APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days...

14
V.I. XCLUSIVE ENSURING YOU’RE WELL PROTECTED BEFORE AND AFTER YOUR INTERNATIONAL VOLUNTEER ASSIGNMENT 2018 Follow us on Facebook and Twitter www.facebook.com/AprilExpat www.twitter.com/AprilExpat Download our free mobile app Easy Claim!

Transcript of APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days...

Page 1: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

VI XCLUSIVEEnSUrIng yoUrsquorE wELL protECtEdbEforE and aftEr yoUrIntErnatIonaL VoLUntEEraSSIgnmEnt

2018

Follow us on Facebook and Twitter

wwwfacebookcomAprilExpat

wwwtwittercomAprilExpat

Download our free mobile appEasy Claim

2

VI XCLUSIVEComprEHEnSIVE InSUranCE

CoVEr for SHort or Long StayS worLdwIdE

aRE YOU aBOUt tO GO aBROaD ON a VOLUNtEER aSSIGNMENtWant to explore your host country before starting your assignment

HaVE YOU COMPLEtED YOUR VOLUNtEER aSSIGNMENtWant to spend a bit more time abroad

During your volunteer assignment your organisation (Business France MAEhellip) offers you internationalinsurance cover to protect you if things go wrong during your time abroadYou should also consider insurance to cover you before or after your assignment

a POLICY SPECIaLLY DESIGNED FOR YOUgt Wersquove been supporting international volunteers during their assignments since 2012gt Wersquove been specialising in insurance for internationally-mobile individuals for almost 40 yearsgt We offer innovative services to make things simpler for you

WaNt tO FIND OUt MOREOUR MULtILINGUaL tEaMS aRE at YOUR SERVICE

by telephone +33 (0)1 73 03 41 29 Monday to Friday from 830am to 6pm - Paris time

by email advisorsexpatapril-internationalcom

at our offices 110 avenue de la Reacutepublique75011 Paris - FRANCE

aFtER YOUR ASSIGNMENT

VI XCLUSIVEDURING YOUR ASSIGNMENTcOvER INclUdEd IN YOUR

vI pAckAGE

BEFORE YOUR ASSIGNMENT

VI XCLUSIVE

3

3 StEpS TO HELP YOU CHOOSE THE COVER THATrsquoS RIGHT FOR YOU

CHOOSE tHE LENGtH OF YOUR StaYFound a job

Want to spend a few months as a tourist Giving yourself a few weeks to find work

Donrsquot yet know exactly how long yoursquoll be abroad

No problem your policy is flexibleYou can take out VI Xclusive cover for a few weeks or months

and renew it or opt directly for long-term cover

lESS ThAN 1 YEAR OR 1 YEAR OR MORE

taKE a LOOK at OUR SPECIaL VI RatES

euro66MONThHEaLtHCarE InSUranCE from

euro150MONTh

ComprEHEnSIVE paCKagE from

euro176 MONTh

CHOOSE tHE BENEFItS YOU WaNt

SHort-tErm SoLUtIon

ItrsquoS SImpLE an aLL-In-onE paCKagE

Medical expenses

Repatriation assistance

Personal liability (private capacity)

Personal accident

Long-tErm SoLUtIon

CHooSE bEtwEEn two LEVELSof CoVEr

Medical expenses

ORMedical expenses

Repatriation assistance

Personal liability (private capacity)

Personal accident

SHort-tErm SoLUtIon Long-tErm SoLUtIon

4

taKE SomE tImE to dISCoVEr tHE SErVICES dESIgnEd to maKE yoUr LIfE SImpLEr

MOBILE aPP

EaSY CLaIMMAKE THINGS SIMPLER BY SENDING YOUR CLAIMS FOR REIMBURSEMENT VIA THE APP

You can use Easy Claim to submit all your medical bills up to euro400 Simplygt download the app and log in with your Customer Zone IDgt enter the beneficiary and the date and amount of the treatmentgt add photos of your medical bills and prescriptionsgt send your claim for reimbursement with just one click (keeping the originals)

Our app is available free of charge from the Apple Store and Google Play

YOUR INSURaNCE CaRDWItH EMERGENCY CONtaCtNUMBERS aCCESSIBLE 247 tO

gt arrange direct payment of your hospital chargesgt request emergency assistance services gt access the medical advisory and counselling

services This card facilitates your admission to a healthcarefacility in an emergencyTo make this procedure as straightforward aspossible your first name(s) surname and policynumber are printed on the card

international

Mr WONG Chen

Ndeg de contrat Polic

y Number 181523

6

Date drsquoeffet Start

date 01012018

This above person

benefits from the d

irect payment of hos

pital fees Kindly fa

cilitate

hospital admission

calling one of the

numbers noted on

the other side of th

is card

Information

wwwapril-internati

onalcom

Tel +33 173 02 93

93

VI XCLUSIVE DISCOVER OUR MEDICaL aDVISORY SERVICEA TEAM OF DOCTORS AT YOUR SERVICE 247 TO

gt help you understand symptoms diagnoses and treatments

gt offer advice before or after a stay in hospital forchronic conditions maternityhellip

gt help you prepare for your trips (compulsory and recommended vaccinations)

gt provide information on drug equivalents worldwide

DIRECt PaYMENt OF YOUR HOSPItaL CHaRGES aNYWHERE IN tHE WORLD - 247

YOUR ONLINE CUStOMER ZONEINTUITIVE AND FAST IT HELPS MAKE LIFE EASIER

In just a few clicks using your PC tablet or smartphone you can accessgt all the documents and contact details you need (insurance certificate insurance card general conditions etc)gt your bank and personal contact detailsgt your reimbursements if you are the insuredgt a breakdown of your premiums if you are the policyholdergt the Easy Claim service to submit your claims for reimbursement in just a few clicks

New claim for reimbursement

My claims history

My latest reimbursement

5

OvER ThE NEXT FEW pAGES YOUrsquoll FINd dETAIlSOF ThE BENEFITS AvAIlABlE WITh ThE

SHORt-tERM ANd LONG-tERM SOlUTIONS

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

bEnEfItS

mEdICaLEXpEnSES from tHE 1St EUro

ltgt

SHORt-tERM SOlUTIONgt pAGES 6 TO 8

LONG-tERM SOlUTIONSgt pAGES 9 TO 12

6

MEdIcAl EXpENSESrEImbUrSEmEntS from tHE 1St EUroUp to euro200000 pEr pErIod of CoVEr

