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CAR INSURANCE EVERYTHING EXPLAINED. Your Policy Wording. (Please keep this safe) - PDF
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1 CAR INSURANCE EVERYTHING EXPLAINED Your Policy Wording (Please keep this safe)
2 WELCOME TO µ CAR INSURANCE Thank you for choosing µ to protect you and your car. This booklet is intended to help you check your cover and to reassure you that µ will give you the protection you need for the year ahead. First of all, to help you understand your car insurance policy we want to make you aware of the following: Legally we need to make sure you re aware that the information you ve given us is part of your insurance contract with us. Your policy wording, Schedule and Certificate of Motor Insurance are evidence of that contract, so please read them carefully to ensure that the cover is exactly what you need, and keep them in a safe place for future reference. It is important that you tell us as soon as possible of any changes to the information that you have provided us. If you do not, your policy may become invalid. Insuring your car with us means more than just great value cover. We go the extra mile to give you the best service too. Of course we hope you don t ever need to make a claim. But, if you do, you ll benefit from a dedicated level of service from our claims team. They will take care of everything for you, ensuring you are kept informed of progress and that the whole claims process is as smooth as possible. They are available 24 hours a day in case of emergency and recovery. In case of an accident or theft your policy wording also explains what you should do. It provides useful phone numbers on the back cover for quick reference, should you need to get in touch with us. In addition, you can go online and print off a copy of our Accident Guide at morethan.com (click on Car then Make a claim ). It has really helpful information on what to do in the event of an accident and what information to record at the scene. For customers who prefer to manage their policy online, we offer online servicing. For more details about this free service, including how to register, please read your Handy guide booklet or visit morethan.com. You ll be able to make a number of changes to your policy anytime you want and you can manage your renewal payment online too. Finally, to help you understand everything you need to know about the protection your policy offers, and the extent of your cover, you ll see these headings appearing on many of the pages throughout this booklet and it is important that you read both sides. WHAT IS COVERED These sections give detailed information on the insurance provided and you need to read it with What is not covered at all times. WHAT IS NOT COVERED These sections will make it clear what s not included in the scope of your policy. Once again we welcome you to µ and wish you a hassle-free year of motoring. 2
3 YOUR CAR INSURANCE POLICY This is your µ car insurance policy booklet. The information you provided, eligibility criteria and declaration you agreed to, along with this policy booklet, your Schedule and your Certificate of Motor Insurance are all part of your policy. Please read them all to avoid any misunderstandings. Your policy may be declared void and you will not be entitled to any benefits or help if: part of your application for this insurance; or any further changes you ask for under this policy; you falsely represent or fail to fully and accurately disclose, the answers to the requested information. For example, this could include: not telling us about motor convictions or not providing a driver licence number; not telling us about criminal convictions (Convictions considered to be spent under the Rehabilitation of Offenders Act 1974 do not need to be disclosed); not telling us about previous accidents or losses, even if a claim was not made; not telling us about modifications to your car; giving us false information about who is the registered keeper or owner of your car; giving us false information about the main user of your car; or giving us false information about the true number of vehicles in your household. THIS IS NOT A FULL LIST. YOUR SCHEDULE CONTAINS ALL OF THE INFORMATION WE NEED TO DETERMINE YOUR ELIGIBILITY FOR THIS POLICY AND HOW MUCH YOUR PREMIUM SHOULD BE. YOU MUST CONTACT US IF ANYTHING ON YOUR SCHEDULE CHANGES. We will not make any payment, or provide any other help or benefits under this policy, and will not return any premium to you, if you commit fraud in connection with your application for this insurance or with any changes to this policy. Your policy sets out the contract between you and us, and in return for the premium we will cover you during the period of insurance under the terms set out in your policy. This policy booklet, together with your Schedule, gives you the details of what your policy does and does not cover. Please pay special attention to those pages describing the conditions and exceptions which apply to your whole policy. It also contains information about our 24-hour helplines, how to make a claim and what you can do to make your car more secure. Under the laws of the United Kingdom (England, Scotland, Wales and Northern Ireland) both you and we may choose the law which applies to this contract, to the extent permitted by those laws. Unless you and we agree otherwise, we have agreed with you that the law which applies to this contract is the law which applies to the part of the United Kingdom in which you live, or, if you live in the Channel Islands or the Isle of Man, the law of whichever of those two places in which you live. We and you have agreed that any legal proceedings between you and us in connection with this contract will only take place in the courts of the part of the United Kingdom in which you live, or, if you live in either the Channel Islands or the Isle of Man, the courts of whichever of those two places in which you live. We hope you are happy with your policy. If you are not, please send us any paper copies of the Certificate of Motor Insurance. For full details please see the cancellation section of the policy Schedule. Any refund of premium will be subject to the administration charges shown on your Schedule. 3
4 CONTENTS Please note that NOT ALL of the sections listed below will apply to your policy. Those which do apply are listed in your Schedule. Page POLICY DEFINITIONS...5 SECTION 1 YOUR LEGAL RESPONSIBILITIES TO THIRD PARTIES SECTION 2 LOSS AND DAMAGE TO YOUR CAR SECTION 3 FIRE AND THEFT TO YOUR CAR SECTION 4 NO CLAIM BONUS...9 SECTION 5 FOREIGN USE EXTENSION...9 SECTION 6 LEGAL ASSISTANCE PLAN...10 SECTION 7 TEMPORARY HIRE CAR...13 SECTION 8 WINDSCREEN...14 SECTION 9 BREAKDOWN...15 SECTION 10 PERSONAL ACCIDENT...19 SECTION 11 EMERGENCY CARE...19 SECTION 12 IN CAR ENTERTAINMENT...20 SECTION 13 PERSONAL EFFECTS...20 POLICY CONDITIONS...21 POLICY EXCEPTIONS...23 WHAT YOU SHOULD DO IF THERE IS AN ACCIDENT OR THEFT WHAT YOU SHOULD DO IF YOU WANT TO TAKE YOUR CAR ABROAD WHAT YOU SHOULD DO WHEN CIRCUMSTANCES CHANGE COMPLAINTS PROCEDURE...26 HOW WE USE YOUR INFORMATION...27 HOW TO MAKE YOUR CAR MORE SECURE...28 HELPLINES HOW TO CONTACT US
