Source: http://docplayer.net/2418571-Cover-booklet-insurance-and-loss-and-damage-protection-for-motor-vehicles.html
Timestamp: 2018-09-19 08:05:13
Document Index: 792652468

Matched Legal Cases: ['art 1', 'art 2', 'art 3', 'art 4', 'art 5', 'art 6', 'arts 2', 'arts 3', 'arts 2', 'art 1', 'art 1', 'arts 1', 'art 2', 'arts 1', 'art 1', 'art 2', 'art 4', 'art 3', 'art 3', 'art 2', 'art 3', 'art 2', 'art 2', 'art 4', 'art 2', 'art 3', 'art 4', 'art 3', 'art 2', 'art 3', 'art 3']

COVER BOOKLET. Insurance and loss and damage protection for motor vehicles - PDF
Download "COVER BOOKLET. Insurance and loss and damage protection for motor vehicles"
1 COVER BOOKLET Insurance and loss and damage protection for motor vehicles
3 Contents Welcome 2 Part 1: Definitions 4 Part 2: Protection from Motability Operations 7 Part 3: RSA Policy 13 Part 4: Exclusions 25 Part 5: Complaints Procedure 27 Part 6: Important Information 29 If you would like a copy of this Booklet in large print or an alternative format, please call
4 Welcome Together, Motability Operations and RSA have arranged to give protection for users of the Motability Contract Hire Scheme. These arrangements are designed to provide protection similar to that which you would receive under a fully comprehensive insurance policy. The arrangements have two separate parts: Under your vehicle contract hire agreement Motability Operations will pay for loss or damage to your vehicle subject to the terms and conditions set out in Parts 2 and 4 of this cover booklet. This means that the hirer will be responsible for any loss or damage to the vehicle, which is not the responsibility of Motability Operations RSA provides Motability Operations with an insurance policy for users of the Motability Contract Hire Scheme which is set out in Parts 3 and 4 of this booklet. This provides you with several valuable benefits including third party cover, legal expenses cover, an uninsured loss recovery service and personal accident cover. This booklet contains the legal terms and conditions of your protection from Motability Operations and a summary of the RSA Policy provided by RSA. Please read it carefully and advise Motability Operations and RSA, through RSA Motability (see contact details overleaf), if these arrangements do not meet your requirements or there have been any changes in your circumstances as notified to RSA. There are important limitations and exclusions under both your Motability Operations protection and your RSA insurance cover explained in Parts 2, 3 and 4 which you should be aware of. It is essential that you bear these in mind during the full length of your contract hire agreement. In particular: Only drivers approved by RSA and named as permitted drivers on your Certificate of Motor Insurance may drive the vehicle You will not be covered for driving any other vehicle, unless it is a replacement vehicle, provided by or on behalf of Motability Operations in temporary replacement of the vehicle under the Motability Contract Hire Scheme Personal belongings in the vehicle are not covered Non-standard equipment or adaptations and modifications are excluded unless they have been fitted with the prior approval of Motability Operations, are designed to enable the disabled person to use the vehicle, and RSA has been notified and agreed them Loss or damage to interior trim or upholstery is not covered unless this arises from an incident which also requires bodywork or mechanical repair Loss or damage to Key(s) is not covered Excesses apply in respect of each and every incident. Details are given in your contract hire agreement and the policy schedule which will be sent to you together with the Certificate of Motor Insurance. We wish you a happy and safe motoring future. Welcome 2
5 Motability Operations Royal & Sun Alliance Insurance plc For general enquiries about the Motability Scheme, your Contract Hire Agreement or your vehicle, please contact: Motability Operations City Gate House 22 Southwark Bridge Road London SE1 9HB For enquiries about Insurance and loss and damage protection or to make a claim, please contact: RSA Motability Customer Services PO Box 40, New Hall Place Old Hall Street, Liverpool L69 3SD Telephone: Minicom: Customer Services: Minicom: (Lines are open 8.00am to 7.00pm Monday to Friday, and 9.00am to 1.00pm on Saturdays) (Lines are open 8.00am to 8.00pm Monday to Friday, and 8.00am to 4.00pm on Saturdays) If your vehicle is immobile, please contact Motability Assist (RAC) UK on (Lines open 24 hours) Welcome 3
