Day Tripper Group Travel Insurance

Health Coverage that Goes Far & Beyond

· Group Travel Medical Insurance

· Emergency Medical Evacuation

· Astonishing Travel Assistance Services

Underwritten by Lloyd's, London
Administered by HCC Medical Insurance Services
Distributed by Insurance Services of America

1. RATES
2. PRINTABLE ENROLLMENT FORM (PDF)
3. Get a Group Quote
4. Apply Now for ONLINE INSTANT ENROLLMENT

The Day Tripper Group Travel Series now automatically includes many new benefits, services and features that make it the best option for student groups, missionary organizations and corporations who travel internationally. At no additional cost, the Day Tripper Group Travel Series now adds coverage for Acts of Terrorism, Complications of Pregnancy and Incidental Trips home to the industry’s leading travel medical insurance plan. State of the art travel and emergency medical assistance services are part of every Day Tripper Group Travel Series plan.

Why Buy Day Tripper Group Travel Insurance?

The answer is easy. Whether your group is traveling for business or pleasure, international travel involves risk. You may arrive at your destination to find that a member of your group’s luggage with personal items has disappeared. A personal emergency may necessitate early return home for a member of your group. A medical emergency may require hospitalization or even air evacuation. In most cases, your existing insurance will not provide adequate protection for these and other risks. Without appropriate travel insurance, members of your group may be exposed to significant financial liability. HCCMIS can’t take the risk out of international travel, but if the unforeseen happens, we will be there to help you.

Is My Group Eligible for the Atlas Group Travel Series?

If your group consists of a minimum of five travelers who are at least 14 days old traveling internationally for at least 5 days, your group is eligible. If your group members are under age 70, you may select the Overall Maximum Limit, ranging from $50,000 to $1,000,000. The Overall Maximum Limit for members age 70 to 79 is $50,000. The Overall Maximum Limit for members age 80 and older is $10,000. The minimum coverage period is 5 days and the maximum coverage period is 12 months. The same Overall Maximum Limit must be purchased for every member of your group under the age of 70. The same Deductible must be purchased for every member of your group.

When Does Coverage Become Effective and When Does it End?

Coverage becomes effective on the latest of: the moment we receive your Application and correct premium (if Application and payment is made online or by fax), 12:01am* on the date we receive your Application and payment (if Application and payment is made by mail), the moment the member departs from his or her Home Country or 12:01am on the date you request on your Application. Coverage will end on the earliest of: 11:59pm on the last day of the period for which you have paid a premium, 11:59pm on the date requested on your Application, or the moment of the members’ return to their Home Country (unless the member has started a Benefit Period or is eligible for Home Country Coverage).

*Times expressed above are based on US Eastern Time.

Does the Day Tripper Group Travel Series Provide any Home Country Coverage?

Yes. Under certain circumstances, the Day Tripper Group Travel Series will provide limited Home Country Coverage

Incidental Home Country Coverage - For every 3 months of coverage purchased, the Day Tripper Series provides up to 15 days of incidental coverage for trips to your Home Country. Incidental visit time must be used within the three-month period earned, and the member must continue his or her international trip in order to be eligible for this benefit, which covers Medical expenses only. Return to your Home Country must not be taken for the purpose of obtaining treatment of an Illness or Injury that began while traveling.

Benefit Period Medical Coverage – A Benefit Period begins on the first date the member receives a diagnosis or treatment of a covered Illness or Injury while outside his or her Home Country and lasts for 180 days. If a member started a Benefit Period while this insurance was in effect, the member is covered only for Medical expenses for the duration of the Benefit Period, regardless of whether the member is at home or abroad.

End of Trip Home Country Medical Coverage – If your group is covered under the Day Tripper Group Travel Series and members are outside of their Home Countries continuously (except for covered Incidental Trips as described above) for six (6) months or more, you may purchase an additional 30 days of End of Trip Home Country Medical Coverage for the group.

Home Country Defined - If you are a US citizen, your Home Country is the United States, regardless of the location of your Principal Residence. If you are not a US citizen, your Home Country is the country where you principally reside and receive regular mail.

What is Covered?

