Exclusions
Benefits will not be paid
for a loss due to:
-
intentionally self-inflicted
Injury, suicide while sane or insane or any attempt thereat (in Missouri
this applies only while sane);
-
voluntary self-administration
of any drug or chemical substance not prescribed by, and taken according
to the directions of the Covered Persons Doctor;
-
committing or attempting to
commit a felony;
-
participation in a riot or insurrection;
-
an act of declared or undeclared
war (not including terrorism);
-
active duty service in any Armed
Forces of any country and, in such event, the pro-rata unearned premium
will be returned upon proof of service. This does not include Reserve or
National Guard active duty or training unless it extends beyond 31 days;
-
practice or play in any sports
activity, including travel to and from the activity and practice, unless
specifically provided for in the Policy;
-
parachuting, except for self
preservation;
-
bungie jumping, flight in an
ultralight aircraft, hang-gliding;
-
sickness, disease, bodily or
mental infirmity or medical or surgical treatment thereof, bacterial infection,
regardless of how contracted. This does not exclude bacterial infection
that is the natural and foreseeable result of an Injury or accidental food
poisoning;
-
services or treatment rendered
by a Doctor, Nurse or any other person who is:
-
employed or retained by the
Policyholder; or
-
is the Covered Person, His spouse,
parent, child or sibling;
-
flight in an aircraft, except
as a fare-paying passenger;
-
dental treatment or dental X-rays,
except as otherwise provided, and only when Injury occurs to sound natural
teeth;
-
any loss for which benefits
are paid under state or federal worker’s compensation, employers liability,
or occupational disease law;
-
treatment in any Veterans Administration
or Federal Hospital, except if there is a legal obligation to pay;
-
cosmetic surgery, except for
reconstructive surgery due to a covered Injury;
-
charges which the Covered Person
would not have to pay if He did not have insurance;
-
eyeglasses, contact lenses,
hearing aids; and
-
charges which are in excess
of Usual and Customary charges.