Finland_InsuranceHandbook_2011-12

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					                  supereuro travel insurance
                      travel insurance terms and conditions
                          and general terms of contract


                           valid as of 1 January 2011




133 156 1 01.11


                                                              1
                                                                                   contents


TRAVEL INSURANCE ..........................................................4                TRAVEL LIABILITY INSURANCE ......................................10
COMMON PROVISIONS ......................................................4                   1     THOSE INSURED......................................................10
1      TERRITORIAL SCOPE OF VALIDITY ........................4                              2     COVERABLE INSURANCE EVENTS .......................10
2      PERIOD OF VALIDITY ................................................4                 3     LOSSES EXCLUDED FROM COVER ......................10
3      EFFECT OF STAY ABROAD ON VALIDITY ...............4                                   4     SPECIAL MEASURES TO BE TAKEN ON
4      NUCLEAR ACCIDENT, WAR AND AVIATION                                                         OCCURRENCE OF AN INSURANCE EVENT ..........10
       ACCIDENT...................................................................4         5     INDEMNIFICATION REGULATIONS ........................10
TRAVELLER’S INSURANCE ...............................................4                      6     JOINT AND SEVERAL LIABILITY ............................10
1      CONTENT OF INSURANCE .......................................4                        LEGAL EXPENSES TRAVEL INSURANCE....................... 11
2      THOSE INSURED........................................................4               1     PURPOSE OF INSURANCE ..................................... 11
3      BENEFICIARY .............................................................4           2     THOSE INSURED...................................................... 11
4      EFFECT OF THE INSURED´S AGE ON VALIDITY ....4                                        3     COURTS OF LAW ..................................................... 11
5      VALIDITY IN SPORTS AND CERTAIN                                                       4     COVERABLE INSURANCE EVENTS ....................... 11
       OTHER ACTIVITIES ....................................................4               4.1   Definition of an insurance event ................................. 11
6      TRAVEL ILLNESS .......................................................5              4.2   single insurance event ............................................... 11
6.1    travel illness ................................................................5     5     RESTRICTIONS RELATED TO INSURANCE
6.2    the following are not covered as travel illness ............5                              EVENTS ..................................................................... 11
7      TRAVEL ACCIDENT AND RESTRICTIONS ...............5                                    6     MEASURES TO BE TAKEN ON OCCURRENCE
7.1    travel accident, exertion and movement .....................5                              OF AN INSURANCE EVENT ..................................... 11
7.2    injuries which are not covered as travel accidents.......5                           7     INDEMNIFICATION REGULATIONS ........................12
7.3    effect of illness, defect, injury or degeneration not
                                                                                            7.1   sum insured ...............................................................12
       related to travel accident ..................................................5
                                                                                            7.2   Debuctible ..................................................................12
8      TYPES OF COMPENSATION .....................................5                         7.3   coverable expenses ..................................................12
8.1    Medical expenses indemnity .............................................5            7.4   the amount and calculation of indemnity...................12
8.2    other indemnities included in medical expenses cover .........6                      7.5   expenses not coveres by the insurance ....................12
8.3    Daily benefit....................................................................7   7.6   other provisions concerning indemnity ......................12
8.4    Handicap benefit ............................................................7
                                                                                            GENERAL TERMS OF CONTRACT ..................................13
8.5    Death benefit ..................................................................7
                                                                                            1     KEY CONCEPTS .......................................................13
9      HOW TO MAKE A CLAIM ...........................................7
9.1    notication of an insurance event ..................................7                 2     DISCLOSURE OF INFORMATIONS PRIOR
9.2    Medical expenses indemnity ........................................7                       TO CONCLUDING THE INSURANCE
9.3    cancellation or interruption of a journey ......................7                          CONTRACT ...............................................................13
9.4    Missed departure or delay............................................7               2.1   insurance company’s obligation to disclose
9.5    Death............................................................................7         information (§§5 and 9) ..............................................13
9.6    loss investigation costs ...............................................7            2.2   policyholder’s and insured party’s obligation
                                                                                                  to disclose information (§§22, 23 and 24) .................13
LUGGAGE INSURANCE ......................................................8                   2.3   Failure to disclose information ...................................13
1      CONTENT OF INSURANCE .......................................8                        3     COMMENCEMENT OF THE INSURANCE
2      THOSE INSURED........................................................8                     COMPANY’S LIABILITY AND VALIDITY
3      PROPERTY INSURED ................................................8                         OF THE INSURANCE CONTRACT ..........................13
                                                                                            3.1   commencement of the insurance company’s
4      COVERABLE INSURANCE EVENTS .........................8                                      liability (§11) ...............................................................13
5      LOSSES EXCLUDED FROM COVER ........................8                                 3.2   Grounds for granting insurance (§10) ........................13
                                                                                            3.3   validity of the insurance contract ...............................14
6      SAFETY REGULATIONS ............................................8
6.1    Significance of safety regulations.................................8                 4     INSURANCE PREMIUM ..............................................14
6.2    protective measures against theft and burglary ...........8                          4.1   premium payment (§38 ..............................................14
6.3    other regulations..........................................................9         4.2   Delayed premium (§39)..............................................14
                                                                                            4.3   reinstatement of terminated insurance
7      INDEMNIFICATION REGULATIONS ..........................9                                    of the person (§43) .....................................................14
7.1    How to claim indemnity ................................................9             4.4   payment of a delayed non-life insurance
7.2    upper limits of indemnity ..............................................9                  premium (§42) ............................................................14
7.3    Indemnification alternatives..........................................9              4.5   refund of premium upon termination of a
7.4    Debuctible ....................................................................9           contract (§45) .............................................................14
7.5    Costs indemnified in addition to material damage .......9                            4.6   setoff against premiums to be returned .....................14
7.6    indemnity for loss or damage .......................................9                4.7   Fixed period insurance contract .................................14




                                                                                            this is a translation of the original Finnish terms and conditions,
                                                                                            which take precedence should there be any differences between the
                                                                                            original and the translation.

2
5       DISCLOSURE OF INFORMATION DURING                                                13   INSURANCE COMPANY’S RIGHT OF
        VALIDITY OF CONTRACT ........................................14                      RECOVERY (§75) .....................................................17
5.1     insurance company’s obligation to disclose                                      13.1 insurance company’s right of recovery
        information (§§6, 7 and 9) ..........................................14              vis-à-vis a third party ..................................................17
5.2     policyholder’s obligation to disclose information                               13.2 other cases of right of recovery under
        about any increase in risk ..........................................14              non-life insurance .......................................................17
5.3     Decrease in risk of loss ..............................................15       14 ALTERING AN INSURANCE CONTRACT ...............17
6       OBLIGATION TO PREVENT AND LIMIT LOSS                                            14.1 altering the terms of contract during the
        OR DAMAGE IN NON-LIFE INSURANCE ................15                                   insurance period.........................................................17
6.1     obligation to observe safety regulations                                        14.2 altering the terms of contract of a continuous
        (§§31 and 34) .............................................................15        policy at the end of an insurance period
6.2     obligation to prevent and mitigate loss or                                           (§§19 and 20) .............................................................17
        damage (duty of salvage) (§§32, 34 and 61) ............15                       14.3 effect of the index .....................................................17
6.3     Failure to observe the safety regulations and                                   15 TERMINATION OF INSURANCE CONTRACT .................17
        the duty of salvage under liability insurance                                   15.1 policyholder’s right to terminate the insurance
        (§§31 and 32) .............................................................15        (§12 ............................................................................17
7       CAUSING AN INSURANCE EVENT .........................15                          15.2 insurance company’s right to terminate the
7.1     insurance of the person .............................................15              insurance during the insurance period .......................17
7.2     non-life insurance (§§30 and 34) ...............................15              15.3 insurance company’s right to terminate the
7.3     occurrence of an insurance event under                                               insurance at end of the insurance period ...................18
        liability insurance (§§30 and 34) ................................15            16      RIGHTS OF A THIRD PARTY UNDER
8       IDENTIFICATION WITH ANOTHER                                                             NON-LIFE INSURANCE ............................................18
        PERSON UNDER NON-LIFE INSURANCE (§33) ...16                                     16.1    persons covered by property insurance (§62) ...........18
9       IRRESPONSIBILITY AND EMERGENCY (§36) .......16                                  16.2    position of the insured person after the
                                                                                                occurrence of an insurance event (§65).....................18
10 BENEFICIARY CLAUSE ...........................................16                     16.3    priority to payment from compensation (§66)
10.1 Beneficiary (§47) ........................................................16       16.4    entitlement to compensation of a person who
10.2 Form of the beneficiary clause ...................................16                       has suffered injury, loss or damage under
11   CLAIMS SETTLEMENT PROCEDURE ....................16                                         liability insurance (§67) ..............................................18
11.1 Duties of claimant (§§69 and 72) ..............................16                  16.5    right of appeal of a person who has suffered
11.2 time limitation on claims (§73) ..................................16                       injury, loss or damage under liability insurance
11.3 the insurance company’s obligations                                                        (§68) ...........................................................................18
     (§§7, 8, 9, 67, 68 and 70) ...........................................16           17      APPLICABLE LAW ...................................................18
11.4 setoff against compensation ......................................16
                                                                                        18      OTHER MATTERS COVERED BY THE
12   LODGING AN APPEAL AGAINST A DECISION                                                       INSURANCE CONTRACTS ACT ..............................18
     TAKEN BY THE INSURANCE COMPANY
     (§§ 8, 68 AND 74) ......................................................16
12.1 right to correct .........................................................16
12.2 Finnish Financial ombudsman Bureau and
     boards issuing recommendations ..............................16
12.3 District court ..............................................................17




                                                                                        this is a translation of the original Finnish terms and conditions,
                                                                                        which take precedence should there be any differences between the
                                                                                        original and the translation.
                                                                                                                                                                                 3
                                                      travel insurance
the insurance cover may include the following
types of travel insurance:
-     traveller’s insurance
-     luggage insurance
-     travel liability insurance
-     legal expenses travel insurance.

the insurance cover selected is stated in the
insurance policy.


                                                     coMMon provisions
1    TERRITORIAL SCOPE OF VALIDITY               insurance to cover any period in excess of         -	    war	 or	armed	 conflict.	 This	 restriction	
                                                 three months may be taken out through a                  will not be applied within 10 days
the insurance cover is valid abroad and in       supplementary agreement and at an additional             following the start of armed operations,
Finland as follows:                              premium.                                                 unless a major war is concerned or
-    on journeys abroad throughout the                                                                    the insured participated in the said
     world, unless otherwise stipulated in       3    EFFECT OF STAY ABROAD ON                            operations.
     the policy,                                      VALIDITY
-    in Finland, the insurance cover is valid                                                       through a supplementary agreement and at
     on journeys made to places which are        For the travel insurance cover to be valid, the    an additional premium, luggage insurance and
     more than a straight-line distance of       insured person must be resident in Finland for     medical expenses indemnity under traveller’s
     50 kilometres from the home, place of       over six months a year.                            insurance are also valid during war or armed
     work or study, and holiday home of the                                                         conflict. The supplementary agreement does
     insured. The insurance cover is not,        If the insured does not fulfil this requirement    not, however, extend the scope of cover to
     however, valid in the above-mentioned       for two years in a row, the travel insurance       major wars or situations where the insured
     places, nor on journeys between             cover will expire one year after the end of the    has participated in the said operations.
     them.                                       insurance period during which the insured for
                                                 the first time travelled abroad in order to stay   In the event of illness, injury or death occurring
2    PERIOD OF VALIDITY                          there for a period of over six months.             in connection with an aviation accident,
                                                                                                    traveller’s insurance does not, neither in
The insurance cover is valid on journeys         4    NUCLEAR ACCIDENT, WAR AND                     hobby nor in professional aviation, cover
lasting a maximum of three months. If an              AVIATION ACCIDENT                             pilots or any other persons who are members
unbroken journey lasts longer than this, the                                                        of the flight crew or persons carrying out
insurance cover will cease to be valid after     Cover is not provided for any loss or damage       other	duties	related	to	the	flight.
three months from the date of departure from     caused
Finland. An unbroken journey or stay abroad      -    by nuclear accident as described in
is not considered to have been interrupted            the Nuclear Liability Act, or caused by
through a 14-day visit to the insured person’s        material, equipment or weapons based
home country if the insured intends to return         on nuclear reaction or ionising radiation,
to the same destination.                              regardless of where the nuclear accident
                                                      occurred


                                                 traveller’s insurance
1    CONTENT OF INSURANCE                        traveller’s insurance at a time. The types         5.2 The insurance does not cover illness,
                                                 of compensation valid for these persons            injury or death sustained in the following
the insurance covers travel illness which        under 15 years of age are the same as those        types of sports or activities:
begins or travel accidents which occur during    chosen for the insured persons recorded in         -     combat, contact or self-defence sports,
the validity of the insurance.                   the insurance policy, excluding, however, the            such as judo, wrestling, boxing or
                                                 daily	benefit.	                                          karate
the following types of compensation may be                                                          -     strength sports
selected for the insurance                       3    BENEFICIARY                                   -     weightlifting movements
-    medical expenses indemnity for travel                                                          -     powerlifting movements
     illness or travel accident                  The policyholder may name a beneficiary            -     bodybuilding
-    daily benefit for travel accident           to whom any compensation is paid. such a           -     motor sports
-    handicap benefit for travel accident        beneficiary clause and relevant alterations to     -     airborne sports, such as parachuting,
-    death benefit for travel accident.          or cancellations of it must be submitted to the          gliding, hot air ballooning, hang-gliding
                                                 insurance company in writing.                            or	 flight	 in	 ultralight,	 experimental	 or	
Medical expenses indemnity includes not                                                                   home-built aeroplanes
only an expenses indemnity for travel illness    4    EFFECT OF THE INSURED’S AGE                   -     bungee jumping
or travel accident but also an indemnity for          ON VALIDITY                                   -     climbing sports, such as mountain,
cancellation or interruption of a journey,                                                                rock, ice or wall climbing
missed departure or delay, bodily injury due     a fixed-term traveller’s insurance can be          -     scuba diving or free diving
to an assault offence and repatriation of the    granted to persons under the age of 86.            -     freestyle skiing, speed and downhill
deceased in the event of death.                                                                           skiing, or skiing on unprepared slopes
                                                 continuous traveller’s insurance cover expires           or outside marked slopes
the types of compensation selected for each      at the end of the insurance period during which    -	    skimbat	or	kite	surfing
of those insured are stated in the insurance     the insured reaches the age of 70.                 -     ocean yachting
policy.                                                                                             -     research expeditions or treks to
                                                 5    VALIDITY IN SPORTS AND CERTAIN                      mountains, jungle, deserts or wilds, or
2    THOSE INSURED                                    OTHER ACTIVITIES                                    other uninhabited areas abroad.

those insured are the persons named in the       5.1 The insurance does not cover illness,          5.3 the insurance can also be extended to
insurance policy.                                injury or death sustained in sports games or       cover the sports and activities mentioned
                                                 matches arranged by a sports association or        above in section 5.2 (‘sports extension’)
those family members and grandchildren who       sports club, nor does it cover illness, injury     under a supplementary agreement and at an
are under 15 years of age and travel with the    or death sustained in training arranged            additional premium. the extension does not
insured are also covered under the traveller’s   according to a training programme or in            apply to sports games or matches arranged
insurance, but only under one Eurooppalainen     training typical of the sports.                    by a sports association or sports club; nor

                                                                                                    Please pay special attention to
                                                                                                    the restrictions printed in italics.


