John Cabot University

Policy Number

GLM N10893355

Questions?

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.

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.

Coverage Summary for Policy

GLM N10893355

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).