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    Insurance Confirmation DEIM746564 - 20240214044934

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    sima.nourbakhsh

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    Insurance Confirmation DEIM746564 - 20240214044934

    Uploaded by

    sima.nourbakhsh
    14 views1 page

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    Insurance Confirmation DEIM746564_20240214044934

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    14 views1 page

    Insurance Confirmation DEIM746564 - 20240214044934

    Uploaded by

    sima.nourbakhsh

    Copyright:

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

    Confirmation of Coverage

    Simasadat Noorbakhsh
    February 14, 2024
    1390B GERALD ST.
    ORLEANS, ON K4A 3N2

    Policy Information
    Policy Number: DEIM746564 Policy Status: Active
    Application Date: February 14, 2024 Total Premium: $450.00 CAD
    Effective Date: February 14, 2024
    Expiry Date: August 31, 2024
    Trip Length: 200 Days

    Policyholder: Simasadat Noorbakhsh


    Address: 1390B GERALD ST.
    ORLEANS, ON K4A 3N2
    Email: [email protected] Phone #: 13434638962

    Coverage Details
    (applicable to each insured person)
    Insurance Plan: Destination: International Student - Studying in Canada
    Plan Type: Daily
    Sum Insured: $2,000,000 CAD Deductible: $0.00 CAD

    This insurance covers the following person(s):


    Last Name, First Name: Date of Birth (dd/mm/yyyy):
    Noorbakhsh, Simasadat 17/05/1983

    Premium Details
    Total Premium: $450.00 CAD
    Payment Method: Credit Card - MasterCard Payment Date: February 14, 2024
    Payor: Simasadat Noorbakhsh
    Please review your policy carefully. It contains important information about your coverage such as provisions relating to eligibility,
    pre-existing conditions, stability of a medical condition(s) and limitations and exclusions.

    In the event of an emergency, you must contact Active Care Management immediately. Failure to notify Active Care Management
    as required may limit your liability of the eligible expenses incurred. You can contact Active Care Management using the following
    toll free numbers:

    From Canada and U.S: 1-833-886-1070


    From Worldwide: 1-519-945-1070

    Agent: Onvoyage Inc.


    Underwritten by: The Manufacturers Life Insurance Company (Manulife)
    Assistance services provided by: Manulife has appointed Active Claims Management (2018) Inc., operating as "Active Care
    Management", "ACM", "Global Excel Management", and/or "Global Excel" as the provider of
    all assistance and claims services.
    Managed by: The Destination: Travel Group Inc.
    If you notice any errors in the above information or have any questions, please contact your broker or the Destination: Travel Group Inc. at 1-855-337-3532

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