EFTA00520777.pdf

Global Assistance 05/23/2017 To: From: Allianz Global Assistance Policy Number: US05156722 To Whom It May Concern: Allianz purchased a travel insurance policy from Allianz Global Assistance on 05/22/2017 for the duration of 05/22/2017-05/22/2018. A single trip must not exceed 45 days length at the time of booking. This insurance program provides with the following benefits worldwide: • Emergency Medical Transportation $250,000.00 — which provides medically necessary transportation to the nearest hospital or medical facility and also for your transportation home. • Emergency Medical and Dental Benefit $50,000.00 — which provides coverage for losses due to medical and dental emergencies that could include hospitalization. More details may be found on the Letter of Confirmation and Certificate of Insurance. Included in Emergency Medical Transportation benefit is coverage for "medical repatriation". This benefit will reimburse the cost of an economy class ticket to return home or to cover the cost of reasonable and necessary services needed for the transport of the insured's remains from the place of death to the place of residence; subject to all other contract terms and conditions. If you have further questions please contact us any time at 1-800-284-8300. Sincerely, Tarika Allianz Global Assistance How can we help? A%anz Global Assistance 2835 North Parham Road Rochmond. Vircria 23294 www.alianzassistance.com EFTA00520777