Policy Number
22 GLM N16816516
Questions?
24/7 Emergency
Assistance – Team Assist
Phone:
(inside the U.S.)
+1 855-327-1411
(call collect from outside the U.S.)
+001 312-935-1703
Benefit or Claim
Questions?
Contact CISI
(9AM-5PM EST Mon-Fri)
Phone: 1-203-399-5130
(toll free 800-303-8120)
Email: Claimhelp@mycisi.com
This plan is provided by Cultural Insurance Services International and underwritten by ACE American Insurance Company, a member of the Chubb Group of Companies.
Participant & Dependent rates
Rates | Participant (Student/Faculty/Staff) | Per Dependent (Spouse/Child) |
1-Week | $12.95 | $28.29 |
2-Week | $25.90 | $56.58 |
3-Week | $38.85 | $84.87 |
Thereafter, Monthly* | $51.80 | $113.96 |
(*longer than 21 days, monthly rate applies) |
IMPORTANT: To enroll your dependent(s) that will be accompanying you, please complete the dependent enrollment form posted on the left-side bar and submit it to enrollments@mycisi.com.
Coverages & Services | Maximum Limits |
Accidental Death and Dismemberment Per Insured | $10,000 |
Medical expenses (per Accident or Sickness): | |
Deductible | zero |
Benefit Maximum | $250,000 at 100% |
Emergency Medical Reunion | $2,500 (incl. hotel/meals, max $250/day) |
Trip Cancellation | $2,500 |
Trip Interruption | $2,500 |
Team Assist Plan (TAP): 24/7 medical, travel, technical assistance | |
Emergency Medical Evacuation | $200,000 |
Repatriation/Return of Mortal Remains | $50,000 |
Security Evacuation (Comprehensive)* | $100,000 |
*Aggregate of $1M |