Batik Air Policy Wording
Batik Air Policy Wording
Batik Air Policy Wording
MASTER POLICY
This insurance is underwritten by Great Eastern General Insurance (Malaysia) Berhad (102249-P)
with its business address at Level 18, Menara Great Eastern, 303 Jalan Ampang 50450 Kuala
Lumpur, Malaysia.
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Contents
Part 1 - Interpretation 3
Part 2 - Eligibility 6
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OUR AGREEMENT
This travel insurance is arranged by Malindo Airways Sdn. Bhd. (hereinafter called “Batik Air”) with Us to insure
Batik Air’s passengers who purchase travel personal accident insurance offered via Batik Air’s portal (hereinafter
called “the Insured Person(s)”) named in the Certificate of Insurance, issued in conjunction with this Master Policy
(hereinafter called the “Policy”), as declared by Batik Air, subject to and in accordance with the terms, conditions
and exclusions contained herein or endorsed hereon.
This travel personal accident Policy provides the Insured Person(s) personal accident insurance and other covers
specifically indicated in Part 5 – Schedule of Benefits and Part 6 – Description of Benefits, and also stipulated in
the Certificate of Insurance. Please read it carefully and if any information contained herein is incorrect,
immediately return it to Us for correction.
This Policy comprises this master policy document, the Master Policy Schedule that has been lodged with Batik
Air, Certificate of Insurance and any endorsement. They should be read as one document and any word or
expression which has a particular meaning shall have the same meaning wherever it may appear throughout the
Policy.
The written proposal and the declaration submitted by Batik Air and the Insured Person(s) shall form part of the
contract of this insurance. The conditions appearing in this Policy or in any endorsement are part of this contract
and must be complied with by Batik Air and the Insured Person(s) before We pay a claim.
A 'consumer insurance contract' is a contract of insurance entered into, varied or renewed by an individual wholly
for purposes unrelated to Your trade, business or profession.
This Policy is issued in consideration of the payment of premium as specified in the Policy Schedule and pursuant
to the answers given in Your Proposal Form (or when You applied for this insurance) and any other disclosures
made by You between the time of submission of Your Proposal Form (or when You applied for this insurance)
and the time this contract is entered into. The answers and any other disclosures given by You shall form part of
this contract of insurance between You and Us. However, in the event of any pre-contractual misrepresentation
made in relation to Your answers or in any disclosures given by You, the remedies in Schedule 9 of the Financial
Services Act 2013 will apply.
If You are required by Us, before this Policy is renewed or varied, to answer questions or if You are required to
confirm or amend any matter previously disclosed by You to Us in relation to this Policy, it is Your duty not to
make a misrepresentation when answering the questions or confirming or amending any matter previously
disclosed.
You must inform Us of any change to the information given to Us in Your answers or in respect of any matter
previously disclosed to Us in relation to this Policy if such changes had taken place after You have submitted the
application for renewal or variation but before this Policy is renewed or varied.
This Policy reflects the terms and conditions of the contract of insurance as agreed between You and Us.
A ‘non-consumer insurance contract’ is a contract of insurance other than a consumer insurance contract.
This Policy is issued in consideration of the payment of premium as specified in the Policy Schedule and pursuant
to the answers given in Your Proposal Form (or when You applied for this insurance) and any other disclosures
made by You between the time of submission of Your Proposal Form (or when You applied for this insurance)
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and the time this contract is entered into. The answers and any other disclosures given by You shall form part of
this contract of insurance between You and Us. In the event of any pre-contractual misrepresentation made in
relation to Your answers or in any disclosures made by You, it may result in avoidance of Your contract of
insurance, refusal or reduction of Your claim(s), change of terms or termination of Your contract of insurance.
If You are required by Us, before this Policy is renewed or varied, to answer questions or if You are required to
confirm or amend any matter previously disclosed by You to Us in relation to this Policy, it is Your duty not to
make a misrepresentation when answering the questions or confirming or amending any matter previously
disclosed.
You must inform Us of any change to the information given to Us in Your answers or in respect of any matter
previously disclosed to Us in relation to this Policy if such changes had taken place after You have submitted the
application for renewal or variation but before this Policy is renewed or varied.
This Policy reflects the terms and conditions of the contract of insurance as agreed between Batik Air, You and
Us.
Part 1- Interpretation
1. “Accident” or “Accidental” means a sudden, unforeseen and fortuitous event that results in Your death,
Permanent Total Disablement or Bodily Injury.
2. “Aircraft” means any fixed-wing aircraft provided and operated by an airline company which is duly
licensed for the scheduled regular transportation of fare-paying passengers.
3. “Airline” means Batik Air’s airline entity from which You purchased Your flight ticket and insurance
coverage for the Journey.
4. “Benefit” means the respective benefit, as stated in the Certificate of Insurance / Master Policy Schedule,
payable by Us under the terms and conditions of this Policy in respect of each event or loss covered by this
Policy.
5. “Bodily Injury” means Accidental injury sustained by You while this Policy is in force, resulting solely,
directly and independently of all other causes from an Accident and caused by external, violent and visible
means.
6. “Certificate of Insurance” means the document entitled “Certificate of Insurance” which is incorporated
and forms part of this Policy. This document is issued to the Insured Person(s).
7. “Chinese Physician” means a legally licensed Traditional Chinese Medicine practitioner (including a
Chinese acupuncturist or bonesetter) duly registered and practising within the scope of his license pursuant
to the laws of the country in which such practice is maintained. Chinese Physician shall not include You
or Your relatives unless otherwise approved by Us in writing.
8. “Civil Commotion” means a disturbance, commotion or disorder created by civilians usually against a
governing body or the policies thereof.
9. “Common Carrier” shall mean mechanically propelled land or sea carrier provided and operated by a
company which is duly licensed for the scheduled regular transportation of fare-paying passengers.
10. “Confined” or “Confinement” means confinement in Hospital for at least a Day as a Resident In-Patient
(other than for day surgery) upon the advice of and under the regular care and attendance of a Physician
and for this purpose, “Day” shall mean a period for which the Hospital charges for room and board.
11. “Critical Medical Condition” means a medical condition suffered by You as a result of Bodily Injury or
Sickness, which is determined to be life-threatening by a Physician designated by GEGM Assist at the
Physician’s absolute discretion.
12. “Dental Expenses” means reasonable and necessary charges for dental treatment due to Bodily Injury,
carried out by a Dentist, medically necessary to treat Your condition, including charges for medical
supplies or services, not exceeding the usual level of charges for similar treatment, supplies or medical
services in the locality where the expense is incurred and does not include charges that would not have
been made if no insurance existed.
