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 Travel Accident Insurance

Michigan State University Federal Credit Union 
Travel Accident Insurance Description of Coverage 

Principal Sum(s) Enrolled: 
Visa Debit Card: Benefit Amount $250,000 
Platinum Visa: Benefit Amount $1,000,000  
Platinum Plus Visa: Benefit Amount $1,000,000 

THIS IS AN ACCIDENTAL DEATH AND DISMEMBERMENT ONLY POLICY AND DOES NOT
PAY BENEFITS FOR LOSS FROM SICKNESS

This Description of Coverage is provided to eligible cardholders, and replaces any and all
Descriptions of Coverage previously issued to the insured with respect to insurance described
herein.

Eligibility and Period of Coverage 
You and your dependents become covered automatically when the entire Common Carrier fare
is charged to your covered card account (“Covered Persons”). It is not necessary to notify the
Financial Institution, the Insurance Company or Plan Administrator when tickets are purchased.
Coverage ends when the policy is terminated or on the date your covered card terminates or
ceases to be in good standing, whichever occurs first. 

Benefits 
Subject to the terms and conditions, if a Covered Person’s accidental bodily injury occurs while
on a Covered Trip and results in any of the following Losses within one year after the date of
the accident, the Insurance Company will pay the following percentage of the Principal Sum for
accidental Loss of: 

Life:100% 
Both hands or both feet :100% 
Sight of both eyes:100% 
One hand and one foot:100% 
Speech and hearing: 100% 
One hand or one foot and the sight of one eye: 100% 
One hand or one foot: 50% 
Sight of one eye: 50% 
Speech or hearing: 50% 
Thumb & index finger on the same hand: 25% 

In no event will multiple charge cards obligate the Insurance Company in excess of the stated
benefit for any one Loss sustained by a Covered Person as a result of any one accident. The
maximum amount payable for all losses due to the same accident is the Principal Sum. 

Loss means actual severance through or above the wrist or ankle joints with regard to hands
and feet; entire and irrevocable Loss of sight, speech or hearing; actual severance through or
above the metacarpophalangeal joints with regard to thumb and index fingers. The life benefit
provides coverage in the event of a Covered Person’s death. If a Covered Person’s body has
not been found within one year of disappearance, stranding, sinking, or wreckage of any
Common Carrier in which the Covered Person was covered as a passenger, then it shall be
presumed, subject to all other provisions and conditions of this coverage, the Covered Person
suffered Loss of life. 

Injury means bodily injury resulting directly and independently of all other causes from an
accident which occurs while the Covered Person is covered under this policy. 

Covered Trip means a trip (a) while Covered Person is riding on a Common Carrier as a
passenger and not as a pilot, operator or crew member, and (b) charged to your covered card,
and (c) that begins and ends at the places designated on the ticket purchased for the trip.
Covered Trip will also include travel on a Common Carrier (excluding aircraft), directly to, from
or at any Common Carrier terminal, which travel immediately precedes departure to or follows
arrival at the designation designated on the ticket purchased for the Covered Trip. 

 
 
 
 
 
 
 
Common Carrier means any scheduled airline, land or water conveyance licensed for
transportation of passengers for hire. Common Carrier does not include a conveyance
operated for sport, recreation, and/or sightseeing activities or for any travel in any aircraft
device for aerial navigation except as expressly provided in the policy. 

Exclusion: No payment will be made for any Loss that occurs in connection with, or is the
result of: (a) suicide, attempted suicide or intentionally self-inflicting injury; (b) any sickness or
disease; (c) travel or flight on any kind of aircraft or Common Carrier except as a fare-paying
passenger in an aircraft or on a Common Carrier operated by a regular schedule for passenger
service over an established route; or (d) war or act of war, whether declared or undeclared. 

Beneficiary: Benefit of Loss of life is payable to your estate, or to the beneficiary designated in
writing by you. All other benefits are payable to you. 

Notice of Claim: Written Notice of claim, including your name and policy number VTA00015
should be mailed to the Plan Administrator within 20 days of a covered Loss or as soon as
reasonably possible. The Plan Administrator will send the claimant forms for filing proof of
Loss. 

The Cost: This travel insurance is purchased for you by your Financial Institution. 

Description of Coverage: This description of coverage details material facts about a Travel
Accident Insurance Policy which has been established for you and is underwritten by Virginia
Surety Company, Inc. Please read this description carefully. All provisions of the plan are in the
master policy, VTA00015, issued to the Visa USA Trust, Chicago, IL which is effective 4/1/03.
Any difference between the policy and this description will be settled according to the
provisions of the policy. 

Questions: Answers to specific questions can be obtained by writing to the Plan Administrator: 
CBSI Enhancement Services 
550 Mamaroneck Avenue 
Harrison, NY 10528 

Underwritten by: 
Virginia Surety Company, Inc. 
1000 N. Milwaukee Avenue 
Glenview, IL 60025 

General Program Provisions, Travel Accident Insurance: 

Travel Accident Insurance is provided under a master policy of insurance issued by Virginia
Surety Company, Inc. (herein referred to as “the Company”). We reserve the right to change
the benefits and features of all these programs. 

Visa USA or the Company can cancel or choose not to renew the insurance coverages for all
insureds. If this happens, your Financial Institution will notify the Cardholder at least 30 days in
advance of the expiration of the policy. Such notices need not be given if substantially similar
replacement coverage takes effect without interruption and is provided by the same insurer.
Insurance benefits will still apply to Covered Trips commenced prior to the date of such
cancellation or non-renewal, provided all other terms and conditions of coverage are met.
Travel Accident Insurance does not apply if your Card privileges have been suspended or
cancelled. However, Insurance benefits will still apply to Covered Trips commenced prior to the
date that your account is suspended or cancelled provided all other terms and conditions of
coverage are met. 

Coverage will be void if, at any time, the Cardholder has concealed or misrepresented any
material fact or circumstance concerning the coverage or the subject thereof of the
Cardholder’s interest herein, or in the case of any fraud or false swearing by the Insured
relating thereto. No person or entity other than the Cardholder shall have any legal or equitable
right, remedy, or claim for insurance proceeds and/or damages under or arising out of this
coverage. 

No action at law or in equity shall be brought to recover on this coverage prior to the expiration
of 60 days after proof of Loss has been furnished in accordance with the requirements of this
Description of Coverage. 

The Company, at its expense, has the right to have you examined, as often as reasonably
necessary while a claim is pending. The Company may also have an autopsy made unless
prohibited by law.

 Visa Credit Card Agreement & Truth-in-Lending Disclosure

 Visa Debit Card Agreement

 Privacy Policy

 USA Patriot Act

 Platinum Plus Visa Cash Back Disclosure

 Visa Gift Card Disclosure

 Platinum Visa for Teens: Parent/Legal Guardian Agreement

 MyDesignSM Image Guidelines and Terms & Conditions

 Reloadable Prepaid Visa Debit Card Disclosure

 Merchant Surcharge Fees

 MSUFCU Visa Periodic Disclosure

 Auto Rental Collision Damage Waiver

 MSUFCU Affinity Credit Card Agreement with Michigan State University

 DocuSign Disclosure

 
 
 
 
 
 
 
 
 
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