PREMIUM CAR RENTAL PROTECTION - Sample Description of coverage

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FOR INFORMATIONAL PURPOSES ONLY: For complete details on the terms,

conditions, and exclusions of this coverage please refer to the Plan documents you receive

upon enrollment. Please note that although this sample is a group policy form, you may

receive one or more individual policies.

SAMPLE DESCRIPTION OF COVERAGE – STATE VARIATIONS MAY EXIST

PREMIUM CAR RENTAL PROTECTION

Underwritten by AMEX Assurance Company

Administrative Office, 18850 N 56th St, AZ08-02-02, Phoenix, AZ 85054.

Premium Car Rental Protection provides insurance coverage to the Cardmember and Passengers when a

Cardmember uses an Enrolled Card to pay rental charges for a Rental Car. Coverage includes the

following benefits: reimbursement for Damage to or Theft of a Rental Car; a secondary Accidental Injury

Expense benefit; Accidental Death or Dismemberment coverage; secondary coverage for Damage to or

Theft of Personal Property. The terms and conditions of coverage, as well as the benefit levels, are

described in this Description of Coverage.

Coverage is worldwide except for vehicles rented in Australia, Ireland, Israel, Italy, Jamaica and New

Zealand.

The Premium Car Rental Protection Plan does not provide insurance for personal liability, uninsured

motorists, worker's compensation injuries, disability benefits of any kind, any coverage mandated by

government or any other form of insurance coverage except as specifically described in this Description of

Coverage.

For any questions regarding the Plan, please call 1-800-338-1670, or the number on the back of your

Enrolled Card].

Definitions

Certain words used in this Description of

Coverage have special meaning and are

explained below and in other sections of this

document. They appear throughout the

Description of Coverage beginning with a capital

letter.

“Accident” means a motor vehicle incident

involving the Rental Car that results in Damage to

the Rental Car, or Accidental Injury to a Covered

Person, or both.

“Alight” or “Alighting” means being in the direct

and immediate act of exiting the seating

compartment of the Rental Car. Once the

person's body is out of and not touching the

Rental Car, the act of Alighting is completed.

“Authorized Driver” means a person listed on the

rental agreement between the Cardmember and

the Rental Company, at the time the Cardmember

takes Possession of the Rental Car, who is

permitted to operate the Rental Car according to

the terms of the rental agreement.

“Board” or “Boarding” means being in the direct

and immediate act of entering the seating

compartment of the Rental Car. Once a person is

sitting in the Rental Car, the act of Boarding is

completed.

“Cardmember” m

eans an American Express

Basic or Additional Cardmember who has used

an Enrolled Card to rent the Rental Car, who has

signed the rental agreement with the Rental

Company and who takes Possession of, or who

permits an Authorized Driver to take Possession

of, the Rental Car.

“Company” means

AMEX Assurance Company,

and its duly authorized agents.

“Covered Person”

means the Cardmember and

any Passenger, including any Authorized Driver,

Boarding, sitting in, riding in or Alighting from the

Rental Car.

“Damage” means t

he effect of any contact with

or treatment of the Rental Car which requires

repair in order to restore the Rental Car to its

pre-Possession condition, or, in the case of

Personal Property, any alteration or destruction

of Personal Property which necessitates repair

or replacement.

“Domestic P

artner” means persons of the same

or opposite gender who either,

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1. Can provide documentation of registration of

the Domestic Partner relationship pursuant t

state, county or municipal provision, or

2. Can meet all of the following qualifications:

a. have resided with each other

continuously for at least 12 months in

ole-partner relationship that is int

ended

o be permanent;

b. are not married to any other person;

c. are at least 18 years old;

d. are not related to each other by bl

ood

loser than would bar marriage per stat

aw; and

e. are financially interdependent as can

doc

umented by copies of joint hom

nership or lease, common bank

accounts, credit cards, investments or

insurance.

“Enrolled C

ard” means an American Express

charge or lending Card that has been enrolled in

the Plan.

