Program Guide Enrollment before 02/01/2014

Item 8. Accessories
A. Accessories Included (N/A will show if coverage not applicable)
1. Battery
2. Standard Wall Charger
B. Maximum retail value of accessories
$150.00
New Hampshire Insurance Company
175 Water Street,New York, NY 10038
(212) 770-7000
Certificate Declarations
This Certificate is attached to and made a part of a Master Policy
#16633596. The Named Insured shown below has coverage under
this Master Policy.
Item 1. Named Insured:
Subscribers on file with the Communications Equipment Service
Provider shown in Item 4. who have active service with such
Communications Equipment Service Provider. Named Insured
mailing address: On file with Communications Equipment Service
Provider
Item 2. When Coverage under Certificate is Effective
Coverage under this Certificate is effective as shown in the
Coverage Effective Date Endorsement attached to these
Declarations.
Item 3. Premium
Premium for Coverage Provided under this Certificate:
$3.99, $4.99, or $5.99
Item 4.Communications Equipment Service Provider
Name:
Appalachian Wireless
Address:
101 Technology Trail,
Ivel, KY 41642
Item 9. Replacement Device
Maximum full non-contract, non-subsidized retail price
of replacement to be charged $750.00
Item 10.This Certificate consists of the following forms:
Basic
1. Certificate Declarations Form 101136 (0309)
2. Certificate Conditions Form 101131 (0309)
3. Communications Equipment Coverage Form 101123 (0309)
4. Coverage Effective Form 101127 (0309)
5. Amendatory Endorsements
Specimen copies of the Forms referenced above are attached to this
Certificate, or if not attached, are available at the following website,
appalachian.esecuritel.com or may be obtained by calling this toll
free number, (866) 249-3186. By signing below, the President and the
Secretary of the Insurer agree on behalf of the Insurer to all the terms
of this Policy. This coverage is being provided by New Hampshire
Insurance Company.
John Q. Doyle
President
Andrew Holland
Secretary
Authorized Representative
1 in 4
cell phones
are lost, stolen,
or accidentally
damaged each year*
Item 5.Authorized Representative:
Name:
eSecuritel Agency, LLC
Address:PO Box 03
Alpharetta, Georgia 30009
Item 6. Limits of Insurance
Aggregate Limit of Insurance:$2,000 per Named Insured or two
(2) occurrences within a 12 month
period, whichever comes first.
Occurrence Limit of Insurance:
$1,000 per Occurrence for each Named Insured
Item 7. Deductible
The deductible will be the amount corresponding to the noncontract, non-subsidized retail price of the Named Insured’s
wireless device when initially purchased.
Non Contract, Non Subsidized Retail Price
Deductible
Other Material Disclosures
• This brochure contains a summary of information regarding the Program. In addition, this program may
change or be modified during your term. Therefore, to obtain the most up-to-date coverage information
and a complete Program Certificate visit corr.esecuritel.com or call (866)249-3186.
• We will not cover loss or damage caused directly or indirectly by any of the exclusions listed in the
complete Coverage Certificate. PLEASE READ THE COMPLETE COVERAGE CERTIFICATE CAREFULLY TO
DETERMINE YOUR RIGHTS, DUTIES AND WHAT IS AND IS NOT COVERED. To obtain a complete copy of the
Coverage Certificate visit appalachian.esecuritel.com or call (866) 249-3186.
• Claims may be fulfilled with new or reconditioned equipment. Reconditioned equipment may have
minor cosmetic flaws. Replacement of ‘accessories’ may be with generic or non-original manufacturer
accessories. If the exact model is not available, the replacement will be of like kind and quality.
• You are not required to purchase insurance to activate wireless service. This coverage may provide a
duplicate of other sources of coverage. You may cancel at any time.
• The Program is a replacement service provided to subscribers of Appalachian Wireless. This coverage
is being provided by the New Hampshire Insurance Company, through eSecuritel Agency, LLC and is
administered by eSecuritel Holdings, LLC.
*Source: eSecuritel, LLC average rate of incident
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Why sign up?