5 POLICY DEFINITIONS The words defined below will have the same meaning wherever they are shown in your policy in bold print. Accessories Accessories are defined as: child safety seats; roof racks; roof boxes; cycle carriers; and ride cameras. British Isles The British Isles are: Great Britain; the Republic of Ireland; Northern Ireland; the Isle of Man; the Channel Islands; and journeys by water, air or rail within or directly between any of these areas. Certificate of Motor Insurance The document which proves that you have insurance with us in respect of this policy in line with road traffic laws. Driver Anyone who is shown on your Certificate of Motor Insurance as being entitled to drive your car and who has your permission to drive it. Family A parent, child, grandchild of either the policyholder or the policyholders Partner. Excess The amounts shown in your Schedule which you must pay when you make a claim which is covered by your policy. Key(s) Key(s) means any device used for starting your car or using its locking mechanism or immobiliser. Temporary hire car Any car supplied to you under an agreement between us and one of our temporary hire car suppliers. Market value The cost of replacing your car with a car of the same make, model, specification, mileage and age, in the same condition as your car was immediately before the loss or damage you are claiming for. No Claim Bonus A discount from your premium in return for you not making a claim. Period of insurance The length of time for which your policy runs as specified in your Schedule. Policy Your policy is made up of: the record of information that you have provided to us; this policy booklet; your Schedule; and your Certificate of Motor Insurance. Schedule The document which describes: you; any other driver; and any special details of your policy such as excesses, policy limits or special terms and conditions. Territorial limits These are: the British Isles; any country which is a member of the European Union; and any other country which meets the motor insurance Directives of, and is approved by, the European Commission. journeys by water, rail or air between or within any of these countries, as long as: your car 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 organisation which carries out activities directed towards the overthrowing or influencing, by force or violence, of Her Majesty s government in the United Kingdom or any legitimate government whether or not legally established. However this definition will only apply in respect of cover provided in excess of the minimum Road Traffic Act requirements or as required under local legislation. Total loss Where the car cannot be repaired due to the nature of the damage or where the cost of the repair and residual value of the salvage is greater than the cost of replacing the car with a similar one in the same pre-accident condition. Trailer Means a trailer, which is built to be towed by a car. We, us, our Royal & Sun Alliance Insurance plc and anyone we may appoint to act on our behalf. You, your The person named as the policyholder in: your Certificate of Motor Insurance; and your Schedule. Your car The car: whose details have been reported to and accepted by us; and whose registration number is shown in your Certificate of Motor Insurance and your Schedule. a trailer if your Schedule shows that you have cover for a trailer. The trailer will be covered whether or not it is attached to your car. Your partner The partner, husband or wife of the policyholder living at the same address as the policyholder. This does not include business partners or associates. 5
6 SECTION 1 YOUR LEGAL RESPONSIBILITY TO THIRD PARTIES This section only applies if it is listed in your Schedule. WHAT IS COVERED A. Your cover while driving or using your car This policy covers you for the cost of any claims if you are legally responsible for: causing injury to or the death of anyone; or the damage you cause to another person s property, including damage caused by a trailer attached to your car (we will pay up to 20,000,000, including legal costs, for any claim or claims arising from one incident). B. Your cover while driving any other car This policy covers you for the cost of any claims if you are legally responsible for: causing injury to or the death of anyone; or the damage you cause to another person s property (we will pay up to 20,000,000, including legal costs, for any claim or claims arising from one incident). You are covered while driving any other car only if all the following apply: your Certificate of Motor Insurance shows you have this cover; you are driving with the owner s permission; you are not entitled to make a claim for the damage under any other policy of insurance; the car is not owned by (or hired under a hire purchase agreement by or leased to) you or your partner; the car is being driven in Great Britain, Northern Ireland, the Republic of Ireland, the Isle of Man or the Channel Islands. C. Cover for other people This policy also covers the following people while using your car against their legal responsibility to pay for causing injury to or the death of anyone or damaging another person s property (we will pay up to 20,000,000, including legal costs, for any claim or claims arising from one incident): any person, while driving your car with your permission, who is insured by this policy; any passenger travelling in, or getting into or out of, your car; any employer of a person detailed on your Certificate of Motor Insurance who is driving your car with your permission provided that the purpose for which your car is used is allowed by your Certificate of Motor Insurance; the legal representatives of any person who dies and who would have been covered under this section. D. Cover for legal costs and expenses We cover you and those people in Section 1 for the following for any incident which might involve legal liability under your policy. the costs of defence against a charge of manslaughter or causing death by dangerous driving. You must have our written permission before agreeing to these costs; solicitors fees at a coroner s inquest, fatal inquiry or magistrates court. You must have our written permission before agreeing to these costs; other legal fees, costs and expenses which we have agreed to in writing. E. Cover abroad We provide the minimum cover required by law to allow you to use your car in any of the following countries: any country which is a member of the European Union; any other country which meets the motor insurance Directives of, and which is approved by, the European Commission. We will not be able to provide a temporary hire car if you are involved in an incident whilst abroad. F. Emergency treatment fees We will pay the cost of any emergency medical treatment required under road traffic laws. If we pay emergency treatment fees, this will not affect your No Claim Bonus. 6 WHAT IS NOT COVERED 1. Loss of or damage to your car or any other property which is owned by or in the care of anyone making a claim under this section. 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. Legal liability in connection with any car which belongs to or is hired to the employer or business partner of you or your partner, if there is any other insurance policy covering the same liability. 4. 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 your car. 5. The legal liability of anyone other than you, if they are entitled to cover under any other insurance policy. 6. Legal liability, except as required under road traffic laws, as a result of using a vehicle on any part of an airport or airfield provided for aircraft movement, parking or maintenance. 7. We will not be liable for any consequence of terrorism except to the extent necessary to meet the requirements of any road traffic legislation. 8. Use to secure the release of a car, not otherwise specifically the subject of insurance by this policy, which has been seized by, or on behalf of, any government or public authority.
