PLAN – ‘A’ (World wide EXCLUDING USA & Canada)

Medical only – A to C Package policy – A to I
Age band 5 – 40 41 – 60 61 – 70 5 – 40 41 – 60 61 – 70
PERIOD US$ US$ US$ US$ US$ US$
DAY 1-14 32 34 45 35 37 52
DAY 15-21 33 35 47 36 39 54
DAY 22-28 35 38 53 39 43 61
DAY 29-35 41 45 62 47 51 70
DAY 36-47 46 49 70 52 57 81
DAY 48-60 50 56 79 60 66 93
DAY 61-75 61 67 98 73 80 113
DAY 76-90 70 78 114 85 95 132
DAY 91-120 113 123 182 140 147 219
DAY 121-147 137 150 216 167 175 268
DAY 148-180 168 183 275 208 220 325

THE ABOVE RATE IS APPLICABLE WITH EFFECT FROM 17.07.2007
Rs. 5 (Stamp duty) and 13% VAT is extra.

SCHEDULE OF COVER

Maximum Sum Insured ( US$ ) EXCESS
‘A’ Personal Accident Death – up to US$ 25,000 NIL
Loss of Limb – up to US$ 25,000
Permanent Total Disability – up to US$ 25,000
Death benefit for children and over 70 yrs – US$ 5,000
‘B’ Medical and Emergency Exp. Up to US$ 100,000 US $ 100
‘C’ Hospital Benefit US$ 10 for each 24 hours of hospitalization up to a
maximum of US$ 100 NIL
‘D’ Loss of Checked Baggage US$ 1,000 US$ 100
‘E’ Delay of Checked Baggage US$ 50 for each 12 hour period of delay up to a
maximum of US$ 150 12 HOURS
‘F’ Loss of passport Up to US$ 150 NIL
‘G’ Personal Liability US$ 250,000 US$ 250 in respect of third party property Damage Claims Only
‘H’ Travel Delay US$ 10 per hour upto maximum of US$ 50 12 hours
‘I’ Hijack US$ 50 per hour upto maximum of US$ 500 24 hours

 

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