OVERVIEW OF ACCIDENT AND SICKNESS PROGRAM FOR …



Sources of Dependent, Short Term and Supplemental Insurance

Please note that this list is for informational purposes only, it does not represent any endorsement by the Fulbright Program or CIES.

In some circumstances, grantees may wish to purchase supplemental insurance for themselves and/or their accompanying family members. Below is a list of some companies in the United States that offer dependent, short term and supplemental insurance. Some plans offer online enrollment and payment.

The main coverage points listed are subject to change. Contact the insurance provider to determine if plans are available to meet your needs.

HTH Worldwide

Web site:

One Radnor Corporate Center Suit 100

100 Matsonford Road

Radnor, PA 19087 USA

1-610-254-8700 (Local); 1-6102933529 (Local Fax)

E-mail: customerservice@

TravelGap Voyager

• Maximum Benefits: $50,000, $100,000. $500,000, $1,000,000

• Medical Evacuation up to $500,000

• Repatriation coverage up to $25,000

• Deductible $0, $100, $250, $500

• Coverage up to six months

• Excludes pre-existing conditions

• Covers pregnancy

• Enroll online

 

Associated Insurance Plans International, Inc.

Web site:

28085 Ashley Circle, Suite 201

Libertyville, IL 60048

Phone: (800) 452-5772

fax: (847) 281-8813

Email: office@.

  Atlas International (for 6 mos. or less)/Atlas Extra (coverage over 6 mos.)

• Coverage: 15 days to 12 months

• Ages: 14 days to 80+ years

• Provides $50,000, $250,000, $500,000 or $1,000,000 of coverage per incident

• Medical Evacuation covered to maximum limit

• Repatriation coverage covered to maximum limit

• Deductibles of $100, $250, or $500

• Excludes pre-existing conditions and pregnancy

• Get quote online

 

International Student Organization

Web site:

250 West 49th Street, Suite 806

New York, NY 10019

Toll Free: 1.800.244.1180

General: 212-262-8922

Fax: 212.262.8920

Email: mailbox@

Compass Gold/Compass Silver

• $250,000 maximum per injury or sickness with $500,000 lifetime maximum/&150,000 maximum per injury or sickness with $300,000 maximum overall coverage

• Medical evacuation $60,000/$50,000

• Repatriation $60,000/50,000

• $100 deductible

• Excludes pre-existing conditions

• Covers pregnancy

• Minimum: 3 months

 

New England Benefits Services

Web site:

P.O. Box 35220

Brighton, MA 02135-0004

Phone: (800) 335-0003

Fax: (617) 254-8184

Email: info@

Global Medical Insurance (Silver/Gold Plus/Platinum)

• $5,000,000/$5,000,000/$8,000,000 lifetime coverage

• $50,000/up to Maximum Limit (Gold Plus/Platinum) Medical evacuation

• Repatriation only available on Platinum

• $250 to $10,000 deductible

• Excludes pre-existing conditions

• Pregnancy: $50,000 lifetime maximum on an optional rider

• Worldwide coverage, including home country

• Get a quote/apply online

International Medical Group

Web site:

2960 North Meridian Street

Indianapolis, IN 46208-4715

Phone: 1 (317) 655-4500 or 1 (877) 808-7434

Fax: 1 (317) 655-4505

Email: insurance@

Choose From Five Gateway Plans:

• Gateway INTERNATIONAL—short-term coverage for 5 days to 24 months for travel anywhere except to the United States

• PATRIOT PLATINUM---Short-term coverage for 5 days to 36 months for travel anywhere except to the United States.

• Global Medical Insurance—longer term coverage for travel or work assignments abroad for 6 or more consecutive months for up to 5 years

• Patriot Executive—multiple short-term or extended trips abroad offering primary coverage for medical evacuation and repatriation with a variety of other options;

Travel Insurance Services

Web site:

2950 Camino Diablo, Suite 300

Walnut Creek, CA 94596-3949

Phone: 1-800-937-1387 or (925) 932-1387

Fax: (484) 652-5394

Email: webinfo@

Study USA-Health Care

• Rated A++

• Ages 65 and under

• Medical Expenses $250,000

• Accidental Death and Dismemberment $5,000

• Emergency Medical Evacuation $500,000

• Mental/Nervous Disorders & Alcohol/Substance Abuse Benefits $10,000

• Repatriation of Remains $100,000

• Excludes Pre-existing conditions and pregnancy

InterMedical Insurance (A/B)

• Maximum Stay 1Year

• Medical Exspenses/Incident ($25,000/$100,000)

• Deductible $50

• Emergency Evacuation ($50,000/$75,000)

• Accidental Death ($10,000/$100,000)

• Repatriation of Remains $7,500

• Excludes Pre-existing conditions and pregnancy

Wallach & Company, Inc.