7 SECTION 2 LOSS AND DAMAGE TO YOUR CAR This section only applies if it is listed in your Schedule. WHAT IS COVERED A. Loss and damage We cover loss of or damage to: your car; accessories and spare parts which are fitted into or onto your car or kept in your private garage. a trailer (if your Schedule shows that you have this cover). B. New car replacement If you buy your car new and within 12 months it is: stolen and not recovered; or damaged and the repair cost is more than 60% of its current new list price including VAT (where appropriate); We may replace it with a new car of the same UK specification. C. Recovery and redelivery As well as paying for loss or damage to your car, we will also pay costs for the following: If your car cannot be driven due to the loss or damage, removing it and taking it to one of our Recommended Repairers or the nearest suitable repairer. We may take your car to a safe place of storage while awaiting repair or disposal. After your car is repaired we will deliver it to you at your address as long as it is in Great Britain. WHAT IS NOT COVERED 1. Any excess shown under Accidental damage excess in your Schedule for any loss or damage to your car. This excess will not apply to loss or damage caused by fire, theft and attempted theft. This excess will not apply to loss or damage caused if your car is involved in an Incident that is caused by an identified uninsured driver. 2. Any additional excess shown in your Schedule for young or inexperienced drivers for any loss or damage while your car is being driven by them or in their care. This excess will not apply when your car is in the care of: a garage or similar motor trade organisation for servicing or repair; or a hotel or restaurant for the purpose of parking. 3. Any excess shown under Fire or Theft excess in your Schedule for any loss or damage to your car which is caused by fire, theft or attempted theft. These excesses will not apply if your car is in your locked private garage at the time of the fire, theft or attempted theft. 4. Loss of value. 5. Wear and tear. 6. Loss of use. 7. Loss or damage to a part that breaks or fails and any resulting loss or damage caused to any other parts. 8. Damage to tyres caused by punctures, cuts or bursts. 9. Loss or damage resulting from your car being taken, without your permission, by: your partner; your boyfriend or girlfriend; your children (including step and foster children); domestic staff in your employ; anyone who normally lives with you; or a member of your Family. 10. Any loss or damage to your car as a result of theft or attempted theft if: your car is unlocked; your car windows are open: your car sun roof is left open or unlocked; your car removable roof panel is not attached and locked your car convertible roof or hood is not secured and locked; your car key(s) are in, or on your car; or your car has been left unattended with the engine running when there is no-one in it. 11. Loss or damage caused by deception. 12. Any excess shown against Accidental damage beneath the heading Total excesses applying in your schedule for any loss or damage to your car. This excess will not apply to loss or damage if your car is involved in an Incident that is caused by an identified uninsured driver. 7
8 SECTION 3 FIRE AND THEFT TO YOUR CAR This section only applies if it is listed in your Schedule. WHAT IS COVERED A. Loss We cover loss or damage caused by fire, lightning, explosion, theft or attempted theft to: your car; and accessories and spare parts which are fitted into or onto your car or kept in your private garage. a trailer (if your Schedule shows that you have this cover). B. New car replacement If you buy your car new and within 12 months it is: stolen and not recovered; or damaged and the repair cost is more than 60% of its current new list price including VAT (where appropriate); We may replace it with a new car of the same UK specification. C. Recovery and redelivery As well as paying for loss or damage to your car, we will also pay costs for the following: if your car cannot be driven due to the loss or damage, removing it and taking it to one of our Recommended Repairers or the nearest suitable repairer. We may take your car to a safe place of storage while awaiting repair or disposal; after your car is repaired we will deliver it to you at your address as long as it is in Great Britain. WHAT IS NOT COVERED 1. Any excess shown under Fire or Theft excess in your Schedule for any loss or damage to your car which is caused by fire, theft or attempted theft. These excesses will not apply if your car is in your locked private garage at the time of the fire, theft or attempted theft. 2. Loss of value. 3. Wear and tear. 4. Loss of use. 5. Loss or damage to a part that breaks or fails and any resulting loss or damage caused to any other parts. 6. Damage to tyres caused by punctures, cuts or bursts. 7. Loss or damage resulting from your car being taken, without your permission, by: your partner; your boyfriend or girlfriend; your children (including step and foster children); domestic staff in your employ; anyone who normally lives with you; or a member of your Family. 8. Any loss or damage to your car as a result of theft or attempted theft if: your car is unlocked; your car windows are open; your car sun roof is left open or unlocked; your car removable roof panel is not attached and locked; your car convertible roof or hood is not secured and locked; your car key(s) are in, or on your car; or your car has been left unattended with the engine running when there is no-one in it. 9. Loss or damage caused by deception. HOW WE WILL SETTLE A CLAIM UNDER SECTIONS 2 AND 3. A. THE MAXIMUM AMOUNTS WE WILL COVER 1. We will provide cover for your car, either; a) up to the market value; or b) the cost of a replacement new car (Sections 2B and 3B). 2. Provide cover for any child safety seats which are fitted to your car at the time of an incident, even if there is no apparent damage. 3. For emergency accommodation up to the amount shown as Overnight accommodation on your Schedule. 4. For any trailer up to the market value. B. HOW WE WILL SETTLE YOUR CLAIM If the loss or damage is covered under your policy, we will settle your claim as explained below. If your car is lost or damaged we: may choose to repair the damage or pay the amount of loss or damage; may decide to use recycled parts or parts or accessories that are not supplied by the original manufacturer. 8
9 if your car is lost and never found, or if in our view, it cannot be repaired for a reasonable cost, we will pay either: a) the market value; or b) the cost of a replacement new car (Sections 2B and 3B) we will deal with a claim for loss or damage to a trailer in the same way, as long as cover for the trailer is shown on your Schedule. Should we chose to pay the market value or purchase a replacement new car, your car will become our property. C. HIRING AND OTHER AGREEMENTS If we know you are paying for your car by hire purchase or under a leasing agreement then we will do either of the following: if we are paying the cost of replacing the car, we will pay the proceeds of the claim to the company to which you are liable under the hire purchase agreement or from which you are leasing your car. If you owe less than the proceeds of your claim, we will pay you the difference; if we replace the car, we must have the permission of the company from which you are buying or leasing your car to do so. SECTION 4 A. NO CLAIM BONUS This section only applies if it is listed in your Schedule. Earned No Claim Bonus you are entitled to at the start of your policy or when it was renewed last year Earned No Claim Bonus applicable at next renewal if claims made during the period of insurance One Claim New No Claim Bonus Two Claims New No Claim Bonus Three or more Claims New No Claim Bonus 5 to 9 years 3 years 1 year Zero 4 years 2 years Zero Zero 3 years 1 year Zero Zero 2 years Zero Zero Zero 1 year Zero Zero Zero Zero Zero Zero Zero HOW YOUR NO CLAIM BONUS WORKS You earn No Claim Bonus for each year of cover during which you do not claim. The bonus increases each year up to the maximum shown below. Any claims, if you are at fault (or we cannot recover full losses from another person s insurer) will reduce your No Claim Bonus in line with the scale shown at the bottom of the previous page. You cannot transfer your No Claim Bonus to anyone else. Claims for the following will not affect your No Claim Bonus: B. NO CLAIM BONUS PROTECTION This section only applies if listed in your Schedule. If you have No Claim Bonus protection, the following will apply: we will not reduce your No Claim Bonus entitlement if a claim or claims are made under the policy; we will not cancel your policy as a result of the number of claims made under the policy. The following also apply: 1. Your No Claim Bonus protection may end if any change to your policy means that we are no longer able to cover 1. Fees for emergency treatment under Section 1 Your legal responsibilities to third parties. 