HOSPItaLISatION

Medical or surgical hospitalisation Medical and surgical feesPrivate roomDouble roomFixed hospital charge (in France)

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs

100 of actual costs up to a maximum of euro150night 100 of actual costs100 of actual costs

Day hospitalisation 100 of actual costs

Direct payment of hospital charges available 247 subject to medical approval

ROUtINE HEaLtHCaRE

Outpatient careConsultationshome visits (general practitioners and specialists)Courses of treatment from medical auxiliariesDiagnostic testsTechnical medical proceduresX-rays (including ultrasound and doppler scans)

Hospitalisation meacutedicale ou chirurgicale 90 of actual costs 90 of actual costs90 of actual costs 90 of actual costs100 of actual costs

Pharmacy itemsOn prescriptionCompulsory vaccinationsAntimalarial treatments

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs100 of actual costs100 of actual costs

OPtICaL aND DENtaL

DentalDental treatment (following an emergency or reported accident)Dentures

100 of actual costs up to a maximum of euro300Not covered

OpticalFrames lenses and contact lenses (following a reportedaccident)

100 of actual costs up to a maximum of euro100

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

7

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illnessHotel expenses up to euro200 per night and per person with

a maximum of euro2000

Repatriation due to political unrestEnforced stay abroad ndash Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disasterEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemicEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

aREPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per nightmaximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

This leaflet is not legally binding only the General Conditions shall prevail

8

SHORt-tERMSOLUtIONa CLoSEr LooK at

tHE bEnEfItS (CONTINUED)

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage and financial lossIncluding financial loss

up to euro460000 per claim deductible of euro75euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt 

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses for any

insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000 Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

MONtHLY PREMIUMS FOR 2018 FOR ENROlMENTS Up TO 31122018

DURatIONaDULtS 

(Up TO ANd INclUdING AGE 30)                              CHILDREN

1 month euro66 euro44

HOW MUCH DOES It COSt

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly instalments

gt If you opt for monthly payments we will apply a direct debit fee of euro3 per month

This leaflet is not legally binding only the General Conditions shall prevail

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 2: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

2

VI XCLUSIVEComprEHEnSIVE InSUranCE

CoVEr for SHort or Long StayS worLdwIdE

aRE YOU aBOUt tO GO aBROaD ON a VOLUNtEER aSSIGNMENtWant to explore your host country before starting your assignment

HaVE YOU COMPLEtED YOUR VOLUNtEER aSSIGNMENtWant to spend a bit more time abroad

During your volunteer assignment your organisation (Business France MAEhellip) offers you internationalinsurance cover to protect you if things go wrong during your time abroadYou should also consider insurance to cover you before or after your assignment

a POLICY SPECIaLLY DESIGNED FOR YOUgt Wersquove been supporting international volunteers during their assignments since 2012gt Wersquove been specialising in insurance for internationally-mobile individuals for almost 40 yearsgt We offer innovative services to make things simpler for you

WaNt tO FIND OUt MOREOUR MULtILINGUaL tEaMS aRE at YOUR SERVICE

by telephone +33 (0)1 73 03 41 29 Monday to Friday from 830am to 6pm - Paris time

by email advisorsexpatapril-internationalcom

at our offices 110 avenue de la Reacutepublique75011 Paris - FRANCE

aFtER YOUR ASSIGNMENT

VI XCLUSIVEDURING YOUR ASSIGNMENTcOvER INclUdEd IN YOUR

vI pAckAGE

BEFORE YOUR ASSIGNMENT

VI XCLUSIVE

3

3 StEpS TO HELP YOU CHOOSE THE COVER THATrsquoS RIGHT FOR YOU

CHOOSE tHE LENGtH OF YOUR StaYFound a job

Want to spend a few months as a tourist Giving yourself a few weeks to find work

Donrsquot yet know exactly how long yoursquoll be abroad

No problem your policy is flexibleYou can take out VI Xclusive cover for a few weeks or months

and renew it or opt directly for long-term cover

lESS ThAN 1 YEAR OR 1 YEAR OR MORE

taKE a LOOK at OUR SPECIaL VI RatES

euro66MONThHEaLtHCarE InSUranCE from

euro150MONTh

ComprEHEnSIVE paCKagE from

euro176 MONTh

CHOOSE tHE BENEFItS YOU WaNt

SHort-tErm SoLUtIon

ItrsquoS SImpLE an aLL-In-onE paCKagE

Medical expenses

Repatriation assistance

Personal liability (private capacity)

Personal accident

Long-tErm SoLUtIon

CHooSE bEtwEEn two LEVELSof CoVEr

Medical expenses

ORMedical expenses

Repatriation assistance

Personal liability (private capacity)

Personal accident

SHort-tErm SoLUtIon Long-tErm SoLUtIon

4

taKE SomE tImE to dISCoVEr tHE SErVICES dESIgnEd to maKE yoUr LIfE SImpLEr

MOBILE aPP

EaSY CLaIMMAKE THINGS SIMPLER BY SENDING YOUR CLAIMS FOR REIMBURSEMENT VIA THE APP

You can use Easy Claim to submit all your medical bills up to euro400 Simplygt download the app and log in with your Customer Zone IDgt enter the beneficiary and the date and amount of the treatmentgt add photos of your medical bills and prescriptionsgt send your claim for reimbursement with just one click (keeping the originals)

