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WORLDWIDE TRAVEL

COVER TERMS
AND CONDITIONS
2
WELCOME TO VITALITYHEALTH 4

TRAVEL BENEFIT – YOUR COVER EXPLAINED 7


LEGAL EXPENSES 20
– DEFINITIONS 20
– BENEFITS 21
– INSURED INCIDENTS WE WILL COVER 22
– EXCLUSIONS WHICH APPLY TO THE WHOLE SECTION 22
– GENERAL CONDITIONS APPLYING TO THE WHOLE SECTION 23
– HOW TO REPORT A CLAIM 26
TRAVEL BENEFIT – WHAT’S NOT COVERED 27
GENERAL EXCLUSIONS 31
DEFINITIONS 32

3
WELCOME TO VITALITYHEALTH

ABOUT THIS DOCUMENT TRAVEL BENEFIT – YOUR COVER EXPLAINED


These are the terms and conditions of our In this section we’ve set out the rules on
travel cover. They are in addition to, where paying benefits under your Worldwide Travel
appropriate, the terms and conditions of your Cover and some specific exclusions that
main VitalityHealth plan and both should be apply to each benefit.
read as if they are one document. You only
The remaining exclusions applying to your
have this cover if your company chose it and
travel cover are contained within the ‘Travel
it shows in your certificate of insurance.
benefit – what’s not covered’ section. All
We have tried to make sure this document benefits are per insured person unless
is as clear and straightforward as possible. stated otherwise.
There are, however, certain words that have
special meaning that we’d like to draw to IMPORTANT NOTES
your attention: You and your insured dependants can only
claim benefit for the items listed in the
We/us/our – means VitalityHealth (Vitality benefit table and in any official notice or
Health Limited – the insurer that underwrites endorsement we issue while the plan is in
the plan). force. We don’t pay for any costs that aren’t
directly related to the benefit you’re claiming
You/your – means the insured member and
for. For instance, we don’t pay for loss of
insured dependants.
earnings if you fall ill or are injured whilst
We have printed the remaining defined abroad, nor for extra costs because your pet
words in bold to help you identify them as dog or cat has had to stay longer in a kennel
you read through this document. or cattery.

You’ll find a full explanation of each word You can only claim under the section
in the ‘Definitions’ section at the back of ‘Overseas medical and other expenses’ of
this document or in your main terms and the benefit table in cases of emergency. By
conditions document. emergency, we mean you need immediate
medical treatment that the attending medical
practitioner confirms cannot wait until you
return to the UK. Non-urgent cases that can
reasonably be delayed should wait until you
return to the UK.

4
Cover for business trips is only available to a medical emergency, they will give you
insured members who are employed by the help and advice and, if necessary, arrange
company, and does not include your insured emergency repatriation.
dependants.
You must contact Allianz Global Assistance in
This cover only applies to holidays and the event of an illness or accident which may
business trips outside the UK. No cover is lead to in-patient treatment or before any
available for trips within the UK. arrangements are made for repatriation. Calls
to Allianz Global Assistance may be recorded
You are covered for any number of holidays
and monitored, to improve customer service.
or business trips of up to 120 days each, per
plan year. No cover will apply for an illness Allianz Global Assistance will normally only
or injury that arises after the 120th day of handle cases involving an in-patient stay
any one trip. In the case of cover under the or other serious emergency. Allianz Global
‘winter sports’ section, this is limited to a total Assistance will not normally guarantee costs
of 21 days per insured person in any one for claims that involve out-patient treatment
plan year. only. You will need to pay these costs yourself
at the time you receive treatment and submit
If the main purpose of your holiday or
a claim for reimbursement to VitalityHealth
business trip is to take part in a particular
when you return to the UK.
activity, for example hazardous sports, you
must contact us first to make sure you are We will only consider a claim under sections
covered. ‘Loss of or damage to personal belongings’
and ‘Loss of personal money’ if you tell the
You and your insured dependants must:
Police, in the country where the theft or
• take all reasonable steps to avoid, or loss occurred, (and, if appropriate, the tour
keep to a minimum, any loss, damage or operator or their carriers or agents) within 24
expense, and hours of discovering the loss. You must also
get a written report.
• make every reasonable effort to recover
any lost property you are claiming for If you, or your insured dependants or, in the
under this plan. case of business travel, your employer, have
taken out insurance covering travel, personal
If any incident leads to a claim, you must
liability, household contents or all risks, we’ll
complete a claim form and send it to our
only pay our share of the insured risk.
customer services team within 31 days of the
holiday or business trip finishing. If you tell Where a single incident results in a claim on
us that the supporting documents are not more than one of the benefits, you will only
available in time, we may give you longer to need to pay the excess once. The excess
provide them and confirm this decision applied will be the highest excess that
in writing. applies to any benefit you claim for.

If you need medical treatment, we will pay for If you claim for medical expenses under your
treatment at the nearest appropriate facility, travel cover and your treatment continues
which may not always be a private hospital. on your return to the UK, that treatment will
then become a new claim under your private
Allianz Global Assistance runs a 24-hour
health insurance plan and will be subject to
emergency service for your benefit. So in
its terms and conditions.

5
IMPORTANT REGULATORY INFORMATION You can check our authorisation on the
VitalityHealth is a trading name of Vitality Financial Services Register by visiting the
Health Limited and Vitality Corporate Financial Conduct Authority’s website:
Services Limited. Vitality Health Limited, www.fsa.gov.uk/register/home.do
registration number 05051253 is the insurer or by contacting them directly on
that underwrites this insurance plan. Vitality 0800 111 6768
Corporate Services Limited, registration
number 05933141 acts as an agent of Vitality PURPOSE OF THIS COVER
Health Limited and arranges and provides
This cover is designed to meet the
administration on insurance plans
needs of businesses who wish to provide
underwritten by Vitality Health Limited.
their employees with cover against the
Registered office at 3 More London financial impact of unforeseen events which
Riverside, London, SE1 2AQ. might take place whilst they are travelling.
Registered in England and Wales. To ensure you are completely confident that
this cover will meet your needs, we would
Vitality Corporate Services Limited is
advise you to read this plan document
authorised and regulated by the Financial
in conjunction with your certificate of
Conduct Authority. Vitality Health Limited
insurance to ensure that it meets any
is authorised by the Prudential Regulation
specific requirements you might have.
Authority and is regulated by the Financial
Conduct Authority and the
Prudential Regulation Authority.

