International Travel Insurance

Travel Elect (Group)

Policy Certificate Number: COI2112141714381749303326

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Bajaj Allianz General Insurance Company Limited

(A company incorporated under Indian Companies Act, 1956 and licensed by Insurance
Regulatory and Development Authority of India (IRDAI) vide Regd.No. 113) Regd. Office: GE
Plaza, Airport Road, Yerwada, Pune 411006 (India)
Travel Elect Group Policy

Selected countries Number of passengers

Malaysia 1 Passenger(s)

Policy Certificate Number Sum insured Coverage start date Coverage end date
03/07/2022 09/07/2022
COI2112141714381749303326 $ 50,000 1:38 23:59:59

Policy Buyer's details

Premium Details
INDERJEET SINGH Net Premium Rs. 743.00
State GST Rs. 0.00
Email address
Central GST Rs. 0.00
yogahussain30@gmail.com
Integrated GST Rs. 134.00

Gross Premium Rs. 877.00

Who's Travelling
INDERJEET SINGH

DOB Passport No. Nominee name & relationship Medical History

10-Apr-1983 P5731730 Legal Heir No medical conditions declared
Coverage Details
Medical Expenses and Evacuation
Cover: USD 50,000
Deductible USD 100 (has to be borne first by the insured)

In case of sickness or accidental injury during your journey we will cover the cost of treatment that includes local medical transportation and day
care treatment.

Personal Accident
Cover: USD 15,000

Benefit amount for accidental bodily injury, resulting in death or permanent total disability during the course of your journey

Loss of Checked Baggage

Cover: USD 500

Benefit amount is settled by us in case of complete and permanent loss or destruction of your checked baggage.

Delay of checked Baggage

Cover: USD 100
Deductible 12 hours (has to be borne first by the insured)

In case of delay in receiving your checked baggage we will pay you for the expenses related to purchase of toiletries, medication and clothing to
replace those contained in the checked baggage.

Loss of Passport
Cover: USD 250
Deductible USD 25 (has to be borne first by the insured)

In case your passport is lost, stolen or damaged outside your country, we will cover the expenses incurred by you in obtain a duplicate passport

Personal Liability
Cover: USD 100,000
Deductible USD 100 (has to be borne first by the insured)

We will cover you for any legal expenses incurred by you towards damages or third party civil claims during your journey towards

Trip Delay
Cover: USD 25 per 12 day to max USD 120 For senior citizens - USD 20 per hour max up to USD 120
Deductible 12 hours (has to be borne first by the insured)

If the aircraft in which you have booked your travel tickets is delayed beyond certain limits then we will pay you the benefit amount

Trip Cancellation
Cover: USD 500

In the event of an unavoidable cancellation of the trip then we will cover the non-refundable expenses of your trip

Emergency Dental Pain Relief (Included in Medical Expenses)

Cover: USD 500
Deductible USD 100 (has to be borne first by the insured)

We will cover the treatment expenses related to dental services availed by you for immediate relief of dental pain or due to accidental dental
injury suffered by you

Emergency Cash Benefit

Cover: USD 500

If you need emergency cash following incidents like theft/burglary of your luggage/money or hold-up, then we will provide you the same
Missed Connection
Cover: USD 100
Deductible 12 hours (has to be borne first by the insured)

We will cover you for the travel charges incurred you in case you miss a connecting flight due to certain delay of your flight from India

Hospitalization Daily Allowance

Cover: USD 20 per day to max USD 100 For senior citizens - USD 25 per day max up to USD 100

In order to meet your daily expenses when you are hospitalized, we will cover you with a fixed daily cash allowance

Accidental death and disability (Common Carrier)

Cover: USD 2,500

Benefit cover for an accidental bodily injury, resulting in death or permanent total disability during the course of your journey while travelling in a
common carrier such as aircraft, rail, tram or bus.

Repatriation
Cover: USD 5,000

We will settle the expenses incurred by the insured's beneficiary in the event of death of the insured during the trip

Hijack Cover
Cover: USD 50 per day max up to USD 300

In case you are detained by hijackers following hijacking of any aircraft, then we will pay for upto your sum insured

Golfer's hole in one

Cover: USD 250

We shall reimburse the expenses incurred by you towards celebration of achieving a hole-in-one during your trip

Trip Curtailment
Cover: USD 200

In the event of an unavoidable early return from the trip then we will cover the non-refundable expenses of your trip

Home Burglary Insurance

Cover: INR 100,000

We will pay you for the claims made in respect of loss or damage to contents of your home in India cause by actual or attempted burglary and /
or robbery

Difference in airfare due to delayed or early return

Cover: USD 500

We will pay you for your early return back to India if you suffer from an illness or meet with an accidental during the course of your journey

Bounced Hotel
Cover: USD 500

In case you are unable to get confirmation on booking of your hotel services then we will reimburse you the cost of expenses relating to
transportation to the alternative hotel, cost of up gradation of a superior class of hotel if availed by you

Personal Accident Cover In India

Cover: INR 50,000

Benefit for accidental bodily injury, resulting in death or permanent total disability during your travel intended from home to airport on the date of
travel and also on your arrival back to India for your travel intended from the airport to home
 Declaration
I, on behalf of all the insured [as stated by me], understand that this policy has been issued, purely
based on the information vis-à-vis declaration, as provided by me to PhonePe Insurance Broking
Services Private Limited. I, further understand that the policy shall not be valid from its inception [void ab
initio], if any of such information provided by me, stands incorrect. I fully understand that this policy shall
not cover any pre-existing medical condition(s)/injury(ies)/illness(es)/deformity(ies), complication(s) and
likewise, arising from them, whether declared or undeclared.

For any assistance, contact the insurer at the numbers below

24x7 toll-free support from within India
1800 209 5858

Request callback from anywhere in the world

+91 124 6174720

Consolidated Stamp Duty of Rs. 0.5/- paid towards Insurance Stamps vide Challan No. MH014271630202021M Defaced No. 000136973201819/ order
no. CSD/45/2018/2156/18 dated 11.06.2018 dated 08-JUN-18 timing 17:49:13 of General Stamp office, Mumbai, India. BAGIC GST No:
07AABC5730G1ZZ | Principal Location : Block No-4, 7th Floor, DLF Towers, 15, Shivaji Marg, - New Delhi - 110015 PH : 011-6627800 | Services
Accounting Code : 997136 - Frieght insurance services & Travel insurance services. No reverse charge is payable on these services. | Invoice No. : OG-
22-1701-6320-00001906