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13. “Dentist” means a legally licensed dentist or dental surgeon duly registered and practicing within the scope
of his license pursuant to the laws of the country in which such practice is maintained and shall not include
You or Your relative(s), unless approved by Us in writing.
14. “Dependent Child(ren)” means Your legally dependent, unmarried children (including step-children and
legally adopted children) who are wholly dependent on You for financial support and are:
1. two (2) years old and over and under eighteen (18) years of age, and residing in Your household, or;
2. unemployed and under twenty-three (23) years of age, if studying as a full-time student at a
recognised school, college or university.
15. “Destination” means the place where You expect to travel on Your Journey, as shown on the Certificate
of Insurance.
16. “Domestic Journey” means travel by You originating from and within Malaysia only.
17. “Effective Date” means the commencement date of the Period of Insurance as stated on the Certificate of
Insurance.
18. “Family Member” means Your legal spouse or child (natural, step or legally adopted), brother, sister,
mother, father, grandparents, grandchild, parents-in-law, brother-in-law, sister-in-law, aunt, uncle, niece,
nephew, or legal guardian.
19. “Financial Default” means either the complete suspension of operations due to financial circumstances
whether or not a bankruptcy or winding up petition is filed; or partial suspension of operations following
a filing of a bankruptcy or winding up petition.
20. “Hospital” means a legally constituted establishment operated pursuant to the laws of the country in which
it is based, which meets the following requirements:-
(a) holds a license as a hospital (if licensing is required in the state or governmental jurisdictions);
(b) operates primarily for the reception, care and treatment of sick, ailing or injured persons as in-
patients;
(c) provides full-time nursing service by and under the supervision of Nurses;
(d) has a staff of one or more licensed Physicians available at all times;
(e) maintains organised facilities for the medical diagnosis and treatment of such persons, and provides
(where appropriate) facilities for within the confines of the establishment or in facilities controlled
by the establishment; and
(f) is not primarily a clinic, nursing, rest or convalescent home or similar establishment and is not, other
than incidentally, a place for alcoholics or drug addicts.
and a Hospital shall not include the following:
(a) a mental institution; an institution confined primarily to the treatment of psychiatric disease; the
psychiatric department of a hospital.
(b) a place for the aged; a rest home; a place for drug addicts or alcoholics.
(c) a health hydro or nature cure clinic; a special unit of a hospital used primarily as a place for drug
addicts or alcoholics, or nursing, convalescent, rehabilitation, extended-care facility or rest home.
21. “Inbound Traveller” means a person who is travelling from any International Countries on a Batik Air
operated or affiliated flight route.
22. “Infant(s)” means Your legally dependent infant (including step-children and legally adopted children)
who are wholly dependent on You for financial support and are over nine (9) days old and under two (2)
years of age and residing in Your household.
23. “Insured Person” means the person who is eighteen (18) to eighty (80) years of age at the date of
purchasing the flight ticket and the coverage under this Policy, and who is named on the Certificate of
Insurance under this Policy and whose insurance premium has been paid. An Insured Person may include
a Dependent Child(ren) or an Infant if and only if specifically named in the Certificate of Insurance.
24. “International Countries” means countries which are outside of Malaysia.
25. “Inbound Traveller Country Resident” means a citizen of the Inbound Traveller country or a Permanent
Resident or an Employment Pass Holder and/or Work Permit Holder and their dependents residing in the
Inbound Traveller country on the Effective Date of the Certificate of Insurance.
26. “International Journey” means travel to and/or from International Countries.
27. “Journey” means a One Way Journey or a Return Journey.
28. “Journey Completion Date” means the date on which You return to the point where the Journey started
or to a different, specified Return Destination.
29. “Journey Departure Date” means the date on which You are scheduled to commence Your Journey.
30. “Malaysian Resident” means a Malaysia citizen or a Permanent Resident of Malaysia or a Malaysian
Employment Pass Holder and/or Work Permit Holder and their dependents residing in Malaysia on the
Effective Date of the Certificate of Insurance.
31. “Batik Air Affiliated” means the non-Batik Air flight provider shown on the Insured Person’s Batik Air
Travel Itinerary.
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32. “Batik Air Travel Itinerary” means the travel itinerary issued to the Insured Person when he/she booked
his/her Scheduled Flight, in which the premium is paid via Batik Air’s portals for this travel insurance
under this Policy.
33. “Master Policy Schedule” is the document lodged with Batik Air which is incorporated in and forms part
of this Policy. This Part is only for Batik Air.
34. “Medical Expenses” means Usual, Reasonable and Customary Medical Expenses necessarily and
reasonably charged and incurred for the medical or surgical treatment of Bodily Injury and Sickness.
35. “Nurse” means any qualified or trainee nurse or general nurse duly registered pursuant to the laws of the
country in which the nurse is employed.
36. “One Way Journey” means a one way Domestic Journey or International Journey made by You and shall
commence at the time You arrive at the airport premises for the purpose of commencing Your Journey and
shall terminate at the time You arrive at the airport premises at the Destination.
37. “Period of Insurance” means the period in which the insurance is effective and specified in the Certificate
of Insurance.
38. “Physician” means a legally licensed physician or surgeon duly registered and practising within the scope
of his license pursuant to the laws of the country in which such practice is maintained and shall not include
You or Your relative(s), unless approved by Us in writing.
39. “Policy” means this Batik Air Travel Insurance Master Policy wording, Master Policy Schedule,
Certificate of Insurance and any endorsement issued thereunder.
40. “Policyholder” means Malindo Airways Sdn Bhd.
41. Pre-existing Condition” means disabilities that existed prior to the Effective Date of the Certificate of
Insurance that the Insured Person has reasonable knowledge of.
An Insured Person may be considered to have reasonable knowledge of a pre-existing condition where the
condition is one for which:-
(a) the Insured Person had received or is receiving treatment;
(b) medical advice, diagnosis, care or treatment has been recommended;
(c) clear and distinct symptoms are or were evident; or
(d) its existence would have been apparent to a reasonable person in the circumstances.
42. “Resident In-Patient” means You Confined as a resident bed patient as a result of Bodily Injury or
Sickness and not merely for any form of nursing, convalescence, rehabilitation, rest or extended-care.
43. “Return Destination” means the place to which You expect to return to on Your Return Journey, as shown
on the Certificate of Insurance.
44. “Return Journey” means a round trip Domestic Journey or International Journey made by You and shall
commence at the time You arrive at the airport premises for the purpose of commencing Your Journey and
shall terminate at the time You arrive at the airport premises of the Return Destination.
