Cultural Insurance Services International
John Cabot University
Policy Number
GLM N10893355
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World Class Coverage Plan Designed For John Cabot University
This plan is provided by Cultural Insurance Services International and underwritten by Ace American Insurance Company
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Please note: To enroll through the John Cabot Insurance Policy, you must enroll on this page.
Plan designed for students that are attending John Cabot University
Plan designed for International faculty or Staff working at John Cabot University
Self-Enrollment Information
Eligible Participants must enroll for the full duration of their program. They can enroll for a period of up to 12 months at one time. Enrollments by term/semester are permitted only if subsequent study periods are unknown. The earliest the coverage can begin is two days from enrollment. Rates are based on full months and are not prorated. Eligible participants may purchase coverage for additional days directly before and/or after the actual dates of their program. If coverage is desired for a subsequent term, it should be purchased with an effective date which directly follows the end date of the current policy to ensure there are no gaps in coverage. If coverage for another term is not purchased prior to the expiration of the current policy term, Eligible Participants will not be able to retroactively enroll (i.e. backdate the effective date) under any circumstances. Certain policy conditions (such as the waiting period for pre-existing conditions) will automatically reset in the event that coverage periods are not consecutive.
Cancellation Requests:
All cancellations must be approved by John Cabot University by emailing health@johncabot.edu
Coverage Summary for Policy #
GLM N10893355
For a full list of exclusions, please review the brochure under "Plan Information".
For example, the policy does not cover routine care, physicals, wellness visits or hormone treatment/therapy".
| Coverages and Services | Maximum Limits |
|---|---|
| Accidental Death & Dismemberment: | |
| Per Insured | $10,000 |
| Aggregate Limit Per Accident | $1,000,000 |
| Medical Expense (per Accident or Sickness): | |
| Deductible | $35.00 |
| Basic Medical | $200,000 @100% |
| Accidental Dental | 100% of Covered Expenses, up to policy limits |
| Dental Relief of Pain | $500 max/$250 per tooth |
| Pre-existing Conditions Coverage Limit | 100% up to the first $5,000, secondary up to $10,000 |
| Mental and Nervous | Inpatient up to $5,000, Outpatient up to $2,500 |
| Prescription Drugs (Inpatient/Outpatient) | 100% |
| Maternity | Covered |
| Physiotherapy | If recommended by a Physician and administered by a licensed physiotherapist |
| Specified Therapies and Spinal Manipulation, including acupuncture and physiotherapy: | |
| Outpatient Limit | Max of $50/visit; maximum of 10 visits; $500 overall maximum |
| Emergency Medical Evacuation | $100,000 |
| Repatriation/Return of Mortal Remains | $50,000 |
| Security Evacuation Comprehensive | $100,000 ($1M aggregate limit) |
| Emergency Medical Reunion | $3,000 ($300/day,10 day max) Hospitalized after 5 days |
| Trip Delay | $500/12 Hours/$100 per day limit |
| Trip Interruption | Up to $1,000 |
| 24/7 Team Assist Package & CISI Crisis Team | Included |
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 203-399-5130 (toll free 800-303-8120).