Tawuniya's COVID-19 Travel Insurance - For Citizens: Direct Al Rashdia 20629559 24-11-2021 Al Driweesh Fahad Saad M

Tawuniya's COVID-19 Travel Insurance - Fahad Saad Mubarak Al Driweesh
For Citizens 3856 - Empty - Ar Rashidyah 2nd Dis

Al Mubarraz - 34447 - 8060
Kingdom of Saudi Arabia.
Branch : DIRECT AL RASHDIA Code : TC/558478/PL Policy No : 20629559

Date of Issue : 24-11-2021
Policyholder's Name : AL DRIWEESH FAHAD SAAD M
ID No : 1172204230 Passport No : x805130
Mobile # : +966506825137 Fax :
Email : FAHAD14@GMAIL.COM
Period of Insurance : 28-11-2021 To : 27-12-2021 (Inclusive)
Contribution : SR. 231.52

Admin Fees : SR 25.00
VAT ( 15.00 % ) : SR 38.48
Total Contribution : SR 295.00
Policy Type : Short Terms
Geographical Limits : World Wide Cover excluding KSA and War & Sanction countries
Insured Persons:
Relation to Contribution Expiry
Name Date of Birth Passport No Policyholder SR Date
AL DRIWEESH FAHAD SAAD M 04-02-2015 x805130 Insured 231.52 27-12-2021
Excess The first SR 200 of each and every incident
per each insured person involved in the incident ( applicable for Section 5 & 7 only)
Coverage Description Limits
- Emergency room/urgent care

Section 1: Emergency medical and inpatient hospitalization Up to SAR 650,000 per covered person
benefit - Emergency transportation
Section 2: Covid-19 Up to SAR 450 per day and per covered

quarantine accommodation person and for a maximum up to 14 days
Section 3: Medical - Organizing and paying transportation costs of

the Insured Person's return home or Actual cost per covered person
repatriation
transportation to a hospital in KSA
Section 4: Repatriation of Actual cost per covered person

Transporting the body to KSA
mortal remains
due to following specific reasons:

- Policyholder testing positive for Covid-19;
Section 5 : Trip - Travel companion testing positive for Covid-19; Up to SAR 40,000 per covered person
cancellation/curtailment - Policyholder being identified as a close contact for one trip
by the health authorities and being unable to
travel; or
- Severe illness or death of a close family
member.
SR. 111 Per hour or part thereof and

maximum up to SR. 2000 per
Section 6 : Delayed departure After a delay of 6 hours Insured person (Compensation will be
calculated from the Seventh delayed hour
of the actual scheduled departure time)
Section 7 : Delayed baggage Up to SAR 2,000

PERIOD OF INSURANCE
1. Duration of cover is 30 days effective from inception date of policy i.e. departure date of first trip from KSA.
2. For cancellation cover under section 5, the period of insurance begins on the date contribution has been paid & policy has
been issued or the date you booked your trip, whichever is later, and ends when your trip starts or policy duration completes
30 days whichever is earlier
3. The period of insurance for all other sections begins when your trip starts and ends when your trip ends or policy
duration completes 30 days whichever is earlier
4. All cover ends at 30th day being expiry date shown on the policy schedule unless specifically agreed otherwise.
5. Policy can be extended for 30 days at additional price maximum of two times only
CANCELLATION OF POLICY
This policy may be cancelled by you more than 6 hours prior to scheduled departure time of the first trip from KSA provided that
no claim has been made by you under this policy and we would refund the full contribution to you after deducting
admin fees (SR 25 + VAT), otherwise no refund contribution will be allowed.
Subject to terms, conditions and exclusions in the attached Policy.

Laws & Jurisdiction: Kingdom of Saudi Arabia
Contribution Payment Terms: Before policy inception
For 24-hour emergency medical assistance:

Phone +966 920012178 WhatsApp: +966530556654
Online Claims: https://tawuniya.tatsh.com
Address: NEXTCARE CLAIMS MANAGEMENT, Saudi NEXT CARE
Al Rabia & Nassar Bldg. 102 King Abdallah Road, Al Khobar, Saudi Arabia
Tax / VAT :
"The amounts stated in this policy and its endorsements have been charged VAT - where applicable - according
to the prevailing rate as per KSA VAT LAW"
Tawuniya VAT\Tax Registration No.300002788500003
Signed For And On Behalf of

The Company for Cooperative Insurance (Tawuniya) Dated: 24-NOV-2021

Tawuniya's COVID-19 Travel Insurance - For Citizens: Direct Al Rashdia 20629559 24-11-2021 Al Driweesh Fahad Saad M

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Tawuniya's COVID-19 Travel Insurance - Fahad Saad Mubarak Al Driweesh

For Citizens 3856 - Empty - Ar Rashidyah 2nd Dis

Branch : DIRECT AL RASHDIA Code : TC/558478/PL Policy No : 20629559

Contribution : SR. 231.52

Policy Type : Short Terms

Coverage Description Limits

- Emergency room/urgent care

Section 2: Covid-19 Up to SAR 450 per day and per covered

Section 3: Medical - Organizing and paying transportation costs of

Section 4: Repatriation of Actual cost per covered person

due to following specific reasons:

SR. 111 Per hour or part thereof and

Section 7 : Delayed baggage Up to SAR 2,000

Subject to terms, conditions and exclusions in the attached Policy.

For 24-hour emergency medical assistance:

Signed For And On Behalf of

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