YOURPOLICYDOCUMENT
StaticHolidayHomePolicy
Freephone:0800614849
www.coastinsurance.co.uk
ThissectionisadministeredbyParkHomeInsuranceServicesLtd,tradingasCoastunderabindingauthorityagreementwithBritSyndicate2987atLloyd’s(BSL)(writtenunderuniquemarketreferenceB0356JJ548F16A000orreplacementthereof).BSL’sliabilityisseveralanditisliableforitsproportionofliabilityandhasnoliabilityforanyotherinsurers’proportion.ParkHomeInsuranceServicesLtdisauthorisedandregulatedbytheFinancialConductAuthority(firmreferencenumber306716)andisauthorisedtoadministerthissectiononbehalfofBSL.BSLismanagedbyBritSyndicatesLimitedwhichisauthorisedbythePrudentialRegulationAuthorityandregulatedbytheFinancialConductAuthority,registrationnumber204930.ThiscanbecheckedbyvisitingtheFCAwebsiteatwww.fca.org.uk.IntroductionItisimportantthatyoureadthepolicytoensurethatitprovidesthecoveryourequire.Ifthereisanythinginitthatyouareunsureabout,pleasecontact:Coast,HelixHouse,HighStreet,Wadhurst,EastSussex,TN56AA.Tel:0800614849oremail:[email protected],ContentsandPersonalEffectsandFamilyLegalSolutionssectionsareunderwrittenbyBritSyndicate2987atLloyd’s.TheStaticHolidayHome,ContentsandPersonalEffectssectionsareadministeredbyCoast.TheFamilyLegalSolutionssectionofthispolicyisadministeredbyARAGplc.YourCancellationRightsYouhavetherighttocancelyourpolicyatanytime;todosoyoumustletCoastknowusingthecontactdetailsabove.Anypotentialrefundwillbecalculatedasfollows:Forcancellationinstructionsreceivedwithin14daysofpolicypurchase,renewaloryoureceivingyourpolicydocuments,Wewill:• ProvideafullrefundifthePeriodofInsurancehasnotyetstarted.• RefundthepremiumfortheexactnumberofdaysleftinthecurrentPeriodofInsuranceifno
Claimshavebeenmade.• NotrefundanypartofthepremiumifaclaimhasbeenmadeinthecurrentPeriodofInsurance.
Forcancellationinstructionsreceivedafterthe14dayperioddescribedabovehaspassed,Wewill:• RefundthepremiumfortheexactnumberofdaysleftinthecurrentPeriodofInsuranceifno
claimshavebeenmadeapplyingamid-termcancellationcharge.• NotrefundanypartofthepremiumifaclaimhasbeenmadeinthecurrentPeriodofInsurance.DataProtectionYoushouldunderstandthatanyinformationyouhaveprovidedwillbeprocessedbyUsincompliancewiththeprovisionsoftheDataProtectionAct1988,forthepurposesofprovidinginsuranceandhandlingclaimsorcomplaints,ifany,whichmaynecessitateprovidingsuchinformationtootherparties.
INDEXTOYOURPOLICY
Page
StaticHolidayHome,Contents&PersonalEffectsSection:
ComplaintsProcedure 1-2
ImportantNotice 3
Definitions 4-5
StaticHolidayHome,ContentsandPersonalEffects 6-9
GeneralExclusionsapplicabletothissectionofthePolicy 10-11
GeneralConditionsapplicabletothissectionofthePolicy 12-14
HowtomakeaClaim 15
FamilyLegalSolutionsSection:
Definitions 16-18
Cover 18-21
WhatisnotinsuredbytheLegalExpensesPolicy 22
ConditionsapplicabletothewholeoftheLegalExpensesPolicy 23-24
ComplaintsProcedure 25-26
HowtomakeaClaim 27
1
COMPLAINTSPROCEDURE(StaticHolidayHome,Contents&PersonalEffectsSection)
Ouraimisalwaystogiveyouthehighestlevelofservicebutshouldyouatanytimebecomedissatisfiedpleaseseebelow.Coast’sCommitmenttoCustomerServiceCoastvaluetheopportunitytolookintoanyconcernsyoumayhavewiththeserviceprovidedandarecommittedtodealingwithallcomplaintsfairly,consistentlyandpromptly.WhotoContactintheFirstInstanceManyconcernscanberesolvedstraightaway,therefore,pleasegetintouchwithCoastastheywillgenerallybeabletoprovideyouwithanimmediateresponsetoyoursatisfaction.Coast’scontactdetailsareprovidedbelow:ComplianceManager,Coast,HelixHouse,HighStreet,Wadhurst,EastSussexTN56AA.Youcantelephoneon0800614849(freefromlandlinesandmobiles)ore-mail:info@coastinsurance.co.uk.Ifyourcomplaintcannotberesolvedstraightaway,orintheeventthatyouremaindissatisfiedyoucanreferthemattertoPolicyholderandMarketAssistanceatLloyd's.Thecontactdetailsare:PolicyholderandMarketAssistance,MarketServices,Lloyd’s,FidentiaHouse,WalterBurkeWay,ChathamMaritime,KentME44RN.Youcantelephoneon02073275693,facsimileon02073275225ore-mail:[email protected]’sareunabletoresolveyourcomplainttoyoursatisfactionwithineightweeks,orifyouremaindissatisfiedfollowingreceiptofCoast’sfinalresponseletter,youcanasktheFinancialOmbudsmanServicetoformallyreviewyourcase.Shouldyoudecidetodothis,youmustcontacttheFinancialOmbudsmanServicewithinsixmonthsofCoast’sfinalresponse.TheFinancialOmbudsmanServicecontactdetailsareasfollows:FinancialOmbudsmanService,ExchangeTower,HarbourExchangeSquare,LondonE149SR.Youcantelephoneforfreeon08000234567,ore-mail:complaint.info@financial-ombudsman.org.uk.WhilstWeandCoastareboundbythedecisionoftheFinancialOmbudsmanService,youarenot.Followingthecomplaintsproceduredoesnotaffectyourlegalrights.
2
ComplaintProcedureLeafletAleafletcontainingfulldetailsofthecomplaintprocedurewillbeprovidedduringthecomplainthandlingprocessandisavailableonrequest.CompensationBritSyndicate2987atLloyd’siscoveredbytheFinancialServicesCompensationScheme(FSCS)whichmeansthatyoumaybeentitledtocompensationifWeareunabletomeetOurobligationstoyou.Furtherinformationisavailableatwww.fscs.org.ukorbycontactingtheFSCSdirectlyon08006781100.TelephoneCallRecordingForourjointprotectiontelephonecallsmayberecordedand/ormonitored.
3
STATICHOLIDAYHOMEINSURANCEPOLICY–IMPORTANTNOTICE(StaticHome,Contents&PersonalEffectsSection)
Thispolicyisanagreementbetweenyou(thepersonshowninyourscheduleastheInsured)andUs(BritSyndicate2987atLloyd’s).Youmustreadthispolicytogetherwithyourscheduleandanyspecificationsorendorsementsasonecontract.Pleasereadallofthemtomakesurethattheyprovidethecoveryouaskedfor.Iftheydonot,pleasecontactCoastassoonaspossible.Wewillinsureyouagainstloss,damageorlegalliabilitywhichmayoccurduringtheperiodofinsuranceinaccordancewiththeSectionsspecifiedintheschedulesubjecttotheexclusions,conditionsandendorsementsofthepolicyinreturnforpaymentbyyouofthepremium.InformationYouHaveGivenUsIndecidingtoacceptthispolicyandinsettingthetermsandpremium,WehavereliedontheinformationyouhavegivenUs.YoumusttakecarewhenansweringanyquestionsWeaskbyensuringthatallinformationprovidedisaccurateandcomplete.IfWeestablishthatyoudeliberatelyorrecklesslyprovidedUswithfalseormisleadinginformationWewilltreatthispolicyasifitneverexistedanddeclineallclaims.IfWeestablishthatyoucarelesslyprovidedUswithfalseormisleadinginformationitcouldadverselyaffectyourpolicyandanyclaim.Forexample,Wemay:• treatthispolicyasifithadneverexistedandrefusetopayallclaimsandreturnthepremium
paid.WewillonlydothisifWeprovidedyouwithinsurancecoverwhichWewouldnototherwisehaveoffered;
• amendthetermsofyourinsurance.Wemayapplytheseamendedtermsasiftheywerealreadyinplaceifaclaimhasbeenadverselyimpactedbyyourcarelessness;
• reducetheamountWepayonaclaimintheproportionthepremiumyouhavepaidbearstothepremiumWewouldhavechargedyou;or
• cancelyourpolicyinaccordancewiththerighttocancelconditionbelow.WeorCoastwillwritetoyouifWe:• intendtotreatyourpolicyasifitneverexisted;or• needtoamendthetermsofyourpolicy.IfyoubecomeawarethattheinformationyouhavegivenUsisinaccurate,youmustinformCoastassoonaspracticable.ChoiceofLawYourpolicyisgovernedbythelawthatappliestowhereyouresidewithintheUnitedKingdom.Ifthereisanydisagreementaboutwhichlawapplies,Englishlawwillapply.UseofLanguageUnlessotherwiseagreed,thecontractualtermsandconditionsandotherinformationrelatingtothiscontractwillbeinEnglish.