Limits apply to all benefits (See Schedule of Benefits and Limits):

Medical:

Inpatient and Outpatient charges made by a Hospital.
Charges made by a Physician, surgeon, radiologist, anesthesiologist, and any other medical specialist to whom the Physician has referred the case.
Charges made for dressings, sutures, casts or other supplies prescribed by the attending Physician or specialist, but excluding nebulizers, oxygen tanks, diabetic supplies and all devices for repeat use at home.
Charges for diagnostic testing using radiology, ultrasonographic or laboratory services.
Charges for oxygen and other gases and anesthetics and their administration.
Charges for prescription drugs for treatment of a covered Injury or Illness, but not for the replacement of lost, stolen, damaged, expired or otherwise compromised drugs.
Charges made by a licensed Extended Care Facility upon direct transfer from an acute care Hospital.
Emergency local ambulance transport incurred in connection with Injury or Illness resulting in inpatient hospitalization.

Complications of Pregnancy:

Treatment of Complications of Pregnancy during the first 26 weeks of Pregnancy is covered under this insurance. Complications of Pregnancy is defined as: Illnesses whose diagnoses are distinct from Pregnancy, but are adversely affected by Pregnancy or caused by Pregnancy, and not associated with a normal Pregnancy. This includes: ectopic Pregnancy, spontaneous abortion, hyperemesis gravidarum, pre-eclampsia, eclampsia, missed abortion and conditions of comparable severity.

Hospital Indemnity:

If a member of your group is hospitalized as an Inpatient for treatment of a covered Illness or Injury, the Day Tripper Group Travel Series will provide $100 for each night the member spends in the hospital. This benefit is in addition to payments for other covered expenses and is not subject to Deductible or Coinsurance.

Acute Onset of a Pre-existing Condition:

Group members under age 70 are covered for an Acute Onset of a Pre-existing Condition. Coverage is available up to $15,000 Lifetime Maximum for Eligible Medical Expenses and up to $25,000 Lifetime Maximum for Emergency Medical Evacuation. An Acute Onset of a Pre-existing Condition is a sudden and unexpected outbreak or recurrence of a Pre-existing Condition, which occurs spontaneously and without advance warning either in the form of Physician recommendations or symptoms. Treatment must be obtained within 24 hours of the sudden and unexpected outbreak or recurrence.

Emergency Dental:

The following Emergency Dental expenses are covered: Emergency Dental treatment and Dental surgery necessary to restore or replace sound natural teeth lost or damaged in an Accident which is covered under this insurance subject to the Overall Maximum Limit; and Emergency Dental treatment necessary to resolve acute, spontaneous and unexpected onset of pain subject to a maximum benefit of $100.

Political Evacuation:

If the United States government issues a travel warning that becomes effective on or after your date of arrival in your destination country, the plan will provide for transportation to the nearest place of safety or for return to your Home Country. You must contact HCCMIS within 10 days of the date the travel warning is issued and the evacuation must be approved in advance and coordinated by HCCMIS.

Emergency Medical Evacuation:

If recommended by your attending Physician, who certifies that Evacuation is necessary to safeguard your life and that Medically Necessary treatment is not available locally, and if approved in advance and coordinated by HCCMIS, the Day Tripper Group Travel Series will provide the following benefits: Emergency air and/or ground transportation to the nearest Hospital that is qualified to provide the Medically Necessary treatment.

Emergency Reunion:

In the event of a covered Emergency Medical Evacuation, the Day Tripper Group Travel Series will provide the following benefits: The cost of an economy round-trip air and/or ground transportation ticket for one of the member’s relatives (parent, spouse, sibling or child age 18 or older) for transportation to the area where the member is hospitalized following Emergency Medical Evacuation and reasonable expenses for lodging and meals for the relative for a period not to exceed 15 days.

Return of Minor Child(ren):

If a member of your group is the only person age 18 or older, traveling with one or more children under the age of 18, who are also covered by the Day Tripper Group Travel Series, and the member is Hospitalized for treatment of a covered Illness or Injury, resulting in the children being left unattended for a period of time expected to exceed 36 hours, the Day Tripper Group Travel Series will provide the following benefit: The cost of a one-way economy air and/or ground transportation ticket for each covered child to the terminal serving the area of Principal Residence of each covered child.