Frequently Asked Questions
The Wireless Handset Protection Program from
eSecuritel is designed to give you peace of mind.
By signing up now you can save time, money and
hassle should your phone be lost, stolen or accidently
damaged. Examples of how much you could save
with the Wireless Handset Protection Program (not
representative of all savings scenarios):
How much will be added to my monthly bill?
Handset Model
Retail
Price*
Yearly
Premium
Deductible
Your monthly premium will be either $4.99, $5.99, or
$9.99 based on the make and model of the insured
handset.
What are the Insurance claim limits?
Savings**
How do I Report a Claim?
Step 1
*Based on the non-contract, non-subsidized retail price paid at the point of purchase.
**Savings based on placing only one approved claim (allotted two) in a 12-month period.
How do I enroll?
You can enroll in the program at anytime. A fee of either
$4.99, $5.99, or $9.99 based on the make and model of
the insured handset, will be added to your monthly bill.
When am I covered?
To be eligible for coverage immediately, purchase the
Program at the same time you purchase your new
handset from Appalachian Wireless (Point of Sale). If you
select coverage after the Point of Sale, no claims may be
made under the Program for thirty (30) days following
purchase of coverage. Please note, your phone must be
operational at the time of Program activation in order
to enroll.
What’s covered?
Step 2
What is the deductible?
Your deductible will be based on the make and model
of the handset for which you make a claim, ranging from
$25 to $200. Please consult the Deductible Schedule by
visiting appalachian.esecuritel.com for handset model
specific information. The deductible must be paid
before you receive your replacement phone.
Call eSecuritel
In the case of accidental damage, loss, theft or
malfunction (after the manufacturer’s warranty expires),
call eSecuritel’s Customer Care Center at (866) 249-3186.
Claims must be reported within 60 days of the incident
and proof of loss and/or ownership must be provided, if
requested. Only the account holder may file the claim.
Please have the following information ready:
• Your wireless phone number
• The account holder’s billing address
• Wireless phone manufacturer/model and unique serial number
also called an ESN or IMEI
• Date, time, location and detailed description of the
incident
• Police report number (if theft occurred)
Step 3
Pay Deductible & Receive Replacement
If your claim is approved, you will be directed to a
participating Appalachian Wireless location to pick up
your replacement handset within 30 days. A deductible
will be collected based on the make and model of
the handset, ranging from $25 to $200 (please visit
appalachian.esecuritel.com for handset model specific
information). Claims may be fulfilled with new or
reconditioned equipment. Reconditioned equipment
may have minor cosmetic flaws. Replacement of
‘accessories’ may be with generic or non-original
manufacturer accessories. If the exact model is not
available, the replacement will be of like kind and
quality. Please keep the receipt, original box, manual and
all packaging materials for warranty purposes.
File a Claim Worksheet Card
Use this area below to jot down important information about your
handset. Then, if you need to make a claim you’ll have the required
information to make the process even faster! Cut out the card, fold, and
keep in your wallet.
Your wireless phone number
Non-contract, non-subsidized retail price of handset at purchase date
Cut - Fold - Put it in Your Wallet
The program covers the handset (device, standard
battery & wall charger) you purchased from
Appalachian Wireless from accidental damage, loss,
theft and malfunction (after the manufacturer’s
warranty expires). Normal wear and tear and cosmetic
damage to equipment is not covered.
Call Appalachian Wireless Customer Care
If your handset was lost or stolen, call Appalachian
Wireless Customer Care at 800-438-2355 to suspend your
service and protect yourself against unauthorized use
of your account. If your handset was stolen, file a police
report where the theft occurred. This report number may
be required to process your claim.
$2,000 per Named Insured or a maximum of two (2)
equivalent replacements (whichever comes first) will be
permitted in each consecutive twelve (12) month period
beginning with the date of the first loss.
The account holder’s billing address
Wireless phone manufacturer and model
The ESN or IMEI of the insured equipment
Date, time, location and detailed description of the incident
Police report number (if theft occurred)
1
To obtain complete and up to date program information visit appalachian.esecuritel.com or call (866)249-3186
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