AIA Group Travel Care Brochure - 12pp - A4 - r8
AIA Group Travel Care Brochure - 12pp - A4 - r8
All Sorted:
Essential Protection
for Business Travel
With AIA Group Travel Care, your team members can travel
the world with one less thing to worry about. Let them
embark on their next overseas assignment knowing that
they’ll be safeguarded by our comprehensive protection.
aia.com.sg
01     | PROTECTION            AIA GROUP TRAVEL CARE
Key Benefits
                                                                                                    BEFORE
                                                                                                     AFTER
       Annual Premiums Per Insured Member (in SGD)                                         Silver            Gold         Platinum
       Regional – business only                                                             134              160             225
       Worldwide – business only                                                            162              200             255
       Regional – business and leisure                                                      161              192             270
       Worldwide – business and leisure                                                     194              240             306
     Regional – Australia, Bangladesh, Brunei, Cambodia, China, Hong Kong, India, Indonesia, Japan, Korea, Laos, Macau, Malaysia,
     Myanmar, Nepal, New Zealand, Pakistan, the Philippines, Sri Lanka, Taiwan, Thailand and Vietnam.
     Worldwide – Regional countries and the Rest of the World
     Excluded countries – Afghanistan, Cuba, Democratic Republic of Congo, Iran, Iraq, Liberia, Sudan or Syria.
     1
       Please refer to contract for full definition of pre-existing condition.
                                                                       AIA GROUP TRAVEL CARE             PROTECTION          | 02
Comprehensive coverage
 Summary of Benefits                                                         Silver              Gold            Platinum
                                                                         Sum Insured (S$)   Sum Insured (S$)   Sum Insured (S$)
 3.    Fracture Benefit
       Pays for fractures suffered in an Accident. Payout will be in          3,000              4,000              5,000
       accordance with the Schedule of Compensation.
 6.    Comatose State
       Pays a lump sum in the event the Insured Person is in a coma
                                                                             20,000             30,000             50,000
       within 30 days of the date of the commencement of the
       Injury due to an Accident.
 7.    Medical Expenses
       Covers Medical Expenses incurred as a result of Injury or             200,000            300,000            500,000
       Sickness whilst travelling.
 8.    Return Expenses
       Covers Medical Expenses incurred for treatment or                     20,000             30,000             50,000
       follow-up treatment in Singapore up to 60 days.
27.   Hijacking
      Pays S$750 for every 24 hours the Insured Person is delayed           10,000             10,000             10,000
      due to an act of Hijacking.
28.   Kidnap
      Pays S$750 for every 24 hours the Insured Person                      10,000             10,000             10,000
      is Kidnapped.
  WARNING: In accordance with Section 25(5) of the Insurance Act, as may be amended from time to time, you are to fully and
  faithfully disclose in this Application Form all facts which you know, or ought to know, failing which you may receive nothing
  from the policy and/or the policy issued may be void.
COMPANY PARTICULARS
Nature of Business:
                         (DD/MM/YYYY)
  Effective Date:
AIA Vitality Membership (S$48 per year per insured Member) Employee Only Employee and Spouse
Page 1 of 4
  GROUP TRAVEL CARE BASIS OF COVERAGE
  Please indicate the classification of employee and selected Group Travel Care Plan, Plan Type and Geographical
  Zone in the below table.
 Classification of Employee        Group Travel Care Plan                 Plan Type                  Geographical Zone
   e.g. All Directors Only/             Silver/Gold/                   Business Only/                    Regional/
     All Managers Only                   Platinum                     Business & Leisure                Worldwide
MODE OF PAYMENT
  Note: For Visa/Mastercard, the Cardholder must be “Director” as stated in the company’s ACRA. For Amex, only corporate
  cards starting with “3762” and “3769” are allowed. No third-party credit card is allowed.
Page 2 of 4
  CARDHOLDER’S AUTHORISATION
  1. I, the Cardholder identified on this form hereby authorise AIA Singapore Private Limited (“AIA Singapore”) to charge the
     aforesaid card and the issuer of the said card to pay the premium due under this application, including any additional
     premiums payable after the submission of this application.
  2. I hereby authorise, agree and consent to AIA Singapore to use and/or disclose any information collected and/or held
     (whether contained in this form or otherwise obtained) to its associated individuals/organisations and/or independent
     third parties, within or outside Singapore with regard to any matters pertaining to this form/aforesaid Policies. I hereby
     specifically waive any right to bring a claim of any nature against AIA Singapore, its associated individuals/organisations
     and/or independent third parties within or outside Singapore, in respect of any above-mentioned disclosure and/or any
     disclosure in the nature described above.
