Cultural Insurance Services International
Clayton State University
Policy Number
GLM N10892880
Questions?
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World Class Coverage Plan Designed For
Clayton State University
This plan is provided by Cultural Insurance Services International and underwritten by Ace American Insurance Company, a member of the Chubb Group of Companies
Coverage Summary for Policy #
GLM N10892880
| Coverages and Services | Maximum Limits |
|---|---|
| Section I | |
| Accidental Death and Dismemberment Per Insured: | |
| Faculty/Student | $10,000 |
| Spouse | $25,000 |
| Per Child | $5,000 |
| Medical expenses (per Accident or Sickness) | |
| Deductible | $0 |
| Basic Medical | $500,000 at 100% |
| Extension of Benefits | 30 days |
| Emergency Medical Reunion | $10,000 (incl. hotel/meals, max $150/day) |
| Home Country Coverage Limit | $10,000 |
| Program Fee Refund (Student Only) | $5,000 |
| Quarantine (Applicable only to Insureds whose coverage starts on or after November 23, 2021) | $2,000 |
| Return of Minor Child(ren) | $2,500 |
| Trip Interruption | $1,000 |
| Trip Delay | $500 ($100/day) |
| Lost Checked Baggage | (deduct. $50, $100/item) $250max |
| Section II | |
| Emergency Medical Evacuation | 100% of Covered Expenses Participants in Antarctica $250,000 max |
| Repatriation/Return of Mortal Remains | 100% of Covered Expenses Participants in Antarctica $250,000 max |
| Security Evacuation (Comprehensive)* * Aggregate of $2.5M |
$100,000 |
Please contact the Team Assist line by phone at +1 312-935-1703 (collect calls accepted) or email medassist-usa@axa-assistance.us. The TeamAssist Emergency Assistance Provider is AXA Assistance.
Non-Emergency questions may be directed to CISI at 203-399-5132 (toll free 800-303-8120).