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    Us 10000045

    Uploaded by

    ashi.agrawal

    Copyright:

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

    Us 10000045

    Uploaded by

    ashi.agrawal
    9 views2 pages

    Original Title

    US_10000045

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    9 views2 pages

    Us 10000045

    Uploaded by

    ashi.agrawal

    Copyright:

    © All Rights Reserved
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    CERTIFICATE OF TRAVEL INSURANCE

    THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
    HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE
    AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN
    THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

    IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,
    subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does
    not confer rights to the certificate holder in lieu of such endorsement(s).

    INSURER iNUBE CONTACT #31, 2ND FLOOR, KOTHNUR MAIN RD, RBI
    LAYOUT, JP NAGAR 7TH PHASE, BENGALURU, KARNATAKA
    560078 CONTACT NUMBER: 080 4651 2500
    THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE
    POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
    WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
    DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY. LIMITS SHOWN MAY BE
    REDUCED BY THE CLAIM.

    Sum Insured Policy Number PolicyEffective Date Policy Expiry Date Total Premium
    $200000 US/10000045 11/21/2024 12/11/2024 $115.2
    INSURED Ashi Agrawal
    Mobile Number +1 (081) 033-91501
    Email ID [email protected]
    Policyholder ashi agraeal
    PolicyHolder Address kothanur, Harrisburg, Pennsylvania
    Policy Type Travel Insurance
    Trip Start Date 11/21/2024
    Trip End Date 12/11/2024
    Plan Name Basic Plan
    No of Travellers 02
    Discount 10%
    Age of Travellers: 45,23
    Travel Type Domestic
    Country of Destination Canada
    2. COVERAGE
    a. Emergency In-patient medical treatment :
    Emergency In-patient medical treatment
    Maximum Benefit : $100000
    b. Hospital Daily Cash:
    Hospital Daily Cash
    Maximum Benefit : $20
    c. Dental Treatment :
    Dental Treatment
    Maximum Benefit : $300
    d. Personal Accident :
    Personal Accident
    Maximum Benefit : $15000
    e. Hijack Distress Allowance :
    Hijack Distress Allowance
    Maximum Benefit : $100
    f. TripInterruption :
    TripInterruption
    Maximum Benefit : $500
    g. EmergencyTripExtension :
    EmergencyTripExtension
    Maximum Benefit : $20000
    h. Loss of Checked-in Baggage :
    Loss of Checked-in Baggage
    Maximum Benefit : $1000

    i. Loss of Passport :
    Loss of Passport
    Maximum Benefit : $300
    j. TripCancellation :
    TripCancellation
    Maximum Benefit : $1000
    CERTIFICATE HOLDER CANCELLATION

    Ashi Agrawal SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE


    +1 (081) 033-91501 CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
    kothanur NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
    Harrisburg POLICY PROVISIONS.
    Pennsylvania
    AUTHORIZED REPRESENTATIVE

    Signature

    DATE: 11/19/2024

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