“Loss of U

se” means the unavailability of a Rental

Car and consequent loss of revenue by the

Rental Company due to Damage or Theft.

Unless otherwise required by law, the Rental

Company must submit a fleet utilization log

indicating that during such time:

1. no other Rental Car was available; and

2. there was a demand for a Rental Car.

“Passenger”

means a person, other than the

Cardmember, who the Cardmember permits to

Board the Rental Car, including an Authorized

Driver.

“Permanent R

esidence” means the Covered

Person’s one primary dwelling place where the

Covered Person permanently resides and intends

to return.

“Personal P

roperty” means any property that

accompanies the Covered Person when Boarding

the Rental Car or that is Secured in the Rental

Car when the Covered Person is not sitting in or

riding in the Rental Car.

“Physici

an or Dentist” means a person licensed in

the healing arts and acting within the scope of

such license with respect to the treatment

provided. The Physician or Dentist may not be a

Covered Person, the Spouse or Domestic Partner

of a Covered Person, or anyone related to the

Covered Person by blood.

“Plan” means

the benefits described in this

Description of Coverage.

“Policy”

means the master group insurance

contract of which this Plan is descriptive and

under which this Plan provides coverage for a

Covered Person.

“Possessi

on” means that period of time

beginning when the Cardmember or Authorized

Driver Boards the Rental Car for the first time

and ending when the Cardmember or Authorized

Driver Alights from the Rental Car for the last

time in order to surrender all the keys and

custody of the Rental Car to the Rental

Company.

“Rental Car

” means a four-wheeled, two-axle

passenger type motor vehicle, designed for and

sold to accommodate private passenger

transport on public roads, rented to the

Cardmember by the Rental Company, and

intended to be operated by the Cardmember or

Authorized Driver by means of a rental

agreement with the Rental Company. A Rental

Car includes a pick-up truck, cargo or passenger

van and sport utility vehicle (SUV).

“Rental Com

pany” means a commercial car

rental agency that is licensed under the laws of

the applicable jurisdiction and whose primary

business is renting private passenger

automobiles. A Rental Company does not

include a moving van rental company or any

business which may incidentally rent an

automobile to a customer, such as an auto

dealership or auto body repair shop.

“Secured” m

eans locked in the trunk of the

Rental Car or locked in the seating compartment

of the Rental Car with all windows fully closed

and all Covered Persons absent the vicinity of

the Rental Car.

“Spouse” means

the person to whom the

Cardmember or a Passenger is lawfully married.

“Theft” m

eans the taking and driving of the

Rental Car by a person other than the

Cardmember or an Authorized Driver, or the

taking of Secured Personal Property, without the

permission of the Cardmember or the Covered

Person who owns the Personal Property.

How to Activate Coverage

Coverage is activated when the Cardmember

uses an Enrolled Card to pay the rental fee for

the Rental Car and the Cardmember signs the

rental agreement for that Rental Car.

Coverage will not be activated if an American

Express Card that has been used to pay a rental

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fee for the Rental Car is enrolled in the Plan after

the Cardmember or Authorized Driver Boards the

Rental Car for the first time. Coverage also will

not be activated if an Enrolled Card has not been

used to pay the rental fee, but is subsequently

used to pay for Damage to the Rental Car.

Benefits

Damage and Theft Benefit

If Damage to or Theft of the Rental Car occurs,

the Plan will reimburse the Cardmember up to a

maximum of [$75,000, $100,000] for the following

payments the Cardmember is required to make:

1. up to the lesser of:

a. the actual cost to repair Damage to the

Rental Car; or

b. the wholesale monetary worth of the

Rental Car at the time of Damage or

Theft as stated in an authority commonly

used to determine such worth, or book

value, minus salvage and depreciation

costs; or

c. the invoice purchase price of the Rental

Car, minus salvage and depreciation

costs; and

2. Loss of Use; and

3. charges related to the Rental Car subsequent

to the Accident, such as expenses for towing

and storage, which are charged by the

nearest vendor or facility capable of rendering

assistance and which are the usual and

customary charges in the locale where the

Accident occurred.