Terrorism

The Day Tripper Group Travel Series provides Medical coverage for Injuries and Illnesses resulting from an Act of Terrorism, subject to a $50,000 lifetime maximum, provided all of the following conditions are met:

The Injury or Illness does not result from chemical, nuclear or biological weapons or events.
The member has no direct or indirect involvement in the Act of Terrorism.
The Act of Terrorism is not in a country or location where the United States government has issued a travel warning that has been in effect within the 6 months prior to your date of arrival.
The member has not unreasonably failed or refused to depart a country or location following the date a warning to leave that country or location is issued by the United States government.

An Act of Terrorism is defined as: 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 similar purposes including the intention to influence any government and/or to put the public, or any section of the public, in fear.

Accidental Death and Dismemberment:

In the event of your Accidental Death (except while traveling on a common carrier) or Dismemberment resulting from a covered Injury, the Day Tripper Group Travel Series will provide the following benefit:

Accidental Death – Principal Sum to the Beneficiary
Loss of 2 eyes or 2 or more limbs – Principal Sum to the member
Loss of 1 eye or 1 limb – One-half of the Principal Sum to the member

Age Principal Sum

14 days to 17 years $5,000

18 to 69 $25,000

70 to 74 $12,500

75+ $6,250

The Accidental Death and Dismemberment benefit is not available for losses incurred during participation in a Hazardous Sport or in respect to losses resulting from an Act of Terrorism.

The Beneficiary for members age 18 or older will be as follows:
1. Spouse (if any) 2. Children (if any) 3. Estate of the member.
The Beneficiary for members under age 18 will be as follows:
1. Custodial Parent(s) 2. Siblings (if any) 3. Estate of the member.

Common Carrier Accidental Death:

In the event of Accidental Death while traveling on board a commercial Common Carrier, the Day Tripper Group Travel Series will provide the following benefit: Principal Sum of $50,000 ($25,000 for children under age 18) subject to a maximum of $250,000 per group to the Beneficiary, as described above. This benefit is not available in respect to losses resulting from an Act of Terrorism.

Repatriation of Remains:

In the event of a covered Injury or Illness resulting in a member’s death, the Day Tripper Group Travel Series will provide the following benefit: Air and/or ground transportation of bodily remains or ashes to the area of the member’s Principal Residence, and reasonable costs of preparation of remains necessary for transportation.

Natural Disaster:

In the event of natural disaster (hurricane, flood, tornado, tsunami, etc) the Day Tripper will provide you up to $100 a day for 5 days if you are Displaced from planned, paid accommodations due to evacuation from forecasted disaster or following a disaster strike. Displaced is defined as required to depart the destination due to an evacuation ordered by prevailing authorities. Proof of paid accommodations must be submitted at time of claim.

Trip Interruption:

If, after you have departed, a member of your group learns of the death of a parent, spouse, sibling or child, or learns of the substantial destruction of his or her Principal Residence by fire or weather, the Day Tripper Group Travel Series will provide the following benefit: The cost of an economy one way air and/or ground transportation ticket for the member to travel to the area of his or her Principal Residence; or
If, following a covered Emergency Medical Evacuation, the attending Physician states that it is Medically Necessary for the member to return to his or her Home Country or to the area from which he or she was initially evacuated for continued treatment, recuperation and recovery, the Day Tripper Group Travel Series will provide the following benefit: The cost of a one-way economy air and/or ground transportation ticket for the member’s travel from the area where he or she was hospitalized following the Emergency Medical Evacuation, to the area where he or she was initially evacuated from, or to the terminal serving the area of the member’s Principal Residence.

Lost Checked Luggage:

In the event a member’s checked luggage is permanently lost by the carrier, the Day Tripper Group Travel Series will provide the following benefit: Up to $250 for replacement of clothes and personal hygiene items, not to exceed $50 for any one item. The member must file a formal claim with the transportation provider and provide the Plan Administrator with copies of all claim forms and proof that the transportation provider has paid its normal reimbursement for the lost checked luggage.

What Is Excluded?

