Activation Questionnaire

Use this form to tell us about you and your trip. We'll be able to confirm if you are covered and any additional premiums that may apply.

In the event of a claim, we will ask you to provide evidence that the information provided is correct. 

This form is for overseas travel insurance only.

 

Your Card, Dates and Region

If you are unsure, check your statement to confirm it is an ASB Visa Platinum Rewards card.

Other approved methods are taking a cash advance from you Platinum card account on the same day that you pay pre paid deposits from another ASB account or redemption of your True Rewards Dollars. You can also answer yes if you won your return travel tickets in a prize draw.

We use this to verify your card type.

Do you hold a return ticket for your trip?

You must hold a return travel ticket to be eligible for cover. Separate one way bookings departing from and returning to New Zealand are considered to be return travel tickets, even if they are booked separately.

This is the date you are scheduled to depart from New Zealand. If you are traveling domestically prior to your international departure, do not include domestic travel days. 

This is the date you are scheduled to arrive in New Zealand, not the date you board your flight. If you are traveling domestically following your arrival in New Zealand, do not include domestic travel days. Ensure you consider time differences/zones and travel times as you might land on a different date to when you boarded your international flight. 

Which regions will you be visiting for more than three consecutive days, while travelling overseas?

This information is also used to assess the risk associated with your travel itinerary

Card Holder

There is no automatic medical cover for persons aged 76 years and over. Information about age limits can be found here.

Are you a citizen or permanent resident of New Zealand?

Cover may be limited if you are not a New Zealand Citizen or permanent resident. 

This policy provides cover for cardholders intending to return to New Zealand at the conclusion of their travel. If you do not hold New Zealand citizenship or Permanent Resident status then AIG may not be able to assist with medical evacuation in the event of a medical emergency overseas. In the event that you cannot return to New Zealand to continue receiving treatment due to your residency status then cover under the policy may no longer be available. If you are unsure about your residency status, please seek independent advice. AIG cannot provide any advice relating to your immigration status.

Do you require medical cover for a pre-existing condition?

You are not automatically covered for pre-existing medical conditions. Information about pre-existing medical conditions can be found here.

Are you on a waiting list for treatment in a hospital?

You cannot apply to cover pre-existing medical conditions if you are on a waiting list for in-patient treatment for one or more conditions.

Are you travelling overseas to seek medical treatment or advice?

You cannot apply to cover pre-existing medical conditions if part of your trip is for medical treatment or advice. This includes cosmetic or dental surgery.

Have you been diagnosed with a terminal condition?

You cannot apply to cover pre-existing medical conditions if you have received a terminal diagnosis.

Do you have symptoms without a known diagnosis or for which you are awaiting the result of diagnostic tests?

You cannot apply to cover pre-existing medical conditions if you do not have a confirmed diagnosis. You can return to this site later and complete an application for a cover extension if you subsequently receive a confirmed diagnosis. Tests to monitor the status of a diagnosed condition are not considered to be diagnostic tests.

Will your Spouse be accompanying you for the entire trip?

Spouse means your spouse or de facto partner with whom you have continuously cohabited for a period of three (3) consecutive months or more immediately preceding the commencement of a covered trip.

Accompanying means travelling together with the platinum cardholder on a covered trip and generally on the same itinerary. This means departing and returning with the platinum cardholder but allowing for a difference in itineraries of the lessor of than five nights or 20% of the covered trip.

Will dependent children be accompanying you for the entire trip?

Dependent Child(ren): means, each person who:
1.    Is your natural, step, or legally adopted child; and
2.    Is unmarried and not living in a relationship equivalent to marriage; and 
         a)    Is under the age of 19 years at the date of departure for a covered trip; or
         b)    Is under the age of 25 and is a full-time student who is currently enrolled, or is enrolled in the next academic term or semester, and who is primarily dependent on the platinum cardholder for maintenance and support.

Accompanying means travelling together with the platinum cardholder on a covered trip and generally on the same itinerary. This means departing and returning with the platinum cardholder but allowing for a difference in itineraries of the lessor of than five nights or 20% of the covered trip.

Your Spouse

A Spouse is a person:

  • to whom the ASB Visa Platinum Rewards Cardholder is legally married; or
  • with whom the ASB Visa Platinum Rewards Cardholder lives in a relationship equivalent to marriage (whether of the same or opposite gender) and has done so for a continuous period of at least 3 months prior to the date Travel commences;

 

There is no automatic medical cover for persons aged 76 years and over. Information about age limits can be found here.

Are they a citizen or permanent resident of New Zealand?

Cover may be limited if you are not a New Zealand Citizen or permanent resident. 

This policy provides cover for cardholders intending to return to New Zealand at the conclusion of their travel. If you do not hold New Zealand citizenship or Permanent Resident status then AIG may not be able to assist with medical evacuation in the event of a medical emergency overseas. In the event that you cannot return to New Zealand to continue receiving treatment due to your residency status then cover under the policy may no longer be available. If you are unsure about your residency status, please seek independent advice. AIG cannot provide any advice relating to your immigration status.

Do they require medical cover for a pre-existing condition?

You are not automatically covered for pre-existing medical conditions. Information about pre-existing medical conditions can be found here.

Are they on a waiting list for treatment in a hospital?

You cannot apply to cover pre-existing medical conditions if you are on a waiting list for in-patient treatment for one or more conditions.

Are they travelling overseas to seek medical treatment or advice?

You cannot apply to cover pre-existing medical conditions if part of your trip is for medical treatment or advice. This includes cosmetic or dental surgery.

Have they been diagnosed with a terminal condition?

You cannot apply to cover pre-existing medical conditions if you have received a terminal diagnosis.

Do they have symptoms without a known diagnosis or for which they are awaiting the result of diagnostic tests?

You cannot apply to cover pre-existing medical conditions if you do not have a confirmed diagnosis. You can return to this site later and complete an application for a cover extension if you subsequently receive a confirmed diagnosis. Tests to monitor the status of a diagnosed condition are not considered to be diagnostic tests.

Optional Cover
Do you need cover for high value personal items (excluding bicycles and sporting goods)?

Cover for any item, pair or set of items is subject to a limit of $2,000 (except for laptop computers (inclusive of all accessories), which is $6,000). Information about high value items can be found here.

Include make or model information if available. You will be required to supply proof of ownership and valuation of the item in the event of a claim. Note that sporting equipment cannot be covered as high value items.

AIG

ASB Visa Platinum Travel Insurance (‘Insurance’) is subject to the terms, conditions, exclusions (for example business travel, age limitations etc.) and activation criteria contained in the policy document. You should read the Policy Wording and Schedule of Benefits considering your personal circumstances, prior to making any decision to acquire the product. The Insurance is provided to ASB Visa Platinum Rewards cardholders by AIG Insurance New Zealand Limited (‘AIG’) under an agreement with ASB. ASB does not underwrite the Insurance, is not an agent of AIG, and does not guarantee the obligations of AIG. Premiums are payable for policy extensions such as pre-existing cover, duration extension and specified items.

This portal is owned and managed by AIG for the purposes only of delivering AIG insurance services. ASB does not have access to this portal, does not collect any personal information via this portal and has no liability in relation to this portal. For more information about AIG’s privacy practices, please check AIG’s privacy statement at www.aig.co.nz/privacy-policy.

The AIG Logo is a registered trademark. Insurance products and services are provided by AIG Insurance New Zealand Limited.  

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