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TRAVEL BENEFIT – YOUR COVER EXPLAINED
OVERSEAS MEDICAL AND OTHER EXPENSES
WHAT’S COVERED WE WILL PAY WE WILL NOT PAY
Charges for emergency in- Full cover* up to the cost of • for treatment for, or
patient hospital treatment: that hospital’s standard expenses arising from, a
single room. tropical disease where you
• accommodation, nursing,
or your insured dependant
drugs prescribed in a ward,
have not had the NHS
intensive care
recommended inoculations
• operating theatre charges, and / or taken the NHS
surgical dressings and drugs recommended medication

• surgical appliances needed • for treatment for the same or


as a vital part of an operation related condition for longer
than 24 months, starting
• diagnostic tests, including from the date of the insured
pathology, radiology, CT, person’s first treatment. This
MRI and PET scans. limit is reduced to 12 months
The fees of surgeons, if the insured person is aged
Full cover*
anaesthetists, physicians, 65 or over at the time of their
physiotherapists and first treatment
specialists for in-patient and • the first £50 of every claim
out-patient treatment. (this does not apply when
The cost of an ambulance to claiming under the transfer
Full cover*
transport you to hospital. of body or ashes back to the
UK benefit or under burial/
The use of wheelchairs and Full cover* cremation outside of the UK)
crutches to support your
condition until your return • for treatment or help given
to the UK. in the UK

With the prior approval of Full cover* • for surgery, medical or dental
Allianz Global Assistance: treatment which the medical
practitioner, treating you or
• the reasonable additional your insured dependant, and
accommodation costs and Allianz Global Assistance
travelling expenses for one agree can be reasonably
person required on medical delayed until returning to
advice to travel to, or to the UK
remain behind with, a sick or
injured insured person who is
travelling for pleasure

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OVERSEAS MEDICAL AND OTHER EXPENSES (CONTINUED)
WHAT’S COVERED WE WILL PAY WE WILL NOT PAY
• the reasonable additional Full cover* • for surgery, medical or
accommodation costs dental treatment where you
if you or your insured or your insured dependant
dependant are required travel against medical
on medical advice to stay advice or against the health
beyond your scheduled requirements of the airline,
return date. Additional ship or other public transport
accommodation should be provider you are using
of the same standard as the
• claims where you or your
accommodation booked for
insured dependant were
the scheduled part of the trip.
travelling after being
Repatriation expenses (the Full cover* diagnosed by a medical
reasonable additional cost of practitioner as having a
returning home), if, during a terminal condition, unless
holiday or business trip: you’ve told us about this
diagnosis and we’ve agreed
• you or your insured
in writing to cover the trip,
dependant have to go into
before the departure date
hospital immediately as a
direct result of a serious • the costs of repatriation
injury or sudden illness, and where this has not been
approved and arranged by
• a doctor chosen by Allianz
Allianz Global Assistance
Global Assistance decides
or any other individual or
that you or your insured
company acting on our
dependant must be taken
behalf. We will not pay any
immediately to a hospital in
air travel costs that are more
the UK.
than a return economy /
If you or an insured dependant tourist class ticket unless
die: medically necessary

• the cost of transferring the Full cover* • if repatriation was against
body or ashes back to the UK medical advice
(but not funeral and burial
• for treatment for cosmetic
costs), or
purposes.
• the cost of burial or Up to £1,000
cremation outside of the UK.

* The maximum overall benefit for each insured person per holiday or business trip is £10,000,000.

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LOSS OF OR DAMAGE TO PERSONAL BELONGINGS
WHAT’S COVERED WE WILL PAY WE WILL NOT PAY
Loss of or damage to personal Up to £2,000 for each insured • the first £50 of every claim
belongings either taken on person per holiday or the
• claims for theft, loss of, or
or bought by an insured insured member per business
damage to:
person during the holiday, or trip.
the insured member during – contact or corneal
up to £500 for any one item,
the business trip, or sent on lenses, spectacles or
pair or set of articles
in advance. sunglasses
In the event of loss or damage,
In the event of a theft or loss, – hearing aids
we’ll decide to:
all items must be reported to
the Police, in the country where – sports and leisure
• pay the cost of repairing
the theft or loss occurred, equipment while in use
the item; or
within 24 hours of discovering – ski and snowboarding
the loss and a written report • replace the item; or
equipment (this is
must be obtained. If the theft • pay the cost of replacing covered under the
or loss occurred in a hotel you the item ‘Winter sports' section)
must have also reported it to
the hotel management within whichever is the most suitable – business equipment
24 hours. option in our opinion. Where (e.g. company laptops
we pay the cost of replacing an and mobile phones),
When travelling, valuables item, we’ll deduct an amount goods or samples
should be kept with you at all for wear and tear.
– stamps or documents
times and not put in suitcases
(e.g. tourist visas, driving
that are being checked in.
licences)

– dental or medical aids


and appliances (e.g.
mouth guards, foot
supports and neck
collars)

– musical instruments

– vehicles and motor


accessories

– pedal cycles

– boats and ancillary


equipment.

Additional exclusions apply to


‘Loss of or damage to personal
belongings’ – please see the
section ‘Travel benefit – what’s
not covered’.

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LOSS OF PERSONAL MONEY

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


Loss of personal money. Up to £1,000 for each insured • the first £50 of every claim.
person per holiday or the
This must be reported to the
insured member per business
Police, in the country where
trip.
the theft or loss occurred, Additional exclusions apply to
within 24 hours of discovering (maximum of £50 per ‘Loss of personal money’ –
the loss and a written report insured person under the please see the section ‘Travel
must be obtained. If the loss age of 16). benefit – what’s not covered’.
occurred in a hotel, you must
have also reported it to the
hotel management within
24 hours.

Please note: this payment is


subject to proof of withdrawal
of the currency and a
deduction may be made for
the days of the trip that have
elapsed since the loss.