4
DEFINITIONS(StaticHolidayHome,Contents&PersonalEffectsSection)
Yourpolicyprovidescoverforthesectionsandtheperiodofinsuranceshowninyourschedule.CertainwordshavespecificmeaningswhentheyappearintheStaticHolidayHome,ContentsandPersonalEffectssectionofthispolicy.Thesemeaningsareshownbeloworinthesectionwheretheyapply.Theyareprintedinboldtype.
BodilyInjury Physicalinjurywhichisthesoleanddirectresultofaccidentalviolentandvisiblemeans.
ContentsandPersonalEffects
Articlesofpersonaluseoradornment,clothing,luggageandgeneralhouseholdgoods,includingtelevisionsets,radios,videoorDVDrecorders,computersandhi-fisystemswhilstcontainedwithintheStaticHolidayHomeand/oradjacentlockedstorageandbelongtoyouoryourFamily.
Excess Thefirstamountofanyclaimforwhichyouareresponsible.
Family Yourhusband,wifeorpartner,childrenorrelatives.
HolidayLetting TheStaticHolidayHomeisletforuse(whethercommerciallyletorotherwise)tomembersofthepublicoutsideofyourFamilyandfriendsand/orpaymentisreceivedforuseoftheStaticHolidayHome,includingadvertisedlettings,forcommercialgain.
LossofSight Permanentandtotalphysicallossofsight.
• LossofSightinbotheyeswillbesaidtohaveoccurredifyournameisaddedtotheRegisterofBlindPersonsontheauthorityofafullyqualifiedophthalmicspecialist.
• LossofSightinoneeyewillbesaidtohaveoccurrediftheremainingsight,afterthecorrectionis3/60orlessontheSnellenscale.
Permanent Lastingorlikelytolastindefinitely.
PermanentTotalDisablement
Disablementwhichwillentirelypreventyoufromengaginginanyoccupationofanyandeverytypeanddescription,fortheremainderofyourlifewithouthopeofrecovery.
PrivateUse PrivateuseoftheStaticHolidayHomebyyou,yourFamilyandfriendsonanon-profitbasiswithnoadvertisedlettingsandfornocommercialgain.Wherepaymentisreceivedfortheuseofgas,electricity,water,etcthisisacceptablebutifthepaymentincludestheuseoftheStaticHolidayHomethenitmustbeinsuredforHolidayLetting.
Residential TheStaticHolidayHomeisoccupiedbyyouandyourFamilyasapermanentresidenceonasitelicencedforresidentialuse.
5
StaticHolidayHome TheStaticHolidayHomeownedbyyou,andshowninyourscheduleincludingitsfixturesandfittingsandbuilt-inequipmentincludingrefrigerators,microwaves,cookers,gasbottles,awnings,steps,balconies,decking,fires,boilers,showers,waterheaters,batteriesandgenerators.
UseoftheStaticHolidayHome
YourpolicyschedulewillshowthetypeofuseyouhaveselectedfortheStaticHolidayHomeinsured.YoumusttellUsifanyoftheinformation(includingthetypeofuse)onwhichtheinsuranceisbasedchanges–seeGeneralCondition7.
Valuables Anyarticleofgold,silverorotherpreciousmetal,jewellery,watches,furs,picturesorotherworksofart,collectionsofstampsorcoins.Pleasenote,areceiptorcopyvaluationnotmorethantwoyearsoldmayberequiredintheeventofaclaim.
We/Us/Our BritSyndicate2987atLloyd’s.
ThefollowingdefinedtermsareusedintheExclusions:Money Cash,cheques,postormoneyorders,postagestamps,savingsstamps,
savingscertificatesorbonds,traveltickets,luncheonvouchers,phonecards,mobilephonevouchers,rewardvouchersorgifttokensallheldforpersonalorcharitablepurposes.
VehiclesandCraft Anyelectricallyormechanicallypoweredvehicles,caravans,trailers,watercraftincludingsurfboards,landwindsurfingvehicles,hovercraft,aircraft,all-terrainvehiclesorquadbikes(butnotdomesticgardeningequipment,battery-operatedgolftrolleysorwheelchairs,batteryorpedestrianoperatedmodelsortoys).
6
STATICHOLIDAYHOME,CONTENTSANDPERSONALEFFECTSSECTION
Events1. Wecoveruptothesuminsuredstatedin
theschedule,anywhereintheUnitedKingdom,suddenandunexpectedlossoforphysicaldamagetotheStaticHolidayHomeandtoitsContentsandPersonalEffectsduringtheperiodofinsurance.
Wewillnotpayfor:a) Money,credit,debitorchargecards;b) businessbooksordocuments;c) photographicequipment,binoculars,
camcorders,mobiletelephones;d) cycles,fishingrodsandaccessoriesor
outboardmotors,contactlenses,spectaclesandsportsequipment;
e) damagetotyresunlessbyvandalismorwheretherestoftheStaticHolidayHomeisdamagedatthesametime;
f) lossordamagebytheftorattemptedtheftunlessviolenceorforceareusedtobreakintooroutofyourStaticHolidayHome;
g) theftoraccidentallossfromawningsortoilettents;
h) thereplacementpartsoraccessorieswhicharefoundtobeobsoleteorunobtainable.ThemostWewillpaywillbelimitedtothelastknownlistpriceofthepartofaccessoryrequired,togetherwiththeappropriatefittingcharge;
i) theftorlossarisingfromdeception,financialloss,ortheuseofstolen,forgedorinvalidcheques,drafts,banknotes,passportsanddocumentsofanykind;
j) damagewhichoccurswhentheStaticHolidayHomeisnotsitedorconnectedtoservices.
k) chewing,tearing,foulingorscratchingby
pets;l) anylossordamageoccurringwhilstthe
StaticHolidayHomeisbeingusedforanyunlawfulpurpose;
m) theExcessshownintheschedule.
Wewillnotpaymorethan:n) £50forValuables;o) £1,500inanyoneyearofinsurancefor
televisionsets,radios,videoorDVDrecorders,computersandhi-fisystems
p) £150inanyoneyearofinsurancefordiscs,tapesandsoftwarerelatingtocassettes,compactdiscs,videosandcomputers
UnlessyourStaticHolidayHomehasbeensuitablyendorsed,Wewillnotpayfor:
q) lossordamageinrespectofanyStatic
HolidayHomewhichisemptyornotinuseduringtheperiodfrom31stOctoberuntil1stMarchinrespectofescapeofwaterfromanytankapparatusorpipeunlessthemainstopcocktotheStaticHolidayHomehasbeenturnedoffandallequipmentfullydraineddown
Orthecentralheatingsystemisleftonataminimumof15degreesCentigradeatalltimes
7
ExtraCover
2. Repairs–WewillpaythereasonablecostoftakingyourStaticHolidayHometothenearestcompetentrepairerandreturningittotheriskaddresswhentherepairsarecomplete.
3. Connectiontoservices–wheretheStaticHolidayHomeisconnectedtoservicesWewillpaythereasonablecostofdisconnectionandreconnectionofserviceswhentheStaticHolidayHomeisremovedforrepair.