6 Part 1: Definitions This cover booklet contains the terms and conditions of hire under which Motability Operations will pay for loss or damage to the vehicle and the legally separate terms and conditions of Motability Operation s insurance policy with RSA. All parts of this booklet use certain common definitions of the words or expressions below which will have the same meaning wherever they are shown in bold print. Adaptations and Modifications Items which are needed so that the Vehicle can be used by a disabled person and which have been advised to RSAM and accepted by Motability Operations and RSA Alternative Vehicle Any vehicle provided by or on behalf of Motability Operations to the Hirer in temporary replacement of the Vehicle to provide continuous mobility under the Motability Contract Hire Scheme including: Any In-Car Equipment in the Alternative Vehicle Adaptations and Modifications in the Alternative Vehicle Accessories and tools supplied with the Alternative Vehicle. British Isles The British Isles are: Great Britain Northern Ireland the Isle of Man the Channel Islands journeys by water, air or rail within or between any of these areas. Part 1: Definitions Certificate of Motor Insurance The document given to the Hirer in respect of the Vehicle which proves that the insurance cover is in force with RSA as required by road traffic laws. Contract Hire Agreement The agreement between Motability Operations and the Hirer for the hire of the Vehicle, including the terms and conditions in Parts 1, 2 and 4. Driver Anyone who is shown on the Certificate of Motor Insurance as a permitted driver to drive the Vehicle or Alternative Vehicle and who has the Hirer s permission to drive it. Endorsement An amendment to the RSA Policy. Excess Excess means: in relation to Alternative Vehicles, and any Adaptations and Modifications and In-Car Equipment in them, the amount shown in the Policy Schedule which the Hirer must pay for any incident; and in relation to Vehicles and any In-Car Equipment in them (in relation to Part 2 only) the amount shown in your Contract Hire Agreement (subject to variation by notice in writing) which the Hirer must pay for any one incident. External Claims Service Provider The External Claims Service Provider chosen by RSA to manage claims under this RSA Policy on its behalf. 4
7 Hirer The person to whom the Vehicle is let on hire by Motability Operations under the Motability Contract Hire Scheme. In-Car Equipment In-Car Equipment is: a radio, cassette, compact disc player or other audio equipment a phone or other communication equipment navigation equipment television or other visual entertainment equipment; including video cassette recorders, DVD players and games consoles electronic information, communication or entertainment equipment The equipment must be permanently fitted in the Vehicle or Alternative Vehicle and must have been supplied with it as standard by the manufacturer or dealer. Insured Person the Hirer the Driver any passenger who a Driver allows into the Vehicle or Alternative Vehicle anyone who is using but not driving the Vehicle or Alternative Vehicle with the Hirer s permission Motability Operations. Key(s) Key(s) means any device(s) used for starting your Vehicle or an Alternative Vehicle or using its locking mechanism or immobiliser Market Value The cost of replacing the Vehicle with a vehicle of the same make, model specification, mileage and age, and which is in the same condition as the Vehicle was immediately before the loss or damage which is being claimed for. This value will be calculated by reference to 105 per cent of the CAP Clean condition valuation published in the CAP Black Book. The conditions and exclusions which apply to your policy are shown on pages Master Certificate of Insurance The document supplied to Motability Operations which proves that insurance cover is in force as required by road traffic laws. Medical Emergency A sudden illness or worsening of illness or condition which necessitates immediate attention by a qualified doctor or admittance to a hospital as an in-patient or outpatient. Motability Operations Motability Operations Limited. Period of Insurance The period for which the Hirer is covered under the RSA Policy, as shown on the Certificate of Motor Insurance. Policy Schedule The document which describes: the Hirer any permitted Driver the Vehicle any special details of the RSA Policy, such as Excesses. RSA Royal & Sun Alliance Insurance plc RSAM The RSA Motability unit, a division of RSA, which provides claims management services on behalf of Motability Operations and which administers the RSA Policy. RSA Policy The RSA Policy is made up of: the application for insurance under the Motability Contract Hire Scheme completed by or on behalf of the Hirer Parts 1, 3 and 4 of this booklet any Endorsement the Policy Schedule the Certificate of Motor Insurance.
