University of Connecticut Study Abroad Programs

Policy Number

GLM N10876795

Questions?

Call Team Assist:
+1 312-935-1703

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World Class Coverage Plan Designed For University of Connecticut Study Abroad Programs

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

Coverage Summary for Policy #

GLM N10876795

Coverages and Services Maximum Limits
Section I
Accidental Death & Dismemberment:
Per Insured $10,000
Aggregate Limit Per Accident $1,000,000
Medical Expense (per Accident or Sickness):
Deductible $0
Basic Medical $250,000 @100%
Accidental Dental 100% of Covered Expenses, up to policy limits
Pre-existing Conditions Coverage Limit 100% up to the first $10,000, secondary thereafter to policy max
Mental and Nervous Inpatient up to $5,000, Outpatient up to $2,500
Prescription Drugs (Inpatient/Outpatient) 100%
Maternity Covered
Nursery Newborn covered child Up to $500
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
Emergency Medical Reunion $3,000 ($300/day,10 day max)Hospitalized after 5 days
Trip Interruption $1,500
Trip Cancellation $1,500
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).