45. “Riot” means the act of any person taking part together with others in any disturbance of the public peace
(whether in connection with a strike or lock-out or not) or the action of any lawfully constituted
governmental authority in suppressing or attempting to suppress any such disturbance or in minimizing the
consequences of such disturbance.
46. “Scheduled Departure Date” means the date on which You are scheduled to depart on a Journey as set
out in Your travel ticket.
47. “Scheduled Flight” means the Batik Air flight and/or Batik Air Affiliated flight which corresponds to the
flight details set out in the Insured Person’s Batik Air Travel Itinerary.
48. “Sickness” means physical condition marked by a pathological deviation from the normal healthy state as
verified by a Physician.
49. “Specially Designated Nationals List” means names of a person, entities, groups, corporate specified on
a list who are subject to as trade or economic sanctions or other such similar laws or regulations of the
United States of America, Australia, United Nations, European Union or United Kingdom.
50. “Spouse” means Your legal spouse.
51. “Strike” means the wilful act of any striker or locked-out worker done in furtherance of a strike or in
resistance to a lock- out; or the action of any lawfully constituted authority in preventing or attempting to
prevent any such act in minimizing the consequences of any such act.
52. “Traditional Chinese Medicine Expenses” means the reasonable expenses for treatments of Bodily
Injury or Sickness by a Chinese Physician.
53. “Usual, Reasonable and Customary Medical Expenses” means charges for treatment, supplies or
medical services medically necessary to treat the Insured Person’s condition, does not exceed the usual
level of charges for similar treatment, supplies or medical services in the locality where the expense is
incurred and does not include charges that would not have been made if no insurance existed.
54. “We/Our/Us/the Company” means
Great Eastern General Insurance (Malaysia) Berhad (102249-P)
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Part 2- Eligibility
(a) You must be of at least eighteen (18) to eighty (80) years of age on the Effective Date.
(b) Each of Your Dependent Child(ren) must be wholly dependent on You for financial support and be:
(i) two (2) years old or over and under eighteen (18) years of age, and residing in Your household, or
(ii) unemployed and under twenty-three (23) years of age if studying as a full-time student at a
recognised school, college or university.
(c) Each of Your Infant(s) must be wholly dependent on You for financial support and be over nine (9) days
old and under two (2) years of age, and residing in Your household.
The scope of coverage and benefits under this Policy will vary as follows:
Geographical Cover
(a) if “Domestic” cover has been chosen, only Journeys within Malaysia will be covered under this Policy.
(b) if “International” cover has been chosen, Journeys to and from International Countries will be covered
under this Policy. This Policy does not cover any domestic journey in the International Countries or within
Malaysia.
(c) If “International” cover is chosen by an Inbound Traveller, Journeys to, through and/or within Malaysia
will be covered under this Policy. This Policy does not cover any domestic journey in the International
Countries of the Inbound Traveller Country Resident.
Such insurance as is afforded under this Policy shall apply 24 hours a day whilst You are on a Journey as stated
in the Certificate of Insurance unless otherwise endorsed or amended. Coverage under this Policy is suspended if
You travel outside of the country(ies) stipulated in the Batik Air Travel Itinerary.
This insurance Policy does not extend coverage for Journeys in sanctioned countries: Afghanistan, Belarus,
Crimea/Donetsk/Luhansk Region of Ukraine, Cuba, Democratic People’s Republic of Korea/North Korea, Iran,
Israel, Russia, Sudan, Syria, Venezuela.
The sanctioned countries listing is subjected to change from time to time and will be updated on the Policyholder’s
website.
Benefits
1. The monetary amounts and limits of Benefits will vary according to the Plan selected and whether a “One
Way” or ”Return Journey” has been chosen; and
2. The monetary amounts and limits of Benefits for Part 6 (Section 1 – Personal Accident, Section 2: 2A –
Medical Expenses, 2B – Post Journey Medical Expenses, Section 3 – Emergency Medical Evacuation and
Repatriation, and Section 4 – Repatriation of Mortal Remains), will be reduced based on the following
criteria:
(a) For Your Dependent Child(ren) and for Insured Person(s) aged 70 or above, the monetary amounts
and limits of Benefits will be limited to 50% of Your respective Benefit amount, and
(b) For Your Infant(s), the monetary amounts and limits of Benefits will be limited to 10% of Your
respective Benefit amount.
Your Certificate of Insurance will detail the Plan and coverage chosen.
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Coverage under Section 9 – Flight Delay, and Section 12 – Flight Cancellation is effective upon the issuance of
the Certificate of Insurance and terminates on the Journey Departure Date. However, coverage under these
sections is void if this insurance is purchased less than 14 days from the Scheduled Departure Date.
For all other sections, coverage is effective for the duration of the Journey.
1. Any cover under this Policy in respect of You shall terminate on the earliest of the following events:
(a) upon the expiry of the Period of Insurance;
(b) upon You ceasing to satisfy any of the eligibility requirements set out herein; or
(c) upon Your death.
2. Termination of cover under this Policy in respect of You shall automatically terminate the cover for all of
You named in the Certificate of Insurance.
3. Unless otherwise provided in an appropriate endorsement, You shall only be covered for the Period of
Insurance stipulated in the Certificate of Insurance and We shall not be liable in respect of any loss
occurring after 12.00am of the next day after the Journey Completion Date, or the expiry of the Period of
Insurance stated in the Certificate of Insurance, whichever is earlier.
In the event that You, as a ticket holding passenger on a scheduled Common Carrier, being prevented from
completing the return leg of a Return Journey within the Period of Insurance, as a result of :
This Policy does not cover, and We will not in any event be liable to pay any Benefits or indemnify You in respect
of, any loss which is, directly or indirectly, caused by, a consequence of, arises in connection with or is contributed
to by any of the following:
(a) Declared or undeclared war or any act of war, terrorism, invasion, foreign enemy, civil war, rebellion,
revolution, insurrection, military or popular uprising, or mutiny or usurped power.
(b) Loss, destruction or damage to any property whatsoever or any loss or expense whatsoever arising there
from or any consequential loss directly or indirectly caused or contributed by or arising from ionizing
radiations or contamination by radio-activity from any nuclear fuel or from any nuclear waste from the
combustion of nuclear fuel.
(c) Any wilful or intentional acts by You whether sane or insane, self-inflicted injury, suicide pacts or
agreements or any attempts thereat, and provoked homicide, murder or assault.
(d) You acting as a law enforcement officer, emergency medical or fire service personnel, civil defence
personnel or military personnel of any country or international authority, whether full-time service or as a
volunteer.
