John Lewis Pet Insurance Policy Word - Ing
John Lewis Pet Insurance Policy Word - Ing
We hope you won’t need to make a claim. But, if you do, you can rest assured that you will receive
excellent service from our team of claims specialists.
Your policy, including this booklet and your schedule are evidence of your insurance, so please read them
carefully to ensure that the information is correct and the cover is exactly what you need, and keep them
in a safe place.
Contents
How to contact us. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Understanding and using the policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Cover levels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Words with special meanings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Veterinary fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Third party liability cover (dogs only). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Death from illness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Death from accident. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Expenses for referral to another vet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Boarding kennel and cattery fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Daily minding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Accidental damage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Advertising and offering a reward. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Lost or stolen pets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
How to make a claim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Travel cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Policy conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Policy exclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Claims conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Complaints procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
How we use your information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
How to contact us
Claims 0330 102 2756 Lines are open Monday to Friday between 8am and 8pm and on
Saturday between 9am and 5pm
Customer Services 0330 102 2745 Lines are open Monday to Friday between 8am to 8pm and on
Saturday between 9am to 5pm and on Sunday 10am to 4pm
Vet Referral Line 0330 100 6483 Lines are open Monday to Friday between 9am and 5pm
Within each Section of cover, the first column will tell you what the cover includes. The second column
will tell you what it does not cover.
Please read ‘How to make a claim’ on pages 18-20, or 24-25 for a travel claim and the policy conditions,
policy exclusions and claims conditions on pages 26-31.
The Schedule shows details of your cover and the premium. Please keep the Schedule with the
Policy Wording.
A new Schedule will be sent whenever a change is made to the insurance so you can check that the
cover still meets your needs.
We pay up to your chosen vet fee limit in each period of insurance with no limit to the length of
treatment, as long as your policy is renewed and there is no break in cover.
If your vet fee limit is reached in any period of insurance, we will not make any more treatment payments
until your policy is renewed again.
Once renewed your chosen vet fee limit will be available to use again and covered treatments will
continue to be paid for.
We can choose not to offer renewal of a policy. If we do, we would let you know in advance of your
renewal date so that you have enough time to make alternative insurance arrangements.
Cats and dogs like humans are more prone to illness as they get older and their likelihood of needing
treatment increases.
In fact our claims data shows that the cost of looking after your pet’s health doubles every four to five
years. That’s why your renewal price increases each year and your excess will increase when your pet
turns nine, even if you haven’t had to make a claim.
Unfortunately, once a pet has been taken ill, in general they’re more likely to get ill again. That’s why, if a
claim is paid, the price you will pay next year can double.
It’s important you budget for renewal prices to increase as your pet gets older. How much they go up is
different for everyone and depends on things like your pet’s breed, their age and health, and there is no
limit to how much your renewal price can increase over time.
If your premium, excess, benefits or policy terms and conditions do change, we will always provide full
details to you before your renewal date.
We do not pay for health issues, concerns, illnesses and injuries which you or your vet were aware of
before you took out the policy, they are known as pre-existing conditions. A full explanation is shown on
page 10.
We do not pay for illnesses which you or your vet were aware of in the first 14 days of your policy first
starting, or any illness that develops from them. By illness we mean, both diagnosed illness and signs or
symptoms of illness (undiagnosed illness).
We do not pay for accidents within the first 48 hours of your policy first starting, or any illness or injury
that develops from them.
Please be aware that the death by illness cover does not apply for pets aged 9 and over.
The table in this policy on page 8 provides details of the amount of cover that applies to vets fees and
other covers provided by this policy.
The amount of cover will depend on the level you have selected (Essential, Plus or Premier).
If you have any questions, please contact us. The telephone numbers are shown on page 5.
The contract is based on the information you provided when you applied for the insurance.
Our part of the contract is that we will provide the cover set out in this Policy Wording for:
• those Sections which are shown on the policy Schedule;
• the period of insurance set out on the policy Schedule.
If your part of the contract is not met, we may turn down a claim, increase the premium or you may find
that you do not have any cover.
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.
This policy has been issued by Royal & Sun Alliance Insurance Ltd in the United Kingdom.
