Corporate Travel Insurance

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  1. This policy is only available to Australian domiciled persons.
  2. Where did you hear about Action Entertainment Insurance?
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  3. Have you previously spoken to an Action Representative regarding this quote?(*)
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  4. Name of representative?
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  5. Name of Insured(*)
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  6. ABN
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  1. Are you completing this proposal as a client or broker on behalf of the client?(*)
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  2. Brokerage Name (*)
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  3. Contact Name(*)
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  4. Postal Address(*)
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  5. Suburb(*)
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  6. State(*)
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  7. Postcode (*)
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  8. Phone Number(*)
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  9. Fax Number
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  10. Email Address (*)
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  11. Website Address
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  12. Clients Address (*)
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  13. Clients Website Address
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  1. Period that cover is required(*)
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  2. Start Date
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  3. End Date
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  4. Full Business Description of the Policyholder(*)
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  5. Situation Address of the Policyholder(*)
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  6. Has the Policyholder had any claims relating to travel insurance?(*)
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  7. Please provide details
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  8. Have you previously been refused insurance or have had your insurance cancelled by an Insurer or have had special conditions, increased premiums or increased excesses imposed on any policy of insurance by an Insurer?*(*)
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  9. Please provide details
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  10. Are there any person aged over 85 years old to be covered by this policy? (*)
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  11. Please provide details
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  12. Are there any persons residing overseas to be covered by this Policy?(*)
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  13. Do you expect to rent any commercial vehicles, vans, trucks or coaches whilst travelling?(*)
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  14. Please provide details
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  15. Will any Insured Persons be undertaking any activities deemed to be hazardous, dangerous or high risk activities such as but not limited to, snow skiing, water sports, mountaineering or trekking, aerial activities, motor sports, abseiling or rock climbing etc? (*)
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  16. Please provide details
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  1. Insured Persons include All Directors, Employees and Contractors with the permission of Policyholder including Accompanying Spouses / Partners and Dependent Children.
  2. Cover Required:(*)
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  3. Interstate Travel Information
  4. The estimated number of Individual Interstate Business trips in total and the average duration of each trip. For example: 3 trips x 2 people per trip = 6 trips in total @ 7 days duration.
  5. Number of Business Trips: (*)
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  6. Average Duration per trip: (days)(*)
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  7. Maximum number of person travelling any one Interstate Business trip: (*)
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  8. The estimated number of Individual Interstate Leisure trips involving an aerial flight or overnight stay, for your Directors, Chief Financial Officer, Chief Executive Officer, Chief Operating Officer, Company Secretary and their accompanying spouse and dependent children. For example: 3 trips x 2 people per trip = 6 trips in total @ 7 days duration.
  9. Number of Leisure Trips: (*)
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  10. Average Duration per trip: (days)(*)
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  11. Maximum number of person travelling any one Interstate Leisure trip:(*)
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  12. Overseas Travel Information
  13. The estimated number of Individual Overseas Business trips in total and the average duration of each trip. For example: 3 trips x 2 people per trip = 6 trips in total @ 14 days duration.
  14. Number of Business Trips: (*)
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  15. Average Duration per trip: (days)(*)
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  16. Maximum number of person travelling any one Overseas Business trip:(*)
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  17. The estimated number of Individual Overseas Leisure trips involving an aerial flight or overnight stay, for your Directors, Chief Financial Officer, Chief Executive Officer, Chief Operating Officer, Company Secretary and their accompanying spouse and dependent children. For example: 3 trips x 2 people per trip = 6 trips in total @ 14 days duration.
  18. Number of Leisure Trips: (*)
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  19. Average Duration per trip: (days)(*)
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  20. Maximum number of person travelling any one Overseas Leisure trip: (*)
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  21. Please specify the number of trips to Iraq, Afghanistan, Somalia or Chechnya with an average duration include in above?(*)
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  22. Please advise usual overseas country travel destinations?
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  23. Will any trips exceed more than 180 consecutive days?
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  24. Please provide details
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    Note that Policy restricts cover to trips over 180 consecutive days – please refer to definition
  25. Travel Exceeding 100km from Place of Insured Person’s Residence (excluding interstate or overseas trips):
  26. The estimated number of trips in excess of 100 kilometres and average duration of each trip. (These trips do not include interstate or overseas trips)
  27. Number of Business Trips: (*)
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  28. Average Duration per trip: (days)(*)
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  29. Maximum number of person travelling any one Intrastate Business trip: (*)
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    Please note this policy DOES NOT cover pure leisure intrastate trips.
  30. The estimated number of Individual Intrastate Leisure trips involving an aerial flight or overnight stay, for your Directors, Chief Financial Officer, Chief Executive Officer, Chief Operating Officer, Company Secretary and their accompanying spouse and dependent children.

    For example: 3 trips x 2 people per trip = 6 trips in total @ 14 days duration.

