Bajaj Allianz Travel Prime Individual Insurance Plan

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on an Airline. For the purpose of this exclusion, air travel means being in or on, or boarding an aircraft for the purpose of flying therein or alighting there from following a flight.

What are the deductibles under the policy?

• • • • • • •

Medical Expenses and Evacuation: 100 USD Emergency dental pain relief: 100 USD Delay of Checked Baggage: 12 Hours Trip delay: 12 hours Loss of Passport: 25 USD Personal Liability: 100 USD Missed Connection: 12 Hours

Cancellation

This Policy may be cancelled by the Insured after the expiry of 15 days from the effective date, in writing to the Company as long as the Insured is able to establish to the Company’s satisfaction that the Insured Journey has not commenced, and this Policy shall stand cancelled if the Insured Journey has not commenced within 14 days of the commencement date shown on the Schedule. Upon cancellation, the Company shall be entitled to deduct cancellation charges according to its Cancellation Scale subject to retaining a minimum of Rs.250/-. In case of any early return of the insured person prior to expiry of the policy period the company will refund premium at the following rates subject to no claims being incurred on the policy Period on Risk

Provided however, if You do not respond to Our intimation regarding the withdrawal of the product under which this Policy is issued, then this Policy shall be withdrawn and shall not be available to You for any extension and accordingly upon Your seeking extension of this Policy, You shall have to take a Policy under available new products of Us subject to Your paying the Premium as per Our Underwriting Policy for such available new product chosen by You.

Travel Prime Individual Premium Chart Geographical Location Age Travel Days 1 -4 5 -7 8 - 14 15 -21 22- 28 29 - 35 36 - 47 48 - 60 61 - 75 76 - 90 91 -120 121 - 150 151 - 180 Note:

100% 80%

Geographical

Above 30% to 40% of policy period

75%

Location

Above 20% to 30 % of policy period

60%

Policy Inception 20% of policy period

50%

Revision/ Modification of the policy:

There is a possibility of revision/ modification of terms, conditions, coverage and/or premiums of this product at any time in future, with appropriate approval from IRDA. In such an event of revision/modification of the product, intimation shall be set out to all the existing insured members at least 3 months prior to the date of such revision/modification comes into the effect

Withdrawal of Policy

There is possibility of withdrawal of this product at any time in future with appropriate approval from IRDA, as We reserve Our right to do so with a intimation of 3 months to all the existing insured members. In such an event of withdrawal of this product, at the time of Your seeking extension of this Policy, You can choose, among Our available similar and closely similar Travel insurance products. Upon Your so choosing Our new product, You will be charged the Premium as per Our Underwriting Policy for such chosen new product, as approved by IRDA. UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14

Worldwide Excluding USA/ Canada 0.6 to 40 yrs

41 to 60 yrs

Gold 2 Lakhs USD

Worldwide Including USA/ Canada 0.6 to 40 yrs

41 to 60 yrs

Worldwide Excluding USA/ Canada 0.6 to 40 yrs

479 563 743 907 707 569 616 853 959 768 828 925 1169 1319 947 871 979 1257 1494 1006 979 1115 1431 1685 1112 1224 1414 1743 2120 1377 1409 1631 1992 2421 1575 1644 1930 2652 3857 1841 1997 2366 3829 5512 2261 2374 2799 4561 6652 2675 2988 3674 5464 7917 3680 3415 4133 6338 9007 4653 4288 5165 7457 9922 6318 Premium Rates Indicated above are in Indian National Rupees Only Premium Rates Indicated above are exclusive of Service Tax