(e) You engaging in, practicing for or taking part in training in any speed contest, racing (other than on foot)
or any professional competition or sports or hazardous sports or any dangerous activities.
(f) Any condition, which is involving or results from or is a complication of infection with Human Deficiency
Syndrome (“HIV”), any variance including Acquired Immune Deficiency Syndrome (“AIDS”), and AIDS
Related Complications (“ARC”), or any opportunistic infections and/or malignant neoplasm (tumour)
found in the presence of HIV, AIDS or ARC, and any communicable diseases which require quarantine by
law.
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(g) Any condition which is involving, results from or a complication of pregnancy, childbirth, miscarriage
(except Accidental miscarriage) or abortion, intoxication by alcohol or drugs not prescribed by a Physician.
(h) Illegal or criminal acts or omissions by You or Your executors, administrators, legal heirs or personal
representatives, loss resulting directly or directly from action taken by the Government Authorities
including confiscation, seizure, destruction and restriction.
(i) Flying or any aerial activities otherwise than as a fare-paying passenger in an common carrier provided
and operated by an Airline or air charter company which is duly licensed for the regular transportation of
fare-paying passengers over an established air route.
(j) Any loss or expenses which is, directly or indirectly, caused by, a consequence of, arises in connection
with or is contributed to by You undertaking any Journey against the advice of a Physician or for the
purpose of seeking medical attention.
(k) Any Pre-existing Conditions.
(l) Any prohibition or breach of government regulation or any failure by You to take reasonable precautions
to avoid a claim under this Policy following the warning of any intended Strike, riot or Civil Commotion
through or by general mass media.
(m) Any loss or expenses which if reimbursed or paid by Us would result in Us being in breach of trade or
economic sanctions or other such similar laws or regulations.
(n) You not taking all reasonable efforts to safeguard Your property or to avoid any injury or minimize any
claim under the Policy.
(o) Mental and nervous disorders, including but not limited to insanity.
(p) You engaging in naval, military or air force service or operation or testing of any kind of conveyance or
being employed as a manual worker or whilst engaging in offshore activities like diving, oil-rigging,
mining or aerial photography or handling of explosive or loss of or damage to hired or leased equipment.
(q) Any condition which results from or is a complication of venereal disease.
(r) Any loss or expenses which arises in connection with or is contributed by You undertaking any Journey
against the travel advice of the Ministry of Foreign Affairs of Malaysia or the Ministry of Health of
Malaysia, or of Your respective country’s similar ministries or government departments in respect of the
Inbound Traveller, in relation to actual or threatened riot, Strike or Civil Commotion, war or warlike
situation, outbreak of disease or unsafe health conditions, or impending natural disasters, to the country or
territory of Your destination, unless the Journey had already commenced prior to the issuance of the travel
advice.
(s) You driving any kind of vehicle while the alcohol content of Your blood exceeds the level permitted by
law of the country where the Accident causing Bodily Injury occurs.
(t) Any loss or expenses with respect to any resident of Cuba or a specially designated person, entity, group
or company on the Specially Designated Nationals List or which if reimbursed or paid by Us would result
in Us being in breach of trade or economic sanctions or other such similar laws or regulations.
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For the Schedule of Benefits, please refer to the Certificate of Insurance or the Product Disclosure Sheet.
The benefits payable under the respective sections in Part 6 as mentioned below shall only be applicable if stated
in the Schedule of Benefits in the Certificate of Insurance.
The following benefits are mutually exclusive in respect of claims arising from the same incident:
The benefits payable under Sections 2A - Medical Expenses, 2B – Post Journey Medical Expenses, 6 – Loss of
Personal Property and Baggage, 7 - Loss of Travel Documents, and 8 – Checked-in Luggage Delay are collectively
subject to an Excess per the Schedule of Benefits and as stipulated in the Certificate of Insurance.
The benefits payable under Section 3 and Section 4 combined for the same Insured Person shall not exceed the
higher of the two benefits stated in the Schedule of Benefits in the Certificate of Insurance.
If, during the Period of Insurance, whilst You are on a Journey, You sustain Bodily Injury which results in Death
and/or Permanent Disablement within 365 days after the date of the Accident, We will pay the percentage of Sum
Insured for the relevant Loss Event shown in the Table of Benefits below, up to the relevant Benefit amount
specified in the Certificate of Insurance subject to the terms and conditions of this Policy.
Table Of Benefits
The occurrence of any Death and/or Permanent Disablement for which a claim is payable under this section shall
immediately terminate all cover under the Certificate of Insurance in respect of the particular Insured Person(s)
stated on the Certificate of Insurance, but such termination shall be without prejudice to any other claim
originating from the Accident causing such loss.
In respect of any one claim incident that gives rise to multiple Loss Events, We shall pay for the Loss Event with
the highest amount of benefits payable only, as shown in the Table of Benefits.
No payment will be made for any loss caused by or resulting from Sickness.
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Additional Definitions
1. “Loss of Hearing” means total and irrecoverable loss of hearing which is beyond remedy by surgical or
other treatment.
2. “Loss of Limb” means total functional disablement or loss by complete and permanent physical severance
of a hand at or above the wrist or a foot at or above the ankle.
3. “Loss of Sight” means the entire and permanent loss of all sight in any eye rendering You absolutely blind
in that eye and beyond remedy by surgical or other treatment.
4. “Loss of Speech” means total and irrecoverable loss of speech which is beyond remedy by surgical or
other treatment.
5. “Permanent Disablement” means disablement that results from Bodily Injury and which occurs within
365 consecutive days of the Accident in which Bodily Injury was sustained and:
(a) falls into one of the Loss Events listed in the Table of Benefits;
(b) is a disablement which, having lasted for a continuous and uninterrupted period of at least twelve
(12) consecutive months, is at the expiry of that period, beyond hope of improvement.
6. “Permanent Total Disablement” means disablement that results from Bodily Injury and which occurs
within 365 days of the Accident in which such Bodily Injury was sustained, which, having lasted for a
continuous and uninterrupted period of at least twelve (12) consecutive months, will, in all probability,
entirely prevent You from engaging in gainful employment of any and every kind for the remainder of
Your life and from which there is no hope of improvement.
If, during the Period of Insurance, whilst You are on a Journey that is a Return Journey, You necessarily incur
Medical Expenses as a direct result of Bodily Injury, or Sickness or Dental Expenses as a result of Bodily Injury,
We will indemnify You in respect of such expenses up to the relevant Benefit amount specified in the Certificate
of Insurance subject to the terms and conditions of this Policy.
