Confirmation of Coverage

Simasadat Noorbakhsh
February 14, 2024
1390B GERALD ST.
ORLEANS, ON K4A 3N2

Policy Information
Policy Number: DEIM746564 Policy Status: Active
Application Date: February 14, 2024 Total Premium: $450.00 CAD
Effective Date: February 14, 2024
Expiry Date: August 31, 2024
Trip Length: 200 Days

Policyholder: Simasadat Noorbakhsh

Address: 1390B GERALD ST.
ORLEANS, ON K4A 3N2
Email: sima.nourbakhsh@gmail.com Phone #: 13434638962

Coverage Details
(applicable to each insured person)
Insurance Plan: Destination: International Student - Studying in Canada
Plan Type: Daily
Sum Insured: $2,000,000 CAD Deductible: $0.00 CAD

This insurance covers the following person(s):

Last Name, First Name: Date of Birth (dd/mm/yyyy):
Noorbakhsh, Simasadat 17/05/1983

Premium Details
Total Premium: $450.00 CAD
Payment Method: Credit Card - MasterCard Payment Date: February 14, 2024
Payor: Simasadat Noorbakhsh
Please review your policy carefully. It contains important information about your coverage such as provisions relating to eligibility,
pre-existing conditions, stability of a medical condition(s) and limitations and exclusions.

In the event of an emergency, you must contact Active Care Management immediately. Failure to notify Active Care Management
as required may limit your liability of the eligible expenses incurred. You can contact Active Care Management using the following
toll free numbers:

From Canada and U.S: 1-833-886-1070

From Worldwide: 1-519-945-1070

Agent: Onvoyage Inc.

Underwritten by: The Manufacturers Life Insurance Company (Manulife)
Assistance services provided by: Manulife has appointed Active Claims Management (2018) Inc., operating as "Active Care
Management", "ACM", "Global Excel Management", and/or "Global Excel" as the provider of
all assistance and claims services.
Managed by: The Destination: Travel Group Inc.
If you notice any errors in the above information or have any questions, please contact your broker or the Destination: Travel Group Inc. at 1-855-337-3532