4
does it apply to training arranged according               covered according to section 8.1.4 of         -    the costs of acquiring medication sold
to a training programme or to training typical             these terms and conditions.                        in a pharmacy on the basis of a permit
of the sports.                                       -     suicide or attempted suicide.                      issued by the Finnish Medicines agency
                                                                                                              or an equivalent foreign authority
6     TRAVEL ILLNESS                                 Travel accidents do not include                     -    daily hospital charges
                                                     -    hernia of the intervertebral disk,             -    reasonable travel expenses to a local
6.1   Travel illness                                      abdominal or inguinal hernia, Achilles              physician or nursing institution
                                                          tendon rupture, or recurrent dislocation       -    necessary costs of repairing or replacing
Travel illness is defined here as any illness             unless the injury was caused by a travel            spectacles, a hearing aid, dentures or a
requiring medical treatment and which started,            accident that would also cause injury to            safety helmet in use and broken when the
or its first symptoms appeared, during the                healthy tissues                                     travel accident occurred, provided that
journey and for which medical treatment was          -    infectious diseases caused by a bite or             the accident called for medical treatment
given during the journey or within 14 days of             sting                                               and the repair or replacement took place
the end of the journey. the time limit of 14         -    the psychic consequences of an                      within two months of the occurrence of
days is not applied in the case of an infectious          accident.                                           the accident, at the latest
disease with a longer incubation period.                                                                 -    expenses incurred from physiotherapy
                                                     7.3   Effect of illness, defect, injury or               ordered by a physician and given in
6.2 The following are not covered as                       degeneration not related to travel                 a nursing institution if such therapy is
     travel illness                                        accident                                           necessary after surgical operations or
-     mountain sickness                                                                                       plaster treatments following a travel
-     illness caused by abuse of medicine or         The insurance does not cover illness, defect,            accident or travel illness. Per insurance
      use of alcohol or other intoxicant             injury, or degeneration of the musculoskeletal           event, the insurance covers one
-     pregnancy, child birth or termination          system, which are not related to a travel                physical treatment period which may
      of pregnancy or related illnesses or           accident, even if they had been symptomless              include a maximum of ten (10) treatment
      complications, unless it is a sudden           before the accident. If these factors not                sessions.
      change in the pregnancy that requires          related to the travel accident have materially
      immediate care during the journey and          contributed to the emergence of the injury          the following are also covered as treatment
      if the change according to general             sustained during the journey or its delayed              expenses
      medical experience was not likely or           recovery, medical expenses indemnity, daily         -    necessary telephone charges incurred
      predictable                                    benefit	and	handicap	benefit	 are	 only	 paid	           during the journey up to eur 170
-     infertility examination or treatment and       insofar as the treatment expenses, disability       -    necessary expenses for purchase
      related complications.                         or permanent handicap are deemed to have                 of essential commodities related to
                                                     been caused by the travel accident.                      the medical treatment up to eur 170,
7     TRAVEL ACCIDENT AND                                                                                     provided that such commodities are not,
      RESTRICTIONS                                   8     TYPES OF COMPENSATION                              according to local practice, included in
                                                                                                              the hospital treatment.
7.1   Travel accident, exertion and                  8.1   Medical expenses indemnity
      movement                                                                                           The insurance company may demand that
                                                     8.1.1 right to medical expenses indemnity           the insured be transported, at the insurance
7.1.1 travel accident                                the right to medical expenses indemnity arises      company’s expense, back to Finland for
                                                     when treatment expenses are incurred from a         treatment if local treatment would otherwise
a travel accident is a sudden, external              travel illness or travel accident sustained by      cause substantially higher expenses as
occurrence which is beyond the control of the        the insured.                                        compared to similar treatment in Finland. If
insured, which takes place during the journey                                                            the insured does not accept the suggested
and which causes bodily injury.                      Treatment expenses incurred from a travel           arrangement, the insurance company
                                                     illness are covered for a maximum of 120            undertakes to indemnify for expenses
the following are also considered to be travel       days from the onset of treatment. Treatment         incurred from treatment given abroad up to an
accidents: unintentional drowning, heatstroke,       expenses incurred from a travel accident are        amount corresponding to expenses incurred
sunstroke, hypothermia, injury caused                covered for a maximum of three years after          from repatriation of the insured to Finland and
by considerable variation in atmospheric             the accident.                                       treatment given in Finland.
pressure, gas poisoning sustained by the
insured, and poisoning caused by a substance         treatment expenses incurred from a sudden           If it becomes evident that the expenses for
taken inadvertently.                                 worsening of an existing illness or a sudden        which indemnity is claimed clearly exceed the
                                                     change in the state of the illness during the       generally accepted and reasonable level, the
7.1.2 exertion and movement                          journey are also covered insofar as such a          insurance company has the right to lower the
                                                     change or worsening was not likely or expected      amount of indemnity but not, however, under
in addition to travel injuries, the insurance also   on the basis of general medical experience.         the reasonable level.
covers strain injuries of muscles and ligaments      In these cases, only acute, emergency-type
immediately caused during the journey by a           treatment given at the destination for a            costs incurred by the insured person using
sudden, particular and singular exertion and         maximum of one week from the outset of              his/her own car are covered as reasonable or
movement, for which medical treatment was            treatment is covered.                               necessary expenses to the maximum amount
given within 14 days of the occurrence of the                                                            of motor vehicle travel costs specified under
injury.. indemnity is paid for a maximum of          treatment expenses are covered insofar as           the decree issued by the Ministry of social
six weeks from the occurrence of the strain          they do not give or would not have given            affairs and Health on the basis of the Health
injury. neither Mri scans nor surgery will be        entitlement to reimbursement under the              insurance act.
indemnified as treatment expenses following          Health Insurance Act or under some other
a strain injury caused by sudden exertion and        legislation.                                        subject to the insurance company’s advance
movement.                                                                                                approval, coverable treatment expenses for
                                                     in any one insurance event, the deductible          travel illness or travel accident also include
7.2   Injuries which are not covered as              stated in the insurance policy is subtracted        -     expenses for repatriation of the insured
      travel accidents                               for any single illness or accident.                       patient and travel and accommodation
                                                                                                               expenses for an escort where
the concept ‘travel accident’ does not include       8.1.2 coverable treatment expenses                        necessary
injury caused by                                     treatment expenses are covered provided that        -     travel expenses for one close relative to
-     an insurance event arising from an             the examination or treatment of illness or injury         visit the insured and return home, plus
      illness, defect or injury of the insured       is prescribed by a physician. in addition, the            accommodation, but only if the insured
-     operation, treatment or other medical          examination or treatment procedures must be               is fatally ill or injured according to the
      procedure, unless the procedure is             in accordance with generally accepted medical             physician in charge
      undertaken in order to treat an injury         practice and necessary for the treatment of the     -     expenses other than the above, provided
      caused by a coverable travel accident          illness or injury in question.                            that the measures taken by the insured
-     poisoning due to medicine, alcohol or                                                                    have minimised further coverable loss or
      other intoxicant used by the insured or        these coverable treatment expenses include                reduced coverable expenses.
      due to a substance taken as food               -   reasonable fees for examination and
-     biting on a tooth or dentures, even though         treatment procedures carried out by
      an external factor has contributed to the          physicians or healthcare professionals
      damage. Dental injuries, however, are




                                                                                                                                                     5
8.1.3 expenses which are not covered                -     in case of cancellation of tours arranged              treatment of the travel illness or injury
Coverable treatment expenses do not                       in compliance with the special terms and               requires, on the order of a physician,
include                                                   conditions referred to in the general                  the guardian’s assistance, the guardian
-    expenses incurred from physiotherapy,                terms and conditions for package tours,                is correspondingly indemnified for travel
     physical treatment or other comparable               reasonable expenses are covered, but                   days lost.
     treatment with the exception of the                  no more than 75% of the tour price.
     situations	specified	in	the	last	item	of	                                                             For any one period, indemnity is paid only
     section 8.1.2 above                            For cancellation of other travel services,             for hospitalisation or for untimely return, not
-    expenses incurred from rehabilitation          contractual expenses paid in advance are               both. Indemnity is paid for a maximum of
     if treatment is given elsewhere than in        covered up to a maximum total of eur 1,000             45 days, but not exceeding the price of the
     a medical institution                          per journey and per insured person.                    journey paid in advance. Indemnity is not paid
-    costs of acquiring micronutrient,                                                                     if the journey has lasted over 90 days at the
     mineral, nutritive, medicinal or vitamin       Cancellation of a journey is not covered if            time the loss occurs.
     preparations, basic creams or lotions,         -   the insurance contract has been
     or anthroposophic or homeopathic                   concluded later than three days prior              the number of travel days is calculated in full
     products                                           to the beginning of the journey                    24-hour periods as of the moment the journey
-    medical equipment, other aids or               -   the reason for the cancellation became             begins. the lost travel days are calculated
     artificial	limbs                                   apparent before entering into the                  correspondingly, as of the commencement
-    expenses arising from treatment of an              insurance contract                                 of hospital treatment or of interruption of the
     addiction to drugs, alcohol, medicine,         -   the reason for the cancellation became             journey until hospital treatment ceased, but not
     nicotine or other similar substance,               apparent before the reservation or                 beyond the date the journey was scheduled
     or from treatment of other types of                payment of the journey                             to end. if the last full period calculated in
     addiction                                      -   the sudden illness was caused by                   this manner is exceeded by 12 hours, the
-    costs of acquiring orthopaedic bandages            abuse of medicine or use of alcohol or             remainder is also considered a full day.
     and braces.                                        intoxicant, or
                                                    -   the reason for the cancellation was the            if an insured who has been on a package tour
8.1.4 treatment expenses incurred from dental           insured’s fear for contagious diseases             lasting no more than 90 days is entitled to a
injury and acute toothache                              or his/her other phobia.                           per diem indemnity for lost travel days and he/
coverable treatment expenses for dental injury                                                             she has lost over half of his/her travel days,
caused by a travel accident consist of necessary    8.2.2 indemnity for interruption of a journey          he/she can be given a new tour instead of the
expenses incurred from the treatment or             interruption of a journey is an alteration in a        per diem indemnity if he/she so wishes.
examination of the injury, provided that this       jouney already begun, if the alteration is due
is carried out or prescribed by a dentist, plus     to a compelling reason, such as                        a new tour will also be given to a spouse or
reasonable local travel expenses.                   -     an illness or an accident suffered by            common-law spouse who accompanied the
                                                          the insured during the journey. the              insured on the journey and lost more than half
expenses incurred from treatment of injury                compelling nature of the reason is               of his/her travel days due to untimely return
caused by biting on a tooth or dentures,                  assessed on medical grounds.                     as a result of his/her spouse’s travel illness
including reasonable local travel expenses,         -     substantial loss of or material damage           or accident, provided that he/she held a valid
are covered up to a maximum total of eur                  to the insured’s property in Finland.            traveller’s insurance with eurooppalainen.
120.                                                                                                       When a child under 15 years of age is
                                                    the insured’s untimely return from the journey         entitled to a new package tour, one of that
expenses incurred from necessary treatment          will only be covered if the travel illness or travel   child’s parents who accompanied him/her on
of sudden toothache, including reasonable           accident is of such a nature that on medical           the interrupted tour will also be entitled to a
local travel expenses, are covered up to a          grounds the treatment requires the insured to          new tour, provided the said parent also held a
maximum total of eur 120, provided that the         return to Finland.                                     traveller’s insurance with eurooppalainen.
toothache began and treatment was given
during the journey.                                 Furthermore, the insured is entitled to                A replacement tour is a journey arranged by
                                                    indemnity if the untimely or delayed return to         the same tour operator, the price of which
8.2   Other indemnities included in                 Finland is caused by a compelling reason such          must not exceed the total price for the
      medical expenses cover                        as a serious, unexpected and sudden illness,           interrupted journey or the journey lost due
                                                    a serious accident or death suffered by the            to hospitalisation. The maximum amount of
8.2.1 indemnity for cancellation of a journey       insured’s spouse or co-resident common-law             indemnity for a new journey is EUR 2,550
the insurance covers cancellation of a journey,     spouse, child, adopted or foster child, child of       per person entitled to a replacement tour. a
i.e. prevention of the insured’s departure from     spouse or common-law spouse, grandchild,               replacement tour may also be a tour organised
Finland due to a compelling reason, such as         parents, parents-in-law, adoptive parents or           by some other operator, should the original
-      sudden illness, accident or death suffered   grandparents, siblings, siblings of spouse or          operator not be able to provide a new tour.
       by the insured. the compelling nature        common-law spouse, daughter- or son-in-law,
       of the reason is assessed on medical         or a single companion with whom the insured            The new journey must begin within one year
       grounds.                                     has jointly in Finland reserved a journey that         of	 the	 first	 day	 of	 the	 interrupted	 journey.	
-      substantial loss of or material damage       departs from Finland. the compelling nature of         The new journey is personal and cannot be
       to the insured’s property in Finland.        the reason is assessed on medical grounds.             transferred to another person.