LOSS OF OR DAMAGE TO BUSINESS MACHINES

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


Loss of or damage to your Up to £1,000 for the insured • the first £50 of every claim.
business machines either member per business trip.
• claims for loss or damage
taken on or bought during the
caused by normal wear and
business trip, or sent on In the event of a damage
tear, gradual deterioration,
in advance. claim we will pay, at our
mechanical or electrical
option, the cost of either
breakdown or fault.
Please note: this benefit is only replacement or repair.
available for business trips. Additional exclusions apply to
‘Loss of or damage to business
machines’ – please see the
section ‘Travel benefit – what’s
not covered’.

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DELAYED DEPARTURE

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


Should the ship, aircraft, £50 for each insured person. • in circumstances where the
train or coach that you or tour operator or transport
your insured dependants provider has requested
are booked to travel on be you do not travel to the
delayed by at least 12 hours departure airport
because of strike, industrial
• should you fail to check-in
action, bad weather or
according to the official
mechanical breakdown.
itinerary, unless it was
caused by a strike, industrial
action or bad weather

• in circumstances where a
ship, aircraft, train or coach
is taken out of service on
the recommendation of a
Port Authority, Civil Aviation
Authority or any similar
transport regulating body
either for mechanical or
safety reasons. This includes
where air space is closed
due to volcanic ash
If the delay becomes longer £50 for each insured person. Additional exclusions apply to
than 24 hours then we will ‘Delayed departure’ – please
pay a further: see the section ‘Travel benefit –
what’s not covered’.

The maximum benefit


payable is £100 for
each insured person per
holiday or the insured
member per business
trip.

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MISSED DEPARTURE

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


Additional transport costs to Up to £500 for each insured • the first £50 of every claim
enable you and your insured person per holiday or the
• costs to recover your
dependants to reach your insured member per business
vehicle
international departure point trip.
or destination following • costs to repair your vehicle
failure of public transport, or
your vehicle breaking down en • for the insured person not
route to the departure point or allowing sufficient time for
destination. their journey

To make a claim for missed • for non-mechanical


departure due to vehicle breakdown
breakdown you must provide • for delays caused by strike
evidence of the breakdown, or industrial action which has
i.e. a report by the breakdown started or was announced
recovery provider. before the insured
person made their travel
arrangements

• when the scheduled public


transport operator has offered
reasonable alternative travel
arrangements.

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CANCELLING THE TRIP OR CUTTING IT SHORT

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


This applies if you or your Up to the cost of the • the first £50 of every claim
insured dependants have to holiday or business trip
• for expenses that should be
cancel the holiday or you (the but no more than £4,000
paid by the tour operator,
insured member) has to cancel for each insured person
hotel or provider of transport
the business trip, or have per holiday or the insured
to cut it short or change the member per business • if the illness or death leading
itinerary after the departure trip. to the cancellation could
date as a direct and necessary reasonably have been
result of any of the following: foreseen at time of booking
• illness or death of an insured • for anything that the
person, close relative or any provider of transport or
person you or your insured accommodation, or an
dependants intend to travel agent the travel arrangements
with, stay with or do business were made through, fails
with during the holiday or to do
business trip (please note:
for claims for cancellation or • for not wanting to travel
cutting the trip short due to or if the financial
illness, we require a medical circumstances change
report from the attending for any insured person.
medical practitioner) However, we do include
loss of employment through
• you or your insured redundancy that qualifies
dependants, or any person for payment under current
you or they intend to travel redundancy law
with, stay with or do business
with during the holiday or • for extra charges from the
business trip, being placed tour operator above basic
in quarantine, summoned brochure prices
for jury service, called as a • for failing to tell the travel
witness in a court of law or agent, tour operator or
hijacked provider of transport or
• you or your insured accommodation as soon
dependants being declared as it becomes necessary to
redundant within the terms of cancel or cut short the travel
the Employment Protection arrangements
Act (or any later employment • for any illegal act or criminal
law). This benefit does not proceedings against
apply for business trips. any person the holiday
or business trip depends
on (unless attending a court
under summons as
a witness).

Continued on page 14

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CANCELLING THE TRIP OR CUTTING IT SHORT – CONTINUED

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


• your or your insured • in circumstances where a
dependants’ normal home ship, aircraft, train or coach
becoming unfit to live in after is taken out of service on the
accidental damage recommendation of a Port
Authority, Civil Aviation
• you or your insured
Authority or any similar
dependants being told to
transport regulating body
stay at home by the Police
either for mechanical or
after theft at your home or
safety reasons. This includes
place of business
where air space is closed due
• the ship, aircraft, train or to volcanic ash
coach you or your insured
• claims where the airline or
dependants intend to
holiday provider has gone
travel on being delayed by
into liquidation (gone out of
at least 24 hours as a direct
business).
result of strike, industrial
action, bad weather Additional exclusions apply to
conditions or mechanical ‘Cancelling the trip or cutting it
breakdown. short’ – please see the section
‘Travel benefit – what’s not
If a holiday or business trip
covered’.
is cancelled because of any
of the above circumstances,
we will pay all deposits and
advance payments that
are lost,
or
If a holiday or business trip has
to be cut short because of any
of the above circumstances,
we will pay for lost deposits
and the portion of transport or
accommodation that you’ve
paid for but which has not
been used,
or
In the event that an insured
person or close relative falls
seriously ill or dies, we will pay
the cost of the flight to return
to the UK early.

Please note: we will not pay for


the costs or portion of costs for
anyone travelling with you who
is not covered by this plan.

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PERSONAL ACCIDENT

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


We will pay compensation £25,000 for death of • if in active service in any of
if an insured person has an an insured person the armed services of any
accident during the holiday, over the age of 16 nation
or the insured member has an
accident during the business £1,000 for death of • if under the influence of
trip, which is the only cause of: an insured person alcohol or drugs, unless as
under the age of 16 prescribed by a medical
• death
practitioner
• loss of at least one limb or £25,000 for loss of at
eye, or least one limb or • for a breach of the law
eye or permanent
• permanent total disablement total disablement • when driving a motor
within 12 months of vehicle where you or your
the accident. If six or more insured insured dependant’s
persons are injured or blood/urine alcohol level is
Loss of an eye means die in the same accident over the legally permitted
permanent loss of all sight in whilst travelling abroad limit for the country you
that eye. on business, our liability are in.
is restricted to an overall
Loss of a limb means having
maximum of £150,000.
a hand or foot cut off at, or
above, the wrist or ankle.

