Travel Insurance Certificate

+27 11 991 8419

In case of emergency, always call the above number (Reverse charges)

Cover Details
Certificate Number : 09N1357024 3
Type of Cover : Business Complete Cover
Departure Date : 0 3 De c 200 9
Retur n Date : 2 3 De c 200 9
Countries to be visited : Denmark (Area 2, Area 3)
Other Destinations : Germany
Territorial limits: This cover applies to anywhere in the world including but not limited to the countries listed above,
excluding your country of residence.
Issue d Date : 1 3 No v 2 00 9
Total Cost to Client (Cash) : 1735.0 0

Main Insured Details

Titl e : Mr
First Name : George
Surname : Bepete
Identit y / Passpor t Numbe r : BN 2 9 5 2 3 3
Dat e of Birth : 2 1 Ju l 198 2
Beneficiar y : A S PE R WIL L
Membership Number :

Summary of Benefits
Regent World Traveller - Summary of Benefits
Business Complete Cover

Benefits Sum Insured

1. Medical Expenses 40,000,00 0

Med ical Exp enses - Adventure sports Medica l 1,000,00 0
Exp enses - Terrorism (first 30 days) Medica l 500, 00 0
Exces s 500 outpatient
Pr e - Existing Medical Conditions 250, 00 0
Pr e - Existin g Exces s Hospitalisation of 48hrs+
Provisional pain- stilling dental treatment 2, 00 0
Hospital Cash Benefit 5,000 (500 p.d.)
Medical Evacuation/Repatriation/Transportation Real Expense

2. Personal Accident
In - flight and Not in- flight (excl. Adventure sports and Group policies) 500, 00 0
Whilst participating in Adventure sports Ni l

3. Assistance Services Emergenc y Assistanc e

Accompanying Family Member Real Expense
Lega l Assistanc e 15,00 0
Compassionate emergency visit by any one person 15,00 0
Alternative Employee 10,00 0
Repatriation of Mortal Remains Real Expense

4. Cancellation & Curtailment 30,00 0

Compassionate emergency repatriation 20,00 0
Missed connection (Min. 4 hr connecting time) 3, 00 0
Natural Disaster Cover 3, 00 0
C & C Ex c e s s 10% of claim, min 500

5. Inconvenience Cover
Loss of Luggage / Trade samples 15,00 0
Luggag e Exces s 10% of claim, min 500
Single item limit 2, 50 0
Luggage Delay (10 hrs min.) 2, 00 0
Trave l Delay (10 hrs min.) 1, 00 0
Cash/Trave l doc' s (R25 0 Excess ) 1, 00 0

6. Personal Liability 3,000,00 0

Ex ce s s 1, 00 0

7. Hijack of Public Transportation (24hrs min.) 100,00 0 (5,000 p.d.)

Ex ce s s 2 4 hr s

Accumulation limit 40,000,00 0

*Please note that this is a Summary only, and is subject to the Master Policy Wording, which contains the terms,
conditions, exclusions and Schedule of Benefits.

Policies issued in South Africa: All amounts quoted in ZAR

Policies issued in Namibia: All amounts quoted in NAD

Premium Details
Produc t & Varian t Rate : 1735.0 0
Additiona l Option s Rate : 0.0 0

All amounts quoted in ZAR

This certificate becomes an invoice when payment has been received