4. Siteclearance–Wewillpayuptotheamountshowninthescheduleforsiteclearanceandremovalofdebrisforwhichyouareresponsible.
5. Groundrent–Wewillpayupto£2,500forgroundrentpayablewhentheStaticHolidayHomeisrendereduninhabitableasaresultoflossordamagecoveredbythepolicy.
6. Professionalfeesandothercosts–Wewillpayupto£2,500foranyfeespayabletothesiteownerwhicharespecifiedinawrittencontractandwhicharesolelyinconnectionwiththerebuildingoftheStaticHolidayHome.
7. Services–Wewillpayupto£3,000foraccidentaldamagetogas,waterpipes,drains,sewage,telephoneandelectricitycablesfromtheStaticHolidayHometothemainsforwhichyouareresponsible.
8. Storage–Wewillpayupto£1,000forsuddenandunexpectedlossoforphysicaldamagetothestructureofanyadjacentlockedstoreandContentsandPersonalEffectscontainedinit.
9. Frozenfood–Wewillpayupto£100toreplacefoodanddrinkinyourfridgeorfreezer,whichmustbelessthan10yearsold,thatyoucannotusefollowingthebreakdownoftheapplianceorthefailureofthepowersupply,butnotifthiswascausedbythedeliberateactofthesupplyauthority.
10. Replacinglocks–Wewillpayupto£250forreplacinglockstoyourStaticHolidayHomeifyouloseyourStaticHolidayHomekeysanywhereintheworld.
11. Yourliabilitytoothers–WecoveryouoryourFamilyoranyotherpersonusingtheStaticHolidayHomewithyourpermissionforanylegalliabilityasowneroroccupieroftheStaticHolidayHometocompensateothersif,followinganaccidentduringtheperiodofinsurance,someonedies,isinjured,fallsillsorhastheirpropertydamaged.
ThemostWewillpayforanyclaim(orclaims)arisingfromonecause,includinglegalcostsandexpensesagreedbyus,is£5,000,000.
Wewillnotpayiftheliabilityarisesfrom:
• death,injuryorillnessofyouoryourFamily;
• lossofordamagetoanypropertyyou,yourFamilyoryourdomesticemployeesownorthatyouortheyareresponsiblefor;
• youoryourFamilypassingonanyillnessorvirus;
• acontractthatsaysyouoryourFamilyareliableforsomethingwhichyouortheywouldnototherwisehavebeenliablefor;
• anydogdescribedintheDangerousDogsAct1991ortheDangerousDogs(NorthernIreland)Order1991;
• anyanimal(otherthanhorsesusedforprivatehacking,guidedogsorpetsthatarenormallydomesticatedintheUnitedKingdom);
• usingtheStaticHolidayHomeasapermanenthome;
• theStaticHolidayHomebeingattachedtoatowingvehicle;
8
• anyliabilityinrespectofanyvehiclebeingusedforthetransportationoftheStaticHolidayHome;
• theStaticHolidayHomebeingletforhireorreward.
12. Alternativeaccommodation–iftheStaticHolidayHomeisrendereduninhabitablebylossordamagetotheStaticHolidayHomeand/orContentsandPersonalEffectsforwhichWewillpayaclaimunderthissection,Wewillpayupto£2,500for:• thenecessarycostofalternative
accommodationaslongastheStaticHolidayHomewasbeingusedforholidaypurposesatthetime.
13. Personalaccidentcover–ifyouoryourhusband,wife,partnerorchildrensufferBodilyInjurysustainedduringtheperiodofinsurancewhilstintheStaticHolidayHomeorwithintheboundariesofthepermanentsiteoftheStaticHolidayHomewhich,within24monthsofoccurring,directlyresultsinoneofthefollowingWewillpaythebenefitshown:• Death-£20,000• Totallossofuseofoneormorelimbs
-£20,000• Totallossofsightinoneorbotheyes
-£20,000• Permanenttotaldisablementfrom
anyoccupation-£20,000Ifyouoryourhusband,wifeorpartnerareaged70yearsormoreatthedateoftheBodilyInjurywhichgivesrisetoaclaimnobenefitispayable.Allbenefitsforpeopleunder16arereducedto£500.
NocoverisprovidedforBodilyInjuryyouoryourhusband,wife,partnerorchildrensufferwhilstengagedintheconstruction,erectionorinstallationoftheStaticHolidayHome.HoweverthisdoesnotexcludeBodilyInjurysufferedwhilstengagedinroutineminormaintenanceactivities.
14. Index-linked–ifyouhaveselectedNewforOldcoverWewillincreaseyourStaticHolidayHomesuminsuredannuallyatrenewalinlinewiththeHouseRebuildingCostIndexproducedbytheRoyalInstitutionofCharteredSurveyorsorsimilarindex.(ThisdoesnotapplytoContentsandPersonalEffects.)
DefectivePremisesAct1972TheDefectivePremisesAct1972imposesdutiesinconnectionwiththeprovisionofdwellingsandimposesliabilityforinjuryordamagecausedtopersonsthroughdefectsinthestateofpremises.Section3oftheDefectivePremisesAct1972(orinNorthernIrelandSection5DefectivePremisesNorthernIrelandOrder1975)extendsthedutyofcareincertaincircumstancesafterthedwellingshavebeendisposedof.ForfurtherguidancepleaseseetheOfficeofPublicSectorInformationwebsite(opsi.gov.uk)orcontacttheCitizensAdviceBureau.DangerousDogsAct1991TheDangerousDogsAct1991imposescertainrequirementsonspecifictypesofdog.Italsoplacesrequirementsinrelationtodogswhichare,asdescribedintheAct,dangerouslyoutofcontrol.ForfurtherguidancepleaseseetheOfficeofPublicSectorInformationwebsite(opsi.gov.uk)orcontacttheCitizensAdviceBureau.
9
SettlingClaimsYourpolicyschedulewillshowifyouhaveselectedNewforOldorMarketValuecover,andanyExcessorlimitwhichapplies.
NewforOld• Yourchosensumsinsuredmustbe
sufficienttobuyabrandnewequivalentStaticHolidayHomeanditscontentsatthetimeoftheloss.
• WewilldecidewhethertorepairorreplacetheStaticHolidayHome.WewillreplacetheStaticHolidayHomewithanewone,ofthesamemakeandmodelornearestequivalentuptoyoursuminsured.
• WewilldecidewhethertorepairorreplaceanyitemofContentsandPersonalEffectsthatislostordamageduptoyoursuminsured.IftheycannotberepairedorreplacedWewillpaythecostofanequivalentreplacementuptoyoursuminsured.
MarketValue• Yourchosensuminsuredshouldrepresent
theamountanequivalentStaticHolidayHome(make,model,yearofmanufacture)anditscontentswouldcostatthetimeofatotalloss.
• WewilldecidewhethertorepairorreplacetheStaticHolidayHome.Ifitcannotberepairedorreplacedorisbeyondeconomicrepair,Wewillpaythemarketvalueatthetimeofthelossordamagebutnotmorethanthesuminsured.ForContentsandPersonalEffectsWewilldeductanamountforwearandtear.
NewforOldandMarketValue• ThemostWewillpayisthesuminsured
showninyourscheduleorthelimitshowninyourpolicy.
• Anyavailablediscountwillbetakenintoaccountinthesettlementamount.
• Wewillnotpaymorethanthemanufacturer’slastlistpriceforanysparepart.
• Wewilldeductanamountforwearandtearonclothingandhouseholdlinenthatcannotberepaired.
Pleasenote:• WhenWepayyourclaim,Wewilldeduct
theamountoftheExcessshowninyourschedule.NoexcessisapplicableunderExtracoveritems.
• IfWeknowyouarepayingforyourStaticHolidayHomeusingfinanceorunderaleasingagreementthenWewilldoeitherofthefollowing:1. Ifwearepayingthecostofreplacing
theStaticHolidayHomeWewillpaytheproceedsoftheclaimtothecompanywhichyouarebuyingorleasingyourStaticHolidayHomefrom.Ifyouowelessthantheproceedsofyourclaim,Wewillpayyouthedifference.