Our app is available free of charge from the Apple Store and Google Play

YOUR INSURaNCE CaRDWItH EMERGENCY CONtaCtNUMBERS aCCESSIBLE 247 tO

gt arrange direct payment of your hospital chargesgt request emergency assistance services gt access the medical advisory and counselling

services This card facilitates your admission to a healthcarefacility in an emergencyTo make this procedure as straightforward aspossible your first name(s) surname and policynumber are printed on the card

international

Mr WONG Chen

Ndeg de contrat Polic

y Number 181523

6

Date drsquoeffet Start

date 01012018

This above person

benefits from the d

irect payment of hos

pital fees Kindly fa

cilitate

hospital admission

calling one of the

numbers noted on

the other side of th

is card

Information

wwwapril-internati

onalcom

Tel +33 173 02 93

93

VI XCLUSIVE DISCOVER OUR MEDICaL aDVISORY SERVICEA TEAM OF DOCTORS AT YOUR SERVICE 247 TO

gt help you understand symptoms diagnoses and treatments

gt offer advice before or after a stay in hospital forchronic conditions maternityhellip

gt help you prepare for your trips (compulsory and recommended vaccinations)

gt provide information on drug equivalents worldwide

DIRECt PaYMENt OF YOUR HOSPItaL CHaRGES aNYWHERE IN tHE WORLD - 247

YOUR ONLINE CUStOMER ZONEINTUITIVE AND FAST IT HELPS MAKE LIFE EASIER

In just a few clicks using your PC tablet or smartphone you can accessgt all the documents and contact details you need (insurance certificate insurance card general conditions etc)gt your bank and personal contact detailsgt your reimbursements if you are the insuredgt a breakdown of your premiums if you are the policyholdergt the Easy Claim service to submit your claims for reimbursement in just a few clicks

New claim for reimbursement

My claims history

My latest reimbursement

5

OvER ThE NEXT FEW pAGES YOUrsquoll FINd dETAIlSOF ThE BENEFITS AvAIlABlE WITh ThE

SHORt-tERM ANd LONG-tERM SOlUTIONS

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

bEnEfItS

mEdICaLEXpEnSES from tHE 1St EUro

ltgt

SHORt-tERM SOlUTIONgt pAGES 6 TO 8

LONG-tERM SOlUTIONSgt pAGES 9 TO 12

6

MEdIcAl EXpENSESrEImbUrSEmEntS from tHE 1St EUroUp to euro200000 pEr pErIod of CoVEr

HOSPItaLISatION

Medical or surgical hospitalisation Medical and surgical feesPrivate roomDouble roomFixed hospital charge (in France)

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs

100 of actual costs up to a maximum of euro150night 100 of actual costs100 of actual costs

Day hospitalisation 100 of actual costs

Direct payment of hospital charges available 247 subject to medical approval

ROUtINE HEaLtHCaRE

Outpatient careConsultationshome visits (general practitioners and specialists)Courses of treatment from medical auxiliariesDiagnostic testsTechnical medical proceduresX-rays (including ultrasound and doppler scans)

Hospitalisation meacutedicale ou chirurgicale 90 of actual costs 90 of actual costs90 of actual costs 90 of actual costs100 of actual costs

Pharmacy itemsOn prescriptionCompulsory vaccinationsAntimalarial treatments

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs100 of actual costs100 of actual costs

OPtICaL aND DENtaL

DentalDental treatment (following an emergency or reported accident)Dentures

100 of actual costs up to a maximum of euro300Not covered

OpticalFrames lenses and contact lenses (following a reportedaccident)

100 of actual costs up to a maximum of euro100

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

7

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illnessHotel expenses up to euro200 per night and per person with

a maximum of euro2000

Repatriation due to political unrestEnforced stay abroad ndash Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disasterEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemicEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

aREPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per nightmaximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

This leaflet is not legally binding only the General Conditions shall prevail

8

SHORt-tERMSOLUtIONa CLoSEr LooK at

tHE bEnEfItS (CONTINUED)

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage and financial lossIncluding financial loss

up to euro460000 per claim deductible of euro75euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt 

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses for any

insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000 Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

MONtHLY PREMIUMS FOR 2018 FOR ENROlMENTS Up TO 31122018

DURatIONaDULtS 

(Up TO ANd INclUdING AGE 30)                              CHILDREN

1 month euro66 euro44

HOW MUCH DOES It COSt

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly instalments

gt If you opt for monthly payments we will apply a direct debit fee of euro3 per month

This leaflet is not legally binding only the General Conditions shall prevail

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 3: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

3

3 StEpS TO HELP YOU CHOOSE THE COVER THATrsquoS RIGHT FOR YOU

CHOOSE tHE LENGtH OF YOUR StaYFound a job

Want to spend a few months as a tourist Giving yourself a few weeks to find work

Donrsquot yet know exactly how long yoursquoll be abroad

No problem your policy is flexibleYou can take out VI Xclusive cover for a few weeks or months

and renew it or opt directly for long-term cover

lESS ThAN 1 YEAR OR 1 YEAR OR MORE

taKE a LOOK at OUR SPECIaL VI RatES

euro66MONThHEaLtHCarE InSUranCE from

euro150MONTh

ComprEHEnSIVE paCKagE from

euro176 MONTh

CHOOSE tHE BENEFItS YOU WaNt

SHort-tErm SoLUtIon

ItrsquoS SImpLE an aLL-In-onE paCKagE

Medical expenses

Repatriation assistance

Personal liability (private capacity)

Personal accident

Long-tErm SoLUtIon

CHooSE bEtwEEn two LEVELSof CoVEr

Medical expenses

ORMedical expenses

Repatriation assistance

Personal liability (private capacity)

Personal accident

SHort-tErm SoLUtIon Long-tErm SoLUtIon

4

taKE SomE tImE to dISCoVEr tHE SErVICES dESIgnEd to maKE yoUr LIfE SImpLEr

MOBILE aPP

EaSY CLaIMMAKE THINGS SIMPLER BY SENDING YOUR CLAIMS FOR REIMBURSEMENT VIA THE APP

You can use Easy Claim to submit all your medical bills up to euro400 Simplygt download the app and log in with your Customer Zone IDgt enter the beneficiary and the date and amount of the treatmentgt add photos of your medical bills and prescriptionsgt send your claim for reimbursement with just one click (keeping the originals)

