Transcription
Certificate of InsuranceCreditWise — Exclusively for MBNA Cardholders —Insured Debtor’s Name & Address:SummaryCreditor/Beneficiary:The Toronto-Dominion Bank(referred to as “MBNA”)Maximum Amount of Insurance: 30,000.00Monthly Premium Rate per 100.00: 0.99 (plus applicable taxes)At Age 70 or older 0.59 (plus applicable taxes)Effective Date:Group Master Policy Numbers:WFR1 (9/05) R-1and LUZ (9/05) R-1MBNA Account # ending in:Ce certificat est aussi disponible en français.Please See Below For Details About Your InsuranceWho Is Eligible For Insurance2. Loss of Self-Employment, Total Disability andInvoluntary Unemployment which areThis group credit insurance coverage is limitedunderwritten by ABIC under Group Masterto the Primary Cardholder who is between thePolicy No. WFR1 (9/05) R-1.ages of 18 and 69 on the Effective Date of theABLAC,ABIC and their affiliates carry on businessinsurance, and is a Canadian Resident. “PrimaryinCanadaunder the name of Assurant.Cardholder” means the person who applied forand was granted the MBNA account noted in theWhen Your Insurance Coverage StartsSummary above (also known as the “Account”). Your CreditWise insurance coverage starts on thePrimary Cardholder may also be referred to asday We receive Your request for enrollment on“You” and “Your”. “Canadian Resident” isYour Account.any person who has lived in Canada for a total ofWhat You Pay183 days within the last year or is a member ofYour monthly insurance premium is based onthe Canadian Forces.Your average daily Account balance. The monthlyAbout Your Insuranceinsurance premium is calculated by applying theThe insurance coverages provided to You in this applicable Monthly Premium Rate as indicated inCertificate of Insurance (“Certificate”) underthe Summary shown at the top of the first page ofthe Group Master Policies are part of a package this Certificate to Your average daily balance to aof group credit insurance coverages mademaximum of 20,000. Your Monthly Premiumavailable to You by American Bankers LifeRate will be reduced on the next AccountAssurance Company of Florida (“ABLAC”) andStatement Date after You turn 70. “StatementAmerican Bankers Insurance Company of Florida Date” means the date identified in Your Account(“ABIC”) through MBNA. “We” and “Us” mean statement as of the statement date.the insurer of the specific coverage individuallyPremiums and any applicable taxes will be:or the insurers collectively as applicable.1. automatically charged to Your Account onThese group credit insurance coverages areYour billing statement; andcomprised of:2. due with Your Account payment.1. Life, Accidental Death, AccidentalIf the Monthly Premium Rate increases, We willDismemberment and Critical Illness which are give You at least 30 days prior written notice.underwritten by ABLAC under Group MasterPolicy No. LUZ (9/05) R-1; andRefund of Premiums While Receiving aMonthly BenefitInsurance premiums will be charged to YourAccount during the entire period of a claimunder these coverages. During the entire claimperiod, a refund in the amount of the premiumcharged to Your Account as of the Statement Datecoinciding with or immediately before Your Dateof Loss will be added to each monthly benefitpayment and will remain unchanged for theduration of Your claim period. If You continue touse Your Account while on a claim, You will beresponsible for paying the insurance premiumon any new charges.What Is The Most We Will PayAny benefit paid under any one of thesecoverages shall not be paid under anothercoverage for the same occurrence. If You areeligible concurrently for a benefit payable formore than one insured event covered by thisCertificate, the benefit paid shall be limited to themost generous one. You will therefore be entitledto only one benefit at a time.There are also exclusions that are applicable toeach type of coverage that are explained in moredetail later in this Certificate.In no event, will We pay more than the lesser ofthe amount owing under Your Account at Date ofLoss and the Maximum Amount of Insurance asindicated in the Summary shown at the top of thefirst page of this Certificate.continued inside10O57091NEA2016G04 Assurant, Inc. 2005Printed in Canada1
.continued from previousWho We PayHow To Submit A ClaimWe will make claim payments directly to MBNAwho will then credit the payments to YourAccount. All benefit payments under thisCertificate are to be made in Canadian dollars.Your on-going responsibilities with respectto Your AccountWhile You are receiving benefit payments,interest will continue to be charged on theoutstanding amount of Your Account andpremiums will continue to be charged to YourAccount monthly. Since the benefit amountpayable by Us each month remains the sameafter the second monthly benefit payment, Youmay need to make payments to Your Account tocover these charges and minimize the amount ofinterest charged to Your Account. You areresponsible for the balance on Your Account atall times, regardless of whether You are receivingbenefit payments. In addition, this