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This Certificate of Insurance describes all of the travel insurance benefits, underwritten by BCS Insurance Company and herein referred to as the Company, and assistance services provided by a variety of World Access plans. The insurance benefits and assistance services vary from plan to plan. Please refer to the accompanying Schedule of Coverage. It provides You with specific information about the plan You purchased. Please contact your tour operator immediately if You believe that Your Schedule of Coverage is incorrect.
* Indicates insurance coverage provided under a Master Policy issued by BCS Insurance Company.

This Policy is issued for a single term and is nonrenewable.

Within 10 days of purchasing the plan, the tour operator will process a full refund of premium to You, as long as You have not already departed on Your Trip or filed a claim. No refunds shall be paid to You after 10 days of purchasing the plan.

Part I. Effective Date
Part II. Termination Date
Part III. General Exclusions
Part IV. Description of Travel Insurance Benefits
Part V. General Provisions Related to Insurance Benefits
Part VI. Description of Travel Assistance Services
Part VII. Claim Filing Procedures
Part VIII. Definitions

Signed for BCS Insurance Company, 2 MidAmerica
Plaza, Suite 200, Oakbrook Terrace, IL 60181

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Insurance shall be effective at 12:01 A.M. on the date the scheduled Trip begins. Trip Cancellation coverage begins the day after the tour operator receives Your insurance premium.
In no event will coverage be effective if all premiums due have not been received prior to the Scheduled Departure Date or prior to the Trip Cancellation date if You cancel Your Trip or it is canceled for any reason.

Coverage ends at midnight on the date of return selected, or upon return to Your city of residence, or when the Trip is canceled, or on the 90th day, whichever is earliest. If return is delayed for any covered reason, coverage is extended until You are able to return to Your city of residence. The day You depart and the day You return are counted and included as separate days when determining duration of coverage.

These exclusions apply to all plan benefits and services. In addition to any exclusions that apply to a particular benefit, no coverage is provided for any loss arising directly or indirectly out of or as a result of the following:
1. Intentionally self-inflicted harm, suicide or attempted suicide, by You, a Traveling Companion or a Family Member;
2. Normal Pregnancy (except as specifically covered), fertility treatments, Childbirth or elective abortion, other than unforeseen complications of pregnancy, of You, a Traveling Companion or a Family Member;
3. Mental or nervous health disorders, including but not limited to: anxiety, depression, neurosis or psychosis; or physical complications related thereto, of You, a Traveling Companion or a Family Member;
4. Alcohol or substance abuse or use; or conditions or physical complications related thereto, of You, a Traveling Companion or a Family Member;
5. War (whether declared or undeclared), acts of war, military duty (unless as specifically covered), civil disorder or unrest (except as provided for in Travel Delay);
6. Participation in professional or amateur sport events (including training);
7. All extreme, high risk sports including but not limited to: bodily contact sports; skydiving; hang gliding, bungee jumping, parachuting; mountain climbing or any other high altitude activities, caving, heli-skiing, extreme skiing, or any skiing outside marked trails (unless as specifically covered);
8. Scuba diving (unless accompanied by a dive master and not deeper than 130 feet), unless as specifically covered herein;
9. Operating or learning to operate any aircraft as pilot or crew;
10. Nuclear reaction, radiation or radioactive contamination;
11. Natural disasters (unless as specifically covered);
12. Epidemic;
13. Pollution or threat of pollutant release;
14. Any unlawful acts committed by You, Family Members, or Traveling Companions, whether they are insured or not;
15. Any expected or reasonably foreseeable events; or
16. Financial Default of a travel supplier (unless as specifically covered).

These plans do not cover You:
1. If the purpose of the travel is to receive medical care, medication or treatment;
2. If the stated Trip departure and return dates do not reflect Your intended departure and return dates;
3. If the tickets do not indicate the travel dates;
4. If You give incorrect data or facts; or
5. If the loss is not submitted to Us within 90 days from the date of loss, except as otherwise prohibited by law.

PRE-EXISTING CONDITIONS EXCLUSION
This exclusion applies to Trip Cancellation and Interruption Protection, Emergency Medical and Dental Benefits and to those Travel Assistance Services related to medical problems.

