Policies and Procedures
The Mountains USA
Created 01/01/01; Updated: 10/01/03; 11/01/05, 06/26/2006, 10/11/2006.
Payment: Payment terms and conditions vary by company, and The Mountains USA will charge the same gross rate as would be charged by the lodging or activity company themselves for their services. In effect you will pay the same amount to The Mountains USA as you would pay making the reservation yourself. Thus, The Mountains USA services are at "no additional cost to you".
Turnaround: The Mountains USA will attempt to make all reservations and respond within 24 hours. With timezones, office hours, and holidays, this may occasionally prove impossible, especially where first choice lodging is not available and an equivalent will be found and offered. In most cases however the response time will be significantly shorter.
Personal Service: The Mountains USA may be an on-line service, but it is operated by humans! We can differentiate between duplicate bookings if you click the mouse twice, and are capable of attempting to find acceptable alternatives if your first choice of Lodging/Rental/Activity time slot is unavailable. Always with your prior approval of course!
Bookings: The Mountains USA will strive to meet your vacation needs - where your first choice accommodation, activity or equipment is not available we will hold a reservation option for 24 hours of the closest available product to your stated request. You will be informed of the option via your preferred method of correspondence (e-mail/telephone) and if requested, we will modify your booking accordingly and make the nessecary arrangements on your behalf.
Health: Summit County is located at 9000+ feet above sea level. Some guests may experience altitude sickness. If you have a concern about altitude, consult your physician prior to leaving on your vacation for possible preventative measures. Unfortunately, no refunds will be offered by The Mountains USA, lodging agencies, rental agencies or activity companies for cancellations or curtailments.
Records: The Mountains USA will make the reservations requested on your behalf with the credit card information provided using only secure means.
Pricing: At The Mountains USA we will shop many different lodging companies to search out the best possible pricing and discounts that we can to meet or exceed your needs. Prices displayed on the website are only a small selection of those available. If we can negotiate lower pricing on your behalf, we will, and your credit card will only be charged accordingly. No bookings will be made at any elevated pricing without prior authorization from you.
Lodging Companies
Reservation Policies and Procedures:
These will vary slightly by lodging company and will be stated in your confirmation/authorization documents, but a standard example follows:
PAYMENT & CANCELLATION POLICY:
Rates:
All rates displayed are a sample of one lodging company's nightly rack rate for the given property/unit not including any discounts that are offered by the lodging companies. All rates quoted directly (by phone or email) by The Mountains USA for a specific inquiry are also direct lodging company nightly rack rates, but also including any discounts that are offered by the specific lodging companies to "The Mountains USA" or negotiated by "The Mountains USA" on your behalf, unless otherwise specified. The quoted rates may or may not be those displayed on the website. If lower pricing for equivalent units is available we will offer that. If the property/unit is sold out at the displayed lodging company rates and another company with higher nightly rates still has availability then our quote will reflect that change.
Taxes and Surcharges:
All lodging company reservations are subject to a combination of sales tax, lodging tax and a lodging company surcharges. These taxes and charges vary by location and by company. The total amount charged by "The Mountains USA " will be the same as if you booked directly with the lodging company themselves, with the same discounts (if applicable) offered. The total will include all gross taxes and fees that you would be charged for a direct reservation, with the lodging company used.
Deposit:
50% of total balance due at the time of booking. For Holiday season bookings (Xmas), full payment is due by October 1st.
Final Payment:
Due 60 days prior to arrival. For Holiday season bookings (Xmas), full payment is due by October 1st.
Payment By:
Visa, MC, Discover, Certified, Personal or Company Check (No AMEX).
Cancellations:
Outside of 60 days, deposit is refundable except for a $100 administration fee and 3.5% per transaction of any monies charged to cover credit card processing fees, the outstanding balance will not be charged.
Inside of 60 days, the paid balance is non-refundable.
For any cancellation, we will attempt to resell the lodging. If the same unit is rebooked for the same/equal terms, partial refund may be issued.
Non-payment:
In case of returned or dishonored payments, reservations will be cancelled. Attempts will be made to contact the guest by phone, mail, registered mail, or email. Unpaid reservations will not be honored. Fees may be assessed for returned or dishonored payments.
Unit Specific Requests:
While we will make every attempt to honor specific unit, bedding, or location requests, no guarantees will be offered. If we are informed that your original unit becomes unavailable for whatever reason, we will attempt to contact you and ensure that any alternatives offered are suitable for your requirements.
No Additional Cost:
As a wholesaler of short term lodging, "The Mountains USA " buys large quantities of short term rental units on behalf of our clients. This allows us to access lodging at preferential rates from the various lodging companies with which we contract. We can then offer our reservation services at simply the difference between what you would pay to the lodging company direct (including their gross taxes and fees) and what "The Mountains USA " can access net with each lodging provider (including their net taxes and fees). Thus our reservation services are at no additional cost to you.
