> _Markdown transcription of PetNSur PetNSur Equine policy wording, effective 2025-11-03. Source: https://www.beneficial.co.nz/wp-content/uploads/Equine-Policy-Wording_20251103.pdf_ --- or affirmed in front of a Justice of the Peace or solicitor, and we’ll guide you through the process if Policy Wording - Equine it’s ever needed. Beneficial Insurance - Pet-n-Sur Equine Division Co-Pay - When you selected your policy and any Beneficial Insurance Limited has been in operation additional add-on items, you had the option to select since 2002 and is 100% New Zealand owned and a level of co-pay. A minimum excess will apply per operated. We have thousands of satisfied customers approved claim or the amount of co-pay that you who value our experience and knowledge. have selected, whichever is greater. The amount of this minimum excess is written in your Policy The Pet-n-Sur Equine division specialises in providing Schedule above (under “Your Cover”). This co-pay insurance products for your Horse. We have simple amount and or excess (whichever is the greater) will to understand Policies where you make the choices be deducted before payment of any approved claim. which you think are best for you and your Horse with Note that the co-pay does not apply to a claim the level of cover and associated benefits. We have relating to reimbursement of Vaccination costs insured hundreds of horses across New Zealand of for your horse. In that case, we will contribute $50.00 all different breeds and types and our team are here per annum (a copy of the invoice will need to be to help you and your horse in times of need. provided along with a completed claim form). IMPORTANT INFORMATION ABOUT YOUR POLICY An example of a Claim on a Policy where the Our policies are designed so that you can choose chosen cover amount is $10,000 for Veterinary coverage and additional add-on items costs and the chosen Co-Pay is 20% that you believe are best for your horse and your A claim is received totalling $2,000 for a qualifying budget. This document outlines the benefits, veterinary treatment. exclusions and terms of your chosen cover. First, we would see if the co-pay amount exceeds You need to ensure that you have selected the the minimum excess of $500. In this example, 20% correct Cover Items, Coverage Amounts and Co- of $2,000 = $400 Pay for your horse as these can affect your premium payments. If you have not selected a particular Cover As the co-pay is less than the minimum excess of Item, no claim can be made if that event occurs. $500 we would deduct $500 as this is the larger sum. We would then reimburse $1,500 Stand-Down Periods - If an illness occurs within the first 21 days of the commencement of the policy, this Once the reimbursement has been completed, illness and any related or resulting symptoms or available coverage in the current policy year for treatments will become a pre-existing condition and Veterinarian Cover would reduce from $10,000 to will not be covered for the life of the policy. Suppose $8,500 (‘the after-claim balance’). The after-claim an accident occurs within the first 7 days of the balance would then become the maximum that you could claim for Veterinary Treatments commencement of the policy. In that case, this until the renewal date for your policy. accident and any related or resulting symptoms or treatments will become a pre-existing condition and will not be covered for the life of the policy. We are here to help. Under this contract, you and Beneficial Insurance Limited (Pet-n-Sur) both have Sometimes we ask for extra documents responsibilities to ensure that the policy operates Most claims are processed with just your vet records smoothly, as it was designed to. If there is anything and invoices. However, sometimes we need a little which you don’t understand, you can contact us at more information to confirm details. For example, if any time. another person or horse was involved in an accident, You have rights under the Privacy Act 2020 to access we might ask for a short report. In rare situations, we and correct any information we hold about you. For may also ask you to complete a simple affidavit - this information about how we collect, use and is just a written statement confirming key facts (for example, the timing of an injury). An affidavit is sworn Page | 1 store your personal information, see the full Privacy supersede (replace) the previous terms you agreed Statement on the Beneficial website. to. 7-Day Cooling Off Period - You have a 7-day Payment of the Premium due on the Renewal and cooling-off period at the start of your policy. If you outlined on the Updated Schedule, is payable in decide not to continue with the policy during this accordance with your existing method of payment time, you must notify us via email (send your and frequency as set out in the Policy unless contrary cancellation request to admin@petnsur.co.nz). If advice is received by us in writing and we agree, prior you cancel within this 7-day cooling-off period, you to the Renewal Date. will not be charged and any premium paid will be Until further notice, you grant the Company the refunded in full. authority to continue an existing Payment Authority, Period of Cover given by you to the Company and your Bank in relation to the Premium payments. This includes any 1. The Policy is for a term of twelve months from Direct Debit Authority, Automatic Payment Authority, the Commencement Date. Where we agree or Credit or Debit Card Details where you have that you may pay your premium on an authorised the Company to debit a nominated bank instalment basis, You are required to continue to account and / or credit or debit card for the premium make instalment payments until the full payments due under the Policy or Renewal on the premium has been paid