medical insurance that covers you outside your home country
5 days up to 187 days of coverage
schedule of coverage
All coverages and plan costs listed in this brochure are in U.S. Dollar amounts.
medical maximum: $50,000; $100,000; $500,000; $1,000,000 (ages 80+, maximum limited to $15,000)
deductible: $0; $100; $250; $500; $1000; $2500 Deductible is per person per Period of Coverage, maximum of three (3) Period of Coverage Deductibles per family. The selected Deductible and Coinsurance amount must be met for each one hundred and eighty-seven (187) day period. (see Continuing Coverage)
Traveling outside the United States After You pay the Deductible, the plan pays 100% to the selected Medical Maximum.
Traveling to the United States
option 1: After You pay the Deductible, the plan pays 80% of the next $5,000 of eligible expenses, then 100% to the selected Medical Maximum
option 2: After You pay the Deductible, the plan pays 100% of the next $2,500 of eligible expenses, then 80% to the selected Medical Maximum
hospital indemnity: $150 per night, up to a maximum of thirty (30) days
dental (sudden relief of pain): $100
dental (accident coverage): To a maximum of $500
emergency medical evacuation/ repatriation: $300,000 (in addition to the Medical Maximum)
home country coverage: Incidental Trips to The Home Country: Up to $50,000; Extension of Benefits: Up to $5,000
return of mortal remains: $50,000
emergency reunion: $50,000
1return of minor child(ren): $50,000 interruption of trip: $5,000
loss of checked luggage: $250 local ambulance expense: $5,000
accidental death & dismemberment (ad&d): $25,000 Principal Sum for Insured or Insured Spouse, $5,000 for Dependent Child(ren) Note: In the event of a Common Carrier Accidental Death, this benefit will not be paid.
common carrier accidental death: $50,000 Principal Sum for Insured or Insured
Spouse; $10,000 per Dependent child(ren) under age of nineteen (19); $250,000 Maximum per family
hospital room & board: Usual, reasonable and customary to the selected Medical Maximum
intensive care: Usual, reasonable and customary to the selected Medical Maximum
outpatient medical expenses: Usual, reasonable and customary to the selected Medical Maximum
terrorism: Usual, reasonable and customary to the selected Medical Maximum
(This benefit not available for states underwritten by Certain Underwriters at Lloyd’s of London)
unexpected recurrence of a pre-existing conditions: Up to $20,000 for U.S. citizens under age 70 traveling outside the United States and Canada
(Age 70+, up to $5, 000, refer to exclusion #1 for details)
acute onset of a pre-existing condition: Up to $15,000 for non-U.S. citizens under age 70 traveling to the United States (Age 70+, no benefit).
benefit period: 180 days
why choose seven corners?
Seven Corners utilizes widely recognized and reputable insurance organizations to underwrite our programs. We realize that the value of an insurance program is in the professionalism of the underlying organization. Seven Corners continually invests in its people, systems, and solutions to make the insurance buying experience a favorable one for our clientele.
Our program brochures and documentation offer a detailed description of the product and underlying coverage.
doctors & hospitals worldwide
Seven Corners has access to over 12,000 doctors and hospitals worldwide. With one phone call, we can assist you in locating a provider. Seven Corners Assist is trained to help you locate appropriate care.
why international medical insurance?
Each year, millions of people travel beyond the boundaries of their medical insurance. If you are concerned with the potential out-of-pocket expenses that could result from an Injury or Illness while traveling, Liaison® International offers medical coverage and emergency services to individuals and families traveling outside their Home Country. This brochure is a brief description of Liaison® International. For a full description, please visit our website at www.sevencorners.com. After you have purchased the program a complete Program Summary will be mailed to you.
Liaison® International Plan provides coverage for individuals and families (including unmarried dependent child(ren) over fourteen (14) days and under nineteen (19) years of age) while traveling outside of their Home Country.
description of coverage
Eligible individuals may also purchase coverage for their eligible dependents. An eligible spouse shall be defined as the Primary Insured’s legal spouse. An Eligible Dependent Child shall mean the Primary Insured Person’s unmarried child(ren) over fourteen
(14) days and under nineteen (19) years of age.
Home Country is defined as: The country where You have Your true, fixed and permanent home and principal establishment.