Terms and Conditions:
Each Lodging company will have slightly different terms and conditions, but all are fairly similar. A statement of one companies' procedures follows as an example. You will be furnished with specific terms and conditions on your specific reservation.
Incidentals: A credit card imprint is required from all guests upon check-in.
Length of Stay: They cannot refund any monies should you decide to shorten your stay. Availability of lodging will determine if your stay can be extended.
Downgrade/Upgrade: A charge of $100 per downgrade request will be assessed, if the change results in a smaller or less expensive unit. No downgrade will be accepted inside of 30 days of the arrival date. This option is based on availability. If a change is made to a larger or more expensive unit there is no penalty; however, guest will be subject to applicable rate.
Maximum Occupancy: Each unit has it's own maximum occupancy. One rollaway or crib would be allowed in some units over maximum occupancy. A limited number of rollaways and cribs are available at an additional cost.
Check-in & Check-out: All guests shall check-in and check-out at the location indicated on your confirmation letter. Check-in is no earlier than 4:00pm and check-out is no later than 10:00am. Due to housekeeping scheduling and other considerations, please schedule your travel arrangements around their check-in and check-out times.
Room Keys: Only a certain number of keys are allowed per unit, depending on the size of the unit. GUESTS MUST RETURN ALL KEYS TO THE OFFICE AT THE TIME OF CHECK-OUT. Due to security reasons, if a key is lost, stolen or accidentally taken home, they require a complete lock change to the unit. The charge for this is a minimum of $35. This can be paid at the time of check-out or they will automatically deduct the charge from your security deposit refund.
Maid Service: Maid service varies by complex. Please check with front desk upon check-in for service provided.
Telephone: Long distance service options are provided to you upon check-in.
Parking: Parking is available at each rental location. Some complexes limit parking to one vehicle per unit.
Lost/Found: Management is not responsible for the loss of money, jewelry, or valuables of any kind. All items left behind by any and all guests are the sole responsibility of the guest. If you feel that you may have left an item behind, please call the lodging company so that they can search for it. If your item is found, they will return it to you for the price of postage plus a handling surcharge. All items not called about or claimed within 2 weeks will be donated to a local charity.
PLEASE REMEMBER, NO PETS ARE ALLOWED IN THE UNITS. ALSO, PLEASE BOOK YOUR AIRLINE RESERVATIONS WELL IN ADVANCE. PREFERENCES FOR LOCATION, BEDDING, VIEWS, OR SPECIFIC UNITS WILL BE ON REQUEST, BUT CANNOT BE GUARANTEED.
Travelguard Travel Insurance
Definitions
- “Baggage” means luggage and personal possessions, whether owned, borrowed, or rented, taken by the Insured on the Trip.
- “Business Partner” means an individual who a) is involved with the Insured or the Insured’s Traveling Companion in a legal partnership; and b) is actively involved in the daily management of the business.
- “Common Carrier” means any conveyance operated under a license for the transportation of passengers for hire.
- “Complication of Pregnancy” means a condition in which the diagnosis is distinct from pregnancy but adversely affected or caused by pregnancy. It does not include any condition associated with the management of a difficult pregnancy not consisting of a classifiably distinct Complication of Pregnancy.
- “Contracted Departure Date” means the date on which the Insured is originally scheduled to leave on his/her Trip.
- “Contracted Return Date” means the date on which the Insured is scheduled to return to the point where the Trip started, or to a different specified Return Destination.
- “Default” means any failure of a provider of travel-related services (including any tour operator) to provide the bargained-for travel services or to refund money due the Insured.
- “Destination” means the place where the Insured expects to travel on his/her Trip.
- “Domestic Partner” means an opposite or a same-sex partner who is at least 18 years of age and has met all of the following requirements for at least 6 months: (1) resides with the Insured; (2) shares financial assets and obligations with the Insured; the Insurer may require proof of the Domestic Partner relationship in the form of a signed
and completed Affidavit of Domestic Partnership. - “Experimental or Investigative“ means treatment, a device or prescription medication which is recommended by a Physician, but is not considered by the medical community as a whole to be safe and effective for the condition for which the treatment, device or prescription medication is being used, including any treatment, procedure, facility, equipment, drugs, drug usage, devices, or supplies not recognized as accepted medical practice, and any of those items requiring federal or other governmental agency approval not received at the time services are rendered.
- “Hospital” means a place that: (a) holds a valid license; (b) is run mainly for the care and treatment of sick or injured persons as inpatients; (c) has a staff of one or more Physicians available at all times; (d) provides 24-hour nursing service and has at least one registered nurse on duty at all times; (e) has organized diagnostic
and surgical facilities, either on the premises or on a contract basis with another Hospital; and (f) is not mainly a clinic, or facility for nursing, rest or convalescence, or a place for the aged. - “Immediate Family Member” means a person’s spouse, Domestic Partner, child, spouse’s child, daughter-in-law, son-in-law, brother, sister, mother, father, grandparents, grandchild, step-brother, stepsister, step-parents, parents-in-law, brother-in-law, sister-in-law, aunt, uncle, niece, nephew, legal guardian, or legal ward.
