CERTIFICATE OF TRAVEL INSURANCE - POLICY TRSIA-7061

The Proposer: ABERHAM GIRUM GETACHEW Telephone: +251 927201786

Email mussiemehretabm@gmail.com
Where are you travelling to? Moldova
Period of Insurance: 10/09/2023 00:00:01 - 10/10/2023

Traveler Full Name Traveler Id Date of Birth

ABERHAM GIRUM GETACHEW EP7570081 15/08/1996

WORLDWIDE TRAVELER

24 Hrs./7 days Swan int. Assistance

USA / Canada: +1 514 448 4417
Europe: +33 9 70 73 22 47
International: +961 9 211 662
Email: request@swanassistance.com

SECTION 1: PERSONAL ASSISTANCE LIMITS EXCESS

€100 (Up to 70 years old)

MEDICAL, HOSPITALIZATION, PHARMACEUTICAL EXPENSES, AND SURGICAL EXPENSES ABROAD,
1 €50,000 €250 (71 to 75 years old)
DUE TO ACCIDENT / SUDDEN ILLNESS.
€500 (76+ years old)

2 Emergency Medical, Hospitalization, and Surgical expenses only, due to COVID-19 €35,000 €200

3 EMERGENCY DENTAL CARE ABROAD. Up to €250 -

TRANSPORT TO A PROPERLY EQUIPPED MEDICAL FACILITY/ REPATRIATION IN CASE OF ACCIDENT / Up to Actual Cost Included Under
4 -
SUDDEN ILLNESS (MEDICAL EVACUATION & REPATRIATION). Medical Expense

5 REPATRIATION OF MORTAL REMAINS TO THE COUNTRY OF RESIDENCE. Up to €30,000 -

EMERGENCY RETURN HOME TO THE COUNTRY OF RESIDENCE FOLLOWING DEATH OF A CLOSE Up to Cost of Return
6 -
FAMILY MEMBER. Economy Ticket

Up to Cost of Return
TRAVEL AND STAY OF ONE IMMEDIATE FAMILY MEMBER TO STAY WITH THE INSURED IN CASE OF Economy Ticket
7 -
ACCIDENT/ SUDDEN ILLNESS (COMPASSIONATE VISIT). Per Day €100
Max Up to €500

8 ESCORT OF MINOR CHILD IN CASE OF ACCIDENT/ SUDDEN ILLNESS OF THE INSURED. Up to €5,000 -

9 SEA AND MOUNTAIN RESCUE EXPENSES. Up to €10,000 -

10 TRAVEL ASSISTANCE SERVICES. Covered 24/7 -

11 DELIVERY OF MEDICINES OR DISPATCHED OF A SPECIALIZED PHYSICIAN ABROAD. Assistance Only -

12 MEDICAL REFERRAL/APPOINTMENT OF LOCAL MEDICAL SPECIALIST ABROAD. Assistance Only -

13 CONNECTION SERVICES. Assistance Only -

14 RELAY OF URGENT MESSAGES. Assistance Only -

SECTION 2: TRIP CANCELLATION & DELAY

1 TRIP CANCELLATION & CURTAILMENT ABROAD. Up to €1,000 -

Per Hour €30

2 DELAYED DEPARTURE ABROAD. Max Up to €750 6 Hours
For Necessary Items

Per Hour €30

3 MISSED FLIGHT CONNECTION ABROAD Max Up to €200 3 Hours
For Necessary Items
 SECTION 3: LUGGAGE ASSISTANCE

Per Bag €150

1 COMPENSATION FOR IN-FLIGHT LOSS OF CHECKED-IN LUGGAGE Per Item €50 -
Max Up to €600

Per Hour €30

2 COMPENSATION FOR DELAY IN THE ARRIVAL OF CHECKED-IN LUGGAGE ABROAD Max Up to €750 6 Hours
For Necessary Items

3 LOCATION AND FORWARDING OF DELAYED CHECKED-IN LUGGAGE AND PERSONAL EFFECTS Assistance Only -

4 LOSS OF CREDIT CARD ABROAD Up to €500 -

5 LOSS OF PERSONAL MONEY ABROAD Up to €500 -

6 LOSS OF PASSPORT, DRIVING LICENSE, NATIONAL IDENTITY CARD ABROAD Actual Cost Up to €100 -

SECTION 4: PERSONAL ACCIDENT

Sum Insured: €15,000 (Insured up

1 ACCIDENTAL DEATH WHILE ABROAD -
to age 18: €2,500)

2 PERMENANT TOTAL DISABILITY 100% of Sum Insured -

% of Sum Insured as per wording

3 PERMENANT PARTIAL DISABILITY -
scale

SECTION 5: PERSONAL LIABILITY, LEGAL FEES, AND BAIL BOND

1 PERSONAL LIABILITY Up to €100,000 -

2 ADVANCE OF BAIL BOND Up to €10,000 -

3 LEGAL ASSISTANCE Up to €5,000 -

Per Hour €50

4 HIJACK/KIDNAP -
Max up to €6,000

Broker and Exclusive Distributor: SoEasy Insurance Brokers Ltd. info@soeasytravelinsurance.com, P.O.Box 55193, 3820 CY
Insurance Company: YDROGIOS INSURANCE COMPANY (CYPRUS) LTD
Administrated by: Swan International Assistance

Total Premium: €40.00

Date of Issue: 25/08/2023 FOR SOEASY INSURANCE BROKERS LTD