Issue Date: 23 Jun 2023

Chubb Travel Insurance

(formerly ACE Secure Travel Insurance)

Policy Schedule

Policyholder or Group
MRS ARRIANNE FUJISAWA
Policyholder:
Policy Number: Policy CTIPHAA0014606
Effective Date: Policy 19 SEP 2023

Expiry Date: 26 SEP 2023

Destination/s: International

Name of Insured: MRS ARRIANNE FUJISAWA

Insured Family Member/s (for

Family Plan):

Address: 191 P 28TH AVE EAST REMBO MAKATI

CITY 1216
639275876236
Contact Number:
PHP 1907.24
Total Premium: Plan
First PHP
Type: 8 days
Period of Insurance:
*Documentary Stamps collected for this Policy have been paid and affixed to the premium
register.

Chubb Travel Insurance Policy Schedule. Philippines. Published 08/2016.

© 2016 Chubb. Coverages underwritten by one or more subsidiary companies. Not all coverages available in
all jurisdictions. Chubb® and its respective logos, and Chubb. Insured. SM are protected trademarks
Schedule of Benefits

Benefit Amount
Benefit First (Comprehensive) Plan
Peso (PHP)
Section 1: Medical Necessary
3,500,000
Expenses Benefit

Section 2: Emergency Medical

Evacuation and
Actual cost
Repatriation of Mortal Remains
Benefit

Section 3: Hospital Confinement

2,000/day (max of 20 days)
Daily Cash Benefit

Section 4: Compassionate Visit

200,000
Benefit

Section 5: Return of Minor

200,000
Dependent Children Benefit

Section 6: Personal Accident Benefit 2,500,000

Section 7: Accidental Burial Benefit 50,000

Section 8: Trip Cancellation Benefit 200,000

Section 9: Travel Postponement

20,000
Benefit

Section 10: Trip Curtailment Benefit 200,000

Section 11: Travel Delay Benefit 3,000 per 12 hours max of 96 hours

Section 12: Aircraft Hijack Benefit 5,000 per 6 hours max of 96 hours

Section 13: Missed Connecting Flight 4,000 per 12 hours

Benefit max of 96 hours

Section 14: Loss or Damage of

50,000 (subject to 10,000 limit per
Baggage and Personal
item)
Effects Benefit

Section 15: Loss of Personal Money 5,000 (deductible

Benefit 1,000)

Section 16: Loss of Travel

5,000
Documents Benefit

Chubb Travel Insurance Policy Schedule. Philippines. Published 08/2016.

© 2016 Chubb. Coverages underwritten by one or more subsidiary companies. Not all coverages available in
all jurisdictions. Chubb® and its respective logos, and Chubb. Insured. SM are protected trademarks
 Only two pages were converted.
Please Sign Up to convert the full document.

www.freepdfconvert.com/membership