We have the option of returning You to Malaysia, if the cost of the Medical Expenses and/or Dental Expenses
where You are on Your Journey, is likely to exceed the cost of returning You to Malaysia, subject always to
medical advice from a Physician. We also have the option of evacuating You to another country for the treatment.
However, if We return You to Malaysia, the standard policy conditions pertaining to Post Journey Medical
Expenses will apply.
If You are an Inbound Traveller, We will have the option of returning You to Your respective departure country,
if the cost of the Medical Expenses and/or Dental Expenses where You are on Your Journey, is likely to exceed
the cost of returning You to Your respective departure country, subject always to medical advice from a Physician.
We also have the option of evacuating You to another country for the treatment. However, if We return You to
Your respective departure country, the standard policy conditions pertaining to Post Journey Medical Expenses
will apply.
(a) this Benefit will only cover You for Medical Expenses and/or Dental Expenses incurred as a direct result
of Bodily Injury; and
(b) Medical Expenses and/or Dental Expenses incurred as a direct result of Sickness will not be payable.
Section 2B – Post Journey Medical Expenses (Applicable to International Return Journey Plan Only)
If, during the Period of Insurance, whilst You are on an International Journey that is a Return Journey, You sustain
Bodily Injury or Sickness, and necessarily incur Medical Expenses in Malaysia, or in the case You are an Inbound
Traveller in Your respective departure country, within Fourteen (14) days after the end of the Journey, We will
reimburse You in respect of such expenses up to a maximum of the relevant Benefit amount specified in the
Certificate of Insurance subject to the terms and conditions of this Policy.
This benefit is not applicable to One Way Journeys or Domestic Journeys. It is also a sub-limit of Benefit 2A and
the total benefits payable under Benefits 2A and 2B, shall not exceed that of Benefit 2A.
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Additional Conditions
For the avoidance of doubt, in the event You become entitled to a refund of or reimbursement of all or part of
such expenses from any other source, or if there is in place any other insurance against the events covered under
this section, We will only be liable for the excess of the amount recoverable from such other source or insurance.
Additional Exclusions
In addition to the General Exclusions, this Policy does not cover, and We will not in any event be liable in respect
of any claim under Sections 2A and 2B which is directly or indirectly, caused by, a consequence of, arises in
connection with or contributed to by any of the following:
1. Any expenses relating to any treatment for Bodily Injury or Sickness where such treatment was first sought
more than 14 days from the time the Bodily Injury or Sickness was first sustained.
2. Any expenses incurred for prostheses, contact lenses, spectacles, hearing aids, dentures or medical
equipment unless prescribed by a Physician for the treatment of Bodily Injury or Sickness originally covered
and payable by this Policy.
3. Any expenses relating to any treatment not prescribed by a Physician.
4. Any expenses incurred in relation to treatment by a Chinese Physician or other traditional physician,
including Traditional Chinese or Other Medicine Expenses.
5. any loss or expenses incurred as a result of Pre-existing Condition(s).
6. Medical Expenses incurred due to Sickness if you are on a Domestic Journey.
7. Any expenses if you are travelling against the advice of the Physician.
8. Any further expenses You incur if We wish to return You to Malaysia, or in the case You are an Inbound
Traveller to Your respective departure country, but You refuse (where in the opinion of the treating Physician
and GEGM Assist that You are fit to travel).
Section 3 – GEGM Assist - Emergency Medical Evacuation and Repatriation Assistance (Emergency
Assistance) (Applicable to Return Journey Plan Only)
This Emergency Medical Evacuation and Repatriation Assistance of Great Eastern (Emergency Assistance) is
distinct from and independent of the scope of insurance cover as provided under the Policy and are subject to the
provisions prescribed hereunder. We reserve the rights to revise, change and cancel any of the provisions of
Emergency Assistance at any time by giving You/Policyholder thirty (30) days' written notice by registered letter
at Your/Policyholder’s address last known to Us. The Emergency Assistance provides the Insured Person the
following services described hereunder for International Return Journeys Only.
Scope of Services
The Emergency Assistance service is provided in accordance with and subject to the terms and conditions of the
agreement signed between the service provider appointed by Us (hereinafter called “Service Provider”) and Us.
The Insured Person may call reverse charge/call collect to the GEGM Assist Hotline at the Service Provider Alarm
Centre located in Malaysia 24 hours a day, anywhere within or outside Malaysia.
A. The Emergency Assistance services as described hereunder when the Insured Person is on International
Journey during the Period of Insurance specified in the Certificate of Insurance on any one Journey.
i. Emergency Medical Evacuation – the Service Provider will arrange and We will pay for the medically
necessary expenses of air and/ or surface transportation, medical care during transportation,
communications and all usual ancillary charges incurred in moving the Insured Person in the event of
Serious Medical Condition to the nearest hospital where appropriate medical care is available and not
necessarily to Malaysia or the Usual Country of Residence, and in the case of the Inbound Traveller to
the Inbound Traveller’s departing country or the Usual Country of Residence.
The Service Provider retains the absolute right to decide whether the Insured Person's Sickness or
Bodily Injury is sufficiently serious to warrant emergency medical evacuation. The Service Provider
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further reserves the right to decide the place to which the Insured Person shall be evacuated and the
means or method by which such evacuation will be carried out having regard to all the assessed facts
and circumstances of which the Service Provider is aware at the relevant time.
ii. Medically Supervised Repatriation – The Service Provider will arrange and We will pay for the
medically necessary expenses that are unavoidably incurred in returning the Insured Person to Malaysia
or the Usual Country of Residence, and in the case of the Inbound Traveller to the Inbound Traveller’s
departing country or the Usual Country of Residence, following an Emergency Medical Evacuation for
in-patient treatment. The Service Provider reserves the right to decide the means or by which such
repatriation will be carried out having regard to all the assessed facts and circumstances of which the
Service Provider is aware at the relevant time. Usual Country of Residence means the country of
permanent residence if it differs from Malaysia, and in the Case of the Inbound Traveller it means the
Inbound Traveller departing country.
The maximum liability for Emergency Medical Evacuation and Repatriation services shall not exceed the amount
stated in the Schedule of Benefits per Insured Person per event. In the event that the incurred expenses exceed the
maximum liability for Emergency Medical Evacuation and Repatriation, We will recover any amount in excess
of this maximum liability limit from You or Your Representative.
In the event the expenses incurred under this Section 3 also involves the expenses incurred under Section 4
(Repatriation of Mortal Remains) for the same Insured Person, the combined expenses incurred and payable by
Us shall not exceed the higher of the two benefits stated in the Schedule of Benefits of the Certificate of Insurance.