- “Inclement Weather” means any severe weather condition which delays the scheduled arrival or departure of a Common Carrier.
- “Injury” means a bodily Injury caused by an accident occurring while this Policy is in force as to the Insured whose Injury is the basis of a claim, and resulting directly and independently of all other causes of loss covered by this Policy. The Injury must be verified by a Physician.
- “Insured” means the person named on the individual enrollment form.
- “Insurer” means National Union Fire Insurance Company of Pittsburgh, PA.
- “Medically Necessary” means that a treatment, service or supply: (1) is essential for diagnosis, treatment, or care of the Injury or Sickness for which it is prescribed or performed; (2) meets generally accepted standards of medical practice; (3) is ordered by a Physician and performed under his or her care, supervision, or order; and (4) is not primarily for the convenience of the Insured, Physician, other providers, or any other person.
- “Natural Disaster” means a flood, hurricane, tornado, earthquake, or blizzard that is due to natural causes.
- “Physician” means a licensed practitioner of the healing arts, acting within the scope of his/her license. The treating Physician may not be the Insured, Immediate Family Member of the Insured or the Insured’s spouse or a Traveling Companion, Traveling Companion, or Business Partner.
- “Reasonable Additional Expenses” means any expenses for meals and lodging which were necessarily incurred as the result of a Trip Interruption or Travel Delay and which are not provided by the Common Carrier or any other party free of charge.
- “Reasonable and Customary Charges” means an expense which: (a) is charged for treatment, supplies or medical services Medically Necessary to treat the Insured’s condition; (b) does not exceed the usual level of charges for similar treatment, supplies, or medical services in the locality where the expense is incurred; and (c) does not include charges that would not have been made if no insurance existed. In no event will the Reasonable and Customary Charges exceed the actual amount charged.
- “Return Destination” means the place to which the Insured expects to return from his/her Trip.
- “Sickness” means an illness or disease which requires treatment by a Physician
- “Strike” means a stoppage of work (a) announced, organized, and sanctioned by a labor union and (b) which interferes with the normal departure and arrival of a Common Carrier. Included in the definition of Strike is work slowdowns and sickouts
- “Travel Agent” means the Travel Agent, tour operator, or other entity from which the Insured purchases his/her coverage or travel arrangements, and includes all officers, employees, and affiliates of the Travel Agent or tour operator.
- “Travel Supplier”means the tour operator, hotel, cruise line, and/or
airline that: (1) provides pre-paid travel arrangements for the Insured's Trip; and (2) is named in the master application. - “Traveling Companion” means a person or persons with whom the Insured has coordinated travel arrangements and intend to travel with during the Trip. A group or tour leader is not considered a Traveling Companion, unless the Insured is sharing room accommodations with the group or tour leader.
- “Trip” means a period of round-Trip travel away from home to a Destination outside the Insured’s city of residence; the purpose of the Trip is business or pleasure and is not to obtain health care or treatment of any kind; the Trip has defined departure and return dates specified when the Insured applies; the Trip does not exceed 180 days; and the Insured’s Destination is not to another home; travel is primarily by Common Carrier and only incidentally by private conveyance.
Individual Eligibility, Effective & Termination Dates
Persons eligible for insurance under the policy are any travelers who purchase coverage through the Travel Supplier, accepts, enrolls and pays the premium for coverage providing they have not
already departed on their Trip.
Effective Date: Trip Cancellation benefit will be effective at 12:01 a.m. on the day after the premium is paid to the Travel Agent. All other coverages will begin on the later of: (a) the date and time the Insured starts his/her Trip, or (b) the scheduled Contracted Departure Date shown on the enrollment form.
Termination Date: All coverage ends on the earliest of: (a) the date the Trip is completed; (b) the scheduled Contracted Return Date; (c) the Insured’s arrival at the Return Destination on a round Trip, or the Destination on a one-way Trip; or (d) cancellation of the Trip
covered by the policy. The policy covers Trips up to 180 days in length.
Extension of Coverage: All coverage under the policy will be extended, if: (a) the Insured’s entire Trip is covered by the policy; and (b) the Insured’s return is delayed by unforeseeable circumstances beyond his/her control. If coverage is extended for the above reasons, coverage will end on the earlier of: (a) the date the Insured reaches his/her Return Destination; or (b) seven (7) days after the date the Trip was scheduled to be completed.
