Act of terrorism
means any activity, occurring within a 72-hour period, save
and except an act of war, against persons, organizations,
property (whether tangible or intangible) or infrastructure of
any nature by an individual or a group based in any country
that involves the following or preparation for the following:
- use, or a threat to use, force or violence; or
- commission of, or a threat to commit, a dangerous act; or
- commission of, or a threat to commit, an act that interferes
or disrupts an electronic, information or mechanical
system;
and the effect or intention of the above is to:
- intimidate, coerce or overthrow a government (whether de
facto or de jure) or to influence, affect or protest against
its conduct or policies; or
- intimidate, coerce or put in fear the civilian
population or any segment thereof; or
- disrupt any segment of the economy; or
- further political, ideological, religious, social or
economic objectives or to express (or express opposition to)
a philosophy or ideology.
Act of war
means hostile or warlike action, whether declared or not, in a
time of peace or war, whether initiated by a local government,
foreign government or foreign group, civil unrest, insurrection,
rebellion, or civil war.
Age
means your age at your application date. For
Visitors Plans, age means your age on the
effective date of your coverage as per your
confirmation.
Change in medication
means the medication dosage, frequency or type has been
reduced, increased, stopped and/or new medication(s) has/have
been prescribed.
Exceptions: the routine adjustment of Coumadin,
Warfarin or insulin (as long as they are not newly prescribed or
stopped) to test your blood levels; and, a change from a brand
name medication to a generic brand medication of the same
dosage.
Child, Children
means an unmarried, dependent son or daughter or your
grandchild(ren) under the age of 21 or, if a full-time
student, under the age of 26. Also, an unmarried
dependent son or daughter of any age, if mentally or physically
handicapped. In addition, the child must be a minimum
age of 31 days old to be covered under this policy.
Common carrier
means a conveyance, (bus, taxi, train, boat, airplane or other
vehicle) which is licensed, intended and used to transport
paying passengers.
Confirmation means the document or set of documents
confirming your insurance coverage under this policy and,
where applicable, your trip arrangements. It includes the
medical questionnaire, if required, and application for this
policy, once you have completed and submitted it with the
required premium to us. It may also include tickets or
receipts issued by an airline, travel agent, tour operator,
rental agency, cruise line or other accommodation or travel
provider with whom you made arrangements for your
trip.
Covered expenses means reasonable
and customary charges you incur for supplies and services which are eligible
expenses under the Emergency Medical Insurance provisions
and which are either in excess of and/or not covered under
your government health insurance plan or any other plan.
Default means the inability of a
travel supplier to provide
travel services for which you have contracted with the
travel supplier, because of complete or substantially complete
cessation of business by the travel supplier resulting directly
or indirectly from bankruptcy or insolvency thereof.
Departure date
means the date you leave home unless
you requested your coverage to start when
you leave Canada. For the Visitors Plans, it means the
date you leave home.
Effective date
means the date on which your coverage starts.
- Trip Cancellation also included in:
All-Inclusive, Travel Canada and Non-Medical Inclusive Plans,
coverage starts at the date and time you pay the
premium for that coverage, indicated as the purchase date on
your confirmation.
- Rental Vehicle Damage Insurance starts when
you legally assume control of the Rental
Vehicle as indicated on your rental contract.
- The Visitors Plans coverages start on the later of i) the
effective date of insurance as shown on your
confirmation; or ii) the time and date you arrive in
Canada from home.
- Annual Medical coverage starts on the effective
date as shown on your confirmation which must
fall within 3 months of purchase and each time you leave
home.
- All other coverages start on your departure date,
as indicated on your confirmation.
Emergency
means a sudden and unforeseen occurrence of a medical
condition that begins during the period of insurance
and requires immediate treatment. An emergency
no longer exists when the Assistance Centre determines that
you are able to continue your trip or return
home.
Expiry date
means the date your coverage ends.
- For Trip Cancellation Insurance, your coverage
ends on your departure date as indicated on
your confirmation.
- For Rental Vehicle Damage Insurance ends at the
moment the agency reassumes control of the rental vehicle
or the rental contract ends, or 45 days after the contract
started, whichever is earliest.
- The Visitors Plan coverages end on the earliest of the
following:
- the date you leave Canada to return home;
- when the number of days of coverage you
purchased expires as per your confirmation;
- no more than 365 days after your effective
date of insurance;
- the first day you become insured under a
Canadian government health insurance plan.
- Other coverages end on the earliest of these dates:
- the date you return home;
- on the expiry date, as shown on your
confirmation; or
- when the number of days of coverage you
purchased expires.
First travel date means your planned departure
date, as recorded on your confirmation.
Government health insurance plan
means the health insurance coverage that a Canadian provincial
or territorial government provides to its residents; or for the
Visitors Plans, coverage that governments of your home
or your country of residence provide to you.
Home means your Canadian
province or territory of residence. If you request
your coverage to start when you leave Canada,
home means Canada. In the case of
Trip Interruption, Flight and Travel Accident, and
Baggage Insurance, it means the place you
leave from on the first day of coverage and are scheduled or
ticketed to return to on the last day of coverage. For Visitors
Plans, it means your country of residence or origin; or
your place of departure before arriving in Canada.
Hospital means a facility that is
licensed as a hospital, where in-patients receive medical
care, that has at least one registered nurse on duty at all times,
and that includes a laboratory and operating theatre. A clinic,
an extended or palliative care facility, a rehabilitation establishment,
an addiction centre, a convalescent, rest or nursing home,
home for the aged or health spa is not a hospital.