8 Territorial Limits These are: the British Isles any country which is a member of the European Union Croatia, Iceland, Liechtenstein, Norway and Switzerland The Territorial Limits also include journeys by water, rail or air between or within any of these countries, as long as: the Vehicle or Alternative Vehicle is transported by a commercial carrier; and if transport is by water, the route taken does not last more than 65 hours under normal circumstances. Terrorism Terrorism shall mean an act of any person acting on behalf of or in connection with any individual or organisation which carries out activities directed towards the overthrowing or influencing by force or violence of H.M. Government in the United Kingdom or any legitimate government whether or not legally established. Vehicle A Vehicle which is let on hire by Motability Operations to the Hirer under the Motability Contract Hire Scheme. This includes: any In-Car Equipment Adaptations and Modifications accessories and tools which were supplied with the Vehicle. Part 1: Definitions 6
9 Part 2: Protection from Motability Operations This Part describes Motability Operation s responsibilities if there is loss of, or damage to, the Vehicle and forms part of the Contract Hire Agreement. These terms and conditions are subject to the Exclusions set out in Part 4, which should be read in conjunction with them. Section 1 Loss and damage What Motability Operations covers Motability Operations will be responsible for loss of or damage, in the British Isles or the Republic of Ireland, to: 1. The Vehicle 2. The Vehicle s In-Car Equipment 3. The Vehicle s windscreen, windows and glass sunroof If the Key(s) for the Vehicle is/are stolen in the British Isles or the Republic of Ireland RSAM will arrange to replace the locking mechanisms and Key(s). What Motability Operations does not cover Motability Operations does not cover the following: 1. Loss or damage to the Vehicle to the extent that it arises from a breach of the Contact Hire Agreement. 2. The amount of the Excesses in the Contract Hire Agreement. These Excesses will not apply to loss or damage: to windscreens or windows and any scratching to the bodywork which is caused by the broken glass provided that a repairer nominated by RSAM is used occurring when the Vehicle is in the care of a garage or similar motor trade organisation for servicing or repair or maintenance or testing occurring when the Vehicle is in the care of a hotel or restaurant or similar organisation solely for the purpose of parking. 3. Loss or damage to trim and upholstery in the Vehicle, unless this arises from an incident which requires bodywork repair and/or mechanical repair to the Vehicle. 4. Loss of value of the Vehicle. 5. Wear and tear (except tyres). 6. Mechanical, electronic, computer and electrical failure or breakdown. 7. Damage to tyres caused by braking, punctures, cuts or bursts. This does not apply to fair wear and tear or faulty manufacture. 8. Loss or damage caused by deception. The conditions and exclusions which apply to your policy are shown on pages
10 9. Loss or damage to any property which does not belong to Motability Operations (see Part 3 for cover for Adaptations and Modifications.) 10. Loss or damage arising from theft, attempted theft or taking without consent if: the Vehicle is left unlocked the windows or glass sunroof of the Vehicle are left open the Key(s) for the Vehicle is/are left in, on or about the Vehicle while it is unattended or unoccupied. 11. Loss or damage resulting from the Vehicle being taken without the permission of the Hirer by a member of the family of the Hirer or any Driver a girlfriend or boyfriend of the Hirer or any Driver anyone who normally lives with the Hirer or any Driver unless such a person has been reported to the police for the purposes of a criminal prosecution and no subsequent statement is made indicating that such a person did in fact have permission of the Hirer. 12. Loss or damage to Key(s) How Motability Operations will settle a claim under this section A. The maximum amounts Motability Operations will pay Motability Operations will pay for repairs up to the Market Value for the Vehicle B. How Motability Operations will settle a claim If the loss or damage is covered under these terms and conditions, Motability Operations will settle a claim as explained below. 1. The Vehicle If the Vehicle is lost or damaged Motability Operations will repair the damage, subject to what appears here. Motability Operations may decide to use suitable parts or accessories which are not supplied by the original manufacturer. If the Vehicle is lost or damaged and never found or if it cannot be repaired for a reasonable cost, the Contract Hire Agreement in relation to the Vehicle will terminate. If Motability Operations agrees, you may enter into a new Contract Hire Agreement. 2. In-Car Equipment, the windscreen, windows and glass sunroof. If the Vehicle s In-Car Equipment, windscreen, windows or glass sunroof are lost or damaged, Motability Operations will: pay for the damage to be repaired (if repairs can be carried out for a reasonable cost); or if repairs cannot be carried out for a reasonable cost, or if the item is lost and never found, Motability Operations will arrange replacement with an item of similar quality and value. 3. Adaptations and Modifications Damage to Adaptations and Modifications is not covered by Motability Operations under these terms and conditions. Instead, please refer to the RSA Policy in Part 3 of this booklet. Part 2: Protection from Motability Operations 8