General Exclusions
These exclusions apply to all benefits. In addition to any exclusions which apply to a particular benefit (called “Additional Exclusions”), the policy does not cover loss caused by: (a) suicide, or attempted suicide, or intentionally self-inflicted Injury or any attempt at intentionally self-inflicted Injury by the Insured, Immediate Family Member, Traveling Companion or Business Partner (while sane, in Colorado and Missouri); (b) pregnancy or childbirth, or elective abortion, other than Complications of Pregnancy; (c) professional athletic events, motor sport, or motor racing, including training or practice for the same; (d) mountain climbing; (e) war or act of war, whether declared or not, civil commotion, insurrection or riot; (f) military duty or service; (g) operating or learning to operate any aircraft, as student, pilot or crew; (h) air travel on any air supported device, other than a regularly scheduled airline or air charter company; (i) loss or damage caused by detention, confiscation, or destruction by customs; (j) any unlawful acts, committed by the Insured, a Traveling Companion, or an Immediate Family Member, whether insured or not; (k) mental, psychological, or nervous disorders including, but not limited to, anxiety, depression, neurosis, or psychosis; (l) if the Insured’s tickets do not contain specific travel dates (open tickets); (m) alcohol or substance abuse or treatment for same; (n) medical treatment during or arising from a Trip undertaken for the mpurpose or intent of securing medical treatment or traveling expressly for the purpose of obtaining medical treatment; (o) elective or non-emergency treatment or surgery, except for any necessary treatment or surgery due to covered Injury; (p) Experimental or Investigative treatment or procedures; or (q) an Injury or Sickness which occurs at a time when this coverage is not in effect.
PRE-EXISTING MEDICAL CONDITION
EXCLUSION APPLICABLE TO ALL COVERAGES
The Insurer will not pay for loss or expense incurred as the result of an Injury, Sickness or other condition of the Insured, a Traveling Companion, or an Immediate Family Member of the Insured or Traveling Companion which, within the 60 day period before the Insured's coverage began: (a) first manifested itself, worsened, became acute, or had symptoms which would have prompted a reasonable person to seek diagnosis, care or treatment; (b) required taking prescribed drugs or medicine, unless the condition for which the prescribed drug or medicine is taken remains controlled without any change in the required prescription; or (c) required treatment by a Physician or treatment had been recommended by a Physician.
MAXIMUM LIMIT OF LIABILITY: All limits are applied per Trip. The Insurer’s maximum limit of liability resulting from the same occurrence will be $10,000,000 under the Travel Guard Policies Underwritten by National Union. If loss for all Insureds from such an occurrence exceeds $10,000,000, the Insurer will pay each Insured that proportion of the Benefits stated which $10,000,000 bears to the total loss of all persons the Insurer insures under all travel and flight insurance in force, under the Travel Guard Policies Underwritten by National Union. The Insurer will pay no more than $250,000 per occurrence, under the Travel Guard Policies Underwritten by National Union, to or on account of anyperson insured under the Travel Guard Policies Underwritten by National Union.
Trip Cancellation and Interruption
The Insurer will pay this benefit up to the Maximum Limit shown on the Schedule of Benefits if a Trip is canceled or interrupted due to any of the following unforeseen reasons: (a) Sickness, Injury, or death of an Insured, Immediate Family Member, Traveling Companion, or Business Partner. Injury or Sickness must be so disabling as to reasonably cause a Trip to be delayed, canceled, or interrupted; (b) Inclement Weather conditions causing delay or cancellation of travel; (c) the Insured’s principal residence being made uninhabitable by fire, flood, or similar Natural Disaster, vandalism, or burglary; (d) the Insured being subpoenaed, required to serve on jury duty, hijacked, or quarantined; (e) being involved in or delayed due to an automobile accident en route to departure; (f) Strike, resulting in the complete cessation of travel services at the point of departure or Destination. This coverage does not cover loss caused by: (i) carrier-caused delays including an announced, organized, sanctioned labor union Strike that affects public transportation, unless the Insured’s coverage effective date is prior to when the Strike is foreseeable. A Strike is foreseeable on the date labor union members vote to approve a Strike; (ii) travel arrangements canceled or changed by an airline, cruise line, or tour operator, unless the cancellation is the result of a Natural Disaster; (iii) changes in plans by the Insured, an Immediate Family Member, or Traveling Companion, for any reason; (iv) financial circumstances of the Insured, an Immediate Family Member, or a Traveling Companion; (v) any business or contractual obligations of the Insured, an Immediate Family Member or a Traveling Companion; (vi) Default by the person, agency, or tour operator from whom theInsured bought his/her coverage or purchased his/her travel arrangements; (vii) any government regulation or prohibition; (viii) an event or circumstance which occurs prior to the Insured’s coverage effective date.
Trip Cancellation Benefits: The Insurer will pay this benefit up tothe Maximum Limit shown on the Schedule of Benefits for Trips that are delayed or canceled before the scheduled Contracted Departure Date. The Insurer will pay forfeited, non-refundable, unused prepaid payments or deposits if the Insured’s Trip is canceled due to the reasons shown at the beginning of this section. The Insurer will pay the Insured’s additional cost as a result of a change in the per-person occupancy rate for prepaid travel arrangements if a Traveling Companion’s Trip is canceled due to
reasons shown at the beginning of this section, and the Insured’s Trip is not canceled.
