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
This plan is provided by Cultural Insurance Services International and underwritten by Ace American Insurance Company
GLM N10892880
Coverages and Services | Maximum Limits |
---|---|
Section I | |
Accidental Death and Dismemberment Per Insured: | |
Faculty/Student | $25,000 |
Spouse | $10,000 |
Per Child | $5,000 |
Medical expenses (per Accident or Sickness) | |
Deductible | $0 |
Basic Medical | $500,000 at 100% |
Extension of Benefits | 30 days |
Emergency Medical Reunion | $10,000 (incl. hotel/meals, max $150/day) |
Home Country Coverage Limit | $10,000 |
Program Fee Refund (Student Only) | $5,000 |
Quarantine (Applicable only to Insureds whose coverage starts on or after November 23, 2021) | $2,000 |
Return of Minor Child(ren) | $2,500 |
Trip Interruption | $1,000 |
Trip Delay | $500 ($100/day) |
Chaperone Replacement Benefit | $5,000 |
Lost Checked Baggage | (deduct. $50, $100/item) $250max |
Section II | |
Emergency Medical Evacuation | 100% of Covered Expenses Participants in Antarctica $250,000 max |
Repatriation/Return of Mortal Remains | 100% of Covered Expenses Participants in Antarctica $250,000 max |
Security Evacuation (Comprehensive)* * Aggregate of $2.5M |
$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 203-399-5132 (toll free 800-303-8120).