By purchasing this cover You have agreed to the following statements:

1. I am not aware of any reason why this Holiday should be cancelled or curtailed.
2. All Persons Insured are residents of Ireland.
3. I understand that any Person Insured will NOT be covered for any loss, charge or expense Due To any pre-existing medical condition for which he or she, or his or her Immediate Family have received medical advice or treatment from a qualified medical practitioner during the 12 months prior to applying for this Policy.
4. I understand that any Person Insured will NOT be covered for any loss, charge or expense Due To:
   • cancer;
   • any heart/circulatory-related condition (including hypertension, angina, stroke etc); or
   • any lung/breathing-related condition (excluding mild well controlled asthma suffered in isolation); or
   • a clinically diagnosed psychiatric disorder, anxiety or depression

   where a Person Insured or his or her Immediate Family:

   1. have previously suffered from;
   2. are currently under treatment for;
   3. are currently taking medication for; or
   4. are receiving follow up consultation for;

   any of the conditions named above.

5. I understand that any Person Insured will not be covered if he or she:
   • is receiving or on a waiting list for treatment at a hospital or nursing home.
   • is travelling against the advice of a qualified medical practitioner.
   • is travelling for the purpose of obtaining medical treatment.
   • is travelling after being given a terminal prognosis.
   • is travelling whilst pregnant and returning from a Holiday within 14 weeks of the expected due date.
   • is aged 75 or over on the day the policy commences.
   • undertakes any activity excluded in Part IV (4.1) of the policy wording.
6. Neither I nor any Person Insured have been
   • declined for, or had an insurer cancel or refuse to renew insurance, or impose special terms.
   • convicted of, or have a prosecution pending for, any offence involving dishonesty of any kind.
7. I accept that cover relates to a single Holiday Abroad, commencing on the date I shall provide in my application and whose duration does not exceed the number of days cover I have chosen.
    

Click in the box to confirm