2. A Claim under Section 6 Legal assistance plan. 3. A Claim under Section 8 Windscreen. 4. A Claim under Section 9 Breakdown. 5. A Claim under Section 10 Personal Accident. 6. A claim where the incident is caused by an identified uninsured driver. If we allow a No Claim Bonus in excess of that actually earned, only the true earned No Claim Bonus will be stated on your Schedule. Any additional unearned introductory bonus may be reduced in the event of a claim. you, such as changing your car for one we will not insure or using your car for a purpose we will not cover. 2. Your No Claim Bonus protection will end if the policy runs out or is cancelled under the terms. 3. Your premium may change if we are told about a change to your policy or when you renew the policy because we have increased premiums generally, or because you have made a claim. SECTION 5 FOREIGN USE EXTENSION This section only applies if it is listed in your Schedule. FOREIGN USE EXTENSION If you pay an extra premium, we will give you a Foreign Use Extension. This will extend the cover you have under Section 2 Loss and damage to your car and Section 3 Fire and theft to your car in the British Isles to those countries covered by the Foreign Use Extension for the time your car is in, or is being transported to or from, those countries. We will not be able to provide a temporary hire car if you are involved in an incident whilst abroad. 9
10 SECTION 6 LEGAL ASSISTANCE PLAN DEFINITIONS This section only applies if it is listed in your Schedule. The words listed below have the following meanings in this section only. Legal expenses Legal fees, costs and other expenses: i. Which your Legal Representative charges you in connection with bringing a claim for Uninsured Losses ii. Which are incurred by your opponent or other party and which a court has ordered you to pay or which you have agreed to pay on the advice of your Legal Representative arising from Legal Proceedings Legal Proceedings Civil proceedings arising out of the use of your car by you following a Motor Accident within the British Isles. Legal Representative The solicitor or other suitably qualified person of a firm appointed by you to act on your behalf in respect of a Motor Accident. Motor Accident An incident which happens when you are using your car 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 your fault. Road Traffic Proceedings Criminal proceedings brought against you for any offence under the road traffic laws whilst using your car within the British Isles in relation to a Motor Accident (other than those which are already provided for under Section 1 Part B, D Legal Costs). Uninsured Losses Bodily injury or death to you or other losses and expenses you have sustained as a result of a Motor Accident which was not your fault and which are recoverable as damages and which are not otherwise paid for under your Policy. Such claims may include accidental loss of or damage to your car, or property whilst it is in, or attached to, your car and/or loss of use of your car. We, Us, Our Royal & Sun Alliance Insurance plc and anyone we may appoint to act on our behalf. You, Your The policyholder or other person insured to drive your car according to the Schedule and any passenger in your car, as long as any passenger making a claim has your permission to make such a claim. Your Car The car stated in the Schedule, any replacement vehicle we arrange for you while your car is being repaired after you have claimed under this Policy, any other vehicle which your Certificate of Motor Insurance allows you to use in the British Isles, or a Trailer if your Schedule shows that you have cover for a Trailer. The Trailer will be covered whether or not it is attached to your car. WHAT IS COVERED A. Legal expenses to recover uninsured losses In the event of a Motor Accident, we will pay your Legal Expenses provided your Legal Representative is of the view that your claim for Uninsured Losses or the Legal Proceedings have Reasonable Prospects of being recovered from the party who caused the Motor Accident. We will continue to pay your Legal Expenses as long as we remain satisfied that your claim has Reasonable Prospects as detailed further at Condition B, Whether or not you are successful we will pay the Legal expenses which your Legal Representative reasonably and proportionately charges you up to the following maximum amounts for the following categories of claims: (1) Small Claims Track claims If your 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 (as amended from time to time)) we will pay your Legal Expenses up to a sum equivalent to: (i) 25% of the damages recovered (or in the event you lose, 25% of the Uninsured Losses you 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. (2) Claims subject to Fixed Cost rules If your claim for Uninsured Losses is subject to fixed cost rules we will pay your Legal Expenses up to the fixed cost limits determined by the applicable rules including Rule 45 Civil Procedure Rules 1998 (as amended from time to time). (3) All other claims for Uninsured Losses For all other claims we will pay your 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 (as amended from time to time). 10
11 WHAT IS COVERED (CONT) We will also pay Legal Expenses for any category of claim listed above which a court has ordered you to pay or which you have agreed to pay on the advice of your Legal Representative. If your claim for Uninsured Losses falls under the laws of Scotland or Northern Ireland, the claims for costs and expenses will be restricted to amounts allowed under the equivalent Scottish or Northern Irish laws, rules and practices. The most we will pay for all Legal Expenses arising from a claim or series of connected claims is up to the limit shown in relations to Legal Assistance Plan in your Policy Schedule. We will normally only make payment of Legal Expenses after your claim has been finally concluded. We will not normally agree to make payment on an interim basis except in exceptional circumstances and subject to our sole discretion. If we have paid for any Legal Expenses as part of such interim payments which you later succeed in recovering from any third party, we will be entitled to reimbursement of those expenses. B. Defence costs for road traffic proceedings We will also pay all costs, expenses and disbursements which your Legal Representative reasonably and proportionately charges you to: defend you under any Road Traffic Proceedings, or represent you if you have pleaded guilty in respect of any Road Traffic Proceedings, if a conviction may result in you being disqualified or suspended from driving, except that we will not pay more than the value of the sum shown in your Schedule in relation to Legal Assistance Plan arising from one prosecution or a series of connected prosecutions. C. Legal representation You are free to appoint your own Legal Representative. We have chosen a panel of legal firms to provide legal services to our customers. There is nothing in our relationship with our panel firms which affects their ability to act in your best interests, but you are not obliged to appoint your Legal Representative from our panel if you do not wish to. Regardless of who you appoint as your Legal Representative, we will only provide cover in accordance with the terms of this Policy. You may agree to pay any additional fees required by the Legal Representative above the amount we will cover, but these will be your responsibility only. On this basis, we recommend that you clarify how fees will be charged before you instruct the proposed Legal Representative and inform us of any agreement reached between you and the chosen Legal Representative. WHAT IS NOT COVERED UNDER A, B AND C 1. Anything which is already covered under your Policy including claims brought by third parties against you in relation to any Motor Accident, whether you were at fault or not. 2. Any Legal Expenses in relation to claims which we do not believe have Reasonable Prospects or are not reasonable to pursue (as explained further at Condition B below). 3. Any shortfall between your Legal Expenses and the costs recoverable, or that would reasonably be expected to be recoverable from another party, pursuant to the Civil Procedure Rules (or its Scottish or Northern Irish legal equivalent). 4. Legal Expenses if the claim is reported to us more than 180 days after the Motor Accident. 5. Legal Expenses if the Motor Accident occurred before the start of cover under this section. 6. Legal Expenses incurred before we have accepted the claim in writing unless this has been agreed by us. 7. Any Legal Expenses incurred and/or which you have been ordered to or agreed to pay as a result of delays or unreasonable behaviour by you or your failure to accept or the late acceptance of any offer to settle, without our permission. 8. Legal Expenses incurred because you have withdrawn from the Legal Proceedings without our permission. We will be entitled to recover from you any amount we have paid or have to pay in respect of your claim as a result of this withdrawal. 9. Legal Expenses payable as a result of any damages based agreement you have entered into without our approval to the extent that our liability would be increased by such agreement. 10. Any claim arising from damage to your car where such claim is made against you. 11. The expenses for an expert witness, unless we have given prior written permission for the witness to be appointed. 12. Any Legal Expenses which you can claim under another insurance policy or which you could have claimed if you had kept to the terms of that policy. 13. Any claim arising from a malicious act. 14. Legal Expenses which you are able to recover from another person. 15. Legal costs and expenses of defending Road Traffic Proceedings resulting from offences connected with violent or dishonest conduct. 16. The legal costs and expenses of any appeal if you are unsuccessful in any Road Traffic Proceedings. 17. Legal Expenses for claims arising from defective repairs, mechanical breakdown or general maintenance of your car. 18. Any costs incurred by you or your Legal Representative in providing us with any information or documentation under this Policy. 11