It is the Insured Person’s responsibility to maintain all records regarding travel history and age and provide any documents to the Administrator which would verify Eligibility Requirements.
period of coverage
The minimum Period of Coverage under the Liaison® International Plan is five (5) days, maximum is one hundred and eighty-seven (187) days. Coverage can be purchased in a combination of monthly and/or daily periods by paying the appropriate premium.
Your coverage begins at 12:01 AM North American Eastern Time on the latest of the following:
1.The date and time the Company receives a completed application and premium for the Period of Coverage; or
2.The Effective Date requested on the application; or
3.The moment You depart Your Home Country; or
4.The date the Company approves the application.
Your coverage terminates at 12:01 AM North American Eastern Time on the earlier of the following:
1.Your return to Your Home Country (except as provided under the Home Country Coverage); or
2.The expiration of one hundred and eighty-seven (187) days from the Effective Date of Coverage; or
3.The end of the period for which premium has been paid; or
4.The date You fail to be considered an Eligible Person; or
5.The maximum benefit amount has been paid.
Liaison® International Plan shall pay Usual, Reasonable and Customary charges for Covered Expenses, excess of the chosen Deductible and Coinsurance up to the selected Medical Maximum, incurred by You due to an Accidental Injury or Illness which occurred during the Period of Coverage while traveling outside Your Home Country (except as provided under the Home Country Coverage). All bodily disorders existing simultaneously which
are due to the same or related causes shall be considered one Disablement. If a Disablement is due to causes which are the same or related to the cause of a prior Disablement, the Disablement shall be considered a continuation of the prior Disablement and not a separate Disablement. The initial Treatment of an Injury or Illness must occur within thirty (30) days of the date of Injury or onset of Illness.
Only such expenses which are specifically enumerated in the following list of charges, which are incurred within one hundred and eighty (180) days from the date of accident or onset of Illness and which are not excluded shall be considered Covered Expenses:
1. Charges made by a Hospital for semi-private room and board, floor nursing and other services inclusive of charges for professional service and with the exception of personal services of a non- medical nature; provided, however, that expenses do not exceed the Hospital’s average charge for semi-private room and board accommodations.
2.Charges made for Intensive Care or Coronary Care charges and nursing services.
3.Charges made for diagnosis, Treatment and Surgery by a Physician.
4.Charges made for an operating room.
5.Charges made for Outpatient Treatment, same as any other Treatment covered on an Inpatient basis. This includes ambulatory Surgical centers, Physicians’ Outpatient visits/examinations, clinic care, and Surgical opinion consultations.
6.Charges made for the cost and administration of anesthetics.
7.Charges for medication, x-ray services, laboratory tests and services, the use of radium and radioactive isotopes, oxygen, blood, transfusions, iron lungs, and medical Treatment.
8.Charges for physiotherapy, if recommended by a Physician for the Treatment of a specific Disablement and administered by a licensed
9.Dressings, drugs, and Medicines that can only be obtained upon a written prescription of a Physician or Surgeon.
description of coverage
medical expenses (cont.)
10.Local transportation to or from the nearest Hospital or to and from the nearest Hospital with facilities for required Treatment. Such transportation shall be by licensed ground ambulance only to a limit of $5,000, within the metropolitan area in which You are located at that time the service is used. If You are in a rural area, then licensed air ambulance transportation to the nearest metropolitan area shall be considered a Covered Expense.
dental (accident coverage)
This Plan shall pay in excess of the chosen Deductible and Coinsurance of up to a maximum of $500, for emergency Treatment to repair or replace sound natural teeth damaged as the result of a covered accident.
dental (emergency relief of pain)
This plan shall pay in excess of the chosen Deductible and Coinsurance up to a maximum of $100, for emergency Treatment for the relief of pain to sound natural teeth.
