University System of Georgia Study Abroad

Policy Number

GLM N10892880

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

World Class Coverage Plan Designed for University System of Georgia Study Abroad Programs

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

Coverage Summary for Policy

GLM N10892880

SCHEDULE OF BENEFITS

Coverages and Services Maximum Limits
TRAVEL ACCIDENT INDEMNITY INSURANCE
Accidental Death and Dismemberment Per Insured Person:
Faculty/Student $25,000
Spouse $10,000
Per Child $5,000
ACCIDENT AND SICKNESS INSURANCE
Medical expenses (per Accident or Sickness)
Deductible zero
Benefit Maximum for Spain participants
(90+days Visa Requirement)
$500,000 at 100%
Benefit Maximum Unlimited
Extension of Benefits 30 days
Home Country Coverage Limit $10,000
TRAVEL ASSISTANCE INSURANCE
Emergency Medical Reunion (incl. hotel/meals, max $150/day) $10,000
Program Fee Refund (Student Only) $5,000
Quarantine $2,000
Return of Minor Child(ren) $2,500
Trip Delay $500 ($100/day)
Return Ticket (Trip Interruption) $1,000
Chaperone Replacement Benefit $5,000
PERSONAL PROPERTY INSURANCE
Lost Checked Baggage (deduct. $50, $100/item) $250max
EVACUATION AND REPATRIATION INSURANCE
Emergency Medical Evacuation 100% of Covered Expenses
Participants in Antarctica $250,000 max
Repatriation of Mortal Remains $100% of Covered Expenses Participants in Antarctica $250,000 max
Security Evacuation (Comprehensive) $100,000 ($2.5M Aggregate)
NON-INSURANCE SERVICES
Team Assist Plan (TAP): 24/7 medical, travel, technical assistance

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 203-399-5132 (toll free 800-303-8120).