Policy number: 9421004619

Insurance certificate Certificate number: 2022SI38A6DAEEE

BASIC

Insured Trip information

First name: Lhoussaine Start date: 06/09/2022

Last name: Ouargaga End date: 06/10/2022

ID/Passport: AO5695424 Destination: Mexico

Date of contract: 12/08/2022 Insurance Company: Axa Assistance

Travelers: 1

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 Policy number: 9421004619

Insurance certificate Certificate number: 2022SI38A6DAEEE

Coverages

Emergency medical & dental expenses overseas

1 . Medical, surgical, pharmaceutical and hospitalisation expenses 100.000 €

2 . Emergency dental expenses abroad 150 €
3 . Round trip ticket for a family member Included
4 . Lodging expenses for a family member 1.800€ (120€ /day)

Medical transport & repatriation home

5 . Transport or medical repatriation of injured and ill persons 100.000 €

6 . Transport or repatriation of companions Included
7 . Transport or repatriation of the deceased 100.000 €

Baggage

8 . Theft and material damage to luggage 1.200 €

9 . Delay in delivery of luggage 150€ (50€ every 24h)
10 . Cash withdrawal theft with aggression 100 €
11 . Administrative expenses for loss or theft of official documentation 200 €

Travel disruption

12 . Travel delay due to transport 200 € (50 € every 12h)

13 . Missed connecting flight 150 €

Cancellation & interruption

14 . Trip cancellation 2.000 €

15 . Trip interruption 1.000 €
16 . Additional expenses 1.000 €
17 . Trip resumption 500 €

Personal liability

18 . Private civil liability 500.000 €

Accidental death or disability

19 . Death or permanent disability due to accident 10.000 €

Other assistance coverages

20 . Extended lodging expenses due to illness or medical quarantine 1.800€ (120€ /day)
21 . Natural disaster 800 €

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 Policy number: 9421004619

Insurance certificate Certificate number: 2022SI38A6DAEEE

Insurance company Travel assistance Insurance mediator

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 Policy number: 9421004619

Insurance certificate Certificate number: 2022SI38A6DAEEE

Travel assistance

1. Heymondo App
24h medical chat, free assistance calls, and incident management in the palm of your hand.

24 h Health Assistance Chat Online free support call

A team of specialists at your disposal 24 hours a day, 365 If you need it, you can get in touch with the 24-hour support
days a year. team during your trip. They are just a click away.

Incident management Customer area and policy consultation

The easiest way to handle any incident that may arise. All your policy documents in one place.

Download it now

Requires iOS 11, Android 8 or above

2. Assistance Telephone Number

You can get in touch with the insurance company through the Heymondo app in case of an emergency.
Alternatively, you can also contact the insurance company by calling this telephone number directly:
+34 934968591

Insurance company Insurance mediator

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 Policy number: 9421004619

Insurance certificate Certificate number: 2022SI38A6DAEEE

In accordance with the personal data protection regulations in force, you are hereby informed that any personal data that the Policyholder and the Insureds might
provide to the Insurer will be processed by INTER PARTNER ASSISTANCE S.A. SUCURSAL EN ESPAÑA, in its capacity as Data Controller for the underwriting of the
insurance, the management of insurance activities and fulfilment of the insurance contract itself, provision of assistance and the handling of losses and claims and
administration of reimbursements or compensation to which the Insured or beneficiaries might be entitled. Said activities may include the processing of the
following data:

Use of sensitive health-related information regarding the policyholder or beneficiaries, in order to provide the services described in the insurance contract. By
contracting our services, the Policyholder agrees to the use of said information for the stated purpose.

- Communication of his/her data and of the insurance cover to other entities of the AXA Group, to our service providers and agents in order to administer the
services described in the policy, the prevention of fraud, to make payments, and for other purposes required or permitted by the applicable law.
-Recording of calls for provision of the assistance service and quality control.
-Conducting surveys and requests for opinions regarding our products and services.
-Technical studies for the analysis of claims and premiums, tariff calculation, support for the underwriting process and consolidation of financial reports (including
regulatory matters).

The Policyholder to this end expressly accepts and authorizes, through payment of the premium, that the personal data provided may be processed for the
aforementioned purposes. In the event that the data provided refer to natural persons other than the Policyholder/Insured, the Policyholder/Insured declares that
he/she has first informed and obtained the consent thereof for the processing of their data, in accordance with the purposes set out in the policy. In the specific
case of those under legal age, if the Policyholder/Insured is not the legal representative of the legal minor, he/she undertakes to obtain the express consent
thereof.

The Insurer guarantees that the data provided by the applicant shall not be sold under any circumstances.

Consent must be given for said processing as a precondition for the formalization of the contractual relationship to which this document refers, which would not
otherwise be possible.

he Policyholder may exercise rights of access, objection and erasure before the Insurance Company, on the terms set out in data protection legislation. Likewise,
should you believe that the information we hold about you is not up to date, you may contact us in order to correct it. You may exercise the aforementioned rights
by contacting the Insurer’s Personal Data Protection Department at Calle Tarragona 161, 08014 Barcelona, or otherwise by sending an email to
[email protected].

Our full privacy policy is available at https://corp.axa-assistance.es

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