2. IfwereplacetheStaticHolidayHome,WemusthavethepermissionofthecompanyyouarebuyingorleasingyourStaticHolidayHomefrom.
Interestonanyoutstandingpaymentsisnotcovered.
10
GENERALEXCLUSIONSAPPLICABLETOYOURSTATICHOLIDAYHOME,CONTENTSANDPERSONALEFFECTSSECTIONSWewillnotpayfor:
1. RadioactiveContamination/War/SonicBooms
Lossordestructionofordamagetoanypropertyoranydirectorindirectlossoranylegalliabilitydirectlyorindirectlycausedbyorcontributedtoorarisingfrom:
a) ionisingradiationsorcontaminationbyradioactivityfromanynuclearwastefromthecombustionofnuclearfuel,
b) theradioactive,toxic,explosiveorotherhazardouspropertyofanyexplosivenuclearassemblyornuclearcomponentofsuchassembly,
c) war,invasion,actofforeignenemy,hostilities(whetherwarbedeclaredornot),civilwar,rebellion,revolution,insurrectionormilitaryorusurpedpower,
d) pressurewavesfromaircraftorotheraerialdevicestravellingatsonicorsupersonicspeeds.
2. SeizureorConfiscation
LossordamagetoanypropertycausedduringseizureorconfiscationorattemptsateitherofthesebyCustomsorundertheorderofanygovernmentoranypublicorlocalauthority.
3. ExistingDamage Anylossordamageoccurringbeforethecommencementofthefirstperiodofinsurance.
4. WilfulDamage AnywilfulormaliciousdamagebyyouortheFamily.
5. LossbyDeception Anylosssufferedbyyouduetoanypersonobtainingpropertybydeception.
6. Sets/Suites Thecostofreplacinganyundamageditemorpartofanyitemsolelybecauseitformspartofaset,suiteoroneofanumberofitemsofasimilarnature,colourordesignwhenlossordamageoccurswithinaclearlydefinedareaortoaspecificpartandreplacementscannotbematched.
7. Riot/CivilCommotion
RiotorcivilcommotionoutsidetheUnitedKingdom.
11
8. Terrorism Anyloss,destructionordamageoranycostorexpenseofwhatevernatureoccasionedbyorhappeningthroughorasadirectorindirectconsequenceofAct(s)ofTerrorism.ForthepurposesofthisExclusion,Act(s)ofTerrorismwillmeanloss,destructionordamagecausedby,orcontributedto,orarisingfromtheuseorthethreatofuseofanychemical,biologicalorbio-chemicalweapon,oranyothernucleardeviceorradioactivesubstancebyanypersonorgroupofpeoplewhetheractingaloneoronbehalfoforinconnectionwithanyorganisation(s)orgovernment(s)committedforpolitical,religious,ideologicalorsimilarpurposesincludingintentiontoinfluenceanygovernmentand/ortoputthepublicoranysectionofthepublicinfear.
9. GraduallyOperatingCause
Lossordamageduetoanygraduallyoperatingcauseincludingdeteriorationorwearandtear.
10. DirectorIndirectLoss
Anylosswhichhappensasanindirectresultofaneventforwhichyouareinsured.
11. Pollution Anyloss,damageorliabilityarisingfrompollutionorcontaminationunlesscausedby:
a) asuddenandunforeseenandidentifiableaccident,b) escapeofoilfromadomesticoilinstallationatthe
StaticHolidayHome.
12. CalendarDateandComputerViruses
Loss,destructionordamagecausedby:
a) thefailureofacomputerchiporcomputersoftwaretorecogniseatruecalendardate,
b) computerviruses.
13. BusinessUse Anylossordamagetoitemsusedinconnectionwithanybusiness,tradeorprofession.
12
GENERALCONDITIONSAPPLICABLETOYOURSTATICHOLIDAYHOME,CONTENTSANDPERSONALEFFECTSSECTIONS1. Youmustdoallyoucantoprevent
andreduceanycosts,damage,injuryorloss.
2. YoumusttellCoastaboutanyloss,damageorliabilityassoonaspossibleandprovidealltherelevantinformationandhelpthatisneededtodealwithyourclaim.YoumustavoiddiscussingliabilitywithanyoneelsewithoutOurpermission.
3. Itisyourresponsibilitytoproveanylossandthereforeyoumaybeaskedtoprovidereceipts,valuations,photographs,instructionbookletsandguaranteecardsandanyotherrelevantinformation,documentsandassistancerequiredtohelpwithyourclaim.
4. Coastwilldecidehowtosettleordefendaclaimandmaycarryoutproceedingsinthenameofanypersoncoveredbyyourpolicy,includingproceedingsforrecoveringanyclaim.
5. Youmustreportanyloss,theft,attemptedtheftormaliciousdamagetothePoliceandobtainacrimereferencenumberwithin7daysofdiscoveryoftheincident.
6. IfyourclaimisinanywaydishonestorexaggeratedWewillnotpayanybenefitunderthispolicyorreturnanypremiumtoyouandWemaycancelyourpolicyimmediatelyandbackdatethecancellationtothedateofthefraudulentclaim.Wemayalsotakelegalactionagainstyou.
7. Ifanyclaimiscoveredbyanyotherinsurance,WewillnotpayformorethanOurshareofthatclaim.
8. Youmusttakereasonablecareto
providecompleteandaccurateanswerstothequestionsCoastasks.
9. Ifanyoftheinformationprovidedbyyouchangesafteryoupurchaseyourpolicyandduringtheperiodofinsurance,oronyourscheduleatrenewal,orbecomesuntrueorincorrect,pleaseprovideCoastwithupdateddetails.
10. Ifanyoftheinformationprovidedbyyouisnotcompleteandaccurate:a) We/Coastmaycancelyour
policyandrefusetopayanyclaim,or
b) We/Costmaynotpayanyclaiminfull,or
c) We/Coastmayrevisethepremiumand/orchangeanyExcess,or
d) theextentofthecovermaybeaffected.
Thechanges,ifacceptedbyUswillapplyfromthedateindicatedonyourupdatedschedule.Inthiscase,Wewillbeentitledtovarythepremiumandtermsfortherestoftheperiodofinsurance.
11. Coastrecommendthatyoukeeparecord(includingcopiesofletters)ofallinformationprovidedtoUs/Coastforyourfuturereference.
12. Ifyouarepayingthepremiumusingamonthlycreditfacility,youmustmaketheregularmonthlypaymentsarerequiredinthecreditagreement.Ifthecreditagreementisterminatedfornon-payment,WemaycancelthisinsuranceassetoutinGeneralCondition17.
13
13. Coastwillcontactyouinwritingatleast21daysbeforeYourrenewaldateandwilleither:
a) giveyouanopportunitytorenewyourinsuranceforafurtheryearand:
i. tellyouaboutanychangesWearemakingtothetermsandconditionsofyourpolicy;
ii. reviewyourcircumstancesandconsiderwhetherthisinsurancecontinuestomeetyourneeds;
iii. checkthattheinformationyouhaveprovidedUsisstillcorrect,andprovidetheopportunityforyoutotellUsifanythinghaschanged
iv. tellyouthepriceforthenextyear
Ifyouwishtomakeanychangesatrenewal,pleasecontactCoast.
ORb) letyouknowthatWeareunable
torenewyourinsurance.Reasonswhythismayhappeninclude,butarenotlimitedtothefollowing:
i. whentheproductisnolongeravailable;or
ii. whenWearenolongerpreparedtoofferyouinsuranceforreasonssuchas:
• Wereasonablysuspectfraud,
• yourclaimshistory,• WehavechangedOur
acceptancecriteria,• youarenolongereligiblefor
cover,and/or
• whereyouhavenottakenreasonablecaretoprovidecompleteandaccurateanswerstothequestionsasked.Seethe“ImportantNotice–InformationYouHaveGivenUs”sectionwithinthisdocument.GeneralCondition10.
WhereWehaveofferedyourenewaltermsandyouselectorhaveselectedtopaybydirectdebit,youwillbenotifiedbeforeyourrenewaldatethatthepolicywillautomaticallyberenewedandtherenewalpremiumwillagainbecollectedfromyourspecifiedbankaccount.Coastwillnotautomaticallyrenewyourpolicyif:• youhavecontactedthemto
cancelyourdirectdebitarrangementssinceyoupurchasedthepolicyoryourlastrenewal;or
• theycannolongerofferyoutheirdirectdebitfacilityif,forexample,youhaveapoorpaymenthistoryoradversecredithistory.