5 emergency medical evacuation/repatriation
The Plan will pay Covered Expenses incurred if any covered Injury or Illness commences during the Period of Coverage that results in the Medically Necessary Emergency Medical Evacuation or Repatriation (Your medical condition warrants immediate transportation from the medical facility where You are located to the nearest adequate medical facility where medical Treatment can be obtained).*
return of mortal remains
The Program will pay the reasonable Covered Expenses incurred up to a maximum of $50,000 to return your remains to your Home Country, if you should die.*
emergency medical reunion
When Emergency Medical Evacuation or Repatriation is ordered and the attending Physician recommends that a family member travel with You, the plan will arrange and pay, up to $50,000, for a round trip economy-class transportation for one individual
of Your choice, from Your Home Country, to be at Your side while You are hospitalized.*
|return of minor child(ren)|
|Should You be traveling alone with a Minor Child(ren) and are|
|hospitalized because of a covered Illness or Injury and the Minor|
|Child(ren), under age nineteen (19), is left unattended, the Plan|
|will arrange and pay up to $50,000 for a one way economy fare|
|to their Home Country (including the cost of an attendant escort, if|
|necessary to insure the safety and welfare of a Minor Child(ren)).*|
|interruption of trip|
|If You are unable to continue the trip due to the death of an|
|Immediate Family member (parent, spouse, sibling or child) or|
|due to serious damage to Your principal residence from fire,|
|flood or similar natural disaster (tornado, earthquake, hurricane,|
|etc.), the Plan will reimburse (up to $5,000) for the cost of|
|economy travel, less the value of applied credit from an unused|
|return travel ticket, to return You home to Your area of principal|
|*NOTE: In the event of Emergency Medical Evacuation, Repatriation,|
|Return of Mortal Remains, Emergency Reunion, Return of Minor|
|Child(ren) or Interruption of Trip benefit is needed or utilized, all||6|
arrangements must be made by Seven Corners Assist. Complete details about the benefits and the required notification of Seven Corners Assist are contained in the Program Summary.
If You are confined to a Hospital as a registered Inpatient as the result of an Illness or Injury which occurs during Your Period
of Coverage, this plan will pay Benefits up to $150 per day of confinement, in addition to any other covered expense, up to a maximum of thirty (30) days. You must be traveling outside of the United States and Canada in order to receive benefits.
Upon enrollment into Liaison® International, you are eligible to use any of the assistance services provided by Seven Corners Assist. Additional information is contained in the Program Summary.
•Open 24 hours / day, 365 days a year
•Physicians / nurses on staff
•Locate local facilities
•Help with emergency situations
description of coverage
home country coverage
Incidental Trips to Your Home Country: This benefit covers you for incidental trips to your Home Country (30 days per one hundred and eighty-seven (187) days of purchased coverage or pro rata thereof - example: approximately 5 days per month of
purchased coverage). Maximum benefit is reduced to $50,000 for any Illness or Injury occurring while on an incidental trip to your Home Country.
Please Note: If You do not use Your Home Country Coverage days within Your Period of Coverage, they do not extend after Your Expiration Date.
Extension of Benefits: This plan shall pay for Covered Expenses incurred in your Home Country up to $5,000 for conditions that are first diagnosed and treated outside Your Home Country
(Does not apply for Emergency Medical Evacuation or Repatriation).
loss of checked luggage
If your checked luggage is permanently lost by the airline, the
7program will reimburse you for the replacement of clothing and personal hygiene items lost to a per article limit of $50 (Maximum Benefit is up to $250). This benefit is secondary to any other (including airline) coverage available. You must furnish proof to the Company that full reimbursement has been obtained from the airline.
unexpected recurrence of a pre-existing condition
U.S. Citizens traveling outside the United States
This Plan shall pay, up to $20,000 (Age seventy (70) and older, up to $5,000) subject to the chosen Deductible and Coinsurance, for Covered Expenses resulting from a sudden, unexpected recurrence of a Pre-existing Condition for U.S. citizens while traveling outside the United States and Canada. This benefit does not include coverage for known, scheduled, required, or expected medical care, drugs or Treatments existent or necessary prior to the Effective Date of coverage.
acute onset of a pre-existing condition
Non U.S. Citizens traveling to the United States
If you are under age 70, you are covered for an Acute Onset of a Pre-existing Condition as defined below. Coverage is available up to $15,000 Lifetime Maximum for Eligible Medical Expenses and up to $25,000 Lifetime Maximum for Emergency Medical Evacuation. An “Acute Onset of a Pre-existing Condition” is a sudden
and unexpected outbreak or recurrence of a Pre-existing Condition(s) which occurs spontaneously and without advance warning either in the form of Physician recommendations
or symptoms, is of short duration, is rapidly progressive, and requires urgent care. The Acute Onset of a Pre-existing Condition must occur after the effective date of the policy.