Certificatedoes not alter, in any way, Your Accountcardholder agreement with MBNA.In the event of a claim, log on towww.benefitactivations.ca, or contact Us at1-800-340-4717 for information oncompleting and submitting a claim. Claim formsshould be completed, at Your expense, and sentto Us at Our office shown on the Certificate’s“For Claims and Inquiries” section within 90days of the loss (except for Life claim where aclaim form should be sent to Us as soon asreasonably possible). If a claim is otherwisevalid, it will be honoured even if the forms aresent to Us after 90 days if it was not reasonablypossible to send them earlier. We may ask foradditional information, medical evidence orrequest further examination by a MedicalPractitioner of Our choice. “MedicalPractitioner” means a licensed practitioner ofthe healing arts other than yourself.Your insurance must not have been terminated(refer to the “When Your Insurance CoverageEnds” section for details) and all regularinsurance charges must have been paid at theDate of Loss.4. the date Your Account has been delinquentfor more than 90 consecutive days, unlessYou bring Your Account up to date; or5. Your Account is cancelled by either You orMBNA.All Critical Illness, Loss of Self-Employment, TotalDisability and Involuntary UnemploymentInsurance will terminate on the next AccountStatement Date after You turn 70 whileAccidental Dismemberment coverage willcontinue beyond the age of 70. Your Lifecoverage will be replaced with Accidental Deathcoverage on the next Account Statement Dateafter You turn 70.If, at any time, Your Account with the Creditor ismore than 90 consecutive days past due, nobenefits shall be payable under this Certificateand no premium shall be charged for coveragehereunder until the next billing cycle followingsuch time as Your Account with the Creditor isno longer 90 days past due. When Your Accountis no longer 90 days past due, premium will becharged commencing with the next billing cycleWhen Your Insurance Coverage Endsand You shall thereafter be eligible for benefitsAll insurance coverage on Your Accountprovided hereunder, subject to the provisions ofautomatically ends when the first of the following this Certificate.conditions occurs:1. one or more of the Group Master Policies arecancelled;2. You die;3. You request the cancellation of the insuranceprovided by this Certificate in writing or byphone to Assurant;CoveragesLife CoverageWhat We Don’t PayIf while insured, You die, You may be entitled toa benefit.We will not pay a Life benefit if the death resultsfrom intentionally self-inflicted injuries orsuicide, while sane or insane, within six monthsof the Effective Date.What We PayWhat We Need You To ProvideWe will pay a benefit equal to the InsuredIndebtedness as of the Date of Loss, subject tothe Maximum Amount of Insurance. In no eventwill the total benefit exceed the amount thatappears on Your Account statement plus anyunpaid purchases or charges made prior to theDate of Loss.We must be provided with a certified copy of thedeath certificate and upon Our request, anattending Medical Practitioner’s statement mayalso be required.Why We PayWhen Your Insurance Under ThisCertificate EndsOnce a Life benefit has been paid, this Certificateand all insurance coverage provided hereunderwill end.Definitions applicable to Life Coverage“Date of Loss” means the date of death.“Insured Indebtedness” means the amountowing on Your Account.“Medical Practitioner” means a licensedpractitioner of the healing arts other thanyourself.2
Accidental Death CoverageWhy We PayIf, while insured, You experience an AccidentalDeath after Your 70th birthday, You may beentitled to a benefit.Accidental DismembermentCoverageCritical Illness CoverageWhy We PayIf, while insured, You are initially diagnosed witha covered Critical Illness, You may be entitled toa benefit.If, while insured, You suffer a DismembermentYou may be entitled to a benefit.Why We PayWhat We PayWhat We PayWhat We PayWe will pay a benefit equal to the InsuredIndebtedness as of the Date of Loss, subject tothe Maximum Amount of Insurance. In no eventwill the total benefit exceed the amount thatappears on Your Account statement plus anyunpaid purchases or charges made prior to theDate of Loss.We will pay a benefit equal to the InsuredIndebtedness as of the Date of Loss, subject tothe Maximum Amount of Insurance. In no eventwill the total benefit exceed the amount thatappears on Your Account statement plus anyunpaid purchases or charges made prior to theDate of Loss.We will pay a benefit equal to the InsuredIndebtedness as of the Date of Loss, subject tothe Maximum Amount of Insurance. In no eventwill the total benefit exceed the amount thatappears on Your Account statement plus anyunpaid purchases or charges made prior to theDate of Loss.What We Need You To ProvideWhat We Need You To ProvideWhat We Don’t PayWe must be provided with a certified copy of thedeath certificate and upon Our request, anattending Medical Practitioner’s statement mayalso be required.When Your Insurance Under ThisCertificate EndsOnce an Accidental Death benefit has been paid,this Certificate will end.Definitions applicable to Accidental DeathCoverage“Accidental Death” means death throughaccidental means sustained directly andindependently of all other causes.