IfeitheroftheabovehappensCoastwilladviseyouofthisinyourrenewalletterandyouwillneedtocontactCoasttomakepaymentbeforethepolicycanberenewed.
14. Acoolingoffperiod(14daysfromtherenewalofthecontractorthedateonwhichyoureceiveyourrenewaldocumentation,whicheveristhelater)applies.Pleaseread“Yourcancellationrights”inthispolicybooklet.
14
15. Wemayvarythetermsofthepolicy(includingthepremium)atrenewal.IfyoudecidethatyoudonotwantUstorenewthepolicy,aslongasyoutellCoastbeforethenextrenewaldate,Wewillnotrenewit.Ourrighttorenewthispolicydoesnotaffectyourcancellationrightsshownonthefirstpageofthispolicybooklet.
16. Followingtheexpiryofyour14daystatutorycooling-offperiod,youcontinuetohavetherighttocancelyourpolicyatanytimeduringitsterm.Ifyoudoso,youwillbeentitledtoarefundifnoclaimhasbeenmadeduringthePeriodofInsuranceofthepremiumpaidinrespectofthecancelledcover,lessaproportionatedeductionforthetimeWehaveprovidedcover.Amid-termcancellationfeewillapply.Toexerciseyourrighttocancel,pleasecontact:Coast,HelixHouse,HighStreet,Wadhurst,EastSussex,TN56AA.Telephone:0800614849oremail:[email protected].
17. We(oranyagentWeappointandwhoactswithourspecificauthority)maycancelthispolicywherethereisavalidreasonfordoingso,bysendingatleast14days’writtennoticetoyourlastknownpostand/oremailaddresssettingoutthereasonforcancellation.Validreasonsincludebutarenotlimitedtothefollowing:• Non-paymentofpremium
(includingnon-paymentofinstalmentsunderacreditfacility).Ifpremiumsorinstalmentpayment(s)arenotpaidwhendue,Coastwillwritetoyourequestingpaymentbyaspecificdate.Iftheyreceivepaymentbythedatesetoutintheletternofurtheractionwill
betaken.Iftheydonotreceivepaymentbythisdatethepolicywillbecancelledfromthecancellationdateshownontheletter.
• WhereWereasonablysuspectfraud.
• Whereyoufailtoco-operatewithUsorCoastorprovideinformationordocumentationreasonablyrequired,andthisaffectsOurabilitytoprocessaClaimordefendOurinterests.SeeGeneralCondition8inthispolicybooklet.
• Whereyouhavenottakenreasonablecaretoprovidecompleteandaccurateanswerstothequestionsasked.SeeGeneralCondition10.
IfWecancelthepolicyunderthissection,youwillbeentitledtoarefundofthepremiumpaidinrespectofthecancelledcover,lessaproportionatedeductionforthetimeWehaveprovidedsuchcoverandamid-termcancellationfee.Norefundwillbepayableifthereasonforcancellationisfraudand/orWearelegallyentitledtokeepthepremiumundertheConsumerInsurance(DisclosureandRepresentations)Act2012.Whereinvestigationsprovideevidenceoffraudoraseriousnon-disclosureWemaycancelthepolicyimmediatelyandbackdatethecancellationtothedateofthefraudorwhenyouprovidedUswithincompleteorinaccurateinformation,whichmayresultinyourpolicybeingcancelledfromthedateyouoriginallytookitout.
15
HOWTOMAKEACLAIM(STATICHOLIDAYHOME,CONTENTSANDPERSONALEFFECTSSECTION)Toreportaclaim,pleasetelephoneCoaston01892786099.Linesareopen24hoursaday,7daysaweek.Theywilltakefulldetailsofyourclaimoverthetelephone.Pleasehaveyourindividualreferencenumberavailable.Onceyourclaimhasbeensetup,pleaseforwardanyestimates,invoices,valuations,orothersupportingdocumentationtoCoastassoonaspossible.Theiraddressis:HelixHouseHighStreetWadhurstEastSussexTN56AAPleasequoteyourindividualreferencenumberonallcorrespondence.
16
FAMILYLEGALSOLUTIONSThissectionisadministeredbyARAGplcunderabindingauthorityagreementwithBritSyndicate2987atLloyd’s(BSL)(writtenunderuniquemarketreferenceB0356KA233D12A000orreplacementthereof).BSL’sliabilityisseveralanditisliableforitsproportionofliabilityinrespectofthissectiononlyandhasnoliabilityforanyotherinsurers’proportion.ARAGplcisauthorisedandregulatedbytheFinancialConductAuthority(firmreferencenumber452369)andisauthorisedtoadministerthissectiononbehalfofBSL.BSLismanagedbyBritSyndicatesLimitedwhichisauthorisedbythePrudentialRegulationAuthorityandregulatedbytheFinancialConductAuthority,registrationnumber204930.ThiscanbecheckedbyvisitingtheFCAwebsiteatwww.fca.org.uk.PleasereadthisPolicycarefullytofamiliariseyourselfwiththetermsandconditions,aswellasthe:• Legalandtaxadvicehelplinedetails
and• Theclaimreportingproceduresforthis
section
IfYouareunsureaboutanythinginthisdocumentpleasecontacttheadministrators:CoastHelixHouseHighStreetWadhurstEastSussexTN56AAYoucantelephoneon0800614849
DefinitionsCertainwordshavespecificmeaningswhentheyappearinthispolicy.Thesemeaningsareshownbeloworinthesectionwheretheyapply.Theyareprintedinboldtype.AppointedAdvisorThesolicitor,accountant,orotheradvisorappointedbyUstoactonbehalfoftheInsured.ConditionalFeeAgreementAlegallyenforceableagreementbetweentheInsuredandtheAppointedAdvisorforpayingtheirprofessionalfeesonthebasisof“no-winno-fee”.
CollectiveConditionalFeeAgreementAlegallyenforceableagreemententeredintoonacommonbasisbetweentheAppointedAdvisorandUstopaytheirprofessionalfeesonthebasisof“no-winno-fee”.
17
CommunicationCostsThereasonablecostofUKphonecalls,postage(includingspecialdelivery)photocopyingorfaxesandcreditreportswheretheInsuredhastakenadvicefromOurIdentityTheftAdviceandResolutionServiceandisadvisedtocorrespondwithcreditagencies,banks,creditcardcompanies,financialserviceprovidersorotherpartiesinordertorepairtheircreditrating,restoretheiridentityorresolveadisputethathasarisenfromtheuseofpersonalinformationwithoutpermissiontocommitfraudorothercrimes.Home–YourStaticHolidayHome,asdeclaredinYourproposalforinsurance.Insured–You,YourpartnerandimmediatefamilypermanentlylivingwithYouintheUK.(TheInsurerwillcoverYourchildrentemporarilyawayfromhomeforthepurposesofhighereducation.)Insurer–BritSyndicate2987atLloyd’s(writtenunderuniquemarketreferenceB0356KA233D12A000orreplacementthereof).LegalCostsandExpensesReasonablelegalcostsanddisbursementsreasonablyandproportionatelyincurredbytheAppointedAdvisoronthestandardbasisandagreedinadvancebyUs.Theterm“standardbasis”canbefoundwithintheCourts’CivilProcedureRulesPart44.Reasonableexperts’reports,reasonablyandproperlyincurredbytheAppointedAdvisor.Incivilclaims,otherside’scosts,feesanddisbursementswheretheInsuredhasbeenorderedtopaythemorpaysthemwithOuragreement.
