| Liaison International |
| Medical Maximum: |
$50,000; $100,000; $500,000; $1,000,000
(ages 80+, maximum limited to $15,000) |
| Deductible: |
$0; $100; $250; $500; $1000; $2500
Deductible is per person per policy period, maximum of 3 Policy Period deductibles
per family. The selected Deductible and Coinsurance amount must be met for
each 12-month period (see Continuing Coverage) |
| Coinsurance: |
Inside the United States and Canada:
After the Insured pays the deductible, the program pays 80% of the next
$5,000 of eligible expenses, then 100% to the selected Maximum.
Outside the United States and Canada: After the Insured pays the
deductible, the program pays 100% to the selected Maximum. |
| Hospital Indemnity: |
$150 / night (traveling outside the
US and Canada) In addition to any other Covered Expense. |
| Dental (Emergency): |
$100 or ($500 for accidents) Only available
to programs purchased for 1 month or more. |
| Emergency Medical Evacuation / Repatriation: |
$300,000 (in addition to the Medical
Maximum) |
| Return of Mortal Remains: |
$50,000 |
| Emergency Reunion: |
$50,000 |
| Return of Minor Child(ren): |
$50,000 |
| Interruption of Trip: |
$5,000 |
| Loss of Checked Luggage: |
$250 |
| Local Ambulance Expense: |
$5,000 |
| Accidental Death & Dismemberment: |
$25,000 Principal Sum for Insured or
Insured Spouse, $5,000 for Dependent Child. |
| Common Carrier AD&D: |
$50,000 per adult, $25,000 per children
under age of 18; $250,000 Maximum per family |
| Hospital Room & Board: |
Usual, reasonable and customary to the
selected Policy Maximum. |
| Intensive Care: |
Usual, reasonable and customary to the
selected Policy Maximum. |
| Outpatient Medical Expense: |
Usual, reasonable and customary to the
selected Policy Maximum. |
| Terrorism: |
Usual, reasonable and customary to the
selected Policy Maximum
(This benefit not available for states underwritten by Certain
Underwriters at Lloyd's of London) |
| Waiver of Pre-Existing Conditions: |
Up to $20,000 for U.S. citizens traveling
outside the United States and Canada (refer to exclusion
#1 for details) |
| Benefit Period: |
Six months |
Atlas