to the Company, except due date. where the Company cancels the Policy. You can select premium payment periods of either 2. The Company reserves the right to terminate this weekly, fortnightly, monthly or yearly instalments. Policy by advising the owner in writing by providing 21 days’ notice of the termination. Changes in Premium Where the Company terminates the Policy, it will If your premium amount changes (for instance, at refund any unused portion of the premium for renewal or due to a cover change), we will let you the remaining term of the Policy; if any. know 10 days before we charge the new amount. We 3. You can only cancel the Policy during the 7-day will send you a notification (usually via email) cooling off period or at the end of an annual detailing the new premium. We will then cover period (or any other time as long automatically adjust your payment deductions to the as you pay the Company the full annual new premium amount. You do not need to fill out a premium due during the Period of Cover). new payment form or give additional authorisation for the ongoing payments as the existing payment 4. Any requests by you to cancel the Policy must be authority will be used for the new premium amount. made in writing to the Company, via email admin@petnsur.co.nz, or post PO Box 68 Changing your plan - You can, at the time of 548, Victoria Street West, Auckland 1142. automatic renewal, apply in writing to increase or decrease the benefits of the Policy. In the event of a Renewal of Cover benefit increase, there will be a 4-month stand-down The Policy will be automatically renewed for a further period from the Commencement Date of the 12-month period from the Renewal Date, as set out in updated plan for any new condition that the Horse the Policy Schedule at the sole discretion of the suffers or experiences. Company (the “Renewal”). The Renewal will be Cancelling Your Policy subject to there being no Material changes to the information disclosed by you to the Company. • Cancellation by you: If you cancel the policy after the Cooling-Off Period has expired, or more than 7 We will send you an email with an updated Policy days after the renewal date but before the end of Schedule for the next year of cover within 10 days of the 12-month cover period, you will be required to the Renewal Date shown on your Policy Schedule pay the full premium (less any discounts shown in (the “Updated Schedule”). your Policy Schedule). If we have made any changes to our terms and • Cancellation in the event of your horse’s death: If conditions since your last policy period, the email your horse dies during the 12-month cover period, will include or link to the updated terms and you may request cancellation of the policy. In this conditions. These new terms and conditions will case, you will be required to pay the premium Page | 2  (less any discounts shown in your Policy and make a reasonable consideration of Schedule) on a pro-rata basis up to the date of your explanation before finalising the cancellation. cancellation. Cancellation by Us If, after that process, we proceed with cancellation, we will send a confirmation of cancellation. Once In certain situations, we (the Company) may cancelled, no claims will be paid for any events cancel your policy by giving you written notice: occurring after the cancellation date and no Misrepresentation, Fraud, or Breach premium amounts paid will be refunded. If you fail to disclose a pre-existing condition, Sum Insured is the amount you have chosen, and misrepresent information, commit fraud, or the Company has accepted it as the most we will otherwise materially breach the terms of this pay. The Sum Insured will usually be determined by policy, we may cancel your cover. the Fair Market Value of the Horse at the date the policy is either initiated or reviewed and is subject to • Notice of cancellation: We will provide you Maximum Cover limits specified in the Policy. with 21 days’ written notice of cancellation, Coverage Amount is the amount that you have sent to your last known email address. selected on your policy for each cover item that you • Fraud or deliberate misrepresentation: If have chosen. cancellation is due to fraud or deliberate misrepresentation, we may treat your policy Humane Destruction / Euthanasia - If you have as void from its commencement. In such elected coverage for your horse for the event of cases, no refund of premium will be made for Death (this includes Theft and Death in Transit), there any unused portion of the policy. is an 18-month stand-down period for humane • Other non-disclosure or misrepresentation destruction from the commencement date (not fraudulent): If cancellation is due to an of your policy. The only exception to this stand-down innocent or negligent non-disclosure or period is if the horse has suffered a traumatic misrepresentation, any refund of premium accident resulting in, but not limited to, a broken (less any applicable deductions for cover leg or a catastrophic fracture or such non-disease or already provided) will be made on a pro-rata non-medical related catastrophic issues. basis. If a Registered Veterinarian deems that the horse Non-Payment: We can also cancel your policy needs to be humanely destroyed under these if you do not pay your premiums (see the specific circumstances, the veterinarian must section on Non-Payment and Policy Lapse provide a letter outlining the reasons and detailing above). In the case of non-payment, the injury that necessitated the decision for cancellation for non- payment may be Euthanasia after the horse had been destroyed. effective 7 days after the missed due date (at our discretion and after attempts to obtain Mortality Cover (this includes cover for Theft and payment). Death in Transit) - If you have selected