12 SECTION 6 LEGAL ASSISTANCE PLAN (CONT) WHAT IS COVERED D. µ Care This sub-section D only applies if it is listed in your Schedule. In the event that you: a) are responsible or partially responsible for a Motor Accident in which you or your passenger sustains a minor soft tissue injury, for example whiplash or a similar neck strain we will provide: A free telephone advice line, for a period of 12 weeks from the date of notification of the motor accident, giving access to advice in respect of your recovery and any exercises specific to your needs. Details of how to access a remote web based, DVD or self-help physiotherapy session with advice and guidance about your minor soft tissue injury. b) are not responsible or partially responsible for a Motor Accident in which you or your passenger sustains an injury; We will provide a detailed telephone assessment after which an action plan will be agreed with you and the solicitor in relation to the type of help or support from which you may benefit. We will make recommendations with regards to treatment such as physiotherapy, counselling support, practical aides or other forms of assistance that may aid your recovery. The treatment or assistance may be provided to you with the costs being reclaimed from the responsible party s insurance company. WHAT IS NOT COVERED 1. Any claim under [this Part D µ CARE of this Policy] that has not been reported to us within 7 days of the Motor Accident. 2. The cost of any treatment that has not been agreed with us. CONDITIONS A. CONTROL OF CLAIMS You are free to appoint your own Legal Representative as stated at Part C, Legal Representation. You must: keep us informed of any developments relating to you or your claim as soon as possible after you find out about them; follow your Legal Representative s advice; not start, defend, stop or withdraw from Legal Proceedings without our agreement; give your Legal Representative information and instructions as requested by them or us. We will have direct access to your Legal Representatives at all times and we may see any information, documents or evidence you or your Legal Representatives have. Your Legal Representatives will provide us with whatever updates we require to enable us to monitor compliance with the policy terms. They will also give us an up to date assessment of the merits of the claim. If in any Legal Proceedings your claim is not successful and you want to appeal, you must write and tell us and your Legal Representatives no later than: 14 days before the time for making an appeal ends; or as soon as possible if the time period during which you may make an appeal is 14 days or less. We will cover your Legal Expenses for the appeal if we agree with your Legal Representative that your appeal has Reasonable Prospects and it is reasonable to pursue (as set out more fully at Condition B). B. REASONABLE PROSPECT OF SUCCESS AND REASONABLENESS TO PURSUE IN CIVIL CASES We will continue to pay your Legal Expenses so long as we remain satisfied that: (i) Your claim has Reasonable Prospects; and (ii) it remains reasonable to fund your claim. In determining whether it remains reasonable to fund your claim, we will consider whether a person without legal expenses insurance but with available funds, would continue to fund the case themselves taking account of the likely financial compensation available from the claim compared to the legal costs to be incurred in obtaining that compensation. We will also take into account the legal opinion provided by your Legal Representatives in reaching our decision. If your Legal Representative is not of the view that your claim has Reasonable Prospects, we will on your request pay your Legal Expenses for the circumstances to be reviewed further by your Legal Representative, for a period of no longer than 2 hours, to reassess the prospects of success. If, at the end of this further review, your Legal Representative is of the opinion that the claim has Reasonable Prospects, we will continue to pay your Legal Expenses. If you dispute the accuracy of any general practitioner or orthopaedic medical report obtained by your Legal Representative in the course of your claim, and we accept your dispute, we will pay for a second medical report from a suitably qualified medical practitioner. If at any time we or your Legal Representative consider that your claim or the Legal Proceedings do not have 12
13 Reasonable Prospects or it is no longer reasonable to fund the claim, we will confirm this in writing to you and inform you that we will not pay any Legal Expenses for work undertaken after you have received the notice. In any event, you have the right to continue the claim or Legal Proceedings following receipt of the notice but this will be at your own expense. C. ACCOUNTS AND LEVEL OF EXPENSES You or the Legal Representatives must pass on to us all accounts for Legal Expenses as soon as possible after receiving them. We may require you to ask the Legal Representatives to have the Legal Expenses assessed, taxed or audited to determine to what extent Legal Expenses are payable. D. SETTLING EARLY You must tell us as soon as possible of any offer or payment which is made to settle the claim. You must not accept or make any offer to settle the claim without our permission. We will not refuse permission without a good reason. If you reject or delay acceptance of an offer or payment without our permission we will not pay any Legal Expenses incurred from the date of that offer. If we or your Legal Representatives feel that an offer to settle the claim should be accepted, but you reject that offer and if you are eventually awarded or agree to accept an offer which is equal to or lower than the offer you had rejected, we will not pay for any legal expenses incurred and/ or which you are ordered to pay from the date of the offer which you rejected. We will expect any settlement to include provision for payment of your Legal Expenses unless we agree otherwise. E. OPTIONS TO REIMBURSE Where in our reasonable opinion you would suffer no detriment, we may choose to pay you the value of the claim for Uninsured Losses in full and final settlement of any entitlement to indemnity for Legal Expenses. F. CONFLICT OF INTEREST If at any time during the course of the claim, we become aware of any possible conflict of interest between you and us or on the part of the Legal Representatives, we will tell you in writing. You have the right to choose an alternative solicitor or other qualified person to act as your Legal Representative and take over the claim. G. DISPUTE RESOLUTION You have the right to take any dispute with us to arbitration. We also have the right to take any dispute with you to arbitration. The arbitrator will be either a solicitor or barrister agreed by us and you, and if agreement can t be reached the Bar Council or the President of the Law Society will choose one within the British Isles. Whoever loses the arbitration must pay all the costs and expenses of the other party. If the decision goes against you, you cannot claim the arbitration costs under your Policy. We will give you written details of the right to arbitration. If you want to take any dispute with us to arbitration, you must tell us this in writing. Using the arbitration procedure does not prevent you from referring the matter to the Financial Ombudsman Service or the right to appeal against the arbitrator s decision in a court of law. H. CANCELLATION You may cancel this section of the Policy at any time. No refund of premium will be given. We may cancel your policy where there is a valid reason for doing so. If we do this we will write to you at your last known address giving you at least 7 days notice. This letter will confirm any action required from you, together with the date from which the policy will be cancelled if you do not comply with our requirements. Valid reasons may include but are not limited to: A default in instalment payments due under any linked loan agreement. If you pay your premium monthly, cover under this policy will end if you do not pay any monthly premium when it is due. If you cancel your policy after an event which may lead to a claim, you must pay us the rest of your premium up until the next renewal date. Where we have been unable to collect a premium payment. Failing to provide information or documentation requested by us. This may include but is not limited to Information required by us to process a claim or defend our interests. Use of threatening or abusive behaviour or language, or intimidation or bullying of our staff or suppliers SECTION 7 TEMPORARY HIRE CAR This sub-section Part 1 only applies if it is listed in your Schedule. WHAT IS COVERED A class A hire car (for example a small 3 door hatchback) will be supplied by us for the duration of the period during which your car is repaired whilst at one at of our recommended repairers provided the damage/loss to your car is as a result of a claim covered under Section 2 Loss and damage to your car. If you have a disability where your needs cannot be met by a temporary hire car, we will pay up to 30 per day towards travel costs. 13