ReasonableaccountancyfeesreasonablyincurredunderINSUREDEVENT6TAXbytheAppointedAdvisorandagreedbyUsinadvance.TheInsured’sCommunicationCosts.LimitofIndemnity–£50,000whichisthemaximumLegalCostsandExpensespayablebytheInsurerinrespectofallclaimsrelatedbytimeororiginalcause.PeriodofInsurance–TheperiodasshownintheScheduletowhichthisPolicyattaches.ReasonableProspectsofSuccessOtherthanassetoutin2.and3.below,agreaterthan50%chanceoftheInsuredsuccessfullypursuingordefendingtheclaimand,iftheInsuredisseekingdamagesorcompensation,agreaterthan50%chanceofenforcinganyjudgmentthatmightbeobtained.IncriminalprosecutionclaimswheretheInsuredpleadsguilty,agreaterthan50%chanceofsuccessfullyreducinganysentenceorfineorpleadsnotguilty,agreaterthan50%chanceofthatpleabeingacceptedbythecourt.Inallclaimsinvolvinganappeal,agreaterthan50%chanceoftheInsuredbeingsuccessful.ResidentialPropertyTribunalAResidentialPropertyTribunalasdefinedbySection2oftheMobileHomesAct1983(JurisdictionofResidentialPropertyTribunals)(England)Order2011.
18
SmallClaimsCourt–AcourtinEnglandandWalesthathearsaclaimfallingunderthesmallclaimstrackintheCountyCourtasdefinedbySection26.6(1)oftheCivilProcedureRules1999;acourtinScotlandthatusesthesmallclaimsprocedureassetoutbytheActofSederunt(SmallClaims)Rules2002,acourtinNorthernIrelandwherethesumindisputeislessthan£3,000ortheequivalentjurisdictionintheChannelIslandsandIsleofManwherethepolicyapplies.TerritorialLimits–ForINSUREDEVENTS2CONTRACTand4PERSONALINJURYtheUnitedKingdom,ChannelIslands,IsleofMan,countriesintheEuropeanUnion,NorwayandSwitzerland.ForallotherINSUREDEVENTS,theUnitedKingdom,ChannelIslandsandIsleofMan.We/Us/Our–ARAGplcwhoisauthorisedunderabindingauthorityagreementonbehalfoftheInsurer,BritSyndicate2987atLloyd’s.You/Your–Theperson(s)namedintheScheduletowhichthispolicyattaches.
YOURPOLICYCOVERFollowinganEventtheInsurerwillpaytheInsured’sLegalCostsandExpensesandCommunicationCostsupto£50,000,forallclaimsrelatedbytimeorcause,includingthecostofappealsprovidedthat:1. Youhavepaidtheinsurancepremium2. theInsuredkeepstothetermsofthis
policyandco-operatesfullywithUs3. theEventoccurswithintheTerritorial
Limit4. theclaim:
• alwayshasReasonableProspectsofSuccess
• isreportedtoUs• isduringthePeriodofInsurance• isreportedtoUsassoonasthe
Insuredfirstbecomesawareofcircumstanceswhichcouldgiverisetoaclaim
5. unlessthereisaconflictofinteresttheInsuredalwaysagreestousetheAppointedAdvisorchosenbyUsinanyclaima. tobeheardbytheSmallClaims
Courtand/orb. beforeproceedingshavebeenor
needtobeissued6. anydisputewillbedealtwithbya
courttribunal,AdvisoryConciliationandArbitrationServiceorarelevantregulatoryorlicensingbody;ormediationagreedwithUs
AclaimisconsideredtobereportedtoUswhenWehavereceivedtheInsured’sfullycompletedclaimform.
19
EVENTSCOVERED1. EMPLOYMENTAdisputewiththeInsured’scurrent,formerorprospectiveemployerrelatingtotheircontractofemploymentorrelatedlegalrights.Aclaimcanbebroughtonceallinternaldismissal,disciplinaryandgrievanceproceduresassetoutinthe:a. ACASCodeofPracticeforDisciplinary
andGrievanceProcedures,orb. LabourRelationsAgencyCodeof
PracticeonDisciplinaryandGrievanceProceduresinNorthernIrelandhavebeenoroughttohavebeenconcluded
TheInsuredisrequiredtoco-operatefullywithACASregardingmediationandnotdoanythingthathindersasuccessfuloutcome.WheretheInsuredqualifiestohaveallorpartoftheemploymenttribunaloremploymentappealtribunalfeesrefundedorreduced,anapplicationforthisrefundorreductionmustbemadebytheInsuredtoHMCourts&TribunalsService.WhatisnotinsuredunderEvent1:Anyclaimrelatingto:1. disputesarisingsolelyfrompersonal
injury2. defendingtheInsuredotherthan
defendinganappeal3. LegalCostsandExpensesforan
employer’sinternaldisciplinaryprocessoranemployee’sgrievancehearingorappeal
4. feesthatarerecoverablefromanemployerorex-employerbyorderofthecourtorwheretheInsuredqualifiestohaveallorpartofthefeesrefundedorreducedbyHMCourts&TribunalsService
5. acompromiseorsettlementagreementbetweentheInsuredandtheiremployer.WewillbeabletohelptheInsuredfindasuitablesolicitorwhowillassisttheInsuredwiththisattheirownexpense
2. CONTRACTAdisputearisingoutofanagreementorallegedagreementwhichhasbeenenteredintobytheInsuredfor:a. buyingorhiringconsumergoodsor
servicesb. privatelysellinggoodsc. buyingorsellingYourmainHomed. rentingYourmainHomeasatenante. theoccupationofYourmainHome
underaleaseWhatisnotinsuredunderEvent2:Anyclaimrelatingto:1. disputeswithtenantsorwherethe
Insuredisthelandlordorlessor2. loans,mortgages,pensions,orany
otherbanking,lifeorlong-terminsuranceproducts,savingsorinvestments
3. theInsured’sbusinessactivities,trade,ventureforgain,professionoremployment
4. acontractinvolvingamotorvehicle5. asettlementdueunderaninsurance
policy6. constructionwork,ordesigning,
convertingorextendinganybuildingwherethecontractvalueexceeds£6,000includingVAT
20
3. PROPERTY3.1 Adisputerelatingtovisibleproperty
whichtheInsuredownsfollowing:a. aneventwhichcausesphysical
damagetotheInsured’svisiblepropertyincludingYourmainHome
b. apublicorprivatenuisanceortrespassprovidedthatwhereanyboundaryisindispute,Youhaveproofofwheretheboundarylies
3.2 AdisputewithYourlandlordorsiteownerarisingoutofYouroccupationofYourHome
WhatisnotinsuredunderEvent3:1. Thefirst£250ofanyclaimunder
INSUREDEVENT3b).ThisispayablebytheInsuredassoonasWeaccepttheclaim
2. Anyclaimrelatingto:a. acontractenteredintobyan
Insured(exceptunder3.2above)b. anybuildingorlandotherthan
YourmainHomec. amotorvehicled. thecompulsorypurchaseof,or
demolition,restrictions,controlsorpermissionsplacedonYourpropertybyanygovernment,localorpublicauthority
e. defendinganydisputeunderINSUREDEVENT3a)otherthandefendingacounterclaimoranappeal
f. adisputewithanypartotherthantheperson(s)whocausedthedamage,nuisanceortrespass
4. PERSONALINJURYAsuddeneventdirectlycausingtheInsuredphysicalbodilyinjuryordeath.WhatisnotinsuredunderEvent4:Anyclaimrelatingto:1. acondition,illnessordiseasewhich
developsgraduallyovertime2. mentalinjury,nervousshock,
depressionorpsychologicalsymptomswheretheInsuredhasnotsustainedphysicalinjurytotheirbody
3. defendinganydisputeotherthananappeal
5. CLINICALNEGLIGENCEAdisputearisingfromallegedclinicalnegligenceormalpractice.WhatisnotinsuredunderEvent5:1. Anyclaimrelatingtocontractdispute.
Defendinganydisputeotherthananappeal.
6. TAXAformalaspectorfullenquiryintotheInsured’spersonaltaxaffairsprovidedthatallreturnsarecompleteandhavebeensubmittedwithinthelegaltimescalespermitted.