Treatment must be obtained within 24 hours of the sudden and unexpected outbreak or recurrence. A Pre-existing Condition that is a chronic or congenital condition or that gradually becomes worse over time will not be considered Acute Onset. This benefit does not include coverage for known, scheduled, required, or expected medical care, drugs or Treatments existent or necessary prior to the Effective Date of coverage.
additional period of coverage
Participants whose initial Period of Coverage is less than one hundred and eighty-seven (187) days may apply for a new Period of Coverage if the participant must extend their trip beyond their initial Period of Coverage. Coverage cannot exceed one hundred and eighty-seven (187) days in total from their original effective date. The participant’s original effective date will be used with regards to calculating their deductible, coinsurance, as well as determining any Pre- existing conditions. Please note that a new certificate or certificate number will not be issued. The original certificate’s expiration date will be extended to the new expiration date you have requested, not to exceed one hundred and eighty- seven (187) days in total from your original effective date.
hazardous sport coverage
Hazardous Sport Coverage: the following are covered if the required premium has been paid: motorcycle/motor
scooter riding (whether as a driver or passenger), hang gliding, parachuting, bungee jumping, water skiing, snow skiing, snowmobiling, snowboarding, snorkeling and spelunking.
Parachuting shall mean an activity involving the breaking of a free fall from an airplane using a parachute.
description of coverage
pre-notification / referral
In order to ensure Your claims are addressed as efficiently as possible, You or the provider of service must contact Seven Corners Assist for pre-notification prior to any medical Treatment in the U.S. as well as hospital admissions and inpatient / outpatient surgeries incurred worldwide. Seven Corners Assist has trained personnel available
24 hours a day, 7 days a week throughout the year to answer Your questions, provide assistance, and guide You to an appropriate facility if necessary. In the case of an Emergency Admission, the Assistance Company must be contacted within 48 hours, or as soon as reasonably possible. Pre-notification does not guarantee that benefits will be paid.
Please be aware that this is not a general health insurance policy, but an interim, limited benefit period, travel medical plan intended for use while away from Your Home Country. The Liaison® International Plan can not guarantee payment to an individual or a facility for medical expenses until it has been determined that it is an eligible expense and a signed agreement has been received from the appropriate medical facility.
9 refund of premium
United States Fire Insurance Company and Certain Underwriters of Lloyd’s of London realize that there is uncertainty in international travel. Refund of total plan cost will only be considered if written request is received by Seven Corners prior to the Effective Date of Coverage. If written request is received after the Effective Date of coverage, the unused portion of the plan cost may be refunded minus a cancellation
fee, provided no claim has been submitted to Seven Corners for reimbursement.
Filing a claim with Seven Corners is easy. You will receive a Liaison® International identification card after you are approved for coverage. When you receive Treatment, send the original, itemized bills to Seven Corners within ninety (90) days, along with a completed claim form. Eligible bills are automatically converted from local currencies to U.S. dollars. For payments of eligible medical expenses, notify Seven Corners of pending Treatments and we can refer you to approved healthcare providers worldwide. You’re only responsible for your Deductible, Coinsurance and non-eligible expenses. For more
details, consult the Program Summary that is provided with your ID card, or contact the Seven Corners Claim Department.
description of exclusions
No Benefit shall be payable for Accident Medical, Sickness Medical, Hospital Indemnity, Unexpected Recurrence, Dental, Emergency Medical Evacuation/Repatriation, Return of Mortal Remains, Return of Minor Child, Emergency Medical Reunion, as the result of:
1.Pre-existing Conditions: Any Injury or Illness which meets the following criteria (unless covered under the Unexpected Recurrence benefit): 1) a condition that would have caused a person to seek medical advice, diagnosis, care or Treatment during the 36 months prior to the Effective Date of coverage under this Policy; 2) a condition for which manifestation, medical advice, diagnosis,
care or Treatment was recommended or received during the 36 months prior to the Effective Date of coverage under this Policy. For Individuals traveling outside of the United States and Canada, this period is 12 months instead of 36 months. This exclusion does not apply to Emergency Evacuation/Repatriation or Return of Mortal Remains.