The permanent total


disablement benefit only
applies to an insured person
over the age of 16 at the date
of the accident. It means being
totally unable to do any job
for at least 12 months after
the accident and then being
beyond reasonable hope of
improvement.

We can never pay more than


one of the benefits under this
section.

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PERSONAL LIABILITY

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


Legal liability to someone else Up to £2,000,000 for • for injury to employees or
as a direct result of accidental each insured person per liability to a member of
bodily injury to any person holiday or the insured your family
(other than to a member of member per business trip.
• for claims arising from
your family), or accidental loss
animals belonging to, or in the
of, or damage to, property
care, custody or control of, an
belonging to someone
insured person
else.
• for any deliberate, malicious
In respect of a business or illegal act
trip, cover is restricted to
circumstances arising strictly • for owning or occupying land
in the insured member’s or buildings (except living in a
private capacity and not whilst temporary home)
following any trade, business • for owning, possessing or using
or profession (or supplying of vehicles, aircraft, watercraft or
goods or services). firearms

• for owning, possessing or


using non-wheeled
mechanically propelled
vehicles such as snow mobiles
and jet skis

• legal costs, fines or


compensation orders
resulting from any criminal
action

• whilst being under the influence


of alcohol or drugs, unless
as prescribed by a medical
practitioner.

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LOSS OF PASSPORT

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


If your or your insured Up to £250 for each • the first £50 of every claim
dependant’s passport is lost insured person per holiday
• following confiscation by
or stolen during a holiday or or the insured member per
Customs, Police or any other
business trip, we will pay the business trip.
authority
reasonable additional travel
and accommodation expenses • for theft or loss – unless it
needed to get a replacement was reported to the Police,
passport or similar document in the country where the
to allow you to finish your theft or loss occurred, or to
trip. We will also pay for any the carrier within 24 hours
administrative charges made of discovering the theft or
by the relevant authority for loss and where an
providing the replacement appropriate report
passport or similar document. was obtained
For you to qualify for this • for theft or loss from a hotel,
benefit you must provide unless it was reported to
us with receipts of any extra the hotel management within
expenditure incurred as a 24 hours of discovering it and
direct result of the loss of your a written report was obtained
passport.
• the cost of getting a
replacement passport after
your return to the UK.

DELAYED BAGGAGE

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


The cost of buying essential Up to £200 for each • the first £50 of every claim
items of clothing and other insured person per holiday
• where you or your insured
necessities resulting from your or the insured member per
dependants have not
or your insured dependant’s business trip.
obtained a report from the
baggage being delayed or
carrier or, in the case of an
misdirected by your carrier
airline, a Property Irregularity
outbound from the UK for
Report confirming the delay
more than 12 hours from
to your baggage.
the time you or your insured
dependant arrive at the
overseas destination.

For you to qualify for this


benefit you must provide us with:

• written confirmation from


your carrier that your
baggage was delayed for
more than 12 hours

• receipts for all items bought


as a direct result of your
baggage being delayed.

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REPLACEMENT EMPLOYEE TRAVELLING COSTS

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


The cost of a return air ticket, Up to £1,000. • the first £50 of every claim.
of the same class of travel
as that paid by the insured
member on their outward
trip, to enable a business
colleague, where necessary, to
replace the insured member
in a work capacity, if they are
hospitalised for two nights or
more, deceased or repatriated,
on the business trip.

The company must be able


to justify in writing why a
replacement is required.

Please note: this benefit is only


available for business trips.

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WINTER SPORTS – COVER IS LIMITED TO 21 DAYS IN TOTAL IN A PLAN YEAR

WHAT’S COVERED WE WILL PAY WE WILL NOT PAY


Loss of, or damage to, ski and Up to £500 for each • the first £50 of every claim
snowboarding equipment insured person per
• for claims arising after a total
plan year.
If your ski and snowboarding of 21 days of winter sports
equipment is lost or stolen, or if it is holiday per plan year
In the event of a
damaged while in the custody of a
damage claim we will Additional exclusions apply to
tour operator or airline, we’ll pay for its
pay the cheaper of ‘Winter sports’ – please see the
replacement or repair, less a deduction
either replacement section ‘Travel benefit – what’s
for wear and tear. If your ski and
or repair. not covered’.
snowboarding equipment is hired, we
will pay for the loss of the deposit you
have paid, but not for the equipment’s
replacement.

The loss or theft must be reported to


the Police, in the country where the
theft of loss occurred, within 24 hours
of discovering the loss and a written
report must be obtained. If the loss
occurred in a hotel you must have also
reported it to the hotel management
within 24 hours.

Loss of ski pass Up to £500 for each


If your ski pass is lost or stolen, we will insured person per
reimburse you for the number of days plan year.
that are left on your pass on the date
you report the theft or loss.
£30 per day, up to
Piste closure
£500 for each insured
If the piste at your resort is closed
person per plan year.
due to:

• the non-function of ski lifts, or

• avalanche, bad weather or lack of


snow.

Loss of use of hired skis and ski pass Up to £500 for each
If you are unable to ski because you insured person per
are ill or injured, we will reimburse you plan year.
for the cost of your hired skis and ski
pass, for the number of whole days
that you are unable to use them. For
you to qualify for this benefit you must
provide us with:

• written confirmation from the


attending medical practitioner that
you were unable to ski due to illness
or injury, and

• proof that no refund was available in


respect of your ski hire and ski pass.

19
LEGAL EXPENSES

This benefit is underwritten by DAS Legal Expenses Insurance Company Ltd, DAS House,
Quay Side, Temple Back, Bristol BS1 6NH. Although this benefit is subject to the terms and
conditions of this plan, the benefit also has its own terms and conditions. We’ve included
them within this section so that the benefit is easier to understand.

