Rhode Island College

Policy Number

GLM N14285593


World Class Coverage Plan Designed For Rhode Island College

This plan is provided by Cultural Insurance Services International
and underwritten by Ace American Insurance Company

Please note: To enroll through the Rhode Island College Policy, you must enroll on this page

Coverage Summary for Policy

GLM N14285593

Coverages and Services Maximum Limits
Accidental Death and Dismemberment:
Per Insured $10,000
Aggregate Limit Per Accident $1,000,000
Medical expenses (per Accident or Sickness):
Deductible $0 (zero)
Basic Medical $250,000 @100%
Accidental Dental 100% of Covered Expenses, up to policy limits
Pre-existing Conditions Coverage Limit Primary up to the first $10,000, thereafter Secondary up to policy max
Mental and Nervous Inpatient up to $5,000, Outpatient up to $2,500
Prescription Drugs (Inpatient/Outpatient) 100%
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 $100,000
Security Evacuation Comprehensive $100,000 ($1M aggregate limit)
Emergency Medical Reunion $3,000 ($300/day,10 day max) Hospitalized after 5 days
24/7 Team Assist Package & CISI Crisis Team Included
Trip Delay Up to $1,000
Trip Interruption Up to $1,000

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 203-399-5130 (toll free 800-303-8120).