MauBank Ltd Roadside Assistance and Personal Accident Policy Terms & Co n ditions IMPORTANT NOTES This policy is held by MauBank Ltd and provides insurance & assistance benefits and coverage for MauBank Ltd Credit Card Holders also called Covered Person. This policy is held by MauBank Ltd which is the only policyholder and only MauBank Ltd has direct rights under this contract against SICOM General Insurance Ltd and Linkham Services Ltd, the Service Provider; MauBank Ltd however extends the right to claim under this group policy to the Covered Person. DEFINITIONS Any word or expression to which a specific meaning has been attached will bear the same meaning throughout this policy. For ease of reading the definitions are highlighted by the use of bold print and will start with a capital letter. You/Your/Covered Person means the holder of a Credit Card including supplementary card issued by MauBank Ltd, the Account being valid, in good standing at the time of the incident, living in the Country of Residence and who benefits from the coverage under this policy. We/Us/Linkham Services means the Assistance Service Provider, Linkham Services Ltd., Level 5, Nexteracom Tower I, Cyber City, Ebene, Mauritius. Country of Residence means Island of MAURITIUS - does not include Rodrigues or outer islands Territorial Limits means Mauritius - Excluding Rodrigues and outer islands (for Roadside) / Worldwide (for Personal Accident) Home means Your normal place of residence in Mauritius - Excluding Rodrigues and outer islands. ELIGIBILITY The benefits summarised in this document are dependent upon You being a valid Credit Card Holder of MauBank Ltd at the time of any incident giving rise to a claim. MauBank Ltd, which has undertaken to pay the full premium, will give You notice if there are any material changes to the policy or if it is cancelled or expires or is not renewed on equivalent terms. This policy contains details of cover, conditions and exclusions relating to each Covered Person and is the basis on which all claims will be settled. A Covered Person shall be at least 18 years old. SPECIAL CONDITION APPLICABLE TO THE WHOLE POLICY If You make any claim knowing same to be false or fraudulent as regards amount or otherwise, this Policy shall become void in respect of the Covered Person and all claims hereunder pertaining to the Covered Person shall be forfeited. Then a) We shall not pay the claim b) We shall not pay any other claim made or which will be made under the policy by the Covered Person c) We shall be entitled to recover from You the amount of any claim already paid under the policy, which is subsequently found to have been a fraudulent claim. d) We may inform the police of the circumstances. SECTION 1 - ROADSIDE ASSISTANCE Special Definitions for this Section Covered Vehicle: means private cars, SUV’s, driven by You or You being a passenger, designed, equipped and registered to carry no more than five persons (including the driver).The vehicle must be registered for private, not commercial use, in the Country of Residence and available free of charge to You. Covered Incident: means a breakdown (brake failure, engine failure, breakage), accident (a sudden, unexpected, violent and involuntary external event), or theft confirmed by the police, of the Private cars, 4 * 4 and SUVs for private use and under the name of cardholder whereby cardholder is driving or as passenger in the Territorial Limits at the time of the incident. The Service Linkham Services Ltd sends You a mechanic to 1 attend to basic problems that can be resolved at the roadside. The costs of the spare parts, battery or of the fuel will be payable by You. For more serious problems, the Covered Vehicle will be towed to garage of Your choice. • 24h/24 Towing services • The Covered Vehicle had an accident or a breakdown which cannot be repaired on site. In case of an accident or breakdown that cannot be repaired on site, the Covered Vehicle is towed to the location of Your choice (garage, Home, car dealer, etc.) wherever You want Your vehicle to be towed. For one event, only one towing will be provided. What You should do to benefit from Roadside Assistance Service? Just call Linkham Services 24h/24 line on 405 5812, when a covered event occurs. An agent will answer You, and will organise the service. You will have to mention: • Your Name, Your ID No. • The registration no. of the Covered Vehicle, the make, the model • Details of the event • Your exact location • Any phone no on which We can contact You • The reference no. or policy number printed on the Assistance Card • Your Insurance Company What is Covered? • Up to 3 Roadside repairs within Period of Coverage, Repairs means - Battery Boost, Fuel delivery, Key Lock, Tyre Change. • Up to 3 Towing Services within Period of Coverage, Towing means - Hauling Your vehicle from one place to another. What is Not Covered? 1.Any incident when You are not driving or You are not in the Covered Vehicle. 2.The cost of any motorway toll charges, as well as the cost of all fuel and lubricants. 