this coverage as an add-on item to your policy, the Company will Before cancelling your policy for the reasons cover your financial loss subject to the level of Death above (other than non-payment), we will: Cover which you have selected (Sum Insured) or the • notify you in writing (usually via email) of fair market value of the horse at that time. The the issue and the reason we are following general terms and conditions apply - considering cancellation. • Death - provides cover up to the sum insured or • give you at least 7 working days to respond fair market value during the period of cover in writing with any explanation or following the death or humane destruction information you want us to consider. For of your horse by a registered veterinary surgeon, example, if there has been a as a result of sudden, violent and external injury misunderstanding or you have additional or event that happens by chance, at an evidence, you can provide it within that identifiable time and place and is unforeseen time. (“Accidental Injury / Death”). • In Transit - provides cover up to the sum insured • we will review any response you provide or fair market value during the period of cover Page | 3  if your Horse is fatally injured whilst in transit alternative treatment your Horse receives to treat an within New Zealand. injury or illness that occurs during the Period of Cover • Theft - provides cover up to the sum insured or (subject to your Maximum Cover which you have fair market value if the Horse is stolen during the selected and specified in your Policy schedule after period of cover. deducting Co-Pay - Excess / or Exclusions specified in your Policy Schedule or Policy Terms). The Company will not indemnify if the Owner or person looking after the Horse has freely parted with The Company will not indemnify - the Horse (even if coerced into doing so) or if the • More than the Maximum Cover for your Plan theft occurs due to employee dishonesty or if the loss arises from a mysterious event or • More than $4,000 towards the Treatment of a escape. You must notify the police as soon colic episode as you discover that your Horse has been stolen or is • Any additional claim for a colic-related episode missing. A copy of the Police report will be required for the duration of the Horse’s life along with evidence of legal ownership of the Horse when you make the claim. If the Horse is • More than 50% of the cost of any veterinary subsequently found within 30 days from the date of Treatment (or any medication prescribed by a the claim being paid, the funds will then need to be Veterinary Surgeon) your Horse receives (or is repaid to the Company. prescribed for its use) more than 12 months after the date of the original diagnosis of any Policy Ownership- the legal owner of the horse must injury or illness be listed as the primary owner of the policy. This ensures that the person with the legal title to the • More than 50% of the cost of any veterinary horse is acknowledged as such. treatment (or any medication prescribed by a Veterinary Surgeon) your Horse receives (or is Lessee as Co-Owner - the lessee (the person leasing prescribed for its use), for any injury or illness the horse) should be listed as a co-owner on the that was originally diagnosed in any prior policy. This acknowledges their financial and Period of Cover caretaking responsibilities. • The cost of veterinary treatment Payment Details - the payment details on the policy that you choose to carry out that does not should be the legal owner's bank account details. relate to the injury or illness This ensures that in the event of any refunds, such as for the death of the horse, the funds are returned to • The cost of veterinary treatment or alternative the legal owner. The legal owner and lessee can then treatment that results from a vice or from the settle any financial arrangements as per their lease Horses behaviour agreement. • The cost of a post-mortem, burial or cremation Vet Bill Refunds - Some claim payments are made on a ‘reimbursement basis’. That means where a • The cost of any treatment, which is not a cost has been incurred for which you are claiming the veterinary treatment that you could carry out Policy, you will pay that bill first and, if your claim is yourself accepted, we will reimburse you (subject to the • The cost of travelling to a place of treatment Maximum Cover that you have selected and either for your Horse or a Veterinary Surgeon specified in your Policy schedule after deducting Co- Pay - Excess / or Exclusions specified in your Policy • The cost of castration or pregnancy. Schedule or Policy Terms). When a claim is made for • A claim is received for dental treatment vet bills that the lessee has likely paid, the lessee’s including but not limited to, inflammation of bank account details can be entered on the claim the gums, cleaning and de-scaling of the form for that reimbursement. This ensures the lessee Horse's teeth or the removal of any teeth, is directly compensated for out-of-pocket expenses. except in the instance where the treatment is Section A - Specific Terms & Conditions required due to teeth damaged in an Accident. Veterinarian Option - The Company will pay the cost Mortality Cover (includes Theft and Death in of veterinary treatment and, following examination Transit and instruction by a Veterinary Surgeon, the cost of Page | 4 If you have selected this cover as an additional add- Removal and Disposal Costs on item, then the following terms and conditions will If you have selected this coverage as an additional apply - add-on item, then the following terms and conditions The Company will indemnify you up to the Sum will apply – Insured following the death or humane destruction The Company will pay a maximum amount of $1,500 by a