AIG EGYPT INSURANCE COMPANY S.A.E POLICY GENERAL TERMS& CONDITIONS |
| SECTION-D |
| UNIFORM PROVISIONS |
| 1-ENTIRE CONTRACT – CHANGES: |
| This Policy, together with the Policy Schedule, as well as any forms, riders and endorsements and papers hereto, constitutes he entire contract of insurance.No change in this Policy shall be valid until approved by Our authorized officer and such approval is endorsed hereon. No agent has authority to change this Policy or to waive any of the provisions of this Policy. |
| 2- RENEWAL CONDITIONS: |
| This policy may be renewed with Our consent by the payment in advance of the total premium specified by Us, which premium shall be at Our premium rate in force at the time of renewal. We, however, are not bound to give notice that it is due for renewal. Unless renewed as herein provided, this Policy shall terminate at the expiration of the period for which premium has been paid. |
| However We may cancel this Policy at any time by giving you a 7 Days notice delivered to you, or mailed to Your last address as shown by Our records, stating when such cancellation shall be effective. In the event of cancellation, We will return promptly the pro-rata unearned portion of any premium You have actually paid. Such cancellation shall be without prejudice to any claim origination prior thereto. If you cancel the Policy, the earned premium shall be computed in accordance with Our short rate table for the period the Policy has been in force, provided no claim has occurred up to the date of cancellation in which case the whole premium shall be fully earned and no return of premium will be made. |
| 3- TERRITORY: |
| This Policy applies to incidents anywhere in Egypt only. |
| 4- CONTRIBUTION: |
| If at the time of a claim there is another insurance Policy or other contract in Your or the Insured Person’s name which covers the Insured Person for the same expense or loss, We will only pay Our proportionate share of the loss. Our proportionate share will be calculated by determining the percentage Our Policy maximum bears to the total amount of insurance in force as to the loss. This does not apply to, Accidental Death and Dismemberment, and Permanent Total Disability which We will pay in full if available under this Policy. |
| 5- CONCEALMENT OR FRAUD: |
| The entire Policy will be void if, whether before or after a loss, You have, related to this insurance, |
| ( a ) intentionally or recklessly or otherwise concealed or misrepresented or not disclosed, what we consider to be any material fact or circumstance; |
| ( b ) engaged in what we consider to be fraudulent, dishonest or deceitful conduct; or |
| ( c ) made false statements. |
| 6- NOTICE OF CLAIM/LOSS: |
| It is a condition precedent to Our liability hereunder that written notice of claim must be given by You to Us within 7 Days after an actual or potential loss begins or as soon as reasonably possible and in any event no later than 30 Days after an actual or potential loss begins. If Your property covered under this Policy is lost or damage, You must: |
| ( a ) notify us as soon as possible; |
| ( b ) take immediate steps to protect, save and/or recover the covered property; |
| ( c ) give immediate notice to the carrier or bailee who is or may be liable for the loss or damage; |
| ( d ) notify the police or other appropriate authority in the case of robbery or theft within 24 hours. |
| 7- CLAIM FORMS: |
| We, upon receipt of a notice of claim, will furnish You with such forms as We may require for filing proofs of loss. |
| 8. TIME FOR FILING CLAIM FORMS AND EVIDENCE: |
| Completed claim forms and written evidence of loss must be furnished to Us within thirty (7) Days after the date of such loss. Failure to furnish such evidence within the time required shall not invalidate nor reduce any claim if you can satisfy us that it was not reasonably possiblew for you to give proof within such time. However, no proof will be accepted if furnished later than one(1) year from the time the loss occurred. |
| You shall obtain and furnish Us with all original pills, receipts and any other documentation upon which a claim is based at your cost and shall also give Us in a timely fashion such additional documentation, information and assistanceas We may require in dealing with the claim. |
| 9. TIME OF PAYMENT OF CLAIM: |
| Benefit payable under this policy will be paid within a responsible time upon receipt of due written evidence of such loss and any other documentation, information and assistance that We my request You pursuant to Uniform Provision 9 above. Subject to due written evidence of loss all accrued benefits for loss for which this policy provides periodic payment will be paid monthly and any balance remaining unpaid upon the termination of liability will be paid immediately upon receipt of due written proof. |
| 10. LEGAL ACTIONS: |
| no action at low or in equity shall be brought to recover on this policy prior to the expiration of sixty (60) Days after written evidence has been furnished in accordance with the requirements of this policy . If no evidence has been furnished within one (1) year of the date upon which it should have been furnished then the claim shall for all purpose be deemed to have been abavdoned and shall not thereafter be recoverable under this policy. |
| If we disclaim liability to You or any Insured Person for any claim, and if You do not notify Us in writing within one (1) year from the date of receipt of the notice of such disclaimer that You do not accept such disclaimer and intend to recover this claim from Us, then the claim shall for all purposes by deemed to have abandoned and shall not thereafter be recoverable u under this Policy. |
| 11.EXCESS PROVISION: |
| The plan benefits as shown in the Policy Schedule or the Schedule of Benefits ( refer to are payable for covered expenses, not covered and payable by any other plan providing medical expense benefits. If there is no other valid and collectible benefit available from any other source, this plan will pay the covered expenses up to the limits or sub-limits of the policy. |
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