Accident & HealthFor and on behalf of ACE Insurance
Limited
Card Type: Visa Infinite
Policy Expiry Date: 31st May 2017
AMS2479 V2 04/16
Cardholder Name:
Visa Card first nine digits:
Travel Departure Date:
Covered Spouse Name:
Covered Child Name(s):
Benefit Benefit Amounts / Limit of Liability
Cancellation & Curtailment
Travel Delay
Baggage Delay
Hijack
Medical Expenses
Repatriation
Hospital Benefit
Personal Property
Travel Accident
Personal Liability
Overseas Legal Expenses
Executive Directors: G.D. Jack (CEO), Z. Mostert
(CFO)Non-Executive: B.H. Seach (Chairman), G.R. Ward (British), M
Denalane, SM McDonald (British)Company Secretary: A Schoombee
Cover is valid worldwide and effective from the Travel Departure
Date, up to a maximum of ninety days or up to the Policy Expiry
Date, whichever is earlier.
Card Issuer and Policyholder: Visa International Service
Association
ACE Travel Insurance is issued and underwritten by ACE Insurance
Limited, an authorised Financial Services Provider (FSP:
27176).
Please refer to the Terms & Conditions, which will contain
reductions, limitations, exclusions and termination provisions.
ACE Insurance Limited (Reg. No. 1973/008933/06) an authorised
Financial Services Provider (FSP: 27176), Ground Floor, The Bridle,
Hunts End Office Park, 38 Wierda Road West, Wierda Valley, Sandton,
South Africa.
Policy Number: ZABOTY00474
Disclaimer: This Certificate of Insurance is attached to and
forms part of the Terms & Conditions of the Travel Policy No:
ZABOTY00474 issued to the policyholder Visa International Service
Association. Subject to the terms and conditions of the policy,
benefits are payable up to the Benefit Amounts shown above if You
suffer a medical emergency during the course of a Journey as stated
within the Terms & Conditions.
Insurer: ACE Insurance LimitedCONFIRMATION OF COVERAGE
For 24 Hours / Worldwide Assistance Services Abroad: +44 (0) 208
762 8373 (English); +7 (495) 937 6453 (Russian, English); +971 (4)
253 6024 (Arabic, French, English)
For 24 Hours / Worldwide Assistance Services Abroad: +44 (0) 208
762 8373 (English); +7 (495) 937 6453 (Russian, English); +971 (4)
253 6024 (Arabic, French, English)
up to USD 7,500
up to USD 1,000
up to USD 500
up to USD 2,500
up to USD 1,000,000
up to USD 2,000,000
up to USD 3,000
up to USD 2,500
up to USD 1,000,000
up to USD 500,000
up to USD 7,500
Cardholder Name: Visa Card Digits: Departure Date: Spouse Name:
Child 1: Child 2: Child 3: Child 4: Child 5:
