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MidEast Assistance ISCHEDULE OF BENEFITS SILVER PLAN =e eee Seas Worldwide Excluding USA, Canada, Japan & Australia * Nuclear, Biological and chemical ‘Emergency Medical expenses or $50,000 perreron | 5 100 per cam Wes oH 7 hospitalization incurred abroad & per perc of cover pe Eran $2 +8 Emergency Medica Evacuation & Repation|s 60000 pe powon |= 109 per cam e-0aa 6 $0 incase of seriousness or accident | & pe per of cover er Ta 78 72 f 500 ppovon | 5 100 por dam 2a = ta Repatriation of Mortal Remains $50.00 per reson 5 100 per i a = = pope os v8 3a Emergency Dental Care expenses a gency pene & per period of cover 3-2cays $48 ‘$64 Excess for insured persons aged between 71 years and 75 years ls $250 per claim rote a 00 ‘per case cr a 335 oleae Ratu ticket toon omy member vtng [sterner ames the insured futher toiiness or accent [het aay lowaroe a Worldwide curing tthe insured, liSeoiaman peri aise io rsegieerene Including USA, Canada, Japan & Australi Repatiaton of minor chide aloe ate aire onory Sos) [[oried [upto 7000 [71:78:00] Insured popstatzaton fors perio’ greater [ted clas) we tren 38 hours eh Geen [37 + WpeTane a8 $2 Tees of checod banoape sn pepencn parca] __$5percam Tae = > Fight cancalaion aa Crows ee = = atv ofmednes ike ne zie 3 10 Toy urgent mess Teed rm a = a ong Detance Madea neriaion Soran ved Ne ate ea = Ta oathcponnert alee Spear | aoe ne = a a Comes Serine Tek ne a = Catsrophe co m ease [sae 3a Penal Lb 35000 tan Important Not —— -_ Mm Adults 76 years and above will have to submit ance oa Bnd $5000, ne satisfactory medical examination prior to Ses and oun sch 8 eae $2500 = acceptance ee coe raion a Adtona prams othe optonal coverage: ae ras =| ee eemmintgeslane te www.siassistance.comsla. MidEast Brokerage sak. ISCHEDULE OF BENEFITS SILVER PLUS PLAN Seas Worldwide == Excluding USA, Canada, Japan & Australia Emorgoncy Medical expenses or 560,000 per person Ubi Sa se a7 hospitalization incured abroad pe per ofcover [8100 Pe claim nara +7 +2 Emergency Maical Evacuation & Repatiaon|s 50.000 pe pee | 100 por am oan 58 +2 incase of serousilness or accent |e pred of cover Toa ear 3 Saas eats ta 331 Repatriation of Mortal Remains $100 per claim e per pao ot cover ° zeae ez ss 5500 perpen 2 kien se 8 Dental Care expen: a Emergency penses | $500ee pens ne = = = Excess for insured porsons aged between 71 years and 75 years Is $250 per claim ete $00 35 ‘per case esses [916 wa [ates omony aay Ratu ticket onefamiy member vating tho [on aaa ones Insured further to ness or accident occuring, [oat {Soca og a Worldwide ‘Dino oud eseearacroes including USA, Canada, Japan & Australi Repatiation of a minor chide alone aftr the are econo css) [Period up to 70. [74 ae 75iee] erat ere) Insured hopstalzation for a period greater a neue hops petod a Sse ata we Facies iz = = opera oa 3 ssf cco oaanee Satipwpeen be can] —S28pe can a — = igh cancelation $190 Sra Ta er ta Debora ecies Teed x eae os sm Rey fugit ems Tred Nt — * a ong Dist ada oration Sona ‘red my ame 3 ra Mesa erathsporrert a eda Speco | reaed nt ee = om Carrecten Serene red Ne oe} a Caasnhe 3320 Ne — t= = Tip Ganceaton nema a S20 rm : Important Note: Lee Expres $2500 we As 76 yoars and above wil have to submit 7avao of al Bond $5000 NL satisfactory medical examination prior to Sen and Mourn seach Beene 525000 TM acceptance. Persona by $5000 $20 ‘Additional premiums forthe optional coverage: Wir Spr Extension 370060 rm = + Winter Sports extension (up 034 days oy) § 15 Tawar Sees (SAGAS) $1000 me ‘STerrotsm extension (upto 82 daysenyi, $15, * Nuclear, Biological