  31. Number of Leisure Trips: (*)
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  32. Average Duration per trip: (days)(*)
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  33. Maximum number of person travelling any one Intrastate Leisure trip: (*)
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    Please note this policy DOES NOT cover pure leisure intrastate trips.
  34. Charter / Unscheduled Flight Information Required:
  35. Is anyone to be covered by this policy expected to travel by charter or unscheduled flights?
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  36. Anticipated number of Individual Chartered / Unscheduled flights in total. (1 return trip = 2 flights) For Example: 4 flights x 2 people each trip = 8 trips in total.
  37. By Single Engine Aircraft:
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  38. By Twin Engine Aircraft:
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  39. By Helicopter:
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  40. Number of persons likely to travel together in Chartered / Unscheduled flights?
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  41. What is the purpose of the Flight?
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  42. Countries in which Charter/Unscheduled flights will be undertaken?
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  43. Names of Airlines used for Charter/Unscheduled Flights?
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  1. DEFINITIONS:

    Definition of an "Insured Trip"

    The Definition of an "Insured Trip" is any Journey which: Commences during the Period of Insurance; and Is undertaken on Your behalf for a business purpose; and is authorised by you; begins and ends in country of residence;

    A journey commences at the time the insured person leaves their normal place of residence or work, whichever is the place of departure for the journey, and ends at the time the insured person returns to the insured person’s normal residence or normal place of work, whichever occurs first. A journey includes associated holiday travel for all insured persons and overseas leisure travel for your directors, chief financial officer, chief executive officer, chief operating officer, company secretary and accompanying spouse and dependent children.

    A Journey does not include any normal commutation travel between the Insured Person’s normal residence and normal place of work;

    Trips Exceeding 180 Consecutive Days NOT COVERED

    At present your policy limits cover to overseas trips with a duration of less than 180 consecutive days. If any of the Insured persons intend to be away from their Australian residence for more than 180 consecutive days then these extended trips will not be covered by the current policy UNLESS you declare those trips and the Insured agrees to extend the policy to cover them. Please also note that additional EXPAT MEDICAL INSURANCE may be required for persons who intend to remain overseas for more than 180 consecutive days.

    Who is deemed an Insured Person

    This policy is designed to cover travel by all Directors, Executives, and Employees of the Policyholder including accompanying Spouse/Partners and their Dependent Children.

    Trips by contracted crew members working on behalf of the Policyholder can also covered by this policy providing those trips are included in the "estimated trips" declared above.

    Medical Expense Incurred in Country of Residence

    The Policy will not pay medical expenses incurred in respect of the rendering in Australia of a professional service for which a Medicare benefit is payable.

    In respect to overseas based Insured Persons, the policy will not pay medical costs incurred in the Insured Person’s country of Residence.

    Leisure/Holiday Travel

    This insurance provides cover for associated leisure/holiday travel taken in conjunction with a business trip.

    This insurance provides cover for pure leisure/holiday travel taken by directors (and their accompanying partners and dependent children) for interstate and overseas trips only. Pure leisure/holiday intrastate trips are NOT covered by this policy (that is holiday trips taken within the state you live in). If you have any further questions on the above matters, please contact our office.

    We look forward to receiving your updated renewal information so we can negotiate renewal terms with the Insurer.

  1. Disclaimer

    Privacy Policy

    At Action Entertainment Insurance Pty Ltd Corporate Representative No. 237473 as an authorised representative of Action Insurance Brokers P/L AFS 225047, we are committed to protecting your privacy in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles. This Privacy Policy describes our current policies and practices in relation to the collection, handling, use and disclosure of personal information. It also deals with how you can complain about a breach of the privacy laws and how you can access the personal information we hold and how to have that information corrected.

    Please visit https://www.entertainmentinsurance.net.au/privacy-policy to read our full privacy policy.

    When you order you are accepting our Terms & Conditions. Before accepting please read the Arena Duty of Disclosure and Declaration below.

    Your Duty of Disclosure

    When entering into a contract of general insurance you need to tell us

    Before you enter into a contract of general insurance with us, you have a duty, under the Insurance Contracts Act 1984, to disclose to us every matter that you know, or could reasonably be expected to know, is relevant to our decision whether to accept the risk of the insurance and, if so, on what terms.

    When entering into a subsequent or renewing a contract of general insurance

    You have the same duty to disclose any matter to us before you renew, extend, vary or reinstate a contract of general insurance, which may affect our decision to insure you.

    What you are not required to disclose

    Your duty does not require disclosure of any matter:

    1. That diminishes the risk to be undertaken by us;
    2. That is of common knowledge;
    3. That we know or, in the ordinary course of our business, ought to know;
    4. Where compliance with this duty is waived by us.

    Non disclosure and its consequences

    If you fail to comply with your duty of disclosure at law, and/or have not answered our questions honestly and not told us what you, as a reasonable person in the circumstances would have answered, we may be entitled to reduce our liability under the contract in respect of a claim or may cancel the contract.

    Fraudulent non disclosure and its consequences

    If your non disclosure is fraudulent, we may also have the option of avoiding the contract from its beginning.

    Subrogation

    You may prejudice your rights with regard to a claim if, without prior agreement from the Insurer, you make agreement with a third party that will prevent the Insurer from recovering the loss from that, or another party.

    Your policy contains provisions that either exclude the Insurer from liability or reduce their liability, if you have entered into any agreements that excludes your rights to recover damages from another party in relation to any loss, damage or destruction which would allow you to sustain a claim under this policy.

  2. I have read and understand the Statutory Notices:
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  3. I have read and understand the Subrogation Clause
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  4. Anti-Spam(*)
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  5. Submit

Action Entertainment Insurance Pty Ltd ABN 20 103 891 265 Corporate Representative No. 237473 as an authorised representative of Action Insurance Brokers P/L ABN 39 080 844 426 AFS 225047

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