Insurance Certificate

Serge Mbenza
TBC
Germany

Policy number: P002506643

Group scheme: ECB 1 / 43903
Start date: 01 Jan 2021
Renewal date: 01 Jan 2022
Contract currency: EUR

Policyholder: Serge Mbenza, 17 Apr 1976

Area of cover: Worldwide
Core Plan: European Central Bank Core Plan
Out-patient Plan: European Central Bank Out-patient Plan
Dental Plan: European Central Bank Dental Plan

Dependant: Marcus Kyle Faustin Mbenza Mambu, 17 Apr 2009

Area of cover: Worldwide
Core Plan: European Central Bank Core Plan
Out-patient Plan: European Central Bank Out-patient Plan
Dental Plan: European Central Bank Dental Plan

Dependant: Victoria Rose Anaelle Mbenza Mambu, 21 Aug 2012

Area of cover: Worldwide
Core Plan: European Central Bank Core Plan
Out-patient Plan: European Central Bank Out-patient Plan
Dental Plan: European Central Bank Dental Plan

The applicable conditions are the Company Agreement and the employee terms and conditions. The terms
and conditions are detailed in your Employee Benefit Guide.

Please verify the policy details on this certificate and let us know within 30 days of receipt if any corrections
are necessary.

If you have any questions or need any help, please email us at: ecb.helpline@allianz.com. Or you can call our
Helpline 24 hours a day, 7 days a week on: + 353 1 518 7818.

Page 1 of 2

The Underwriter of your insurance is AWP Health & Life SA, a limited company with a capital of €65,190,446 governed by the French Insurance Code, with its registered office
at 7 Rue Dora Maar, 93400 Saint-Ouen, France. Registered in France: 401 154 679 RCS bobigny. VAT number: FR 84 401 154 679. Allianz Care and Allianz Partners are registered
business names of AWL Health & Life SA.
The Administrator of your insurance is AWP Health & Life Services limited which is registered in Ireland. Registered Office: 15 Joyce Way, Park West Business Campus, Nangor Road,
Dublin 12. Registered No.: 509216. Allianz Partners and Allianz Care are registered business names of AWP Health & Life Services Limited.
Yours sincerely,

Mark Mackin Eamonn O'Flynn

Manager – Policy Management Head of Operations

Page 2 of 2

The Underwriter of your insurance is AWP Health & Life SA, a limited company with a capital of €65,190,446 governed by the French Insurance Code, with its registered office
at 7 Rue Dora Maar, 93400 Saint-Ouen, France. Registered in France: 401 154 679 RCS bobigny. VAT number: FR 84 401 154 679. Allianz Care and Allianz Partners are registered
business names of AWL Health & Life SA.
The Administrator of your insurance is AWP Health & Life Services limited which is registered in Ireland. Registered Office: 15 Joyce Way, Park West Business Campus, Nangor Road,
Dublin 12. Registered No.: 509216. Allianz Partners and Allianz Care are registered business names of AWP Health & Life Services Limited.