The plan does not cover losses or expenses if they result from:
1. Any injury occurring to You, a Traveling Companion or a Family Member prior to and including the effective date of Your insurance;
2. Any illness occurring to You, a Traveling Companion, or a Family Member during the 120 days prior to and including the effective date of Your insurance for which: a) medical diagnosis or treatment by a Physician has been sought or advised or for which symptoms exist Page 4 which would cause a prudent person to seek diagnosis, care or treatment; or b) require taking prescribed drugs or medicine unless the illness remains controlled without any change in the required prescription.
For the purposes of determining any Pre-existing Conditions, the effective date of Your insurance will be Your Trip Cancellation Insurance effective date.

You have purchased a plan where Pre-existing Conditions are waived. The Company and We cover these Pre-existing Conditions provided:
1. The insurance was purchased within fourteen calendar days of initial Trip payment;
2. The amount of Trip Cancellation coverage originally purchased equals the full cost of all Trip arrangements;
3. On the date of purchase of insurance, You were medically able to travel and You had not filed a claim for Trip Cancellation due to a pre-existing illness within 120 days prior to the purchase of insurance;
4. The total Trip cost is $20,000 per person or less; and
5. On the date of purchase of insurance, You are a resident of the United States.

If You do not meet the above criteria, You may still be covered for Trip Cancellation or Trip Interruption caused by reasons other than those related to the Pre-existing Condition.

The following insurance benefits are designed to protect You against situations or losses that result from sudden and unexpected conditions or events. The benefits do not cover conditions or events that, on the date of purchase, are either known to You or likely to occur. Please be aware that this stipulation may be applied to policies purchased with the Pre-existing Conditions Exclusion Waiver. The Company and We reserve the right to reject applications.

TRIP CANCELLATION AND INTERRUPTION PROTECTION*
Trip Cancellation coverage provides benefits for loss(es) You incur for Trips cancelled up to the time and date of departure. Trip Interruption coverage provides benefits for loss(es) You incur for Trips that are interrupted or delayed after the time and date of departure.
For all of the covered reasons outlined below, You must notify the appropriate travel supplier(s) of Your cancellation or interruption within 72 hours of the occurrence, unless the condition prevents it, then as Page 5 soon as reasonably possible. Otherwise the right to compensation will lapse.

A maximum benefit of up to the amount indicated on Your Schedule of Coverage is provided to cover certain expenses as listed below which result from the cancellation or interruption of Your Trip due to:

1. Any serious Injury or any unforeseen serious medical condition;

• a. Occurring to You or a Traveling Companion, which is so disabling as to cause a reasonable person to delay, cancel, or interrupt their Trip;
• b. Occurring to a Family Member that is considered life threatening or requiring hospitalization; or
• c. Occurring to a Family Member requiring Your care.

• a. On the Policy effective date, the airline was approved for the Financial Default coverage by the Company. For a current list of approved airlines refer to: www.worldaccess.com or call 1.800.586.8460; and
• b. The insurance was purchased within 14 calendar days of the initial Trip deposit or payment.

• a. having Your personal leave revoked within 10 days prior to Your departure date (as long as such revocation is in writing by a superior officer and is not due to war related situations, invocation of the War Powers Act, base or unit mobilization, unit reassignment for any reason, or disciplinary action); or
• b. are personally reassigned within 10 days prior to Your departure date, whether temporary or permanent.

1. All information in this Certificate with regard to the insurance benefits is subject to the terms and conditions of the Policy underwritten by BCS Insurance Company.
2. All suits, actions or legal proceedings arising from the plans, benefits, or services provided through the plans (collectively ?Controversies?) may be submitted to binding desk arbitration in accordance with the rules then applying to the American Arbitration Association. No demand for arbitration can be brought to recover benefits until 60 days have elapsed following submission of Your entire claim to Us. No action in any form can be brought after three years from the date Your claim was submitted to Us.
3. No agent or other person has authority to accept or make representations or information or alter, modify or waive any of the provisions of this Certificate.
4. Claims must be submitted to Us within 90 days from date of loss, except as otherwise prohibited by law.
5. In the event that You are covered under another policy issued by the Company that provides the same or similar coverage, the Company will adjust Your claim by applying terms and conditions from the coverage that pays the most. Any premium paid for duplicate coverage will be refunded.
6. Benefits are payable to You or, if applicable, to Your estate.
7. MISREPRESENTATIONS AND FRAUD: Coverage shall be void if, whether before or after a loss, the insured has concealed or misrepresented any material fact or circumstance concerning this Policy or the subject thereof, or the interest of the insured therein, or if the insured commits fraud or false swearing in connection with any of the foregoing.
8. You have a duty to make all reasonable efforts to minimize losses from any insured benefit or Covered Service.