In the event of Insured Person's demise while travelling outside Malaysia or the Usual Country of Residence, and
in the case of the Inbound Traveller outside the Inbound Traveller’s departing country or the Usual Country of
Residence., the Service Provider will assist in obtaining the necessary clearances and shall organize for the return
of body or remains back to Malaysia or the Usual Country of Residence, and in the case of the Inbound Traveller
to the Inbound Traveller’s departing country or the Usual Country of Residence. Upon written request of Insured
Person's legal representative, and wherever possible, the Service Provider will arrange for local burial in the
country or place were death occurred. The cost incurred for this service shall be paid for by Us but shall not exceed
the amount stated in the Schedule of Benefits in the Certificate of Insurance for any one Insured Person. In the
event that the incurred expenses exceed the maximum liability for the Repatriation of Mortal Remains, We will
recover any amount in excess of this maximum liability limit from You or Your Representative.
In the event the expenses incurred under this Section 4 also involves the expenses incurred under Section 3
(Emergency Medical Evacuation and Repatriation) for the same Insured Person, the combined expenses incurred
and payable by Us shall not exceed the higher of the two benefits stated in the Schedule of Benefits in the
Certificate of Insurance.
Section 5 – Daily Hospital Inpatient Income (Applicable to International Return Journey Only)
If, during the Period of Insurance, whilst You are on an International Journey that is a Return Journey, You are
necessarily Confined for more than 48 hours in a Hospital outside Malaysia, and in the case of the Inbound
Traveller outside the departing country, as a result of Bodily Injury or Sickness, We will pay You the relevant
Benefit amount specified in the Certificate of Insurance subject to the terms and conditions of this Policy.
The daily benefit amount shall be paid for each Day of Confinement from the third day of Confinement and up to
a maximum of the relevant Benefit amount specified in the Certificate of Insurance, and for this purpose, every
Day of Confinement as a result of the same event (Bodily Injury or Sickness) shall be counted towards the total
number of Days of Confinement, notwithstanding that such Days do not run consecutively. Provided further that
this benefit shall be payable only if the following conditions are met:
1. Confinement must occur within thirty (30) days of the incident causing the relevant Bodily Injury or
Sickness;
2. Confinement must be considered medically necessary by a Physician in his professional capacity; and
3. A valid claim can be made under Section 2 (Medical Expenses).
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Additional Conditions
1. We will not pay more than the amount stated in the Schedule of Benefits in the Certificate of Insurance for
any one article or a pair or a set of articles including with respect to Valuables or Portable Computers.
2. In respect of articles more than one year old, We may make payment subject to due allowance of wear and
tear and depreciation or at Our option to reinstate or repair such articles.
3. The loss or damage must be reported to the police or relevant authority having jurisdiction where the loss
or damage occurred within twenty-four (24) hours from the incident, or if circumstances does not permit
within a reasonable time from the incident. Any claims for indemnity under this section must be
accompanied by a copy of a police report or a report issued by the relevant authority evidencing such loss
or damage.
4. For the avoidance of doubt, in the event You become entitled to a refund or reimbursement of all or part
of such loss or damage from any other source, or if there is in place any other insurance against the events
covered under this section, We will only be liable for the excess of the amount recoverable from such other
source or insurance.
5. You must take every possible care to ensure the security of Your Personal Property and Baggage.
Additional Definitions
1. “Personal Property and Baggage” means personal goods belonging to You, which are taken by You on the
Journey or acquired by You and carried in person or hand-carried or checked-in as accompanied baggage with
the carrier during the Journey.
2. “Portable Computers” means Personal Property and Baggage that are laptops and hand-held computers.
3. “Valuables” means jewellery, watches, items made of precious metals or precious stones, furs, leather ware/
goods, binoculars, telescopes and items of a similar nature as categorized by Airlines.
Additional Exclusions
In addition to the General Exclusions, this Policy does not cover, and We will not in any event be liable in respect
of any claim under this section which is directly or indirectly, caused by, a consequence of, arises in connection
with or contributed to by any of the following:
1. loss or damage of baggage caused by wear and tear, gradual deterioration, moths, vermin, inherent vice or
damage sustained due to any process or while actually being worked upon or resulting therefrom.
2. loss or damage of baggage caused by mechanical or electrical breakdown or derangement or damage
sustained due to any process initiated by You to repair, clean or alter any baggage.
3. loss or damage of baggage caused by insurrection, rebellion, revolution, civil war, usurped power, or action
taken by governmental authorities in hindering, combating or defending against such an occurrence,
seizure or destruction under quarantine or customs regulations, confiscation by order of any government
or public authority or risk of contraband or illegal transportation or trade.
4. loss or damage of property from confiscation or retention by customs or other officials.
5. loss or damage of property as a result of Your failure to take due and reasonable care and precautions to
safe-guard and secure such property.
6. loss or damage of Valuables not carried as hand-carried baggage or kept under Your supervision.
7. loss of data recorded on tapes, cards, discs or otherwise, including the cost of reproducing the data.
8. loss or damage not reported to either the police or relevant authority having jurisdiction where the loss or
damage occurred within twenty-four (24) hours of the discovery of such loss or damage or if circumstances
does not permit within a reasonable time from the incident..
9. loss or damage of property whilst in the custody of an Airline or other carrier, unless reported immediately
on discovery and, in the case of an Airline, a Property Irregularity Report is obtained.
10. loss or damage to property insured under any other insurance policy, or otherwise reimbursed by any other
source .
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1. animals;
2. motor vehicles, Aircraft, and other conveyances or equipment or parts pertaining to such conveyances;
3. artificial limbs, false teeth, any type of eyeglasses, contact lenses or corneal lenses;
4. tickets, except for administrative fees required to reissue tickets;
5. coupons, negotiable instruments, title deeds, manuscripts, money, stamps, stocks and bonds, postal or
money orders, securities of any kind;
6. property shipped as freight, or shipped prior to the Scheduled Departure Date;
7. cards, including but not limited to credit cards;
8. contraband;
9. business goods or samples/prototypes or equipment of any kind or any products/components meant for
trade;
10. hired or leased equipment;
11. foodstuff;
12. computers (including software and accessories) other than Portable Computers.
You cannot claim under both Section 6 (Loss of Personal Property and Baggage) and this section (Loss of Travel
Documents) for the same Travel Document.
Additional Conditions
1. The loss must be reported to the police or relevant authority having jurisdiction where the loss occurred,
within twenty- four (24) hours after the incident or if circumstances does not permit within a reasonable
time from the incident. Any claim must be accompanied by a copy of a police report or a report issued by
the relevant authority evidencing such loss.