11 4. Alternative Vehicle Loss of or damage to an Alternative Vehicle is not covered by Motability Operations under these terms and conditions. Instead please refer to the RSA Policy in Part 3 of this booklet. C. Recovering, protecting, storing and delivering the Vehicle If the loss or damage is covered Motability Operations will pay the reasonable costs of: recovering, protecting and storing the Vehicle taking the Vehicle to the nearest repairer if it cannot be driven; and delivering the Vehicle to an appropriate address in the British Isles after it has been repaired. Section 2 Protection Abroad A. Protection for the Vehicle Protection under sections 1 and 3 is provided whenever the Vehicle is taken to a country within the Territorial Limits (outside the British Isles and the Republic of Ireland), provided that the total length of any visit or the total length of all visits during any 12 month period is no more than 90 days. If cover is provided under the RSA Policy to travel outside the Territorial Limits then Motability Operation s protection will extend to travel in the same countries and for the same period. B. Customs Duty If the Vehicle is lost or damaged abroad, Motability Operations will pay customs duty for it to be stored or repaired as long as: The loss or damage is covered under these terms and conditions; and The Vehicle is in a country within the Territorial Limits. Section 3 Loss of Use Definition The main definitions shown at the front of this booklet also apply to this section and, in addition, Breakdown shall mean that the Vehicle cannot be used or safely driven as a result of: Mechanical or electrical failure Loss or damage What Motability Operations will pay As a result of Breakdown of the Vehicle in the British Isles, Motability Operations will refund to the Hirer that part of the Hirer s Allowance (as defined in the Contract Hire Agreement), that is payable as rental to Motability Operations during the period referred to below. Motability Operations will calculate any refund it pays from the date when the Breakdown was discovered. Motability Operations will refund any Allowance received, for the period you are without a vehicle, excluding the first week. Motability Operations will make one payment at the end of this period, unless Motability Operations agrees something different. The conditions and exclusions which apply to your policy are shown on pages
12 What Motability Operations will not pay Motability Operations will not pay any refund for the time when the Hirer has been supplied with an Alternative Vehicle or any other vehicle. Motability Operations does not pay following a Breakdown which happens because of: deliberate damage, neglect or misuse of the Vehicle. the fitting of any modifications, replacement or experimental parts which the manufacturer does not approve of. freak weather conditions or frost damage (unless adequate precautions are taken). use of the Vehicle outside the British Isles. Motability Operations will not pay any refund in respect of any period after the Contract Hire Agreement between Motability Operations and the Hirer has been terminated. Section 4 - Conditions which attach to the obligation of Motability Operations to pay under sections 1, 2 and 3 1. Reporting a claim The Hirer must tell RSAM immediately about any incident or legal proceedings which may lead to a claim and must co-operate with any investigations that may arise out of the incident. RSAM may ask the Hirer to provide all the details in writing together with any evidence which RSAM may need. If there has been a theft, attempted theft or taking without consent the Hirer must also tell the police immediately and obtain a crime reference number. Part 2: Protection from Motability Operations 10 If the Hirer or Motability Operations receive any writ, summons or other legal documents or letters then they must be sent to RSAM immediately. Correspondence must not be answered without RSAM s written permission. Permission will not be refused without a good reason. 2. Assessing the claim The Hirer must give RSAM whatever help and information it asks for and must not admit or deny a claim or negotiate or promise to pay a claim without RSAM s written permission. RSAM will not refuse permission without a good reason. 3. FRAUDULENT OR EXAGGERATED CLAIMS If an Insured Person knowingly: makes a false claim exaggerates the amount of a claim provides Motability Operations and/or RSAM with false or misleading declarations or statements to support a claim. The claim will not be paid and Motability Operations may terminate the Contract Hire Agreement. 4. CHANGES IN CIRCUMSTANCES The Hirer or Driver must tell RSAM immediately if: they want to change who can drive the Vehicle the Hirer or a Driver intend to use the Vehicle for a use not shown in the Certificate of Motor Insurance. This information is required for the Hirer s Certificate of Motor Insurance to enable the Hirer or any named Driver to legally drive the Vehicle. The Hirer or Driver must tell RSAM within 30 days (or the policy expiry