Assignment: You may assign Your interest under the Policy by giving Us written notice of such assignment. The assignment will not be effective until We receive the written notice. Neither the Company nor We assume any responsibility for the validity of any assignment.
Subrogation: The Company or We have the right to recover any payments We have made from anyone who may be responsible for the loss. You and/or any person to whom We make a payment must sign any papers and do whatever is necessary to transfer this right to Us. You and/or any person to whom We make a payment agree(s) to cooperate with Us and to do nothing after the loss that will adversely affect Our rights or those of the Company.
Physical Examinations and Autopsy: The Company has the right to physically examine You as often as reasonably needed while a claim is pending. The Company may also require an autopsy in the case of death, where it is not forbidden by law. The Company will bear all costs for these.

Our goal is to provide immediate help for common travel problems almost everywhere in the world. However, despite Our best efforts, situations arise which are beyond Our control and under these circumstances, We can only promise to make every reasonable effort to help You resolve Your problems. The hotline center staff will do its best to refer You to appropriate medical and legal providers. However, We cannot be held responsible for the quality of results of any medical or legal services provided by these independent practitioners.

If You are in trouble and need help:
1. Call the hotline. From the U.S., call 1.866.520.8805. From all other locations call collect to 1.804.281.5700. If Your emergency is immediate and life threatening, seek local emergency assistance at once and contact the hotline as soon as possible.
2. Have the following information ready for the hotline coordinator:

• a. Your name and Product ID number (which can be found on the cover); and
• b. Your location and local telephone number.

• Our medical team will consult with the local Doctor;
• We'll identify the closest appropriate facility, make arrangements and pay to transport You to that facility; and We'll arrange and pay for a Medical Escort if We determine one is necessary.
  
Getting You home after Your care (medical repatriation)
If You're seriously ill or injured during Your Trip, under the care of a local Doctor and unable to continue Your Trip, medical repatriation takes place once Our medical team determines that You are medically stable to return home via commercial transportation carrier, such as a scheduled passenger airline. We'll:

• arrange and pay (less any Refunds for unused tickets) for You to be transported via a commercial transportation carrier in the same class of service that You were booked for Your Trip. The transportation will be to one of the following:
• Your Primary Residence;
• a location of Your choice in the United States; or
• a medical facility near Your Primary Residence or city of Your choice in the United States. We'll take Your request into consideration as long as the medical facility will accept You as a patient and is approved as medically appropriate for Your continued care by Our medical director.
• arrange and pay for a Medical Escort if Our medical team determines a Medical Escort is necessary. Bringing a friend or Family Member to You (transport to bedside) If You're told You will be hospitalized for more than seven days during Your Trip, We'll transport a friend or Family Member to stay with You. We'll arrange and pay for roundtrip transportation in economy class on a Common Carrier. Getting Your children home (return of dependents) If You're told You will be hospitalized for more than seven days during Your Trip, We?ll arrange for and pay (less any Refunds for unused tickets) to transport Your children under the age of 23 who are traveling with You to one of the following:
• Your Primary Residence; or
• a location of Your choice in the United States. Transportation will be on a Common Carrier in the same class of service they were originally booked. Transporting Your remains (repatriation of remains) We?ll arrange and pay for the reasonable and necessary services to transport Your remains to one of the following:
• a funeral home near Your Primary Residence; or
• a funeral home located in the United States.
We'll also assist the sending and receiving funeral homes coordinate with each other.

This benefit does not include funeral, burial or cremation expenses or related containment expenses for items such as a coffin, urn or vault.
Your representative must contact Us in advance to make these arrangements. If this is not possible, Your representative must contact Us within a reasonable time, but no later than one year after the transportation.