Personal Property Benefit

If an Accident causes Damage to Personal

Property, or if Theft of Personal Property that has

been Secured occurs, the Plan will reimburse the

Covered Person the lesser of:

1. the replacement cost, less depreciation, as

determined by the Company, of the Personal

Property at the time of Damage or Theft; or

2. the cost of repair or replacement of the

Personal Property.

Personal Proper

ty is insured against Damage or

Theft only to the extent such coverage is not

provided by other insurance available to the

Covered Person.

Personal Proper

ty for each Covered Person is

insured for up to [$2,500, $5,000]. However, if

the Personal Property of more than one Covered

Person is affected by Damage or Theft from the

same Accident or incident of Theft, the total

coverage for all such affected Personal Property

is [$5,000, $10,000].

If Theft of P

ersonal Property that has been

Secured occurs, there must be visible signs of

forced entry to the Rental Car. Additionally, a

report listing each stolen item of Personal

Property must be filed with the appropriate law

enforcement agency.

Receipts or proof of ownership are required for

reimbursement of any item under the Personal

Property Benefit.

Accidental Injury Expense Benefit

If a Covered Person suffers an Accidental Injury,

the Plan will pay a secondary Accidental Injury

benefi

t up to a maximum of [$7,500, $15,000] for

treatment and supplies that are Medically

Necessary, only when all insurance otherwise

available to the Covered Person is not sufficient

to pay for the cost of the Medically Necessary

treatment.

“Accidental Injury” means bodily injury to a

Covered Person as a result of an Accident. An

Accidental Injury may neither, directly or

indirectly, wholly or partially, result from nor be

caused or contributed to by a disease, illness or

infirmity, nor by the ingestion, injection or

inhalation of any substance.

“Medically Necessary” means medical treatment

and supplies from a Physician or Dentist

required for the treatment of an Accidental Injury.

If the Covered Person has other secondary

insurance available, the Covered Person must

assist the Company in arranging with any other

such insurer to share and administer payment

for Medically Necessary treatment, up to the

covered maximum for each Covered Person, in

the interest of an equitable distribution of the

treatment expense among all insurers.

Medically Necessary treatment must begin within

90 days of the Accident that caused the

Accidental Injury and must be completed within

52 weeks of the Accident date.

Expenses for Medically Necessary treatment will

be paid on a reasonable and customary basis up

to the maximum for each Covered Person.

Accidental Death or Dismemberment Benefit

If a Covered Person suffers an Accidental Death,

the Plan will pay to the beneficiary of that

Covered Person [$75,000, $100,000] if the

Covered Person is the Cardmember and

[$7,500, $10,000] if the Covered Person is a

Passenger.

“Accidental Death” means the death of a

Covered Person as a result of an Accident. An

Accidental Death may neither, directly or

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indirectly, wholly or partially, result from nor be

caused or contributed to by a disease, illness or

infirmity, nor the ingestion, injection or inhalation

of any substance.

If a Covered Per

son suffers Dismemberment as

the result of an Accidental Injury, the Plan will pay

the benefit amount as determined from the Table

of Losses for Dismemberment below. The Table

of Losses for Dismemberment indicates that

percentage of the Accidental Death benefit, for

which the Covered Person is insured, which the

Plan will pay to the Covered Person in the event

an Accidental Injury causes Dismemberment.

“Dismemberment”

means, with reference to:

1. an adjoining thumb and index finger,

complete and permanent severance of both

appendages through or above the joint where

they meet the hand at the palm as a result of

an Accident;

2. a hand or foot, complete and permanent

severance through or above the wrist or ankle

joint as a result of an Accident;

3. an eye, the irrecoverable loss of the entire

sight as a result of an Accident;

4. speech, complete and irrecoverable loss of

speech as a result of an Accident; or

5. hearing, complete and irrecoverable loss of

hearing in both ears as a result of an

Accident.

The Accidental Deat

h or Dismemberment must

occur within 365 days after the Accident date.