13 date whichever is soonest) if other circumstances change, for example, if : the Hirer or any Driver have been convicted of any motoring offence the Hirer or any Driver have been involved in any accidents, losses or thefts, regardless of whether a claim was made Any Driver develops a medical condition which may affect their driving the Hirer or a Driver change address Any modifications are made to the Vehicle This is not a full list. The Hirer s policy documentation contains all of the information RSAM need to determine eligibility for this policy. The Hirer or any Driver must tell RSAM if any of the information in their policy documentation becomes incorrect following a change in circumstances. If the Hirer or any Driver fail to tell RSAM of any changes and these would have affected their eligibility for this policy any claim may not be paid or the Hirer or any Driver may be held liable for any payments which have already been made. 5. Looking After the Vehicle and Taking Reasonable Precautions The Hirer and any Driver must do everything possible to prevent loss or damage, keep the Vehicle in good condition and take reasonable precautions to prevent accidents. The Hirer will be responsible for any loss or damage to the Vehicle, which is not the responsibility of Motability Operations under these terms and conditions. Motability Operations or RSAM must be able to inspect the Vehicle at all reasonable times. 6. Taking over rights If the Insured Person makes a claim, he or she must be prepared to take any steps Motability Operations or RSAM ask him or her to take to protect his or her rights. The Insured Person must also be prepared to allow Motability Operations or RSAM to act in his or her name and take any steps Motability Operations feel are necessary to protect his or her rights. This may mean that Motability Operations or RSAM defend or settle the claim in the Insured Person s name. If either Motability Operations or RSAM does this, they will pay any costs and expenses involved. 7. Cover for car sharing A Hirer or Driver may accept payment from passengers in the Vehicle as part of a car-sharing agreement, as long as: the Vehicle is not designed to carry more than eight passengers and a Driver passengers are not being carried as part of a business of carrying passengers the Hirer or Driver does not make a profit from the total payments received for the journey. 8. Fraudulent applications or Requests for Changes Motability Operations will not pay if: any part of your application for hiring the Vehicle any further changes requested under Part 2 are materially misleading or false. For example, this could include: not telling RSAM about motoring convictions not telling RSAM about previous accidents or losses, even if a claim was not made The conditions and exclusions which apply to your policy are shown on pages
14 not telling RSAM about modifications to the Vehicle knowingly giving false information to RSAM. This is not a full list. 9. Contract hire agreement The terms and conditions in this cover booklet form part of your Contract Hire Agreement and should be read in conjunction with it. EXCLUSIONS WHICH APPLY TO THE WHOLE OF THE PROTECTION There are certain exclusions which apply to the whole Motability Operations Protection. These are listed in Part 4 of this booklet, and form part of this protection. Please read them carefully. Part 2: Protection from Motability Operations 12
15 Part 3: RSA Policy This Part describes the terms and conditions of Motability Operation s insurance with RSA. RSA will cover Insured Persons during the Period of Insurance under the terms and conditions set out in this RSA Policy. This Part is a summary of all provisions which we believe you will find material. Certain provisions are set out in more detail in a policy which can be supplied to you by RSAM. These terms and conditions are subject to the Exclusions set out in Part 4 which should be read in conjunction with them. Section 1 Legal liability to others What RSA cover A. Cover for Hirers and Motability Operations RSA cover the Hirer and Motability Operations for their legal liabilities for: accidental death or accidental injury accidental damage to property (RSA will pay up to 20,000,000 for any claim or claims arising from one incident) arising from the use of the Vehicle or Alternative Vehicle or a trailer