Once the completed application is received by Kuffel, Collimore, & Co. and submitted to SRI, SRI underwriters will evaluate the application and determine if coverage is to be issued. If additional medical or personal information is required, SRI will contact Kuffel, Collimore, & Co. to obtain the information. Applicants for The Lifeboat Medical Insurance Plan who are in good health and have no relevant medical conditions will be accepted at the stated premium. If the applicant discloses a pre-existing medical condition on the application, the SRI underwriters will review the application and medical information submitted to determine if the applicant is to be accepted. If the applicant is accepted, the pre-existing condition may either be covered from the effective date as any other illness or the underwriters may attach an "Exclusionary Rider." ("Exclusionary Rider" means the applicant will be accepted but claims for the particular pre-existing medical condition will be excluded from coverage.) SRI underwriters may also accept applicants who have experienced moderate health conditions in the past with an increase to the stated premium. In some circumstances, the SRI underwriters will not be able to offer coverage to applicants. In this case, SRI will forward documentation notifying the applicant that coverage will not be offered.

An additional premium may be charged for tobacco use.

If the applicant does not disclose or misstates the pre-existing condition on the application, and SRI uncovers the pre-existing condition, SRI will reserve the right to either void the entire insurance contract and refund all premium received or refuse to pay that particular claim.

SRI strives to underwrite all applications quickly and efficiently. Information on the application that is not legible will delay underwriting. Requests for additional information and documentation will require more underwriting time.

 

| ELIGIBILITY | SCHEDULE OF BENEFITS | RENEWABILITY | EMERGENCY EVAC/REPATRIATION | EMERGENCY REUNION BENEFITS | UTILIZATION MGMT PROGRAM | UNDERWRITING | EXCLUSIONS
Insurance Plan sponsored by Charter Yacht Society of B.V.I.
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phone: 630-221-6000— fax: 630-221-1453
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