Furthermore, the insured is entitled to             Where a journey is interrupted, the insurance          A package tour is defined here as a journey
indemnity if the cancellation of the journey        covers                                                 which is subject to the general terms and
is caused by a compelling reason such as            -    unavoidable additional travel and                 conditions of package tours or corresponding
a serious, unexpected and sudden illness,                accommodation expenses incurred by                foreign terms and conditions.
a serious accident or death suffered by the              the insured during the journey
insured’s spouse or co-resident common-law          -    reasonable travel expenses approved               8.2.3 indemnity for missed departure
spouse, child, adopted or foster child, child of         by the insurance company for a new                The insured is indemnified for missed departure
spouse or common-law spouse, grandchild,                 journey to the same destination if such           if he/she fails to arrive at the departure point
parents, parents-in-law, adoptive parents or             a journey takes place during the validity         for a flight or a boat, train or bus journey to a
grandparents, siblings, daughter- or son-in-law,         of the insurance and is necessary                 foreign destination or the departure point for
or a single companion with whom the insured              because of work or continuing studies             a connecting flight to a foreign destination
has jointly in Finland reserved a journey that           in an educational institution                     because
departs from Finland. the compelling nature of      -    unused services, excursions and travel            -     a public conveyance on which the insured
the reason is assessed on medical grounds.               at the destination for which the insured                intended to travel or on which he/she
                                                         has paid separately in advance, up to a                 was travelling to the above departure
in the event of cancellation, the insurance               maximum total of EUR 1,700                             point is delayed due to weather, natural
covers any costs paid in advance for which the      -     eur 43 per day for travel days lost if a               catastrophe, technical malfunction,
insured is liable in view of the tour operator’s          journey is interrupted due to hospital                 criminal act or action by an authority,
conditions, as follows:                                   treatment or untimely return of the                    or
-    in case of cancellation of package tours             insured. Indemnity for days lost on              -     the vehicle used by the insured is
     arranged in compliance with the package              account of hospital treatment is only                  involved in a road accident or develops
     travel act, office expenses as per t h e             paid to an insured who is hospitalised.                a technical malfunction.
     general terms and conditions of package              if the insured who is hospitalised
     tours.                                               is under 15 years of age and the




6
if the insured is late, the insurance covers the       Disability is total if the insured is wholly unable   9     HOW TO MAKE A CLAIM
necessary and reasonable expenses required             to carry out his/her normal activities at work,
to make sure the insured will be able to depart        and partial if the insured is partially unable to     9.1	 Notification	of	an	insurance	event	
for a foreign destination as scheduled, but not        carry out these activities.
more than the price of that leg of the original                                                              the claimant must notify the insurance
journey that was cancelled. These expenses             The benefit is paid for as many days as the           company of the insurance event in writing. this
are only covered up to a maximum of EUR                disability continues in excess of the qualifying      can be done by filling in a traveller’s insurance
1,700.                                                 period mentioned in the policy. The qualifying        claim form.
                                                       period	begins	on	the	first	day	of	the	disability	
if the insured is too late to take part in a journey   as stated by a physician.                             the company must also be provided with an
to a foreign destination, the price of the journey                                                           address for payment of compensation, and
that was cancelled because of the delay will           Benefit for any single accident is paid up            where necessary, a travel ticket or other
be covered or, in the event that the journey           to the maximum period mentioned in the                documentation concerning the journey.
is only partly cancelled, the part of the price        policy.
for the entire journey that corresponds to the                                                               9.2   Medical expenses indemnity
cancelled part of the journey. These expenses          8.4	 Handicap	benefit	
are, however, only covered up to EUR 1,700.                                                                  the claimant must him/herself pay the medical
                                                       The right to handicap benefit arises if the           treatment expenses due to travel illness and
Indemnity will not be paid to the extent that          insured suffers permanent handicap caused             travel accident sustained in Finland and
the insured is paid compensation for the same          by a travel accident which occurred during            claim reimbursement of the expenses under
reason by the tour operator, transport service         the validity of the handicap benefit cover and        the Health insurance act. claims under the
contractor, hotel or corresponding party.              the permanent handicap has continued for              Health insurance act must be submitted to
                                                       three months.                                         the social insurance institution within six
8.2.4 indemnity for delay                                                                                    months of paying the expenses. the claimant
indemnity is paid to the insured if he/she is          permanent handicap refers to a medically              must provide the insurance company with the
delayed more than six hours at the departure           assessed general handicap which the insured           original receipt for the reimbursement paid by
or return location of a journey to a foreign           has incurred through an injury and which,             the social insurance institution, plus copies
destination owing to the insured being unable          according to medical prognosis, is unlikely to        of original receipts submitted to the social
to use the intended public conveyance for              be healed. in determining the handicap, only          insurance institution. originals of the receipts
reasons mentioned under section 8.2.3.                 the nature of the injury is taken into account.       for expenses which have not been reimbursed
expenses compensation up to a maximum of               The individual circumstances of the injured           under the Health insurance act or some other
eur 34 is paid for each 6-hour period or part          person, such as his/her profession or leisure-        law, must also be submitted to the insurance
thereof exceeding the qualifying period. Such          time pursuits, do not affect the determination        company.
compensation is paid up to a maximum of eur            of the handicap.
340 per insured.                                                                                             For medical treatment expenses incurred
                                                       the degree of handicap is determined in               elsewhere than in Finland, the claimant must
8.2.5 indemnity for bodily injury due to an            accordance with the handicap classification           submit to the insurance company the original
assault offence                                        decision made by the Ministry of social affairs       invoices or receipts concerning the travel
if the insured has suffered bodily injury abroad       and Health on the basis of the Workers’               illness or travel accident.
as a result of assault or some other intentional       compensation insurance act and valid when
act of violence, he/she is indemnified for pain        the accident occurred. injuries are divided           9.3   Cancellation or interruption of a
and suffering and loss of earnings only to the         into handicap classes 1-20, with class 20                   journey
extent that the tort-feasor is, or would be, liable    corresponding to full handicap and class 1 to
to pay in accordance with Finnish legislation.         the smallest coverable handicap. The smallest         the claimant must submit to the insurance
The maximum indemnity is EUR 42,500.                   handicap as per class 1 only applies to eye           company the original receipts for additional
                                                       and	 finger	 injuries	 in	 accordance	 with	 the	     expenses, an extract from the population
Indemnity is paid only where the tort-feasor is        handicap	classification	decision.                     register for evidence of family relationship, and
unknown or found unable to pay damages.                                                                      any other documents related to the insurance
                                                       The benefit for full, permanent handicap as           event.
if the tort-feasor is summoned before a court,         per class 20 is paid as a lump sum equal to
the insured must claim damages from him/               the sum insured valid at the time the travel          For payment of indemnity for lost travel days,
her if the insurance company so requires. In           accident occurred. For partial, permanent             the claimant must also submit documents
such cases, the insurance company will pay             handicap, the benefit is paid as a lump sum           indicating the insured’s planned date of return
the insured’s legal expenses.                          equal to as many twentieths of the sum insured        from the journey.
                                                       as indicated by the handicap class. In the case
The insurance does not cover                           of family members and grandchildren under             9.4   Missed departure or delay
-    bodily injury caused by a person referred         15 years of age as referred to in section 2, the
     to under section 8.2.1                            sum insured is EUR 8,500 per insured.                 the claimant must submit to the insurance
-    bodily injury which occurred while the                                                                  company a statement on the insurance event
     insured was pursuing his/her profession           Permanent handicap is determined within               given by the transport service contractor or
     or carrying out his/her duties, or bodily         three years of the travel accident, at the            relevant authority.
     injury which otherwise occurred in                latest.
     connection with gainful employment.                                                                     if compensation is claimed for a missed
                                                       if the degree of handicap changes by at               or delayed departure, the insured must
8.2.6 indemnity for repatriation of the                least two handicap classes before three               also submit original receipts for expenses
deceased                                               years have elapsed since the payment of the           incurred.
if the insured dies during the journey, the            benefit, the amount of benefit must be revised
insurance will cover reasonable expenses for           correspondingly. However, no benefit already          9.5   Death
repatriation to Finland or reasonable funeral          paid will be recovered.
expenses abroad. these expenses will be paid                                                                 For payment of death benefit, the claimant
regardless of the cause of death.                      8.5	 Death	benefit	                                   must submit to the insurance company the
                                                                                                             death certificate for the insured, a record of
8.3	 Daily	benefit	                                    The right to death benefit arises if the insured      any police investigation and extracts from
                                                       dies owing to a travel accident which occurred        the population register, or equivalent, on the
the right to daily benefit for a period of             during the validity of the death benefit cover.       beneficiaries.
disability arises when the insured suffers loss        The benefit paid is equal to the sum insured
of working capacity due to a travel accident           valid when the travel accident occurred.              For payment of indemnity for repatriation or
which occurred during the validity of the daily                                                              funeral expenses abroad, the claimant must
benefit cover.                                         In the case of family members and                     submit to the insurance company the original
                                                       grandchildren under 15 years of age as                invoices or receipts for such expenses.
the compensation paid for total disability is          referred to in section 2, the sum insured is
the daily benefit valid at the time the accident       EUR 1,700 per insured.                                9.6 loss investigation costs
occurred, and the compensation paid for
partial disability is the proportion of the daily      The	benefit	is	not	paid	if	the	insured	dies	after	    under loss investigation costs, the insurance
benefit corresponding to the loss of working           three years have elapsed since the accident           covers the fee for a police investigation report
capacity.                                              occurred.                                             and the estimate of repair costs required by the
                                                                                                             insurance company, and the cost for emergency
                                                                                                             or claims settlement services approved by the
                                                                                                             insurance company in advance.


                                                                                                                                                          7
                                                          luGGaGe insurance
1    CONTENT OF INSURANCE                           5     LOSSES EXCLUDED FROM COVER                    Keys to the home, accommodation facilities
                                                                                                        or storage spaces must not be left or hidden
the insurance covers the insured luggage            The insurance does not cover                        in the vicinity of these places. the lock must
against material damage during the validity         –    any loss arising from the loss of              be changed immediately or re-keyed if there
of the insurance.                                        payment instruments and securities or          is cause to believe that the key is held by an
                                                         from leaving them behind                       unauthorised person.
2    THOSE INSURED                                  –    any loss arising from the ordinary use
                                                         of goods, or damage to goods caused            When property is kept in a hotel room,
those insured are the policyholder and persons           by	 insufficient	         covering,	wear	      passenger cabin or similar accommodation
residing permanently in the same household as            and tear,       chafing, scratching,           space, any valuables or objects or equipment
the policyholder, unless otherwise stipulated            corrosion or other comparable gradual          worth more than eur 800 must be kept in a
in the insurance policy.                                 phenomenon                                     fixed and separately locked space. In these
                                                    –    any loss arising from an action taken by       safety regulations, valuables include jewellery,
3    PROPERTY INSURED                                    the authorities                                precious metal objects, furs, valuable
                                                    –    any loss which is covered under some           collections and works of art.
luggage means property of the insured taken              special legislation, guarantee or other
along on or acquired during a journey. The               insurance                                      6.2.2 property outside the home,
insurance covers luggage up to the maximum          –    sports equipment or sports gear                accommodation facilities and related storage
total of the sum insured stated in the insurance         occurring while being used for its             spaces
policy.                                                  intended purpose, except where the             property accompanying the insured must be
                                                         loss or damage is caused by negligence         continuously supervised. the insured must
instruments of payment and securities are                of a third party                               not leave his/her accompanying property or
considered luggage up to a total of eur 85          –    theft of valuables kept in a motor             luggage unattended in public places such as
when carried by the insured, and up to a total           vehicle, trailer, boat, outside boot of        streets, bus and railway stations, marketplaces,
of eur 500 if kept in a locked safedeposit               a motor vehicle or trailer, pannier of a       restaurants, shops, lobbies of hotels or other
box.                                                     vehicle or a tent                              accommodation establishments, beaches,
                                                    –    theft of optical instruments, electronic       sports fields, public conveyances, popular
Restrictions:                                            equipment and electric tools kept in a         tourist sites and public assemblies.
the following are not considered to be                   trailer, outside boot of a motor vehicle
luggage:                                                 or trailer, pannier of a vehicle or a          any accompanying property left unsupervised
–    motorised vehicles, caravans or other               tent. However, this exclusion does not         must be stored in a locked, fixed storage space
     trailers, watercraft or aircraft, or any            apply to theft of optical instruments,         which cannot be entered without damaging the
     parts or accessories thereof, with                  electronic equipment and electric tools        structures or locks of the storage space.
     the exception of keys to motorised                  from caravans.
     vehicles                                       –    any loss arising from luggage                  When storing moveable property in a motor
–    sailboards or sails thereof                         disappearing or being left behind.             vehicle, trailer, boat, outside boot of a vehicle
–    merchandise, samples of goods,                                                                     or trailer or pannier of a vehicle, these must
     advertising material, commercial               valuables include jewellery, precious metal         be locked. the property must also be placed
     or educational films or tapes,                 objects, furs, valuable collections and works       or covered in such a way that it cannot be
     photographs, drawings, or program              of art.                                             seen by an outsider, unless he/she breaks into
     diskettes                                                                                          the storage space. the boot or pannier must
–    tools used in gainful employment, tele-        the insurance does, however, cover loss             be locked or fastened to the vehicle or trailer
     and	photocopiers,	or	files	and	software	       up to eur 120 arising from luggage, other           in such a way that it cannot be unfastened
     contained in IT equipment                      than payment instruments and securities ,           without using tools. a trailer used for storing
–    manuscripts, collections and their             disappearing or being left behind, provided         property must be locked with a device which
     parts                                          that the time, place and circumstances of           prevents it from being coupled to a drawing
–    removal goods or separate consignments         the loss can be defined, that the loss was          vehicle or locked in such a way that it is clearly
–    animals or plants.                             noticed during the journey at the place             difficult to move.
                                                    where it occurred and that an outsider was
4    COVERABLE INSURANCE EVENTS                     demonstrably and immediately informed of the        When storing a child’s pram outside the
                                                    loss. if luggage left in the custody of the tour    home, accommodation facilities or related
4.1 The insurance indemnifies for any direct        operator or corresponding party is lost, the loss   storage spaces, the pram must be kept under
material damage caused by some sudden and           is covered to its full amount, though not beyond    supervision or be locked in such a way that it
unforeseeable occurrence during the validity        the maximum of the sum insured.                     is clearly difficult to move.
of the insurance.
                                                    6     SAFETY REGULATIONS                            property must not be left in tents without
4.2 irrespective of the sum insured, the                                                                supervision.
insurance covers                                    6.1	 Significance	of	safety	regulations	
-    any reasonable expenses incurred in                                                                in public conveyances, cash, other payment
     searching for lost luggage, provided the       The insured must comply with the safety             instruments, securities and valuables must be
     luggage had been entrusted to a hotel,         regulations given in the insurance policy,          carried as hand luggage. valuables include
     haulage or transport company, tour             insurance terms and conditions, or otherwise        jewellery, precious metal objects, furs, valuable
     operator or similar                            provided in writing. If the insured fails to        collections and works of art.
-    any reasonable costs incurred by the           comply with the safety regulations, any
     insured in taking action to limit or prevent   compensation payable to him/her may be              cash, other payment instruments and
     loss that has occurred or is imminent and      reduced or denied under section 6 of the            securities must not be left in a hotel room,
     that is coverable under this insurance         General Terms of Contract.                          passenger cabin or similar accommodation,
-    expenses caused by acquiring                                                                       and they must be carried as hand luggage in
     ecessities when luggage handed in for          6.2   Protective measures against theft             public conveyances.
     transportation is delayed at least two               and burglary
     hours after the insured has reached the                                                            Bank, credit or similar payment cards must not
     destination of his/her outward journey.        6.2.1 property in the home, in accommodation        be kept in the same place as their respective
     These	expenses	will	be	indemnified	up	         facilities and in related storage spaces            codes or be used in such a way that an
     to a maximum of EUR 85 per day or part         the doors, windows, hatches and other               unauthorised person may discover the code.
     thereof and to a maximum total of EUR          entrances to storage spaces for moveable
     340 per person insured.                        property must be closed in a manner providing       6.2.3 Further regulations concerning sports
-    travel, accommodation and telephone            protection against theft and burglary. the          and leisure equipment
     costs incurred from the theft of travel        closing must be effected in such a way that         Bicycles must be protected against theft by a
     tickets, visa or passport during a journey     the storage space cannot be entered without         properly functioning safety lock.
     up to a maximum of eur 170 in total.           damaging the structures or locks of the storage
                                                    space.                                              If skis, snowboards or other sports equipment
                                                                                                        covered by luggage insurance have to be left