3.Loss and/or damage caused directly or indirectly by an earthquake. 2 4.Loss and/or damage resulting from failure of any person to observe the maintenance and operating instructions supplied with the Covered Vehicle. 5.Off road rescue 6.Costs of spare parts, including Battery, Fuel 7.Unattended Vehicles SECTION 2 - PERSONAL ACCIDENT - 24hr This section is underwritten by SICOM General Insurance Ltd (SGIN) SGIN will pay You one of the benefits shown below if You sustain a Bodily Injury which shall solely and independently of any other cause, result within 3 months of the occurrence of the Bodily Injury in Your death or Permanent Partial disablement or permanent total disablement. BENEFIT 1 Accidental Death 2 Permanent Partial disablement 3 Permanent Total Disablement LIMIT in RS. 100,000 50,000 100,000 DEFINITION OF: Accidental Death: Death within 3 months following a sudden, unexpected and unforeseen Bodily Injury caused by violent, visible and external means. Bodily Injury: Bodily Injury fatal or non fatal or blindness resulting solely and directly from accident caused by violent accidental external and visible means which shall directly and independently of any cause result in death or disablement. Permanent Partial disablement: Permanent Partial disablement shall occur when an accident has caused a loss of: • one hand by severance above the wrist, • one foot by severance above the ankle, • the sight of one eye, Permanent Total Disablement: Permanent Total Disability within 3 months following a sudden, unexpected and unforeseen Bodily Injury caused by violent, visible and external means as per the following : SCALE OF PERMANENT DISABILITIES Permanent Total Disablement Total loss of sight of both eyes Loss of both arms or both hands 100% 100% 100% Removal of the lower jaw Loss of one arm and one leg Loss of one arm and one foot Loss of one hand and one leg Loss of both legs Loss of both feet Loss of one hand and one foot 100% 100% 100% 100% 100% 100% 100% • • • Conditions: The Accidental Death Benefit as specified in the Schedule of benefit shall be paid to the nominated beneficiary/beneficiaries or if there has been no nomination, then to the estate of the deceased subject to the terms and conditions of the Policy. Provisos: 1.No compensation shall be payable under more than one benefit. 2.Upon payment of a claim to a Covered Person under either Benefit 2 or 3, all further liability of SGIN under the Policy will cease forthwith but only with regards to the Covered Person in respect of whom such claim has been paid. Exclusions: Death and Bodily Injury arising out of: • Natural conditions, illnesses or diseases • Self-inflicted injury, self-destruction, suicide or attempted suicide whether sane or insane • Engagement in air travel, except as a fare-paying passenger on a recognized airline operating on regular schedule air routes or by any charter aircraft duly licensed as a recognized air carrier. • Death in any way caused or contributed to by an act of terrorism involving the use or release or the threat thereof of any nuclear weapon or device or chemical or biological agent. For the purpose of this exclusion, an act of terrorism means an act, including but not limited to the use of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organization(s) or government(s), committed for political, religious, ideological or ethnic purposes including the intention to influence any government and/or to put the public, or any section of the public in fear. • War or an act of war whether declared or undeclared, • • • • • • • • riots (participation), civil commotion, or police action if participating, or any illegal act. Direct involvement or participation in an assault, felony, illegal, criminal or unlawful act, including but not limited to Injuries sustained in fights initiated by You. Alcoholism or drug addiction and any other addictive substances Injury directly or indirectly due to Your participation in or practice of mountaineering (with the use of ropes or guides), scuba diving, skijoring, tobogganing, bobsleighing, participation in professional sport, all sports in the air, speed or endurance tests or races of any kind (other than athletics and sailing within 10 miles from the coast of Mauritius) Driving or riding motorcycles of 250 cc or more Pregnancy or childbirth or complications arising therefrom. AIDS and HIV infection. Insanity Naval, Military or Airforce services operations The Covered Person suffering from any existing physical defect or infirmity which existed prior to the accident. Bodily Injury sustained in connection with the fulfillments of any demands in the event of kidnap and/or ransom. Employment involving: i) Fireworks, ammunition, fuses, cartridges, gunpowder, nitroglycerine or any explosive unless purely incidental to the main operations of the Employer ii) Gases and/or air under pressure in containers other than butane and the like in low pressure containers iii)Subaqueous work iv)Underground work v) Construction and maintenance of coffer dams. Claims Document to be submitted: • • • • • • Death Certificate National Identity Card Certificate of Cause of Death Police Report Medical Report Medico-legal report 3 GENERAL CLAIMS PROCEDURE 1.Claims You must notify Us at the address given below: LINKHAM SERVICES LTD, LEVEL 5, NEXTERACOM TOWER 1, EBENE CYBER CITY, EBENE. Tel: +230 405 5812 TO COMPLY WITH THE TERMS AND CONDITIONS AND IN ORDER TO RECEIVE BENEFITS UNDER THE PRESENT GROUP POLICY, THE COVERED PERSONS MUST CONTACT THE ASSISTANCE SERVICE PROVIDER AS SOON AS A CLAIM OR POTENTIAL CLAIM OCCURS. IN ANY EVENT, THE COVERED PERSONS MUST CONTACT THE ASSISTANCE SERVICE PROVIDER BEFORE INCURRING EXPENSES IN ORDER TO OBTAIN PRIOR AUTHORISATION BY THE ASSISTANCE SERVICE PROVIDER. 