The benefit payment f

or Accidental Death or

Dismemberment will be either for Accidental

Death or one category of loss for

Dismemberment. If Dismemberment involves

more than one category of loss, the Plan will pay

that one amount which represents the greatest

loss sustained by the Covered Person as a result

of the Accident.

Table of Losses for Dismemberment

Both Hands or Both Feet…………………...

100%

Sight of Both Eyes…………………………..

100%

One Hand and One Foot…………………...

100%

Either Hand or Foot and the Sight of One

Eye……………………………………………

100%

Speech and Hearing in Both Ears…………

100%

Either Hand or Foot. ………………………..

50%

Sight of One Eye ……………………………

50%

Speech ………………………………………

50%

Hearing in Both Ears………………………..

50%

Thumb and Index Finger of the Same

Hand …………………………………………

25%

NOTE: With respec

t to the Accidental Injury

Expense Benefit and the Accidental Death or

Dismemberment Benefit, for any one Accident

resulting in Accidental Injury, Accidental Death or

Dismemberment which merits payment under

either or both of these two benefits, the

maximum payment will not exceed [$200,000,

$300,000] for all Covered Persons affected by

any one Accident. The maximum payment will

be apportioned to each Covered Person or to

each Covered Person's beneficiary in the

amount proportionate to the limit for which the

Covered Person was insured.

Beneficiary

Only the Cardmember may designate a

beneficiary, or change a previously designated

beneficiary, to receive the Accidental Death

benefit.

To name or change a beneficiary, please call

American Express at the toll-free number on the

back of the American Express Card in order to

receive a form for this purpose which is

satisfactory to the Company. In order for a

beneficiary designation or change of beneficiary

to be effective, the form must be filed with the

Company. The designation or change of a

beneficiary will take effect as of the date it was

signed, provided it has been received by the

Company. Any payment of proceeds made by

the Company prior to notification of a beneficiary

designation or a change of beneficiary on the

form satisfactory to the Company will fully

discharge the Company to the extent of such

payment.

If more than one beneficiary is named without

stating the respective interests of each

beneficiary, all beneficiaries will share equally.

If no beneficiary is named, or if the beneficiary

does not survive the Cardmember, or if the

Covered Person is a Passenger, Accidental

Death benefits will be paid to the first surviving

class of the following classes:

1. Spouse or Domestic Partner;

2. children, equally per stirpes;

3. the estate.

Exclusions

Excluded Vehicles

The following vehicles are not considered a

Rental Car and no benefit under the Plan will be

paid for a loss if such a vehicle is rented:

1. any truck other than a pick-up truck;

2. a cube van or box truck;

3. leased or mini-leased motor vehicles;

4. vehicles that, after manufacture by the

maker, have had any part customized or

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PCRP-DOC 06/05 Page 5 of 7

modified, except for driver's assistance

equipment for the physically challenged

driver;

5. any vehicle more than 20 years old or that

has not been manufactured for 10 or more

years;

6. limousines, off-road vehicles, motorcycles,

motor bikes, mopeds, recreational vehicles,

any motorized cart including a golf cart,

campers and trailers; or

7. vehicles rented in Australia, Ireland, Israel,

Italy, Jamaica and New Zealand.

Excluded Items

Benef

its will not be paid under this Plan for any of

the following:

1. costs attributed to the Rental Company's

normal course of doing business and

expenses assumed, waived or paid for by the

Rental Company or its insurer;

2. Damage that has occurred prior to

Possession of the Rental Car;

3. tires, unless other Damage occurs to the

Rental Car from the same Accident, or Theft

of the entire Rental Car occurs;

4. defect in the manufacture of the Rental Car;

5. diminishment of value, unless required by

law;

6. depreciation, unless reimbursement for

depreciation is required by law;

7. wear and tear, including such effects caused

gradually over time;

8. any property other than the Rental Car and

Personal Property;

9. lost items;

10. animals;

11. furniture;

12. art;

13. money, securities, tickets, or documents;

14. items left in the Rental Car after the

Cardmember or Authorized Driver has

relinquished Possession;

15. any injury, except coverage for a Covered

Person described under the Accidental Injury

Expense Benefit and Accidental Death or

Dismemberment Benefit; or

16. any injury or physical condition of a Covered

Person existing before an Accident.