2. For the avoidance of doubt, in the event You become entitled to a refund or reimbursement of all or part
of such loss from any other source, or if there is in place any other insurance against the events covered
under this section, We will only be liable for the excess of the amount recoverable from such other source
or insurance.
3. You must take every possible care to ensure the security of Your Travel Documents.
Additional Definitions
1. “Travel Documents” means passport, visas, travel tickets or driving license.
Additional Exclusions
In addition to the General Exclusions, this Policy does not cover, and We will not in any event be liable in respect
of any claim under this section which is directly or indirectly, caused by, a consequence of, arises in connection
with or contributed to by any of the following:
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You cannot claim under both Loss of Luggage (Section 6) and this section (Checked-in Luggage Delay) for the
same event.
The delay must be verified in writing by the operators of the Scheduled Flight or their handling agent(s) as well
as the number of hours delayed and the reason for delay.
Additional Exclusions
In addition to the General Exclusions, this Policy does not cover, and We will not in any event be liable in respect
of any claim under this section which is directly or indirectly, caused by, a consequence of, arises in connection
with or contributed to by any of the following:
failure by You to check in according to the Batik Air Travel Itinerary supplied to You;
Strike or industrial action existing on the date You applied for cover under this Policy;
late arrival by You at the airport after check-in or boarding time (except if the late arrival is due to Strike
or industrial action).
The flight misconnection details must be verified in writing by the operator of the Scheduled Flight or their
handling agent(s) as well as the reason for the travel misconnection, the scheduled and actual time of arrival and
the scheduled and actual departure time of the next available flight arranged by the operator of the Scheduled
Flight.
Additional Conditions
1. Any claims under this section must be accompanied by a police report or a report issued by the carrier
confirming that You were a victim of a Hijack and the duration of the Hijack.
Additional Definitions
1. “Hijack” means any seizure or exercise of control of the Scheduled Flight, by force or violence or threat
of force or violence and with wrongful intent of the Scheduled Flight.
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Benefit amount specified in the Certificate of Insurance, subject to the terms and conditions of this Policy. This
coverage is effective only if the insurance cover is purchased before You become aware of any circumstances
which could lead to the disruption of Your Journey.
Additional Definitions
1. “Specified Cause” means:
(i) Your Death;
(ii) You sustaining Bodily Injury or is suffering from a Sickness, which in the opinion of a Physician
causes You to be unfit to travel on the Scheduled Departure Date;
(iii) the death of Your Family Member or Bodily Injury or Sickness of such person necessitating
him/her to be Confined;
(iv) You are required to be in compulsory quarantine, jury service, subpoenaed or hijacked;
(v) cancellation of the Scheduled Flight as a result of Strike, Riot or Civil Commotion;
(vi) Your residence becoming uninhabitable following fire, storm, or flood occurring such that the
Your presence is required on the premises on the scheduled Journey Departure Date,
whereby, in the context of cancellation of a Journey, for paragraphs (ii) to (vi), the events mentioned
must occur within fourteen (14) days before the Scheduled Departure Date, and must be accompanied
with travel advice from the relevant authority(s).
2. “Cancellation Expenses” means actual booked and paid Scheduled Flight cost for travel, accommodation
and scheduled land or sea transport which have not been or will not be used, but which become forfeit or
payable under contract.
Additional Exclusions
In addition to the General Exclusions, this Policy does not cover, and We will not in any event be liable in respect
of any claim under this section which is directly or indirectly, caused by, a consequence of, arises in connection
with or contributed to by any of the following:
Important Note:
This cover is void if this insurance is purchased less than 14 days from the Scheduled Departure Date.
If, during the Period of Insurance, You are forced to curtail any part of a Journey that is a Return Journey, as the
direct and necessary result of any Specified Cause (as defined in Section 12), We will indemnify You in respect
of Curtailment Expenses incurred up to the relevant Benefit amount specified in the Certificate of Insurance,
subject to the terms and conditions of this Policy.
Additional Definitions
“Curtailment Expenses” means full cost of the Scheduled Flight ticket, booked accommodation and scheduled
land and sea transport, paid in advance and which have not been and will not be used, but become forfeited.
Additional Exclusions
In addition to the General Exclusions, this Policy does not cover, and We will not in any event be liable in respect
of any claim under this section which is directly or indirectly, caused by, a consequence of, arises in connection
with or contributed to by any of the following:
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If, during the Period of Insurance, whilst You are on a Journey that is a Return Journey, You incur legal liability
to a third party, We will indemnify You in respect of each occurrence or a series of occurrences giving rise to
such liability arising directly or indirectly from one (1) source or original cause, up to the relevant Benefit amount
specified in the Certificate of Insurance subject to the terms and conditions of this Policy as a result of:
Additional Conditions
1. For the avoidance of doubt, in the event You become entitled to a refund or reimbursement of all or part
of such expenses from any other source, or if there is in place any other insurance against the events covered
under this section, We will only be liable for the excess of the amount recoverable from such other source
or insurance.
Additional Definitions
1. “Property Damage” means any physical damage to, destruction of, or loss of use of tangible property.
Additional Exclusions
In addition to the General Exclusions, this Policy does not cover, and We will not in any event be liable in respect
of any claim under this section which is directly or indirectly, caused by, a consequence of, arises in connection
with or contributed to by any of the following:
1. Bodily Injury and Property Damage to the property of or to any person who is Your relative or employee
or deemed by law to be Your employee.
2. Property Damage to property which belongs to You or is in Your custody or control.
3. Damages relating to any liability assumed under contract.
4. Damages relating to Your wilful, malicious or unlawful act or omission.
5. The ownership, possession or use of vehicles, Aircraft, firearms or animals, or arising from the negligent
supervision and vicarious liability for the acts of a minor in connection with the above.
6. Past or present business, trade or professional activities, including the rendering of or failure to render
business, trade or professional services.
7. Any criminal proceedings taken against You whether You are actually convicted or not.
8. The transmission of communicable disease by You.
9. The possession or use of any controlled substance/drugs unless prescribed by a Physician.
10. Sexual molestation, corporal punishment, physical or mental abuse.
11. Pollution which includes the alleged or potential introduction of substance which makes the environment
impure or harmful.
12. Any punitive damages, exemplary damages, fines, penalties or any other increase in damages resulting
from the multiplication of compensatory damages in whatever form assessed.
Telephone Medical Referral - Upon request, the Service Provider will provide the name, address and
telephone number of physicians (including both general practitioners and specialists), hospitals,
dentists, and dental clinics. When requested, the Service Provider will assist to arrange for appointments
with the medical facility. All consultation and medical fee incurred shall be borne by the Insured
Person.