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Cover levels
Cover levels Essential Plus Premier
Veterinary fees up to: £3,000 £7,500 £12,000
Veterinary fees excess (this amount applies Please see your Please see your Please see your
to each accident or illness, in each period of Schedule for details Schedule for details Schedule for details
insurance):
Veterinary fees treatment period: Each year Each year Each year
Veterinary fees includes the following cover
Putting your pet to sleep up to: £100 £100 £100
Dental care up to: £3,000 £7,500 £12,000
Behavioural treatment up to: £250 £250 £500
Treatment food up to: £250 £250 £250
Complementary treatment up to: £500 £1,000 £2,000
Accident
A sudden, unexpected, specific event that results in an injury to the pet.
Period of insurance
The period detailed in your Schedule and any further period for which you have paid or agreed to pay
and we have accepted your premium.
Pet
The dog(s) and/or cat(s) named on your Schedule.
Treatment
Consultations, examinations, tests, X-rays, surgical procedures, prescription drugs and medication, nursing
and hospitalisation all provided by or given under the instruction or referral of a vet or an employee of a
vet practice under a vet’s supervision.
Vet/veterinary
A qualified veterinary surgeon holding a current registration with the Royal College of Veterinary
Surgeons.
We/us/our
Royal & Sun Alliance Insurance Ltd.
You/your
The person or persons named as the policyholder on the Schedule.
Your family
You, your husband, wife, partner, children, parents, other relatives and any joint policyholder, all who
normally live with you.
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Daily minding
What is covered What is not covered
We will pay the cost of paying someone Any payments to the person caring for your pet that we have
to look after your pet in the event that not agreed.
you or a member of your family has to Payment to anyone who is a member of your family.
go into hospital on medical advice for a Any stay in hospital that, you were aware of before the policy
period of more than 4 days in a row and cover started, or any medical condition you knew about before
no other member of your family is able the policy cover started that might require a stay in hospital.
to look after your pet. Any stay in hospital for:
• convalescent or nursing home care;
• treatment that is not related to a bodily injury, illness or
disease.
If you make a claim for a pet under daily minding, you cannot
also make a claim for the same pet at the same time under
boarding kennel and cattery fees.
Anything detailed in the policy or claims conditions or policy
exclusions shown on pages 26-31.
The most we will pay you is up to £100
each week for each pet for each period
of insurance up to the maximum shown
on the cover level detail on page 8.
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Accidental damage
What is covered What is not covered
We will pay if while visiting someone else’s Damage to personal property owned by or in the control
property your pet causes accidental damage to of you, your family, employee or guest.
personal property. Damage to any personal property belonging to any
You do not have to be legally liable for the person entrusted with the care, control and custody of
damage to make a claim under this cover. your pet.
Any damage occurring when your pet is left in a home
where no person aged 18 or over is present.
Damage to any motor vehicle or its contents.
Damage caused by your pet fouling, vomiting or urinating
on/in any items.
Anything detailed in the policy or claims conditions or
policy exclusions shown on pages 26-31.
The most we will pay for each pet for each
period of insurance is shown on the cover level
detail on page 8.
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We do not cover the cost of completing claim forms, obtaining receipts, invoices or reports required as
part of the claim.
Please make sure you have read the policy conditions, policy exclusions and claim conditions shown on
pages 26-31.
Veterinary fees
You will need to send us your claim form within 90 days of the first treatment for each new
accident or illness. If your vet tells you that your pet will need treatment over a few visits you do
not need to send each invoice to us separately, you can send them all to us with one completed claim
form within the 90 day period. Parts of this form will need to be completed by your vet, please make
sure that the form is signed by you and your vet.
We do not pay vet invoices that are 12 months older than the last date of treatment.
If the treatment your pet requires is outside of your usual vet’s area of expertise, your vet will
direct you to a different veterinary centre, hospital or practice which may be part of our preferred
referral vet network. You can find details of the vets in our network at www.johnlewis.com/insurance/
petclaims. If you need help or advice about which vet to visit, please contact the John Lewis Vet
Referral Helpline on 0330 100 6483. If your pet needs emergency treatment for a situation that if
not resolved immediately will lead to a loss of life or cause a serious threat to the present or ongoing
health of your pet, you can visit any vet.
You must keep all invoices and receipts that your vet gives you in connection with your claim and
send these along with a complete medical history for your pet to us. This must be a record of all
visits your pet has made to a vet and this information can be obtained from each vet practice your
pet has attended. We will need you to agree that your current, previous or referral vet may release
information or records regarding the medical history, including test results for any pet insured with us.
