PLAN – ‘ B ‘ (World wide INCLUDING USA & Canada)

Medical only – A to C Package policy – A to J
Age band 5 – 40 41 – 60 61 – 70 5 – 40 41 – 60 61 – 70
PERIOD US$ US$ US$ US$ US$ US$
DAY 1-7 40 55 72 50 68 80
DAY 1-14 55 74 80 63 86 95
DAY 15-21 58 78 85 66 90 100
DAY 22-28 64 88 96 74 103 113
DAY 29-35 75 100 112 87 121 134
DAY 36-47 87 120 135 101 145 162
DAY 48-60 120 173 193 143 209 232
DAY 61-75 168 245 274 202 297 333
DAY 76-90 200 293 328 242 355 399
DAY 91-120 277 409 460 337 499 561
DAY 121-147 364 541 609 444 662 746
DAY 148-180 525 623 723 641 789 886
Annual Multi Trip
Annual Multi Trip
Maximum Any
One Trip 31 Days
187.50 250.00 335.00 217.50 300.00 405.00

 

THE ABOVE RATE IS APPLICABLE WITH EFFECT FROM 17.07.2007
Rs. 20 (Stamp duty) and 13% VAT is extra.

SCHEDULE OF COVER

Maximum Sum Insured ( US$ ) EXCESS
‘A’ Personal Accident Death – up to US$ 25,000 NIL
Loss of Limb – a) for 1 limb 50%
b) for 2 limb 100%
Loss of sight- a) for 1 eye 50%
b) for 2 eyes 100%
Permanent Total Disability – up to US$ 25,000
Death benefit for children below 18  & over 65 yrs – US$ 5,000
‘B’ Medical and Emergency Exp. Up to US$ 100,000 US $ 100
‘C’ Hospital Benefit US$ 25 for each 24 hours of hospitalization up to a
maximum of US$ 250 NIL
‘D’ Loss of Checked Baggage up to US$ 2,000 US$ 100
‘E’ Delay of Checked Baggage US$ 50 for each 12 hour period of delay up to a
maximum of US$ 250 12 HOURS
‘F’ Loss of passport Up to US$ 500 NIL
‘G’ Personal Liability Up to US$ 250,000 US$ 250 in respect of third party property Damage Claims Only
‘H’ Travel Delay US$ 20 per hour upto maximum of US$ 500 12 hours
‘I’ Hijack US$ 50 per hour upto maximum of US$ 1500 24 hours
‘J’Cancellation &Curtaliment
US$ 1000 US$100