ERGO shall not pay an indemnity if the event fails to conform to the characteristics of an insured event as set forth in the Terms and Conditions of Insurance. ERGO shall not pay an indemnity if the damage fails to conform to the characteristics of indemnifiable damage as set forth in the Terms and Conditions of Insurance.
Temporary incapacity for work, permanent incapacity for work or death are not an insured event, if caused by:
- an illness, disease condition or injury that began before the conclusion of the Loan Agreement, which manifests during the first year of insurance cover and causes incapacity for work or death;
- pregnancy or childbirth;
- any injury caused voluntarily by the Borrower or intentionally placing his or her life at risk, suicide, participating in or facilitating the commission of a criminal offence;
- cosmetic surgery, a tattoo;
- the consumption of alcohol, narcotics or toxic substances;
- HIV or AIDS.
Becoming unemployed is not considered an insured event, if:
- the employment contract was terminated or the Borrower was released from public service during their probationary period;
- the Borrower became aware of the termination of their employment contract or release from public service prior to the commencement of insurance cover or during the waiting period;
- the employment contract expired due to the end of the term;
- the Borrower was released from public service due to the end of the term of service;
- the event involves a lay-off, decrease in work volume and the employment contract is not terminated;
- the employment contract was terminated for a reason other than an insured event resulting in unemployment, including the termination of the employment contract upon the agreement of the parties, the age of the employee, a violation by the employee or the failure of the employee to perform duties; termination of the employment contract at the initiative of the employee, etc.;
- The Borrower was released from public service for a reason other than an event constituting an insured event resulting in unemployment, including failure in cooperation, change in citizenship, disciplinary offence, inadequate work skills, initiative of the Borrower, etc.
The suspension or termination of the economic activities of a sole proprietor is not considered to be an insured event resulting in unemployment.
Foreseeable Insured Event
- ERGO shall not pay an indemnity if the occurrence of the insured event was or could have been foreseeable by the Borrower at the time of concluding the Loan Agreement.
- Becoming unemployed is considered foreseeable if the Borrower knows at the time of concluding the Loan Agreement that his or her employment contract will be terminated during the term of validity of the insurance cover or he or she will be released from public service, e.g. the Borrower has previously received a notice regarding the termination of his or her employment contract or release from public service.
General exclusions Not subject to indemnification are incidents which are caused by the use of nuclear energy, regardless of the intended use or the release of energy thereof due to a loss of control or radioactivity, terrorism, war, civil war, invasion, any armed conflict, mass disorders, uprisings, revolutions, coup, strike, confiscation, impounding or lockout.