If your pet continues to need ongoing treatment, you can send in further claims including updated
medical records showing the treatment your pet has received, invoices and receipts, every 3 to 6
months. If any information we have asked for is not provided it will delay your claim.
We can arrange to pay most vets directly. Please ask your vet if they are happy to do this, and if we
are able to, we will take care of the rest.
We do not pay the excess, as that is the part of the claim you must pay. Your policy Schedule will tell
you what this amount is.
If there is any amount other than the excess that we cannot pay because the costs are not covered by
your policy, we will tell you. You must settle with your vet, any amount not covered by the policy.
We may ask your vet to provide an opinion on whether accidents and illnesses are connected, and
the date changes in your pet’s health started.
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We will also need a pedigree certificate if you have one and receipt for the original purchase/donation price
paid for your pet.
If you have no purchase receipt showing the purchase/donation price, we will pay the replacement cost of a
similar pet based on its age, breed and sex at the time you became the owner of your pet up to the limit
shown on page 8.
You must also provide confirmation of the period you or your family members were in hospital. We will
need a medical certificate or written confirmation from the treating doctor or the hospital that confirms the
dates of the hospital admission and later discharge from hospital.
Accidental damage
A claim form will be sent to you, and this should be completed detailing the exact circumstances of the
claim including photos and a description of the damaged items, the original purchase price and the cost of
replacing or repairing the item(s).
No damaged items should be disposed of without our written agreement, as we may need to look at the items.
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You must report the loss of your dog to the police and, if you have one, the dog warden within 24 hours of
discovery and provide their reference number to our claims department.
You must not pay the finder any reward yourself; any reward amount must be agreed with us before the
amount is advertised. Please provide us with the finder’s details to allow payment to be made directly to them.
We will require receipts for all advertisements placed and materials you wish to claim for along with details
of the amount of reward that you advertised.
We will also need a pedigree certificate if you have one and receipt for the original purchase/donation price
paid for your pet.
Lost or stolen pets – if there is no recovery of your pet after 90 days, you will then need to complete a
claim form and provide the information detailed above.
If you have no purchase receipt showing the purchase/donation price, we will pay the replacement cost of a
similar pet based on its age, breed and sex at the time you became the owner of your pet up to the limit
shown on page 8.
In the happy event that your pet is found or returns after we have paid your claim, you must refund to us
the full amount we paid you for the purchase/donation price.
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Travel cover
This cover applies if shown against the selected cover table on page 8
As a resident of the United Kingdom, you are able should you wish, under the United Kingdom
Government Pet Travel Scheme, known as PETS to take your pet temporarily to certain countries and
return home without putting your pet into quarantine.
The scheme is administered by DEFRA (the Department for Environment, Food and Rural Affairs) and
you need to comply with the criteria set out by them.
To help you comply we have included the phone number for DEFRA on page 5, so you can check with
them before you intend to travel.
This cover only includes travel within the UK, Channel Isles, Isle of Man and countries in the European
Union (EU); if you wish to travel with your pet to countries outside of the EU, please contact us using
the details on page 5.
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Quarantine costs
What is covered What is not covered
We will pay the cost of quarantine kennelling Any costs incurred where it can be established that your
costs you have to pay if your pet is unable to pet was suffering from an accident or illness prior to
travel due to illness despite you complying with departure.
the relevant PETS regulations. Anything detailed in the policy or claims conditions or
policy exclusions shown on pages 26-31.
As part of PETS you need to have your pet Claims for microchip failure if the microchip was:
microchipped before you can travel. • not fitted;
We will pay the cost of quarantine kennelling • not tested and it was established that the microchip
costs you have to pay if your pet is unable to was not functioning prior to departure.
travel due to failure of the microchip. Anything detailed in the policy or claims conditions or
policy exclusions shown on pages 26-31.
The most we will pay in total for each trip for
each pet is shown on the cover level detail on
page 8.
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Cancelling a trip
What is covered What is not covered
The cost of travel and accommodation expenses The excess (this is the first part of a claim that you have
if you have to cancel a trip because, to pay for each trip).
before you and your family leave, your pet: Costs that you can recover elsewhere.
has gone missing; Anything detailed in the policy or claims conditions or
or policy exclusions shown on pages 26-31.
dies or has to be put to sleep by a vet; or
requires life-saving treatment in the 7 days
before you leave.