Veterinary Surgeon during the Period of Cover to assist with the costs of removal and disposal of (subject to your Maximum Cover which you have the Horse’s body following the death or humane selected and specified in your Policy schedule after destruction as a result of an injury or illness that deducting Co-Pay - Excess / or Exclusions specified occurs during the period of cover. A co-pay or an in your Policy Schedule or Policy Terms and the excess amount will be deducted from the total sum exceptions below) as a result of - before payment. An invoice will need to be provided, • An injury or illness that occurs during the period to confirm the total cost of the removal and disposal. of cover Saddlery and Tack • Surgery carried out by a Veterinary Surgeon to If you have selected this coverage as an additional treat an injury or illness that occurs during the add-on item and your Saddlery and Tack is damaged, Period of Cover stolen or destroyed during the Period of Cover, we will • Medication prescribed by a Veterinary Surgeon pay, (subject to the Maximum Cover that you have used to prevent injury or illness that occurs selected and specified in your Policy schedule after during the Period of Cover deducting Co-Pay - Excess / or Exclusions specified in your Policy Schedule or Policy Terms and the • Medication prescribed by a Veterinary Surgeon exceptions below) - to treat an injury or illness that occurs during the Period of Cover • The cost of repair or to bring it back to the same condition it was in before it was damaged or The Company will not indemnify - • The Sum Insured of your Saddlery and Tack or • If the death or humane destruction happens 12 the Fair Market Value (whichever is the lessor) if (twelve) months after the date of the injury or the cost of repair is deemed, at our sole illness first occurred discretion, to be uneconomical. • If the death or humane destruction occurred The Company will not indemnify - before the Period of Cover commenced • More than the Sum insured for each incident • If the death or humane destruction is related to an injury or event prior to the commencement of • More than $800.00 for any saddle or item of the policy tack you do not have a formal proof of purchase for, that shows the make, model, value and date • If the death or humane destruction is the result of the purchase of a surgical operation not performed by a registered Veterinary Surgeon • Any amount for rugs, clothing or personal effects • If the illness or injury can be treated and it is • Any amount for Saddlery and Tack you don’t own humane to keep the Horse alive • Any amount if the Saddlery and Tack is damaged • The Horse’s condition does not meet the current or destroyed by wear and tear or the actions of New Zealand Veterinary Council Code of moths, insects, vermin, pests or any other cause Professional Conduct for the destruction of that happens slowly horses • Any amount if the Saddlery and Tack is damaged • If the death or humane destruction is the result while being cleaned, dyed, repaired or restored. of a deliberate act by either the Owner, the Floats, Trailers, Horse Drawn Vehicles / Buggy’s Owner’s immediate family or any person looking after the Horse If you have selected this coverage as additional add- on items and your Horse Float, Trailer, Horse Drawn • The cost of a post-mortem examination. Vehicle or Buggy is damaged, stolen or destroyed Page | 5 during the Period of Cover, we will pay (subject to the • If you have not insured your Horse Float, Trailer, Maximum Cover that you have selected and Horse Drawn Vehicle or Buggy for its full Fair specified in your Policy schedule, after deducting Market Value. In this case, we will only pay a Co-Pay - Excess / or Exclusions specified percentage of your claim. The percentage will be in your Policy Schedule or Policy Terms and the based on how much of the full Fair Market Value exceptions below) - the amount you have insured your Horse Float, Trailer, Horse Drawn Vehicle or Buggy for, • The cost of repair to bring it back to the same represents condition it was before it was damaged or • Any claim that is a result of an accident, damage • The Sum insured for the insured item or the Fair or total loss until we have received a copy of the Market Value (whichever is the lesser) if the cost Police Crime Report and evidence of your legal of repair is deemed, at our sole discretion, to be ownership (proof of purchase, registration uneconomical. certificate) If your item insured is financed before the • If your Horse Float or Trailer has an expired acceptance of the insurance policy, or if you borrow registration or warrant of fitness (if legally funds against this asset during the tenure of this required) policy, you must advise as to which finance company has an interest noted. • Any claim that is a result of an accident, damage or total loss that occurs where your Horse The Company will not indemnify - Drawn Vehicle or Buggy has entered onto any • Any amount if your Horse Float, Trailer, Horse public roadway. Drawn Vehicle or Buggy is damaged or destroyed If your Horse Float, Trailer, Horse Drawn Vehicle or by wear and tear or the actions of moths, Buggy is found you must repay the full amount we insects, vermin, pests, mildew, mechanical or have paid to you electrical breakdown, or any other cause that happens slowly Loss of Irrecoverable Entry Fees • Any amount if your Horse Float, Trailer, Horse If you have selected this coverage as an additional Drawn Vehicle or Buggy is damaged or destroyed add-on item, then the following terms and conditions when it is being cleaned, repaired or restored will apply - • Any extra costs if replacement parts or The Company will indemnify the cost of an entry fee accessories are not available that you cannot recover if your Horse dies