Our app is available free of charge from the Apple Store and Google Play

YOUR INSURaNCE CaRDWItH EMERGENCY CONtaCtNUMBERS aCCESSIBLE 247 tO

gt arrange direct payment of your hospital chargesgt request emergency assistance services gt access the medical advisory and counselling

services This card facilitates your admission to a healthcarefacility in an emergencyTo make this procedure as straightforward aspossible your first name(s) surname and policynumber are printed on the card

international

Mr WONG Chen

Ndeg de contrat Polic

y Number 181523

6

Date drsquoeffet Start

date 01012018

This above person

benefits from the d

irect payment of hos

pital fees Kindly fa

cilitate

hospital admission

calling one of the

numbers noted on

the other side of th

is card

Information

wwwapril-internati

onalcom

Tel +33 173 02 93

93

VI XCLUSIVE DISCOVER OUR MEDICaL aDVISORY SERVICEA TEAM OF DOCTORS AT YOUR SERVICE 247 TO

gt help you understand symptoms diagnoses and treatments

gt offer advice before or after a stay in hospital forchronic conditions maternityhellip

gt help you prepare for your trips (compulsory and recommended vaccinations)

gt provide information on drug equivalents worldwide

DIRECt PaYMENt OF YOUR HOSPItaL CHaRGES aNYWHERE IN tHE WORLD - 247

YOUR ONLINE CUStOMER ZONEINTUITIVE AND FAST IT HELPS MAKE LIFE EASIER

In just a few clicks using your PC tablet or smartphone you can accessgt all the documents and contact details you need (insurance certificate insurance card general conditions etc)gt your bank and personal contact detailsgt your reimbursements if you are the insuredgt a breakdown of your premiums if you are the policyholdergt the Easy Claim service to submit your claims for reimbursement in just a few clicks

New claim for reimbursement

My claims history

My latest reimbursement

5

OvER ThE NEXT FEW pAGES YOUrsquoll FINd dETAIlSOF ThE BENEFITS AvAIlABlE WITh ThE

SHORt-tERM ANd LONG-tERM SOlUTIONS

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

bEnEfItS

mEdICaLEXpEnSES from tHE 1St EUro

ltgt

SHORt-tERM SOlUTIONgt pAGES 6 TO 8

LONG-tERM SOlUTIONSgt pAGES 9 TO 12

6

MEdIcAl EXpENSESrEImbUrSEmEntS from tHE 1St EUroUp to euro200000 pEr pErIod of CoVEr

HOSPItaLISatION

Medical or surgical hospitalisation Medical and surgical feesPrivate roomDouble roomFixed hospital charge (in France)

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs

100 of actual costs up to a maximum of euro150night 100 of actual costs100 of actual costs

Day hospitalisation 100 of actual costs

Direct payment of hospital charges available 247 subject to medical approval

ROUtINE HEaLtHCaRE

Outpatient careConsultationshome visits (general practitioners and specialists)Courses of treatment from medical auxiliariesDiagnostic testsTechnical medical proceduresX-rays (including ultrasound and doppler scans)

Hospitalisation meacutedicale ou chirurgicale 90 of actual costs 90 of actual costs90 of actual costs 90 of actual costs100 of actual costs

Pharmacy itemsOn prescriptionCompulsory vaccinationsAntimalarial treatments

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs100 of actual costs100 of actual costs

OPtICaL aND DENtaL

DentalDental treatment (following an emergency or reported accident)Dentures

100 of actual costs up to a maximum of euro300Not covered

OpticalFrames lenses and contact lenses (following a reportedaccident)

100 of actual costs up to a maximum of euro100

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

7

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illnessHotel expenses up to euro200 per night and per person with

a maximum of euro2000

Repatriation due to political unrestEnforced stay abroad ndash Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disasterEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemicEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

aREPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per nightmaximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

This leaflet is not legally binding only the General Conditions shall prevail

8

SHORt-tERMSOLUtIONa CLoSEr LooK at

tHE bEnEfItS (CONTINUED)

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage and financial lossIncluding financial loss

up to euro460000 per claim deductible of euro75euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt 

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses for any

insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000 Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

MONtHLY PREMIUMS FOR 2018 FOR ENROlMENTS Up TO 31122018

DURatIONaDULtS 

(Up TO ANd INclUdING AGE 30)                              CHILDREN

1 month euro66 euro44

HOW MUCH DOES It COSt

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly instalments

gt If you opt for monthly payments we will apply a direct debit fee of euro3 per month

This leaflet is not legally binding only the General Conditions shall prevail

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 4: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

4

taKE SomE tImE to dISCoVEr tHE SErVICES dESIgnEd to maKE yoUr LIfE SImpLEr

MOBILE aPP

EaSY CLaIMMAKE THINGS SIMPLER BY SENDING YOUR CLAIMS FOR REIMBURSEMENT VIA THE APP

You can use Easy Claim to submit all your medical bills up to euro400 Simplygt download the app and log in with your Customer Zone IDgt enter the beneficiary and the date and amount of the treatmentgt add photos of your medical bills and prescriptionsgt send your claim for reimbursement with just one click (keeping the originals)

Our app is available free of charge from the Apple Store and Google Play

YOUR INSURaNCE CaRDWItH EMERGENCY CONtaCtNUMBERS aCCESSIBLE 247 tO

gt arrange direct payment of your hospital chargesgt request emergency assistance services gt access the medical advisory and counselling

services This card facilitates your admission to a healthcarefacility in an emergencyTo make this procedure as straightforward aspossible your first name(s) surname and policynumber are printed on the card

international

Mr WONG Chen

Ndeg de contrat Polic

y Number 181523

6

Date drsquoeffet Start

date 01012018

This above person

benefits from the d

irect payment of hos

pital fees Kindly fa

cilitate

hospital admission

calling one of the

numbers noted on

the other side of th

is card

Information

wwwapril-internati

onalcom

Tel +33 173 02 93

93

VI XCLUSIVE DISCOVER OUR MEDICaL aDVISORY SERVICEA TEAM OF DOCTORS AT YOUR SERVICE 247 TO

gt help you understand symptoms diagnoses and treatments

gt offer advice before or after a stay in hospital forchronic conditions maternityhellip

gt help you prepare for your trips (compulsory and recommended vaccinations)

gt provide information on drug equivalents worldwide

DIRECt PaYMENt OF YOUR HOSPItaL CHaRGES aNYWHERE IN tHE WORLD - 247

YOUR ONLINE CUStOMER ZONEINTUITIVE AND FAST IT HELPS MAKE LIFE EASIER

In just a few clicks using your PC tablet or smartphone you can accessgt all the documents and contact details you need (insurance certificate insurance card general conditions etc)gt your bank and personal contact detailsgt your reimbursements if you are the insuredgt a breakdown of your premiums if you are the policyholdergt the Easy Claim service to submit your claims for reimbursement in just a few clicks