21
WhatisnotinsuredunderEvent6:Anyclaimrelatingto:1. taxreturnswhereHMRevenue&
Customslevyapenaltyorclaiminterestorwhichcontainnegligentmisstatements
2. abusinessorventureforgainoftheInsured
3. wheretheDisclosureofTaxAvoidanceSchemeRegulationsapplyorshouldapplytotheInsured’sfinancialarrangements
4. anyenquirythatconcernsassets,moniesorwealthoutsideofGreatBritainandNorthernIreland
5. aninvestigationbytheSpecialistInvestigations(SI)BranchofHMRevenue&Customs
7. LEGALDEFENCEa. Work
AnallegedactoromissionoftheInsuredthatarisesfromtheirworkasanemployeeandresultsin:i) theInsuredbeinginterviewedby
thepoliceorotherswiththepowertoprosecute
ii) aprosecutionbeingbroughtagainsttheInsuredinacourtofcriminaljurisdiction
iii) civilproceedingsbeingbroughtagainsttheInsuredunderunfairdiscriminationlaws
b. MotorAmotoringprosecutionbeingbroughtagainsttheInsured
c. OtherAformalinvestigationordisciplinaryhearingbeingbroughtagainsttheInsuredbyaprofessionalorregulatorybody
WhatisnotcoveredunderEvent7:Anyclaimrelatingto:1. owningavehicleordrivingwithout
motorinsuranceordrivingwithoutavaliddrivinglicence
2. aparkingoffence8. LOSSOFEARNINGSTheInsured’sabsencefromworktoattendcourt,tribunal,arbitrationorregulatoryproceedingsattherequestoftheAppointedAdvisororwhilstonjuryservicewhichresultsinlossofearningsWhatisnotcoveredunderEvent8:1. Lossofearningsinexcessof£1,0002. Anysumwhichcanberecoveredfrom
thecourtortribunal9. IDENTITYTHEFTAdisputearisingfromtheuseoftheInsured’spersonalinformationwithouttheirpermissiontocommitfraudorothercrimesprovidedtheInsuredcontactsOurIdentityTheftAdviceandResolutionServiceassoonastheysuspectthattheiridentitymayhavebeenstolenWhatisnotcoveredunderEvent9:TheInsurerwillnotpayforanymoneyclaimed,goods,loans,orotherpropertyorfinanciallossorotherbenefitobtainedasaresultoftheidentitytheft
22
WHATISNOTINSUREDBYTHELEGALEXPENSESSECTIONOFTHEPOLICYYouarenotcoveredforanyclaimarisingfromorrelatingto:1. LegalCostsandExpensesand
CommunicationCostsincurredwithoutOurconsent
2. anyactualorallegedactoromissionordisputehappeningbefore,orexistingatthestartofthepolicyandwhichtheInsuredbelievedoroughtreasonablytohavebelievedcouldleadtoaclaimunderthispolicy
3. anamountbelow£1004. anallegationagainsttheInsured
involving:• assault,violenceordishonesty,
maliciousfalsehoodordefamation• themanufacture,dealinginoruse
ofalcohol,illegaldrugs,indecentorobscenematerials
• illegalimmigration• offencesunderPart7ofthe
ProceedsofCrimeAct2002(moneylaunderingoffences)
5. adisputebetweenYourfamilymembers
6. anInsured’sdeliberateorrecklessact7. ajudicialreview8. adisputearisingfromorrelatingto
clinicalnegligenceexceptasprovidedforinINSUREDEVENT5CLINICALNEGLIGENCE
9. adisputewithUsnotdealtwithunderCondition7,ortheInsurerorthecompanythatsoldthispolicy
10. a. ionisingradiationsor
contaminationbyradioactivityfromanynuclearfuelorfromanynuclearwasteorfromthecombustionofnuclearfuel
b. radioactive,toxic,explosiveor
otherhazardouspropertiesofanyexplosivenuclearassemblyornuclearcomponentthereof
c. war,invasion,actofforeignenemyhostilities(whetherwarisdeclaredornot),civilwar,rebellion,revolution,insurrectionormilitaryorusurpedpower
d. pressurewavesfromaircraftorotheraerialdevicestravellingatsonicorsupersonicspeed
e. anyterroristaction(regardlessofanyothercauseoreventcontributingconcurrentlyorinanyothersequencetotheliability)oranyactiontakenincontrolling,preventingorsuppressingterroristaction.IftheInsurerallegesthatbyreasonofthisexclusionanyliabilityorlossisnotcoveredbythispolicy,theburdenofprovingthecontraryshallbeupontheInsured
11. agrouplitigationorder12. thepaymentoffines,penaltiesor
compensationawardedagainsttheInsured
23
CONDITIONSWHICHAPPLYTOTHELEGALEXPENSESSECTIONOFTHEPOLICYWheretheInsurer’sriskisaffectedbytheInsured’sfailuretokeeptotheseconditionstheInsurercancancelYourpolicy,refuseaclaimorwithdrawfromanon-goingclaim.TheInsureralsoreservestherighttorecoverLegalCostsandExpensesfromtheInsuredifthishappens.1. TheInsured’sResponsibilitiesAnInsuredmust:
a. tellUsimmediatelyofanythingthatmaymakeitmorecostlyordifficultfortheAppointedAdvisortoresolvetheclaimintheInsured’sfavour
b. cooperatefullywithUs,givetheAppointedAdvisoranyinstructionsWerequire,andkeepthemupdatedwithprogressoftheclaimandnothinderthem
c. takereasonablestepstoclaimbackLegalCostsandExpenses,CommunicationCosts,employmenttribunalandemploymentappealtribunalfeesand,whererecovered,paythemtotheInsurer
d. keepLegalCostsandExpensesandCommunicationCostsaslowaspossible
e. allowtheInsureratanytimetotakeoverandconductintheInsured’sname,anyclaim
2. FreedomtochooseanAppointedAdvisora. Incertaincircumstancesassetout
in2b)belowtheInsuredmaychooseanAppointedAdvisor.InallothercasesnosuchrightexistsandWeshallchoosetheAppointedAdvisor
b. TheInsuredmaychooseanAppointedAdvisorif:• Weagreetostartproceedings
orproceedingsareissuedagainstanInsured,or
• thereisaconflictofinterest,
exceptwheretheInsured’sclaimistobedealtwithbytheSmallClaimsCourtwhereWeshallchoosetheAppointedAdvisor
c. WheretheInsuredwishestoexercisetherighttochoose,theInsuredmustwritetoUswiththeirpreferredrepresentative’scontactdetails
d. IftheInsureddismissestheAppointedAdvisorwithoutgoodreason,orwithdrawsfromtheclaimwithoutOurwrittenagreement,oriftheAppointedAdvisorrefuseswithgoodreasontocontinueactingforanInsured,coverwillendimmediately
e. InrespectofaclaimunderINSUREDEVENT1EMPLOYMENT,2CONTRACT,4PERSONALINJURYor5CLINICALNEGLIGENCEtheInsuredentersintoaConditionalFeeAgreementortheAppointedAdvisorentersintoaCollectiveFeeAgreementwherelegallypermitted
3. OurConsentTheInsuredmustagreetoUshavingsightoftheAppointedAdvisor’sfilerelatingtotheInsured’sclaim.TheInsuredisconsideredtohaveprovidedconsenttoUsorOurappointedagenttohavesightoftheirfileforauditingandqualitycontrolpurposes
24
4. Settlementa. TheInsurerhastherighttosettle
theclaimbypayingthereasonablevalueoftheInsured’sclaim
b. TheInsurerhastherighttorecoveremploymenttribunalandemploymentappealtribunalfeesfromasettlementagreementbetweentheInsuredandanemployerorex-employerunderINSUREDEVENT1EMPLOYMENT
c. TheInsuredmustnotnegotiate,settletheclaimoragreetopayLegalCostsandExpenseswithoutOurwrittenagreement
d. IftheInsuredrefusestosettletheclaimfollowingadvicetodosofromtheAppointedAdvisor,theInsurerreservestherighttorefusetopayfurtherLegalCostsandExpenses
e. TheInsuredmustsettleCommunicationCostsarisingfromINSUREDEVENT8IDENTITYTHEFTinthefirstinstanceandmakeareceiptedclaimtoUsforreimbursement