The following charges, treatments, surgeries, medications, conditions and circumstances are excluded:

Pre-existing Conditions – Charges resulting directly or indirectly from any Pre-existing Condition are excluded from this insurance. Members under age 70 are covered for Medical and Emergency Evacuation charges resulting from an Acute Onset of a Pre-existing Condition, up to the limit set forth in the Schedule of Benefits and Limits. A Pre-existing Condition is any (1) condition for which medical advice, diagnosis, care, or treatment (includes receiving services and supplies, consultations, diagnostic tests or prescription medicines) was recommended or received during the 2 years immediately preceding the Certificate Effective Date; (2) condition that had manifested itself in such a manner that would have caused a reasonably prudent person to seek medical advice, diagnosis, care, or treatment (includes receiving services and supplies, consultations, diagnostic tests or prescription medicines) within the 2 years immediately preceding the Certificate Effective Date; (3) injury, illness, sickness, disease, or other physical, medical, mental, or nervous conditions, disorder or ailment (whether known or unknown) that, with reasonable medical certainty, existed at the time of application or within the 2 years immediately preceding the Certificate Effective Date. For the purposes of the Complications of Pregnancy coverage offered hereunder, Pregnancy will not be included within the definition of a Pre-existing Condition. An Acute Onset of a Pre-existing Condition is a sudden and unexpected outbreak or recurrence of a Pre-existing Condition, that occurs spontaneously and without advance warning either in the form of Physician recommendations or symptoms. Treatment must be obtained within 24 hours of the sudden and unexpected outbreak or recurrence.
Treatment for or related to any congenital condition.
Routine pre-natal care, childbirth, care of newborns, post-natal care, birth control, artificial insemination, infertility, impotency or sexual dysfunction, sterilization or reversal thereof.
False labor, edema, prolonged labor, prescribed rest during the period of Pregnancy, morning sickness and conditions of comparable severity associated with management of a difficult Pregnancy, and not constituting a medically distinct Complication of Pregnancy, and all charges related to Pregnancy after the 26th week of Pregnancy.
Mental Health Disorders or Substance Abuse.
Charges which are not incurred during the Certificate Period or the applicable Benefit Period, and charges which are not presented to Underwriters for payment within 60 days from the end of the Certificate Period or the applicable Benefit Period.
Charges for treatment of any condition when the purpose of departing the Home Country was to obtain treatment in the destination country/countries
Charges for use of Emergency Room within the US for treatment of Illness unless the patient is directly admitted to the Hospital as Inpatient for further treatment of that Illness.
Not Medically Necessary and administered or ordered by a Physician.
Provided at no cost, by a family member, or by a person who ordinarily resides with you, or which are attributable to or recoverable from any other party including government-sponsored plans.
Charges which exceed Usual, Reasonable and Customary.
Investigational, Experimental or for Research purposes.
While confined primarily to receive Custodial Care, Educational or Rehabilitative care.
Venereal Disease, and treatment of individuals who are HIV+ or have AIDS or ARC.
Treatment by a Chiropractor.
Treatment for acne, other acne, moles, skin tags, diseases of sebaceous glands, seborrhea, sebaceous cyst, unspecified disease of sebaceous glands, hypertrophic and atrophic conditions of skin, nevus.
Diseases of the skin.
Dental treatment, including treatment of the temporomandibular joint, except for Emergency Dental treatment necessary to replace sound natural teeth lost or damaged in an Accident covered hereunder or for the relief of acute, spontaneous and unexpected onset of pain.
Eyeglasses, vision exams, contact lenses, hearing tests, hearing aids, hearing implants, eye refraction, visual therapy, orthoptics or visual eye training or eye surgery (including cataract surgery and radial keratotomy) or for any examination or fitting related to these devices or procedures.
Injury resulting from participation in the following activities: Amateur Athletics, Contact Sports, and professional sports or athletic activities. Non-contact and non-organized/non-sanctioned amateur sports or athletic activities engaged in by the Member solely for leisure, recreational, entertainment or fitness purposes are not excluded except the following which are excluded: Mountaineering where a reasonably prudent person would use ropes or guides or at elevations of 4,500 meters or higher. Aviation, except when traveling solely as a passenger in a commercial aircraft. Hang gliding, sky diving, parachuting or bungee jumping; Snow skiing or snowboarding, except for recreational downhill and/or cross-country snow skiing or snowboarding (no cover provided whilst skiing away from prepared and marked in-bound territories and/or against the advice of the local ski school or local authoritative body); Racing by any animal or motorized vehicle; and spelunking; and subaqua pursuits involving underwater breathing apparatus unless NAUI/PADI certified, accompanied by a certified instructor, and at depths of less than 10 meters; jet skiing; and any other sport or activity which is undertaken for thrill seeking and exposes you to abnormal risk of injury
Injury sustained while under the influence of or due wholly or partly to the effects of intoxicating liquor or drugs other than drugs taken in accordance with treatment prescribed and directed by a Physician but not for the treatment of Substance Abuse.
Willfully self-inflicted Injury or Illness and immunizations and Routine Physical Exams.
The Deductible, Coinsurance and charges which are not included as Eligible Expenses as described in the Master Policy, and charges which exceed the limits set forth in the Schedule of Benefits and Limits.
Treatment required as a result of complications or consequences of a treatment or condition not covered hereunder.
Charges for travel or accommodations, except as provided for in the Local Ambulance, Emergency Medical or Political Evacuation, Repatriation of Remains, Emergency Reunion, Return of Minor Children and Trip Interruption sections of this insurance.
Treatment incurred as a result of exposure to non-medical nuclear radiation and/or radioactive material(s).
Organ or tissue transplants or related services.
Acts of Terrorism, except as provided for herein, war, insurrection, riot or any variation thereof.
Treatment of all forms of cancer/neoplasm.