8
unsupervised out of doors or in public areas,        7.2   Upper limits of indemnity                    replacement value, which refers to the cost of
they must be locked to a stand intended for this                                                        acquiring new identical or equivalent property.
purpose, or to other suitable fixture.               The upper limit of the insurance company’s         If the value of the property has depreciated
                                                     liability to indemnify is the replacement value    by more than 50% of its replacement value as
6.3   Other regulations                              or current value of the property.                  a result of age, use, decrease in usability or
                                                                                                        similar cause, the amount of the indemnity is
the instructions for use issued by the               The maximum indemnity payable is the sum           based on the current value of the property.
manufacturer, seller or importer of the product      insured as recorded in the insurance policy.       current value refers to the market value of
must be observed.                                                                                       the property before the loss occurred. The
                                                     the sum insured is reduced by the amount of a      value of the property subject to age reduction
Fragile objects must be carried as hand              claim paid. (this does not apply to a continous    is, however, determined on the basis of the
luggage in public conveyances.                       policy).                                           age of property items as indicated in section
                                                                                                        7.6.2.
corrosive and staining substances and                7.3	 Indemnification	alternatives	
bottles and packages containing liquids must                                                            Indemnity based on replacement value requires
be packed safely and separately from other           Primarily, damaged property is indemnified         that either the damaged property be repaired
accompanying property.                               by having the damaged object repaired. If          or that it be replaced by new property of the
                                                     the repair costs exceed the value of the           same type or property intended for the same
if an object has been damaged or lost in transit     property determined in accordance with these       purpose within two years of the insurance
or during storage, the damage or loss must           indemnification	 regulations,	 the	 indemnity	     event.
be duly reported to and a claim filed with a         will not exceed the value of the property.
representative of the haulage or transport           the expenses for restoring the damaged             indemnity based on replacement value is
company.                                             property to the condition preceding the loss       paid in two instalments. Indemnity is paid first
                                                     are indemnified as repair costs.                   on the basis of current value. an additional
7     INDEMNIFICATION REGULATIONS                                                                       indemnity, which is the difference between
                                                     Expenses for renovation or other                   the indemnities based on replacement value
7.1   How to claim indemnity                         improvements made in connection with the           and current value, is paid when the insurance
                                                     repair	are	not	indemnified.	                       company has received a report on the
7.1.1 Notification of an insurance event                                                                acquisition of a new object.
the claimant must immediately notify the             The insurance company is entitled to acquire
insurance company of an insurance event.             equivalent property or repair the damaged          should the property still have some value
This can be done by filling in the insurance         property instead of paying the indemnity in        after the loss, this is taken into account as
company’s loss report form.                          cash. If, however, the indemnity is paid in        a deduction in calculating the indemnity. the
                                                     cash, the maximum amount of indemnity is           residual value is defined on the same bases
the claimant must provide the insurance              determined on the basis of the amount which        as the pre-loss value.
company with the documents and information           the company would have paid the seller for
necessary for the assessment of the insurance        the object or the repairer for the repair costs.   7.6.2 age reduction on indemnity for loss or
company’s liability. these include documents         When assessing the amount of indemnity, all        damage
and information which confirm the occurrence         cash, wholesale, special and other discounts       The following annual reductions are made
of loss, the extent of the loss, and the recipient   to which the insurance company would               from the replacement value, beginning with
of indemnity. examples of such documents             have been entitled if it had acquired similar      the second year of use:
are a police investigation report, a notice of a     property or had the property repaired are
crime and a receipt for the acquisition of the       taken into account.                                Property items Age reduction per year, %
damaged object. any crime must be reported                                                              - household appliances               10
to the police without delay.                         the insurance company is entitled to redeem        - digital cameras                    20
                                                     the damaged property or part of it at a value      - other electronic appliances
7.1.2 Documents and the cost of obtaining            determined using the same criteria as before         and optical instruments            10
them                                                 the insurance event.                               - bicycles, motor tools and
The claimant must, if so requested, provide the                                                           machinery and outboard motors      10
insurance company with a police investigation        if part of the lost property is recovered after    - IT equipment (computers),
report. the insurance company will refund the        payment of indemnity, the policyholder must          mobile phones with accessories
costs of the police investigation report and any     immediately surrender that property to the           and other data terminal equipment  25
other official documents it has requested for        insurance company or return the relevant           - spectacles, clothes, accessories,
the claims handling.                                 indemnity.                                           footwear, sports equipment and
                                                                                                          sports gear                        25
When the insured claims indemnity for a              7.4   Deductible
loss due to theft of a bicycle, the loss report                                                         the reduction is computed by multiplying the
submitted to the insurance company must be           In all insurance events, the insured is            percentage figure by the number of full calendar
accompanied by the police official’s copy of         responsible for a certain amount of the loss,      years following the year the equipment was
the crime report filed.                              i.e.	the	deductible,	which	is	specified	in	the	    first used. In addition to the reductions, the
                                                     insurance policy.                                  deductible specified in the insurance policy
the insurance company will indemnify for the                                                            will also be subtracted.
costs arising from any repair cost estimate it       7.5	 Costs	indemnified	in	addition	to	
may require.                                              material damage                               the age reduction is not applied to the costs
                                                                                                        stated in the repair bill or written repair estimate
7.1.3 investigation of loss or damage and            7.5.1 costs arising from limiting the loss         for the object. the indemnity for repair costs
safekeeping of the damaged object                    in addition to direct material damage and          must not, however, exceed the value of the
the insurance company must be given the              regardless of the amount of the sum insured,       property as specified in this section.
opportunity to assess the loss or damage. the        the insurance indemnifies for reasonable
fact that the insurance company inspects or          costs incurred by the insured in taking action     7.6.3 Depreciation and sentimental value
assesses the loss does not prove that the loss       to limit or prevent loss that has occurred or      Depreciation	is	not	indemnified.	Depreciation	
is coverable under the insurance.                    is imminent and that is coverable under this       means that the current value of the damaged
                                                     insurance.                                         property has declined, even though the
A damaged object must not be disposed of                                                                property has been restored after the loss to
without special reason. Spectacles broken            7.6   Indemnity for loss or damage                 the condition preceding the loss. Differences
beyond repair must be handed in to the                                                                  in the shade of colour are not taken into
insurance company when submitting the                7.6.1 replacement, current and residual            account when the amount of indemnity is
claim.                                               values                                             assessed, nor are sentimental or other such
                                                     in the event of loss of or damage to luggage,      values.
                                                     the amount of indemnity is based on the




                                                                                                                                                        9
                                                    travel liaBility insurance
the travel liability insurance is subject to         3    LOSSES EXCLUDED FROM COVER                     is liable to pay damages, negotiate with the
the common provisions for travel insurance                                                               claimant and pay the indemnity required by
policies.                                            The insurance does not cover                        the loss.
                                                     3.1 loss or damage caused
1     THOSE INSURED                                  -     to the insured                                4.2 the insured must provide the insurance
                                                     -     to the insured’s employee or the              company with an opportunity to assess the
those insured are the policyholder and persons             equivalent insofar as the person              amount of loss or damage and to reach an
residing permanently in the same household as              concerned is entitled to compensation         amicable settlement.
the policyholder, unless otherwise stipulated              under statutory workers’ compensation
in the insurance policy.                                   or motor liability insurance.                 Restriction:
                                                                                                         If the insured makes good the loss, agrees
2     COVERABLE INSURANCE EVENTS                     3.2 loss of or damage to property which,            thereon or accepts the claim, this will not be
                                                     when the act or negligence causing the              binding on the insurance company, unless
2.1 the insurance covers any bodily injury or        loss or damage took place, is or was in the         the amount and basis of the damages are
material damage that the insured, as a private       possession of, at the personal disposal             manifestly correct.
individual, causes to a third party in the course    of, borrowed by, stored with or otherwise
of a journey and for which the insured is liable     handled by or in the care of the insured or         4.3 if damages coverable under this
under existing law, provided that the liability      a person residing permanently in the same           insurance are demanded from the insured
derives from an act or negligence that has           household as the insured                            in legal proceedings, the insured must
taken place during the insurance period.                                                                 immediately notify the insurance company of
                                                     3.3 loss or damage for which the insured            the proceedings. the insurance company will
2.2 loss or damage caused by a child is              is liable only by virtue of an agreement,           handle the legal proceedings at its own cost on
covered even when the child is not liable to pay     engagement, promise or guarantee                    behalf of the insured insofar as they concern
damages because of his/her age. contrary to                                                              the said damages.
section 7 of the General terms of contract, the      3.4 loss or damage for which the insured is
insurance also covers wilful loss or damage          liable in the capacity of owner or possessor        Restriction:
caused by a child under the age of 12.               of the real estate                                  The costs of legal proceedings taking place
                                                                                                         outside	the	Nordic	countries	are	indemnified	
Restriction:                                         3.5 loss or damage which, in connection with        to a maximum of EUR 8,500.
The insurance does not cover loss or damage          building or renovation, is sustained by pipes
caused by a child if another person is liable        or cables, if the insured has not acquired          4.4 If the insurance company has notified the
for the loss or damage.                              and followed cable or pipe charts for the           insured of its readiness to settle with the injured
                                                     construction site                                   party within the limits of the sum insured, and
2.3 regardless of any fault of the insured, the                                                          the insured does not consent thereto, the
insurance covers bodily injury resulting from        3.6 loss or damage caused by a road accident        insurance company is not obliged to indemnify
the bite of a dog kept as a pet in the family        as	defined	in	the	Motor	Liability	Insurance	Act,	   for any extra costs incurred thereafter.
of the policyholder, and any loss or damage          irrespective of where the accident occurred
caused by the family’s dog in a direct collision                                                         5     INDEMNIFICATION REGULATIONS
with a motor vehicle.                                3.7 loss or damage caused
                                                     -     by use of a vessel or boat subject to         5.1 The maximum compensation payable in
Restriction:                                               registration or a sailing boat over 6         any one insurance event is the sum insured
This regulation does not apply to                          metres long                                   specified	in	the	insurance	policy.	
-     any loss or damage for which another           -     by use of an aircraft when the insured is
      party is liable                                      liable to pay damages in the capacity of      5.2 Multiple loss or damage caused by the one
-	    a	 traffic	 or	 other	 accident	 caused	 by	         owner, possessor or user of the aircraft      and same event or circumstance is considered
      avoiding a dog.                                      or as a person carrying out duties on         a single insurance event.
                                                           board the aircraft or in his/her capacity
2.4 as an exception to section 3.2, the insurance          as the employer of any such persons           5.3 In all insurance events, the insured is
covers damage which has been caused                                                                      responsible for a certain amount of the loss,
suddenly to the structures or fixed equipment        3.8 loss or damage caused gradually by              i.e.	the	deductible,	which	is	specified	in	the	
of a rented or owner-occupied dwelling used for      vibration, smoke, soot, gas, moisture, water,       insurance policy.
the permanent accommodation of the insured           sewage or pollution of a body of water,
and his/her family and for which the insured is      groundwater or soil                                 5.4 legal provisions on value added tax will
liable under section 2.1. Damage caused to the                                                           be taken into account in calculations of the
structures or fixed equipment of a hotel suite is    3.9 loss or damage caused by a change in the        amount of loss.
also covered. rented residential buildings are       groundwater table
not considered rented dwellings.                                                                         if the recipient of the indemnity is entitled under
                                                     3.10 loss or damage caused by quarrying or          the value added tax act, in his/her own value
Restriction:                                         blasting performed with outside labour or           added taxation, to deduct the vat included in
The insurance does not cover damage caused           for another or by consequent subsidence or          purchase invoices for goods or services arising
to surface coverings, nor damage arising             land movement                                       from the loss or to have the tax refunded, the
from poor maintenance or wear and tear of the                                                            tax is deducted from the indemnity.
dwelling. Surface coverings in this respect          3.11 loss or damage caused by the insured in
include	woodstrip	and	vinyl	floor	coverings,	        the course of professional, business or wage-       if a deduction or refund right applies to the
wall-to-wall carpeting, wall coverings and           earning activity, or loss or damage caused by       acquisition invoice of the property or the relevant
painted surfaces of the dwelling.                    the insured to his/her employer                     part of it, the value added tax corresponding
                                                                                                         to the amount of loss is deducted from the
2.5 contrary to section 3.2, the insurance           3.12 loss or damage caused in connection            indemnity.
covers any loss sustained by the insured             with an assault or an affray
because of damage suddenly caused by                                                                     if the indemnity is to be considered income
him/her to a bicycle, moped, scooter or a            3.13	a	fine	or	any	similar	sanction	                which replaces business income subject to
corresponding watercraft rented temporarily by                                                           value added tax, the indemnity is exempt from
him/her. on the same conditions, the insurance       3.14 loss or damage insofar as this is covered      tax.
also covers damage caused to skis, ski poles         by another valid liability insurance of the
or snowboards rented for a maximum of 14             insured                                             6     JOINT AND SEVERAL LIABILITY
days abroad.
                                                     3.15 loss or damage caused by a strike or           Where several parties are jointly liable to
Restriction:                                         other similar cause.                                make good a case of loss or damage, the
In the cases referred to above, loss is covered                                                          insurance will indemnify for that part of the
up to a maximum of EUR 340.                          4    SPECIAL MEASURES TO BE                         loss or damage which corresponds to the
                                                          TAKEN ON OCCURRENCE OF AN                      culpability attributable to the insured and
2.6 contrary to section 3.8, the insurance covers         INSURANCE EVENT                                to any advantage he/she may have gained
loss which is indemnified under section 2.1 and                                                          through the insurance event.
which is caused by a temporary incident or           4.1 in any matter covered by this insurance, the
circumstance due to an accidental error.             company will determine whether the insured