Travel Document and Ticket Replacement Assistance
The plan provides You with information to assist in obtaining replacements of lost passports or other important travel documents. We also help You to replace lost airline and other travel tickets and will assist You in obtaining money for this purpose. These funds will come from Your family or friends. We will make all the necessary arrangements for You, including assisting You to return home if Your Trip is interrupted.
Legal Assistance
If You have legal problems, Our hotline center staff will help You find a local legal advisor. If You require the posting of bail or immediate payment of legal fees, We will help arrange a cash transfer from Your family or friends.
Emergency Cash Transfer
If Your cash or traveler?s checks are lost or stolen, or if You need funds for the immediate payment of unanticipated expenses, We will help arrange to have emergency cash (in currency, traveler?s checks or any other form acceptable to Us) transmitted to You in a timely fashion. These funds will come from Your family or friends. Our hotline center staff will make all the necessary arrangements for You.
Emergency Message Center
In the event of an emergency, call the hotline center, identify yourself by Your Product ID number, and give the hotline coordinator Your message. We will make at least 3 attempts in 24 hours to reach Your requested party, and We will provide You with an update on the disposition of Our attempts to deliver the message. (We are not responsible for delivery of a message if the recipient cannot be reached). This service can be used for Trips anywhere in the world.
Flight Information
If You are faced with a canceled or missed flight, just call the hotline center for 24-hour information on alternate flights. We can provide You with scheduled departure and arrival times of alternate, direct flights only. We do not book reservations or pay for tickets. This service can be used on Trips within the U.S., Canada, the Caribbean and Mexico only.


Part VII. CLAIM FILING PROCEDURES

Please contact Us 24 hours a day, seven days a week at 1.800.256.7250 to obtain a claim form. All benefits will be paid in United States dollars. We will need certain information from You in the event You need to file a claim. This documentation will include, but is not limited to, the following:
1. General Documentation
a. Receipts and itemized bills for all expenses.
b. Original of any Refunds or expense allowances received from Your tour operator, travel agency, Common Carrier or other entity.
2. Trip Cancellation/Interruption Claims
a. Any appropriate documentation that officially explains the cause of Your trip cancellation or interruption. Any explanation of diagnosis along with Your original itemized bills, receipts, and proof of other insurance payments.
b. Original unused tickets, copies of invoices, proof of payments, and other documents that substantiate the cost or occurrence of the trip cancellation or interruption.
c. Documentation of Refunds received from the travel supplier(s) and/or Common Carrier(s).
d. Copy of the supplier?s literature that describes penalties.
e. A letter from the tour operator or an itemized bill from the travel agent stating the non-refundable amounts of the Trip costs.
3. Emergency Medical and Dental Claims
Any explanation of diagnosis(es) along with Your original itemized bills, receipts, and proof of other insurance payments).
4. Baggage Insurance Claims
a. Original claim determination from the Common Carrier, if applicable.
b. Original police report or other report from local authorities.
c. Original receipts and list of stolen, lost or damaged items.
d. Proof of loss providing amount of loss, date, time and cause of loss.
5. Baggage Delay Claims
Proof from the Common Carrier that personal Baggage was delayed or misdirected for at least 24 hours.
6. Travel Delay Claims
Original police, Common Carrier or other report that verifies the cause and duration of the delay.
7. Travel Accident Claims
Copy of death certificate.
8. Missed Connection Claims
Original Common Carrier report that verifies the cause and duration of the delay.


Part VIII. DEFINITIONS

Accident means an unexpected, unintended, unforeseeable event causing Injury.
Active Military Duty means serving in the United States Armed Forces on a full-time basis, not including the United States Armed Forces Reserves.
Actual Cash Value means the amount an item is determined to be worth based on its market value, age and condition at the time of loss.
Baggage means luggage and personal possessions, whether owned, borrowed or rented, taken by You on the Trip.
Common Carrier means an entity licensed to carry passengers for hire on land, water or air, excluding vehicle rental companies.
Coverage Period means the time during which benefits are payable hereunder, beginning on the effective date and ending on the termination date.
Covered Service means a service or supply specified herein for which benefits will be provided.
Deductible means a specified dollar amount that You must incur before the Company or We will assume any liability for all or part of the remaining Covered Services.
Emergency Dental Care means the services or supplies provided by a licensed dentist, Hospital or Other Licensed Provider that are medically and immediately necessary to treat dental problems resulting from Injury, infection, breakage to tooth surface or loss of filling.
Emergency Medical Care means the services or supplies provided by a Physician, Hospital or Other Licensed Provider that are Medically Necessary to treat any covered medical Illness or Injury that is acute (onset is sudden and unexpected) and: 1) considered life threatening; or 2) which, if left untreated, could deteriorate resulting in serious and irreparable harm.
Family Member means Your spouse; parent; child(ren), including children who are, or are in the process of becoming, adopted; sibling; grandparent or grandchild(ren); step-parent; step-child; or step-sibling; in-laws (parent, son, daughter, brother or sister); aunt; uncle; niece; nephew; legal guardian; ward; or business partner; an employed caregiver who lives with You; or a person with whom You have lived for 12 continuous months prior to the effective date of coverage; whether or not they travel with You.
Felonious Assault is an act of violence against You or a Traveling Companion requiring medical treatment in a Hospital.
Financial Default is a complete suspension of operations due to financial circumstances whether or not a bankruptcy petition is filed.
Hospital means a provider that is a short-term, acute, general Hospital that:

• 1. is a duly licensed institution;
• 2. in return for compensation from its patients, is primarily engaged in providing Inpatient diagnostic and therapeutic services for the diagnosis, treatment, and care of injured and sick persons by or under supervision of Physicians;
• 3. has organized departments of medicine and major surgery;
• 4. provides 24-hour nursing service by or under the supervision of registered graduate nurses; and
• 5. is not other than incidentally: a) a skilled nursing facility, nursing home, custodial care home, health resort, spa or sanatorium, place for rest, place for the aged, place for the provision of rehabilitation care; b) a place for the treatment of mental illness; c) a place for the treatment of alcoholism or drug abuse; d) a place for the provision of hospice care; or e) a place for the treatment of pulmonary tuberculosis.
Illness means a sickness, infirmity or disease that causes a loss that begins during a Coverage Period and is not a Pre-existing Condition.
Immediate Family Member means Your spouse; parent; child(ren), including children who are, or are in the process of becoming, adopted; Your siblings; Your grandparent or grandchild(ren); step-parent; step-child; or step-sibling.
Individual Coverage is the insurance plan under which only You are covered.
Injury means bodily Injury caused by an Accident, directly and independently of all other causes and sustained on or after the effective date of this coverage and before the termination date. Benefits for Injury will not be paid for any loss caused by sickness or other bodily diseases or infirmity.
Inpatient means a person who is treated as a registered bed patient in a Hospital or Other Licensed Provider and for whom a room and board charge is made.
Medical Escort means a professional person contracted by Our medical team to accompany a seriously ill or injured person while they are being transported. A Medical Escort is trained to provide medical care to the person being transported. A friend or Family Member cannot be a Medical Escort.
Medically Necessary or Medical Necessity means the services or supplies provided by a Hospital, Physician or Other Licensed Provider that are required to identify or treat Your Illness or Injury and which, as determined by Us, are:
• 1. consistent with the symptom or diagnosis and treatment of Your condition, disease, Illness, ailment or Injury;
• 2. appropriate with regard to standards of good medical practice;
• 3. not solely for the convenience of You, a Physician or other provider; and
• 4. the most appropriate supply or level of service that can be safely provided to You. When applied to the care of an Inpatient, it further means that Your medical symptoms or condition requires that the services cannot be safely provided to You as an Outpatient.
Normal Pregnancy or Childbirth means a pregnancy or Childbirth that is free of complications or problems.
Other Licensed Providers means any person or entity other than a Hospital or Physician, which is licensed, where required, to render medical or dental services.
Outpatient means a person who receives medical or dental services or supplies while not an Inpatient.
Physician means a person who is licensed and legally entitled to practice medicine in the applicable field for which services are delivered.
Pre-existing Conditions means:
• 1. Any injury occurring to You, a Traveling Companion or a Family Member prior to and including the effective date of Your insurance; and
• 2. Any illness occurring to You, a Traveling Companion, or a Family Member during the 120 days prior to and including the effective date of Your insurance for which:
  a) medical diagnosis or treatment by a Physician has been sought or advised or for which symptoms exist which would cause a prudent person to seek diagnosis, care or treatment; or
  b) require taking prescribed drugs or medicine unless the illness remains controlled without any change in the required prescription.
  For the purposes of determining any Pre-existing Conditions, the effective date of Your insurance will be Your Trip Cancellation Insurance effective date.
Primary Residence means a person?s fixed, permanent and principal home for legal and tax purposes.
Reasonable and Customary Charge means a charge in an amount consistently made by other vendors/providers for a given service in the same geographic area and which reflects the complexity of the service taking into account availability of experienced personnel and availability of services or parts.
Refund means:
1. Money returned to You by the travel agent, tour operator, airline, cruise line or other travel supplier;
2. Any credit or voucher for future travel provided to You by the travel agent, tour operator, airline, cruise line or other travel supplier; or
3. Any credits, recoveries or reimbursements from Your employer, another insurance company, a credit card issuer or any other institution.
Scheduled Departure Date means the date You have selected to begin travel as shown on Your tour invoice and for which paid travel arrangements have been made.
Terrorism means the unsanctioned and illegal use of force that caused destruction of property, Injury, or death by an individual or group for the express or implied purpose of achieving a political, ethnic, or religious goal or result. Terrorism does not include general civil protest, unrest, rioting, or an act of war.
Traveling Companion is a person traveling with You and who shares the same accommodations as You.
Trip means:
1. a period of round-trip travel to and from a destination that is at least 100 miles from Your main place of residence; and
2. such travel is not to obtain health care or treatment of any kind.
We, Us or Our refers to World Access Service Corp., a company of Mondial Assistance.
You or Your refers to all persons covered under the plan purchased.


DISTRICT OF COLUMBIA AMENDMENT RIDER FORM 52.816

The Certificate to which this Rider is attached is amended as follows:
1. The definition of Pre-existing Conditions is amended by deleting the reference to ?prudent? and substituting ?reasonable? therefor.
2. Exclusions 3 and 4 under Part IV, GENERAL EXCLUSIONS , do not apply to sickness coverage under the Emergency Medical and Dental Benefit.
There are no other changes to the Certificate.

This coverage will be void if, before or after a loss, You have concealed or misrepresented any material fact or circumstance relating to this coverage. Plan may not be available in all jurisdictions.

Please be advised: This optional coverage may duplicate coverage already provided by Your personal auto insurance policy, homeowner?s insurance policy, personal liability insurance policy or other source of coverage. This insurance is not required in connection with the Insured?s purchase of travel tickets.

California Residents: We are doing business in California as WASC Insurance Agency and Our California License # is 0B01400.

Florida Residents: The benefits of the policy providing Your coverage are governed primarily by the law of a state other than Florida.


BCS Insurance Company Privacy Notice
BCS respects the privacy of its customers and former customers and protects the security and confidentiality of their nonpublic personal information. To safeguard our customers' confidential information, we comply with all applicable laws and regulations and have instituted our own policies to:
(1) insure the security and confidentiality of customer records and information;
(2) protect against any anticipated threats or hazards to the security or integrity of such records; and
(3) protect against unauthorized access to or use of such records or information which could result in substantial harm or inconvenience to any customer.
BCS PRIVACY POLICY:
Policies and practices with respect to disclosing your nonpublic personal information:
We do not disclose any nonpublic personal financial information about our customers or former customers to anyone, except as permitted by law.
Categories of nonpublic personal information that we collect:
We collect nonpublic personal financial information about you from the following sources:
(1) information we receive from you on applications or other forms;
(2) information about your transactions with us, our affiliates, or others, and;
(3) information we receive from a consumer reporting agency.
Policies we maintain to protect the confidentiality and security of nonpublic personal information:
We maintain physical, electronic, and procedural safeguards that comply with federal and state regulations to guard your nonpublic personal financial information. We restrict access to your nonpublic personal information to employees who need it to provide information or services to you.

World Access Service Corp., d/b/a Mondial Assistance USA, is the administrator of this insurance policy on behalf of BCS Insurance Company. We will adhere to at least the same standards for handling and protecting your data as described above. For more information about how we handle and protect your data, please see our privacy policy, located at http://www.mondialUSA.com/privacy or contact us at: Mondial Assistance USA, ATTN: Chief Privacy Officer, 2805 N. Parham Rd., Richmond, VA 23294.

Form No. 52.401



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Travel Protection Plan
Product ID 001001474

Schedule Of Coverage
The following maximum levels of coverage are available to Tour Protection Plan customers.

Benefits*	Amount per person
Trip Cancellation/interruption	Up to Your Tour Cost*
Emergency Medical/Dental Coverage	$15,000
Emergency Medical Transportation	$100,000
Baggage Coverage	$1,000
Baggage Delay Coverage	$200
Travel Delay Coverage	$500
Missed Connection Coverage	$500
Travel Accident Coverage	$25,000
Emergency Travel & Medical Assistance	Included

*Maximum coverage available is $20,000

Form No. 52.401
C 2011 World Access Service Corp.
04/11