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).
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