before a show or event or if you are in hospital on the day of a • Any amount for tyres that are damaged by show or event. punctures, cuts, bursts or braking The company will not indemnify - • Any amount if your Horse Drawn Vehicle or Buggy is damaged while it is being used for • More than $1,000.00 for any entry fee you are training, or taking part in trails or cross-country unable to recover events • Any amount if your claim is hospital-related and • Any amount if your Horse Float, Trailer, Horse the reason you are in the hospital is not the Drawn Vehicle or Buggy is stolen or damaged or result of an injury or illness. destroyed while the thief is trying to steal it, Veterinarian Certificate if you have not fitted a wheel clamp, tow hitch lock or put it in a building that is not properly • A two (2) stage veterinarian certificate in a form locked prescribed and agreed by Us, is required to be completed at the commencement of each Policy • Any other financial loss, legal compensation, under any plan when the Sum Insured is costs or expenses between $10,000 to $19,999 • Your legal liability for payment compensation in • A five (5) stage veterinarian certificate in a form respect of death, bodily injury or illness, and/or prescribed and agreed by Us, is required to be physical loss or damage to property completed at the commencement of each Policy Page | 6  under any plan where the Sum Insured is You need to ensure all operations and Treatments are $20,000 and above performed by a qualified Veterinary Surgeon. • A declaration of health from a registered The Maximum Cover payable under this Policy is the veterinarian is required to be completed at the amount selected by you and specified in the Policy commencement of each Policy under any plan Schedule. where the Horse has required veterinary You agree to pay the Excess specified in the Policy Treatment in the 12 months preceding the Policy Schedule, on a per medical Treatment and/or per Commencement Date veterinary visit basis for every claim that is submitted • A declaration of health from a registered under this Policy; or the co-payment amount veterinarian is required on the anniversary date which you have selected whichever is the greater. (Renewal Date) of any Policy where the Horse The Policy only covers Treatments specified in the has required veterinary Treatment in the 12 Policy Schedule for treatment received by your Horse months preceding the renewal of the policy within New Zealand, as listed in your Policy Schedule • A copy of the full medical history is to be unless a special agreement to extend the provided by a veterinarian. geographical limits has been approved. It is your responsibility to provide the completed The Policy only covers Treatments specified in the veterinarian certificates in the manner prescribed Policy Schedule for treatment received by your Horse above. If this is not completed and a copy is not during the Period of Cover. provided to us, then any current or future claims You ensure that you will fully disclose all known or may be declined. should have known medical conditions (supported Section B - General Terms, Conditions and with an appropriate veterinarian certificate or Exclusions declaration of health) in relation to the Horse at application time, and at the time of Renewal or at any Conditions time during the life of the Policy. If a material event or The obligations of the Company and payment of any information relating to the Horse’s health or well- benefit under the Policy is conditional upon – being, and if it is found that any of this information has been withheld, the Company has the right to You having paid to the Company the premium on or deem the Policy as void and will not approve any before the Due Date for Payment. In the event that a claims that may be made. premium payment is not paid by the Due Date for payment, the Policy will lapse 7-days after the Due None of the exclusions set out here or in Your Policy Date. No claims will be paid if a claim is received Schedule are applicable. after a Policy has lapsed. In the event the Policy Misrepresentation or Fraud: If we find that you have lapses you can apply to have the Policy reinstated intentionally provided false information to us – subject to the Company’s discretion which could whether on your application or in a claim – we may include asking for proof of the Horse’s good health, refuse to pay the claim and could cancel your policy. new terms and conditions including exclusions being For example, if you claim for an injury that didn’t imposed and no claim being assessed or paid for the happen or was deliberately caused, or you altered period that the Policy has lapsed. invoices, this is insurance fraud. Similarly, You need to ensure that the Horse is of sound health; exaggerating the truth or hiding facts in order to get a free of injury, illness, disease, lameness or physical claim paid can be considered a breach of your duty. disability whatsoever AND properly cared for and In the event any information provided to the maintained at all times and that the Horse Company is fraudulent, misleading or untrue this undertakes treatment as prescribed by a Veterinary Policy will be cancelled and you will forfeit Surgeon to prevent an illness or disease occurring entitlements to all benefits, which would have and to also ensure that the Horse is immediately otherwise been payable under the Policy and the taken to a Veterinary Surgeon as soon as it shows Company reserves the right to claim all premiums signs of being unwell so that it can be examined and that have been paid to cover the Company’s costs. treated without delay. The Owner agrees for the Horse's medical records and supporting information regarding all Treatments Page | 7 of any nature whether or not covered by