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Travel Insurance Select®
Trip cancellation insurance
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Benefits are priced per person. You must indicate in Item II of the Enrollment Form the types of prepaid travel arrangements you are insuring...air, land, cruise and/or rail. You should insure 100% of those arrangements that have any cancellation penalty or restriction.
If you insure a lesser amount, the exclusion for Pre-Existing Conditions will NOT be waived and the Post-Departure Trip Interruption Benefit will be limited to 100% of the insured Trip Cost amount.
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Participant's Age
(on postmark date)
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Rate
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For example, a rate of .085 equals 8.5% of Trip Cost
OR
$8.50 per $100 of Trip Cost.
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Age 0 - 35
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.04
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Age 36 - 50
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.06
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Age 51 - 55
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.07
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Age 56 - 65
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.085
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Age 66+
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.10
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For Trips 1 - 30 days, use the following formula to complete Part III, A of the Enrollment Form. Multiply your Trip Cost by the rate for your age group to calculate Your Payment.
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$ Trip Cost
(minimum $500)
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x Rate
(from chart above)
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= $ Your Payment
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For Trips 31 - 90 days, use the following formula: For all participants add $4.00 per day for each day your Trip exceeds 30 days.
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$ 4.00
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x Total Trip Days over 30
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x # of Participants
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= $ Add to Above
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To upgrade your Accident & Sickness Medical Expense coverage by $50,000 (total $100,000) and Medical Evacuation or Repatriation of Remains by $1,000,000 (total $1,050,000), add $4.00 per person for each day of your entire Trip for all participants listed on your Enrollment Form (all ages).
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$ 4.00
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x Total Trip Days
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x # of Participants
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= $ Add to Above
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