Excluded Actions

Benefits will not be paid under this Plan if the loss

for which coverage is sought was directly or

indirectly, wholly or partially, contributed to or

caused by any of the following:

1. violation of the rental agreement with the

Rental Company;

2. acts by a Covered Person to intentionally

damage or injure;

3. consumption of alcohol at or in excess of the

legal blood alcohol level for operating a

motor vehicle in the state or locality in which

the Accident occurred;

4. being under the influence of any drug

unless taken as prescribed or administered

on the advice of a Physician or Dentist;

5. war or act of war, whether declared or

undeclared;

6. actual, alleged or threatened discharge,

dispersal, seepage, migration, escape,

release of or exposure to any hazardous

biological, chemical, nuclear or radioactive

material, gas, matter or contamination;

7. confiscation by governmental authority;

8. freezing and mechanical breakdown or

electrical failure, except where it results

from Theft;

9. the Rental Car being left unattended and

unlocked or a window not completely

closed;

10. pushing or towing anything;

11. violation of criminal law, or commission of a

criminal act, whether cited or charged, by or

behalf of the Covered Person;

12. participation in a riot, civil disturbance or

insurrection;

13. suicide, attempted suicide or intentionally

self-inflicted injury while sane.

14. failure of the Cardmember or Authorized

Driver to surrender all the vehicle keys

following Possession;

15. a Rental Car used outside the rental

territory authorized by the Rental Company;

16. a Rental Car used for any manner of racing

or team sport;

17. A Rental Car used for hire, whether for hire

to carry persons or property;

18. off-road operation of the Rental Car; or

19. any disease, illness, or infirmity.

Maximum Limit

Per Covered Person

Duplicate or multiple enrolled American Express

Card accounts do not obligate the Company to

pay more than one benefit limit under this Plan,

per Accident or Theft covered. The maximum

amount the Company will pay for any one

Accident or Theft is the coverage amount for

which the Cardmember is enrolled in at the time

of the Accident or Theft.

Length of Coverage

As long as the Cardmember remains in

Possession of the Rental Car, the Plan covers

an eligible Rental Car for the first [42]

consecutive days.

When Coverage Ends

Coverage ends automatically at the earliest of

the following:

1. the date the Policy is cancelled;

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2. the date the enrolled Card account is

cancelled;

3. the date the Cardmember’s Permanent

Residence is no longer within the 50 Unit

tates of America, the District of Columbia,

Puerto Rico or the U.S. Virgin Islands;

4. the date the Cardmember’s Permanent

Residence is in a state where the Plan is not

available.

Cancellation or ter

mination of coverage will not

prejudice any claim commencing while coverage

is in force.

Premiums

A [$19.95, $24.95] premium charge will be billed

to the Cardmember’s Enrolled Card each time the

Card is used to pay the rental charges for a

Rental Car until the enrollment is terminated.

There may be occasions when premium charges

are billed to the Enrolled Card for:

1. a cancelled car rental or no-show;

2. a vehicle other than a Rental Car;

3. two premiums for the same car rental;

4. vehicles rented in Australia, Ireland, Israel,

Italy, Jamaica, and New Zealand; or

5. other charges unrelated to the actual car

rental.

If any such charges are billed to the Enrolled

Card, contact American Express for a refund or

fill out the refund coupon attached to the Card

statement.

Claims Process

Notifying Law Enforcement Agency

Notification of Damage, including vandalism,

Theft, or an Accident must be reported to the

appropriate law enforcement agency as soon as

reasonably possible. This requirement applies

regardless of whether the Rental Car is involved

with other vehicles. Failure to notify may result in

denial of benefits.

Notification of Loss

The initial notification of a loss must be reported

to the Company as soon as reasonably possible

following a loss. To report a loss, call

1-800-338-1670, or the number on the back of

your Enrolled Card.