which is attached to the Vehicle or Alternative Vehicle, in the British Isles or the Republic of Ireland. B. Cover for other people RSA also cover the following people for legal liabilities to others: Any Driver Anyone the Hirer allows to use (but not drive) the Vehicle or Alternative Vehicle for social, domestic and pleasure purposes Anyone who is a passenger in the Vehicle or Alternative Vehicle Any employer of a Driver shown on the Certificate of Motor Insurance as long as the Certificate of Motor Insurance allows the use to which the Vehicle or Alternative Vehicle is put The legal representatives of any person who dies and who would have been covered under this section arising from the use of the Vehicle or Alternative Vehicle or a trailer which is attached to the Vehicle or Alternative Vehicle, in the British Isles or the Republic of Ireland. C. Cover for legal costs and expenses Subject to the written agreement of RSAM, RSA will provide or pay for the following services for any incident which might involve legal liability under this RSA Policy: The reasonable costs of defence against a charge of manslaughter or causing death by dangerous driving Solicitors reasonable fees at a coroner s inquest, fatal inquiry or magistrates court The conditions and exclusions which apply to your policy are shown on pages
16 Other reasonable legal fees, costs and expenses. D. cover abroad RSA provide the minimum cover required by law to allow the Vehicle or Alternative Vehicle to be used in any of the following countries: Any country which is a member of the European Union Any other country which: (a) agrees to meet European Commission Directives on motor insurance; and (b) satisfies the European Commission that it has made arrangements to meet the requirements of these Directives E. Emergency treatment fees RSA will pay the cost of any emergency medical treatment required under road traffic laws. What RSA do not cover RSA do not cover the following: 1. Loss or damage to the Vehicle or any other property which is owned by or in the care of anyone making a claim under this section (for cover for an Alternative Vehicle see Section 2). 2. Legal liability for death of or physical injury to anyone as a result of their job, except as required under road traffic laws. 3. The legal liability of anyone who is not driving but who is claiming cover if they know that the Driver does not have a valid licence to drive the Vehicle or Alternative Vehicle. 4. The legal liability of anyone except for the Hirer and Motability Operations if they are entitled to cover under any other insurance policy. 5. Legal liability, except as required under road traffic laws, as a result of using any Vehicle or Alternative Vehicle on any part of an airport or airfield provided for aircraft movement, parking or maintenance. 6. RSA will not be liable for any consequence of Terrorism unless it has to meet the requirements of any road traffic legislation. If RSA are required by any road traffic legislation to provide indemnity to any Insured Person in respect of legal liability incurred for damages and claimant s costs and expenses for loss of or damage to material property arising out of Terrorism, the liability of RSA shall not exceed 5,000,000 or such greater sum as may be required by any road traffic legislation in the country in which the insured event occurs, in respect of any one claim or number of claims arising out of one cause in connection with the use of the Vehicle or Alternative Vehicle. Section 2 Loss or damage What RSA cover RSA cover loss of or damage, arising in the British Isles or the Republic of Ireland, to the following: an Alternative Vehicle, including its In-Car Equipment, windscreen, windows and glass sunroof Adaptations and Modifications to a Vehicle or an Alternative Vehicle If the Key(s) for the Alternative Vehicle is/are stolen in the British Isles or the Republic of Ireland RSA will settle the claim by paying to replace the locking mechanisms and Key(s). Part 3: RSA Policy 14
17 What RSA do not cover RSA do not cover the following: 1. Loss or damage to the Vehicle. Please refer to Part 2 of this Booklet for this. 2. Any Excess shown in the Policy Schedule. These Excesses will not apply to claims: for damage to windscreens or windows and to scratching to the bodywork which is caused by the broken glass provided a repairer nominated by RSAM is used occurring when an Alternative Vehicle is in the care of a garage or similar motor trade organisation for servicing or repair or maintenance or testing occurring when an Alternative Vehicle is in the care of a hotel or restaurant or similar organisation solely for the purpose of parking. 3. Loss or damage to trim and upholstery in the Alternative Vehicle, unless this arises from an incident which requires bodywork repair and/or mechanical repair to an Alternative Vehicle. 4. Loss of value of an Alternative Vehicle. 5. Wear and tear. 6. Loss of use of an Alternative Vehicle. 