This is a summary of exclusions. For more details, or for a complete copy of the Master Policy, contact HCC Medical Insurance Services.

What If I Plan to Participate in a Sport or Athletic Activity that is Excluded?

The Optional Sports Rider is available for the adventurous groups. This Rider adds coverage for the Amateur sports listed in exclusion #19. The maximum coverage under this Rider is the Overall Maximum Limit you select. The Accidental Death and Dismemberment benefit is deleted during the course of the activity. The Rider must be purchased for all members of your group.

What are the Pre-notification Requirements?

All Hospitalizations, Surgeries, Emergency and Political Evacuations, Emergency Reunions, Trip Interruptions, Repatriation of Remains, Computerized Tomography (CAT Scan) and Magnetic Resonance Imaging (MRI) must be Pre-certified. Simply call, or have your Physician call, HCCMIS with the information relative to your claim. You may also pre-certify by submitting details through Client Zone. Be sure to have your ID number available. If you do not Pre-certify, medical expenses will be reduced by 50% and all other expenses will be forfeited.

Who is the insurer?

The Day Tripper Group Travel is insured by Syndicate 4141 at Lloyd's, London. Lloyd's is the largest and oldest insurance market in the world and is rated 'A' (Excellent) by A.M. Best Company and 'A+' (Strong) by Standard & Poor's. Lloyd's provides financial strength and security that is unparalleled in the worldwide insurance market. Lloyd's is recognized as a market leader in the accident and health insurance arena and is well known for its innovative products and services. Presently, Lloyd's provides accident and health insurance to millions of individuals in almost every country of the world.

Who is the Plan Administrator?

HCC Medical Insurance Services, LLC (HCCMIS), headquartered in Indianapolis, Indiana, is a full service organization offering a comprehensive portfolio of insurance products designed specifically to address the insurance needs of consumers worldwide. Our international claims specialists, medical professionals and service representatives are available 24 hours a day, 7 days a week to answer your questions and respond to your needs. Whether you have lost your luggage or are in need of Emergency Medical Evacuation, you will find our service team to be prompt, compassionate, and highly professional. HCCMIS is a wholly-owned subsidiary of HCC Insurance Holdings, Inc. (HCC), a leading international specialty insurance group headquartered in Houston, Texas. HCC has assets of $9.0 billion, shareholders’ equity of $3.0 billion and is rated AA (Very Strong) by Standard & Poor’s and AA (Very Strong) by Fitch Ratings. In addition, HCC’s major domestic insurance companies are rated A+ (Superior) by A.M. Best Company

CONTACT INFORMATION

WORLDWIDE Marketing Office

Insurance Services of America
1757 E. Baseline Road, Suite 126
Gilbert, AZ 85233

480-821-9052 (outside the US)
800-647-4589 (toll-free within US) / 480-821-9297 (fax)
USA email: health@missionaryhealth.net
web: www.missionaryhealth.net

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"Day Tripper" INTERNATIONAL SHORT TERM
TRAVEL HEALTH INSURANCE RATES (U.S. Citizens)
Underwritten by Lloyd's of London

Apply Now for ONLINE INSTANT ENROLLMENT

Insurance Services of America
1757. E. Baseline Road, Suite 126, Gilbert AZ 85233
(800) 647-4589 * (480) 821-9052 (worldwide) * (866) 793-4779 FAX
Email: health@missionaryhealth.net