5. Barrister’sOpinionWemayrequiretheInsuredtoobtainandpayforanopinionfromabarristerifadisputearisesregardingthemeritsorvalueoftheclaim.IftheopinionsupportstheInsured,thentheInsurerwillreimbursethereasonablecostsofthatopinion.IfthatopinionconflictswithadviceobtainedbyUs,thentheInsurerwillpayforafinalopinionwhichshallbebindingontheInsuredandUs.ThisdoesnotaffecttheInsured’srightunderCondition6below
6. DisputesIfanydisputebetweentheInsuredandUsarisesfromthispolicy,theInsuredcanmakeacomplainttoUsasdescribedonpage25ofthispolicyand
Wewilltrytoresolvethematter.IfWeareunabletosatisfytheInsured’sconcernstheInsuredcanasktheFinancialOmbudsmanServicetoarbitrateoverthecomplaint
7. OtherInsuranceTheInsurerwillnotpaymorethanitsfairshare(rateableproportion)foranyclaimcoveredbyanotherpolicy,oranyclaimthatwouldhavebeencoveredbyanyotherpolicyifthispolicydidnotexist
8. FraudulentClaimsIftheInsuredmakesanyclaimwhichisfraudulentorfalse,thepolicyshallbecomevoidandallbenefitunderitwillbeforfeitedincludingthepremium
9. ActsofParliament&JurisdictionAlllegalinstrumentsandrulesreferredtowithinthepolicyshallincludeequivalentlegislationinScotland,NorthernIreland,theIsleofManandtheChannelIslandsandanysubsequentamendmentorreplacementlegislation.ThispolicywillbegovernedbyEnglishlaw
10. DataProtectionActItisagreedbytheInsuredthatanyinformationprovidedtoUsand/ortheInsurerregardingtheInsuredwillbeprocessedbyUsand/ortheInsurer,incompliancewiththeprovisionsoftheDataProtectionAct1998,forthepurposeofprovidinginsuranceandhandlingclaims,ifany,whichmayinvolvepassinginformationtootherparties.ForOurmutualprotectionandOurtrainingpurposes,callsmayberecorded
11. Contracts(RightsofThirdParties)Act1999ApersonwhoisnotinsuredunderthiscontracthasnorighttoenforcethetermsandconditionsofthispolicyundertheContracts(RightsofThirdParties)Act1999
25
COMPLAINTSPROCEDURE
IfatanytimeYouhaveanyqueryorcomplaintregardingtheFamilyLegalSolutionselementofthepolicy,Youshouldinthefirstinstancecontacttheschemeadministrators,Coast,whosoldthepolicytoYou.Contactdetailsare:ComplianceManagerCoastHelixHouseHighStreetWadhurstEastSussexTN56AAYoucantelephonethemon0800614849.IfYourcomplaintcannotberesolvedstraightaway,Youshouldcontact:TheCustomerRelationsDepartmentARAGplc9WhiteladiesRoadCliftonBristolBS81NNTelephone:01179171561(hoursofoperationare9am–5pm,MondaytoFridayexcludingbankholidays,forOurmutualprotectionandOurtrainingpurposes,callsmayberecorded)[email protected]
ShouldYouremaindissatisfiedYoumaybeentitledtopursueYourcomplaintfurtherwithLloyd’s,whocanbereachedinthefollowingways:Policyholder&MarketAssistanceMarketServicesLloyd’sFidentiaHouseWalterBurkeWayChathamMaritimeKentME44RNTelephone:02073275693,Fax:02073275225email:[email protected]:www.lloyds.com/complaintsIfLloyd’sisnotabletoresolvethecomplainttoYoursatisfactionthenYoumayreferittotheFinancialOmbudsmanServiceprovidedthatitfallswithinitsjurisdiction.TheFinancialOmbudsmanServicecannormallydealwithcomplaintsfromsmallbusinesseswithanannualturnoveroflessthan€2million.TheFinancialOmbudsmanServicecanbecontactedat:FinancialOmbudsmanServiceExchangeTowerLondonE149SRTelephone:08000234567or03001239123Email:complaint.infofinancial-ombudsman.org.uk
26
TheFinancialOmbudsmanServiceisanindependentserviceintheUKforsettlingdisputesbetweenconsumersandbusinessesprovidingfinancialservices.YoucanfindoutmoreinformationontheFinancialOmbudsmanServicewebsiteatwww.financial-ombudsman.org.uk.TheFinancialOmbudsmanService’sdecisionisbindingupontheInsurer,butYouarefreetorejectitwithoutaffectingYourlegalrights.
FinancialServicesCompensationSchemeWearemembersoftheFinancialServicesCompensationScheme(FSCS).YoumaybeentitledtocompensationfromthisschemeifWecannotmeetOurobligations,dependingonthetypeofinsuranceandthecircumstancesofYourclaim.Furtherinformationisavailableatwww.fscs.org.ukorbycontactingtheFSCSdirectlyon08006781100.
27
HOWTOMAKEACLAIM(FamilyLegalSolutionsSection)ClaimsProcedureIfyouneedtomakeaclaimyoumustnotifyusassoonaspossible.1. UndernocircumstancesshouldYou
instructYourownlawyeroraccountantastheInsurerwillnotpayanycostsincurredwithoutouragreement.
2. Youcanrequestaclaimformbetween9amand5pm,MondaytoFriday(exceptbankholidays)bytelephoning01179171698orbydownloadingoneatwww.arag.co.uk/newclaims.
3. WewillissueYouwithawrittenacknowledgementwithinoneworkingdayofreceivingYourclaimform.
4. Withinfiveworkingdaysofreceivingalltheinformationneededtoassesstheavailabilityofcoverunderthepolicy,WewillwritetoYoueither:• confirmingtheappointmentofa
qualifiedrepresentativewhowillpromptlyprogresstheclaimforYou;or
• iftheclaimisnotcovered,explaininginfullwhyandwhetherWecanassistinanotherway.
5. WhenalawyerisappointedtheywilltrytoresolveYourdisputewithoutdelay,arrangingmediationwheneverappropriate.Matterscannotalwaysberesolvedquicklyparticularlyiftheothersideisslowtocooperateoralegaltimetableisdecidedbythecourts.
LEGALANDTAXADVICEIfYouhavealegalortaxproblemWestronglyrecommendthatYoutakeadvantageofOurconfidentiallegalandtaxadvicehelplinewhichisprovidedaspartofthispolicy.Thelegaladvicehelplineisopen24/7andtaxadviceisavailablebetween9amand5pmonweekdays(exceptbankholidays).TheadvicecoverspersonallegalmatterswithinEUlaworpersonaltaxmattersfallingwithinUKlaw.Servicesaresubjecttofairandreasonableuse.Yourquerywillbedealtwithbyaqualifiedspecialistexperiencedinhandlinglegalandtaxrelatedmatters.Forlegalandtaxadvice,pleasetelephoneARAGon03330007809(localratenumber).
NOTES
NOTES
NOTES
CoastCoastisatradingnameofParkHomeInsuranceServicesLtd.
RegisteredOffice:HelixHouse,HighStreet,Wadhurst,EastSussex,TN56AA.RegisteredinEnglandandWalesnumber2979679.
ParkHomeInsuranceServicesLtdisauthorisedandregulatedbytheFinancialConductAuthority.OurFCAregisternumberis306716.
Ourpermittedbusinessissellingandadministeringcontractsofgeneralinsurance.
Underwrittenby:BritSyndicate2987atLloyd’s
BritSyndicate2987atLloyd’sismanagedbyBritSyndicatesLimitedwhichisauthorisedbythePrudentialRegulationAuthorityandregulatedbythe
FinancialConductAuthority,registernumber204930.
LegalExpensesInsuranceadministeredby:ARAGplc
9WhiteladiesRoad,Clifton,BristolBS81NN.RegisteredinEnglandandWales,number2585818.
ARAGplcisauthorisedandregulatedbytheFinancialConductAuthority.FCAregisternumber452369.
Communicationsmaybemonitoredorrecordedtoimproveourserviceandforsecuritypurposes.
HelixHouse,HighStreet,Wadhurst,EastSussex
TN56AA
Tel:0800614849–Fax:01892784863Email:[email protected]
www.coastinsurance.co.uk
CoastisatradingnameofParkHomeInsuranceServicesLimited,whichisauthorisedandregulatedbytheFinancialConductAuthority
(FCARegisterNumber306716).ThecompanyisregisteredinEnglandandWales(CompanyNumber2979679).
StaticHolidayHomePolicy–Jan2017
Coast–PlatinumSept2016