5 Definitions

In the insurance, the definitions are applied as are stated in URA – Agreement on contracts abroad and guidelines for terms of employment when service abroad, and the definitions given below.

5.1 Accompanying family members

Accompanying family members refer to accompanying spouse/cohabitating partner and such children under the age of 19 for whom the employee has a support obligation. The accompanying family members must lastingly stay in the country of service and also be entered into the URA contract.

5.2 Accident

Accident refers to a bodily injury caused by an involuntary and sudden even with external violence to the body. This means that overload and attrition injuries and twists of other than against the knee are not counted as accidents. The same applies to cardiac infarction, stroke and the like that did not occur in connection with a sudden and involuntary even with external violence to the body.

Illness or injury caused through biological or chemical substances is also considered an accident if it is likely that somebody deliberately spread the biological or chemical substance with the aim of causing illness or injury in people. If the illness or injury only shows itself after the term of insurance, a medical expert assessment shall form the basis of a decision in the matter whether the illness or injury is to be assumed to have affected the insured during the term of insurance.

5.3 Acute illness

Suddenly arising and relatively brief medical condition, which may need to be treated immediately.

5.4 Assault

Assault refers to injury through violence to a person, unprovoked and without consent.

5.5 Chronic medical condition

Long-term medical condition or illness where care and/or treatment is planned. Chronic conditions can also deteriorate and become acute and the required treatment then becomes emergency treatment.

5.6 Close relative

A close relative refers to the employee’s:

• Spouse/cohabitating partner

• Children

• Siblings

• Parents

• Parents-in-law

5.7 Cohabitating partner

Cohabitating partner refers to the same as in the Cohabitees Act (2003:376).

In a corresponding manner, the circle of relatives applies for the accompanying family members. For accompanying children, grandparents are also included in the term of close relative.

5.8 Emergency dental care

Emergency dental care refers to the same as the term immediate dental care in Section 6 of the Dental Care Act (1985:125). Emergency dental care means that the patient becomes pain and infection free, has one (1) functioning chewing surface and that any visible dental gaps are filled provisionally. Visible dental gaps mean whole or partial loss of any of the ten front teeth in the upper or lower jaw.

5.9 Emergency medical care

Emergency medical care refers to the same as the term immediate medical care in Section 4 of the Health and Medical Services Act (1982:763).

5.10 Family members staying outside the country of service

Family members staying outside the country of service refer to a spouse and such children under the age of 19 for whom the employee has a support obligation.

5.11 Necessary and reasonable costs

Necessary and reasonable costs refer to what is common and customary both in terms of the cost´s size and nature and with regard to the circumstances, such as time, place, etc.

5.12 Planned care

Investigation and/or treatment that is not a medical emergency.

5.13 Statutory base amount

Statutory base amount refers to price base amount according to the Social Insurance Code (2010:110).