Policy Number
GLMN04965887
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This plan is provided by Cultural Insurance Services International and underwritten by Ace American Insurance Company
GLMN04965887
Coverages and Services | Maximum Limits |
---|---|
Section I | |
Accidental Death Per Insured Medical expenses (per Accident or Sickness) |
$15,000 |
Deductible | $0 |
Basic Medical | $500,000 at 100% |
Home Country Extension of Benefits | 30 days |
Emergency Medical Reunion | $3,000 |
Palliative Dental (Accidental Dental covered as any other condition) |
$500 |
Section II | |
Medical Evacuation | 100% of expenses |
Repatriation/Return of Mortal Remains | 100% of expenses |
Section III | |
Security Evacuation Rider (comprehensive) | $100,000 |
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).