Trip Interruption Benefits: The Insurer will pay this benefit up to the Maximum Limit shown on the Schedule of Benefits for Trips that have been interrupted or delayed, due to the reasons shown at the beginning of this section. The Insurer will pay for the following: (a) unused prepaid payments or deposits for the Insured’s Trip if the Insured’s Trip is interrupted; or (b) additional transportation expenses incurred by the Insured, either (i) to the Return Destination; or (ii) from the place that the Insured left the Trip to the place that themInsured may rejoin the Trip; (c) additional transportation expenses incurred by the Insured to reach the original Trip Destination if theInsured is delayed, and leaves after the Contracted Departure Date. However, the benefit payable under (b) and (c) above will not exceed the cost of economy airfare (or first class if the Insured’s original
tickets were first class) by the most direct route, less any refund paid or payable; (d) the Insured’s additional cost as a result of a change in the per-person occupancy rate for prepaid travel arrangements if a Traveling Companion’s Trip is interrupted, and the Insured’s Trip is continued.
Travel Delay
The Insurer will reimburse up to $100 a day to the Maximum Limit shown on the Schedule of Benefits if the Insured’s Trip is delayed for 12 or more hours for Reasonable Additional Expenses
until travel becomes possible and a one-way economy airfare ticket from the point where the Insured left the Trip to a destination where the Insured can rejoin the Trip. Incurred expenses must be accompanied by receipts. This benefit is payable for only one delay per Insured, per Trip. Travel Delay must be caused by: (a) carrierdelay; or (b) lost or stolen passport, travel documents, or money; or (c) quarantine; or (d) Natural Disaster; or (e) Injury or Sickness of the Insured or Traveling Companion
Loss of Baggage and Personal Effects
The Insurer will reimburse up to the Maximum Limit and subject to the Deductible shown on the Schedule of Benefits. The Insurer will pay for loss, theft, or damage to the Insured’s Baggage, passports, and visas during the Insured’s Trip. The Insurer will also pay for loss due to unauthorized use of the Insured’s credit cards, if the Insured has complied with all credit card conditions imposed by the credit card companies.
Continuation of Coverage: If the covered Baggage, passports, and visas are in the charge of a charter or Common Carrier, and delivery is delayed, this coverage will continue until such property is delivered to the Insured. This coverage does not include loss
aused by the delay.
Property Not Covered: The Insurer will not pay for damage or loss of: (a) animals; (b) property used in trade, business, or for the production of income; (c) motor vehicles, aircraft, and other conveyances; (d) artificial limbs, false teeth, any type of eyeglasses, sunglasses, contact lenses, or hearing aids; (e) tickets, except for administrativefees required to reissue tickets; (f) money, stamps, stocks and bonds, postal or money orders; (g) property shipped as freight, or shipped prior to the Contracted Departure Date; (h) credit cards,
except as noted above; (i) contraband.
Special Limitation: The Insurer will not pay more than $500 for the first item and, thereafter, no more than $250 per item up to the limit of coverage as shown in the Schedule of Benefits. Items over$150 should be accompanied by original receipts. If receipts are not provided, benefits may be reduced.
Additional Exclusions: In addition to the General Exclusions, the Insurer will not pay this benefit for loss due to: (a) defective materials or craftsmanship; or (b) normal wear and tear; or (c) deterioration; or (d) rodents, animals, or insects.
Payment of Loss: The Insurer will pay, the lesser of, cash value (original cash value) less depreciation determined by the Insurer or
replacement. The Insurer will notify the Insured within 30 days after the Insurer receives his/her proof of loss. The Insurer may take all or part of the damaged Baggage at the appraised or agreed value. In the event of a loss to a pair or set of items, the Insurer may at the Insurer’s option: (a) repair or replace any part to restore the pair or set to its value before the loss; or (b) pay the difference between the value of the property before and after the loss.
Baggage Delay
The Insurer will reimburse incurred expenses up to the Maximum Limit shown on the Schedule of Benefits for Baggage which is delayed or misdirected more than 12 hours for the cost of necessary
personal effects. Incurred expenses must be accompanied by receipts. This does not apply if Baggage is delayed after the Insured reaches his/her Return Destination.
Medical Expense Benefit
The Insurer will pay this benefit, up to the Maximum Limit and deductible shown on the Schedule of Benefits. The Insurer will pay for medical expenses incurred by the Insured within one year from the date of Injury or Sickness provided initial treatment was received during the Trip. The Injury must occur or Sickness must begin while the Insured is covered by the policy.
Covered Expenses: The Insurer will pay the Insured’s Reasonable and Customary Charges for medical and surgical expenses. The Insurer will pay emergency dental treatment, up to the Maximum Limit shown on the Scheudle of Beneftis, only during a Trip.