14 SECTION 7 TEMPORARY HIRE CAR (CONT) TEMPORARY HIRE CAR UPGRADE This sub section only applies if it is listed in your Schedule. WHAT IS COVERED A class A hire car will be supplied by us up to the limit shown on your Schedule provided the damage/loss to your car is as a result of a claim covered under Section 2 Loss and damage to your car. If you have a disability where your needs cannot be met by a temporary hire car, we will pay up to 30 per day towards travel costs. WHAT IS NOT COVERED We will only pay for your hire car for one of the reasons specified and up to the number of days limit shown in the Schedule for any one claim. CONDITIONS Applicable to both levels of temporary car hire cover A. If a hire car is lost or damaged, we will settle the claim with the supplier of the hire car under the terms of your policy and under any agreement you have with the supplier or us relating to the hire car. B. Any claim for loss or damage to a hire car will affect your No Claim Bonus as if you were claiming for loss or damage to your car. Any excess which would apply to your car will also apply to a hire car. C. The supplier may: require sight of the driver s driving licence before the hire car can be released for the driver s use; require details of a current debit or credit card as security in case of any parking or speeding offences incurred whilst any driver is using the hire car. A class A hire car is a small hatchback car similar to a Nissan Micra. D. Cancellation You may cancel the temporary hire car upgrade section of the policy at any time. No refund of premium will be given. We may cancel your policy where there is a valid reason for doing so. If we do this we will write to you at your last known address giving you at least 7 days notice. This letter will confirm any action required from you, together with the date from which the policy will be cancelled if you do not comply with our requirements. Full details can be found in Section G of your policy booklet. E. We will not be able to provide a temporary hire car if you are involved in an incident whilst abroad. SECTION 8 WINDSCREEN This section only applies if it is listed in your Schedule. WHAT IS COVERED We cover loss of or damage to the windscreen, windows and opening glass sunroof of your car and any scratches to the bodywork that is caused by the broken glass. If a temporary hire car supplied by us is damaged under this section we will settle the claim with the supplier under the terms of your policy and any agreement you have with the supplier or us relating to the temporary hire car. If you only make a claim under this section it will not affect your No Claim Bonus. WHAT IS NOT COVERED Any excess shown under Windscreen or Window Glass Replacement Excess or Windscreen or Window Glass Repair Excess in your Schedule. HOW WE WILL SETTLE A CLAIM If the loss or damage is covered under your policy, we may choose to repair the damage or may decide to use recycled parts or parts or accessories that are not supplied by the original manufacturer. 14
15 SECTION 9 BREAKDOWN DEFINITIONS This section only applies if it is listed in your Schedule. The cover provided will depend upon the level of breakdown cover shown in the Schedule. The words listed below have the following meanings in this section only. Assistance service Provision of emergency assistance, vehicle recovery, emergency accommodation or car hire, and any other help we may give you. Your car For the purposes of this section, in addition to the policy definition of your car, it includes any caravan or trailer that has been properly built to be towed by your car when attached by a 50-millimetre ball coupling. Breakdown The mechanical breakdown, breakage or failure of any part that is essential for your car to move. Emergency assistance Attendance (arranged by us) of a recovery agent at the scene of the breakdown to try to make your car roadworthy. If this cannot be done, the recovery agent will arrange for your car to be taken to a repairer. Immobilised Your car cannot be driven, or is regarded as unsafe or unfit to be used on a public highway, as a result of the breakdown. Replacement car A hire car supplied by us, of a similar class to your own car, with an engine capacity up to 2500cc. United Kingdom England, Scotland, Wales and Northern Ireland. ROADSIDE ASSISTANCE This section only applies if it is listed in your Schedule. The cover provided under this part of the section is limited to breakdowns which happen within the United Kingdom, the Republic of Ireland, the Isle of Man and the Channel Islands. WHAT IS COVERED If your car breaks down, we will provide emergency assistance at the scene of the breakdown, for up to one hour, to make it roadworthy. If your car cannot be made roadworthy at the scene of the breakdown, we will arrange for it, the driver and up to eight passengers to be taken to a repairer of your choice within 10 miles of the scene of the breakdown. If the breakdown has been caused by your car running out of fuel, we will provide emergency assistance for replacement fuel. We will provide emergency assistance if your car is immobilised as a result of a flat battery or a flat tyre, or incorrect fuel being accidentally put in your car. We will provide emergency assistance if you accidentally lock your keys in your car or if your car is immobilised due to loss of, or damage to your keys. When we provide emergency assistance for this service, we will ask you to provide suitable identification. After a breakdown, if you ask, we will try to get a message to a person of your choice as long as we can contact that person by phone, text message, or fax. WHAT IS NOT COVERED 1. Emergency assistance at or within one mile of your home address, or where your car is normally kept, except where you have cover under Part 3 Homecall. 2. The cost of transporting your car to a repairer more than 10 miles from the scene of the breakdown, except where you have cover under Part 2 Recovery. We will charge you for mileage that is more than 10 miles. RECOVERY This section only applies if it is listed in your Schedule. WHAT IS COVERED If your car cannot be made roadworthy within one hour of commencement of emergency assistance at the scene of the breakdown, we will arrange for it to be taken to a repairer of your choice, your destination, your home address or where your car is normally kept. We will pay the costs (no more than the cost of a standard-class rail ticket) for one person to collect your car after repairs have been completed. We will also pay the cost of the following: continuing the journey to your destination or repairer, or returning to your home address or where your car is normally kept, for the driver and up to eight passengers. 15