7. Mechanical, electronic, computer and electrical failure or breakdown in relation to an Alternative Vehicle or Adaptations and Modifications to it. 8. Damage to tyres caused by braking, punctures, cuts or bursts. 9. Loss or damage caused by deception. 10. Loss or damage arising from theft, attempted theft or taking without consent if: the Alternative Vehicle is left unlocked the windows or the glass sunroof of the Alternative Vehicle are left open the Key(s) for the Alternative Vehicle is/are left in, on or about the Alternative Vehicle while it is unattended or unoccupied 11. Loss or damage resulting from the Alternative Vehicle being taken without the permission of the Hirer by: a member of the family of the Hirer or any Driver a girlfriend or boyfriend of the Hirer or any Driver anyone who normally lives with the Hirer or any Driver. unless such a person has been reported to the police for the purposes of a criminal prosecution and no subsequent statement is made indicating that such a person did in fact have permission of the Hirer. 12. Loss or damage to the Key(s). How RSA will settle a claim under this section A. The maximum amounts RSA will cover RSA will provide cover up to the Market Value for an Alternative Vehicle B. How RSA will settle a claim If the loss or damage is covered under this RSA Policy, RSA will settle a claim at its option as explained below: 1. Alternative Vehicle If an Alternative Vehicle is lost or damaged, RSA may choose to repair the damage or pay the amount of the loss or damage to Motability Operations or the owner. The conditions and exclusions which apply to your policy are shown on pages
18 RSA may decide to use suitable parts or accessories which are not supplied by the original manufacturer. If an Alternative Vehicle is lost or damaged and never found or if it cannot be repaired for a reasonable cost, RSA will pay up to the Market Value to Motability Operations or the owner. 2. In-Car Equipment, the windscreen, windows and glass sunroof If the Alternative Vehicle s In-Car Equipment, windscreen, windows or glass sunroof are lost or damaged, RSA will: pay for the damage to be repaired (if repairs can be carried out for a reasonable cost); or if repairs cannot be carried out for a reasonable cost, or if the item is lost and never found, RSA will arrange replacement with an item of similar quality and value. 3. Adaptations and Modifications If Adaptations and Modifications covered by this RSA Policy are lost or damaged, RSA will: pay for the damage to be repaired (if repairs can be carried out for a reasonable cost); or if repairs cannot be carried out for a reasonable cost, or if the item is lost and never found, RSA will pay the cost of an item of similar quality and value less an allowance for age, wear and tear. 4. Recovering, protecting, storing and delivering the Alternative Vehicle If the loss or damage is covered under the RSA Policy, RSA will pay the reasonable costs of: Recovering, protecting and storing the Alternative Vehicle taking the Alternative Vehicle to the nearest repairer if it cannot be driven; and delivering the Alternative Vehicle to an appropriate address in the British Isles after it has been repaired. Section 3 Cover abroad A. Cover for the Alternative Vehicle Cover is provided in terms of sections 1,2 and 5, whenever an Alternative Vehicle is taken to a country within the Territorial Limits (outside the British Isles and the Republic of Ireland), provided that the total length of any visit, or the total length of all visits during any 12 month period, is no more than 90 days. B. Cover for customs duty If an Alternative Vehicle is lost or damaged abroad, RSA will pay customs duty for it to be stored or repaired as long as: the loss or damage is covered under the RSA Policy the Alternative Vehicle is in a country within the Territorial Limits. Section 4 Uninsured Loss Recovery & Legal Expenses Section Definitions The main definitions at the front of this booklet also apply to this section. In addition the words listed below have the following meanings and apply to this section only. Part 3: RSA Policy 16
19 Legal Expenses Legal fees, costs and other expenses: (i) which the Insured Person s Legal Representative charges them in connection with bringing a claim for Uninsured Losses, (ii) which a court has ordered the Insured Person to pay or which they have agreed to pay on the advice of their Legal Representative arising from Legal Proceedings. Legal Proceedings Civil proceedings arising out of the use of the Vehicle or Alternative Vehicle by an Insured Person following a Motor Accident within the British Isles. Legal Representative The solicitor or other suitably qualified person or firm appointed by an Insured Person to act on their behalf in respect of a Motor Accident. Motor Accident An incident which happens when an Insured Person is using the Vehicle or Alternative Vehicle during the Period of Insurance and within the British Isles and which gives rise to Uninsured Losses. Reasonable Prospects Fifty