2.SGIN shall be allowed at its own expense upon reasonable notice to the Covered Person to have a medical examination of the Covered Person. 3.As soon as possible after the occurrence of an accident which may be subject to a claim under the policy, the Covered Person must obtain and follow the advice of a qualified medical practitioner. SGIN will not be liable from any consequence of failure to obtain and follow such advice. COMPLAINTS PROCEDURE Making Yourself Heard We are committed to providing You with an exceptional level of service and customer care. We realize that things can go wrong and there may be occasions when You feel that We have not provided the service You expected. Should this happen, We want to hear about it so that We can try to put things right. Who to Contact? The most important factors in getting Your complaint dealt with as quickly and efficiently as possible are: a) to be sure You are talking to the right person, and; b) that You are giving them the right information. 4 Step 1 – You should first write quoting Your insurance details to: Complaints Manager Linkham Services Ltd Customer Service Department Level 5, Nexteracom Tower I, Cyber City, Ebene, Mauritius. Or Manager SICOM General Insurance Ltd Sir Celicourt Antelme Street Port Louis, Mauritius (Applicable only to Section 2 - Personal Accident) Step 2 – If You are still not satisfied with any aspect of our products/ services, You can write or contact the Complaints Coordinator giving full details of the Policy and / or claim number and Your contact details at the address mentioned below. Head of Electronic Banking Division, MauBank Ltd No 1, Sir William Newton Street, Port Louis If You are required to submit copies of supporting documents, please do so by fax or mail them to the address mentioned above, quoting the complaint reference number. Step 3 - If You remain unhappy with the outcome, You may write to the Financial Services Commission Note: The Financial Services Commission will only entertain complaints to the extent that You have given Us the opportunity to resolve the matter directly. GOVERNING LAWS Unless otherwise agreed in writing this policy will be governed by and constructed in accordance to Laws in Mauritius. Any disputes arising out of and in connection with this Policy, unless amicably settled, shall be exclusively dealt with the relevant Court in Mauritius. PERIOD OF COVER The period of cover is 365 days as from the date of payment of the full premium. This document only constitutes a valid evidence of insurance when it is issued in conjunction with a full payment of the premium. The Policy is renewable upon payment of the full renewable premium by MauBank Ltd. MauBank Ltd reserves the right to cease this insurance cover at any time as it may so decide; should such a decision be taken, MauBank Ltd will inform You in writing, of the date such Insurance cover will cease. If You have any questions at all about the policy or cover, please call or write to Us at the following : Phone : +(230) 405 5812, Fax:+(230) 464 1270 E-mail : [email protected] DATA PROTECTION ACT How we’ll treat your private data? In accordance with the Data Protection Act 2004, We as data controllers will collect and maintain personal information in order to underwrite and administer the policies of insurance that We issue. All personal information is treated with the utmost confidentiality and with appropriate levels of security. We will not keep Your information longer than is necessary. Your information will be protected from accidental or unauthorised disclosure. We will only reveal Your information if it is allowed by law, authorised by You, to prevent fraud, or in order that We can liaise with Our agents in the administration of this policy. Under the terms of the Act You have the right to ask for a copy of any information We hold on You upon payment of an administrative fee and to require a correction of any incorrect information held. Any inaccurate or misleading data will be corrected as soon as possible. The above principles apply whether We hold Your information on paper or in electronic form. Enquiries in relation to data held by MauBank Ltd should be directed to the Head of Compliance of MauBank Ltd. 5
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