New claim for reimbursement

My claims history

My latest reimbursement

5

OvER ThE NEXT FEW pAGES YOUrsquoll FINd dETAIlSOF ThE BENEFITS AvAIlABlE WITh ThE

SHORt-tERM ANd LONG-tERM SOlUTIONS

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

bEnEfItS

mEdICaLEXpEnSES from tHE 1St EUro

ltgt

SHORt-tERM SOlUTIONgt pAGES 6 TO 8

LONG-tERM SOlUTIONSgt pAGES 9 TO 12

6

MEdIcAl EXpENSESrEImbUrSEmEntS from tHE 1St EUroUp to euro200000 pEr pErIod of CoVEr

HOSPItaLISatION

Medical or surgical hospitalisation Medical and surgical feesPrivate roomDouble roomFixed hospital charge (in France)

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs

100 of actual costs up to a maximum of euro150night 100 of actual costs100 of actual costs

Day hospitalisation 100 of actual costs

Direct payment of hospital charges available 247 subject to medical approval

ROUtINE HEaLtHCaRE

Outpatient careConsultationshome visits (general practitioners and specialists)Courses of treatment from medical auxiliariesDiagnostic testsTechnical medical proceduresX-rays (including ultrasound and doppler scans)

Hospitalisation meacutedicale ou chirurgicale 90 of actual costs 90 of actual costs90 of actual costs 90 of actual costs100 of actual costs

Pharmacy itemsOn prescriptionCompulsory vaccinationsAntimalarial treatments

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs100 of actual costs100 of actual costs

OPtICaL aND DENtaL

DentalDental treatment (following an emergency or reported accident)Dentures

100 of actual costs up to a maximum of euro300Not covered

OpticalFrames lenses and contact lenses (following a reportedaccident)

100 of actual costs up to a maximum of euro100

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

7

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illnessHotel expenses up to euro200 per night and per person with

a maximum of euro2000

Repatriation due to political unrestEnforced stay abroad ndash Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disasterEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemicEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

aREPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per nightmaximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

This leaflet is not legally binding only the General Conditions shall prevail

8

SHORt-tERMSOLUtIONa CLoSEr LooK at

tHE bEnEfItS (CONTINUED)

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage and financial lossIncluding financial loss

up to euro460000 per claim deductible of euro75euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt 

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses for any

insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000 Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

MONtHLY PREMIUMS FOR 2018 FOR ENROlMENTS Up TO 31122018

DURatIONaDULtS 

(Up TO ANd INclUdING AGE 30)                              CHILDREN

1 month euro66 euro44

HOW MUCH DOES It COSt

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly instalments

gt If you opt for monthly payments we will apply a direct debit fee of euro3 per month

This leaflet is not legally binding only the General Conditions shall prevail

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 5: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

5

OvER ThE NEXT FEW pAGES YOUrsquoll FINd dETAIlSOF ThE BENEFITS AvAIlABlE WITh ThE

SHORt-tERM ANd LONG-tERM SOlUTIONS

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

pErSonaLaCCIdEnt

bEnEfItS

pErSonaLLIabILIty(prIVatE

CapaCIty)

mEdICaLEXpEnSES from tHE 1St EUro

rEpatrIatIonaSSIStanCE

lt

+gt + +

bEnEfItS

mEdICaLEXpEnSES from tHE 1St EUro

ltgt

SHORt-tERM SOlUTIONgt pAGES 6 TO 8

LONG-tERM SOlUTIONSgt pAGES 9 TO 12

6

MEdIcAl EXpENSESrEImbUrSEmEntS from tHE 1St EUroUp to euro200000 pEr pErIod of CoVEr

HOSPItaLISatION

Medical or surgical hospitalisation Medical and surgical feesPrivate roomDouble roomFixed hospital charge (in France)

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs

100 of actual costs up to a maximum of euro150night 100 of actual costs100 of actual costs

Day hospitalisation 100 of actual costs

Direct payment of hospital charges available 247 subject to medical approval

ROUtINE HEaLtHCaRE

Outpatient careConsultationshome visits (general practitioners and specialists)Courses of treatment from medical auxiliariesDiagnostic testsTechnical medical proceduresX-rays (including ultrasound and doppler scans)

Hospitalisation meacutedicale ou chirurgicale 90 of actual costs 90 of actual costs90 of actual costs 90 of actual costs100 of actual costs

Pharmacy itemsOn prescriptionCompulsory vaccinationsAntimalarial treatments

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs100 of actual costs100 of actual costs

OPtICaL aND DENtaL

DentalDental treatment (following an emergency or reported accident)Dentures

100 of actual costs up to a maximum of euro300Not covered

OpticalFrames lenses and contact lenses (following a reportedaccident)

100 of actual costs up to a maximum of euro100

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

7

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illnessHotel expenses up to euro200 per night and per person with

a maximum of euro2000

Repatriation due to political unrestEnforced stay abroad ndash Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disasterEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemicEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

aREPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per nightmaximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

This leaflet is not legally binding only the General Conditions shall prevail

8

SHORt-tERMSOLUtIONa CLoSEr LooK at

tHE bEnEfItS (CONTINUED)

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage and financial lossIncluding financial loss

up to euro460000 per claim deductible of euro75euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt 

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses for any

insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000 Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

MONtHLY PREMIUMS FOR 2018 FOR ENROlMENTS Up TO 31122018

DURatIONaDULtS 

(Up TO ANd INclUdING AGE 30)                              CHILDREN

1 month euro66 euro44

HOW MUCH DOES It COSt

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly instalments

gt If you opt for monthly payments we will apply a direct debit fee of euro3 per month

This leaflet is not legally binding only the General Conditions shall prevail

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 6: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

6

MEdIcAl EXpENSESrEImbUrSEmEntS from tHE 1St EUroUp to euro200000 pEr pErIod of CoVEr

HOSPItaLISatION

Medical or surgical hospitalisation Medical and surgical feesPrivate roomDouble roomFixed hospital charge (in France)

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs

100 of actual costs up to a maximum of euro150night 100 of actual costs100 of actual costs