10
                                          leGal expenses travel insurance
1     PURPOSE OF INSURANCE                           valid	for	the	benefit	of	the	insured.	However,	if,	           13) which is related to a restraining order
                                                     on the occurrence of an insurance event, the                  14) which concerns a divorce or the
the purpose of this insurance is to indemnify        insured has several effective legal expenses                       cancellation of a registered partnership,
for any necessary and reasonable legal               insurance policies, only this insurance will                       or property disputes or other claims
expenses incurred by the insured as a result         be taken into account when determining the                         connected with a divorce or separation,
of resorting to legal counsel in a disputed civil    validity period of the insurance.                                  the termination of marriage-like
case, criminal case or non-contentious civil                                                                            cohabitation or the cancellation or
case concerning an insurance event referred          4.2    Single insurance event                                      termination of a registered or an
to under section 4.                                                                                                     unregistered partnership
                                                     a ‘single insurance event’ refers to an insurance             15) hich is related to the custody or
the insurance applies to the insured in his/         event where                                                        habitation of a child, maintenance
her capacity of traveller in matters related to      -     two or more people covered by this                           liability for or rights of access to a
his/her private life.                                      insurance are on the same side in a                          child
                                                           disputed civil case, criminal case or non-              16) which concerns the appointment of a
2     THOSE INSURED                                        contentious civil case, or                                   trustee, a special representative or an
                                                     -     the insured or those insured have several                    executor or administrator of an estate,
those insured are the policyholder and persons             disputed civil cases, criminal cases or                      or the release of such an appointed
residing permanently in the same household as              non-contentious civil cases pending                          person from his/her duties
the policyholder, unless otherwise stipulated              which are based on the same event,                      17) in which the insured is involved as
in the insurance policy.                                   circumstance, juristic act or infringement,                  the owner, possessor or driver of a
                                                           or which are based on the same or similar                    motor vehicle or in which the expenses
3     COURTS OF LAW                                        claim with different grounds.                                incurred by the insured are covered
                                                                                                                        under liability insurance
the insured may use the insurance in                 5      RESTRICTIONS RELATED TO                                18) which relates to a bankruptcy
insurance events which in Finland can be                    INSURANCE EVENTS                                       19) which is related to a distraint, an
brought directly before a district court or before                                                                      execution dispute referred to in the
a corresponding foreign court.                       The insurance does not cover expenses                              Execution Act, or the execution of
                                                     incurred by the insured in a case                                  distraint, or the execution of a decision
This means that the insurance does not cover         1)   where the claim has not been                                  on the custody of a child and on the
expenses in cases which are handled by                    demonstrably disputed                                         rights of access to a child
the administrative authorities or by special         2)   which is related to the current,                         20) which concerns proceedings carried
courts,	 e.g.	 a	 State	 Provincial	 Office,	 an	         earlier, future or planned profession,                        out in accordance with the provisions
administrative court, the Insurance Court                 s e l f e m p l o y m e n t , o ff i c i a l p o s t ,        on company restructuring or the debt
or the Supreme Administrative Court. Nor                  occupation, business or gainful                               rescheduling of private individuals,
does the insurance cover expenses in cases                employment, partnership of a                                  or the voluntary debt rescheduling of
handled by the European Human Rights Court,               commercial enterprise or membership                           farmers in accordance with the Rural
the European Union Court of Justice or the                of the administrative bodies of such an                       Industries Act
European Union Court of First Instance.                   enterprise, or other main or ancillary                   21)	 which	          demand	 clarification	
                                                          wage-earning activity of the insured or                       of whether the expenses incurred
4     COVERABLE INSURANCE EVENTS                          of another insured person living in the                       from the insurance event reported by
                                                          same household as the insured                                 the insured are fully or partly coverable
4.1	 Definition	of	an	insurance	event	               3)   which is related to investment operations                     under legal expenses insurance
                                                          or to an individual investment which                     22) which is dealt with as a class action.
a coverable insurance event refers,                       exceeded EUR 85,000 when the dispute
                                                          began or the investment was made                         6     MEASURES TO BE TAKEN ON
in a disputed or non-contentious civil case,         4)   which is related to a guarantee, pledging                      OCCURRENCE OF AN INSURANCE
-     to a dispute. a ‘dispute’ refers to a claim         or other commitment for a loan or                              EVENT
      specified as to its grounds and amount              commitment by another person for his/
      which has been demonstrably and                     her business or gainful employment                       6.1 if the insured wishes to use the insurance,
      specifically disputed as to its grounds        5)   which is related to a loan granted for                   he/she must inform the insurance company
      or amount.                                          the business or gainful employment of                    thereof in advance and in writing. the
                                                          another person                                           insurance company will then send the insured
in a criminal case,                                  6)   which is related to real estate or the                   a written claim settlement decision.
-     to a civil claim made by the insured,               relevant part of it, a building, a housing
      disputed as to its grounds or amount                corporation dwelling or rented dwelling                  6.2 the insured must be represented by a
-     to a complainant’s charges against                  other than the insured’s permanent                       solicitor or other legal counsel.
      the insured brought or pursued after                home or a holiday home in his/her
      the public prosecutor has decided to                personal use                                             Restriction:
      waive or withdraw charges for the same         7)   of minor importance to the insured                       No indemnity will be paid if the insured
      action. charges are considered to have         8)   in which those insured under this                        decides not to use any representative at all
      been brought when the complainant’s                 insurance represent opposing parties                     or	 selects	 one	 who	 is	 not	 a	 Finnish	 Master	
      application for a summons has arrived          9)   which is related to a claim or receivable                of Laws or does not have equivalent foreign
      at the office of a district court. Charges          transferred to the insured, unless, at the               qualifications.	
      are considered pursued when the                     time the dispute arises, two years have
      complainant has notified the court in               elapsed since the transfer                               6.3 the insured must, during court proceedings
      writing of pursuing the charges after the      10)	 in	which	the	insured	has	filed	a	petition	               or settlement negotiations, require the
      public prosecutor has withdrawn the                 in a criminal procedure, or is being                     opposing party to reimburse the insured’s legal
      charges.                                            prosecuted by the public prosecutor, or                  expenses in full. if the insured has presented to
                                                          in	which	the	complainant	has	filed	a	civil	              the opposing party a legal expenses demand
the insurance indemnifies for insurance                   claim against the prosecuted insured                     that is partly or fully rejected by a court order,
events occurring during the validity of the               while such prosecution is pending                        an appeal must be lodged against the decision
insurance.                                           11) in which the insured is required to pay                   if so required by the insurance company.
                                                          damages for a civil claim on account
Restriction:                                              of which he/she has been sentenced                       Restriction:
If the insurance has been valid for less than             or, on the basis of the relevant special                 If the insured does not demand the opposing
two years at the time of the insurance event,             provisions, the charges or sentence                      party to pay for the legal expenses or
the matters on which the claim or charge is               against him/her have been waived                         relinquishes the demand in part or full
based must also have taken place during the          12) in which the insured has submitted a                      without the insurance company’s consent
validity period of the insurance. The validity            civil claim on account of which he/she                   or refuses to appeal against the court order
period means the time this insurance alone or             has been sentenced or, on the basis                      on legal expenses, the indemnity which would
consecutively together with other terminated              of the relevant special provisions, the                  otherwise be paid out of the insurance may
legal expenses insurance policies with                    charges or sentence against him/her                      be reduced or denied under the Insurance
equivalent contents, has been continuously                have been waived                                         Contracts Act.




                                                                                                                                                                 11
6.4 the insured has no right to approve, in a      7.3.5 common interest                                 arising from a change of legal counsel or from
manner that would be binding on the insurance      if the case involves an interest essentially          any conduct on the part of the insured which
company, the amount of expenses incurred           other than that of the insured or the insured         has increased costs or caused unnecessary
from handling the case.                            has an interest to safeguard in the insurance         costs
                                                   event in common with persons not covered
Restriction:                                       by this insurance, the insurance indemnifies          7.5.5 the costs of acquiring expert legal
Any payment by the insured to his/her              only for those costs which are attributable to        opinion
representative for legal fees and expenses         the insured.
is not binding on the insurance company in                                                               7.5.6 costs incurred from reporting a criminal
its evaluation of necessary and reasonable         7.4   The amount and calculation of                   offence or making a request for investigation,
litigation costs.                                        indemnity                                       or from pretrial investigation of a criminal
                                                                                                         case
7     INDEMNIFICATION REGULATIONS                  The legal expenses indemnified under the
                                                   insurance are determined in accordance with           7.5.7 expenses incurred from matters and
7.1   Sum insured                                  the relevant provisions of the code of Judicial       evidence which the court of law will not take
                                                   procedure and the criminal procedure act.             into account as they have been presented
The sum insured recorded in the insurance                                                                too late
policy is the upper limit of the insurance         if, owing to the admission by interested
company’s liability in each insurance event.       parties, the court of law has not mentioned           7.5.8 costs caused by the insured or his/her
                                                   legal expenses in its decision, or if the matter      legal counsel by failing to appear in court,
7.2   Deductible                                   has been settled out of court, the coverable          by disregarding court orders, or by entering
                                                   expenses are determined by taking into                a plea which they knew or should have
the deductible recorded in the insurance policy    account the expenses normally paid or ordered         known to be unfounded, or costs which they
is subtracted from the coverable expenses.         by a court to be paid in similar cases.               have themselves caused by prolonging the
                                                                                                         litigation wilfully or through negligence
7.3   Coverable expenses                           For the use of legal counsel, the insurance
                                                   covers a reasonable fee charged by the counsel        7.5.9 costs for litigation which the insured
the insurance covers necessary and                 for his/her work and necessary expenses. in           or his/her legal counsel initiated without the
reasonable legal expenses as follows:              the determination of a reasonable sum for the         opposing party giving any cause, or if they
                                                   fees and expenses, the value of the disputed          have in some other way caused unnecessary
7.3.1 Disputed or non-contentious civil            benefit, the difficulty and extent of the case and    litigation wilfully or through negligence
cases                                              the quantity and quality of the work involved
expenses incurred by the insured for use of        are taken into account.                               7.5.10 fees and costs of arbitrators and
legal counsel and presentation of evidence.                                                              conciliators
                                                   If	 the	 monetary	 value	 of	 a	 disputed	 benefit	
If bringing the case before a court requires a     is assessable, the insurance covers, in               7.6   Other provisions concerning
juristic act or a decision taken by a given body   a disputed or non-contentious civil case                    indemnity
or in connection with any specific proceedings,    and when the insured is a litigant in a
the expenses are indemnified as of the date        criminal case, up to double the amount of             7.6.1 The insurance company indemnifies
when the case can be brought before a district     the	disputed	benefit.	When	assessing	the	             for the insured’s legal expenses after a legal
court.                                             amount	of	 benefit,	 no	 claims	 for	 interest	or	    ruling has been issued or a settlement has
                                                   legal expenses are taken into account. If the         been reached.
if the matter has been handled as a conciliation   dispute concerns a repeated payment, the
case by a court of law, the insurance will also    maximum sum considered is ten times a                 Restriction:
cover the insured’s portion of the fee and         single payment.                                       Final compensation is paid after the insured
expenses for an assistant to the conciliator                                                             has, in response to the insurance company’s
calculated per capita of the parties to the        7.5   Expenses not covered by the                     demand, proved that he/she has paid the
dispute.                                                 insurance                                       deductible on the costs and any amount
                                                                                                         exceeding the sum insured into the same
7.3.2 cases of arbitration or conciliation         the insurance does not cover                          bank account of the legal counsel into which
                                                                                                         any indemnity from the insurance is to be
expenses incurred by the insured for use of        7.5.1 expenses incurred from measures                 paid.
legal counsel and presentation of evidence.        taken before the insurance event, from the
                                                   preliminary investigation of a case or from           7.6.2 the insurance company’s liability to pay
Restriction:                                       the investigation or handling of such a               indemnity will be reduced by any expenses
Fees and costs of arbitrators and conciliators     disputed case as a result of which the insured        compensation which the insured’s opposing
are	not	indemnified.	                              justifiably	waives	his/her	claims	against	the	        party has been ordered by the court or has
                                                   adverse party.                                        undertaken to pay to the insured, provided that
7.3.3 criminal cases                                                                                     it has been possible to collect this sum from
7.3.3.1 the insured as the complainant             7.5.2 any legal expenses of the opposing              the party liable for payment.
legal expenses incurred by the insured for use     party which the insured has been ordered,
of legal counsel and presentation of evidence      or has agreed, to pay.                                7.6.3 if the opposing party has been ordered by
insofar as the court proceedings involved a                                                              the court or has undertaken to pay expenses
civil claim made by the insured for other than     the legal expenses of the opposing party              compensation to the insured and this remains
legal expenses on the basis of a crime.            which the insured has been ordered to pay             unpaid at the time the indemnity is paid, the
                                                   are, however, indemnified on the same terms           insured is obliged, before the indemnity is
7.3.3.2 the insured as the defendant               as the insured’s own legal expenses.                  paid, to transfer his/her right to the said
legal expenses incurred by the insured for use     -     if the insured has been assisted in the         compensation to the insurance company, up
of legal counsel and presentation of evidence            litigation by the consumer ombudsman or         to the sum indemnified under the insurance.
if the case involves charges pursued by the              his/her representative and the handling
complainant against the insured when the                 of the           insured’s case      was        if the insured has had to pay a proportion of the
public prosecutor has waived or withdrawn                significant      to the application of the      costs because they exceeded the maximum
charges for the same action.                             law or in the interest of consumers, or         indemnity under section 7.1, the insured is
                                                   -     if the opposing party of the insured has        obliged to transfer to the insurance company
7.3.4 appealing to the supreme court                     largely failed to observe a decision of the     that part of the expenses compensation
If a permit is required for appealing to the             consumer Disputes Board, the insurance          collected from the opposing party which is in
supreme court, the costs incurred from the               Complaints Board or an equivalent body,         excess of the proportion paid by the insured.
appeal are indemnified under the insurance               which in the central issues of the dispute
only if the permit has been granted.                     was favourable to the insured.                  7.6.4 if the expenses compensation that
                                                                                                         the opposing party has been ordered or has
costs incurred in the use of extraordinary         7.5.3 expenses arising from the enforcement           agreed to pay has been paid to the insured or
channels of appeal are indemnified only if         of a ruling or decision                               it has otherwise been taken into consideration
the supreme court has approved the appeal                                                                in the insured’s favour, the insured must return
for nullification, reversed the judgement or       7.5.4 the insured’s wasted time, own                  the expenses compensation with interest to
reinstituted a time limit forfeited.               work, loss of income or earnings, travel or           the insurance company up to the amount of
                                                   accommodation costs, or any additional costs          compensation paid out of the insurance.