Web site:

107 West Federal Street

P.O. Box 480

Middleburg, VA 20118

Phone: (540) 687-3166 or (800) 237-6615

Fax: (540) 687-3172

Email: info@

Health Care Global/Health Care Abroad

• $50,000-$500,000 or $250,000 medical expense benefit per accident/illness, which includes medical evacuation and repatriation.

• $100-$1,000 deductible

• $25,000 personal accident benefit.

• Ages 1-75 eligible (up to 84 for Health Care Abroad).

• Not available to residents of Washington State and New York State

Seven Corners, Inc.

Web site:

303 Congressional Boulevard

Carmel, IN 46032

Phone: 0 (317) 575-2652 or 1 (800) 335-0611

Fax: (317) 575-2659

Email: policy@

Liaison International/Liaison Continent

• $50,000-$1,000,000 Medical Maximum

• $300,000 Emergency medical evacuation/repatriation benefit.

• $25,000/$50,000 Accidental death & dismemberment.

• Up to six months

Liaison Majestic/Liaison Worldwide

• $1,000,000/$500,000 Medical Maximum

• $300,000 Emergency Medical evacuation/repatriation

• $25,000 Accidental death and dismemberment

• $50,000 Political evacuation and repatriation (Majestic)

• $5,000 Interruption of Trip (Worldwide)

• Waiver for pre-existing condition available – see website for details

• Up to 12 months

Liaison Student

• $250,000 medical maximum

• $0-$100 deductible per illness/injury

• Maternity coverage

• $100,000 Emergency medical evacuation

• $10,000 Accidental death and dismemberment

• Up to 12 months

Liaison Silver

• 50 years old and up

• $60,000, $125,000, $600,000, $1,000,000 medical maximum

• $300,000 Emergency medical evacuation/repatriation

• $50,000 Accidental death & dismemberment

• $50,000 political evacuation and repatriation

• Waiver for pre-existing conditions available – see website for details

• Up to 12 months

Cultural Insurance Services International

Web site:

River Plaza

9 West Broad Street

Stamford, CT 06902-3788

Phone: (800) 303-8120

Fax: (203) 399-5596

Email: cisiwebadmin@ or enrollments@

Basic Plan/Comprehensive Plan

• $50,000/$250,000 maximum per accident or sickness

• $100/$0 deductible

• $10,000 accidental death and dismemberment

• $100,000 Medical Evacuation

• $50,000 Repatriation/Return of Mortal Remains

• All ages eligible

• Excludes pre-existing conditions

Global Underwriters

Web site:

3195 Linwood Road, Suite 201

Cincinnati, Ohio 45208

Phone: 1 (800) 423-8496 or (513) 533 9800

Fax: (513) 533 1055 or (513) 533 1504

Email: diplomat@

Diplomat International

• Coverage up to $50,000-$1,000,000

• Deductibles as low as $0-$5,000

• $10,000 Emergency Reunion

• $20,000 Repatriation of Remains

• $10,000 Personal Security Evacuation

• $25,000 Accidental Death

• Coverage for 5 days to 12 months

Diplomat LT

• Coverage from 3 months to 3 years

• $500,000-Plan A/$1,000,000-Plan B

• Deductibles vary from $50-$5,000

• Policies from $500,000-$1,000,000

• $300,000 Emergency Medical Evacuation

• $10,000 Emergency Reunion

• $20,000 Repatriation of Remains

CMI Insurance Worldwide

Web site:

850 LaSalle Road, Suite 200

Baltimore, MD 21286

Phone: +1 (410) 583 2595 or 1 (800) 586-0753

Fax: +1 (410) 583 8244

Email: info@cmi-

Study Abroad (Plan A - Basic/Plan B – High Option)

• $100,000/$250,000 life time Maximum

• $50/$0 deductible

• $3,000/$5,000 Emergency Reunion Benefit

• Ages 1-60+/Ages 1-39

• 1 month- 12 months

• Excludes pre-existing conditions

Global Medical International

• $100,000 - $500,000 Lifetime Maximum

• $50-$1,000 deductible

• 100% Emergency Medical Evacuation Benefit

• $12,500 Emergency Reunion Benefit

• $25,000 Accidental Death and Dismemberment Benefit

• 15 days to 12 months

• Excludes pre-existing conditions and pregnancy

June 2011

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