Day hospitalisation 100 of actual costs

Direct payment of hospital charges available 247 subject to medical approval

ROUtINE HEaLtHCaRE

Outpatient careConsultationshome visits (general practitioners and specialists)Courses of treatment from medical auxiliariesDiagnostic testsTechnical medical proceduresX-rays (including ultrasound and doppler scans)

Hospitalisation meacutedicale ou chirurgicale 90 of actual costs 90 of actual costs90 of actual costs 90 of actual costs100 of actual costs

Pharmacy itemsOn prescriptionCompulsory vaccinationsAntimalarial treatments

Hospitalisation meacutedicale ou chirurgicale 100 of actual costs100 of actual costs100 of actual costs

OPtICaL aND DENtaL

DentalDental treatment (following an emergency or reported accident)Dentures

100 of actual costs up to a maximum of euro300Not covered

OpticalFrames lenses and contact lenses (following a reportedaccident)

100 of actual costs up to a maximum of euro100

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

7

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illnessHotel expenses up to euro200 per night and per person with

a maximum of euro2000

Repatriation due to political unrestEnforced stay abroad ndash Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disasterEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemicEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

aREPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per nightmaximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

This leaflet is not legally binding only the General Conditions shall prevail

8

SHORt-tERMSOLUtIONa CLoSEr LooK at

tHE bEnEfItS (CONTINUED)

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage and financial lossIncluding financial loss

up to euro460000 per claim deductible of euro75euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt 

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses for any

insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000 Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

MONtHLY PREMIUMS FOR 2018 FOR ENROlMENTS Up TO 31122018

DURatIONaDULtS 

(Up TO ANd INclUdING AGE 30)                              CHILDREN

1 month euro66 euro44

HOW MUCH DOES It COSt

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly instalments

gt If you opt for monthly payments we will apply a direct debit fee of euro3 per month

This leaflet is not legally binding only the General Conditions shall prevail

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 7: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

7

SHORt-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illnessHotel expenses up to euro200 per night and per person with

a maximum of euro2000

Repatriation due to political unrestEnforced stay abroad ndash Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disasterEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemicEnforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

aREPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per nightmaximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

This leaflet is not legally binding only the General Conditions shall prevail

8

SHORt-tERMSOLUtIONa CLoSEr LooK at

tHE bEnEfItS (CONTINUED)

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage and financial lossIncluding financial loss

up to euro460000 per claim deductible of euro75euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt 

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses for any

insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000 Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

MONtHLY PREMIUMS FOR 2018 FOR ENROlMENTS Up TO 31122018

DURatIONaDULtS 

(Up TO ANd INclUdING AGE 30)                              CHILDREN

1 month euro66 euro44

HOW MUCH DOES It COSt

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly instalments

gt If you opt for monthly payments we will apply a direct debit fee of euro3 per month

This leaflet is not legally binding only the General Conditions shall prevail

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 8: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

8

SHORt-tERMSOLUtIONa CLoSEr LooK at

tHE bEnEfItS (CONTINUED)

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage and financial lossIncluding financial loss

up to euro460000 per claim deductible of euro75euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt 

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses for any

insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000 Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

MONtHLY PREMIUMS FOR 2018 FOR ENROlMENTS Up TO 31122018

DURatIONaDULtS 

(Up TO ANd INclUdING AGE 30)                              CHILDREN

1 month euro66 euro44

HOW MUCH DOES It COSt

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly instalments

gt If you opt for monthly payments we will apply a direct debit fee of euro3 per month

This leaflet is not legally binding only the General Conditions shall prevail

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 9: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

9

MEdIcAl EXpENSES rEImbUrSEmEntS from tHE 1St EUro gt UppEr LImIt pEr InSUranCE yEar euro500000

MEDICaL aND SURGICaL HOSPItaLISatION

Medical and surgical fees 100 of actual costs

Private room 100 of actual costs up to a maximum of euro200night

Double room 100 of actual costs

Fixed hospital charge 100 of actual costs

DaY HOSPItaLISatION 100 of actual costs

OUtPatIENt CaRE

Consultationshome visits (general practitioners and specialists)

100 of actual costsZone 1

GPs up to euro150 per consultation Specialists up to euro250 per consultation

Zone 2 GPs up to euro125 per consultation

Specialists up to euro225 per consultation

Psychiatric consultations 90 of actual costs

Courses of treatment from medical auxiliaries 100 of actual costs up to a maximum of euro5000year

Diagnostic tests 100 of actual costs

Technical medical procedures 100 of actual costs

X-rays (including ultrasound and doppler scans) 100 of actual costs

PHaRMaCY ItEMS

On prescription 100 of actual costs

Compulsory vaccinations 100 of actual costs

Antimalarial treatments 100 of actual costs

MatERNItY waiting period 12 months

Pre and post-natal appointments 100 of actual costs

Childbirth 100 of actual costs up to a maximum of euro3000

DENtaL waiting period1 6 months

Dental treatment 90 of actual costs up to euro1500year

Dentures 100 of actual costs up to euro430tooth Maximum 4 teeth unless following an accident

MEDICaL PROStHESES 100 of actual costs

OPtICaL waiting period 61 months

Frames lenses and contact lenses 100 of actual costs up to a maximum of euro400year

All admissions to hospital for more than 24 hours are subject to prior approval Treatments and procedures subject to prior approval if more than 10 sessions are prescribed per insurance year As defined by the Pasteur Institute httpswwwpasteurfrenmedical-centerprepare-your-travel1The waiting periods may be waived (except for maternity cover) if you can prove that you have had medical expenses cover equivalent to or greater than the VI Xclusive benefitsin the month preceding the effective date of this policy

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS

This leaflet is not legally binding only the General Conditions shall prevail

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 10: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

10

WHat aRE tHE aDVaNtaGES OF tHEEaSY CLaIM SERVICETherersquos no need to send us the originals of your medical billsand prescriptions So yougt avoid postal chargesgt benefit from faster turnaround of claimsgt save time thanks to streamlined procedures

WHEN CaN I USE tHE EaSY CLaIMSERVICEYou can send us all your healthcare reimbursement claimsusing the app up to euro400 per bill However you will need to keep your original documents If you have bills for amounts over euro400 please send them tous by post