one per cent (51%) or more prospects of successfully receiving money by way of compensation in relation to a Motor Accident which was not the Insured Person s fault. Uninsured Losses Bodily injury or death to an Insured Person or other losses and expenses an Insured Person has sustained as a result of a Motor Accident which was not the Insured Person s fault and which are recoverable as damages and which are not otherwise paid for under the RSA Policy. Such claims may 17 include accidental loss of or damage to the Vehicle or Alternative Vehicle or property while it is in, or attached to, the Vehicle or Alternative Vehicle and /or loss of use of the Vehicle or Alternative Vehicle. What RSA Cover RSA will assist the Insured Person in appointing a Legal Representative to help them to recover their Uninsured Losses from the party who caused the Motor Accident. Whether or not the Insured Person is successful RSA will pay the Legal Expenses which their Legal Representative reasonably and proportionately charges them up to the following maximum amounts for the following categories of claims: Small Claims Track claims If the Insured Person s claim for Uninsured Losses is allocated to or is likely to be allocated to the Small Claims Track (as defined in the Civil Procedure Rules 1998) RSA will pay their Legal Expenses up to a sum equivalent to: (i) 25% of the damages recovered (or in the event the Insured Person loses, 25% of the Uninsured Losses they would have otherwise expected to have recovered); or (ii) five hundred pounds ( ), whichever is the lower. The same limits shall apply to the Scottish or Northern Irish equivalent to the Small Claims Track. Claims subject to Fixed Cost rules If the Insured Person s claim for Uninsured Losses is subject to fixed cost rules RSA will pay their Legal Expenses up to the fixed cost limits determined by the applicable rules including Rule 45 Civil Procedure Rules The conditions and exclusions which apply to your policy are shown on pages 22-26
20 All other claims for Uninsured Losses For all other claims RSA will pay the Insured Person s Legal Expenses on the same principles as applied by the courts when assessing costs to be paid by one person to another on the standard basis. These are defined in England and Wales in Rule 44.4(1)(a) of the Civil Procedure Rules 1998 RSA will also pay Legal Expenses for any category of claim listed above which a court has ordered the Insured Person to pay or which the Insured Person has agreed to pay on the advice of their Legal Representative arising from Legal Proceedings. If the Insured Person s claim for Uninsured Losses falls under the law of Scotland or Northern Ireland, the claims for costs and expenses will be restricted to amounts allowed in the Scottish or Northern Irish Law s equivalent rules and practice, including any claims subject to fixed cost rules. The most RSA will pay for all Legal Expenses arising from a claim or series of connected claims is fifty thousand pounds ( 50,000). RSA will normally only make payment of Legal Expenses after the Insured Person s claim has been finally concluded. RSA will not normally agree to make payment on an interim basis except in exceptional circumstances and subject to RSA s sole discretion. What RSA do not cover Anything which is already covered under the Policy, which includes claims brought by third parties against an Insured Person in relation to any Motor Accident whether the Insured Person was at fault or not. Part 3: RSA Policy 18 Any Legal Expenses in relation to claims which RSA do not believe have Reasonable Prospects of success or are not reasonable to pursue (as explained further at Condition F below). Any Legal Expenses which the Insured Person is able to recover from another person. Any shortfall between the Insured Person s Legal Expenses and the costs recoverable from another party, or that would reasonably be expected to be recoverable, pursuant to the Civil Procedure Rules (or its Scottish or Northern Irish legal equivalent). Legal Expenses if the claim is reported to RSA more than 180 days after the Motor Accident. Legal Expenses if the Motor Accident occurred before the start of cover under this section. Legal Expenses incurred before RSA have accepted the claim in writing unless this has been agreed by RSA. Legal Expenses incurred and/or which the Insured Person has been ordered to, or has agreed to, pay: - as a result of delays or unreasonable behaviour by the Insured Person - or the Insured Person s failure to accept, or the late acceptance of, any offer to settle, without RSA s permission. Legal Expenses payable as a result of any damages based agreement the Insured Person has entered into without RSA s approval to the extent that RSA s liability would be increased by such agreement. Legal Expenses incurred because the Insured Person has withdrawn from Legal Proceedings without RSA s permission. RSA will be entitled to recover from the Insured Person any amount RSA have paid or have to pay