Proof of Loss

If required, a claim form will be sent to the

Covered Person after the Company receives

notice of loss. Written proof of loss, which

includes the signed claim form and all other

requested documentation, must be received

within 60 days following the date of the Damage

or Theft. The proof of loss must be sent to:

Premium Car Rental Protection Claims Unit, PO

Box 979178, Miami, FL 33197-9178. If the

required proof of loss and other documentation is

not received within 60 days of the date of loss

(except for documentation which has not been

PCRP-DOC 06/05

furnished for reasons beyond the Covered

Persons’ control), coverage may be denied. It is

the claimant’s responsibility to provide all

required documentation.

Required documentat

ion may consist of, but is

not limited to:

1. itemized bill for repair or replacement of t

ental Car or item;

2. report from law enforcement agency (e.g.,

police report);

3. photos of the damaged vehicle;

4. copy of all claim documents

and

orrespondence, provided by the Rental

Company;

5. copy of the written rental agreement with t

ental Company;

6. death certificate and/or itemized medical bills

and medical records;

7. signed authorization to obtain medical

records;

8. completed claim form;

9. documentation from the Rental Company

indicating that the Covered Person was

responsible for the damages or loss; and

10. receipts or proof of ownership for stolen or

damaged item.

Physica

l Examination and Autopsy

The Company has the right, at its expense, to

have the Covered Person, for whom a request

for benefits is pending, examined as often as

reasonable. The Company may require an

autopsy, at its expense, unless the law forbids it.

Cardmember c

ooperation with issues related to

the benefits is required. Failure to cooperate

may result in denial of benefits.

How Benefits are Paid

The Damage and Theft Benefit is payable to the

Cardmember or to the Rental Company.

Benefits payable under the Accidental Injury

Expense Benefit and Personal Property Benefit

are payable to Covered Person.

Dismemberment benefits payable under the

Accidental Death or Dismemberment Benefit are

payable to the Covered Person.

Death benefits payable under the Accidental

Death or Dismemberment Benefit are payable as

indicated in the Beneficiary provision.

Any payment made by the Company in good

faith pursuant to this provision will fully discharge

the Company to the extent of such payment.

Rights of Recovery

In the event of a payment under this Policy, the

Company is entitled to all the rights of recovery

that the Covered Person, to whom payment was

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PCRP-DOC 06/05 Page 7 of 7

made, has against another. The Covered Person

must sign and deliver to the Company any legal

papers relating to that recovery, do whatever else

is necessary to help the Company exercise those

rights and do nothing after loss to harm the

Company’s rights.

When the Covered Per

son or the Rental

Company have been paid under this Plan, and

also recover from another, the amount recovered

from the other must be held by the Covered

Person or Rental Company in trust for the

Company and reimbursed to the extent of the

Company’s payment.

As a condition pr

ecedent to coverage, the

Covered Person is required, and has a duty, to

fully cooperate with the Company in any

investigations, subrogation matters or legal

proceedings by providing copies of any and all

legal notices and any and all statements,

including sworn statements and contributing any

other papers and documents to reasonably assist

in the disposition of the legal matter.

The Company shall

be entitled to recovery as

stated in this provision only after the Covered

Person has been fully compensated for damages

by the other party.

Notification of Legal Action

When a Cardmember is served with legal

papers, such as a Summons and/or Complaint,

relating to a claim covered under the Plan, the

Cardmember must notify (see address and

phone number under Claims Process section)

and provide copies of these to the Claims Unit

within 15 days of when the Cardmember is

served. Failure to comply may result in denial of

benefits.

Additional Information

This coverage is underwritten by AMEX

Assurance Company ("Insurer") through

insurance Policy AX0610 (the "Policy") issued to

American Express Travel Related Services

Company, Inc. and its participating subsidiaries,

affiliates and licensees. The Policy may be

changed or canceled with notice.

This Descr

iption of Coverage is an important

document. Please keep it in a safe place. This

document replaces any prior Description of

Coverage under the Policy which may have been

furnished to the Cardmember.