PLAN FEATURES

WHY Choose the Liaison
International
Convenience:
Rapid Processing, A-
"Excellent" Rated U.S. Insurance Company, Professional Customer Service, 24
Hour Worldwide Assistance, Online Quotes & Purchase. Our program
brochures and documentation offer a detailed description of the product and
underlying coverage.
Doctors
& hospitals: You
have access to over 12,000 doctors and hospitals worldwide. With one phone
call, the assistance company will assist you in locating a provider. Seven
Corners’ Assist is trained to help you locate appropriate care.
Why
international medical insurance?
Each year, millions of people travel beyond the boundaries of
their medical insurance. If you are concerned with the potential out-of-pocket
expenses that could result from an Injury or Illness while traveling, Liaison®
International offers medical coverage and emergency services to individuals
and families traveling outside their Home Country. This brochure is a brief
description of Liaison® International. For a full description, please visit
our website. After you have purchased the program a complete Program Summary
will be mailed to you.
Eligibility:
Liaison® International
provides coverage, as outlined in this brochure, for individuals and families
(including unmarried dependent child(ren) over 14 days and under 19 years
of age) while traveling outside of their Home Country. Home Country is
defined as - The country where a covered person(s) has his/her true, fixed and
permanent home and principal establishment.
Period
of
coverage:
The minimum
period of coverage under Liaison® International is five (5) days, maximum is
twelve (12) months
(see Continuing
Coverage section).
Coverage can be purchased in a combination of monthly and/or daily periods by
paying the appropriate plan cost. If you are traveling for a long period of
time, please refer to “Continuing Coverage” section.
Effective
date:
Your coverage will begin on the latest of the following: 1) The moment you
depart your Home Country; or 2) The date and time the Application and full
plan cost is received and accepted by Seven Corners; or 3) The date requested
on the Application.
Expiration
date:
Coverage will end on the earlier of the following: 1) Your return to your Home
Country
(except as
provided under the Home Country Coverage);
or 2) The date shown on the ID Card, for which plan cost has been paid; 3) The
date you are no longer eligible under this plan.
Medical:
When you
incur a covered Injury or Illness, the program will pay Usual, Reasonable and
Customary medical charges for Covered Expenses, excess of the chosen
Deductible and Coinsurance, up to the selected Medical Maximum. Only such
expenses, incurred as the result of an Injury or Illness, which are
specifically enumerated in the following list of charges, are incurred within
six (6) months from the onset of an Injury or Illness, and which are not
excluded in the Exclusions, shall be considered as Covered Expenses:
1. Charges made
by a Hospital for room and board, floor nursing and other services inclusive
of charges for professional service (with the exception of personal services
of a non-medical nature); charges made for an operating room.
2. Charges made
for Intensive Care or Coronary Care charges and nursing services.
3. Charges made
for diagnosis, treatment and Surgery by a Physician; charges made for the cost
and administration of anesthetics.
4. Charges made
for Outpatient treatment, same as any other treatment covered on an Inpatient
basis. This includes ambulatory Surgical centers, Physicians’ Outpatient
visits/examinations, clinic care, and Surgical opinion consultations.
5. Charges for
medication, x-ray services, laboratory tests and services, the use of radium
and radioactive isotopes, oxygen, blood transfusions, iron lungs, and medical
treatment; dressings, drugs, and medicines that can only be obtained upon a
written prescription of a Physician or Surgeon.
6. Charges for
physiotherapy, if recommended by a Physician for the treatment of a specific
Disablement and administered by a licensed physiotherapist.
7. Ground
ambulance
(within the
metropolitan area)
to and from the
nearest Hospital with facilities for required treatment. If the covered person
is in a rural area and unreachable by ground ambulance, then licensed air
ambulance transportation to the nearest metropolitan area shall be considered
a Covered Expense.
8. Hotel room
charge, when the Covered person, otherwise necessarily confined in a Hospital,
shall be under the care of a duly qualified Physician in a hotel room due to
unavailability of a Hospital room by reason of capacity or distance or any
other circumstances beyond control of the Covered person.
9. Charges made
for artificial limbs, eyes, larynx, and orthotic appliances, but not for
replacement of such items.
Dental -
emergency
only:
The Emergency Dental Benefit is available to you provided you have purchased
one (1) or more months of coverage. Treatment necessary to resolve acute,
spontaneous and unexpected inception of pain to sound natural teeth ($100) or
Dental treatment necessary to restore or replace sound natural teeth lost or
damaged in an Accident which is covered under the program ($500). This benefit
is subject to the Deductible and Coinsurance.