  3. Should payment not be successfully effected pursuant to this authorisation for any reason, AIA Singapore shall under
     no circumstances be held responsible or liable in any manner whatsoever including any subsequent expiry of the policies
     due to late or non-payment of premiums.
  4. This authorisation shall be binding and remain valid, notwithstanding death of the Cardholder, irrespective whether or
     not this form/aforesaid policies are accepted by AIA Singapore. A photocopy of this authorisation shall be effective and
     valid as original.
     _______________________________________                            _________________________
     Cardholder’s Signature (as per Credit Card)                        Date (DD/MM/YYYY)
  The Applicant hereby agrees and declares, on behalf of itself and any other person of persons, firm or corporation, who may
  have or claim any interest in any insurance on this Application:
  1. No statement, information or agreement made by/to or given by/to the person soliciting/taking this Application or any other
     persons, shall be binding on AIA Singapore Private Limited (“AIA”), unless presented to AIA in writing and approved by an
     authorised officer of AIA.
  2. The statements and answers contained in this Application, together with those contained in any required form including
     enrolment form, questionnaire or amendment of the Applicant, the statements and answers of the Applicant’s employees
     and their dependants contained in any required form, or medical report, and any required supporting documents
     (collectively the “Information”) are full, complete, true and correct and that no Information has been withheld. The
     Applicant further agrees that the Information shall form the basis of the contract between the parties hereto, and that the
     Information together with the group policy (including without limitation its riders, endorsements and any amendments
     thereto) shall constitute the entire contract between the parties. The Applicant understands that if any of the Information
     is not full or complete or true or correct, the group policy issued hereunder may be void and the
     Applicant/policyholder/employee/dependant as the case may be, may receive nothing from the group travel policy.
  3. AIA shall assume no liability whatsoever and the group policy will only be effective after this Application and required
     forms, questionnaires or amendments have been completed by the Applicant, and its employees and their dependants,
     with the Application being accepted by AIA and the first premium fully paid for.
  4. I/We hereby authorise, agree and consent to:
     a) Persons and organisations, whether within or outside Singapore, including but not limited to medical sources, hospitals,
         doctors, other healthcare professionals, laboratories, regulator, dispute resolution centres and insurers, their
     associated                                                            person/organisations, my/our or the insured person’s
     employers or financial service providers, or their third party                        service providers or representatives
     (collectively “Third Parties”) disclosing and releasing to AIA, its associated
     persons/organisations, its and their third party service providers and its and their representatives, whether within or
         outside Singapore (collectively “AIA Persons”), any information concerning the policy owner and the insured person(s)
         at any time, including all personal data and information, medical information, medical history, consultation history and
         notes, prescriptions, treatments, descriptions of medical services rendered, and any employment and financial information,
         including the taking of copies of such records (collectively “Personal Data”), relevant for the Purpose (defined below);
     b) the AIA Persons sharing the scope of sub-clause (a) above, along with any of the Personal Data, with any relevant Third
        Parties to procure their disclosure and release of additional relevant Personal Data for the Purpose;
     c) the AIA Persons, including their approved medical examiners or laboratories, performing any necessary medical
        assessments and examinations and tests to determine, assess and evaluate the health of the insured person(s);
     d) the AIA Persons collecting, using, disclosing, storing, retaining and/or processing (collectively, “Using”/”Use”) the
        Personal Data for the Purpose; and
     e) waive any right (on my own behalf of the insured person(s) where applicable, in respect of which I/we represent and
        warrant that the insured person(s) have granted me/us authority to so waive) to bring a claim of any nature against any
Page 3 of 4
  TERMS AND CONDITIONS (Continued)
  Where I/we are not the insured person, I/we represent and warrant that I/we have obtained the consent of the insured
  person(s), expect to the extent such consent is not required under relevant laws: (i) to collect their Personal Data; (ii) to
  disclose their Personal Data to the AIA Persons; and (iii) for the AIA Persons and Third Parties to Use any of their Personal Data
  in the manner and for the purposes described in this Clause. I/We hereby agree to indemnify AIA Persons for all losses and
  damages that AIA Persons may suffer in the event that I/we are in breach of any representation and warranty provided by
  me/us herein. In this Clause, “Purpose” means any of the purposes described in the AIA Personal Data Policy, including but not
  limited to processing of this form, to provide subsequent advice or services to me/us or the insured person in relation to any
  existing or future policy/policies/programmes that I/we may hold/participate with AIA. This authorisation shall bind my/our
  successors and assignees, and remains valid, notwithstanding death, irrespective of whether or not my/our Application/form is
  accepted by AIA. A photocopy of this authorisation shall be valid and effective as the original.
  5. The Applicant is not insolvent, or is unable to pay its debts as they become due, or making any assignment or arrangement
     for the benefit of its creditors, or is ceasing or threatening to cease to carry on its business.