the Policy to • The maximum benefit as specified in the Plan be provided to the Company and the Owner agrees to table, has been met or exceeded during the meet the costs of obtaining this information; Period of Cover. Any Other Requested Documents: Sometimes we • Treatment for the Horse is as a result of a might ask for additional information depending on deliberate act or omission or the negligent the nature of the claim. For example, if there was an behaviour or care caused by you or anyone accident and a third party was involved, we might ask at your premises; for a report or witness statement. We will let you • A claim is received for a Horse that is under the know if we need anything specific once we receive age of 12 months and over the maximum age your claim. specified in the Policy Schedule at the The Company reserves the right to impose an excess Commencement Date of the Policy unless prior or loading to the Policy, either at the time of the approval has been provided to insure the horse application or at the time of the renewal and also under 12 months of age. reserves the right to specify a maximum payment for • A claim is received in relation to a post mortem selected treatments and procedures. of the Horse; You must confirm that you have never had a policy • A claim for treatment of a psychiatric disorder, cancelled, or had special conditions applied or a behaviour problems or costs associated with claim declined on any insurance policy. retraining a Horse due to them suffering such Exclusions disorders or problems; The obligations of the Company and payment of any • A claim is received in relation to the travel benefit(s) will not apply if – expenses of the Horse’s Veterinary Surgeon for any medical or Accident callouts; • A claim arises for illness or Accident within the stand-down period specified in your Policy • The cost of surgical equipment that can be used Schedule; more than once; • A claim is received more than 30 days after the • A claim relates to the Horse / Treatments where treatment has finished or the claimable event the Horse is ordered to be destroyed by the has occurred; courts / relevant legislation or any government agency, public or local authority or any person or • The Horse has or is known to have any pre- body having or claiming jurisdiction in the matter existing conditions, that were in existence before in New Zealand. the Policy commenced including any chronic, recurring or ongoing medical • The Treatment of the Horse is directly or conditions/diseases that have been in existence indirectly required by the Horse directly or or treated before the Policy commenced. indirectly being used for hunting, security work, racing or in a polo event. • A claim is for the treatment of skin and/or allergic conditions that have been caused by the • The Treatment is for any breeding, breeding- chemicals or substances used in products to related procedures and/or Treatments, including maintain the cleanliness of the Horse or for the but not limited to contraceptives, contraceptive treatment of ectoparasites on the Horse; procedures or pregnancies; • The Horse suffers contact skin conditions and/or • The Treatment is required due to or is related to allergies from contact with but not limited to the Horse being overweight or obese. plants; • A claim is received for reimbursement of diet • For any pandemic disease that causes food, medication for diet and vitamin widespread illness, death or destruction deficiencies or medication for a Horse’s coat, affecting horses. even if it has been prescribed and recommended by the Horse’s Veterinary Surgeon; • The Horse has caused damage to any property or people or any other animal; • The Treatment is for any cosmetic surgery or any form of tattooing or piercing of a Horse; Page | 8 • Any loss or damage if the Horse is not • The claim is as a result of loss or damage caused vaccinated against tetanus, strangles and by radiation, nuclear explosion, nuclear fallout equine influenza, equine herpes or any other or contamination by radioactivity; disease that there is a known vaccine which a • The claim relates to any experimental Veterinary Surgeon would in the ordinary course medication or treatment or clinical trial, or any of veterinary practice recommend; complications arising out of any experimental • The claim is for any transplant, replacement or medication or treatment or clinical trial; implant of any organs or body parts including • For any journey you take Your Horse on against pacemakers; Vet’s advice; • Any amount for any experimental medication, • If the death or humane destruction occurred treatments or therapies, prosthesis, orthopedic before the Period of Cover commenced; supports or braces, cancer vaccines, a therapeutic antibody for equine cancer, stem • If the injury can be treated and it is humane to cell therapy, gene therapies, platelet rich plasma keep the Horse alive; the therapy (PRP), Shockwave Therapy, pre/probiotics, cold laser treatments, Low-level • If the humane destruction of the horse has been Laser therapy (LLLT), Photobiomodulation (PBM recommended by Veterinary Surgeon, a letter Therapy), Interleukin-1 Receptor Antagonist must be provided by the Veterinary Surgeon to Protein (IRAP), Bisphosphonates (Equidronate / outline the reasons that the only option was to Osphos), short wave infra-red therapy, equine euthanise the horse, and if the condition(s) dry salt therapy, vibration therapy, 3D printing, which have been noted do not meet the current and any drugs not used in accordance with the New Zealand Veterinary Council Code of manufacturers recommendation; or Professional Conduct for the destruction of horses the claim will not be accepted; • The claim is as a result of a declared or undeclared war or any act thereof, invasion