PLEASE NOTE THAT IF THIS FORM IS NOT SUBMITTED BEFORE THE RENEWAL DATE, ALL COVER WILL BE CANCELLED FROM THE EXPIRY OF YOUR PREVIOUS POLICY. 

 

The maximum benefit payable under benefits 7 & 8 is limited to 75% of the Insured’s weekly salary. In order to calculate this figure the Insured will be required to evidence their annual salary. The maximum payment is based upon 1/52 of the annual salary multiplied by 75%.

Activity Groups

Group A: Hacking, Driving Showing, Dressage, Horse Handling, Breaking, Gymkhana, Pony Club Activities, Riding Club acitivites, Unaffiliated & Affiliated Showjumping, Endurance Riding, Western Riding, Valuting, Cross Country Schooling, Hunting, Hunter Trials, Non-Competitive Driving, Pony Racing, Flat Racing & Arab Racing. 

Group B: As per Group A Plus: Cross Country Team Chasing, Affiliated  Eventing - Intro & Pre-Novice, Unaffiliated Eventing, Competitive Driving, Polo, Polocross. 

Group C: As per Group A & B Plus: Steeplechasing, Hurdle Racing, Point to Points & Hunterchasing (Amateur Riders only), BHTA (BE) or IHTS 3-day events, Affiliated Eventing - Novice and Above.

 

Important - Information you have given us.

 

In deciding to accept this insurance and in setting the terms and premium, we will rely on the information you have given us. You must take care when answering any questions we ask by ensuring that all information provided is accurate and complete.

 

If we establish that you deliberately or recklessly provided us with false or misleading information we will treat the insurance as if it never existed, decline all claims and retain the premium.  We may also seek to recover from you any monies already paid by us in respect of the claim.

 

If we establish that you carelessly provided us with incorrect or incomplete information that we have relied upon in accepting the insurance and setting its terms and premium we may;

 

• Treat the insurance as if it had never existed and refuse to pay all claims and return the premium paid. We will only do this if we provided you with insurance cover which we would not otherwise have offered;
• Amend the terms of your insurance. We may apply these amended terms as if they were already in place if a claim has been adversely impacted by your carelessness;
• Charge you more premium for your insurance or reduce the amount we pay on a claim in the proportion the premium you have paid bears to the premium we would have charged you; o
• Cancel your insurance.

 

If you are in any doubt at all regarding any of the answers you have given, you should ask your broker or contact KBIS Ltd. You must tell us, within 14 days of you becoming aware, if any of the information provided by you changes after you purchase your policy and during the period of your policy.

Access to Medical Reports Act 1988 – Consent Form

A medical report about you may be required in order to decide whether to accept the insurance and in settling the terms of the insurance policy, including premium.  As part of your medical report, we may need to review of your GP’s records, hospital records, details of any medical treatment and any other necessary medical information (“Medical Records”) pursuant to the Access to Medical Reports Act 1988 (“Reports Act 1988”). Before we can obtain your Medical Records from your medical practitioner, we are required to explain your rights under the Reports Act 1988, in order to obtain your informed consent. your rights under the Reports Act 1988 are that You:

 

1. Can withhold permission for Us to seek a medical report (that is, you can refuse consent to the release of any medical information to us);
2. Are entitled to access to the medical report completed by the medical practitioner either before it is sent to us. If you wish to see the medical report before it is sent to us, please indicate by ticking the box below, you will then have twenty one (21) days to arrange this with the medical practitioner. If after viewing the report you wish to withdraw your consent, you can instruct the medical practitioner not to share the report with us;
3. Can ask the medical practitioner to amend any inaccuracies or errors contained within in the medical report; and
4. Can ask the medical practitioner to see the report up to six (6) months after it has been sent to us and at any time, you can make a Subject Access Request pursuant to the General Data Protection Regulation (EU) 2016/679) (“GDPR”), to determine what personal information we hold about you.

 

In certain circumstances, your medical practitioner can withhold the medical report, or any part of it, from you within the provisions of GDPR and Data Protection Act 2018.

 

If you withhold your consent this may prevent us from carrying out a satisfactory risk assessment and could lead to restrictions, by way of terms and conditions, being applied to your insurance. 