  6. AIA is entitled not to accept or process this Application or accept an employee or dependant under the group policy should
     the Applicant or such employee or dependant be found to be a Prohibited Person, meaning a person/entity (including any
     director or direct/indirect shareholder or person having executive authority therein) subject to any laws, regulations and/or
     sanctions administered by any regulatory authorities in any country, which have the effect of prohibiting AIA from providing
     insurance coverage, transacting business with or otherwise offering any economic benefits to the Applicant/policy owner
     or such employee or dependant or any other beneficiary under the group travel policy, and the decision of AIA shall be final.
  7. In the event AIA becomes aware subsequently that the Applicant/policy owner/insured employee/insured dependant has
     become a Prohibited Person, AIA may block and/or terminate the relevant policy, and/or remove such insured employee or
     insured dependant from coverage under the group policy with immediate effect, and shall not thereafter be required to
     transact any business with the Applicant/policy owner/insured employee/insured dependant or any other beneficiary in
     connection with the group policy, including but not limited to, making or receiving any payments under the group policy.
     The Applicant/policy owner, as an entity, also agrees as an ongoing obligation to notify AIA in writing as soon as possible of
     any change in its directors or direct/indirect shareholders or persons having executive authority therein.
  8. By signing this Application, the Applicant confirms that AIA Financial Services Consultant/Insurance Representative has
     solicited insurance business from the Applicant in the Republic of Singapore and that the signing of this Application has
     taken place in the Republic of Singapore.
  WARNING: If a material fact is not disclosed in this Application, any insurance coverage issued to you may not be valid. If you are
  in doubt as to whether a fact is material, you are advised to disclose it. This includes any information that you may have provided
  to the AIA Financial Services Consultant(s)/Insurance Representative(s) but was not included in this Application. Please check
  to ensure you are fully satisfied with the information declared in this Application. Additionally, and without prejudice to the
  parties’ rights and obligations whether under law or otherwise, following the submission of this Application, you must continue
  to disclose any and all material facts that may arise or which have changed from the information you had provided.
Authorised Signatory & Company Stamp NRIC/FIN No. Date (MM / DD / YYYY) Designation
     Alexandra #                        Tampines #
                                                                       HP No.:
   I declare that I have the following Certifications
Date:
Name of FSD/FSAD/FSM/AM:
                                                                                                                          Corporate Solutions
                                                                                                                          3 Tampines Grande
                                                                                                                          AIA Tampines, #07-00
                                                                                                                          Singapore 528799
                                                                                                                          F : (65) 6538 5603 / 6538 4340
AIA.COM.SG
Date: __________________________
  IMPORTANT: It is compulsory to complete the sections below and to provide the requested documents, in compliance
  with MAS Notice 314 - Prevention of Money Laundering and Countering the Financing of Terrorism.
Please ensure that relevant documents are attached and the sections below are duly completed.
1.            A copy of the most recent ACRA search report to verify the legal existence of the policyholder and showing information
              on its directors and shareholders/owners.
2.            Information on beneficial owners of policyholder not disclosed in ACRA search report (if any).*
3.            Information on the authorized signatories who sign the application form / insurance proposal acceptance form.
4.            Information on natural persons having executive authority.
 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------
“Natural persons having executive authority” in a company include the Chairman and Chief Executive Officer; for a partnership it
refers to the partner and/or manager.
           Full Name
                                                                                                                  Date of Birth
 (including alias and/or former                   NRIC/Passport No.                    Nationality                                               Designation
                                                                                                                  (DD/MM/YY)
          name, if any)
I/We confirm that all information captured in this form is accurate and up-to-date. I/we will inform my financial consultant, broker
or AIA Singapore as and when there are changes to the authorized signatories, natural persons having executive authority,
shareholders/owners, beneficial owners and / or directors.
I/We understand and agree that AIA Singapore is entitled not to accept or process this application should I/we be found to be a
Prohibited Person, meaning a person or entity (including any director or direct / indirect shareholder or person having executive
authority or natural persons appointed to act on my behalf or my beneficial owners or beneficiaries’ beneficial owners therein)
subject to any laws, regulations and/or sanctions administered by any regulatory authorities in any country, which have the effect
of prohibiting AIA Singapore from providing insurance coverage, transacting business with or otherwise offering any economic
benefits to me/us or any other beneficiary under the relevant Policy, and the decision of AIA Singapore shall be final. I/We further
agree that in the event that AIA Singapore becomes aware subsequently that I/we have become a Prohibited Person, AIA
Singapore may block and/or terminate the relevant Policy, including but not limited to, making or receiving any payments under
the relevant Policy. As an ongoing obligation, I/we will immediately inform AIA Singapore if there are any changes to the identities,
status/constitution/establishment, particulars and identification documents of these persons.
