International Single Trip

INSURANCE POLICY # 3000067238

This Certificate is an extract from Travel Insurance Policy and constitutes a confirmation of insurance
coverage being granted to person/persons insured under travel insurance during such person's / persons'
foreign trip.

This document contains English extract of insurance policy and neither replaces it nor constitutes
another copy of the policy. All provisions stated below are of informative purposes only. In case of any
discrepancies, Hungarian wording prevails.

ATLASZ ASSISTANCE +36-1-460-15-00

POLICY START DATE POLICY END DATE TERRITORIAL SCOPE OF COVER

2023.10.27 00:00:00 2023.11.01 23:59:59 Europe

INSURER

Company name Colonnade Insurance S.A.

Company address Rue Jean Piret 1, 2350 Luxemburg, Luxemburg

Insurer Colonnade Insurance S.A. Magyarországi Fióktelepe

Company address 1134 Budapest, Váci út 23-27.

Tax ID 25383371-2-41 Phone +36-1-460-1400
E-mail info@colonnade.hu

POLICYHOLDER
Name Rubint László
Phone E-mail mailtorubint@gmail.com
Home Address 2111 SZADA, Várdombi utca 11.

INSURED PERSONS Number of persons: 1

1 Name Rubint Bálint Date of birth: 2006.09.05

COVER VARIANT
Main variant Platina
Applicable GTC HU_ATLASZ-Direct-Utasbiztositas-HU-LAK-ON-ADU-220513
Add ons Yes
1 Flight package

PREMIUM AND POLICY

Insurance premium 2 018 HUF
Ins. Premium payment Single premium, paid upfront

INSURANCE INTERMEDIARY
Name/Company
Netrisk Magyarország Kft.
name

ATLASZ ASSISTANCE +36-1-460-15-00 International Single Trip | 1

 International Single Trip
INSURANCE POLICY # 3000067238

Address 1138 Budapest, Madarász Viktor u. 47-49.

MAIN VARIANT # Platina SUM INSURED

Emergency medical expenses including COVID-19

Emergency Medical Expenses total limit 1 000 000 000 HUF
Treatment in an outpatient clinic and hospitalization Yes
Transport to and between medical facilities Yes
Transport to your accommodation Yes
Premature birth Yes
Emergency dental treatment 250 000 HUF
Decompression chamber Yes
Covid-19 medical expenses Yes
Quarantine expenses for Covid-19 450 000 HUF
Chronic illness 10 000 000 HUF
Amateur sport Yes
Assistance
24 hour service and medical advice Yes
Medical transportation Yes
Repatriation of bodily remains Yes
Extension of insurance cover in emergency situations Yes
Compassionate emergency stay and return Yes
Compassionate emergency stay and return 450 000 HUF
Arrangement of compassionate visit of relatives and return of minor children
450 000 HUF
(Transport costs)
Arrangement of hotel accommodation Yes
Coverage of search and rescue costs in the mountains and at sea 5 000 000 HUF
Expenses of sending replacement colleague 200 000 HUF
Assistance in the event of the necessary prolongation of earlier return (Limit per
450 000 HUF
day)
Continuation of the Insured Person's planned trip Yes
Repatriation of vehicle 350 000 HUF
Legal assistance 5 000 000 HUF
Personal accident
Permanent partial disability Limit 10 000 000 HUF
Accidental death Limit 10 000 000 HUF
Hospital daily cash (limit per day) 25 000 HUF
Hospital daily cash (limit of days) 30 days
Accidental death in plane crash 5 000 000 HUF

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INSURANCE POLICY # 3000067238

Baggage loss, theft or damage

Baggage loss, theft or damage total limit 550 000 HUF
Loss/theft of personal & travel documents 50 000 HUF
Portable electronic equipment - loss, theft or damage 200 000 HUF
Loss of business equipment 250 000 HUF
Third party liability
Body injury 10 000 000 HUF
Property damage 250 000 HUF
Robbery & theft
ATM assault and robbery 100 000 HUF
Robbery insurance 100 000 HUF
Trip interruption
Trip curtailment 500 000 HUF

OPTIONAL COVERS/ ADD-ONS SUM INSURED PER PERSON

Flight package
Baggage Delay 90 000 HUF
Flight delay/Trip Delay 60 000 HUF
Missed flight 100 000 HUF
Parking fee reimbursement 20 000 HUF

FOR MEDICAL EMERGENCIES Service is available 24/7/365 in (local)

WHEN ABROAD PLEASE CALL and foreign language operators

+36-1-460-15-00 Assistance anywhere in the world

PLEASE CALL THE PHONE NUMBER ABOVE
IN CASE OF EMERGENCY OR IF ANY MEDICAL
ASSISTANCE IS REQUIRED
Contact immediately the 24 hour assistance
and claim service at the noted number,
in order to verify coverages and arrange
claims payment

COLONNADE CUSTOMER SERVICE COLONNADE CLAIMS SERVICE OFFICE HOURS

Tel: +36-1-460-14-00 Tel: +36-1-460-15-00 Monday - Thursday:
E-mail: info@colonnade.hu E-mail: utaskar@colonnade.hu 08.30 - 17.00
Friday: 08.00 - 15.00

In the case of Europe territorial cover, the Insurer's risk covers the geographical territory of Europe, including
the following countries and islands: Tunisia, Egypt, Algeria, Morocco, Turkey, Russia, Malta, Cyprus, Canary
Islands, Madeira and the Azores.

Place, Date and Time of policy issue payment Budapest, 2023.10.27 10:45:31

Kéringer Csaba

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 International Single Trip
INSURANCE POLICY # 3000067238

fióktelep vezető

Colonnade Insurance S.A. Branch Office in Hungary

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