and chemical www.siassistance.come lrokerage sant Seu To Mel m elo MTU ee Colm uM be NC Bae) ‘The Business Travel plan coverage is for all businessman & businesswoman who seeks assistance coverage for their numerous trips all over the world during one year. Unlimited number of trips covered per contractual year, each trip not exceeding 21 days. [SCHEDULE OF BENEFITS] = eee [Emergency Medical expenses or hospitalization | § 50,000 per person Pees incurred abroad & per period of cover a [Emergency Medical Evacuation & Repatriation ‘$50,000 per person a in case of serious illness or accident & per period of cover e Repatriation of Mortal Remains $50,000 per person $ 100 per claim & per period of cover on i '§ 500 per person Emergency Dental Care expenses ePaper NIL paper 1 airing (economy class) Return ticket to one family member visting the a ee insured futher to illness or accident occuring tothe |g ye Potoaree of Nie insured $80 to a max period of 10 days. Repatriation of a minor child let alone atter the 1 aifine (economy class) Insured hopsitalzation for a period greater than 48 | oF ral (regular ciass) ME hours ticket + an attendant, if necessary. Loss of checked baggage $800 per person per caim| $25 per claim Flight cancellation $150 6 hours Delivery of medicines included NIL Relay of urgent messages included NIL Long Distance Medical Information Service Included NIL Mecical reerraVAppointment of local Medical Specialist Included NIL [Connection Services Included NIL [Catastrophe $500 NIL Legal Expenses $2500 NIL [Advance of Bail Bond $5000 NL [Sea and Mountain search & rescue $25 000 NIC Personal lability $5000 3200 [SCHEDULE OF PREMIUMS] ee | Worldwide ae Excluding Canada, USA, Japan & Australia Worldwide Fi including Canada, USA, Japan & Australia ou www.siassistance.com¥ Sla. MidEast Assistance brokerage sah Sega a oe eg Sea Worldwide Excluding USA, Canada, Japan & Australia * Nuclear, Biological and chemical Emergency Medical expenses or [5 150000($ 0000 ]y 109 per cam esa so a hospitalization incurred abroad [per case) La Up 7 days $23 $25 Emergency Medical Evacuation & Repetition] 75,000 perso | 199 per claim 810d $x $20 incase of seriousness oacident [per pood fcr Tae 7 5 Repatriation of mains '$ 75,000 per person er claim sale. a = eee Sper period ofcover | § 100 per cl 22-31 days sor $46 Emergency Dent T $ 500 per person a ae a) = Emergency Dental Care expenses | & per period af cover _ 63-82 cays ‘set ‘S107 Excess for insured persone aged between 71 years and 75 years is $250 pe claimd Ec s ease ese | 960 += aa etun ck oe faniymomber ving be |e eae insured farert ines acaden cosung. [Sse rs Worldwide to the insured BEY max period Including USA, Canada, Japan & Australia Repatriation of minor ciao ine ater te etre ry a) (Period [Up 1070; [74 n-ne] insured Popstatzaon fra eros retr "onsy i) rt neue hopstatzaton for apeodgrestor sea “ woesare 5 = on a8 ure rosie Geren 35 $7 oT Saiperponon pecan] Spec a i a Finest sz ores = ral og Cay of masse Tad NC cern se ss irene Tad = ace = 22-31 days $55 $73 {ong Ostens Nese raion Si rad me — 3 = ica rathronrt tot Nedea Seat | ee we —— Coes Soves rd ne + = Catastrophe $1000, = 185-365 days fe $507 Teresa S00 ¥e memiiee ~ ortant Note: Td = ‘Adults 76 years and above will have to submit aver of Bas 5008 = satisfactory medial examination proto ‘Sea and Mountain search & rescue $5000 wi ‘acceptance. Persona Laity S000 tae we ‘Additional premiums for optional coverage: ter Spore neon sa oe - = ' Winter Sports extension (upto 31 days only, § 20 See eae) sm ++ Terrorism extension (up to 92 days only): $20 www.siassistance.com