Insurance

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53, Municipal Market, Outer Circle
(Nr. Kake Ka Dhaba) ,
Connaught Place, New Delhi-110001

Tata AIG

Benefits	Single Trip			Annual Multi Trip
fig in $	Silver	Gold	Platinum	Gold	Platinum
	(Including & Excluding the Americas)			(Worldwide)
Accidental Death and Dismemberment Benefit (24 Hrs)	10000	15000	25000	15000	25000
Accidental Death and Dismemberment Benefit (Common Carrier)	N/A	5000	5000	5000	5000
Accident & Sickness Medical Expense Reimbursement	50000	200000	500000	250000	500000
Deductible	100	100	100	100	100
Sickness Dental Relief	300	400	500	400	500
Deductible	150	150		150	150
Emergency Medical Evacuation Benefit	Included*	Included*	Included*	Included*	Included*
Repatriation of Remains Benefit	Included*	Included*	Included*	Included*	Included*
Baggage Delay Benefit (After first 12 hrs.)	50	100	200	100	200
Checked Baggage Loss Benefit	500	1000	1000	1000	1000
Loss of Passport Benefit	250	250	250	250	250
Deductible	30	30	30	30	30
Personnal Liability Benefit	100000	200000	200000	200000	200000
Deductible	200	200	200	200	200
Trip Delay Benefit	na	Included*	Included*	Included*	Included*
Deductible	na	12 hrs, 10$ per 12 hrs	12 hrs, 10$ per 12 hrs	12 hrs, 10$ per 12 hrs	12 hrs, 10$ per 12 hrs
Maximum	na	$100	$100	$100	$100
Hijacking Benefit	na	Included*	Included*	Included*	Included*
Deductible	na	1 day, 100$ per day & Max 500$	1 day, 100$ per day & Max 500$	1 day, 100$ per day & Max 500$	1 day, 100$ per day & Max 500$
In - Hospital Indemnity Benefit	na	na	na	Included*	Included*
Deductible	na			1 day,15$ per day & Max 150$	1 day,15$ per day & Max 150$
Automatic extension of policy upto 7 days	Available	Available	Available	Available	Available
Emergency cash advance	500	1000	1500	1000	1500

Following Max.eligible exp.per Sickness or Disease are applicable to Insured Persons Aged 56-70, regardless of the plan / option purchased.

Hospital Room and Board and Hospital miscellaneous	Max 1,500 per day upto 30 days whichever is less.
Intensive Care Unit	Max 3,000 per day upto 7 days whichever is less.
Surgical Treatment	Max 10,000
Anesthetist Services	Upto 25% of Surgical Treatment
Physician's Visit	Max 75 per Day upto 10 visits
Diagnostic and Pre-Admission Testing	Max 500
Ambulance Services	Max 400

* Included under Accident & Sickness Medical Expenses Reimbursement

Plan Table Premium Rate

SILVER				SILVER
(Worldwide excluding USA/Canada)				(Worldwide including USA/Canada)
Age Band	6 mths-40 yrs	41-60 yrs	61-70 yrs	Age Band	6 mths-40 yrs	41-60 yrs	61-70 yrs
1-7	501	546	887	1-7	745	829	1292
8-14	715	779	1195	8-14	1059	1147	1802
15-21	810	911	1535	15-21	1103	1329	2315
22-28	929	1128	1863	22-28	1324	1523	2914
29-35	1113	1314	2258	29-35	1637	1865	3541
36-47	1331	1634	2883	36-47	2006	2414	4573
48-60	1619	1902	3620	48-60	2802	3883	5679
61-75	1924	2414	4755	61-75	4147	5780	6968
76-90	2196	2804	5968	76-90	4964	6207	8638
91-120	3065	3661	8168	91-120	5152	6265	14083
120-150	3988	5082	11245	121-150	6826	8441	19561
150-180	4833	5994	13512	151-180	8264	9987	23274

GOLD				GOLD
(Worldwide excluding USA/Canada)				(Worldwide including USA/Canada)
Age Band	6 mths-40 yrs	41-60 yrs	61-70 yrs	Age Band	6 mths-40 yrs	41-60 yrs	61-70 yrs
1-7	683	761	1251	1-7	954	1096	1723
8-14	879	1019	1774	8-14	1250	1544	2483
15-21	1046	1251	2332	15-21	1429	1758	3333
22-28	1220	1510	2838	22-28	1690	2127	3982
29-35	1456	1735	3546	29-35	2006	2571	5076
36-47	1690	2161	4414	36-47	2517	3284	6553
48-60	2030	2792	5410	48-60	3309	4655	8134
61-75	2587	3267	6808	61-75	4611	6794	10443
76-90	3037	4213	8173	76-90	5537	6839	13036
91-120	4468	5764	11906	91-120	6845	8543	19664
120-150	5471	7565	16727	121-150	9442	11986	28443
150-180	6801	8838	19871	151-180	11553	14289	33239

PLATINUM				PLATINUM
(Worldwide excluding USA/Canada)				(Worldwide including USA/Canada)
Age Band	6 mths-40 yrs	41-60 yrs	61-70 yrs	Age Band	6 mths-40 yrs	41-60 yrs	61-70 yrs
1-7	792	914	1469	1-7	1007	1146	1939
8-14	990	1390	1969	8-14	1412	1985	2753
15-21	1203	1500	2634	15-21	1690	2140	3521
22-28	1475	1743	3167	22-28	1885	2471	4282
29-35	1623	2074	3855	29-35	2312	2934	5410
36-47	1916	2515	4809	36-47	2769	3596	6893
48-60	2758	4103	5907	48-60	3949	5846	8644
61-75	3971	5536	7503	61-75	5647	8195	10981
76-90	4765	6589	8963	76-90	6839	9319	13836
90-120	5219	7276	12736	91-120	7579	10170	21646
120-150	6845	8598	18449	121-150	10372	13964	30512
150-180	8420	10342	22413	151-180	12484	15600	35256