DEFINITIONS This means that contract disputes arising


When used in this section only, certain words outside these countries are not eligible for
have special meanings, which are set out this benefit.
below. In this section only, ‘we/us/our’ For claims relating to bodily injury, ‘countries
refers to DAS Legal Expenses Insurance covered’ means: worldwide.
Company Limited.
DAS Standard Terms of Appointment
The remaining defined words are shown in
bold print throughout this section. The amount we will pay to an appointed
representative that apply to the relevant type
Appointed representative of claim, which could include a conditional
The preferred law firm, law firm, accountant fee agreement (no-win, no-fee).
or other suitably qualified person we will
Date of occurrence
appoint to act on your behalf.
This is the date of the event for which the
Costs and expenses
insured person is claiming. If there is more
(a) All reasonable and necessary costs than one event arising at the same time or
chargeable by the appointed from the same originating cause, the date
representative and agreed by us in of occurrence is the date of the first of
accordance with the DAS Standard these events.
Terms of Appointment.
Insured incident
(b) The costs incurred by opponents in
civil cases if you have been ordered Any incident covered under this section.
to pay them, or you pay them with
Insured person
our agreement.
The insured member and any member of
Countries covered their family who always live with the insured
For claims relating to contract disputes member. Anyone claiming under this section
‘countries covered’ means the following: must have the insured member’s agreement
The European Union, the Isle of Man, the to claim.
Channel Islands, Albania, Andorra, Bosnia
Herzegovina, Gibraltar, Iceland, Liechtenstein,
Macedonia, Monaco, Montenegro, Norway,
San Marino, Serbia, Switzerland and Turkey.

20
Preferred law firm What we will pay
A law firm or barristers’ chambers we We will pay an appointed representative,
choose to provide legal services. These on the insured persons behalf, costs and
legal specialists are chosen as they have the expenses incurred following an insured
proven expertise to deal with the insured incident, provided that:
person’s claim and must comply with our
a) the most we will pay for all claims resulting
agreed service standard levels, which we
from one or more event arising at the same
audit regularly. They are appointed according
time or from the same originating cause is
to the DAS Standard Terms of Appointment.
£25,000
Reasonable prospects b) the most we will pay in costs and expenses
For civil cases, the prospects that the insured is no more than the amount we would have
person will recover losses or damages paid to a preferred law firm
(or obtain any other legal remedy that we
c) in respect of an appeal or the defence of
have agreed to, including an enforcement
an appeal, the insured person must tell
of judgment), make a successful defence
us within the time limits allowed that they
or make a successful appeal or defence of
want to appeal. Before we pay the costs
an appeal, must be at least 51%. We, or a
and expenses for appeals, we must agree
preferred law firm on our behalf, will assess
that reasonable prospects exist
whether there are reasonable prospects.
d) for an enforcement of judgment to recover
BENEFITS money and interest due to the insured
The legal expenses benefit covers the person after a successful claim under
insured person. We agree to provide the this plan, we must agree that reasonable
benefits described in this section as long as: prospects exist, and

• the insured person is still covered under e) where an award of damages is the only
this plan, and legal remedy to a dispute and the cost of
pursuing legal action is likely to be more
• the plan is still in force on the date of than any award of damages, the most we
occurrence of the insured incident and it will pay in costs and expenses is the value
occurs within the countries covered, and of the likely award.
• any legal proceedings will be dealt with by
What we will not pay
a court, or other body we agree to, within
the countries covered, and In the event of a claim, if the insured person
decides not to use the services of a preferred
• reasonable prospects exist for the duration law firm, the insured person will be
of the claim responsible for any costs that fall outside the
DAS Standard Terms of Appointment and
these will not be paid by us.

21
INSURED INCIDENTS WE WILL COVER Exclusions specifically applying to the bodily
injury cover
Contract disputes
Claims relating to the following are not
We will negotiate for the following:
covered:
The insured person’s legal rights in
• any illness or bodily injury which happens
a contractual dispute arising from an
gradually or is not caused by a specific or
agreement or an alleged agreement which
sudden accident
the insured person has entered into, for:
• defending the insured person’s legal rights,
• the buying or hiring of any goods or
but defending a counter-claim is covered
services, or
• any psychological injury or mental illness
• the selling of any goods,
unless the condition follows a specific or
regarding a contract for the insured person’s sudden accident that has caused physical
holiday or business trip. bodily injury to the insured person.

However • clinical negligence.

• the insured person must have entered into


EXCLUSIONS WHICH APPLY TO THE WHOLE
the agreement or alleged agreement while
SECTION
the insured person was still covered under
this plan, and We will not pay for the following:

• the amount in dispute must be more • a claim where the insured person has failed
than £100. to notify us of the insured incident within a
reasonable time of it happening and where
Exclusions specifically applying to the this failure adversely affects the prospect
contract disputes cover of successfully recovering damages (or
Claims relating to the following are getting any other legal remedy that we
not covered: have agreed to) or of making a successful
defence
• a contract regarding an insured person’s
profession, business or employment • any costs and expenses incurred before
our written acceptance of a claim
• tenancy of land or buildings
• an incident or matter arising before the
• construction work on any land, or designing, insured person’s cover start date
converting or extending any building
• fines, penalties, compensation or damages
• a contract involving a motor vehicle which the insured person is ordered to pay
• the settlement payable under an by a court or other authority
insurance policy. • any claim intentionally brought about by an
insured person
Bodily injury
We will negotiate for the insured person’s • any claim which is fraudulent, exaggerated
legal rights after an event which causes or dishonest or where an allegation of
the death of, or bodily injury to, an insured dishonesty or alleged violent behaviour
person during their holiday or business trip. has been made against the insured person

22
• any claim relating to written or verbal remarks GENERAL CONDITIONS APPLYING TO THE
which damage an insured person’s reputation WHOLE SECTION

