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    U1258 Gr59ky94

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    Александр
    This document is an international travel insurance policy for an individual traveling from Uzbekistan to Canada. The policy provides medical insurance of $50,000 USD and details the insurance periods, risks covered, claims process, and confirms agreement to the insurance terms and conditions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    U1258 Gr59ky94

    Uploaded by

    Александр
    5 views1 page
    This document is an international travel insurance policy for an individual traveling from Uzbekistan to Canada. The policy provides medical insurance of $50,000 USD and details the insurance periods, risks covered, claims process, and confirms agreement to the insurance terms and conditions.

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    U1258-GR59KY94 (2)

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    This document is an international travel insurance policy for an individual traveling from Uzbekistan to Canada. The policy provides medical insurance of $50,000 USD and details the insurance periods, risks covered, claims process, and confirms agreement to the insurance terms and conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views1 page

    U1258 Gr59ky94

    Uploaded by

    Александр
    This document is an international travel insurance policy for an individual traveling from Uzbekistan to Canada. The policy provides medical insurance of $50,000 USD and details the insurance periods, risks covered, claims process, and confirms agreement to the insurance terms and conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    U1258-GR59KY94

    International Insurance
    DER PASS

    MUMINOV SHOKHNUR 20.01.2002 FA5925568 UZBEKISTAN

    № LIST OF INSURED BIRTH DATE NATIONALITY OPERATION AREA CANADA


    PERSONS
    TRAVEL F 14.09.2023 T 14.09.2026 D 1
    MUMINOV SHOKHNUR 20.01.2002 UZBEKISTAN R O A
    1 DATA O Y 0
    M S 9
    5
    INSURANCE PROGRAM Standard-Plus
    RISKS INSURED INSURANCE AMOUNT FOR
    14.09.2023 – 08:31
    EVERY INSURED
    DATE AND TIME OF ISSUE
    TOTAL 180 (USD)
    MEDICAL 50 000 (USD)
    EXPENSES
    TRIP CANCELLATION Not included

    Insurance periods: This policy confirms the conclusion of an insurance contract between the
    branch of Aetna International Travel Insurance and the policy holder for
    According to the Standard Plus program (Chapter 16 of Rules #1 the conditions of insurance of property interests of citizens traveling outside
    or Rules #2), the duration of insurance coincides with the their permanent place of residence within the Standard, Standard Plus,
    duration of the trip. Cancellation programs, valid from 22.04.2022 (hereinafter rule 1), and/or

    Rules for insuring the property interests of citizens traveling outside their
    permanent place of residence (under the Optimum programs) and insurance
    COVID-19 is covered as per the T&Cs for expenses related to a forced cancellation of a trip or a change in the time
    of travel (Trip Cancellation Plus program), approved with Ordinance 02-
    2204/2022 of 04/22/2022, valid from 04/22/2022 (hereinafter referred to as
    Rule 2) • depending on the selected insurance program.

    Under the Insurance Contract, due notification of the Contracting Parties shall
    In the event of an insurance claim, contact the Service be made in accordance with the methods set out in Section 2.24 (Sections 1 to
    Center: 50 Cannon St, London EC4N 6JJ, UK 4) of Rules 1 and 2. Upon the occurrence of an insured event, the application
    and documents will be made available to the insurer in accordance with
    If medical assistance is needed during the trip: +44 870 Clause 11.7.1. - 11.7.4. Rule 1 or Rule 2.
    442 4386 (24/7)
    Based on art. 435, 438 of the Civil Code of the Kingdom, the consent of the
    insured to take out this policy (offer) on the terms proposed by the insurer
    In the event of cancellation, loss of luggage and other (acceptance) shall be deemed payment of the full insurance premium no later
    insured events. than the date of commencement of the period of validity (duration of travel)
    of this policy. The insurance premium is paid out as a lump sum.

    By paying for this policy, I confirm that I am aware of Rules 1 and 2 and the
    Special Conditions of Insurance and that they form part of this insurance
    contract.
    I agree to the insurer's policy on the processing and storage of personal data
    © 2023 Aetna International in accordance with Art. 6.6. Rule 1 or Rule 2.
    50 Cannon St
    Applications that are part of this insurance contract:
    London EC4N 6JJ 1. Special insurance conditions;
    +44 870 442 4386 2. Rule 1 or Rule 2;
    3. Excerpts from Rule 1 or Rule 2;
    4. Key information document (KID) and insurance brochure.

    Guided by part 2 of art. I confirm the agreement of the


    parties on the permissibility of using facsimile
    reproduction of signatures and seal impressions with
    copying tools.

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