Dental coverage does not apply if treatment or expenses are incurred after the Insured has reached his or her Destination, in the case of a one-way ticket, or Return Destination regardless of
the reason. The treatment must be given by a Physician or dentist. The Insurer will pay for professional nursing, Hospital charges, Xray, ambulance services, and prosthetic devices.
If the Insured is covered by any other group, blanket health, accident insurance, or assistance plan, and would, as a result, receive total benefits in excess of the expenses actually incurred, the benefits will be reduced by such excess.
Additional Exclusions: In addition to the General Exclusions, coverage is not provided for: (a) routine physical examinations; (b) replacement of hearing aids, eye glasses, contact lenses, sunglasses, and artificial teeth; (c) routine dental care; (d) any service provided by the Insured, an Immediate Family Member or Traveling Companion.
Payment of Loss: The Insured must provide the Insurer with: (a) all medical bills and reports for medical expenses claimed; and (b) a signed patient authorization to release medical information to the Insurer.
Make sure you call Travel Guard (1.866.221.8080 or 1.715.295.5452) before you seek medical care while traveling. Where available, we can arrange direct payment to a member of our Preferred medical network, saving you the time and paperwork associated with reimbursement of medical expenses. Our assistance coordinators also can help you locate the nearest and most
appropriate medical provider, monitor your care, and provide updates to your family and/or employer.
Emergency Medical Transportation
The Insurer will pay this benefit up to the Maximum Limit shown on the Schedule of Benefits. Travel Guard Assist will arrange for emergency medical transportation services required by the Insured as the result of an Injury or emergency Sickness during a Trip.
Covered Expenses: The Insurer will pay: (a) Reasonable and Customary Charges for medical services required for evacuation to the nearest adequate medical facility or home if medically required. This service will be arranged only if the Insured’s Physician determines that adequate medical treatment is not locally available; (b) up to $5,000 for reasonable and necessary charges for escort expenses required by Insured, if the Insured is disabled during a Trip, and an escort is recommended, in writing, by the attending Physician; (c) reasonable and necesssary charges for services for transportation of the Insured’s remains to his/her place of residence if he/she dies during a Trip. Services must be provided by a provider designated by Travel Guard Assist.
Additional Benefit: In addition to the above Covered Expenses, if the Insurer has previously evacuated an Insured to a medical facility, the Insurer will pay his/her airfare costs from that facility to the Insured’s Return Destination, within one year from the Insured’s original Contracted Return Date, less refunds from the Insured’s unused transportation tickets. Airfare costs will be economy, or first class if the Insured’s original tickets are first class. This benefit is available only if it is not provided under another coverage in the policy.
Additional Exclusions: In addition to the General Exclusions, the Insurer also will not pay for services arranged without the Insurer’s prior consent or approval. Timely notification by the Insured to the Insurer’s designated provider is required, with regard to Emergency Evacuation.
Payment of Claims
Claim Procedures: Notice of Claim: The Insured must call Travel Guard as soon as reasonably possible, and be prepared with what coverage the loss was under (i.e., Medical Expense), the name of the company that arranged the Trip (i.e., tour operator, cruise line, or charter operator), the Trip dates and the amount that the Insured paid. Travel Guard will complete the claim form and sendit to the Insured for his/her review/signature. The completed form should be returned to Travel Guard Group, Inc., 1145 Clark Street, Stevens Point, Wisconsin 54481 (Telephone: 1.715.295.5452 or1.866.221.8080). All claims of California residents will be administered by Mercury Claims Administrator Services, LLC. All accident, health, and life claims will be administered by Mercury Claims & Assistance of WI, LLC, in those states where it is licensed.
Claim Procedures: Proof of Loss: The claim forms must be sent back to Travel Guard no more than 90 days after a covered loss occurs or ends, or as soon after that as is reasonably possible. All claims under the coverage must be submitted to Travel Guard no later than one year after the date of loss or insured occurrence or as soon as reasonably possible. If Travel Guard has not provided claim forms within 15 days after the Notice of Claim, other proofs of loss should be sent to the Insurer by the date claims forms would be due. The proof of loss should include written proof of the occurrence, type and amount of loss, the Insured’s name, the participating
organization name, and the policy number.
Payment of Claims: When Paid: Claims will be paid as soon as Travel Guard receives complete proof of loss and verification of age.
Payment of Claims: To Whom Paid: Benefits paid on account of an Insured’s death will be paid to: 1) his/her spouse, if living; 2) if not, in equal shares to his/her living children; 3) if there are none, in equal shares to his/her living parents; 4) if there are none, in equal shares to his/her living brothers and sisters; 5) if there are none, to his/her estate. If a benefit is payable to the Insured’s estate, or to a minor or other person who is incapable of giving a valid release, the Insurer may pay up to $1,000 to a relative by blood or connection by marriage who has assumed care or custody of the minor or responsibility for the incompetent person’s affairs. Any payment the Insurer makes in good faith fully discharges the Insurer to the extent of that payment.