or • If the Horse’s condition does not meet the civil war or any claim that is a result of a natural current New Zealand Veterinary Council Code of disaster including but not limited to flooding, Professional Conduct for the destruction of earthquake, volcanic eruption; horses; • The claim is a result of a biological or chemical • If the death or humane destruction is the result attack whereby the loss or damage is directly or of a deliberate act by indirectly, caused by, resulting from or in either you or your immediate family or any other connection with the actual or threatened person looking after the Horse; malicious use of pathogenic or poisonous • The cost of a post-mortem examination, elective biological or chemical materials regardless of or economic destruction; any other cause or event contributing concurrently or in any sequence; • Any amount which results from you acting or behaving unlawfully, including any fines or • The claim is as a result of loss, damage, cost or penalties; expense of whatever nature directly or indirectly caused by, resulting from or in connection with • Any amount if your Horse is confiscated or any act of Terrorism regardless of any other destroyed under the order of any authority cause or event contributing concurrently or in (government, local, public or any other). any other sequence to the loss; Miscellaneous • The claim is a result of loss caused by the It is your responsibility to ensure that all Policy pressure waves of an aircraft, spacecraft or details are correct, including all details relating to the anything else travelling at sonic or supersonic Horse, the medical history of the Horse speeds; and your contact details. • Any amount if the incident or Accident causing Claims Process an injury or illness takes place as a result of any business, profession, occupation or Please note that any unpaid Annual Premiums will be while you are working for someone; deducted from any approved claim payment Page | 9 (including any Annual Premium amount outstanding • Outcome: The internal review may uphold the on Policies that are being paid via agreed original decision or overturn it (either fully or instalments). This also applies to claims paid in the partially) and offer a revised resolution. We will event of your Horse’s death. explain the reasons either way. You must file a completed claim form (including • Further Action: If after the internal review you still all supporting documentation) no later than 30 disagree with the outcome, you may have further days after treatment has finished or after the recourse outside the company, such as occurrence of a Claimable Event. contacting the Insurance & Financial Services Ombudsman (IFSO) or other relevant external To make a claim for reimbursement you will need to – dispute resolution body in New Zealand. (We are a • Telephone Beneficial Insurance Limited / Pet-n- member of a dispute resolution scheme, and you Sur on 0800-738-678 (0800PETNSUR) notifying a can escalate complaints there free of charge.) We claim and to request a claim form or; will provide you with details on how to do so if we cannot resolve your complaint internally to your • E-mail to claims@petnsur.co.nz and request a satisfaction. claim form to be sent or; Our goal is to resolve any issues fairly and • Download the claim form here transparently. We value our customers, and if Once you have completed your claim form, you can something hasn’t gone right, we want to know and fix upload the form, along with the supporting it if we can. So please, if you have any grievances, documentation (clinical history, tax invoices and use this process and we will do our best to address payment receipts) using our online tool. them. In order for the Company to assess the claim, the Definitions Company will require you to complete our claim Accident means a sudden, violent and external form, along with providing copies of all relevant GST event that happens by chance at an identifiable time invoices which you are claiming for. You will be and place and is unforeseen and unintended. required to produce these at your own expense, all relevant information from your Veterinary Surgeon or Certificate of Insurance means the Policy Schedule other parties as requested by the Company. In the and the Policy Wording. event that the claim is accepted, the payment will be Claimable Event means an event that gives rise to a less the co-pay or excess as referred to in the Policy claim under the Policy (subject to Policy Terms, Schedule. In the event that the Horse is covered with Conditions and Exclusions). another provider in addition to this Policy from which You are eligible for reimbursement for a claim Commencement Date means the date your under their Policy, the Company will not refund more insurance coverage starts. It is shown on your Policy than the total refundable share of the amount Schedule (often also referred to as the policy start claimable under your Policy. You must also advise date). Coverage for incidents begins at 11.59pm from the name of the other company giving Us permission this date (subject to stand-down periods for certain to discuss all details of the relevant claim. conditions). In the event of a dispute, you can request that our Company means Beneficial Insurance Limited / Pet- Internal Dispute Resolution Team review your case. n-Sur / Pet-n-Sur Equine. This is a dedicated team within our company that Co-Pay means the percentage that you have was not involved in the original claim decision. selected, which will be deducted from any claim They will independently re-assess your claim or prior to it being paid. concern. To initiate this, let us know by phone or email (resolutions@beneficial.co.nz) advising that Due Date means the date or dates We you would like a review. Provide