Statement of Fact/Declaration

For the purpose of this Declaration, “I” means the undersigned Proposer below.

 I declare that to the best of my knowledge and belief the information provided in connection with this proposal, whether    in my own hand or not, is true and complete. I have taken care not to make any misrepresentation in the disclosure of this information and understand that all information provided is relevant to the acceptance and assessment of this insurance, the terms on which it is accepted and the premium charged.

 I agree to tell you within fourteen (14) days of becoming aware about any changes in the information I have provided to you which happens before or during any period of insurance.

You must tell us as soon as possible about any changes to the information you have provided to us. This duty applies before and during any period of insurance. We will tell you if such changes affect your insurance and if so, whether the change will result in revised terms and/or premium being applied to your policy. If you do not inform us about a change it may affect any claim you make or could result in your insurance being invalid.

KBIS and its insurers may share information about me with other insurance companies and third parties (such as loss adjusters or medical experts) directly or through a number of databases. This allows KBIS/the insurer to check the information provided, carry out claim administration and help to prevent fraud. I agree to this. 
 
No cover is in force until this proposal is accepted by KBIS, cover is confirmed and the premium is paid. The insurer reserves the right to decline any insurance proposal or to offer different premium and terms from those quoted dependant on the information you have provided.

Privacy Policy

Please take the time to read through our Privacy Policy available here - KBIS Privacy Policy 

Before selecting the tick box below.

KBIS Newsletter

We would like to offer you the opportunity to opt in to our KBIS Newsletter which is free or charge and allows access to our latest competitions, offers and products along with useful information about horse care from our in-house vet via our email newsletter.

KBIS will only communicate with you by email with your explicit consent and will not share your data with anyone else. If at a later date you do not want to receive our newsletter you can opt out at any time. Further details including how to opt out are contained in our privacy policy and on our website.

Data Protection Notice

Any information you have provided will be dealt with by KBIS and its insurers in compliance with the provisions of the General Data Protection Regulation. For the purpose of providing this insurance and handling any claims or complaints which may arise under it, KBIS and its insurers may need to transfer certain information which you have provided to other parties. By signing this proposal form you agree that such transfer(s) may be made.

Fair Processing Notice 

This Privacy Notice describes how Convex Insurance UK Limited (for the purpose of this notice “we”, “us” or "Convex Insurance UK Limited") collect and use the personal information of insureds, claimants and other parties (for the purpose of this notice “you”) when we are providing our insurance and reinsurance services.

How We Will Use Your Data

The information provided to Convex Insurance UK Limited, together with medical and any other information obtained from you or from other parties about you in connection with this policy, will be used by Convex Insurance UK Limited for the purposes of determining your application, the operation of insurance (which includes the process of underwriting, administration, claims management, analytics relevant to insurance, rehabilitation and customer concerns handling) and fraud prevention and detection. we may be required, by law, to collect certain personal information about you, or because of any contractual relationship we have with you. Failure to provide this information may prevent or delay the fulfilment of these obligations.

Information will be shared by Convex Insurance UK Limited for these purposes with other group companies and third parties, insurance intermediaries and service providers. Such parties may become Data Controllers in respect of your personal information. Because we operate as part of a global business, we may transfer your personal information outside the European Economic Area for these purposes. 

Your Rights Regarding Your Personal Information 

You have certain rights regarding your personal information, under local law. These include the rights to request access, rectification, erasure, restriction, objection, and receipt of your personal information in a usable electronic format and to transmit it to a third party (right to portability). 

If you have questions or concerns regarding the way in which your personal information has been used, please contact the Data Protection Officer, Lorraine Mullins, by email or letter at:

Lorraine@convexin.com

Convex Insurance UK Limited

52 Lime Street

London EC3M 7AF.  United Kingdom

We are committed to working with you to obtain a fair resolution of any concern about privacy. If, however, you believe that we have not been able to assist with your concern, you have the right to make a complaint to the UK Information Commissioner's Office (“ICO”).

For more information about how we process your personal information, please see our full privacy notice at: https://convexin.com/privacy-policy/ or for a written copy please contact us at:

 

Convex Insurance UK Limited

52 Lime Street

London EC3M 7AF

United Kingdom