All other benefits will be payable to the Insured.
Benefits for Medical Expense/Emergency Medical Transportation Services may be payable directly to the provider of the services. However, the provider: a) must comply with the statutory provision for direct payment, and b) must not have been paid from any other sources. Problems with your insurance? If so, do not hesitate to contact Travel Guard to resolve your problem at 1145 Clark Street, Stevens Point, WI 54481, or call 1.866.221.8080.
General Provisions
Acts of Agents – No agent or any person or entity has authority to accept service of the required proof of loss or demand arbitration on the Insurer’s behalf nor to alter, modify, or waive any of the provisions of the policy.
Autopsy – The Insurer at its own expense, may require an autopsy where permitted by law.
Concealment or Fraud –The Insurer does not provide coverage for the Insured if the Insured has intentionally concealed or misrepresented any material fact or circumstance relating to the policy or claim.
Insurer’s Recovery Rights –In the event of a payment under the policy, the Insurer is entitled to all rights of recovery that the Insured, or the person to whom payment was made, has against another. The Insured must sign and deliver to the Insurer any legal papers relating to that recovery, do whatever is necessary to help the Insurer exercise those rights, and do nothing after the loss to harm the Insurer’s rights. When an Insured has been paid benefits under the policy but also recovers from another policy, the amount recovered from the other policy shall be held in trust for the Insurer by the Insured and reimbursed to the Insurer the extent of the Insurer’s payment. The provision does not apply in North Carolina.
Legal Actions – No one may sue for benefits less than 60 days after due proof of loss is submitted, nor more than 3 years (or the minimum period of time permitted by state law, if greater) after the date claim forms are due.
Payment of Premium – Coverage is not effective unless all premium due has been paid to Travel Guard prior to a date of loss or insured occurrence.
Termination of the Policy – Termination of the policy will not affect a claim for loss which occurs while the policy is in force.
Transfer of Coverage – Coverage under the policy cannot be transferred by the Insured to anyone else.
Notice to California residents: The plan contains disability insurance benefits or health insurance benefits, or both, that only apply during your covered Trip. You may have coverage from other sources that already provides you with these benefits. You should review your existing policies. If you have any questions about your current coverage, call your insurer or health plan.
Notice to Florida residents: The benefits of the Policy providing your coverage are governed primarily by the law of a state other than Florida.
Notice: Your homeowners policy, if any, may provide coverage for loss of personal effects provided by any Baggage/Personal Effects coverage provided by this policy. This insurance is not required in connection with the Insured's purchase of travel tickets.
The definition of “Hospital” applicable to residents of Florida is as follows:
Hospital means a facility that: (1) is operated according to law for the care and treatment of injured people; (2) has organized facilities for diagnosis and surgery on its premises or in facilities available to it on a prearranged basis or is accredited by the Joint Commission on the Accreditation of Hospitals, the American Osteopathic Association, or the Commission on the Accreditation of
Rehabilitative Facilities; (3) has 24 hour nursing service by registered nurses (R.N.'s); and (4) is supervised by one or more Physicians. A Hospital does not include: (1) a nursing, convalescent
or geriatric unit of a hospital when a patient is confined mainly to receive nursing care; (2) a facility that is, other than incidentally, a rest home, nursing home, convalescent home or home for
the aged; nor does it include any ward, room, wing, or other section of the hospital that is used for such purposes; or (3) any military or veterans hospital or soldiers home or any hospital contracted for or operated by any national government or government agency for the
treatment of members or ex-members of the armed forces.
The Legal Actions provision applicable to residents of Florida is as follows: No action at law or in equity may be brought to recover on this Policy prior to the expiration of 60 days after written proof of loss has been furnished in accordance with the requirements of this Policy. No such action may be brought after the expiration of 5 years after the time written proof of loss is required to be furnished.
Exclusion (j) does not apply to residents of Florida. For inquiries, information about coverage or for assistance in resolving complaints call: 1.866.221.8080.
Notice to North Carolina residents: In North Carolina, insurance is underwritten by National Union Fire Insurance Company of Pittsburgh, PA, on Policy series 52735MO.
Notice to Texas residents: The policy may provide a duplication of coverage already provided by your personal auto insurance, homeowner’s, personal liability policy, or other source of coverage.
Travel Guard® Assist*
All benefits provided are non-insurance services, not insurance benefits. Any costs associated with benefits not purchased will be paid by the named Insured.
24-HOUR MEDICAL ASSISTANCE
24-Hour Medical Monitoring: Physicians monitor the Insured’s condition by maintaining close contact with the attending Physicians, his/her family Physician, and Immediate Family Members.
Medical Evacuation: Arrangements for any and all means necessary to transport the Insured back home when Medically Necessary.
Emergency Medical Payments: If a Hospital demands a cash deposit or settlement prior to leaving, Travel Guard will assist in arranging the advancement of funds to cover on-site medical expenses.
