Cultural Insurance Services International
Institute for Study Abroad, Inc.
Policy Number
GLM 19 STB010049201-AXA
Questions?
24/7 Emergency Assistance - Team Assist Phone
Phone: +1 855-327-1411
(in U.S.)
+001 312-935-1703
(call collect from outside the U.S.)
Email:
medassist-usa@axa-assistance.us
Benefit or Claim Questions? Contact CISI
Contact CISI
(9AM-5PM EST Mon-Fri)
Phone: 1-203-399-5130
(toll free 800-303-8120)
Email: Claimhelp@mycisi.com
World Class Coverage Plan Designed For
Institute for Study Abroad, Inc.
The policy is administered by Cultural Insurance Services International and underwritten by Arch Insurance Company
Schedule of Benefits & Services
| Coverages and Services | Maximum Limits |
|---|---|
| Medical expenses (per Covered Accident or Sickness): | |
| Deductible | zero |
| Basic Medical | $350,000 at 100% |
| Pre-existing Conditions | Covered up to $10,000 on a primary basis. Any remaining costs are payable secondary to any other insurance plan, up to the maximum of $100,000. |
| Nervous or Mental Disorders | $10,000 (outpatient); $50,000 (inpatient) |
| Palliative Dental | $500 ($250/tooth) |
| Home Country Benefit | up to $10,000 |
| Extension of Benefits | 30 days |
| Emergency Medical Reunion | (incl. hotel/meals, max $1,000/day) up to $10,000 |
| Trip Delay | up to $500 maximum, $100/day, up to 5 days |
| Trip Interruption | up to $1,000 |
| Accidental Death and Dismemberment Per Insured | $15,000 |
| Emergency Medical Evacuation/Repatriation | $250,000 |
| Return of Mortal Remains | $100,000 |
| Baggage and Personal Effects | $250 max |
| Non-Insurance Services: | |
| Team Assist Plan (TAP): 24/7 medical, travel, technical assistance | |
| Security Evacuation Rider (Comprehensive) | $250,000 |
Please contact the Team Assist run by AXA ASSISTANCE via phone at 855-951-2326 or email medassist-usa@axa-assistance.us
Non-Emergency questions may be directed to CISI at 203-399-5130 (toll free 800-303-8120).