16 SECTION 9 BREAKDOWN (CONT) WHAT IS COVERED (CONT) We will do this by providing: a hire car for up to 24 hours (depending on what is available, the hire car we provide will be of a similar class to your car, with an engine capacity up to 2500cc); or an alternative form of transport of our choice; or we will pay emergency accommodation for one night for you and up to eight passengers while waiting for the repairs to be completed. This will include bed and breakfast but no other meals or expenses. The maximum amount we will pay is shown under Emergency accommodation in the section of your Schedule. If you are declared medically unfit to drive your car during the journey and none of the passengers can drive it, we will recover the car, and will transport it, the driver, and up to eight passengers, to your destination, your home address or where your car is normally kept. You will need to produce some form of medical certificate confirming that you are medically unfit to drive. WHAT IS NOT COVERED 1. Emergency assistance at or within one mile of your home address, or where your car is normally kept, except where Homecall also applies. 2. Any costs for car hire if the hire of a replacement car has been refused by the hirer under the hirer s normal terms and conditions (see Section 9 Breakdown Part 5 Conditions, D Conditions of car hire). HOMECALL This section only applies if it is listed in your Schedule. The cover provided under this part of the section is limited to breakdowns which happen within the United Kingdom, the Republic of Ireland, the Isle of Man and the Channel Islands. WHAT IS COVERED If your car has a breakdown at or within one mile of your home address, or where it is normally kept, we will provide emergency assistance for up to one hour to make your car roadworthy. If your car cannot be made roadworthy, we will arrange for it to be taken to a repairer of your choice. WHAT IS NOT COVERED The cost of transporting your car to a repairer more than 10 miles from the scene of the breakdown, except where Part 2 Recovery also applies. We will charge you for mileage that is more than 10 miles. EUROPEAN ASSISTANCE This section only applies if it is listed in your Schedule. The cover provided by this part of this section is limited to incidents which happen in Albania, Andorra, Austria, Belgium, Bulgaria, Croatia, Cyprus (Greek), Czech Republic, Denmark, Estonia, Finland, France, Germany, Gibraltar, Greece, Holland, Hungary, Iceland, Israel, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Macedonia, Malta, Morocco, Netherlands, Norway, Poland, Portugal, Romania, Serbia and Montenegro, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Turkey and Tunisia. WHAT IS COVERED If your car is unfit to drive as a result of fire, theft, accidental damage or breakdown, we will provide emergency assistance at the scene for up to one hour to make your car roadworthy. If your car cannot be made roadworthy at the scene of the immobilising incident, we will arrange for it to be taken to a suitable repairer or your destination. We will pay the costs (no more than the cost of a standard class rail ticket) for one person to collect your car after repairs have been completed. We will also pay for the following: continuing the journey to the destination or to the repairer, for the driver and up to eight passengers. We will do this by providing: a hire car (depending on what is available, the hire car we provide will be of a similar class to your car, with an engine capacity up to 2500cc the maximum amount we will pay is shown under European self-drive hire in your Schedule); or an alternative form of transport of our choice. Or, we will pay emergency accommodation for one night for you and up to eight passengers while waiting for repairs to be completed. This will include bed and breakfast but no other meals or expenses. The maximum amount we will pay is shown in your Schedule. 16
17 WHAT IS COVERED (CONT) If your car cannot be made roadworthy by the intended date of your return to the United Kingdom, we will pay for the following: the cost of transporting your car to your home address or where your car is normally kept. This cost may include storage costs and the cost of transporting and delivering it. The maximum amount we will pay is the current market value of your car in the United Kingdom; or the cost for one person to travel by public transport to collect your car and drive it direct to your home address or where your car is normally kept. The maximum amount we will pay will be the cost of a standard class rail ticket. If essential replacement parts are not available locally, we will arrange to get the parts from somewhere else. We will pay all the charges involved in delivering the parts to your car. If you are declared medically unfit to drive your car during the journey and none of the passengers can drive it, we will provide a suitably-qualified driver to drive your car to your destination, your home address or where your car is normally kept. We will try to supply a driver at a time that is convenient to you but we cannot guarantee to provide this service within any specific time scale. You will need to produce some form of medical certificate confirming that you are medically unfit to drive. If the breakdown has been caused by your car running out of fuel, we will provide emergency assistance for replacement fuel. We will provide emergency assistance if your car is immobilised as a result of a flat battery or flat tyre, or incorrect fuel being accidentally put in your car. We will provide emergency assistance if your car is immobilised due to loss of, or damage to, keys. When we provide emergency assistance for this service, we will ask you to provide suitable identification After your car becomes immobilised, and if you ask, we will try to get a message to a person of your choice as long as we can contact that person by phone, text message, or fax. If your tent is damaged as a result of fire, theft or accidental damage, we will provide a similar tent for the rest of your holiday. The maximum amount we will pay is shown under the section your Schedule which refers to European assistance and marked European tent hire. WHAT IS NOT COVERED Any costs for car hire if the hire of a replacement car has been refused by the hirer under the hirer s normal terms and conditions (see Section 9 Breakdown Part 5 Conditions, D Conditions of car hire). BREAKDOWN CONDITIONS Applicable to all levels of breakdown cover. A. LOOKING AFTER YOUR CAR You must replace any part of your car which is not working properly, including the battery, within 28 days of discovering the fault. If a part is not replaced and a further breakdown of the same or similar cause recurs within 28 days, we reserve the right to refuse assistance or to charge a fee that is the same as the recovery agent s normal call-out charge. You must maintain your car in line with the manufacturer s recommendations and only use it in a roadworthy condition. You must carry a serviceable spare wheel for your car (including a spare wheel for any caravan or trailer whilst being towed) at all times. Your car must be covered by a valid MOT certificate, if applicable. B. REqUESTS FOR EMERGENCY ASSISTANCE If you need emergency assistance, you must contact us by phone. We must authorise any emergency assistance, otherwise you will have to pay any costs. You must quote the policy number when calling for emergency assistance so we can confirm that cover under this section applies. The driver or another person covered under the policy must be there when the recovery agent is providing emergency assistance. C. SELECTING THE APPROPRIATE ASSISTANCE SERVICE Depending on the incident, we will decide what is the most suitable form of emergency assistance. If you do not accept this decision, we will not pay more than the cost of the emergency assistance we recommend. D. CONDITIONS OF CAR HIRE The replacement car must be hired to a person who is covered under the policy. He or she will be responsible for collecting and returning the car to the car hirer. The replacement car hirer s normal terms and conditions will apply. This may mean that: they may refuse to hire a car to anyone covered under the policy who is under 21 or over 70, or has held a driving licence for less than one year, or who has certain endorsements on their licence; or they may need a deposit for the cost of fuel and to protect the car hirer against the car not being returned. 17
18 SECTION 9 BREAKDOWN (CONT) The availability of car hire is not guaranteed. We cannot guarantee to provide a car with a towbar, child seats or an automatic gearbox, or which will take roof bars, a roof rack or a roof box. E. SAFETY OF CONTENTS The driver is responsible for the contents of your car as long as he or she is covered under the policy. If your car is recovered, we will decide whether to transport any animal. If we decide not to transport any animal, it is your responsibility to make alternative arrangements for its transportation. F. RESPONSIBILITY FOR THE REPAIRER S ACTS OR NEGLECT Once your car has been taken to a repairer, we will not be responsible for any repair work they do while they are following your instructions. G. EMERGENCY ASSISTANCE WHICH IS NO LONGER NEEDED After asking for emergency assistance, if you or anyone covered under the policy repairs your car and you do not tell us about this, we may charge a fee that is the same as the recovery agent s normal call-out charge. H. COLLECTING THE CAR FOLLOWING A REPAIR You are responsible for collecting your car from the garage after repairs have been completed. I. NOTICE You must report a breakdown as soon as possible by phoning the emergency number provided, even if you do not need assistance immediately. J. CANCELLATION You may cancel this section of the policy at any time. We will refund the appropriate proportion of your premium worked out from either the date you contact us, or the future date from which you would like this section of your policy cancelled, provided that with the exception of claims under Section 8 Windscreen or Section 9 Breakdown, there have been no claims under this policy and you are not aware of any incident which may give rise to a claim under this policy We may cancel your policy in the event of 5 breakdowns occurring within any one period of insurance or where there is a valid reason for doing so. If we do this we will write to you at your last known address giving you at least 7 days notice. This letter will confirm any action required from you, together with the date from which the policy will be cancelled if you do not comply with our requirements. Full details can be found in Policy Condition G of your policy booklet. We will then refund the appropriate proportion of the premium already paid in respect of this section for the remaining period of insurance. BREAKDOWN EXCLUSIONS WHAT IS NOT COVERED Applicable to all levels of breakdown cover. 