Emergency medical
evacuation/repatriation:
The program will
pay Covered Expenses incurred if any covered Injury or Illness commences
during the Period of Coverage that results in a Medically Necessary Emergency
Medical Evacuation or Repatriation
(your medical
condition warrants immediate transportation from the medical facility where
you are located to the nearest adequate medical facility where medical
treatment can be obtained).
This benefit must be arranged by the Assistance Company in consultation with
the local attending Physician.
Return
of mortal
remains:
The Program will
pay the reasonable Covered Expenses incurred up to a maximum of $50,000 to
return your remains to your Home Country, if you should die.*
Emergency
medical
reunion:
When Emergency
Medical Evacuation or Repatriation is arranged and the attending Physician
recommends that a family member travel with you, the program will arrange and
pay, up to $50,000, for round-trip economy-class transportation for one
individual of your choice, from your Home Country, to be at your side while
you are hospitalized and then accompany you during your return to your Home
Country.
Return
of
minor child(ren):
If you are
traveling alone with a Minor Child(ren) and are hospitalized because of a
covered Illness or Injury and the Minor Child(ren), under age 19, is left
unattended, the program will arrange and pay up to $50,000 for one-way economy
fare to their Home Country
(including the
cost of an attendant/escort, if necessary to insure the safety and welfare of
a Minor Child(ren)).*
Hospital
indemnity:
If you are
hospitalized while traveling outside of the United States or Canada, and the
hospitalization is considered a Covered Expense, the program will indemnify
you $150 for each night spent in the hospital
(this benefit
is in addition to any other covered expenses of the program).
Interruption
of
trip:
If you are unable to continue the Trip due to the death of an Immediate Family
member
(parent,
spouse, sibling or child)
or due to serious
damage to your principal residence from fire, flood or similar natural
disaster
(tornado,
earthquake, hurricane, etc.).
The program will reimburse you
(up to $5,000)
for
the cost of economy travel, less the value of applied credit from an unused
return travel ticket, to return you home to your area of principal residence.*
Loss
of checked
luggage:
If your checked
luggage is permanently lost by the airline, the program will reimburse you for
the replacement of clothing and personal hygiene items lost to a maximum per
bag limit of $50
(up to $250).
This benefit is secondary to any other
(including
airline)
coverage
available. You must furnish proof to the Company that full reimbursement has
been obtained from the airline.
Assistance
services:
Upon enrollment
into Liaison® International, you are eligible to use any of the assistance
services provided by the Assistance Services Provider. Additional information
is contained in the Program Summary.
• Open 24 hours /
day, 365 days a year
• Multilingual personnel
• Physicians / nurses on staff
• Locate local facilities
• Help with emergency situations
Home country
coverage
Incidental Trips to Your Home Country:
This benefit
covers you for incidental trips to your Home Country
(60 days per 12
months of purchased coverage or pro rata thereof - example: approximately 5
days per month of purchased coverage).
Maximum benefit is reduced to $50,000 for any Illness or Injury occurring
while on an incidental trip to your Home Country.
Follow Me Home
Coverage:
This plan shall
pay for Covered Expenses incurred in your Home Country up to $5,000 for
conditions that are first diagnosed and treated outside Your Home Country
(Does
not apply for Emergency Medical Evacuation or Repatriation).
*NOTE: In the event of Emergency Medical Evacuation,
Repatriation, Return of Mortal Remains, Emergency Reunion, Return of Minor
Child(ren) or Interruption of Trip benefit is needed or utilized, all
arrangements must be made by the Assistance Service Provider. Complete details
about the benefits and about the required notification of the Assistance
Service Provider are contained in the Program Summary
For those who are
intending longer international trips, an option is available to you. If you
choose this option on the application and enroll for at least three (3) months
of coverage, a notice will be sent to your address of correspondence, allowing
you to purchase an additional period of coverage (minimum of one (1) month,
maximum of twelve (12) months). If you purchase at least three (3) months of
coverage, Seven Corners will continue to send notices to your address of
correspondence. If you choose to purchase less than three months of coverage,
Seven Corners will assume that your international trip is complete and will
not send any further notices. While a new period of coverage will be issued,
your original effective date will be used with regards to calculating your
deductible and coinsurance (for up to a total of twelve (12) months, then both
will begin again), as well as determining any Pre-existing conditions. The
maximum period of time Seven Corners will offer this feature is three years
(one year for persons age 65 and over). It is important to note that rates and
benefits may change for each subsequent period of coverage. A $5.00
Administrative Fee will be included on each notice. This option is not
available if you allow coverage to expire prior to reapplying. If this
happens, an entirely new program must be purchased
(Pre-existing
condition begins again).