__________________________________                                                            _____________________________________________
Signature
Name & NRIC No of Authorized Signatory                                                        Company (Policyholder) Stamp
Page 1 of 1                                                                                                                              CS-SM-MAR2016
                                                AIA Singapore Private Limited (Reg. No. 201106386R)
IMPORTANT NOTES
• Eligibility: All full-time actively-at-work employees, directors, partners and proprietors are eligible, subject to AIA’s approval.
    Maximum entry age of 69 (Age last birthday)
    Renewable age up to 74 (Age last birthday)
    Dependants of employees are also eligible for all coverage:
    a) Spouse of an Insured Person.
    b) Child of an Insured Person, provided such child is at least 2 weeks old and under 25 years of age, unmarried and unemployed.
• Policy is subjected to S$10 million coverage per conveyance.
• Maximum length of each Business trip is 183 days and Leisure trip is 90 days.
• For Standard Class 1 & 2 Risks only.
    Class 1 Risks – Clerical, administrative or other similar non-hazardous occupations.
    Class 2 Risks – Occupations where some degree of risk is involved, e.g. supervision of manual workers, totally administrative job
    in an industrial environment.
• Group Travel is available to companies with a minimum of 3 to a maximum of 30 employees.
• Employee headcount less than 15 is on named basis, 15 employees or above can be administered on headcount basis.
• For benefits section 15., 16., 17., 21., for the same event, this Policy shall only pay for the claim from one of these Sections as
    determined by AIA.
• Notwithstanding the payouts in each of the Sections above, the total payout by the Company on the Insured Person over the
    Period of Insurance shall not exceed the specified limit applicable to the Selected Plan.
• Premium rates are not guaranteed and may be increased at policy renewal at the full discretion of the Company.
This insurance plan is underwritten by AIA Singapore Private Limited (Reg. No. 201106386R) (“AIA”). All insurance applications
are subject to AIA’s underwriting and acceptance. This is not a contract of insurance. The precise terms and conditions of this plan,
including exclusions whereby the benefits under your policy may not be paid out, are specified in the policy contract. You are
advised to read the policy contract.
Information is correct as at 1 May 2019. Protected up to specified limits by SDIC. This advertisement has not been reviewed by
the Monetary Authority of Singapore.
GENERAL EXCLUSIONS
The following shall not be payable under any Section of this Policy for loss or liability directly or indirectly arising as a result of:
1. Travel in, to, or through Afghanistan, Cuba, Democratic Republic of Congo, Iran, Iraq, Liberia, Sudan or Syria;
2. An Insured Person being;
    (a) A terrorist;
    (b) A member of a terrorist organisation;
    (c) A narcotics trafficker; or
    (d) A purveyor of nuclear, chemical or biological weapons;
3. Loss of or damage resulting from wilful, malicious or unlawful act or negligence of the Insured Person;
4. Any act of War, act of a foreign enemy (whether declared or not), civil war, invasion, revolution, insurrection use of military
    power or usurpation of government or military power;
5. Any action taken by any government authority including confiscation, seizure, destruction and restriction;
6. The Insured Person not taking all reasonable efforts to safeguard his/her property or to avoid Injury or minimise any claim
    under the Policy;
7. Riding or driving in any kind of race, participating in any professional sports or in any sport whereby the Insured Person
    would or could earn or receive remuneration, donation, sponsorship, award or certificate of any kind and air travel
    (other than as a fare-paying passenger in any properly licensed private and/or commercial aircraft or other mode of
    conveyance or transportation);
8. Pregnancy or childbirth, and any Injury or Sickness associated with pregnancy, childbirth or venereal disease;
9. Any illegal or unlawful act by the Insured Person;
10. Suicide or attempted suicide or intentional self-injury or provoked assault or intoxication or drugs;
11. The Insured Person employed on merchant vessels, engaging in naval, military, airforce or civil defence personnel or operations
    or testing of any kind of conveyance or being employed as a manual worker or whilst engaging in offshore activities like diving
    and oil-rigging or mining or aerial photography or handling of explosives or hazardous substances; and/or
12. Any pre-existing conditions unless the Insured Person has been continuously insured for the past 12 months under this policy
    and/or a previous group travel insurance carrier in Singapore;
13. Sexually transmitted diseases AIDS, HIV infections and AIDS-related infections; and/or
14. Mental and nervous or sleep disorders, including but not limited to insanity;
15. Congenital Anomalies.
AIA Singapore Private Limited
(Reg. No. 201106386R)
Corporate Solutions
3 Tampines Grande, AIA Tampines, #07-00
Singapore 528799
aia.com.sg