• a dispute with us except in the 1) On receiving a claim, if legal


circumstances described under ‘general representation is necessary, we will
conditions, item 7’, on page 24 appoint a preferred law firm or
in-house lawyer as the insured person’s
• costs and expenses arising from or relating appointed representative to deal with
to Judicial Review, coroner’s inquest or fatal the insured person’s claim. They will try
accident inquiry to settle the insured person’s claim by
• any legal action an insured person takes negotiation without having to go
which we or the appointed representative to court.
have not agreed to, or where an insured If the appointed preferred law firm or
person does anything that hinders us or our in-house lawyer cannot negotiate
the appointed representative settlement of the insured person’s claim
• any claim where an insured person may and it is necessary to go to court and
be one of a number of people involved in legal proceedings are issued or there
a legal action resulting from one or more is a conflict of interest, then the insured
events arising at the same time or from the person may choose a law firm to act as
same cause which could result in the court the appointed representative.
making a Group Litigation Order. If the insured person chooses a law firm
• any claims caused by, or arising from, as the appointed representative who is
pressure waves caused by aircraft or any not a preferred law firm, we will give the
other airborne devices travelling at sonic insured person’s choice of law firm the
or supersonic speeds opportunity to act on the same terms
as a preferred law firm. However if they
• any claim directly or indirectly caused by, refuse to act on this basis, the most we
or resulting from, any electronic device will pay is the amount we would have
failing to recognise, interpret or process paid if they had agreed to the DAS
any date as the true calendar date Standard Terms of Appointment.
• costs and expenses which have been The appointed representative must
incurred by an appointed representative co-operate with us at all times and must
on a contingency fee basis. keep us up to date with the progress of
Apart from us, the insured person is the only the claim.
person who may enforce all or any part of this 2) The insured person must co-operate
section and the rights and interests arising fully with us and the appointed
from or connected with it. This means that the representative.
Contracts (Rights of Third Parties) Act 1999
does not apply to this section in relation to The insured person must give the
any third party rights or interest. appointed representative any
instructions that we ask you to.
• any claim where the insured person is
not represented by a law firm, barrister or
tax expert.

23
3) An insured person must tell us if anyone 6) If an insured person settles a claim
offers to settle a claim. An insured or withdraws their claim without
person must not negotiate or agree to a our agreement, or does not give
settlement without our written consent. suitable instructions to an appointed
representative, our cover will end at
If an insured person does not accept
once. We will be entitled to reclaim
a reasonable offer to settle a claim,
from the insured person any costs and
we may refuse to pay any further costs
expenses we have paid or are due
and expenses.
to pay.
We may decide to pay you the
7) We may require you to get, at the
reasonable value of your claim, instead
insured person’s own expense, an
of starting or continuing legal action. In
opinion from an expert that we consider
these circumstances you must allow us to
appropriate, on the merits of the claim
take over and pursue or settle any claim
or proceedings, or on a legal principle.
in your name. You must also allow us to
The expert must be approved in advance
pursue at our own expense and for our
by us and the cost agreed in writing
own benefit, any claim for compensation
between the insured person and us.
against any other person and you must
Subject to this, we will pay the cost
give us all the information and help we
of getting the opinion if the expert’s
need to do so.
opinion indicates that it is more likely
Where a settlement is made on a than not that the insured person will
without-costs basis we will decide what recover damages (or obtain any other
proportion of that settlement will be legal remedy that we have agreed to)
regarded as costs and expenses and or make a successful defence.
payable to us.
8) If there is a disagreement between
4) An insured person must tell the the insured person and us about
appointed representative to have the handling of a claim and it is not
costs and expenses taxed, assessed or resolved through our internal complaints
audited, if we ask for this. procedure, the insured person can
contact the Financial Ombudsman
An insured person must take every step
Service for help. Alternatively there
to recover costs and expenses that we
is a separate arbitration process. The
have to pay and must pay us any costs
arbitrator will be a barrister chosen
and expenses that are recovered.
jointly by the insured person and us. If
5) If an appointed representative refuses there is a disagreement over the choice
to continue acting for an insured of arbitrator, we will ask the Chartered
person with good reason or if an Institute of Arbitrators to decide.
insured person dismisses an appointed
representative without good reason,
the cover we provide will end at once,
unless we agree to provide another
appointed representative.

24
9) The insured person must: 11) Apart from us, the insured person is
the only person who may enforce all or
• keep to the terms and conditions of
any part of this section of the plan and
this section of the plan
the rights and interests arising from or
• take reasonable steps to avoid and connected with it. This means that the
prevent claims Contracts (Rights of Third Parties) Act
1999 does not apply to this section of
• take reasonable steps to avoid
the plan in relation to any third-party
incurring unnecessary costs
rights or interest.
• send everything we ask for, in
12) If any claim covered under this plan is
writing, and
also covered by another plan, or would
• report to us full and factual details have been covered if this plan did not
of any claim as soon as possible exist, we will only pay our share of the
and give us any information claim even if the other insurer refuses
we need. the claim.

10) We will, at our discretion, void this section 13) This section of the plan is governed by
of the plan (make it invalid) from its start the law that applies in the part of the
date or from the date of claim, or alleged United Kingdom, Channel Islands or
claim, or we will not pay the claim if: Isle of Man where you normally live.
Otherwise, the law of England and
• a claim the insured person has
Wales applies.
made to obtain benefit under this
section of the plan is fraudulent or All Acts of Parliament mentioned in this
intentionally exaggerated, or plan include equivalent laws in Scotland,
Northern Ireland, the Isle of Man and the
• a false declaration or statement is
Channel Islands as appropriate.
made in support of a claim.

25
HOW TO REPORT A CLAIM Registered in England and Wales,
To make a claim under this section of your number 103274.
plan, please phone 0117 934 2140. We
If you are still not satisfied, you can contact
will ask you about your legal dispute and if
the Insurance Division of the Financial
necessary call you back at an agreed time to
Ombudsman Service at: Exchange Tower,
give you legal advice. If your dispute needs
London E14 9SR.
to be dealt with as a claim under this section,
we will give you a claim reference number. You can also contact them on: 0800 023 4567
At this point we will not be able to tell you Website: www.financial-ombudsman.org.uk
whether you are covered but we will pass the
information you have given us to our claims Using this service does not affect your right
handling team and explain what to do next. to take legal action.

If you prefer to report your claim in writing, DAS Legal Expenses Insurance Company
you can send it to our Claims Department at Limited is authorised by the Prudential
the following address: Regulation Authority and regulated by
the Financial Conduct Authority and the
Claims Department Prudential Regulation Authority.
DAS Legal Expenses Insurance Company Ltd
DAS House Eurolaw legal advice helpline services
Quay Side We will give an insured person confidential
Temple Back legal advice over the telephone on any
Bristol, BS1 6NH personal legal problem, under the laws
of the member countries of the European
When we cannot help Union, the Isle of Man, the Channel Islands,
Please do not ask for help from a solicitor Switzerland and Norway.
before we have agreed that you should
do so. If you do, we will not pay the costs We provide this service 24-hours a day, seven
involved, even if we accept the claim. days a week during the plan year.