The most we will pay in total in any period of
insurance for trips that are cancelled or cut short
is shown on the cover level detail on page 8.
To help us to settle your claim quickly, please tell us about any possible claim by calling the claims helpline
on 0330 102 2756, or contact us by e-mail on [email protected] within 31 days or as
soon as you can.
You will be sent a claim form to complete and return to us with all the paid receipts, confirmation of
expenditure and required reports. We will not pay a claim if you are not able to supply supporting
evidence.
Settlement will then be made to you in sterling at the current rate of exchange.
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Quarantine costs
We will need confirmation that your pet was microchipped prior to your journey with a microchip of the
type required by PETS.
Plus receipts or proof of purchase or bills for any quarantine kennelling or other costs claimed for.
Cancelling a trip
We will need cancellation invoices from your travel agent, tour operator or other holiday sales organisation.
The invoices must show the dates and total cost of your holiday, confirmation that payment had been made,
the date you decided to cancel and details of any expenses that you cannot recover.
We do not cover the cost of any obtaining any receipts, proof of purchase, reports or other
documentation required as part of any claim.
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Policy conditions
These are the conditions you and your family will need to keep to as your part of this contract. If you do not,
a claim may be rejected or payment could be reduced. In some circumstances your policy might be invalid.
Fraud
If dishonesty, exaggeration or false documentation is used by you and your family or anyone acting on
behalf of you or your family to obtain or support:
• a claims payment under your policy; or
• cover for which you do not qualify; or
• cover at a reduced premium;
all benefits under this policy will be lost, the policy may be invalid, you may not be entitled to a refund of
premium and legal action may be taken against you.
Dogs only
• your pet is used for racing;
• your pet is used for fighting;
• your pet has had complaints made about its behaviour (aggression, attacking or biting);
• your pet has been the cause of an incident or legal action;
• your pet has been trained to attack;
• your pet is used for security purposes or as a guard dog;
You must also provide proper care and attention to your pet at all times and take all reasonable
precautions to prevent accidents, injury or damage.
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Renewal terms
At the end of each period of insurance, your policy benefits, terms and conditions can alter, if they do
change, we will always provide full details to you before your renewal date.
As your pet gets older it is more likely to need treatment, that’s why your renewal price increases each
year and your excess will increase when your pet turns nine, even if you haven’t had to make a claim.
Unfortunately, once a pet has been taken ill, in general they’re more likely to get ill again. That’s why, if a
claim is paid, the price you will pay next year can double.
It’s important you budget for renewal prices to increase as your pet gets older. How much they go up is
different for everyone and depends on things like your pet’s breed, their age and health, and there is no
limit to how much your renewal price can increase over time.
We will refund any premiums already paid, except when you have already made a claim under your policy.
Monthly payment
If you pay by monthly instalments and you cancel this insurance because your pet has died, has been
stolen or strays and you make a claim for this, we will not deduct outstanding instalments for the
remainder of the current period of insurance from any claim payment.
If you pay by monthly instalments and you cancel this insurance for any other reason other than those
stated above and you make a claim, we will deduct outstanding instalments for the remainder of the
current period of insurance from any claim payment.
Annual payment
If you pay the full annual premium and you cancel this insurance and you have not made a claim we will
refund the proportion of the premium already paid for the remainder of the current period of insurance.
If you pay the full annual premium and you cancel this insurance because your pet has died, has been
stolen or strays, and you make a claim for this, we will refund the proportion of the premium already
paid for the remainder of the current period of insurance.
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If you pay the full annual premium and you cancel this insurance for any other reason other than those
stated above and you have made a claim, we will not refund the proportion of the premium already paid
for the remainder of the current period of insurance.
You may have asked and we may have agreed for your annual premium to be paid on a monthly basis by
Instalments.
We reserve the right to cancel the policy in the event that there is a default in instalment payments due.
If you no longer wish to pay for your policy monthly but do not wish to cancel your cover, we can tell
you how much you will have to pay for the rest of the period of insurance. If this amount is not paid by
the date given in our reply to you, then all cover under your policy will be cancelled from this date.
If you need to cancel your policy for any of the reasons given above, please contact us on 0330 102 2745.