Prescription Assistance: Replacement of lost or stolen medication, through a local pharmacy or special courier.
Transportation of Dependents: In the event of hospitalization, arrangements will be made for unattended minors traveling with the Insured to be flown home. Family Visit: If the Insured is hospitalized for ten or more days, Travel Guard will arrange transportation for an Immediate Family Member or close friend to visit him/her.
Transportation of Mortal Remains: In the event of death while traveling, arrangements for the return of remains to the place of burial.
24-HOUR LEGAL ASSISTANCE
In a legal emergency, referral to a local legal advisor, and advance of funds for bail and legal fees.
24-HOUR TRAVEL ASSISTANCE
Travel Documents Assistance: Travel Guard will help retrieve, report, and reissue lost or stolen travel documents.
Emergency Cash Transfer: Travel Guard will, whenever possible, coordinate with the Insured and a wire agency, in obtaining funds in local currency for medical or travel emergencies.
Emergency Message Center: Transmission of emergency messages to family and business associates.
Interpretation Services: Travel Guard provides emergency language support or referral to the appropriate local services.
*Non-insurance services through Travel Guard® Assist are provided by Travel Guard®.
Program fees are non-refundable.
When calling from the U.S., 1.866.221.8080.
When calling from abroad, call collect 1.715.295.5452.
We will coordinate your assistance needs with the appropriate TGA Center.
Benefits are payable up to the amount of coverage in the insurance policy provided through TRAVEL GUARD® and/or INSURE AMERICA®. Failure to call TRAVEL GUARD® Assist may invalidate any payments applicable on your claim. TGA shall not be responsible for the availability, quality, or results of any medical treatment or the failure of the insured person to obtain medical treatment. 007861-CT P1-P3 5/05
©TRAVEL GUARD® International 3/06
Notice to State of Washington Residents: This is not your insurance policy. To obtain your state-specific insurance policy, visit www.insureamerica.com, or call 1.715.346.0860.
DESCRIPTION OF COVERAGE
Schedule of Benefits
Resort Cost Trip Cancellation & Interruption
- $500 Travel Delay ($100 maximum per day)
- $1,000 Baggage & Personal Effects ($50 deductible applies)
- $600 Baggage Delay ($200 maximum per day)
- $10,000 Medical Expense (One time $100 deductible for outpatient visits)
- $1,000 Emergency Dental Care
- $25,000 Emergency Medical Transportation
- Included TRAVEL GUARD® Assist
PRE-EXISTING MEDICAL CONDITION EXCLUSION WAIVER
If insurance is purchased within 24 hours of initial Trip payment, the Pre- Existing Medical Condition Exclusion will be waived. This is applicable to all coverages contained in the policy. The Insured must be medically able to travel when you pay your premium. In the event a claim is filed, the Injury or illness must be substantiated to our Claims Department.
IMPORTANT - Exclusions apply to certain medical condiitons
For coverage questions or to request a claim form, call toll-free 1.866.221.8080. For emergency help while on your Trip, see the information and phone numbers above.
Blanket Travel Accident Insurance
This document describes the benefits and basic provisions of the policy. You should read it with care so you will understand the coverage. The policy is the only contract under which benefits are paid.
PLEASE READ THIS DOCUMENT CAREFULLY!
Insurance Coverage
Underwritten by the National Union Fire Insurance Company of Pittsburgh, PA, a member of the AIG Companies, with its principal place of business at 70 Pine Street, New York, New York 10270. It is currently authorized to transact business in all states and the District of Columbia. NAIC No.
19445.
This is only a brief description of the insurance coverage(s) available under policy series T30253NUFIC. The Policy contains reductions, limitations, exclusions, and termination provisions. Full details of the coverage are contained in the Policy. If there are any conflicts between this document and the Policy, the Policy shall govern.
Coverage is valid only if premium has been paid - PRODUCT NUMBER: 007861-P1-P3 5/05 In the event of a claim, please refer to the above Product Number.
Rental/Activity Companies
Payment Terms: Payment in full is required at time of booking your reservation.
Cancellation Terms: A full refund may be made if a cancellation request is made 72 hours prior to activity/rental date (may be longer for groups or for certain products as detailed on the appropriate page of the website or on your confirmation documentation), except aty an absolute minimum a 3.5% per transaction fee for any monies charged and/or refunded to cover credit card processing fees, any outstanding balance will not be charged. If reservation is cancelled within 72 hours of activity/rental date, all monies are forfeited, regardless of reason for cancellation. (Some companies may have more lenient cancellation terms and they will be stated with your confirmation (email/phone/mail).
Damage: All damage caused to rental/activity equipment is chargeable by the rental/activity company unless their damage waivers/insurance are taken out at the time of rental.
Personal Injury: Personal injury occuring whilst pursuing activities or using rental equiment is not the liability of The Mountains USA or the activity/rental companies as detailed in the waiver forms required by each rental/activity agency and completed before the activity/rental is performed.

