 | TABLE OF BENEFITS |  |
| |
Sum Insured |
Deductible |
| |
Worldwide |
Specified Asian Countries |
|
| US$ | US$ | US$ |
| 1. |
Medical Expenses |
50,000 |
15,000 |
50 |
| 2. |
Personal Accident |
50,000 |
15,000 |
Nil |
| 3. |
Baggage, Personal Effects & Money |
1,000 |
1,000 |
35 |
| |
(i)Jewellery & Valuables
(Aggregate Limit) |
250 |
250 |
|
| |
(ii)Single item limit
(Unless specifically
declared) |
100 |
100 |
|
| |
(iii)Money |
200 |
200 |
|
| 4. |
Cancellation & Curtailment |
1,000 |
1,000 |
35 |
(US $ 10 on
lost
Deposits) |
| 5. |
Travel Delay/Cancellation |
1,000 |
1,000 |
35 |
| 6. |
Missed Departure/Connection |
750 |
750 |
35 |
| 7. |
Passport Indemnity |
250 |
250 |
35 |
| 8. |
Additional Cost following Loss of Travel Documents |
500 |
500 |
Nil |
| 9. |
Personal Liability |
20,000 |
20,000 |
Nil |
| 10. |
Legal Expenses |
10,000 |
10,000 |
Nil |
| * All claims except reimbursement of Medical Expenses are payable in Srilankan Rupees, at rates of exchange prevailing on the date of settlement. |
| * Reimbursement of Medical Expenses, will be settled in US $, but subject to exchange control approval. |
|
| PREMIUM RATES UP TO AGE 60 | |
| |
Worldwide |
Specified Asian Countries |
| | US$ | US$ |
| PLUS TAXES |
| Up to 7 days |
42.00 |
21.00 |
| Up to 14 days |
55.00 |
27.50 |
| Up to 21 days |
65.00 |
32.50 |
| Up to 28 days |
75.00 |
37.50 |
| Per Additional week |
7.50 |
3.75 |
| All premia are payable in US Dollars |
| * Specified Asian Countries are:- India, Pakistan, Bhutan, Maldives, Nepal, Bangladesh, Malaysia, Singapore, Thailand & Philippines. |
| 100% | Loading on those travelling to USA/Canada. |
| 50% | Loading on those aged between 60+ and 65. |
| 100% | Loading on those aged between 65+ and 70. |
| 50% | Reduction on basic rates for all children up to age of 18, provided they are permanently residing with their parents. |
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