Continuing Coverage is available in periods as short as five (5) days at a
time when purchased using Seven Corners’ online system.
Hazardous sport
coverage:
To cover
motorcycle/motor scooter riding, hang gliding, parachuting, bungee jumping,
water skiing, snow skiing, snowmobiling and snow boarding. Parachuting shall
mean an activity involving the breaking of a free fall from an airplane using
a parachute.
Pre-notification
/
referral:
In order to
ensure your claims are addressed as efficiently as possible, you or the
provider of service must contact the Assistance Company for Pre-notification
prior to any medical treatment received in the U.S., as well as hospital
admissions and inpatient / outpatient surgeries incurred worldwide. The
Assistance Company has trained personnel available twenty-four (24) hours a
day, seven (7) days a week throughout the year to answer your questions,
provide assistance, and guide you to an appropriate facility. In the case of
an Emergency Admission, the Assistance Company must be contacted within
forty-eight (48) hours, or as soon as reasonably possible. Prenotification
does not guarantee that benefits will be paid. Failure to pre-notify will
result in a 20% reduction in Eligible Benefits.
Please be
aware that this is not a general health insurance policy, but an interim,
limited benefit period, travel medical program intended for use while away
from your Home Country. Liaison® International does not guarantee payment to a
facility or individual for medical expenses until Seven Corners determines
that it is an eligible expense.
Refund
of
premium:
Seven Corners
realizes that there is uncertainty in international travel. Refund of total
plan cost will only be considered if written request is received by Seven
Corners prior to the Effective Date of Coverage. If written request is
received after the Effective Date of coverage, the unused portion of the plan
cost may be refunded minus a cancellation fee, provided no claim has been
submitted to Seven Corners for reimbursement.
Claim
submission:
Filing
a claim with Seven Corners is easy. You will receive a Liaison® International
identification card and claim form after your application has been processed.
When you receive treatment, send the original, itemized bills to Seven Corners
within ninety (90) days. Eligible bills are automatically converted from local
currencies to U.S. dollars. For payments of eligible medical expenses, notify
Seven Corners of pending treatments and we can refer you to approved
healthcare providers worldwide. You’re only responsible for your deductible,
coinsurance and non-eligible expenses. For more details, consult the Program
Summary that is provided with your insurance kit, or contact the Seven Corners
Claim Department.
Exclusions:
For
Medical benefits, this Insurance does not cover:
1. Any Injury or
Illness that meets the following criteria: a) condition(s) that would have
caused a person to seek medical advice, diagnosis, care or treatment during
the thirty-six (36) months prior to the Effective Date of coverage under this
Policy; b) condition(s) for which manifestation, medical advice, diagnosis,
care or treatment was recommended, received, or noticed during the thirtysix
(36) months prior to the Effective Date of coverage under this Policy. If you
are traveling outside the United States and Canada, the period is twelve (12)
months instead of thirty-six (36) months. If you are a United States citizen
and the United States is your Home Country, this exclusion is waived for the
first $20,000 in eligible medical expenses incurred outside the United States
and Canada
(for persons
age 65 and over, the amount is $2,500).
This waiver does not include coverage for known, scheduled, required, or
expected medical care, drugs, or treatments existent or necessary prior to the
effective date of this program.
2. Charges for treatment which exceed Reasonable and Customary charges; or
charges incurred for Surgeries or treatments which are Investigational,
Experimental, or for research purposes; expenses which are non-medical in
nature; expenses for Vocational, Speech, Recreational or Music Therapy.
3. Expenses which were not recommended, approved and certified as Medically
Necessary and reasonable by a Physician.
4. Suicide or any attempt there of, while sane, or self destruction or any
attempt there of, while insane; intentionally self-inflicted Injury or
Illness; or expenses as a result of, or in connection with, the commission of
a felony offense.
5. Any consequence, whether directly or indirectly, proximately or remotely
occasioned by, contributed to by,
or traceable to, or arising in connection with war, invasion, act of foreign
enemy hostilities, warlike operations
(whether war be
declared or not),
or civil war.
6. Injury sustained while participating in professional, sponsored and/or
organized Amateur or Interscholastic Athletics.
7. Routine physicals, inoculations, or other examinations where there are no
objective indications or impairment in normal health.
8. Treatment of the Temporomandibular joint.
9. Services or supplies performed or provided by a Relative of yours, or
anyone who lives with you.
10. Treatment and the provision of false teeth or dentures, normal ear tests
and the provision of hearing aids, cosmetic or plastic Surgery
(including
deviated nasal septum),
routine dental expenses, eye care or eye-related expenses, unless caused by
Accidental bodily Injury incurred while insured hereunder.