“Date of Loss” means the date of death.“Insured Indebtedness” means the amountowing on Your Account.“Medical Practitioner” means a licensedpractitioner of the healing arts other thanyourself.We must be provided with a statement completed We will not pay a Critical Illness benefit if:1. the disease or condition is first diagnosedby an attending Medical Practitioner on a formwithin 60 days from the Effective Date asprovided by Us or acceptable to Us.indicated in the Summary shown at the top ofDefinitions applicable to Accidentalthefirst page of this Certificate;Dismemberment Coverage2.Youwere diagnosed with a covered disease or“Date of Loss” means the date of the accidentconditionprior to the Effective Date and havecausing Dismemberment.notcompleteda period of at least 180“Dismemberment” means accidental bodilyconsecutivedaysfree of all symptoms,injuries that are sustained directly andmedical treatment/services including takingindependently of all other causes and notdrugs/medicine for such disease or condition;resulting in Your death but resulting in:3. the disease or condition does not meet the1. the total and irrevocable loss of a hand bydefinitions stated in this Certificate; orseverance at or above the wrist, or a foot by4.thedisease or condition diagnosed isseverance at or above the ankle, or the sightnon-invasivecancer in-situ, Kaposi’s sarcoma,of one eye;Stage1Hodgkin’sDisease, any skin cancer2. the loss of use of either both legs or all limbsotherthanmalignantmelanomas anddue to paraplegia or quadriplegia (accidentallocalized non-invasive tumors showing onlyseverance of the spinal cord resulting inmalignant changes.complete and irrecoverable paraplegia orquadriplegia);What We Need You To Provide3. the loss of use of an arm and leg on one side We must be provided with a statement completedof the body due to hemiplegia (complete and by an attending Medical Practitioner on a formirrecoverable paralysis of one side of theprovided by Us or acceptable to Us.body).Definitions applicable to Critical Illness“Insured Indebtedness” means the amountCoverageowing on Your Account.“Critical Illness” means heart attack, stroke,“Medical Practitioner” means a licensedcancer, coma, coronary artery disease – (referspractitioner of the healing arts other thanonly to bypass surgery), major organ transplant,yourself.multiple sclerosis, muscular dystrophy, paralysis,renal failure, Alzheimer’s or total blindness.“Date of Loss” means the date of Diagnosis.“Diagnosis” means a diagnosis of a CriticalIllness by a Medical Practitioner, supported bydocumentation.“Insured Indebtedness” means the amountowing on Your Account.“Medical Practitioner” means a licensedpractitioner of the healing arts other thanyourself.3
When We Pay a Lump SumIf You remain eligible for Loss of Self-Employmentbenefits for a period of more than 12 consecutivemonths from the Date of Loss, a benefit equal toWhy We Paythe Insured Indebtedness as of the StatementIf, while insured, You experience a period ofDate coinciding with, or if not applicable,unemployment due to Your business beingimmediately before the Date of Loss, less anyforced into creditor induced bankruptcy andprior benefits paid for this episode of Loss ofremain unemployed for more than 30consecutive days, You may be entitled to receive Self-Employment, will be paid out as a lumpsum.a benefit.When You Return To WorkTo be eligible for Loss of Self-EmploymentIf You return to work for a minimum of 25 hoursbenefits, You must have been self-employed forormore per week for a period of 30 consecutiveat least 25 hours per week for an active businessdaysafter completion of payments under a Lossthat had been incorporated for a period of 24ofSelf-Employmentclaim and the total benefit asconsecutive months prior to the Date of Loss.described under the “What We Pay” section hasWhat We Paynot been paid entirely, You will be entitled to oneInitial Paymentmonthly benefit payment equal to the greater of:We will pay an initial monthly benefit equal to the a) 5% of the Insured Indebtedness as of thegreater of:Statement Date coinciding with, or if nota) 5% of the Insured Indebtedness as of theapplicable, immediately before the Date ofStatement Date coinciding with, or if notLoss, andapplicable, immediately before the Date ofb) 10.Loss, andWhen Your Benefits Endb) the Minimum Payment due on Your Accountas of the Statement Date coinciding with, or if Loss of Self-Employment benefit payments willnot applicable, immediately before the Date of continue, even if the insurance provided underthe Certificate is cancelled after the benefitsLoss.The initial benefit payment will be made after 30 become payable, until the first of the followingdays following the Date of Loss and will be paid events occurs:a) You return to work;retroactively from