form under Your
travel protection plan from www.usa-assist.com (Customer Service / Claims
section). To report a claim You should complete the form and send it to the
Claim Administrator with all required information and documents as soon as
possible but no later than 30 days from the date of your occurrence.
To facilitate prompt claims settlement, You will be asked to
provide proof of Your loss and proof of residency. Therefore, be sure to obtain
the following as applicable:
∼ For medical claims: detailed medical statements from treating
physicians where and when the Accident or Sickness occurred as well as receipts
for medical services and supplies; also your personal doctor medical history;
∼ For baggage delay claims: reports from parties
responsible (i.e. airline, cruiseline, etc.) for delay;
∼ For trip delay claims: a statement from party causing
delay and receipts for expenses;
∼ For cancellation / interruption claims: Your travel
invoice, the cancellation or interruption date, original unused
tickets/vouchers, the travel organizer's cancellation clause with regard to
nonrefundable losses. You will also be asked to provide proof of payment.
∼ For all claims: copy of your passport and paper air
ticket or boarding pass.
Note: Your may lose your rights to eligible benefits and claim
case will be closed after 90 day period of no response from You with the
requested necessary documentation.
IMPORTANT
∼ During an emergency (whether
prior to admission, during a hospitalization or after Your release from the
hospital), the Insurer reserves the right to: a) transfer You to one of its
preferred health care providers; and/or b) return You to Your country of
residence, for the medical treatment of Your sickness or injury, provided that
this will not represent danger to Your life or health. The Insurer will make
every provision for Your medical condition when choosing and arranging the mode
of your transfer or return and, in the case of a transfer, when choosing the
hospital. If you choose to decline the transfer or return when declared medically
stable by the Insurer, the Insurer will be released from any liability for
expenses incurred for such sickness or injury after the proposed date of
transfer or return.
∼ No benefits will be paid for any expenses reimbursed
to You or services provided to You by any other source. Benefits cannot be
duplicated under Your Protection Plan.
∼ Unless You otherwise designate a beneficiary, or in
the event the designated beneficiary predeceases You, indemnity for loss of
life will be paid to the first of the following surviving beneficiaries: Your
spouse; child or children, jointly; parents, jointly if both are living, or the
surviving parent, if only one survives; brothers and sisters jointly; or Your
estate.
∼ If You have two USA-ASSIST Plans that duplicate benefits,
You will be paid up to the highest benefit amount under only one Protection
Plan for each trip.
∼ Protection Plan cost is non-refundable.
Benefits under Your Protection Plan are supported by
Guardian Life of the Caribbean Ltd. rated A- (Excellent) by AM Best.
QUESTIONS AND INFORMATION Contact your agent, broker or USA-ASSIST
USA-ASSIST® Group Affinity Coverage
marketed by International Travel Assist, LLC
+1 310 694-8453
+1 877 539-8619 (Toll Free)
www.usa-assist.com
www.internationaltravelassist.com