11. Treatment in connection with alcoholism and drug addiction, or use of any
drug or narcotic agent; any Mental and Nervous disorders or rest cures; Injury
sustained while under the influence of or Disablement due wholly or partly to
the effects of intoxicating liquor or drugs.
12. Congenital abnormalities and conditions arising out of or resulting
therefrom.
13. Expenses incurred during a hospital emergency room visit that is not of an
emergency nature.
14. Injury sustained while taking part in mountaineering, hang gliding,
parachuting, bungee jumping, racing by horse or motor vehicle or motorcycle,
snowmobiling, motorcycle / motor scooter riding, scuba diving involving
underwater breathing apparatus
(unless PADI or
NAUI certified),
water skiing, snow skiing and snow boarding.
(Please see
Optional Hazardous Sports Coverage to include some of these sports.)
•
Mountaineering shall mean the sport, hobby or profession of walking, hiking,
and climbing up mountains either: 1) utilizing harnesses, ropes, crampons or
ice axes; or 2) ascending 4500 meters or above.
• Parachuting
shall mean an activity involving the breaking of a free fall from an
airplane using a parachute.
15. Treatment
paid for or furnished under any other individual, government, or group policy
or charges provided at no cost to you.
16. Treatment of venereal or sexually transmitted disease.
17. Pregnancy expenses or Illness resulting from pregnancy, childbirth, or
miscarriage; or for miscarriage resulting from an Accident.
18. Drug, treatment or procedure that either promotes or prevents conception,
or prevents childbirth.
19. Expenses incurred while you are in your Home Country
(except as
provided under the Home Country Coverage benefit).
20. Expenses incurred for which travel was undertaken to seek medical
treatment for a condition; or incurred after the Covered person’s physician
has limited or restricted travel.
Seven corners
assist:
Seven Corners
Assist is a leading provider of customized emergency assistance services to
international organizations, corporations, government entities, insurance
companies, and individual travelers. Regardless of the location, Seven Corners
Assist provides valuable assistance in locating the best possible medical
treatment.
The
insurance
company:
Liaison® International is underwritten by Virginia Surety Company, Inc., rated
A- “Excellent” by A.M. Best and located in Illinois.
(States not
underwritten by VSC are underwritten by Certain Underwriters at Lloyd’s of
London. Please contact Seven Corners for a listing of these states.)
The program
administrator:
Medical care is different throughout the world and providing quality medical
attention should be the ultimate goal of any program. Most companies are not
prepared to meet the unique needs of international travelers. An organization
must be equipped to address foreign currencies, international doctors and
hospitals, as well as unusual claim forms and documents. Liaison®
International is designed and administered by Seven Corners, Inc. The claim
and assistance professionals at Seven Corners collectively have over 250 years
of experience in claim processing and administration.
Seven corners:
Since 1993, Seven
Corners, Inc. has alleviated many of the concerns with international travel by
providing insurance plans to private citizens, governments, missionaries,
students, and corporations of various nations around the globe. Each year,
thousands of insureds purchase coverage from Seven Corners in order to obtain
the most comprehensive and reliable products in the international insurance
industry. Our assistance professionals are experienced in the complexity and
importance of receiving medical care internationally. As an insured of Seven
Corners, you can feel confident that there is someone ready to assist you with
a medical situation 24 hours a day, 7 days a week, 365 days a year.
Information:
This Insurance,
under Policy HTP01158B-07 is underwritten by: Virginia Surety Company, Inc.
Policy terms and conditions are briefly outlined in this brochure. Complete
provisions pertaining to this insurance are contained in the Master Policy on
file with the trustee, American Consumer Insurance Trust, and Liaison®
International. In the event of any conflict between this brochure and the
Master Policy, the Master Policy will govern. A Program Summary, listing more
detailed exclusions, will be mailed to you along with Your ID Card once
coverage is purchased.
Notice to Florida
residents:
The
benefits of this policy providing Your coverage are governed by the law of a
state other than Florida. Your Homeowners policy, if any, may provide coverage
for loss of personal effects provided by the Loss of Checked Luggage coverage.
This insurance is not required in connection with the purchase of Your travel
arrangements.

|
INSURANCE CARRIER |
|
|
Virginia Surety Company, Inc
Rated A- “Excellent” by A.M. Best
(For addresses in the
following states, the program is underwritten by Certain Underwriters at
Lloyd’s, London in FL, NY, OR, KS, NC) |
Liaison® is
a registered Trademark of Specialty Risk International, Inc.
In Florida, Florida Resident - Agent No. A10702