12
                                               General terMs oF contract
the general terms of contract apply to all types    can evaluate his/her insurance needs and            damage is taken into account in considering
of insurance included in the insurance contract.    choose the most suitable insurance cover.           whether the compensation is to be reduced or
they apply to both insurance of the person          the insurance company will also bring the           disallowed. the policyholder’s and the insured
and non-¬life insurance, unless the heading         most relevant insurance exclusions to the           person’s intent or the nature of negligence
or text of an individual section indicates that     applicant’s attention.                              and other circumstances will also be taken
it applies only to insurance of the person or                                                           into account.
non-life insurance.                                 in distance selling of insurance products,
                                                    the insurance company must also provide             If, due to incorrect or insufficient information
these General terms of contract contain the         consumers with the advance information              provided by the policyholder or the insured
relevant provisions of the insurance contracts      referred to in chapter 6 a of the consumer          person, the agreed premium is smaller than it
act (543/94). the symbol § in brackets refers       protection act. Distance selling refers to          would have been had the insurance company
to the relevant sections of the insurance           selling insurance policies, for example, over       been given the correct and full information, the
Contracts Act in which the matters in question      the telephone or on the internet.                   ratio of the agreed premium to the premium that
are dealt with. the insurance contract is also                                                          would have been charged had the information
subject to certain provisions of the insurance      if the insurance company or its representative      provided been correct and full is taken into
contracts act not appearing from these              has failed to provide the policyholder with         account. if, however, the information provided
General terms of contract.                          any necessary information when marketing            differs only slightly from the correct and full
                                                    its insurance or has provided him/her with          information, the insurance company is not
1         KEY CONCEPTS                              incorrect or misleading information, the            entitled to reducing compensation.
                                                    insurance contract will be considered valid in
insurance of the person, or personal insurance,     the form that the policyholder has had reason       3     COMMENCEMENT OF THE
is insurance by which a natural person is           to understand it in the light of the information          INSURANCE COMPANY’S LIABILITY
covered. traveller’s insurance is insurance         he/she received.                                          AND VALIDITY OF THE INSURANCE
of the person.                                                                                                CONTRACT
                                                    2.2   Policyholder’s and insured party’s
non-life insurance is a policy taken out to cover         obligation to disclose information            3.1   Commencement of the insurance
a loss incurred due to material damage, an                (§§22, 23 and 24)                                   company’s liability (§11)
obligation to pay damages, or other financial
loss. non-life insurance includes luggage           prior to the insurance being granted, the           if the insurance company has not agreed on any
insurance, travel liability insurance and legal     policyholder and the insured party must             other date individually with the policyholder, the
expenses travel insurance.                          provide full and correct answers to all questions   insurance company’s liability will commence
                                                    presented by the insurance company that may         from the time when the insurance company
the essential content of an insurance contract      be relevant to the assessment of the insurance      or the policyholder has submitted or sent an
is defined in the insurance policy and the          company’s liability. During the validity of the     affirmative reply to the offer/bid of the other
insurance terms and conditions.                     insurance period, the policyholder and the          contracting party.
                                                    insured party must also correct without undue
policyholder is a party who has concluded an        delay any information provided to the insurance     payment of the premium for the insurance
insurance contract with the insurer.                company by him/her that he/she has found to         period is a precondition for commencement
                                                    be incorrect or insufficient.                       of the insurance company’s liability
the insurer is eurooppalainen insurance                                                                 -     always in the case of a fixed-period travel
company ltd. in these terms and conditions,         if the policyholder or the insured person has             insurance;
the insurers are referred to as the insurance       acted fraudulently with regard to the above-        -     if the insurance company has set the
company. the insurers under the contract are        mentioned obligation, the insurance contract              payment of the premium for the first
stated in the insurance policy.                     is not binding on the insurance company. the              insurance period as a precondition
                                                    insurance company has the right to withhold               before continuous travel insurance can
insured is a party who is covered by personal       all premiums paid, even if the insurance is               enter into force; or
insurance or for whose benefit non-life             annulled.                                           -     if there are special reasons, for instance,
insurance is valid.                                                                                           because of the policyholder’s earlier
                                                    2.3   Failure to disclose information                     default of payment.
insurance period is the agreed period recorded
in the insurance policy during which the            2.3.1 insurance of the person (§§24 and 34)         the insurance bill contains a mention to this
insurance is valid. the contract continues for      if the policyholder or the insured person has       effect.
one agreed insurance period at a time, unless       wilfully or through negligence which cannot be
either of the contracting parties gives notice      deemed minor failed in his/her obligation to        if the policyholder has submitted or sent a
of termination.                                     disclose information under personal insurance,      written insurance application to the insurance
                                                    and the insurance company would have refused        company and if it is apparent that the insurance
premium period is the period for which              to grant the insurance altogether had the full      company would have approved the application,
a premium is paid at regular intervals as           and correct information been provided, the          the insurance company will also assume
agreed.                                             insurance company is released from liability.       liability for an insurance event occurring after
                                                    if the insurance company had granted the            the application was submitted or sent.
insurance event is an event for which               insurance only against a higher premium or
compensation is paid under the insurance.           otherwise on terms other than those agreed,         An insurance application or an affirmative reply
                                                    the insurance company’s liability is restricted     which the policyholder has submitted or sent
safety regulation is the obligation to observe      to what corresponds to the agreed premium or        to the insurance company’s representative
regulations on a device, procedure or other         the terms on which the insurance would have         is considered to have been submitted or
arrangement recorded in the non-life insurance      been granted.                                       sent to the insurance company. if there is no
policy or insurance terms and conditions, or                                                            indication of the time of the day when the
otherwise in written form, aimed at preventing      If the above-mentioned consequences of failure      reply or application was submitted or sent,
or restricting the occurrence of a loss.            to disclose information lead to a result that is    it is considered to have taken place at 12.00
                                                    clearly unreasonable from the point of view         midnight.
2     DISCLOSURE OF INFORMATION                     of the policyholder or another party entitled to
      PRIOR TO CONCLUDING AN                        compensation, they may be adjusted.                 3.2   Grounds for granting insurance
      INSURANCE CONTRACT                                                                                      (§10)
                                                    2.3.2 non-life insurance (§§23 and 34)
2.1   Insurance company’s obligation to             if the policyholder or the insured person has       the insurance premium and other contract
      disclose information (§§5 and 9)              wilfully or through negligence which cannot be      terms are determined in accordance with the
                                                    deemed minor failed in his/her obligation to        policy anniversary. if new insurance is added
prior to concluding an insurance contract, the      disclose information under non-life insurance,      to the contract, the premium and other terms
insurance company will provide the insurance        compensation payable under the insurance            of contract for this insurance are determined
applicant with relevant information on such         can be reduced or disallowed. the effect            in accordance with the date of inception of the
matters as the insurance company’s own              of the incorrect or insufficient information        added insurance.
types of insurance, premiums and insurance          provided by the policyholder or the insured
terms and conditions, so that the applicant         person on the occurrence of the loss or




                                                                                                                                                      13
under insurance of the person, the insured          contract to which the bill refers and to pay        4.5   Refund of premium upon
person’s state of health is assessed and his/       for the oldest outstanding amount under this              termination of a contract (§45)
her age calculated on the basis of his/her          contract, unless the policyholder has specified
state of health and age at the time he/she          otherwise in writing.                               if the insurance terminates before the date
gave or submitted the insurance application.                                                            agreed, the insurance company is entitled only
the insurance company will not reject an            4.2   Delayed premium (§39)                         to the premium for the period during which it
application for personal insurance on the                                                               was liable. the rest of the premium paid will
grounds that an insurance event has occurred        if the policyholder has neglected to pay            be returned to the policyholder.
or that the state of health of the person for       the premium in part or in full by the due
whom the application is made deteriorated           date as referred to in clause 4.1 above, the        When determining the amount of returnable
after the application documents were submitted      insurance company has the right to terminate        premium, the validity is calculated in days
or sent to the insurance company.                   the insurance contract in 14 days’ time after       according to the insurance period to which the
                                                    sending a notice of termination.                    premium pertains.
3.3   Validity of insurance contract
                                                    However, if the policyholder pays the               However, the premium is not returnable in
3.3.1 insurance of the person (§17)                 outstanding premium in full before the end of       cases stated below in this clause or if the
After the first premium period, the insurance       the notice period, the insurance will not cease     policyholder or the insured person has acted
contract is valid for one agreed premium            to be effective at the end of the notice period.    fraudulently in the circumstances referred to in
period at a time, unless the policyholder or the    the insurance company will state this option        clause 2.2 above. However, the premium will
insurance company terminates the contract.          in its notice of termination.                       not be returned separately if the returnable
the insurance contract may also terminate                                                               euro amount is smaller than that mentioned
for other reasons referred to in clauses 4.2        if the delay in payment is caused by the            in the insurance contracts act.
and 15 below.                                       policyholder’s financial difficulties resulting
                                                    from illness, unemployment or other special         the insurance company charges a non-
3.3.2 non-life insurance (§16)                      reason primarily beyond the policyholder’s          returnable minimum premium for travel
After the first insurance period, the insurance     control, then despite the notice given, the         insurance as stated in the insurance policy.
contract is valid for one agreed insurance          insurance will not expire until 14 days after
period at a time, unless the policyholder or the    the obstacle in question has ceased to exist.       4.6   Setoff against premiums to be
insurance company terminates the contract.          However, the insurance will expire in three               returned
                                                    months’ time after the end of the notice period,
the insurance contract may also terminate           at the latest. the notice of termination states     the insurance company may deduct any
for other reasons referred to in clauses 4.2        this option to continue the insurance for a         outstanding premiums overdue and other
and 15 below.                                       fixed period. The policyholder must notify the      outstanding amounts from the premium to be
                                                    insurance company in writing of the financial       returned.
3.3.3 Fixed-period insurance contract               difficulties referred hereto during the notice
A fixed-period insurance contract is valid for      period at the latest.                               4.7   Fixed-period insurance contract
the agreed insurance period. However, the
insurance may terminate during the insurance        if the premium is not paid by the due date          A fixed-period insurance contract is subject
period on grounds specified in clauses 4.2,         referred to in clause 4.1 above, penalty            only to clauses 4.1 and 4.5 under 4.
15.1 and 15.2 below.                                interest shall be paid for the period of delay
                                                    in accordance with the interest act.
In fixed-period travel insurance, if the journey                                                        5     DISCLOSURE OF INFORMATION
back to the insured person’s country of             the insurance company is entitled to                      DURING VALIDITY OF CONTRACT
residence is delayed for reasons beyond his/        compensation for costs incurred due to
her control, the validity period of the insurance   collection of insurance premiums under the          5.1   Insurance company’s obligation to
will be extended by 48 hours.                       act on the collection of Debts. if the insurance          disclose information (§§6, 7 and 9)
                                                    company has to collect an unpaid insurance
4     INSURANCE PREMIUM                             premium through legal action, it is also entitled   upon entering into an insurance contract, the
                                                    to being recompensed for the statutory              insurance company issues the policyholder
4.1   Premium payment (§38)                         fees and charges incurred due to the legal          with an insurance policy and the insurance
                                                    proceedings.                                        terms and conditions, if these terms and
the insurance premium must be paid within                                                               conditions have not already been given
one month of the date on which the bill for the     the insurance company may transfer                  to the policyholder. in distance selling of
premium was sent by the insurance company to        outstanding amounts for collection by a third       insurance products to consumers, however,
the policyholder. However, the initial premium      party.                                              the provisions of chapter 6 a, section 11 of the
need not be paid before the commencement                                                                consumer protection act shall apply.
of the insurance company’s liability, nor the       4.3   Reinstatement of terminated
subsequent premiums before the beginning                  insurance of the person (§43)                 During the validity of the insurance, the
of the agreed premium period or insurance                                                               insurance company will annually notify the
period, except in circumstances described           if a contract of insurance of the person has        policyholder of the sum insured and any other
in clause 3.1 above, whereby the insurance          terminated as a result of non-payment of            insurance-related matters of obvious relevance
company’s liability will not commence until         other than the initial premium, the insurance       to the policyholder (annual bulletin).
the premium has been paid. if some of the           regains its validity if the policyholder pays
insurance company’s liability commences at a        the outstanding premium within six months of        if, during the validity period of the insurance, the
later date, the related premium will not need to    termination of the insurance. the insurance         insurance company or its representative has
be paid before said liability commences.            company will state this option in its notice of     provided insufficient, incorrect or misleading
                                                    termination.                                        information on the insurance, the insurance
the premiums of individual insurance policies                                                           contract will be considered valid in the form that
included in the same insurance contract are         if the insurance regains its validity, the          the policyholder has had reason to understand
combined into a single premium to be invoiced       insurance company’s liability will commence         it in the light of the information he/she was
in one or several instalments as agreed. if a       on the day following payment.                       given, provided that such insufficient, incorrect
premium resulting from an alteration made to                                                            or misleading information can be regarded as
the insurance contract has not been combined        4.4   Payment of a delayed non-life                 having influenced the policyholder’s conduct.
with the instalments agreed previously, this              insurance premium (§42)                       However, this does not apply to information
premium will be invoiced separately. the                                                                provided by the insurance company or its
insurance premium paid for this insurance           if the policyholder pays a non-life insurance       representative on future compensation payable
contract is divided among all individual policies   premium in full after the insurance has             after an insurance event has occurred.
in proportion to the ratio of the premium paid      terminated, the insurance company’s liability
to the billed amount in such a way that all         will commence on the day following payment.         5.2   Policyholder’s obligation to disclose
continuous insurance policies are valid until       in such a case, the insurance is valid from the           information about any increase in
the same date.                                      date of its reinstatement until the end of the            risk
                                                    insurance period originally agreed.
If payment by the policyholder is not sufficient                                                        5.2.1 insurance of the person (§27)
to cover all the insurance company’s insurance      However, if the insurance company does not          the policyholder must notify the insurance
premium receivables, the policyholder has the       wish to reinstate the insurance, the insurance      company of any changes in factors increasing
right to decide for which of the outstanding        company will, within 14 days of payment of the      risk that were reported when the insurance
premiums he/she wishes to use the money.            premium, notify the policyholder that it will not   contract was concluded and that are relevant
However, the payment is used for the insurance      accept the payment.



