View - Allied Insurance

TRAVEL INSURANCE SPECIAL PACKAGE
EXPO MILANO 2015
What is covered?
Personal Accident:
This includes losses resulting from an accident sustained by the insured
(you) when it results in death, loss of limb(s), loss of sight or permanent total
disablement.
Emergency Medical and Evacuation Services:
Emergency medical and evacuation services up to the amount shown in the
schedule of benefits necessary as a result of the insured (you) sustaining
accidental bodily injury or becoming ill.
Hospital Benefits:
Policy covers up to the amount shown in the schedule of benefits for which
the insured (you) is an inpatient in a hospital, as a result of an accidental
injury or illness which is covered under policy.
Loss of Checked Baggage:
The insured (you) will be reimbursed for the cost of purchase of essential
items, up to the maximum as shown in the schedule of benefits, should
baggage be delayed in transit on the outward journey for more than 12 hours.
Delay of Checked Baggage:
We will pay up to the amount shown in the schedule of benefits in the event
of the insured person suffering a total loss of/or damage to baggage that has
been checked-in.
SCHEDULE OF BENEFITS
SECTION
A
Personal accident
LIMIT (US$)
DEDUCTIBLE (US$)
Death: $25,000
Loss of limb: $25,000
Permanent total disability: $25,000
Nil
over 70 yrs: $5,000
B
Emergency medical expenses
C
$100,000
$100
$10 for each day (24 hrs) of
hospitalization up to maximum
for $ 100
Nil
D
Loss of checked Baggage
$1000
$100
E
Delay of checked Baggage
$50 for each 12 hour period delay up
to a maximum of $150
12 hours
F
Loss of Passport
$150
Nil
G
Personal Liability
$200,000
$200 in respect of third party
property Damage Claims Only.
PACKAGE
Loss of Passport:
We shall be responsible for the reimbursement of actual expenses up to the
limit shown in the schedule of benefits which are necessarily and reasonably
incurred by the insured person in connection with obtaining permits to travel
in the event that the insured person loses their passports.
Personal Liability:
We will indemnify the insured up to the amount as shown in the schedule of
benefits for the legal liability of the insured for accidental injury to third parties
or accidental damage to their property.
COVER
NO.OF DAYS
PREMIUM (US$)
50 DAYS
33
Documents required to apply
The following documents have to be presented with;
•
•
Proposal Form
Passport Copy
TRAVEL INSURANCE PROPOSAL FORM
EXPO MILANO 2015
Applicant’s Name:
Date of Birth:
D D
ID No.
M M
Y
Y
Y
Y
Permanent Address (as in ID card):
Male
Female
Nationality:
Contact Name:
Contact No:
House/Building name:
Road:
District:
Email:
Postal Code:
Atoll,Island:
Fax:
Period of Insurance:
Travelling to:
Fair Name:
DecIaration: I/We desire to effect with the Company an insurance, in the terms of the Policy used for this class of business and I/We warrant that
the above statements and particulars are correct and complete. I/We agree that this proposal shall be the basis of the contract and part of the
insurance between myself/ourselves and the Company.
Signature:
Date: