APRIL INTERNATIONAL EXPAT - V.I. XCLUSIVE 2018 · €400 per day/person for a maximum of 14 days...
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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/1.jpg)
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
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at tr
adem
arks
log
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raph
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mer
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ed in
this
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umen
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ster
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nd a
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e pr
oper
ty o
f APR
IL In
tern
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nal E
xpat
An
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prod
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ither
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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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/2.jpg)
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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/3.jpg)
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
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ill re
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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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/4.jpg)
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
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d w
ill re
sult
in p
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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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/5.jpg)
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
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ind
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rohi
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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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/6.jpg)
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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/7.jpg)
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
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ill re
sult
in p
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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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/8.jpg)
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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/9.jpg)
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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/10.jpg)
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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/11.jpg)
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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/12.jpg)
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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/13.jpg)
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
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log
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mat
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this
doc
umen
t are
regi
ster
ed a
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e pr
oper
ty o
f APR
IL In
tern
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nal E
xpat
An
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![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](https://reader035.fdocuments.in/reader035/viewer/2022071420/61198194c93c0f1d6421548f/html5/thumbnails/14.jpg)
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