Immediate family means spouse,
parent, legal guardian, step-parent, grandparent, grandchild,
in-law, natural or adopted child, step-child, brother, sister,
step-brother, step-sister, aunt, uncle, niece or nephew.
Injury
means sudden bodily harm that you sustain
during the trip and that is caused by external, violent
and purely accidental means, directly and independently of all
other causes.
Key-person means someone to whom a
dependent's full-time care is entrusted and who cannot reasonably
be replaced, a business partner, or an employee who is critical
to the ongoing affairs of your business, during the trip.
Medical attention means treatment
required for the immediate relief of an acute symptom or that,
according to a physician, cannot be delayed until you
return home. It must be ordered by and received from
a licensed physician during the trip or received
from a physiotherapist, chiropractor, chiropodist, osteopath
or podiatrist during the trip.
Medical condition means
injury, illness or disease, complication
of pregnancy within the first 31 weeks of pregnancy, a mental
or emotional disorder that requires admission to a hospital,
an acute psychosis.
Medically necessary
in reference to a given service or supply, means such service or
supply that:
- is appropriate and consistent with the diagnosis according
to accepted community standards of medical practice;
- is not experimental or investigative in nature;
- could not be omitted without adversely affecting
your condition or quality of medical care;
- cannot be delayed until your return home; and
- is delivered in the most cost-effective manner
possible, at the most appropriate level of care and not
primarily for reasons of convenience.
Mountaineering means the ascent or descent of a
mountain requiring the use of specified equipment including
crampons, pickaxes, anchors, bolts, carabineers and lead-rope
or top-rope anchoring equipment.
Physician means a medical doctor who
is duly licensed in the jurisdiction in which he/she operates
and who gives medical care within the scope of his/her licensed
authority. A physician must be a person other than
you or a member of your immediate family.
Plane means a multi-engine aircraft
operated by and licensed to a regularly scheduled airline on
a regularly scheduled trip operated between licensed
airports and holding a valid Canadian Air Transport Board license,
Charter Air Carrier license, or its foreign equivalent, and
operated by a certified pilot.
Pre-existing condition means a medical condition that
exists before your effective date of insurance.
Questionnaire
means the document you must fill out truthfully and
accurately to confirm your eligibility and rate category
for our Medical Preferred or Annual Medical coverage.
Reasonable and customary charges
means costs that do not exceed the standard fee of other providers of similar
standing in the same geographical area, when providing the
same treatment of a similar sickness or injury.
Rental vehicle means a private passenger
automobile, mini-van, self-propelled mobile home, camper
truck or trailer that you use during your trip
and rent, under a written contract, from a commercial rental
agency licensed under the law of its jurisdiction. We
do not mean any of the following: truck, van, bus, sport utility
vehicle while you use it off road, automobile designed
and manufactured primarily for off-road use while it is being
used off road, motorcycle, moped, motorbike, recreational vehicle,
all-terrain vehicle, camper, trailer, automobile that is more
than 20 years old, limousine, exotic vehicle of these or similar
makes: Aston Martin, Bentley, Ferrari, Porsche or Rolls Royce.
Spouse means someone to whom one is
legally married, or with whom one has been living in a conjugal
relationship for at least one full year before the
effective date of this insurance.
Stable means a medical condition for which:
- there have been no new symptoms, and existing symptoms
have not become more frequent or more severe or there have
been no test results showing deterioration; and/or
- a physician has not determined that the condition
has become worse; and/or
- a physician (or other medical professional) has not
prescribed or recommended a change in medication taken
or medical care received for that condition; and/or
- a physician (or other medical professional) has not
prescribed or recommended a change in treatment for
that condition; and/or
- there has been no admission to a hospital and/or
you are not awaiting results of further investigation
for that medical condition.
Travel companion
means someone who shares trip arrangements and accommodations
with you. No more than 3 individuals (including the insured)
will be considered travel companions on any one trip.
Travel services means transportation, sleeping
accommodation or other service provided or arranged by a
travel supplier for your use (but does not
include taxes or insurance).
Travel supplier means a tour operator, travel wholesaler,
airline, cruise line provider of ground transport or provider of
travel accommodation or provider of other services to you
that is:
- contracted to provide travel services to you; and
-
licensed, registered or is otherwise legally authorized in
the particular location of the travel supplier to operate
and provide travel services as shown on your confirmation.
Treatment means a medical, therapeutic or diagnostic
procedure prescribed, performed or recommended by a licensed medical
practitioner, including but not limited to prescribed medication,
investigative testing and surgery related to any sickness,
injury or symptom.
Trip means the period of time between your
effective date of insurance and expiry date shown on
your confirmation.
Vehicle includes any private or rental passenger
automobile, boat, mobile home, camper truck or trailer home which
you use during your trip exclusively for the
transportation of passengers (other than for hire).
Waiting period means:
- the 48-hour period following your effective date of
insurance if you purchase this insurance within 30
days of arrival in Canada;
- the 8-day period following your effective date of
insurance if you purchase this insurance more than
30 days after arrival in Canada.
The waiting period applies to any claim that is not the
result of an accidental bodily injury.
We, us, our means First North American Insurance
Company (FNA) in connection with Baggage Insurance and coverage for the
risks identified with an ‡ throughout this document;
and to The Manufacturers Life Insurance Company (Manulife Financial)
in connection with all other coverages under the policy. The participation
of the insurers is several and not joint and none of them
will under any circumstances participate in the interest and
liabilities of any of the others.
You, your means the person(s) named as the
insured(s) on the confirmation, for whom insurance coverage
was applied for and for whom the appropriate premium was received by
us.
Effective 11/2006
The Manufacturers Life Insurance Company
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