HOW DO I aCCESS tHE EaSY CLaIMSERVICEYou can access Easy Claim at any time from gt your mobile or tablet by downloading the app from the

Apple Store or Google Play

HOW DO I USE tHE EaSY CLaIM aPP

1 Download the Easy Claim app

2 Log in with your Customer Zone ID

3 Submit your claim for reimbursement bygt entering the beneficiary and the cost of the treatment

or proceduregt noting the anti-fraud code on your original documents

(by hand)gt adding photos of your prescriptions and medical

bills (or proof of payment if the invoice has not beenstamped)

gt sending it to us with just one click

4 Then simply wait to be notified that your claim has beenprocessed

Please note- you can track your reimbursements from your Customer Zone - you must keep the original invoices for a period of 2 years

EaSy CLaIm yoUr rEImbUrSEmEntS JUSt a CLICK away

To send your claims for reimbursementtake the easy option by using the EasyClaim application

AMOUNT

Enter the exact amount of theinvoice and the currency

350 USD ($)

Next

Details regarding the treatment

Easy claim winner of the 2016 Special Award from hEc students for ldquoOutstanding initiative in customer relationship management (cRM) and customer loyalty strategyrdquo

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 11: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

11

REPatRIatION aSSIStaNCE

Medical repatriation or transfer Actual costs

Companion during medical repatriation or transfer Travel ticket

Companion to be with the insured in the event of theirhospitalisation or death

Travel ticket + hotel expenses euro250 per night - maximum euro5000

Repatriation or transfer of the body in the event of death Travel ticket - Coffin euro3000

Search and rescue costs euro10000

Early return home Travel ticket

Advance of bailLegal fees

euro50000euro20000

Loss or theft of means of payment Advance of funds up to euro5000

Loss or theft of identity documents Assistance with administrative formalities

Delivering medication Delivery charges

Delivering messages Delivery charges

Sending business documents euro100 per event and per year

Extension of stay following an accident or illness Hotel expenses up to euro200 per night and per person with a maximum of euro2000

Repatriation due to political unrest- Repatriation- Enforced stay abroad - Accommodation expenses

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation due to a natural disaster- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

Repatriation on medical grounds or during a pandemic- Repatriation- Enforced stay abroad

euro10000person andor familyeuro400 per dayperson for a maximum of 14 days

PERSONaL LIaBILItY (PRIVatE CaPaCItY)

Bodily injury material damage and financial lossUp to euro4500000 per claim

Limited to euro1500000 per claim in Canada

Including

Consequential material damage including financial loss Up to euro460000 per claim deductible of euro75 euro100000 per claim

Defence before the civil commercial or administrative courtsDefence of civil interests before the criminal courts

Fees payable by the Insurer unless the upper limitfor that benefit has been reached

PERSONaL aCCIDENt

Accidental deatheuro75000 - Limited to euro5000 for funeral expenses

for any insured person under the age of 18

Total permanent disability following an accident May be reduced in cases of partial permanent disability based onthe French Social Security scale for accidents at work

euro75000Proportional deductible 20

Adjustments to the homevehicle 10 of the disability benefit up to a maximum of euro10000

Daily allowance in the event of coma (payable when the patienthas been in a coma for 10 consecutive days and up to a maximumof 365 days)

euro50 per day

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE bEnEfItS (CONTINUED)

This leaflet is not legally binding only the General Conditions shall prevail

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 12: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

12

aNNUaL PREMIUMS FOR 2018 FOR EFFEcTIvE dATES Up TO 16122018

mEdICaL EXpEnSES

Your premium depends on your destination

prICIng ZonE 1 Canada China Hong Kong Israel Japan Russia and Singapore

prICIng ZonE 2 Countries outside zone 1 except for excluded countries

agE ZonE 1 ZonE 2

Up to age 30 euro2088 euro1800

31 - 35 inclusive euro2352 euro2016

36 - 50 euro2856 euro2460

51 - 65 euro3840 euro3312

children (up to age 20 inclusive) euro1272 euro1104

USEfUL InformatIon

gt For couple or family memberships the premiums for each family member should be added together gt Free from the 4th child

bEnEfItS Travelling alone Travelling as a couple Travelling as a familly

REpATRIATION ASSISTANcE

euro309 euro585

euro465pERSONAl lIABIlITY (pRIvATEcApAcITY)

pERSONAl AccIdENTper adult euro60

per child (up to age 20) euro33

HOW tO PaY

gt You can pay your premiums in full when you take out the insurance or in monthly quarterly or twice-yearly instalments

gt If you opt for quarterly or twice-yearly payments by cheque bank card or bank transfer a fee of euro20 should be added to yourpremium

gt If you opt for payment by direct debit there are no additional charges

LONG-tERMSOLUtIONa CLoSEr LooK

at tHE prEmIUmS

HOW MUCH DOES It COSt

Rates fromHEALTHCARE INSURANCE euro150MONTHCOMPREHENSIVE PACKAGE euro176MONTH

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 13: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

How tHE poLICy opEratESKEy InformatIon bEforE pUrCHaSIng tHE InSUranCE

WHO IS tHE POLICY DESIGNED FOR

You can take out insurance with VI Xclusive if yoursquore about to leave on an International Volunteer assignment or if yoursquove alreadybeen an International Volunteer

You can opt for this policy if you are under the age of 31 and under the age of 36 if you opt for long-term cover - gt 1 yearYour spouse and your children can also be covered under the policy

WHERE aM I COVERED

For Medical expenses covergt If you opt for insurance for less than a year you are covered in all the countries you visitgt If you opt for insurance for more than a year

In pricing zone 1 you are covered for a year at a time worldwideIn pricing zone 2 you are covered for a year at a time in countries within zone 2You are also covered in the event of accidents and emergencies during temporary stays of less than 7 weeks in zone 1

You are covered in your country of origin (or nationality) for up to 2 consecutive months per insurance year

For Repatriation assistance Personal liability (private capacity) and Personal accident coverYou are covered worldwide (excluding the country of origin or nationality)

Useful informationYou will not be covered in the following countries Afghanistan Burma Chechnya Democratic Republic of Congo Eritrea IranIraq Libya Mali Mauritania Niger Nigeria North Korea Pakistan the Palestinian Territories Qatar Saudi Arabia Sudan SouthSudan Somalia Switzerland Syria Ukraine United Arab Emirates United States and Yemen