To help us check and improve our service


Problems
standards, we record all calls.
We will always try to give you a quality
service. If you think we have let you down, When telephoning, please tell us that you are
please write to our Customer Relations covered by VitalityHealth travel insurance.
Department at our Head Office address Please do not use this service to report a
shown below or you can phone us on general insurance claim.
0344 893 9013 or email us at
To contact the special legal advice helpline
customerrelations@das.co.uk.
service, telephone 0117 934 2140.
Details of our internal complaint handling
We will not accept responsibility if the helpline
procedures are available on request.
service is unavailable for reasons we
Our Head and Registered Office is: cannot control.
DAS Legal Expenses Insurance Company Ltd
DAS House
Quay Side
Temple Back
Bristol, BS1 6NH

26
TRAVEL BENEFIT – WHAT’S NOT COVERED

THESE ARE THE EXCLUSIONS THAT APPLY TO • medical treatment that, in the opinion of a
THE TRAVEL BENEFITS medical practitioner, could wait until you
return to the UK
We will not pay for:
• claims arising after the 120th day of any • claims arising from psychiatric conditions
holiday or business trip • claims for the treatment of injuries arising
• claims arising from any holiday or business from participation in high-risk activities.
trip which does not involve travel outside A full list of activities we consider
the UK high-risk is available on the Member Zone.
Examples include mountaineering or
• claims arising from any holiday or business rock climbing, parachuting, hang-gliding,
trip where the destination is one to which potholing, bungee jumping, racing of any
the British Government has recommended kind and scuba-diving unless you have
people should not travel, unless: the recognised diving qualifications or are
–– you’ve notified us of your trip and we’ve accompanied by someone with them
specifically agreed in writing to cover • claims for accidents that happen while
this before the date of your departure taking part in skiing and snow-boarding
–– the recommendation of the British off-piste (that is, outside the groomed
Government not to travel occurred piste/trail) unless you are under the
after the time of booking, in which supervision of a qualified guide or instructor
case we will pay for the cost of any • claims arising while doing any of the
accommodation you have paid if you occupations listed below
decide to cancel your trip.
–– airline personnel
The Foreign and Commonwealth Office
website at www.gov.uk/knowbeforeyougo –– aircrew
can provide you with up to date –– ship’s crews
country information.
• claims for telephone calls other than calls to
• claims arising from circumstances which VitalityHealth or Allianz Global Assistance
could reasonably have been foreseen and where clear, itemised invoices are sent in
before you arranged or started your
holiday or business trip. This includes • claims where we’ve no proof of the
claims for treatment abroad for a physical departure date such as the original booking
or mental condition that you had before invoice or flight tickets.
the start of your holiday or business trip
where it would have been reasonable for
you to first seek medical advice about
whether or not you should travel and it is
likely that, had you done so, you would
would have been advised not to travel

27
LOSS OF OR DAMAGE TO PERSONAL LOSS OF PERSONAL MONEY
BELONGINGS
We will not pay claims for:
We will not pay claims for: • theft or loss of personal money, unless
• loss or damage caused you are carrying it on your person or it is
in a locked hotel room, apartment, holiday
–– by normal wear and tear, gradual
home, or locked out of sight in the boot of
deterioration, mechanical or electrical
a car
breakdown or fault, moth or vermin, or
• shortage due to error or omission, changes
–– by any process of cleaning, dyeing,
in exchange rates or depreciation or where
repairing or restoring, or
personal money is confiscated by Customs
–– while the items were being shipped as or other authorities
freight or under a ‘bill of lading’
• theft or loss of travellers cheques, unless
• theft or loss of belongings when the the loss was reported immediately to the
belongings were left unsecured or local branch or agency of the organisation
unattended at any time unless deposited that issued the cheques. In any event,
in a hotel safe, safety deposit box or left in we’ll only pay benefit if the loss cannot
your locked accommodation be recovered by replacing the travellers
cheques
• theft or loss of belongings where any items
have simply been forgotten or left behind • theft or loss – unless it was reported to the
(e.g. items left in the seat pocket of an Police, in the country where the theft or
aircraft) loss occurred, (and, if appropriate, the tour
representative, carriers or agents) within
• theft or loss of belongings when the
24 hours of when it was discovered and
belongings were left unattended in a
you obtained a written report. If the theft or
vehicle unless it was out of sight in locked
loss occurred in a hotel you must also have
roof or boot storage and there is evidence
reported it to the hotel management within
of violent and forcible entry
24 hours.
• theft or loss of items while they were in the
custody of an airline or other carrier – unless LOSS OF OR DAMAGE TO BUSINESS
the loss was reported to the carrier as soon MACHINES
as it was discovered, and a carrier’s report
We will not pay claims for:
was obtained, or, in the case of an airline, a
Property Irregularity Report • theft or loss of business machines when
they are left unsecured or unattended in a
• theft or loss – unless it was reported to the public place
Police, in the country where the theft or loss
occurred, within 24 hours of when it was • theft or loss of business machines when
discovered, and you get a written report. they have simply been forgotten or left
If the theft or loss occurred in a hotel you behind
must have also reported it to the hotel • theft or loss of business machines when
management within 24 hours they are left unattended in a vehicle unless
• loss or damage caused by delay or it was out of sight in locked roof or boot
confiscation by Customs or other officials. storage

