TRAVEL INSURANCE DEPARTMENT

03-21708433
03-20316397
customer.service@axa.com.my
www.axa.com.my

ROSNAH BINTI MAHMOOD Issued Date

IBC TOURS CORPORTATION (M) 05/10/2022 10:47:16
LOT 23, FLOOR 4, WISMA SKM Your servicing representative
JALAN MEDAN TUANKU
38215, IBC TOURS CORPORATION (M)
50300 KUALA LUMPUR
BERHAD
WILAYAH PERSEKUTUAN MALAYSIA
Your servicing representative contact
03-21708000

Policy Schedule
Your SMART TRAVELLER ENHANCED SINGLE TRIP - SENIOR (Individual)

Policy holder name ROSNAH BINTI

ALIIF HAMDI MAHMOOD
BIN KHALID
Policy number ST3-AC/K0194114/99/10/NAD
12/FGH
Trip type ROUND TRIP
Destination AREA 2 OVERSEAS ONLY (TURKEY)

Period of Insurance from 25/11/2022

12/10/2022 to 03/12/2022
21/10/2022 (both dates inclusive)
Number of days 09

Traveller details
No. Traveller name Date of birth NRIC/Passport No. Plan
1 ALIIF HAMDI BIN KHALID SENIOR - INDIVIDUAL
STANDARD PLAN
20/11/2004 041120010889

No. Traveller name NRIC/Passport No. Add-On's

1 ALIIF HAMDI BIN KHALID 551201085938
041120010889 PANDEMIC COVER

Sum Insured (RM)

Limit per
SCHEDULE OF BENEFITS Individual Senior
Person/Event
Plan
PERSONAL ACCIDENT International
Accidental Death and Accidental Permanent Disablement Per adult 175,000
MEDICAL BENEFITS
Medical, Hospital and Treatment Expenses Per adult 175,000
Compassionate Visit (due to hospitalisation of insured person)* Per adult 7,500
Alternative Medicine* Per adult 1,000
Compassionate Visit (due to Insured person’s death)* Per adult 7,500
Medical Treatment in Malaysia* Per adult 15,000

AXA Affin General Insurance Berhad (197501002042) - Ground Floor, Wisma Boustead, 71 Jalan Raja Chulan, 50200 Kuala Lumpur
Telephone: (603) 2170 8282 - Fax: (603) 2031 7282 - Email: customer.service@axa.com.my - www.axa.com.my – Service Tax Reg. No.: W10-1808-31015017

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*Subject to Medical, Hospital and Treatment Expenses limit
Per day 250
Hospital Allowance
Per adult 7,500
EMERGENCY MEDICAL EVACUATION & REPATRIATION
Emergency Medical Evacuation Per event Unlimited
Emergency Medical Repatriation Per event Unlimited
Repatriation of Mortal Remains Per adult Unlimited
PERSONAL BELONGINGS BENEFITS
Per adult 7,500
(500 per article)
Baggage and Personal Effects (300 per baggage)
Per laptop 1,000
Travel Documents Per adult 7,500
Personal Money Per adult 1,500
800
Baggage Delay Per adult
(200 every 6 hours)
TRAVEL INCONVENIENCE BENEFITS
3,200
Travel Delay, Overbooked, Misconnection or Reroute Per adult
(200 every 6 hours)
Cancellation or Postponement Per adult 20,000
Travel Curtailment Per adult 20,000
Hijacking Per adult 10,000
(1,000 every 24 hours)

Missed Departure Per adult 2,000

1,000
Loss of use of Entertainment Tickets Per adult
(250 per ticket)
Loss of Credit Card Per adult 5,000
Personal Liability Per adult 1,000,000
Rental Car Excess Per adult 1,000
Ransom Payment as a result of Kidnapping & Hostage Per adult 100,000
Home Care Per event 5,000
OPTIONAL ADD ON (APPLICABLE ONLY IF ADD ON IS INCLUDED IN POLICY)
5,000
Golf Equipment Per adult
(500 per article)
3,000
Sports Equipment/Musical Instruments Per adult
(500 per article)
Flight Cancellation/Rescheduling during Trip Per adult 5,000
Cruise Cover Per adult 3,000
Pandemic Cover for Overseas Trip only Per adult Include cover for
Pandemic related
events up to the
respective benefits sum
insured
Domestic Travel Extension Per adult See below for Domestic
Travel Extension
benefits

Sum Insured (RM)

Limit per
Domestic Travel Extension (applicable only if this Add on is included in policy)
Person/Event Individual Senior Plan

PERSONAL ACCIDENT International

Accidental Death and Accidental Permanent Disablement Per adult 125,000

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 MEDICAL BENEFITS (ACCIDENTAL CAUSES ONLY)
Medical, Hospital and Treatment Expenses Per adult 12,500
Per day 50
Hospital Allowance
Per adult 1,500
EMERGENCY MEDICAL EVACUATION & REPATRIATION
Emergency Medical Evacuation Per event 100,000
Emergency Medical Repatriation Per event 100,000
Repatriation of Mortal Remains Per adult 5,000
PERSONAL BELONGINGS BENEFITS
Baggage Delay Per adult 400
(100 every 6 hours)
TRAVEL INCONVENIENCE BENEFITS
Travel Delay, Overbooked, Misconnection or Reroute Per adult 1,000
(100 every 6 hours)
Cancellation or Postponement Per adult 2,000

Travel Curtailment Per adult 2,000

Missed Departure Per adult 1,000

Personal Liability Per adult 100,000

What you should do

• Keep this Policy Schedule as record of your travel insurance cover
• This Policy Schedule should be read in conjunction with the Terms and Conditions of the Policy Wording

Important note
• In case of any emergency while travelling, do contact us at our 24-hour emergency hotline number (603) 2142 0399. This emergency hotline does not
apply to the Jom Lokal Travel & Travel PA Lokal Personal Accident product.
AXA Affin General Insurance Berhad
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