As a result of heightened tension in certain countries cover for these countries is subject to prior agreement from APRILInternational

The full list of excluded countries is available at wwwapril-internationalcom or by calling + 33 (0)1 73 02 93 93 The list of excludedcountries is liable to change

HOW tO aPPLY

n1 BY POSTgt Complete and sign the enclosed Application form (Short-term or Long-term version depending on the length of your stay abroad)gt Enclose payment of the 1st premium along with the Application form

- by cheque in euros made payable to APRIL International Expat or- by selecting the option ldquopayment by bank cardrdquo on the Application form or- make the 1st payment by bank transfer (include a copy of the transfer order)

gt Enclose a copy of your volunteer mission order (past or future)gt Complete the SEPA direct debit mandate if you want to pay subsequent premiums by direct debit from a bank account in

euros (France Monaco and Germany only) and enclose your bank detailsgt Send your application to APRIL International Expat - Individual Membership Department - 110 avenue de la Reacutepublique

CS 51108 - 75127 Paris Cedex 11 - FRANCE

n2 Once your application has been approved you will receive

GENERALS CONDITIONS 2018

Ref VI Pack 2018

VI XCLUSIVESHORT TERM SOLUTION(COVER FOR MORE THAN 12 MONTHS)

110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel + 33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90 - Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediary - Registered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR60309707727

Membership certificate VI Xclusive(serving as proof of insurance)

Your referencesYour policy number APA4816000163

Destination country Antartica

Your client reference number C100260516

Your policy VI Xclusive (Ref VI Pack 2018)Period of cover (ddmmyyyy) from 20052018 to 19122018

Insured personsPrincipal insured Mr Andrew SMITH - Date of birth (ddmmyyyy) 25071989

Spouse Ms Sabrina JONES - Date of birth (ddmmyyyy) 20071990

The member (person paying the premium)Mr Andrew SMITH

Your benefits

Medical ExpensesRepatriation assistancePersonal liability (private capacity)Personal accident

Medical expenses benefit insured by ALLIANZ WORLDWIDE CARE SA (Policy no 080538502)Repatriation assistance benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal liability (private capacity) benefit insured by TOKIO MARINE (Policy no FR008366TT)Personal accident benefit insured by TOKIO MARINE (Policy no FR008366TT)

Entitlement to cover under the VI Xclusive policy is subject to the terms and conditions set out in the Application form the Generalconditions ref VI Pack 2017 and this Membership certificate

Certificate established in Paris on 30052018Vincent DE MEYER - Managing Director of APRIL International Expat

international

Mr WONG ChenNdeg de contrat Policy Number 1815236Date drsquoeffet Start date 01012018

This above person benefits from the direct payment of hospital fees Kindly facilitatehospital admission calling one of the numbers noted on the other side of this card

Informationwwwapril-internationalcomTel +33 1 73 02 93 93

VI XCLUSIVE

YOUR MEMBERSHIP CERTIFICATE SERVING AS THE INSURANCE

CERTIFICATE

YOUR GENERAL CONDITIONS DESCRIBING HOW YOUR POLICY

OPERATES

YOUR INSURANCE CARD SHOWING THE EMERGENCY NUMBERS

TO CALL IF YOU NEED ASSISTANCE OR BEFORE BEING ADMITTED

TO HOSPITAL

13

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017

Page 14: APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days Repatriation due to a natural disaster Enforced stay abroad €10,000/person and/or

aprIL InSUranCE madE EaSyAPRIL an international insurance services group and leading wholesale broker inFrance has centred its development around customers and innovation since it wasestablished in 1988 setting a single ambition to make insurance easier and moreaccessible to everyone APRIL designs manages and distributes specialist insurance solutions covering health and personal protectionproperty and casualty mobility and legal protection as well as assistance services for private individualsprofessionals and businesses With over 3800 employees APRIL has operations in Europe North and South America Asia Africa and theMiddle East The group produced a consolidated turnover of euro8612m in 2016

aPRIL INtERNatIONaL EXPat INtERNatIONaL INSURaNCE SPECIaLISt FOR 40 YEaRS

oUr CommItmEntS

rsaquo Top-quality administration with 3 offices in Paris Bangkok and Mexico Cityrsaquo Multilingual teams at your servicersaquo Clear and easy-to-understand policies combined with numerous services

An international insurance solution for each expatriate profileWhether yoursquore a student an intern looking for a working holiday programme working or retired travelling aloneor as a family APRIL International is on hand to support you during your time abroad with a comprehensive andflexible range of insurance solutions to suit to all expatriate profiles and all budgets

WORLDWIDE

PRESENCE IN

33 COUNtRIES

Headquarters110 avenue de la Reacutepublique - CS 51108 - 75127 Paris Cedex 11 - FRANCETel +33 (0)1 73 02 93 93 - Fax +33 (0)1 73 02 93 90Email infoexpatapril-internationalcom - wwwapril-internationalcom

A French simplified joint-stock company (SAS) with capital of euro200000 - RCS Paris 309 707 727 Insurance intermediaryRegistered with ORIAS under number 07 008 000 (wwworiasfr)Prudential Supervision and Resolution Authority - 61 rue Taitbout - 75436 Paris Cedex 09 - FRANCENAF6622Z - Intra-community VAT Ndeg FR603009707727Product designed and managed by APRIL International Expat and insured by Allianz Worldwide Care SA (for medical expensescover) and TOKIO MARINE KILN INSURANCE LTD (for Repatriation assistance Personal liability (private capacity) and Personal accident cover)

All t

he A

PRIL

Inte

rnat

iona

l Exp

at tr

adem

arks

log

os g

raph

ics

and

com

mer

cial

mat

eria

l con

tain

ed in

this

doc

umen

t are

regi

ster

ed a

nd a

re th

e pr

oper

ty o

f APR

IL In

tern

atio

nal E

xpat

An

y re

prod

uctio

n of

any

kin

d e

ither

par

tial o

r tot

al o

f the

sai

d el

emen

ts a

nd te

xts

of a

ny k

ind

is p

rohi

bite

d an

d w

ill re

sult

in p

rose

cutio

n D

ecem

ber 2

017