Platinum 5 Lakhs USD

Worldwide Including USA/ Canada

Worldwide Excluding USA/ Canada

Super Platinum 7.5 Lakhs USD

Worldwide Including USA/ Canada

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

790 862 1086 1163 1305 1575 1822 2148 3040 3788 5508 6769 8030

940 1027 1342 1426 1598 1946 2234 3364 4681 5601 6870 9235 11468

1094 1200 1645 1971 2311 2719 3374 4913 7186 7426 9204 12525 14756

1028 1038 1122 1207 1379 1640 1927 3012 4255 5082 6206 7823 9934

1464 1499 1655 1836 2148 2556 3083 4846 6849 8235 10295 13961 17132

1433 1443 1560 1668 1883 2253 2650 4194 5919 7142 8534 10297 13152

2026 2061 2259 2487 2894 3435 4205 6621 9893 11206 14455 18120 23570

Worldwide Excluding USA/ Canada 0.6 to 40 yrs 41 to 60 yrs 1209 1220 1319 1419 1621 1928 2266 3540 5001 5974 7296 9196 11678

1721 1762 1946 2158 2525 3005 3624 5696 8051 9681 12101 16411 20139

Worldwide Including USA/ Canada

Worldwide Excluding USA/ Canada

Age Travel Days 1 -4 5 -7 8 - 14 15 -21 22- 28 29 - 35 36 - 47 48 - 60 61 - 75 76 - 90 91 -120 121 - 150 151 - 180 Note:

Silver 50000 USD Worldwide Excluding USA/ Canada 0.6 to 40 yrs

41 to 60 yrs

Gold 2 Lakhs USD

Worldwide Including USA/ Canada 0.6 to 40 yrs

41 to 60 yrs

Worldwide Excluding USA/ Canada 0.6 to 40 yrs

526 619 818 998 778 626 678 939 1055 845 911 1017 1286 1451 1042 958 1077 1383 1643 1107 1077 1226 1574 1853 1224 1530 1767 2178 2650 1721 1761 2038 2490 3026 1969 2055 2412 3315 4821 2301 2696 3194 5169 7441 3053 3205 3778 6157 8981 3611 4482 5512 8196 11875 5520 5976 7233 11091 15762 8143 7504 9039 13050 17364 11056 Premium Rates Indicated above are in Indian National Rupees Only Premium Rates Indicated above are exclusive of Service Tax

Platinum 5 Lakhs USD

Worldwide Including USA/ Canada

Worldwide Excluding USA/ Canada

Worldwide Including USA/ Canada

0.6 to 40 yrs

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

1685 1696 1834 1961 2214 2649 3115 4931 6958 8396 10031 12104 15460

2381 2423 2655 2924 3402 4038 4943 7783 11629 13173 16991 21300 27707

1292 1304 1409 1516 1732 2060 2421 3783 5344 6384 7796 9826 12478

1839 1883 2079 2306 2698 3211 3872 6087 8603 10344 12931 17536 21519

1800 1812 1960 2095 2365 2830 3329 5269 7435 8971 10719 12934 16520

2545 2589 2837 3124 3635 4315 5282 8317 12426 14076 18156 22760 29606

Super Platinum 7.5 Lakhs USD

Worldwide Including USA/ Canada

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

869 948 1195 1279 1436 1969 2278 2685 4104 5114 8263 11846 14053

1034 1129 1476 1568 1758 2432 2793 4205 6319 7562 10306 16162 20070

1203 1320 1809 2168 2542 3399 4218 6141 9702 10025 13806 21919 25823

1131 1142 1234 1328 1517 2050 2409 3765 5744 6861 9310 13690 17385

1611 1649 1821 2020 2363 3196 3854 6057 9246 11118 15442 24432 29981

1577 1587 1716 1835 2071 2817 3313 5243 7991 9642 12800 18020 23016

2229 2267 2485 2736 3183 4294 5256 8276 13355 15128 21682 31710 41248

Worldwide Excluding USA/ Canada 0.6 to 40 yrs 41 to 60 yrs 1330 1342 1451 1561 1783 2410 2832 4426 6752 8065 10943 16092 20436

1893 1939 2140 2374 2777 3756 4530 7120 10868 13069 18152 28719 35243

Maximum 10 Lakhs USD

Worldwide Including USA/ Canada

Worldwide Excluding USA/ Canada

When dialing a universal toll free number the caller must first dial the appropriate country's int'l access(+) as illustrated above.

