This plan is provided by Cultural Insurance Services International
and underwritten by Ace American Insurance Company, a member of the
Chubb Group of Companies
| Coverages and Services | Maximum Limits |
|---|---|
| Section I | |
| Accidental Death and Dismemberment Per Insured: | |
| Faculty/Student | $10,000 |
| Spouse | $25,000 |
| 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) |
| 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 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).
All content copyright © Cultural Insurance Services International (CISI) | 1 High Ridge Park | Stamford, CT 06905 | USA