• failure to provide us with information we have requested that is directly relevant to the cover provided
under this policy or any claim;
• the use or threat of violence or aggressive behaviour against our staff, contractors or property;
• the use of foul or abusive language;
• nuisance or disruptive behaviour.
In these circumstances we would where possible, contact you and seek to resolve the matter with you.
You will be entitled to a refund of a proportion of any unexpired premium, providing no claims had been
made for the current period of insurance.
We may also cancel the policy if a change in your circumstances (page 26) means that you or your pet
no longer meet the eligibility for this policy or due to the fraud condition on page 26
Your policy will also be cancelled if you do not pay your premium.
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Policy exclusions
We will not pay claims:
for malicious or wilful injury or gross negligence to your pet which is caused by you or members of your
family;
for pets which are not dogs or cats;
when your premium has not been paid.
Notifiable diseases
We will not pay claims for any pet which suffers from a notifiable disease as named in the Animal Health
Act 1981.
Dangerous dogs
We will not pay claims for any pet which should be registered under the Dangerous Dogs Act 1991 and
the Dangerous Dogs (Northern Ireland) Order 1991 or any subsequent amendments.
Territorial limits
We will not pay for claims outside the territorial limits of the United Kingdom, Northern Ireland, Channel
Isles, Isle of Man and the parts of the EU that are not covered by the PETS Travel Scheme.
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War risks
We will not pay for any loss, damage, liability, cost or expense of any kind caused directly or indirectly by
war, invasion or revolution.
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Claims conditions
These are the claims conditions that you and your family will need to keep to as your part of this
contract. If you do not, a claim may be rejected or payment could be reduced. In some circumstances
your policy might be invalid.
Examination by a vet
You must arrange for a vet to examine and treat your pet as soon as possible after you notice any signs
or symptoms of illness or injury.
Claim negotiation
In respect of Third Party Liability claims, you must not settle, reject, negotiate or offer to pay any claim
you have made or intend to make under this policy without our written permission.
Transferring rights
We have the right, if we choose, in your name but at our expense to:
• take over the defence or settlement of any claim;
• start legal action to get compensation from anyone else;
• start legal action to get back from anyone else any payments
that have already been made.
You must help us to take legal action against anyone or help us defend any legal action if we ask you to.
Other insurance
If you claim under this policy for something which is also covered by another insurance policy, you must
provide us with full details of the other insurance policy. We will only pay our share of the claim.
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Complaints procedure
Our commitment to customer service
At John Lewis Insurance, we are committed to going the extra mile for our customers. If you believe that
we have not delivered the service you expected, we want to hear from you so that we can try to put
things right. We take all complaints seriously and following the steps below will help us understand your
concerns and give you a fair response.
Step 1
If your complaint relates to your policy then please contact the Customer Services team on 0330 102 2745.
If your complaint relates to a claim then please call the Claims team on 0330 102 2756.
We aim to resolve your concerns on an informal basis, within three business days. Where we have been
able to, we will send you a letter confirming this. We’ll also explain how you may be able to refer the matter
to the Financial Ombudsman Service if you subsequently decide that you are unhappy with the outcome.
Step 2
In the unlikely event that we are unable to resolve your concerns through our informal complaints
process, our Customer Relations Team will then review the matter on behalf of our Chief Executive.
Once our Customer Relations Team have reviewed your complaint they will send you a final decision in
writing within 8 weeks of the date we received your complaint.
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Telephone: 0800 023 4567 (free from mobile phones and landlines)
0300 123 9123 (costs no more than calls to 01 or 02 numbers)
Email: [email protected]
Website: www.financial-ombudsman.org.uk
You have six months from the date of our final response to refer your complaints to the Financial
Ombudsman Service. This does not affect your right to take legal action, however, the Financial
Ombudsman Service will not adjudicate on any case where litigation has commenced.
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• C
ompliance with a legal obligation: Where laws or regulations may require us to use your personal
information in certain ways.
• L
egitimate Interests: We will also process your personal information where this processing is in our
“legitimate interests”. When relying on this condition, we are required to carry out a balancing test of
our interests in using your personal information (for example, carrying out market research), against
the interests you have as a citizen and the rights you have under data protection laws. The outcome of
this balancing test will determine whether we can use your personal information in the ways described
in this Privacy Notice. We will always act reasonably and give full and proper consideration to your
interests in carrying out this balancing test.
Where else do we collect information about you?
Where possible, we’ll collect your personal information directly from you. However, on occasion we may
receive details about you from other people or companies. For example, this might happen if:
• It was given to us by someone who applied for an insurance product on your behalf (e.g. an insurance
broker, a family member) where you have given them the permission to do so; or
• It was supplied to us when you purchased an insurance product or service that is provided by us in
partnership with other companies, or;
• It was lawfully collected from other sources (e.g. Motor Insurance Database, Claims and Underwriting
Exchange or fraud prevention databases) to validate the information you provided to us.
We request those third parties to comply with data protection laws and to be transparent about any
such disclosures. If you would like some further information, please contact us.
Will we share your personal information with anyone else?
We do not disclose your information outside of RSA except:
• Where we need to check the information you gave to us before we can offer you an insurance
product (e.g. reference agencies);
• Where we are required or permitted to do so by law or relevant regulatory authority (e.g. financial
crime screening, fraud detection/prevention);
• Where we provide insurance services in partnership with other companies (e.g. building societies, large
retailers);
• In the event that we are bought or we sell any business or assets, in which case we will disclose your
personal information to the prospective buyer of such business or assets;
• As required to enforce or apply this Privacy Notice, or the contract of insurance itself;
• Within our group for administrative purposes;
• As required in order to give effect to contractual arrangements we have in place with any insurance
broker and/or intermediary through which you have arranged this policy;
• With healthcare providers in the context of any relevant claim being made against your policy;
• If we appoint a third party to process and settle claims under the policy on our behalf, in which case we will
make your personal information available to them for the purposes of processing and settling such claims;
• With our third party service providers (including hosting/storage providers, research agencies,
technology suppliers etc.);
• With our reinsurers (and brokers of reinsurers) in connection with the normal operation of our business;
Sometimes your personal information may be sent to other parties outside of the European Economic Area
(EEA) in connection with the purposes set out above. We will take all reasonable steps to ensure that your
personal information is treated securely and in accordance with this Privacy Notice, and in doing so may rely
on certain “transfer mechanisms” such as the EU-US Privacy Shield, and the standard contractual clauses
approved by the European Commission. If you would like further information please contact us.
Which decisions made about you will be automated?
Before we can offer you an insurance product or service, we may need to conduct the following
activities, which involve automated (computer based) decision-making:
• Pricing and Underwriting – this process calculates the insurance risks based on the information that
you have supplied. This will be used to calculate the premium you will have to pay.
• Credit Referencing – using the information given, calculations are performed to evaluate your credit
rating. This rating will help us to evaluate your ability to pay for the quoted products and services.
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• Smart Sensor Data Analytics – an insurance product that collects your information using smart sensors (e.g.
in car black box) to calculate your insurance risk (e.g. driving score). This may then be used to determine your
policy rewards (e.g. cash back for safe driving) and to calculate your policy renewal premium.
• Automated Claims – some small claims may qualify for automated processing, which will check the
information you provide, resulting in a settlement or rejection of your claim.
The results of these automated decision-making processes may limit the products and services we can
offer you. If you do not agree with the result, you have the right to request that we perform a manual
reassessment using the same information that you originally provided. If you wish to do so please contact us.
For how long will we keep your information?
Your personal information will be retained under one or more of the following criteria:
• Where the personal information is used to provide you with the correct insurance cover, which will be
kept as long as it is required to fulfil the conditions of the insurance contract.
• Where the use of your personal information for a specific purpose is based on your consent, it will
be kept for as long as we continue to have your consent (e.g. we would stop contacting you for
marketing purposes once you have asked us to).
• Where, for a limited period of time, we are using some of your information to improve the products
or services we provide.
• For as long as your information is required to allow us to conduct fraud and/or criminal checks and
investigations.
Will you be contacted for marketing purposes?
If you have agreed, we might contact you by post, email, phone and text message to let you know about
offers and services we think you’ll like. The messages may be personalised using information you have
previously provided us.
You can ask us to stop contacting you for marketing purposes at any point.
We will only contact you for marketing purposes if we collected your information directly, except when
authorised and instructed by the third-party acting on your behalf.
We may use the information which we collect about you to show you relevant advertising on third-party
websites (e.g. Facebook, and Google). This could involve showing you an advertising message where
through the use of cookies, we know you have browsed our products and services. If you don’t want to
be shown targeted advertising messages from us, you can change the advertising setting on some third-
party sites and some browsers to block our adverts.