1. Any labour charge for work in addition to emergency assistance, the cost of spare parts and the cost of replacing fuel or car keys. 2. The cost associated with draining or removing an inappropriate fuel or other fluid having been put in your car. 3. Damage as a direct result of getting into your car after you have asked for emergency assistance. 4. Cover for an incident if you are entitled to claim for the same incident under another policy. 5. Any expenses which would have arisen in the normal course of the journey. 6. If your car has been partly or completely buried in mud, snow, sand or water, and this is the sole reason for claiming. 7. Breakdown resulting from poor repair or attempted repair that was carried out during the journey without our agreement. 8. Any breakdown which is the result of a deliberate act by anyone covered under the policy. 9. Breakdown resulting from your car carrying more passengers, or towing a greater weight, than intended, or driving on unsuitable ground. 10. Any liability or any other costs or losses that result directly or indirectly from providing emergency assistance. 11. Any extra hire car charges, other than the rental charge, if we provide a hire car. 12. Any incident, which results in your car being immobilised, which happened before cover under this section of the policy started. 13. Requests for emergency assistance resulting from not being able to get fuel or other supplies essential for your car to move, due to fuel or other supplies being scarce in the country in which you are driving. 14. Loss or damage to the contents of your car. 15. Any cost you have to pay for sea or river transit unless claimed under Part 4 European assistance. 16. Any costs we have not agreed to pay beforehand. 17. Recovering your car if it is considered to be dangerous or illegal to load or transport. 18. Breakdown due to the failure to replace faulty parts, including the battery, within 28 days of the previous breakdown of the same or similar cause. 19. More than five breakdowns within one period of insurance. 20. Any storage charges you may have to pay while your car is being repaired at a garage. 21. Any costs incurred as a result of you failing to carry a serviceable spare tyre and wheel, or incurred in arranging the removal of a wheel secured by locking wheel nuts when you are unable to provide a serviceable key, appropriate to your car, caravan or trailer. Please note: Motorised Vehicles that are manufactured without the provision of a spare wheel will be considered on their individual merits. Assistance in changing a wheel is covered, subject to you carrying a serviceable spare as specified above. 18
19 SECTION 10 PERSONAL ACCIDENT This section only applies if it is listed in your schedule. What we cover We will pay the amount shown as Personal accident in your schedule if you or your partner are accidentally injured: in any car; or while getting into or out of any car The injury must be directly connected with your car and the only cause within 3 months of death permanent loss of sight in one or both eyes; loss of one or more limbs at or above the wrist or ankle; or permanent loss of use of one or more limbs. We will only pay one benefit for death or injury to any person for any one incident. What we do not cover We do not cover the following: 1. Death or injury caused by suicide or attempted suicide. 2. If anyone claiming is convicted in connection with the incident of a drink-driving offence or of driving under the influence of drugs. 3. If anyone you are claiming for dies and was driving at the time of the incident, and is then found to have a higher level of alcohol or drugs in the blood than is allowed by law. You and your partner must keep to the law relating to seatbelts. SECTION 11 EMERGENCY CARE This section only applies if it is listed in your Schedule. WHAT IS COVERED Medical expenses We will pay benefit up to the amount shown as Medical expenses in your Schedule for the cost of medical treatment for anyone injured in an accident in your car. Emergency overnight accommodation We will pay up to the amount shown as Emergency overnight accommodation in your Schedule for necessary expenses for emergency accommodation if you or any other driver: cannot use your car during a journey as a result of loss or damage which we cover; and cannot reach your destination. Replacement locks We will pay benefit up to the amount shown as Replacement locks in your Schedule. We cover theft of your car key(s). We will settle the claim by paying to replace the appropriate locks or locking mechanism provided that the identity or location of your car is known to any person who may have obtained the keys without your permission. WHAT IS NOT COVERED We do not cover accidental loss of your car key(s). 19
20 SECTION 12 IN CAR ENTERTAINMENT This section only applies if it is listed in your Schedule. IN CAR ENTERTAINMENT DEFINITION a radio, cassette, compact disc player or other audio equipment; a phone or other communication equipment; navigation equipment designed primarily for use in your car; and television or other visual entertainment equipment including video cassette recorders, DVD players and games consoles, that is not part of your car s original specification fitted by the manufacturer or dealer from first registration and which, except for portable navigation equipment, must be permanently fitted in your car. If the equipment is part of your car s original specification, we consider it to be part of your car and a claim will be settled under Section 2 Loss and damage to your car or Section 3 Fire and theft to your car of this policy. WHAT IS COVERED We will pay up to the amount shown as In car entertainment on your Schedule. We will pay for the damage to be repaired (if repairs can be made for a reasonable cost); or if repairs cannot be made for a reasonable cost, or if the item is lost and never found, we will either arrange replacement with property of similar quality and value or pay the cost of replacing it with a similar one of the same quality and market value at the time of the accident or theft. WHAT IS NOT COVERED 1. Loss or theft of portable satellite navigation equipment when there is no-one in your car, unless it is stored out of sight in either a locked boot or glove compartment. 2. Loss of value. 3. Wear and tear. 4. Any loss or damage as a result of theft or attempted theft if: your car is unlocked; your car windows are open: your car sun roof is left open or unlocked; your car key(s) are in, or on your car; when there is no-one in it or. The incident hasn t been reported to the Police. 5. Loss or damage caused by deception. 6. Payment can only be made under this section if a claim is made under Section 2 Loss and damage to your car or Section 3 Fire and theft to your car. SECTION 13 PERSONAL EFFECTS This section only applies if it is listed in your Schedule. WHAT IS COVERED We cover loss of or damage to personal possessions in or on your car up to the amount shown as Personal effects in your Schedule. We will pay you or, if you prefer, the owner of the property. WHAT IS NOT COVERED 1. Money, stamps, tickets, documents, bonds, vouchers, lottery tickets, scratchcards, raffle tickets, air miles, trade samples or any property insured under any other insurance policy. 2. Personal possessions stolen from an open-top or convertible car, unless they are kept in a locked boot or locked glove compartment. 3. Loss of or damage to personal possessions carried in or on a trailer. 4. Wear, tear, loss of value and loss of use. 5. Any loss or damage as a result of theft or attempted theft if: your car is unlocked; your car windows are open: your car sun roof is left open or unlocked; your car key(s) are in, or on your car; when there is no-one in it or. The incident hasn t been reported to the Police. 6. Loss or damage caused by deception. 7. Goods, tools of trade/samples connected with your work or any other trade or any container for these things. 8. Portable navigation equipment designed primarily for use in your car. Payment can only be made under this section if a claim is made under Section 2 Loss and damage to your car or Section 3 Fire and theft to your car. 20