28
• theft or loss of business machines while CANCELLING THE TRIP OR CUTTING IT SHORT
they were in the custody of an airline or
We will not pay for:
other carrier – unless the loss was reported
to the carrier as soon as it was discovered, • claims that arise from any circumstances
and a carrier’s report was obtained, or, in you were aware of at the time of booking
the case of an airline, a Property your trip which you or your insured
Irregularity Report dependants knew might lead to the trip
being cancelled or curtailed
• theft or loss – unless it was reported to
the Police, in the country where the theft • loss of deposits and advance payments
or loss occurred, within 24 hours of when that form part of a timeshare or similar
it was discovered, and you get a written agreement
report. If the theft or loss occurred in a • failing to check-in according to the official
hotel you must have also reported it to the itinerary, unless it was caused by a strike,
hotel management within 24 hours industrial action or bad weather
• loss or damage caused by delay or • a strike or industrial action which started
confiscation by Customs or other officials. or which the public was warned about on
or before the date the holiday or business
DELAYED DEPARTURE trip was booked
We will not pay claims that arise from: • claims if you or your insured dependants
• a strike or industrial action which started, were travelling:
or which the public was warned about, on
–– against medical advice
or before the date the holiday was booked
–– against the health requirements of the
• failing to allow a reasonable amount of
airline, ship or other public transport
time to get from home to the airport,
provider they are using
port or station on time under normal
circumstances –– after being diagnosed with a terminal
condition which is likely to result in
• a delay of less than 12 hours, that results in
medical treatment being required
a failure to catch a subsequent flight or any
during your trip
additional expenses incurred as a result of
the delay –– abroad in the knowledge that they would
require medical treatment
• you or your insured dependants having
had to cancel the holiday and a claim is • you or your insured dependant having to
paid under the section ‘Cancelling the trip cut your trip short on medical advice where
or cutting it short’ you have not:

• either directly or indirectly, the failure or –– obtained a written medical report from
inability of any equipment or any computer the attending practitioner confirming it
program to recognise, correctly interpret was necessary for you to return to the
or process any date as the true calendar UK, or
date, or to continue to function correctly
–– contacted Allianz Global Assistance
beyond that date.
for advice.

29
WINTER SPORTS For piste closure, we will not pay:

For loss of or damage to ski and • claims due to lack of snow in the Northern
snowboarding equipment and loss of ski Hemisphere between 1 April and 1
pass, we will not pay claims for: December of any year

• loss or damage caused • claims due to lack of snow in the Southern


Hemisphere between 1 September and 1
–– by normal wear and tear, gradual
May of any year
deterioration, mechanical breakdown or
fault, moth or vermin, or • claims if we have not received written
confirmation of the duration of the closure,
–– by any process of cleaning, dyeing,
and the reasons for it being closed, from
repairing or restoring, or
the holiday representatives, their handling
–– while the items were being shipped as agents or the ski-lift operators
freight or under a ‘bill of lading’
• for any circumstances you were aware of
• theft or loss of items while they were in when you booked the holiday
the custody of an airline or other carrier
• if travel to an alternative piste or
- unless the loss was reported to them
compensation was available to you
carrier as soon as it was discovered, and a
carrier’s report was obtained, or in the case • for holidays that have not been specifically
of an airline, a Property Irregularity Report arranged for skiing and the pursuit of
winter sports, and at a destination and
• theft or loss – unless it was reported to
season suitable for these activities.
the Police, in the country where the theft
or loss occurred, within 24 hours of when
it was discovered, and you get a written
report. If the theft or loss occurred in a
hotel you must have also reported it to the
hotel management within 24 hours

• loss or damage caused by delay or


confiscation by Customs or other officials

• belongings that have simply been


forgotten or left behind. Also, we will not
pay claims for belongings left unattended,
unless they are in a locked hotel room,
apartment or holiday home, locked safe or
out of sight in the locked boot of a car
and there is evidence of violent and
forcible entry.

30
GENERAL EXCLUSIONS
In addition to the specific exclusions detailed, • loss, damage, liability or expense arising
the following general exclusions apply. We from the use or operation, as a means for
will not pay claims relating to or arising from: inflicting harm, of any computer system,
computer software programme, malicious
• alcohol abuse, drug abuse, or any
code, computer virus or process or any
addiction, including any related condition
electronic system
resulting from these
• treatment received after the period
• any self-inflicted illness or injury, reckless
covered by any premium or after the
behaviour likely to lead to an illness or
plan has been cancelled.
injury, or attempted suicide

• nuclear or chemical contamination, war,


invasion, act of foreign enemy, hostilities
(whether war is declared or not), civil war,
riot, civil disturbance, rebellion, revolution,
military force or coup, act of terrorism

31
DEFINITIONS

BUSINESS MACHINES PERSONAL BELONGINGS


Items you take with you on a business Clothing, personal items, valuables, bags
trip that can be easily carried and that are or suitcases taken on or bought during the
supplied by your company for the purposes holiday or business trip.
of your business trip. This includes company
laptops, mobile phones, goods and samples. PERSONAL MONEY
Cash, currency notes, travellers cheques,
BUSINESS TRIP travel tickets or credit vouchers. Personal
A trip outside the UK where the insured money does not include money taken abroad
member is travelling on company business for business purposes.
(this includes overseas trips of any kind
which are paid for by the company such as RETURN DATE
conferences and conventions). The date an insured person returns home
Each business trip must start and finish in the after a holiday, or the insured member
UK. Business travel cover is only available to returns home after a business trip; it must not
insured members who are employed by the be more than 120 days from the departure date.
company, and does not include their insured
dependants. SKI AND SNOWBOARDING EQUIPMENT
Skis, including bindings, snowboards,
CLOSE RELATIVE boots and poles, owned or hired by the
The insured member’s husband, wife, insured person.
partner, child (including step-child and
adoptive child), brother, sister, parent UNATTENDED
(including step-parent and adoptive parent), When you are not in full view of, and not in a
parent-in-law or grandparent. position to prevent unauthorised interference
with, your belongings or vehicle.
DEPARTURE DATE
The date an insured person leaves home to VALUABLES
start a holiday, or the insured member leaves Items such as cameras, jewellery, watches,
home to start a business trip. personal computers, audio and video
equipment, mobile phones and leather goods.
HOLIDAY
The period starting from when an insured
person leaves home in the UK on the
departure date to travel abroad on holiday,
until they arrive back home on or before the
return date. All holidays must start and finish
in the UK.

32
33
FIND OUT MORE
For more information please speak to your
adviser or visit our website vitality.co.uk

VitalityHealth is a trading name of Vitality Health Limited and Vitality Corporate Services
Limited. Registered numbers 05051253 and 05933141 respectively. Registered office at 3
More London Riverside, London, SE1 2AQ. Registered in England and Wales. Calls may be
recorded and monitored to help improve our customer service. Calls are free of charge from
all consumer landlines and mobile phones.
J1408 VHT000006 PRUHB23233 BHC TRAVEL T&CS 0716

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