INSURANCE CORPORATION OF BELIZE LIMITED

P.O. Box 519, #16 Daly Street, Belize City, Belize Phone: 501-22-45328/45329 Email: icb@icbinsurance.com

Attaching to Policy No: IB-AFD3D4

IN CONSIDERATION of the Insured named in the Schedule hereto having paid the premium indicated on the Schedule below, this
certifies that the policy above has been issued to the Insured named, for the policy period indicated. The insurance afforded by the
policy described herein, is subject to all the terms, exclusions and conditions of such policy.
Policy Holder Details:
First Name Middle Initial Surname Name

BILLY FLEURY
Passport No.: Country of Issue: Country of Residence:

PL5462602 Haiti Haiti

Arrival Date: Expected Departure Date: Benefit Period:

2023-01-06 00:00:00 CST 2023-01-06 00:00:00 CST Up to 21 days

Deductible: Territory: Effective Date: Premium Paid:

NIL Within the country of Belize 2023-01-06 00:00:00 CST US$18.00

Schedule of Benefits
Maximum Policy Limit:
Reimbursement of hotel
expense due to inability to
travel:
Medical Services including:
• Hospital Services
• In-hospital miscellaneous
charges
• Out-patient charges
• Emergency room
• Emergency surgery
• Local ambulance
• Prescription drugs
Emergency expenses related
to Pre-existing Condition
Emergency Assistance
Services
Emergency air evacuation:
Transportation of a close
relative:
Repatriation of mortal
remains:
Date: 2023-01-06 00:00:00 CST
Claims
US$50,000 General Support
Email info@icbinsurance.com
Up to US$3,000
Need to file a claim?
To file a claim, please contact us using one
of the methods below:
100% of eligible expenses, Email - assistance@wtabyhas.com
up to the Policy Limit Phone - USA: + 1 786 275 7090
Phone - Belize: +501 614 8189
WhatsApp - +1 863-204-5050
Policy Number:
Up to a combined
maximum of US$25,000
Up to a combined
maximum of US$20,000
Up to maximum of
US$5,000
Certificate Link:
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