14
in terms of assessment of the insurance             contract, the company is responsible, having         negligence, compensation may be reduced or
company’s liability, such as changes in             been informed thereof by the policyholder, for       disallowed. if the insured person has through
profession/occupation, leisure time activities      adjusting the premium and the insurance terms        gross negligence failed to observe the safety
or place of residence, or the termination of any    and conditions to correspond to the changed          regulations or the duty of salvage or if his/her
other insurance cover. a change resulting in        circumstances as of the date of the change,          use of alcohol or other intoxicant has contributed
increased risk may be, for instance, residence      and at the earliest as of the beginning of the       to the negligence, the insurance company will
abroad of the insured person for over a year on     current insurance period.                            nevertheless pay under the liability insurance
a continuous basis. the insurance company                                                                that portion of the compensation which the
must be notified of any such changes no             6     OBLIGATION TO PREVENT AND                      natural person who has suffered the loss or
later than one month of receipt of the annual             MITIGATE LOSS OR DAMAGE                        damage has been unable to collect because
bulletin following such a change. notifying of            UNDER NON-LIFE INSURANCE                       of the insured person’s state of insolvency as
changes in the state of health is not required.                                                          authenticated by distraint or bankruptcy.
the insurance company reminds policyholders         6.1   Obligation to observe safety
in the annual bulletin of their disclosure                regulations (§§31 and 34)                      7     CAUSING AN INSURANCE EVENT
obligation.
                                                    the insured person must observe the safety           7.1   Insurance of the person
if, in the case of insurance of the person, the     regulations recorded in the insurance policy,
policyholder has wilfully or through negligence     or in the insurance terms and conditions or          7.1.1 occurrence of the insurance event
which cannot be deemed minor failed to notify       otherwise provided in writing. if the insured        (§28)
the insurance company of increased risk as          person has wilfully or through negligence which      the insurance company is released from
mentioned above, and the insurance company          cannot be deemed minor failed to observe the         liability to any insured person who has wilfully
would not have kept the insurance in force          safety regulations, the insurance company may        caused a loss event.
as a result of the changed circumstances,           reduce or disallow any compensation payable
the insurance company is released from              to him/her. the effect of the failure to observe     if the insured person has caused the insurance
liability. if, however, the insurance company       the safety regulations on the occurrence of a        event through gross negligence, the insurance
had extended the validity of the insurance but      loss or damage is taken into account when            company’s liability may be reduced, depending
only for a higher premium or on other terms,        considering whether to reduce or disallow            on what is deemed reasonable in the
the insurance company’s liability is limited to     compensation. the insured person’s intent or         circumstances.
what corresponds to the insurance premium or        type of negligence and any other circumstances
the terms on which the insurance would have         will also be taken into account.                     7.1.2 insurance event caused by a person
been extended.                                                                                           entitled to compensation or benefit (§29)
                                                    6.2   Obligation to prevent and mitigate
If the above-mentioned consequences of failure            loss or damage (duty of salvage)               If a person entitled to compensation or benefit
to disclose information lead to a result that is          (§§32, 34 and 61)                              other than the insured person has wilfully
clearly unreasonable from the point of view                                                              caused the insurance event, the insurance
of the policyholder or another party entitled to    in the case of an insurance event or the             company is released from liability to such
compensation, they may be adjusted.                 immediate threat of one, the insured person          party.
                                                    must, to the best of his ability, take the
5.2.2 non-life insurance (§§26 and 34)              necessary action to prevent or mitigate the loss     if a person has caused the occurrence of an
the policyholder must notify the insurance          or damage. if the loss or damage is caused           insurance event through gross negligence
company of any essential change occurring           by a third party, the insured person must take       or if he/she was at such an age or in such
during the insurance period in the circumstances    the necessary action to uphold the insurance         a state of mind the he/she could not have
stated at the time of concluding the insurance      company’s right vis-à-vis the liable party. the      been sentenced to punishment for a crime,
contract or in the state of affairs recorded in     insured person must, for instance, attempt to        the person may be entitled to full or partial
the insurance policy which has increased the        establish the identity of the liable party. if the   compensation or benefit only if considered
risk of loss or damage, and which the insurer       loss or damage resulted from a punishable act,       reasonable in view of the circumstances in
cannot be deemed to have taken into account         the insured person shall, without delay, report      which the occurrence of the insurance event
when concluding the contract. the policyholder      it to the police and sue the offenders if the        was caused.
must notify the insurance company of any            insurance company’s interest so requires. The
such changes no later than one month of             insured person must, in other respects too,          if the insured person has died, other parties
receipt of the annual bulletin following such a     observe all instructions given by the insurance      entitled to compensation or benefits are paid
change. the insurance company will remind           company aimed at preventing and mitigating           that part of the compensation or benefits not
the policyholder of this obligation in the annual   loss or damage.                                      paid to the person or persons who caused the
bulletin.                                                                                                insurance event.
                                                    the insurance company will indemnify for
if the holder of a non-life insurance policy has    reasonable expenses incurred due to fulfilling       7.2   Non-life insurance (§§30 and 34)
wilfully or through negligence which cannot be      the above duty of salvage even if the sum
deemed minor failed to notify the insurance         insured were thus be exceeded.                       the insurance company is released from
company of the increased risk, the insurance                                                             liability to any insured person who has wilfully
company may reduce or disallow compensation         if the insured person has wilfully or through        caused an insurance event.
payable under the insurance. the effect of          negligence which cannot be deemed minor
the changed, risk-increasing circumstance           failed to observe the duty of salvage referred       if the insured person has caused an insurance
on the occurrence of the loss or damage is          to above, the insurance company may reduce           event through gross negligence or if the
taken into account when considering whether         or disallow the compensation payable to him/         insured person’s use of alcohol or some other
to reduce or disallow the compensation. the         her. the effect of the insured person’s failure to   intoxicant has contributed to the insurance
policyholder’s intent or the type of negligence     observe the duty on the occurrence of the loss       event, the compensation payable to him may
and any other circumstances will also be taken      or damage is taken into account in considering       be reduced or disallowed.
into account.                                       whether to reduce or disallow compensation.
                                                    the insured person’s intent or type of               the effect of the insured person’s action on
If, due to incorrect or insufficient information    negligence and any other circumstances will          the occurrence of the loss or damage is also
provided by the policyholder or the insured         also be taken into account.                          taken into account in considering whether
person, the agreed premium is smaller than it                                                            compensation is to be reduced or disallowed.
would have been had the insurance company           6.3   Failure to observe the safety                  the insured person’s intent or the type of
been given the correct and full information, the          regulations and the duty of salvage            negligence and other circumstances will also
ratio of the agreed premium to the premium that           under liability insurance (§§31 and            be taken into account.
would have been charged had the information               32)
provided been correct and full is taken into                                                             7.3   Occurrence of an insurance event
account. if, however, the information provided      under liability insurance, negligence on the               under liability insurance (§§30 and
differs only slightly from the correct and full     part of the insured person will not lead to                34)
information, the insurance company is not           compensation being reduced or disallowed.
entitled to reducing compensation.                                                                       if the insured person has caused an insurance
                                                    However, if the insured person has wilfully or       event through gross negligence or if his/her use
5.3   Decrease in risk of loss                      through gross negligence failed to observe           of alcohol or other intoxicant has contributed to
                                                    the safety regulations or the duty of salvage,       the insurance event, the insurance company
if the risk of loss has decreased to such an        or if the insured person’s use of alcohol            will nevertheless pay under the liability
extent that it has a bearing on the insurance       or other intoxicant has contributed to the           insurance that part of the compensation which




                                                                                                                                                       15
the natural person who has suffered the loss        10.2	Form	of	the	beneficiary	clause                 contract or notify the claimant of non-payment
or damage has been unable to collect because                                                            of compensation without delay and, at the
of the insured person’s state of insolvency as      a beneficiary clause, its cancellation or           latest, in one month’s time of the date on which
authenticated by distraint or bankruptcy.           amendment is null and void unless it has            it received the documentation and information
                                                    been submitted to the insurance company in          necessary for the assessment of its liability. if
8    IDENTIFICATION WITH ANOTHER                    writing.                                            the amount of compensation is disputed, the
     PERSON UNDER NON-LIFE                                                                              insurance company will nonetheless pay any
     INSURANCE (§33)                                11   CLAIMS SETTLEMENT PROCEDURE                    undisputed part of the compensation within
                                                                                                        the abovementioned period.
the provisions set out above concerning             11.1 Duties of claimant (§§69 and 72)
the insured person with regard to causing                                                               in the case of a claim settlement decision under
an insurance event, observing the safety            the claimant shall observe the regulations          liability insurance, the insurance company will
regulations or the duty of salvage also apply       on making a claim entered in the terms and          also inform the person who has suffered the
to a person:                                        conditions of insurance of the person or non-       loss or damage.
1)    who, with the consent of the insured          ¬life insurance and submit the documents
      person, is responsible for a motor-           mentioned therein to the insurance company.         if the total amount of compensation payable
      driven or towed vehicle, vessel or aircraft   the claimant shall obtain and submit to the         to a legally incompetent person for losses
      covered by the insurance;                     insurance company said documentation and            other than expenses or loss of property
2)    who, jointly with the insured person,         information at his/her own expense, unless          exceeds 1,000 euros, the insurance company
      owns the insured property and uses it         otherwise stipulated in the terms and conditions    will notify the guardianship authority in the
      jointly with him/her; or                      or agreed otherwise.                                locality of the legally incompetent person of
3)    who co-habits with the insured person                                                             such compensation.
      and uses the insured property jointly with    The claimant is required to obtain the
      him/her.                                      documentation which he/she is reasonably            the insurance company will pay penalty interest
                                                    able to obtain, though taking into account that     on any delayed payment of compensation in
the provisions set out above concerning             the insurance company may also acquire such         accordance with the interest act.
the insured person with regard to observing         documentation.
the safety regulations also apply to a person                                                           11.4 Setoff against compensation
who, on the basis of his/her employment or          all crimes must be reported to the local police
service with the policyholder, is responsible       without delay.                                      the insurance company may deduct
for supervising the observance of such safety                                                           any outstanding premiums overdue and
regulations.                                        the insurance company is not obliged to pay         other outstanding overdue amounts from
                                                    compensation before it has received the above       compensation.
When a company which is not comparable to           documentation.
a consumer under the insurance contracts act                                                            12   LODGING AN APPEAL AGAINST
is recorded as the policyholder, the following      if the claimant has, after the insurance event,          A DECISION TAKEN BY THE
will be comparable to the policyholder:             fraudulently provided the insurance company              INSURANCE COMPANY (§§ 8, 68
1)    a partner in a general partnership            with incorrect or insufficient information               AND 74)
2)    a general partner (active partner) in a       relevant to the assessment of the insurance
      limited partnership                           company’s liability, his/her compensation may       the policyholder or claimant has several
3)    a shareholder in a limited liability          be reduced or disallowed, depending on what         ways of appealing against a decision taken
      company who holds over half of the            is reasonable in the circumstances.                 by the insurance company. if his/her matter
      company shares, and                                                                               remains unsettled after he/she has contacted
4)    the policyholder’s employee who has the       insurance companies share a non-life                the insurance company, he/she can ask for
      insured property in his/her use.              insurance information system which can be           advice and counselling from the Finnish
                                                    used in processing claims to check claims           Financial Ombudsman Bureau or request a
9    IRRESPONSIBILITY AND                           submitted to different companies.                   recommendation for the decision from the
     EMERGENCY (§36)                                                                                    relevant board. a policyholder or claimant who
                                                    11.2 Time limitation on claims (§73)                is dissatisfied with the insurance company’s
the insurance company will not invoke clause                                                            decision may also bring action against the
7 above to release itself from or restrict its      a claim for compensation must be presented to       insurance company.
liability if the insured person was under 12        the insurance company within 12 months of the
years of age at the time he/she caused the          date when the claimant became aware of the          12.1 Right to correct
insurance event or was in such a state of mind      insurance and was informed of the insurance
that he/she could not have been sentenced           event and the damaging consequences of              if a policyholder or claimant suspects that the
for a crime.                                        that event. a claim for compensation must           insurance company has made a mistake in
                                                    in any case be presented within 10 years of         its claim settlement decision, he/she has the
the insurance company will not invoke clauses       the date when the insurance event occurred          right to obtain more information about matters
6 and 7 to release itself from or restrict its      or, in the case of insurance taken out against      which have led to the decision. pohjola will
liability if the insured person was seeking         bodily injury or liability for damages, the         correct the decision if the new investigations
to prevent injury to a person or damage to          damaging consequences were caused.                  give cause to do so.
property in circumstances in which his/her          Making a notification of an insurance event is
negligence or action was justifiable at the         comparable to presenting a claim. if the claim is   12.2 Finnish Financial Ombudsman
time he/she increased the risk or caused the        not presented within said period, the claimant           Bureau and boards issuing
insurance event.                                    loses his/her entitlement to compensation.               recommendations

10   BENEFICIARY CLAUSE                             11.3 The insurance company’s                        If the policyholder or claimant is dissatisfied
                                                         obligations (§§7, 8, 9, 67, 68 and 70)         with the insurance company’s decision, he/she
10.1	 Beneficiary	(§47)                                                                                 may ask the Finnish Financial ombudsman
                                                    after the occurrence of an insurance event, the     Bureau for advice and counselling. the Bureau
the policyholder has the right to name a person     insurance company is under an obligation to         is an impartial body tasked with advising
(beneficiary) who is entitled to compensation       provide the claimant (eg the insured person,        consumers in insurance and claims matters.
instead of the policyholder or the insured          the beneficiary and, in circumstances listed in     the insurance company’s decision can be
person. the policyholder may change or              clause 15.4 in liability insurance, the person      submitted to the Finnish insurance complaints
cancel the beneficiary clause if the insurance      who has suffered injury, loss or damage) with       Board within the Bureau. the Board is tasked
event to which the clause was to be applied         information on the contents of the insurance        with issuing recommendations for decisions
has not occurred.                                   and the claim procedure. any advance                in disputes which concern interpretation and
                                                    information that may have been given to the         application of the law and insurance terms and
If the beneficiary clause is valid, the benefit     claimant on the compensation, its amount or         conditions in an insurance relationship.
payable due to the death of the insured person      method of payment will not affect the obligation
is not part of the insured person’s estate. the     to pay compensation stated in the insurance         the insurance company’s decision can also
benefit is part of the insured person’s estate if   contract.                                           be submitted to the consumer Disputes
there is no beneficiary clause and if the benefit                                                       Board, which provides recommendations for
is not payable to the policyholder under the        the insurance company will pay the                  decisions on the basis of consumer protection
insurance terms and conditions.                     compensation resulting from the insurance           legislation.
                                                    event in accordance with the insurance