Note: Such call does not constitute the establishment of a diagnosis and must be considered as an advice
only.
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Hospitalisation
If the medical condition of the Insured Person is of such gravity that requires emergency
hospitalisation, the Service Provider will assist the Insured Person by arranging for Hospital
admission.
During Hospitalisation, the appointed doctor of the Service Provider shall monitor the Insured
Person's condition and keep family members of the Insured Person informed.
Upon the request of the Insured Person and subject to the Service Provider receiving payment
guarantee from the Insured Person or his/her family member, the Service Provider shall assist in
the arrangement of the guarantee for Hospital admission and the medical expenses incurred during
the Hospitalisation.
Limitations
We will not be held responsible for failure to provide services or for any delays caused by strike or conditions
beyond Our control including, but not limited to, flight conditions or where local laws of regulatory agencies
prohibit Us and the Service Provider from rendering such services.
2. Entire Contract
This Policy, Master Policy Schedule, the Certificate of Insurance, and any amendments or endorsements
shall constitute the entire contract between parties. No change to the terms and conditions of this Policy
shall be valid unless approved in writing by Our authorized representative and such approval shall be
endorsed hereon or attached hereto. No broker or agent has the authority to amend or to waive any of the
terms and conditions of this Policy.
3. Alteration
No alteration to this Policy shall be valid unless authorised by the Company and such approval is
endorsed thereon.
5. Legal Actions
No action shall be brought to recover on this Policy prior to the expiration of sixty (60) days after written
proof of claim has been filed in accordance with the provisions of this Policy.
6. Misrepresentation
The Certificate of Insurance, subject to the terms and conditions of this Policy shall be voidable in the
event of any misrepresentation, misdescription, non-disclosure or concealment of any circumstances by
You which is material to or connected with:
7. Fraud
If any claim under this Policy shall be, in any respect, fraudulent or if any fraudulent means or devices
shall be used by Batik Air, You or any person acting on behalf of to obtain a Benefit under this Policy,
We shall have no liability in respect of such claim and We shall be entitled to terminate the Certificate
of Insurance and/or this Policy with immediate effect.
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8. Payment Of Benefits
Any Benefits payable under this Policy shall be paid to You except under Section 3 GEGM Assist -
Emergency Evacuation and Section 4 – GEGM Assist - Repatriation of Mortal Remains. Any benefits
payable under this Policy in the event of death shall be paid to Your estate or the person entitled to under
the law. Any receipt by You or Your estate or the person legally entitled to any Benefit payable under
this Policy shall in all cases be deemed final and complete discharge of all Our liability in respect of such
Benefit.
9. Premium Payment
The premium as stated in the Certificate of Insurance will be paid by You via Batik Air’s e-billing system
when due and is non-cancellable and non-refundable.
A person who is not a party to this Policy contract shall have no right to enforce any of its terms.
16. Arbitration
All differences arising out of the Policy shall be referred to the decision of an Arbitrator to be appointed
in writing by the parties in difference or if they cannot agree upon a single Arbitrator to the decision of
two Arbitrators, one to be appointed in writing by each of the parties within one calendar month after
having been required in writing so to do by either of the parties or, in the case the Arbitrators do not
agree, of an Umpire appointed in writing by the Arbitrators before entering upon the reference. The
Umpire shall sit with the Arbitrators and preside at their meetings. The seat of arbitration shall be in
Kuala Lumpur and held in accordance with the AIAC Arbitration Rules, including the Arbitration Act
2005 (Act 646) of Malaysia or any statutory modification or re-enactment thereof for the time being in
force. The arbitral proceedings shall be in the English language. The cost of the reference and of the
award shall be at the discretion of the Arbitrator, Arbitrators or Umpire making the award. And it is
hereby expressly stipulated and declared it shall be a condition precedent to any right of action or suit
upon this Policy that the award by such Arbitrator, Arbitrators or Umpire of the amount of Benefit if
disputed, shall be first obtained within 12 months from the date of the Accident or occurrence giving rise
to the claim.
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18. Interest
No amount payable under this Policy shall carry interest unless provided by law.
19. Currency
Premiums payable under this Policy shall be in Malaysian Ringgit (RM) or in the currency stipulated in
Batik Air’s ticketing portal. In case a Benefit payable hereunder is denominated in a currency other than
the currency stated in the Certificate of Insurance, then the conversion rate shall be the middle rate
published by Bank Negara Malaysia on the date of agreement between Us and You as to the amount of
loss. All claims shall be paid in Malaysian Ringgit or in the currency stated in the Certificate of Insurance
unless otherwise agreed by Us and You.
This travel insurance is not valid for nationalities from Afghanistan, Belarus, Crimea/Donetsk/Luhansk Region
of Ukraine, Cuba, Democratic People’s Republic of Korea/North Korea, Iran, Israel, Russia, Sudan, Syria,
Venezuela and that, if purchased, the policy will be void and the premium is non-refundable.
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1. Claims Procedure
On the happening of any occurrence likely to give rise to a claim under this Policy, written notice shall
be given to Great Eastern General Insurance Malaysia Berhad, Claims Department, as soon as possible
and in any event, within 31 days after the date of occurrence.
We will then provide You with forms for filing proof of claim.
Any documents or evidence required by Us to verify the claim shall be provided by You at Your own
expense as soon as possible.
Any medical examination required by Us to verify the claim will be at Our expense. We shall, in the
event of Your death, be entitled to have a post-mortem examination performed at Our own expense where
it is not prohibited by law.
Failure to notify Us within the time limit prescribed shall not invalidate the claim if it can be shown, to
Our satisfaction that it was not reasonably possible to do so within the prescribed time limit for an
otherwise legitimate claim.
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You may refer your complaint pertaining to any insurance related matters to Our Complaint Handling Unit for an
amicable resolution before referring to the Ombudsman for Financial Services (OFS) (664393P) (formerly known
as Financial Mediation Bureau) or BNMLINK / BNMTELELINK, Bank Negara Malaysia (BNM). In order to
resolve Your complaint, it is important that You provide Us with as much information as possible when contacting
Us, i.e. Your full name, address, contact number, policy number and the nature of Your complaint.
The following are the contact details of Our Complaint Handling Unit:-
RESPONSE TO COMPLAINTS
For non-complicated case, We will respond within fourteen (14) working days from the date of receipt of the
complaint.
For complicated case, We will respond within fourteen (14) days from the date of receipt of the complaint and the
complainant will be updated of the progress every subsequent thirty (30) calendar days until it is resolved.
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