|Note: U.S. citizens traveling outside the United States shall receive up to|
|$20,000 (Age 70+, up to $5,000) subject to the chosen Deductible and|
|Coinsurance, for Covered Expenses resulting from a sudden, unexpected|
|recurrence of a Pre-existing Condition while traveling outside the United||10|
|States and Canada. This benefit does not include coverage for known,|
|scheduled, required, or expected medical care, drugs or Treatments existent or|
|necessary prior to the Effective Date of coverage.|
2.Injury or Illness which is not presented to the Company for payment within ninety (90) days of receiving Treatment;
3.Charges for Treatment which is not Medically Necessary;
4.Charges provided at no cost to You;
5.Charges for Treatment which exceeds Reasonable and Customary charges;
6.Charges incurred for Surgery or Treatments which are, Experimental/ Investigational, or for research purposes;
7.Services, supplies or Treatment, including any period of Hospital confinement, which were not recommended, approved and certified as Medically Necessary and reasonable by a Physician;
8.Suicide, or any attempt thereof, while sane or self destruction or any attempt thereof, while insane, may vary by state of residence;
9.Any consequence, whether proximately or remotely occasioned by, or traceable to, or arising in connection with: War, invasion, act of foreign enemy hostilities, warlike operations (whether war be declared or not), or civil war, mutiny, riot, strike, military or popular uprising insurrection, rebellion, revolution, military or usurped power, any act of any person acting on behalf of or in connection
with any organization with activities directed towards the overthrow by force of the Government du jure or de facto; martial law or state of siege or any events or causes which determine the proclamation or maintenance of marital law or state of siege; (Lloyd’s of London has alternative exclusionary wording, see program summary)
description of exclusions
10.Injury sustained while participating in professional athletics;
11.Injury sustained while participating in amateur or interscholastic athletics; this exclusion does not apply to non-competitive, recreational or intramural activities; Note: A sponsored and/or organized Amateur or Interscholastic Athletic event includes training camps, team sports, or any formal grouping of people participating in one or multiple events that may/ may not require a fee for participation.
12.Routine physicals, immunizations or other examinations where there are no objective indications or impairment in normal health, and laboratory diagnostic or x-ray examinations, except in the course
of a disablement established by a prior call or attendance of a Physician;
13.Treatment of the temporomandibular joint;
14.Vocational, speech, recreational or music therapy;
15.Services or supplies performed or provided by a relative of Yours, or anyone who lives with You;
16.Cosmetic or plastic Surgery, except as the result of a covered Accident; for the purposes of this Plan, Treatment of a deviated nasal septum shall be considered a cosmetic condition;
17.Elective Surgery which can be postponed until You return to Your Home Country, where the objective of the trip is to seek medical advice, Treatment or Surgery;
1118. Treatment and the provision of false teeth or dentures, normal ear
tests and the provision of hearing aids;
19.Eye refractions or eye examinations for the purpose of prescribing corrective lenses for eyeglasses or for the fitting thereof, unless caused by Accidental bodily Injury incurred while covered hereunder;
20.Treatment in connection with alcoholism and drug addiction, or use of any drug or narcotic agent;
21.Injury sustained or Disablement due wholly or partly to the Insured being intoxicated or drug use, other than drugs taken in accordance with treatment prescribed and directed by a Physician;
22.Any Mental and Nervous disorders or rest cures, may vary by state;
23.Congenital abnormalities and conditions arising out of or resulting there from;
24.Expenses which are non-medical in nature;
25.Expenses as a result of or in connection with intentionally self- inflicted Injury or Illness;
26.Expenses as a result of or in connection with the commission of a felony offense;
27.Injury sustained while taking part in mountaineering; hang gliding; parachuting; bungee jumping; racing by horse, motor vehicle or motorcycle; snowmobiling; motorcycle/motor scooter riding (whether as a driver or passenger); scuba diving, involving underwater breathing apparatus (unless PADI or NAUI certified); snorkeling, water skiing; snow skiing; spelunking; parasailing and snowboarding. Hazardous Sport Coverage: the following are covered if the required premium has been paid: motorcycle/motor scooter riding
(whether as a driver or passenger), hang gliding, parachuting, bungee jumping, water skiing, snow skiing, snowmobiling, snowboarding, snorkeling and spelunking
•Mountaineering shall mean the sport, hobby or profession of walking, hiking, and climbing up mountains either: 1) utilizing harnesses, ropes, crampons or ice axes; or 2) ascending 4500 meters or above.
•Parachuting shall mean an activity involving the breaking of a free fall from an airplane using a parachute.
