TOURMED will not pay under any Section of this
Policy for claims arising directly or indirectly as a result of:
- War, invasion, act of foreign enemy, hostilities (whether War is
declared or not), civil war, rebellion, revolution, insurrection or
military or usurped power, labour disturbances, riot, strike or lock-out,
bomb threats; or
- The intentional use of military force to intercept, prevent, or
mitigate any known or suspected Terrorist Act; or
- Any Terrorist Act or bomb threat or threat thereof; or
- You being in service or on duty with or undergoing training with any
military or police force, or militia or paramilitary organisation; or
- You traveling by air except as a passenger on a legally licensed
aircraft; or
- You acting as part of the aircraft crew; or
- Your participation in sport as a Professional Player; or
- Your pregnancy or childbirth (except for an unexpected medical
complication or emergency occurring during the first 26 weeks of the
pregnancy); or
- Sexually transmitted disease or Acquired Immune Deficiency Syndrome (A.I.D.S.)
or Human Immunodefiency Virus (H.I.V.) infection or any derivatives or
variations thereof; or
- Any criminal or intentional illegal act committed by You; or
- Influenza unless You are hospitalised; or
- Chronic fatigue syndrome or myalgia; or
- Any expenses incurred in connection with any Illness or physical
infirmity for which You and/or the person who is the cause of the claim is
receiving or has received medical advice and/or treatment for 6 (six)
months prior to the date on which the Policy Receipt was issued, nor for
any expense incurred, which in the opinion of a Medical Practitioner
appointed by Us, in connection with a sequelae thereof or complications
that can reasonably be related thereto; or
- Any recurring, chronic or continuing Illness or medical condition; or
- Any hazardous pursuits, sports or activities including but not limited
to engaging in motor cycling (where the engine capacity exceeds 200cc or
the cycle is under control of an unlicensed driver), steeple-chasing, polo
or horseback riding, hunting, bungee jumping, abseiling, white water
rafting, hiking (unless accompanied by a recognised guide or on a clearly
marked route), mountaineering (requiring the use of ropes or equipment),
scuba diving (unless licensed or accompanied by a qualified instructor),
potholing, fighting (except in bona fide self defence), racing (other than
on foot or under sail in inland waters), speed or endurance racing or
practise thereof (other than athletics), or any hazardous pursuits or
activities or pastimes, or training for or engaging in contact sports; or
- School sports (unless an Endorsement has been issued and authorised by
Us); or
- Willful or deliberate exposure to danger (except in an attempt to save
human life), intentional self-inflicted Injury, suicide or attempt there
at, or arising from non-adherence to medical advice; or
- Investigations, operations or treatment of a purely cosmetic nature
(other than as a direct result of an Accident), or for obesity, or
undertaken to cure/improve impotency or undertaken to facilitate
pregnancy; or
- Insanity or any acute and/or chronic psychiatric, psychological or
emotional condition; or
- Mental disorders including, but not limited to anxiety disorders,
eating disorders, psychotic disorders, affective disorders, personality
disorders, substance use disorders, somatoform disorders, dissociate
disorders, psychosexual disorders, adjustment disorders, organic mental
disorders, mental retardation and autism; or
- Your being under the influence of alcohol, drugs or narcotics, unless
such drugs or narcotics were administered or prescribed and taken in
accordance with the direction of a Medical Practitioner; or
- Injury or Illness affecting the spine or the musculature, ligamentous
system, cartilage dura, nervous system or blood supply of the spine other
than once during any 12 month period of insurance commencing from the
commencement date or renewal date of the Policy; or
- Any congenital disease or defect unless such condition or defect has
been declared to and has been accepted by Us in writing prior to the first
commencement date of the Policy; or
- Any event incurred in connection with cardiac and/or cardio vascular
and/or vascular and/or cerebro vascular illness and/or conditions, nor for
sequelae thereof or complications that in the opinion of a Medical
Practitioner appointed by Us, can reasonable be related thereto if You
have received medical advice and/or treatment (including medication) for
hypertension 6 months prior to the date of issue of the Policy receipt; or
- You undertaking employment as a Manual Worker; or
- You undertaking employment on a permanent or contract basis which is
not casual; or
- Your intention to immigrate; or
- Consequential loss of any kind; or
- Ionising, radiation or contamination by radioactivity from any nuclear
fuel or from any nuclear waste or from the combustion of nuclear fuel or
from nuclear weapons materials. For the purpose of this exclusion only
combustion shall include any self-sustaining process of nuclear fission;
or
- From the dispersal or application of pathogenic or poisonous
biological or chemical materials
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