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    Asheni Nisansala

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    mr.pradeepan.kumar

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    © All Rights Reserved
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    Asheni Nisansala

    Uploaded by

    mr.pradeepan.kumar
    9 views1 page

    Original Title

    ASHENI NISANSALA

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    9 views1 page

    Asheni Nisansala

    Uploaded by

    mr.pradeepan.kumar

    Copyright:

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

    TRAVEL INSURANCE CERTIFICATE

    POLICY NO: WC- 3407978 ISSUE DATE: 07/03/2024 PLAN: Covid-Bronze (UAE) AGENT: wecare141 wecare141
    DESTINATION FROM TO COUNTRY OF RESIDENCE TELEPHONE NO

    United Arab Emirates, 07/03/2024 05/05/2024 Sri Lanka +97142970416

    FULL NAME DATE OF BIRTH PASSPORT NUMBER

    ASHENI NISANSALA
    PATHIRANA HALPATHOTA 26/07/2000 N10519572
    PATHIRANAGE

    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


    Emergency Medical expenses due to COVID-19 Up to $ 5000 25% co-insurance
    Quarantine expenses due to COVID-19 Not Covered 0
    Emergency Medical Evacuation & Repatriation due to COVID-19 Up to $ 5000 0
    Repatriation of Mortal remains Real Cost 0
    Emergency Dental Coverage Not Covered 0
    Flight Cancelation Not Covered 0
    Loss Of baggage Not Covered 0
    Delay Of baggage Not Covered 0
    Loss Of Passport Not Covered 0
    Above sums insured are per person & per period of cover

    Important Notes:
    -Upon calling the Alarm Center and claim being processed on direct billing procedure, no deductible shall apply for insured up to 70 years old
    In all cases,deductible shall apply for Insured above 70 years old.
    Deductible shall be maintained for all insured bracket of age if claims are accepted and processed on reimbursement basis.
    (Please refer to the General Conditions for all deductiable details)
    In case claim is accepted on reimbursement,please refer to the General Conditions.
    -This policy is specially designed to cover Covid-19 related expenses only.(Please carefully read the general conditions)

    Coverage in the USA, Canada, Japan & Australia for Emergency Medical Expenses and Evacuation & Repatriation due to Covid-19 is limited to US $ 20,000 per benefit.

    Confirmation Code

    For official use,scan the above code to validate this confirmation letter
    Period of coverage will automatically be extended up to 10 days from the expiry date of your visa to provide cover during the 10-day grace period allowed by the local authorities. If your date of entry
    into UAE changes from the cover 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) and run for the same duration as the original policy period. The purchase of a travel insurance policy once a trip has been undertaken is not allowed.

    PLEASE KEEP THIS LETTER OF CONFIRMATION WITH YOU AT ALL TIMES in case of emergency or claims of assistance,call us on: +91 91 6167 419
    Claims must be reported within 48 hours from occurrence of the event 5 or +91 73 0944 195 2 or send e-mail to: [email protected]
    and all related original documents must be submitted to the Company by You will be asked to provide the reference of this letter and/or show this
    the beneficiary within four (4) months maximum. document. This purchase is non-refundable.Please refer to your receipt

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