28.Treatment paid for or furnished under any other individual or group policy or other service or medical pre-payment plan arranged through the employer to the extent so furnished or paid, or under any mandatory government plan or facility set up for Treatment without any cost to You;
29.Dental care, except as the result of Injury to natural teeth caused by Accident, unless otherwise covered under this Plan;
30.Routine Dental Treatment;
31.Pregnancy or Illness resulting from Pregnancy, childbirth, or miscarriage;
32.Miscarriage resulting from Accident.
33.Drug, Treatment or procedure that either promotes or prevents conception, or prevents childbirth, including but not limited
|to: artificial insemination, Treatment for infertility or impotency,||12|
|sterilization or reversal thereof;|
34.Treatment for human organ tissue transplants and their related Treatment;
35.Expenses incurred while in Your Home Country, except as provided under the Home Country Coverage;
36.Expenses incurred during a Hospital emergency visit which is not of an emergency nature;
37.Covered Expenses incurred for which the Trip to the Host Country was undertaken to seek medical Treatment for a condition;
38.Covered Expenses incurred during a Trip after Your Physician has limited or restricted travel;
39.This Policy does not insure against loss or damage (including death or injury) and any associated cost or expense resulting directly from the discharge, explosion or use of any device, weapon or material employing or involving nuclear fission, nuclear fusion or radioactive force, or chemical, biological, radiological or similar agents, whether in time of peace or war, and regardless of who commits the act.
40.Sex change operations, or for Treatment of sexual dysfunction or sexual inadequacy;
41.Weight reduction programs or the surgical Treatment of obesity;
seven corners assist
Seven Corners Assist is a leading provider of customized emergency assistance services to international organizations, corporations, government entities, insurance companies, and individual travelers. Regardless of the location, Seven Corners Assist provides valuable assistance in locating the best possible medical Treatment.
the program administrator
Medical care is different throughout the world and providing quality medical attention should be the ultimate goal of any program. Most companies are not prepared to meet the unique needs of international travelers. An organization must be equipped to address foreign currencies, international doctors and hospitals, as well as unusual claim forms and documents. Liaison® International is designed and administered by Seven Corners, Inc. The claim and assistance professionals at Seven Corners collectively have over 250 years of experience in claim processing and administration.
13 the insurance company
Liaison® International is underwritten by United States Fire Insurance Company (States not underwritten by United States Fire Insurance Company are underwritten by Certain Underwriters at Lloyd’s of London. Please contact Seven Corners for a listing of these states).
In our ever changing world, Seven Corners’ WellAbroad® seeks to prepare individuals and groups with the advanced tools for successful travel. WellAbroad® offers medical, political and
cultural information and includes many benefits and educational resources, such as:
•Text messaging alerts - Registered users receive updates regarding weather emergencies, security issues, customs alerts, and health care or pandemic warnings.
•Provider network directory - Clients and travelers can create customized country profiles which allow instant access to
providers in the specified regions to which they are traveling.
•Online forums - Fellow travelers and Seven Corners’ staff post experiences and travel tips which can be accessed at any time.
|Happy travels – www.wellabroad.com.|
|Since 1993, Seven Corners, Inc. has alleviated many of the|
|concerns with international travel by providing insurance plans||14|
|to private citizens, governments, missionaries, students, and|
|corporations of various nations around the globe. Each year,|
|thousands of insureds purchase coverage from Seven Corners in|
|order to obtain the most comprehensive and reliable products in|
|the international insurance industry. Our assistance professionals|
|are experienced in the complexity and importance of receiving|
|medical care internationally. As an insured of Seven Corners, you|
|can feel confident that there is someone ready to assist you with|
|a medical situation 24 hours a day, 7 days a week, 365 days a year.|
In California, operating under the name Seven Corners Insurance Services.
For U.S. residents, selected states* are underwritten by Certain Underwriters at Lloyd’s of London.
Complete provisions pertaining to this insurance are contained in the Master Policy on file with the trustee, American Consumer Insurance Trust, and Liaison® International. In the event of any conflict between this brochure and the Master Policy, the Master Policy will govern. A Program Summary, listing more detailed exclusions, will be e-mailed to you along with Your ID Card once coverage is purchased.