additional advise You that Your premium payment(s) are due. information or context you think is relevant or was overlooked. The Internal Dispute Resolution Team Excess means the minimum amount we will deduct will then review all the details afresh and provide you per claim if the co-pay deduction amount is lower with a written outcome of their review. than the excess amount. Page | 10 Exclusions A list of items, situations, scenarios, Renewal Date means the date set out in the Policy treatments and other forms of policy exclusions, that Schedule (12 months from the Commencement if one or more exclusion events occur then the claim Date). will be declined and the policy could be cancelled. Saddlery and Tack means items such as but not Horse Float, Trailer, Horse Drawn Vehicle or limited to, saddles, bridals, irons, harnesses and Buggy means the particular float, trailer, horse riding tack, but excludes rugs, blankets, costumes or drawn-vehicle or buggy listed in Your Policy clothing. Schedule; Sum Insured means the amount You have chosen Injury means a physical injury resulting solely and and the Company has accepted as the most We will directly from an Accident, not an injury that occurs pay as set out in the Policy Schedule. over a period of time or is of a gradual nature. Terms & Conditions means a list of stated terms and Fair Market Value means the value agreed between conditions that you agree to before taking out the a willing buyer and a willing seller, neither being policy. under any compulsion to buy or sell and both having Terrorism means an act, including but not limited to reasonable knowledge of relevant facts for any Horse the use of force or violence and/or the threat thereof; or item of the same age, type and condition of any person or group, whether acting alone or on as Your Horse or item at the date the Policy is either behalf or in connection with any organisation(s) or initiated or renewed. government(s), committed for political, religious, Fraudulent behaviour includes providing Us with ideological or similar purposes including the false information, making a false or exaggerated intention to influence any government and/or to put claim or making a claim that includes dishonesty. the public, or any section of the public in fear. Horse means the animal that is referred to in the Treatment means any examination, consultation, Policy Schedule. surgery, medication, tests, scans, x-rays or diagnostic work carried out by a veterinarian. Material means any information that would have influenced the judgment of a prudent provider, in You or Your means the person(s) named on the fixing the premium or in determining that he/she Policy Schedule. would have taken or continues the risk upon Vice means any bad habit usually of a repetitive substantially the same terms. nature. Maximum Cover means the most we will pay up for a Veterinary Surgeon means a registered veterinarian particular benefit as set out in the Policy Schedule. experienced in equine practice with a current valid Period of Cover means the 12 months commencing license, issued by the appropriate governing agency, on the Commencement Date and ending on the last allowing him/her to practice veterinary medicine in day of the 12-month period. New Zealand. Policy means the Policy Schedule and the Policy We, Us, Our, Agent or Company means Pet-n-Sur Wording. acting on behalf of Beneficial Insurance Limited. Where the Policy requires advice, notice or Policy Schedule means the schedule that the communication all correspondence to the Company Company issues to the Owner outlining the full should be sent to either PO Box 68548, Wellesley St, details of the cover provided under the Policy. Auckland 1142 or via email to admin@petnsur.co.nz Pre-Existing Condition means any Treatment, 12 months means 365 days calculated from and Symptom or Chronic condition relating to the Horse, including the date an injury happens or the first that occurs prior to the Commencement Date, clinical signs of an illness are noticed. regardless of whether or not it is specifically diagnosed, which you are aware of or a reasonable We comply with the Privacy Act 2020 person in your circumstances ought to have been We collect personal information about you. We aware of including any Treatment, Symptom or asked you for personal information to fully evaluate Chronic condition that is related to or is a result of and to administer this policy, and we may ask for any Pre-Existing Condition(s). more if you make a claim or renew this Page | 11 policy. You also authorise us to collect relevant information about you or your horse from a third party, such as other insurers and disclose information about you in connection to insurance with third parties. We fully understand the importance of protecting your personal and financial information. We store your information securely within our organisation and will not share it except for compliance-related purposes. Regulatory Information Beneficial Insurance Limited is licensed to carry on insurance business in New Zealand under the Insurance (Prudential Supervision) Act 2010. This means we meet the regulatory requirements set by the Reserve Bank of New Zealand for insurers, giving you confidence that we are a legitimate and supervised insurance provider in New Zealand. Financial Strength Rating All licensed insurers are required to have a financial strength rating (“FSR”) from a rating agency authorised by the Reserve Bank of New Zealand. Beneficial Insurance Limited has been rated B++ Outlook Stable by AM Best Company. The AM Best Company FSR scale is as follows: Secure: A++, A+ (Superior), A, A- (Excellent), B++, B+ (Good) Vulnerable: B, B- (Fair), C++, C+ (Marginal), C, C- (Weak), D (Poor), E (Under Regulatory Supervision) V20251103 Page | 12