Coverages and Services	Maximum Limits
TRAVEL ACCIDENT INDEMNITY INSURANCE
Accidental Death and Dismemberment Per Insured Person	$25,000
ACCIDENT AND SICKNESS INSURANCE
Medical expenses (per Covered Accident or Sickness):
Deductible	zero
Benefit Maximum	$250,000 at 100%
Extension of Benefits	30 days
TRAVEL ASSISTANCE INSURANCE
Emergency Medical Reunion	(incl. hotel/meals, max $250/day) $5,000
Trip Delay	$2,500 ($250/day)
Trip Interruption	$1,000
PERSONAL PROPERTY INSURANCE
Personal Property Loss	$3,000
Personal Property Deductible	$0
Per Item Limit	$250
Electronic Devices Limit	$250
EVACUATION AND REPATRIATION INSURANCE
Emergency Medical Evacuation	$250,000
Repatriation of Mortal Remains	$250,000
Security Evacuation (Comprehensive)	$100,000
NON-INSURANCE SERVICES*
Team Assist Plan (TAP): 24/7 medical, travel, technical assistance


PERSONAL LIABILITY COVERAGE
Maximum Benefit Per Claim	$100,000	Additional Living Expenses	$5,000
Deductible per Personal Property Claim	$100	Payment of Deduct under Homeowner's Insurance	$1,000
Medical Payments Coverage	$5,000	Aggregate Limit per Insured/Policy Aggregate	$200,000
*Services are not insurance and are not affiliated with or provided by Crum & Forster SPC.

Drug Translation Tool
For participants who take medication prescribed by a doctor:

The Drug Translation Tool will allow you to see if your medication(s) are legal, available, and/or go by a different name in your destination country.

Please fully read the following instructions:

This grants you access to utilize the Drug Translation Tool on the left sidebar within the Participant Portal prior to your enrollment. This login is a general login to the Participant Portal. This is not your personal Participant Portal. You will have access to your own information once your program enrolls you in the coverage. At that time, you will receive an email containing your insurance documents and can create a myCISI login. The purpose of this early access is to allow you to check your medications without having to wait to be enrolled.

Click Here to access the Drug Translation Tool via the Participant Portal
Select I am an Insured, and enter in the following:
Username: ge@culturalinsurance.com
Password: globalexp

In Case of Emergency

Please contact Team Assist run by ON CALL INTERNATIONAL via phone at 877-714-8179, or email mail@oncallinternational.com.
Non-Emergency questions may be directed to CISI at 203-399-5130 (toll free 800-303-8120).

Schedule of Benefits
Benefits	Limits
Medical Expenses Limits:
Lifetime/Annual Maximum	Unlimited
Per Accident or Sickness	$250,000
Per Occurrence Deductibles:
Emergency Room Deductible (waived if admitted)	$250
Call-A-Doc	$0
Physician/Outpatient/Dr. Visit	$100
Urgent Care	$50
Walk in Clinic	$25
MRI/CAT Scan	$0
Rx Copay	$0
Pre-Existing Conditions-12 Month Look Back; thereafter up to policy max	Up to $500
Coinsurance Percentage (%)	100% Coinsurance
Prescription Drugs (inpatient/outpatient)	Inpatient: 100% of Covered Expenses Outpatient: 100% of Covered Expenses
Mental Health	Inpatient up to 30 days/Outpatient 30 visits
Pregnancy (conception must occur while covered under this plan)	Treated as any other illness
Physiotherapy	Covered
Chiropractic Care & Therapeutic Services	Up to $500 max, $50 per visit
Emergency Reunion	$15,000 (hospitalized 3 days)
Home Country (Incidental Trips)	$1,000
Trip Delay (applies mid trip as well) 24-hour time	Up $1,500/daily limit $100
Political Evacuation	$10,000
Dental Injury Only	Up to policy max
Palliative Dental	$1,000max/$200 per tooth
24/7 Assistant Services & In-house Crisis Team	Included
Medical Evacuation	$50,000
Repatriation of Remains	$25,000
Accidental Death & Dismemberment	$15,000 ($1M aggregate limit)

Schedule of Benefits
Benefits	Limits
Medical Expenses Limits:
Lifetime/Annual Maximum	Unlimited
Per Accident or Sickness	$2,000,000
Per Occurrence Deductibles:
Emergency Room (waived if admitted)	$250
Call-A-Doc	$0
Physician/Outpatient/Dr. Visit	$50
Urgent Care	$50
Walk in Clinic	$25
MRI/CAT Scan	$0
Rx Copay	$0
Pre-Existing Conditions-12 Month Look Back; thereafter up to policy max	Up to $500
Coinsurance Percentage (%)	100% Coinsurance
Prescription Drugs (inpatient/outpatient)	Inpatient: 100% of Covered Expenses Outpatient: 100% of Covered Expenses
Mental Health	Inpatient up to 30 days/Outpatient 30 visits
Pregnancy (conception must occur while covered under this plan)	Treated as any other illness
Emergency Reunion	$15,000 (hospitalized 3 days)
Physiotherapy	Covered
Chiropractic Care & Therapeutic Services	Up to $500 max, $50 per visit
Home Country (Incidental Trips)	$1,000
Trip Delay (applies mid trip as well) 24-hour time	Up $1,500/daily limit $100
Political Evacuation	$10,000
Dental Injury Only	Up to policy max
Palliative Dental	$1,000max/$200 per tooth
24/7 Assistant Services & In-house Crisis Team	Included
Medical Evacuation	$50,000
Repatriation of Remains	$25,000
Accidental Death & Dismemberment	$15,000 ($1M aggregate limit)
Trip Interruption	$1,000
Personal Liability
Personal Liability Limit	$2,000,000
Liability deductible	$100
Medical Payments to Others	$25,000
Additional Living Expenses	$10,000
Payment of Homeowners Deductible	$1,000
Personal Property	$1,500

Global Experiences

Phone: 1-203-399-5130 (toll-free) 1-800-303-8120 Email: Claimhelp@mycisi.com

World Class Coverage Plan Designed for Global Experiences

Coverage Summary for Policy #

Phone:
1-203-399-5130
(toll-free)
1-800-303-8120
Email:
Claimhelp@mycisi.com