* For a complete listing of these states, please visit www.sevencorners.com.
notice to florida residents
The benefits of this policy providing Your coverage are governed by the law of a state other than Florida. Your Homeowners policy, if any, may provide coverage for loss of personal effects provided by the Loss of Checked Luggage coverage. This insurance is
not required in connection with the purchase of Your travel 15 arrangements.
|monthly & daily rates|
|Rates based on a $250 Deductible||Effective from Jan. 1, 2012|
|Traveling Outside the United States||Policy|
|19 to 29||$26/ 0.87||$31/ 1.03||$36/ 1.20||$41/ 1.37|
|30 to 39||$31/ 1.03||$36/ 1.20||$48/ 1.60||$55/ 1.83|
|40 to 49||$52/ 1.73||$58/ 1.93||$65/ 2.17||$73/ 2.43|
|50 to 59||$89/ 2.97||$102/ 3.40||$109/ 3.63||$115/ 3.83|
|60 to 64||$112/ 3.73||$134/ 4.47||$146/ 4.87||$165/ 5.50|
|65 to 69||$130/ 4.33||$143/ 4.77||$150/ 5.00||$170/ 5.67|
|70 to 79||$195/ 6.50||$275/ 9.17||N/A||N/A|
|80 plus*||$341/ 11.37||N/A||N/A||N/A|
|Dependent Child*||$28/ 0.92||$32/ 1.05||$34/ 1.14||$37/ 1.24|
|Child Alone*||$29/ 0.97||$33/ 1.10||$36/ 1.20||$39/ 1.30|
|Traveling to the United States|
|Option 1 - 80% Coinsurance to $5,000, then 100% to Plan Maximum|
|Policy Maximum Options|
|19 to 29||$41/ 1.37||$48/ 1.60||$65/ 2.17||$73/ 2.43|
|30 to 39||$55/ 1.83||$65/ 2.17||$86/ 2.87||$96/ 3.20||16|
|40 to 49||$82/ 2.73||$92/ 3.07||$126/ 4.20||$138/ 4.60|
|50 to 59||$126/ 4.20||$153/ 5.10||$183/ 6.10||$216/ 7.20|
|60 to 64||$153/ 5.10||$192/ 6.40||$237/ 7.90||$272/ 9.07|
|65 to 69||$195/ 6.50||N/A||N/A||N/A|
|70 to 79||$246/ 8.20||N/A||N/A||N/A|
|80 plus*||$428/ 14.27||N/A||N/A||N/A|
|Dependent Child*||$39/ 1.30||$47/ 1.55||$58/ 1.93||$65/ 2.16|
|Child Alone*||$41/ 1.37||$49/ 1.63||$61/ 2.03||$68/ 2.27|
|Traveling to the United States|
|Option 2 - 100% Coinsurance to $2,500, then 80% to Plan Maximum|
|Policy Maximum Options|
|19 to 29||$38/ 1.27||$43/1.43||$59/ 1.97||$66/ 2.20|
|30 to 39||$50/ 1.67||$59/ 1.97||$78/ 2.60||$87/ 2.90|
|40 to 49||$75/ 2.50||$84/ 2.80||$115/ 3.83||$126/ 4.20|
|50 to 59||$115/ 3.83||$139/ 4.63||$167/ 5.57||$197/ 6.57|
|60 to 64||$139/ 4.63||$175/ 5.83||$216/ 7.20||$248/ 8.27|
|65 to 69||$178/ 5.93||N/A||N/A||N/A|
|70 to 79||$224/ 7.47||N/A||N/A||N/A|
|80 plus*||$389/ 12.97||N/A||N/A||N/A|
|Dependent Child*||$36/ 1.21||$41/ 1.36||$56/ 1.87||$63/ 2.09|
|Child Alone*||$38/ 1.27||$43/ 1.43||$59/ 1.97||$66/ 2.20|
* Ages 80+ limited to $15,000. under Liaison® International.
Dep. Child rate is applicable when at least one parent will also be covered Child Alone rate is used when a child will be insured by themselves.
303 Congressional Boulevard
Carmel, IN 46032
800-335-0611 • 317-575-2652 • Fax: 317-575-2659
Underwritten by United States Fire Insurance Company
(States not underwritten by United States Fire Insurance Company are underwritten by Certain Underwriters at Lloyd’s of London. Please contact Seven Corners for a listing of these states.)
This brochure is intended as a brief summary of benefits and services, it is not your policy. If there is any difference between this brochure and your policy, the provisions of the policy will prevail. Benefits and premiums are subject to change.
©1998 – 2012 by Seven Corners, Inc.
Liaison® is a registered trademark of Seven Corners, Inc.
Seven Corners® is a registered trademark of Seven Corners, Inc. v.12.29.2011
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