Your information is incorrect what should you do?
If you hold a product or service with us and think that the information we hold about you is incorrect or
incomplete, please contact us and we will be happy to update it for you.
What are your rights over the information that is held by RSA?
We understand that your personal information is important to you, therefore you may request the
following from us:
1 Provide you with details about the personal information we hold about you, as well as a copy of the
information itself in a commonly used format. [Request Ref: DSR 1]
2 Request your personal information be deleted where you believe it is no longer required. Please note
however, we may not be able to comply with this request in full where, for example, you are still insured with
us and the information is required to fulfil the conditions of the insurance contract. [Request Ref: DSR 2]
3 Request the electronic version of the personal information you have supplied to us, so it can be
provided to another company. We would provide the information in a commonly used electronic
format. [Request Ref: DSR 3]
4 Request to restrict the use of your information by us, under the following circumstances [Request Ref: DSR 4]:
a. If you believe that the information we hold about you is inaccurate, or;
b. If you believe that our processing activities are unlawful and you do not want your information to
be deleted.
c. Where we no longer need to use your information for the purposes set out in this Privacy Notice,
but it is required for the establishment, exercise or defence of a legal claim.
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d. Where you have made an objection to us (in accordance with section 5 below), pending the
outcome of any assessment we make regarding your objection.
5 Object to the processing of your data under the following circumstances [Request Ref: DSR 5]:
a. Where we believe it is in the public interest to use your information in a particular way, but you disagree.
b. Where we have told you we are using your data for our legitimate business interests and you believe we
shouldn’t be (e.g. you were in the background of a promotional video but you did not agree to be in it.)
In each case under section 5 above, we will stop using your information unless we can reasonably
demonstrate legitimate grounds for continuing to use it in the manner you are objecting to.
If you would like to request any of the above, please contact us and submit a written request, including the
request reference (e.g. DSR 1), as this will speed up your request. To ensure that we do not disclose your personal
information to someone who is not entitled to it, when you are making the request please provide us with:
Your name;
•
Address(es);
•
Date of birth;
•
Any policy IDs or reference numbers that you have along with a copy of your photo identification.
•
All requests are free of charge, although for requests for the provision of personal information we hold about
you (DSR1) we reserve the right to charge a reasonable administrative fee where, we believe an excessive
number of requests are being made. Wherever possible, we will respond within one month from receipt of
the request, but if we don’t, we will notify you of anticipated timelines ahead of the one month deadline.
Please note that simply submitting a request doesn’t necessarily mean we will be able to fulfil it in full on
every occasion – we are sometimes bound by law which can prevent us fulfilling some requests in their
entirety, but when this is the case we will explain this to you in our response.
Our Privacy Notice.
If you have any queries regarding our Privacy Notice please contact us and we will be happy to discuss
any query with you. Our Privacy Notice will be updated from time to time so please check it each time
you submit personal information to us or renew your insurance policy.
How you can contact us about this Privacy Notice?
If you have any questions or comments about this privacy notice please contact:
The Data Protection Officer
RSA
Bowling Mill
Dean Clough Industrial Park
Halifax
HX3 5WA
You may also email us at [email protected].
How you can lodge a complaint?
If you wish to raise a complaint on how we have handled your personal information, please send an email
to [email protected] or write to us using the address provided. Our Data Protection Officer
will investigate your complaint and will give you additional information about how it will be handled. We
aim to respond in a reasonable time, normally 30 days.
If you are not satisfied with our response or believe we are processing your personal information not in
compliance with UK Data Protection law, you can lodge a complaint to the Information Commissioner’s
Office, whose contact details are;
Information Commissioner’s Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF
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Index
In alphabetical order
38
39
John Lewis Insurance is a trading name of John Lewis plc. Registered in England no. 00233462. Registered
office 171 Victoria Street London SW1E 5NN. John Lewis plc is an appointed representative of Royal & Sun
Alliance Insurance Ltd. John Lewis Pet Insurance is underwritten by Royal & Sun Alliance Insurance Ltd (No.
93792). Registered in England and Wales at St. Mark’s Court, Chart Way, Horsham, West Sussex, RH12
1XL. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority
and the Prudential Regulation Authority. Calls may be recorded and monitored.