16
these boards will not handle a case while it            2)    the policyholder or the insured person         in the case of insurance of the person, the
is pending in court or when a ruling has been                 has acted fraudulently in observing his/       change will take effect from the beginning of
given in court. these counselling services and                her obligation to disclose information         the next premium period or, if no premium
board statements are free of charge.                          as referred to in clause 2.2 above             period has been agreed, from the beginning
                                                              and, regardless of this, the insurance         of the next calendar year following one month
12.3 District court                                           is binding on the insurance company            from the date the notification was sent. In the
                                                              on the basis of this clause due to the         case of non-life insurance, the change will take
If the policyholder or claimant is dissatisfied               adjustment of the consequences of the          effect from the beginning of the next insurance
with the insurance company’s decision, he/                    failure to disclose information; or            period following one month after the date the
she may bring action against the insurance              3)    during the insurance period, a change          notification was sent.
company in the district court of his/her domicile             as referred to in clause 5.2 above has
in Finland, of the insurance company’s domicile               occurred in the circumstances reported         the insurance contract may also change in
or of the place of loss in Finland, unless                    by the policyholder or the insured person      accordance with clause 14.3 below concerning
otherwise provided by Finland’s international                 to the insurance company at the time           index regulations.
agreements.                                                   of concluding the contract, and the
                                                              insurance company would have granted           Changes requiring termination of insurance
action against the insurance company’s                        the insurance only against a higher            if the insurance company alters the insurance
decision must be brought within three years                   premium or on otherwise other terms in         terms and conditions, premiums or other terms
of the policyholder or claimant being informed                the event that the circumstance related        of contract in cases other than those listed
in writing of the insurance company’s decision                to the insured person would already            above or discontinues an actively marketed
and the time limit. the right to bring action                 have corresponded to the change when           benefit included in the insurance, it must give
ceases once the time limit has expired.                       the insurance company granted the              written notice of termination of the insurance
                                                              insurance.                                     effective as of the end of the insurance period.
Handling of a case by any of the above-                                                                      the notice of termination will be sent one
mentioned boards will interrupt the limitation          after being informed of said change, the             month before the end of the insurance period
period for the right to bring action.                   insurance company will notify the policyholder       at the latest.
                                                        without undue delay of any change in the
13    INSURANCE COMPANY’S RIGHT OF                      premium or other terms. This notification will       14.3 Effect of the index
      RECOVERY (§75)                                    state that the policyholder has the right to
                                                        terminate the insurance.                             in the case of traveller’s insurance, the sums
13.1 Insurance company’s right of                                                                            insured recorded in the insurance policy are
     recovery vis-à-vis a third party                   14.1.2 non-life insurance (§18)                      linked to the consumer price index. if, however,
                                                        the insurance company has the right to alter the     a certain type of compensation does not have
the insured person’s right to claim damages             insurance premiums or other terms of contract        a sum insured in euros, the insurance premium
from a third party which is held liable transfers       during the insurance period to correspond to         is linked to the consumer price index.
to the insurance company up to the amount               the current or changed circumstances if
of compensation paid by the insurance                   1) the policyholder or the insured person has        in the case of luggage insurance, travel
company.                                                      neglected his/her obligation to disclose       liability insurance and legal expenses travel
                                                              information as referred to in clause 2.2       insurance, the sums insured recorded in the
if the loss or damage was caused by a third                   above; or                                      insurance policy are linked to the consumer
party as a private person or as an employee,            2) during the insurance period, a change             price index.
a civil servant or any other person comparable                as referred to in clause 5.2 above has
to these as referred to in chapter 3, section 1               occurred in the circumstances recorded         the deductible recorded in the insurance
of the tort liability act, the right of recovery will         in the insurance policy or reported by         policy is also linked to the consumer price
be transferred to the insurance company only                  the policyholder or the insured person to      index.
if the person in question caused the insurance                the insurance company at the time the
event wilfully or through gross negligence or                 contract was concluded.                        insurance which has no reference to any index
is held liable regardless of the nature of his/                                                              in the insurance policy is not index-linked.
her negligence.                                         after being informed of said change, the
                                                        insurance company will notify the policyholder       15   TERMINATION OF INSURANCE
in the case of compensation paid under                  without undue delay of how and from what                  CONTRACT
insurance of the person, the insurance                  date the premium or other terms of contract
company has the right of recovery vis-à-vis a           will be altered. This notification will state that   15.1 Policyholder’s right to terminate the
third party only in the case of compensation            the policyholder has the right to terminate the           insurance (§12)
paid for loss of property or costs incurred due         insurance.
to illness or accident.                                                                                      the policyholder has the right to terminate
                                                        14.2 Altering the terms of contract of a             the insurance contract anytime during the
13.2 Other cases of right of recovery                        continuous policy at the end of an              insurance period. notice of termination must
     under non-life insurance                                insurance period (§§19 and 20)                  be given in writing. notice of termination
                                                                                                             given in any other manner shall be null and
the insurance company’s right of recovery               Notification procedure                               void. If the policyholder has not specified
vis-à-vis the policyholder, the insured party           the insurance company has the right to alter         a later termination date for the insurance,
or a party identifiable with the insured one is         the insurance terms and conditions, and              the insurance will terminate on the date the
defined according to section 75, paragraph 4            premiums and other terms of contract at the          notice was submitted or sent to the insurance
of the insurance contracts act.                         end of the insurance period on the basis of          company. However, the right of termination
                                                        -     new or amended legislation or a                does not exist if the agreed period of validity
14    ALTERING AN INSURANCE                                   regulation by the authorities                  of the insurance contract is shorter than 30
      CONTRACT                                          -     an unforeseeable change in                     days.
                                                              circumstances (eg an international crisis,
14.1 Altering the terms of contract during                    exceptional natural event, catastrophe)        15.2 Insurance company’s right to
     the insurance period                               -     a change in the claims expenditure.                 terminate the insurance during the
                                                                                                                  insurance period
14.1.1 insurance of the person (§20)                    the insurance company also has the right to
the insurance company has the right to alter the        make minor changes to the insurance terms            15.2.1 insurance of the person (§17)
insurance premiums or other terms of contract           and conditions and other terms of contract           the insurance company has the right to give
during the insurance period to correspond to            provided that the changes do not affect the          notice of termination of the insurance during
the current or changed circumstances if                 primary content of the insurance contract.           the insurance period if
1)    the policyholder or the insured person                                                                 1)    the policyholder or the insured person
      has wilfully or through negligence which          if the insurance company alters the insurance              has wilfully or through negligence which
      cannot be deemed minor failed to observe          contract as outlined above, it will, when sending          cannot be deemed minor neglected his/
      his/her obligation to disclose information        an insurance bill, notify the policyholder of the          her obligation to disclose information
      as referred to in clause 2.2 above, and           changes in the insurance premium and other                 as referred to in clause 2.2 above, and
      if the insurance company, had it been             terms of contract. This notification will state            the insurance company, had it been
      given the correct and full information,           that the policyholder has the right to terminate           given correct and complete information,
      had granted the insurance only against            the insurance.                                             had refused to grant the insurance
      a higher premium or otherwise on terms                                                                       altogether;
      other than those agreed;




                                                                                                                                                         17
2)   the policyholder or the insured person         if the premium period is less than one                 in receiving payment from the compensation,
     has acted fraudulently in observing his/       year or its length has not been agreed, the            the owner has priority over a person who has
     her obligation to disclose information         insurance company has the right to terminate           bought the property on a provision regarding
     as referred to in clause 2.2 above and,        the insurance effective as of the end of the           reservation of title.
     regardless of this, the insurance contract     calendar year. the written notice of termination
     is binding on the insurance company on         will be sent one month before the end of the           16.4 Entitlement to compensation of a
     the basis of that clause;                      premium period at the latest or, if the premium             person who has suffered injury, loss
3)   during the insurance period, a change          period has not been agreed, one month before                or damage under liability insurance
     as referred to in clause 5.2. above has        the end of the calendar year at the latest.                 (§67)
     occurred in the circumstances reported         notice of termination has a mention of the
     by the policyholder or the insured person      grounds for termination.                               a person who has suffered injury, loss or
     to the insurance company at the time                                                                  damage has the right, under liability insurance,
     of concluding the contract, and the            However, notice of termination of the insurance        to claim compensation as per the insurance
     insurance company would not have               may not be given if the grounds are that the           contract directly from the insurance company if
     granted the insurance in the event that        state of health of the insured person has              the insured person has been declared bankrupt
     the circumstance related to the insured        deteriorated since the time the policy was             or is otherwise insolvent. if the insurance
     person would already have corresponded         taken out, or that an insurance event has              company is presented with a claim, it will notify
     to the change when the insurance               occurred.                                              the insured person thereof without undue delay
     company granted the insurance;                                                                        and reserve him/her an opportunity to explain
4)   the insured person has wilfully caused         15.3.2 non-life insurance (§16)                        the insurance event. the insured person will
     the insurance event; or                        the insurance company has the right to                 also be notified of the subsequent processing
5)   the insured person has, after the              terminate non-life insurance effective as of           of the matter. if the insurance company accepts
     insurance event, fraudulently provided         the end of the insurance period. notice of             the claim of the person who has suffered the
     the insurance company with incorrect           termination has a mention of the grounds for           injury, loss or damage, this acceptance is not
     or insufficient information relevant to the    termination. the notice of termination will be         binding on the insured person.
     assessment of the insurance company’s          sent one month before the end of the insurance
     liability.                                     period at the latest.                                  16.5 Right of appeal of a person who
                                                                                                                has suffered injury, loss or damage
15.2.2 non-life insurance (§15)                     16   RIGHTS OF A THIRD PARTY UNDER                          under liability insurance (§68)
the insurance company has the right to give              NON-LIFE INSURANCE
notice of termination of the insurance during                                                              a person who has suffered injury, loss or
the insurance period if                             16.1 Persons covered by property                       damage has the right to bring action against
1)    the policyholder or the insured person             insurance (§62)                                   the insurance company regarding a claim
      has, before the insurance was granted,                                                               settlement decision taken by the insurance
      provided incorrect or insufficient            in addition to what is otherwise stipulated            company or to submit the matter to the Finnish
      information and the insurance company,        herein concerning the insured person, a                insurance complaints Board or the consumer
      had it known the circumstances, would         property insurance contract is valid for the           Disputes Board as provided in clause 11
      have refused to grant the insurance;          benefit of the owner of the property concerned,        above.
2)    during the insurance period, a change         any party that has bought the property with
      which has substantially increased the         reservation of title, any pledgee or holder of         17    APPLICABLE LAW
      risk of loss or damage has occurred           a lien on the property and any other party
      in the circumstances recorded in the          exposed to the risk that the property is lost          all insurance contracts are subject to Finnish
      insurance policy or reported by the           or damaged.                                            law.
      policyholder or the insured person to
      the insurance company at the time of          16.2 Position of the insured person after              18    OTHER MATTERS COVERED BY
      concluding the contract, and which the             the occurrence of an insurance                          THE INSURANCE CONTRACTS ACT
      insurance company cannot be deemed to              event (§65)
      have taken into account when concluding                                                              the insurance contracts act also covers the
      the contract;                                 against the insured person as referred to in           following matters:
3)    the insured person has wilfully or through    clause above, the insurance company will, for
      gross negligence failed to observe the        reduction or disallowance of compensation,             scope of application (§1)
      safety regulations;                           refer to failure of the policyholder or other
4)    the insured person has wilfully or through    insured person to disclose information (clause         peremptory nature of the provisions (§3)
      gross negligence caused the insurance         2.2) or to notify of an increase in risk (clause
      event; or                                     5.2) only if the insured person as referred to in      Insignificance of misrepresentation or increase
5)    the insured person has, after the             clause 15.1 knew or should have known, prior           in underlying risk (§35)
      insurance event, fraudulently provided        to the insurance event, of the conduct of the
      the insurance company with incorrect          policyholder or the other insured person.              irresponsibility and emergency (§36)
      or insufficient information relevant to the
      assessment of the insurance company’s         every insured person is entitled to                    limitations on liability in certain events (§37)
      liability.                                    compensation on the occurrence of an
                                                    insurance event. However, the policyholder             payment of premium through bank or post
15.2.3 procedure                                    may negotiate with the insurance company               office (§44)
after having been informed of the grounds           in a manner binding on the insured person,
for permitting termination, the insurance           and collect compensation, unless the name of           limitation on insurer’s right to insurance
company will give written notice of termination     the insured person has been recorded in the            premium (§46)
without undue delay. notice of termination          contract or he/she has declared that he/she
has a mention of the grounds for termination.       will assert his/her rights, or it is the question      Beneficiary clause (§§47–50 and 53)
the insurance contract will terminate in one        of a mortgage holder’s right to be paid from
month’s time from the date the notice was           the compensation.                                      execution under accident insurance and health
sent.                                                                                                      insurance (§55)
                                                    16.3 Priority to payment from
the insurance company’s right to give notice             compensation (§66)                                recovery to bankrupt estate under insurance
of termination of insurance owing to an                                                                    of the person (§56)
outstanding insurance premium is defined in         if property insurance is valid in favour of a
clause 4.2 above.                                   person who has right of lien on the property           Double insurance (§§59 and 60)
                                                    in security for a receivable, he/she is entitled,
15.3 Insurance company’s right to                   even if the receivable is not overdue, to              payment to wrong person (§71)
     terminate the insurance at end of              payment from the compensation before the
     the insurance period                           owner unless the owner has rectified the loss          insurance company’s right of recovery vis-
                                                    or placed collateral for its rectification. The        à-vis the policyholder, the insured person or
15.3.1 insurance of the person (§17a)               above also applies in favour of a person who           a person identifiable with the insured person
the insurance company has the right to              is entitled to retaining the property in security      (§75, paragraph 4).
terminate a contract of insurance of the            for an overdue receivable
person effective as of the end of the premium
period.
                                                                        eurooppalainen insurance company ltd, lapinmäentie 1, Fi-00013 pohjola
                                                                        Domicile: Helsinki, main field of operations: insurance business
                                                                        the company has been entered in the Finnish trade register, business iD 0196741-6


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