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    Travel Insurance Certificate: Reference: Issuing Date: Plan: Agent

    Uploaded by

    Kunal Ray
    This travel insurance certificate provides COVID-19 medical coverage of up to $5,000 with a 25% co-insurance for Vinay Ashok Kumar, born July 25, 2003 with passport number W2427184, for travel to the United Arab Emirates from June 10, 2022 to September 7, 2022; the policy covers multiple entries to the UAE and medical expenses and hospitalization for COVID-19 until stabilization. The certificate includes important notes about excess amounts depending on age and automatic extension of coverage dates if the entry date to the UAE changes from that shown on the certificate.

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    Travel Insurance Certificate: Reference: Issuing Date: Plan: Agent

    Uploaded by

    Kunal Ray
    35 views1 page
    This travel insurance certificate provides COVID-19 medical coverage of up to $5,000 with a 25% co-insurance for Vinay Ashok Kumar, born July 25, 2003 with passport number W2427184, for travel to the United Arab Emirates from June 10, 2022 to September 7, 2022; the policy covers multiple entries to the UAE and medical expenses and hospitalization for COVID-19 until stabilization. The certificate includes important notes about excess amounts depending on age and automatic extension of coverage dates if the entry date to the UAE changes from that shown on the certificate.

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    This travel insurance certificate provides COVID-19 medical coverage of up to $5,000 with a 25% co-insurance for Vinay Ashok Kumar, born July 25, 2003 with passport number W2427184, for travel to the United Arab Emirates from June 10, 2022 to September 7, 2022; the policy covers multiple entries to the UAE and medical expenses and hospitalization for COVID-19 until stabilization. The certificate includes important notes about excess amounts depending on age and automatic extension of coverage dates if the entry date to the UAE changes from that shown on the certificate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views1 page

    Travel Insurance Certificate: Reference: Issuing Date: Plan: Agent

    Uploaded by

    Kunal Ray
    This travel insurance certificate provides COVID-19 medical coverage of up to $5,000 with a 25% co-insurance for Vinay Ashok Kumar, born July 25, 2003 with passport number W2427184, for travel to the United Arab Emirates from June 10, 2022 to September 7, 2022; the policy covers multiple entries to the UAE and medical expenses and hospitalization for COVID-19 until stabilization. The certificate includes important notes about excess amounts depending on age and automatic extension of coverage dates if the entry date to the UAE changes from that shown on the certificate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    TRAVEL INSURANCE CERTIFICATE

    REFERENCE: DIC-22-1949672 ISSUING DATE: 06/10/2022 PLAN: Inbound UAE Compulsory AGENT: 546

    DESTINATION VALIDITY PERIOD COUNTRY OF RESIDENCE TELEPHONE NUMBER


    United Arab Emirates 90 days from the date of entry into Worldwide including US, CA, AU, JP 971557206706
    the UAE (excluding residence)

    FULL NAME DATE OF BIRTH PASSPORT NUMBER


    VINAY ASHOK KUMAR 25/07/2003 W2427184

    Contrary to any stipulations stated in the General Conditions, the Plan subscribed to, under this Letter of Confirmation, covers exclusively the below mentioned Benefits,
    Limitations & Excesses shown in the table hereafter.
    The General Conditions form an integral part of this Letter of Confirmation.
    For more info/modification regarding your policy, kindly do not hesitate to contact your authorized agent or e-mail us on [email protected]

    BENEFITS SUM INSURED EXCESS


    COVID-19 Emergency Medical Expenses and Hospitalization until stabilization only Up to USD 5,000 25% co-insurance

    Above sums insured are per person & per period of cover.
    Important Notes:

    * Excess is changeable depending on the Age of the insured. Please refer to the deductibles table in the General Conditions document.
    -If your date of entry to UAE changes from the dates shown on your certificate of insurance, your cover dates will be automatically amended to start from the date you entered the UAE (as stamped on your
    passport) or after 60 days from visa start date whichever comes first and run for the same duration as the original policy period. Issued policies are in all cases not refundable.
    -This policy covers the multiple entries to the UAE within your policy period.

    Confirmation Code AUTHORIZED SIGNATORY AND STAMP

    For official use, scan the above code to validate this confirmation letter.

    For inquiries or claims covered under this policy, please call us on: 800 382467 In case of emergency or request of assistance,
    call us on: +33 9 70 73 22 47 or +961 9 211 662 or 1-514-448-4417 or send an email to: [email protected].
    You will be asked to provide the reference of this letter and/or show this document.

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