University of Connecticut

Policy Number

GLM N10876801


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World Class Coverage Plan Designed For University of Connecticut

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

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Coverage Summary for Policy

GLM N10876801

Coverages and Services Maximum Limits
Medical Expense (per Accident or Sickness):
Deductible $0 (zero)
Basic Medical
Dental Treatment:
Accidental Dental 100% of Covered Expenses, up to policy limits
Emergency (Palliative) Dental: $500 maximum
Pre-existing Conditions Coverage Limit Treated as any other medical condition
Mental and Nervous Treated as any other medical condition
Prescription Drugs (Inpatient/Outpatient) 100%
Maternity Covered
Limit for:
Emergency Medical Evacuation $250,000
Repatriation/Return of Mortal Remains $250,000
Security Evacuation Comprehensive $100,000 ($500,000 aggregate limit)
Emergency Medical Reunion $3,000
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 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).