Fairfield University Programs Abroad

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World Class Coverage Plan Designed For Fairfield University Programs Abroad

This plan is provided by Cultural Insurance Services International
and underwritten by Chubb Insurance

Coverage Summary for Policy # GLMN11245092


Coverages and Services Maximum Limits
Primary Coverage  
Accidental Death  
    Per Insured $10,000, aggregate $1,000,000
Medical expenses (per Covered Accident or Sickness):  
    Deductible $-0- (zero)
Mental and Nervous  
    Outpatient Up to $10,000
    Inpatient Up to $20,000
Physiotherapy: If recommended by a physician and administered by a licensed physiotherapist
Specified Therapies and Spinal Manipulation:  
  Outpatient Limit Up to $500
Accidental Dental Up to Accident Medical Expense Limit
Dental, Relief of Pain Up to $500 max
Limit for:  
   Emergency Medical Evacuation 100% up to $150,000
   Repatriation/Return of Mortal Remains 100% up to $150,000
Pre-Existing Coverage Up to $10,000 Primary, thereafter Secondary
24/7 Team Assist Package Included
Emergency Medical Reunion Up to $3,000
Trip Delay Up to $1,000
Trip Interruption Up to $2,000
Trip Cancellation Up to $3,000
Home Country Coverage Up to $10,000 is secondary
Extension of benefits Up to 30 days
Comprehensive Security Evacuation $100,000 per insured aggregate $1,000,000

Please contact the Team Assist line by phone at (312)-935-1703 (collect calls accepted) or email medassist-usa@axa-assistance.us. The Team Assist Emergency Assistance Provider is AXA Assistance.
Non-Emergency questions may be directed to CISI at 203-399-5132 (toll free 800-303-8120).

To seek recommendations for doctors or hospitals, please contact Team Assist at (312)-935-1703 or email medassist-usa@axa-assistance.us. *We can make appointments for you.

CISI will make every effort to pay invoices directly to medical providers. Please notify CISI by contacting TeamAssist and we will make every effort to arrange to pay the doctor or hospital directly. If you prefer to pay yourself, then we will reimburse you (you may scan/email or fax the claim information to CISI and we will process it while you are still abroad, OR you may file the claim information after your trip). The average claim processing time at CISI is 2 weeks from receipt of claim information.



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