Travel Prime Individual

In case of any claim or assistance abroad call Toll-Free Numbers:

Maximum 10 Lakhs USD

Travel Prime Individual Premium Chart Extension Period

Above 50% of policy period

Silver 50000 USD

Rate of Premium Retained by the Company

Above 40% to 50% of policy period

Bajaj Allianz

Travel Prime Individual Rider : Premium Chart

Worldwide Including USA/ Canada

0.6 to 40 yrs

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

0.6 to 40 yrs

41 to 60 yrs

1853 1865 2018 2157 2435 3311 3894 6163 9394 11334 15047 21183 27056

2620 2665 2921 3216 3742 5047 6179 9729 15699 17783 25487 37275 48487

1421 1434 1550 1668 1906 2575 3026 4729 7214 8618 11694 17196 21837

2023 2072 2287 2537 2968 4014 4841 7609 11613 13965 19396 30688 37659

1980 1993 2156 2304 2602 3538 4161 6586 10038 12111 16078 22635 28910

2799 2847 3121 3437 3999 5393 6603 10396 16775 19002 27234 39831 51811

Country

Toll Free number

USA (001) Canada (001) Australia (061) Austria (043) Belgium (032) Denmark (045) Finland (358)-carrier TS Finland (358)-carrier Elisa France (033) Germany (049) Hong Kong (852) Hungary (036) Ireland (353) Israel (972) Italy (039) Japan (081)-carrier Tele Japan (081)-carrier IDC Japan (081)-carrier KDD Japan (081)-carrier NTT Malaysia (060) Netherlands (031) New Zealand (064) Norway (047) Philippines (063) Portugal (351) Singapore (065) So. Korea (082)-carrier Telecom So. Korea (082)-carrier Dacom Spain (034) Sweden (046) Switzerland (041) Thailand (066) UK (044)

18665876903 18669143705 0011+800 10002005 00+800 10002005 00+800 10002005 00+800 10002005 990+800 10002005 999+800 10002005 00+800 10002005 00+800 10002005 001+800 10002005 00+800 10002005 00+800 10002005 014+800 10002005 00+800 10002005 0041-010+800 10002005 0061-010+800 10002005 001-010+800 10002005 0033-010+800 10002005 00+800 10002005 00+800 10002005 00+800 10002005 00+800 10002005 00+800 10002005 00+800 10002005 001+800 10002005 001+800 10002005 002+800 10002005 00+800 10002005 00+800 10002005 00+800 10002005 001+800 10002005 00+800 10002005

Fax : 91-20-30512207 | travel@bajajallianz.co.in Disclaimer: The above information is only indicative in nature. For details of the coverage & exclusions please contact our nearest office.

Fly higher without worries

This Policy of Insurance is a Contract between the Company and the Insured Person. The Insured Person shall not transfer, assign, alienate or in any way pass the benefits and/or liabilities to any other person, Institution, Hospital, Company or Body Corporate without specific prior approval in writing by a duly authorized officer of the Company. However, if the Insured Person(s) is permanently incapacitated or deceased, the legal heirs of the Insured may represent him in respect of Claim under the Policy

Insurance Act, 1938 Section 41 - Prohibition of Rebates Insurance Act No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectus or tables of the insurer.

ANY PERSON MAKING FAULT IN COMPLYING WITH THE PROVISIONS OF THIS SECTION SHALL BE PUNISHABLE WITH FINE WHICH MAY EXTEND TO TEN LAKH RUPEES.

Bajaj Allianz General Insurance Co. Ltd. G.E. Plaza, Airport Road, Yerawada, Pune - 411006. IRDA Reg No.: 113. For Any Query (toll Free) 1800-209-0144 /1800-209-5858 www.bajajallianz.com customercare@bajajallianz.co.in

Insurance is the subject matter of the solicitation UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14

UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14

UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14

UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14

UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14

UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14

UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14

BJAZ-B-0195/2-Jan-18

CIN: U66010PN2000PLC015329 UIN- IRDA/NL-HLT/BAGI/P-T/V.I/37/13-14


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Bajaj Allianz Travel Prime Individual Insurance Plan by bajajallianzgeneral.ins.co.ltd - Issuu