the Date of Loss.b) the Insured Indebtedness as of the StatementFurther PaymentsDate coinciding with, or if not applicable,For each additional 30 consecutive day periodimmediately before the Date of Loss has beenthat You continue to be unemployed, We will paypaid by Us; ora monthly benefit equal to the greater of:c)the Maximum Amount of Insurance has beena) 5% of the Insured Indebtedness as of thepaid.Statement Date coinciding with, or if notWhat We Don’t Payapplicable, immediately before the Date ofLoss, andWe will not pay a Loss of Self-Employment claimb) 10.if the Loss of Self-Employment is due to:All further monthly benefit payments will remain a) voluntary forfeiture of salary, wages, orthe same during the benefit period unless Youincome;provide Us with additional information thatb) closure of business due to willful misconductwould warrant adjustment.or criminal misconduct; orThe total of all Loss of Self-Employment benefits c) bankruptcy within the first 12 months of thefor one period of unemployment will not exceedEffective Date.the Insured Indebtedness as of the StatementDate coinciding with, or if not applicable,immediately before the Date of Loss, subject tothe Maximum Amount of Insurance.Loss of Self-EmploymentCoverageWhat We Need You To ProvideWe must be given written notice 30 days after theDate of Loss. We must be provided with proof ofloss in respect of such loss of self-employment,including, (a) copy of the court documentsattesting to the bankruptcy, and (b) copies ofbusiness license or articles of incorporation, asapplicable. A copy of the court documentattesting to the bankruptcy must be provided atclaim time.What If You Are Unemployed AgainYou will be re-eligible for Loss of Self-Employmentbenefits after the completion of payments undera Loss of Self-Employment claim when Youreturn to self-employment for at least 25 hoursper week in an active business that has beenincorporated for a period of 24 consecutivemonths prior to the Date of Loss.Definitions applicable to Loss ofSelf-Employment Coverage“Date of Loss” means the date Your business isforced into creditor induced bankruptcy.“Insured Indebtedness” means the amountowing on Your Account.“Minimum Payment” is as defined in Yourcardholder agreement with MBNA.“Statement Date” means the date identified inYour Account statement as the statement date.4
When We Pay a Lump SumIf it is determined that You are permanently andWhy We PayTotally Disabled, We may at Our discretion:a) continue to make the monthly benefitIf, while insured, You become Totally Disabledpayment; orand remain Totally Disabled for more than 30consecutive days, You may be entitled to receive b) pay the Insured Indebtedness of the Accountas of the Statement Date coinciding with, or ifa benefit.not applicable, immediately before the Date ofTo be eligible for Total Disability benefits, YouLoss.must:If You remain eligible for Total Disability benefitsa) become Totally Disabled as a result of:for a period of more than 12 consecutive monthsi) injury; orfrom the Date of Loss, a benefit equal to theii) sickness; andInsured Indebtedness as of the Statement Dateb) be regularly attended by a Medicalcoinciding with, or if not applicable, immediatelyPractitioner.before the Date of Loss, less any prior benefitsWhat We Paypaid for this episode of Total Disability, will beInitial Paymentpaid out as a lump sum.We will pay an initial monthly benefit equal to theWhen You Return to Workgreater of:If You return to perform the material anda) 5% of the Insured Indebtedness as of thesubstantial duties of Your occupation for aStatement Date coinciding with, or if notperiod of 30 consecutive days after completion ofapplicable, immediately before the Date ofpayments under a Total Disability claim and theLoss, andtotal benefit as described under the “What Web) the Minimum Payment due on Your AccountPay” section has not been paid entirely, You willas of the Statement Date coinciding with, or ifbe entitled to one monthly benefit payment equalnot applicable, immediately before the Date ofto the greater of:Loss.a) 5% of the Insured Indebtedness as of theThe initial benefit payment will be made after 30Statement Date coinciding with, or if notdays following the start of the Total Disability andapplicable, immediately before the Date ofwill be paid retroactively from the Date of Loss.Loss, andFurther Paymentsb) 10.For each additional 30 consecutive day periodWhen Your Benefits Endthat the Total Disability continues, We will pay aTotal Disability benefit payments will continue,monthly benefit equal to the greater of:even if the insurance provided under thea) 5% of the Insured Indebtedness as of theCertificate is cancelled after the benefits becomeStatement Date coinciding with, or if notpayabl
Have Your MBNA Credit Card number handy. How to contact Assurant: For Claims and Inquiries You can call Assurant at: 1-800-340 -4717 8 a.m. to 8 p.m. ET, Monday to Friday We will assist You in submitting a claim or answer any questions that You may have about Your insurance. Or write
