ds for injuries caused by or incurred in a Motor Vehicle accident in which you were an operator or
passenger of an on-road or off-road Motor Vehicles (including cars, trucks, motorcycles, tractors, farmUHFR093021E100121 Page 114
implements, construction equipment, go-karts, four-wheel or six-wheel ATVs, golf carts, personal moving
devices, and all types of motorized watercraft and aircraft) will be sharable, to the extent the costs at
issue are not the responsibility of any insurance carrier or liable party, but only if: (a) the
Operator(s)/rider(s) were driving, riding or operating the vehicle off-road or on a public roadway that
permits Motor Vehicles of the type involved in the accident; (b) the Operator and Motor Vehicle were
validly insured as required by law; (b) the Operator(s)/rider(s) and Motor Vehicle were not engaged in
racing or stunt competition and were not operating the Motor Vehicle recklessly; and (c) the
Operator(s)/rider(s) were not operating the Motor Vehicle under the influence of alcohol, any recreational
drug, any prescription drugs that bear a warning against operating a Motor Vehicle or heavy machinery,
or any illegal substance as defined by applicable law.
4. Accidents involving three-wheel vehicles or snowmobiles where you are an Operator or
Passenger.
Expenses from injuries related to accidents involving three-wheel vehicles or snowmobiles in which you
were an operator or passenger are not sharable, whether off-road or on-road, even if local law allows
three-wheel vehicles or snowmobiles to travel on public roads.
5. Occupational or Work-Related Injuries.
Expenses arising from the care and treatment of an Illness or Injury that is occupational, or that arises
from work for wage or profit, including self-employment, are generally not eligible for sharing. However,
provided such Illness or Injury results from legal employment, they will be considered for sharing if:
a) The State in which the injuries occurred has no Worker’s Compensation laws or insurance
requirements; or
b) The State laws proscribing participation in the Worker’s Compensation system of that State
do not allow the business owner and/or enterprise from participating in Workers
Compensation. Documentation of such exemption may be required.
iv. Conditional Member Expenses.
Members with certain pre-existing conditions that are responsive to lifestyle changes may be accepted
into the membership based on a mutually agreed upon treatment plan between the Conditional Member
and Universal HealthShare. Conditional Members are assigned a health coach to monitor and encourage
personal progress toward health goals. Health coaching sessions and related costs, including
administrative fees charged by Universal HealthShare in its reasonable discretion, shall be paid for by the
Condi