Scribd Logo
Upload

Welcome to Scribd!

  • 5 views

    F Health Insurance

    Uploaded by

    Javi Garcia
    This document confirms short term medical insurance coverage for an individual traveling to multiple European countries. It provides the policy holder's name, dates of coverage, medical and evacuation coverage limits, deductible and other key details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    F Health Insurance

    Uploaded by

    Javi Garcia
    5 views1 page
    This document confirms short term medical insurance coverage for an individual traveling to multiple European countries. It provides the policy holder's name, dates of coverage, medical and evacuation coverage limits, deductible and other key details.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document confirms short term medical insurance coverage for an individual traveling to multiple European countries. It provides the policy holder's name, dates of coverage, medical and evacuation coverage limits, deductible and other key details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views1 page

    F Health Insurance

    Uploaded by

    Javi Garcia
    This document confirms short term medical insurance coverage for an individual traveling to multiple European countries. It provides the policy holder's name, dates of coverage, medical and evacuation coverage limits, deductible and other key details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    December 20, 2023

    CONFIRMATION OF COVERAGE
    We are pleased to confirm short term medical coverage under the Atlas Series, insured by Lloyd’s Syndicate 4141 and administered by WorldTrips, a member of the
    Tokio Marine HCC group of companies. WorldTrips has authority to enter into contracts of insurance on behalf of the Lloyd’s underwriting members of Lloyd’s Syndicate
    4141, which is managed by HCC Underwriting Agency Ltd. Lloyd’s is authorized as an insurer in Spain by the Spanish insurance regulatory authority (Dirección General
    de Seguros y Fondos de Pensiones) under reference L0017. This plan will make direct payment to providers when the plan administrator is contacted and submitted
    charges are approved.

    This coverage is valid worldwide, including the Destination Country(ies) listed below. Atlas Safetywing satisfies Schengen Visa health insurance requirements.
    Effective Date: 10 January, 2024
    Home Country: Indonesia
    Destination Country(ies): Austria, France, Malta, Belgium, Germany, Netherlands, Bulgaria, Greece, Poland, Croatia, Hungary, Portugal, Cyprus, Ireland, Romania, Czech
    Republic, Italy, Slovakia, Denmark, Latvia, Slovenia, Estonia, Lithuania, Spain, Finland, Luxembourg, Sweden

    Name (Surname, Given Name) Certificate Termination Date Passport Citizenship


    Felfin, Felfin 130210226 10 April, 2023 C6944134 Indonesia

    Atlas Safetywing
    Overall Maximum Limit $250,000 230.000,00€ Two Hundred Fifty Thousand US Dollars
    Deductible $250 230,00€ Two Hundred Fifty US Dollars
    Medical Expenses (including hospitalization) (includes COVID-19) Overall Maximum Limit
    Emergency Medical Evacuation $100,000 92.000,00€ One Hundred Thousand US Dollars
    Emergency Reunion $50,000 46.000,00€ Fifty Thousand US Dollars
    Repatriation of Remains Overall Maximum Limit
    Trip Interruption $5,000 4.600,00€ Five Thousand US Dollars
    Paid in full by VISA

    This coverage is extendable up to the maximum certificate duration. Please see policy documents for further details, or feel free to contact us with any questions or
    concerns.
    COVID 19: Covered same as any other illness to the above mentioned medical maximum.
    Sincerely,

    Mark Carney
    WorldTrips
    Plan Administrator for Lloyd’s, Fitzwilliam House, 10 St. Mary Axe, London, England EC3A 8BF
    Lloyd's is rated A (Excellent) by A.M. Best as of 01/25/2022.
    * Plan pays in US Dollars only. Amounts in Euros are provided for convenience and are based on conversion rate as of 12/20/2023.

    WorldTrips
    251 North Illinois Street, Suite 600, Indianapolis, IN 46204 USA • Tel: 317-262-2132 • Fax: 317-262-2140 • Toll Free: 800-605-2282 • https://www.worldtrips.com

    You might also like