III. DIMENSIONES DE LA INVESTIGACIÓN
4.1 Elementos Históricos Primordiales
4.3.1 Características del diseño de las Políticas Integrales
Section Benefit Maximum sum insured Excess
D Trip Cancellation and curtailment € 5,000 € 75
Flight Accident Cover - Policy benefits & limits
Section Benefit Maximum sum insured Excess
B Flight accident € 100,000 -
* THE LIMITS OF INDEMNITY SPECIFIED FOR EACH BENEFIT SHALL APPLY PER PERSON AND PER PERIOD OF INSURANCE IN CASE OF SINGLE TRIP POLICIES, PER PERSON AND PER TRIP IN CASE OF ANNUAL MULTI-TRIP POLICIES.
** THE LIMITS OF INDEMNITY FOR THE BENEFITS UNDER SECTIONS F, G, H SHALL APPLY AFTER THE WAITING PERIOD PROVIDED FOR THEREUNDER. Optional benefits: please refer to Sections L, M and N.
Date, Insured Person’s Signature
_______________________________________________
AIG Europe Limited Rappresentanza Generale per l’Italia - Via Della Chiusa, 2 - 20123 Milano
Numero di iscrizione presso il Registro delle Imprese di Milano / Codice Fiscale / Partita IVA 08037550962. Numero di repertorio economico amministrativo (REA) 1999051 Sede Secondaria di AIG Europe Limited-Registrata in Inghilterra e nel Galles con il numero 01486260 - Sede legale: The AIG Building, 58 Fenchurch Street, Londra EC3M 4AB, Regno Unito
Capitale Sociale Sterline 197.118.478 - Tel.: 023690.1, Fax: 023690.222, www.aig.co.it Edizione Dicembre 2012
Edizione 3.02
C) PROPOSAL / APPLICATION FORM TEMPLATE
Certificate of insurance / Invoice
Thank you for choosing Columbus Direct, travel insurance specialist since 1988. This is your travel insurance certificate, please print a copy of this document and keep it with you at all times. This document contains the telephone number of the 24 hour medical emergency
service that the insured has to contact in case of a medical emergency whilst abroad. This policy is underwritten by AIG Europe Limited.
Via Rossi 25, Roma, Lazio, 00191 Italia
Policy issue date Telephone
Policy number
Policy holder Sig. T Polizza
Geographical areas Email
Period of insurance 01/03/2013 - 11/03/2013
Cover type
Insured person Age Premium
Basic premium cost Premium 01243-577199 [email protected] 01/01/2012 82.50 Country of residence Client number Optional cover(s) 24770493 Italiy 200/006506
* World: Worldwide except Cuba, Liberia, Sudan, Afghanistan. It does not include travel in Italy and travel to destinations not recommended by the Ministry of Foreign Affairs.
SIG. S POLIZZA 22
Total premium EUR 82.50
* Premium and insurance tax composition: Medical expenses whilst abroad 13.47% of the insurance premium + Taxes 2.5% - Assistance whilst abroad 81.35 % of the insurance premium + Taxes 10% - Personal accident 20 % of the insurance premium + Taxes 2.5% - Lost and broken baggage constitutes 4.88 % of the premium of the insurance premium + Taxes 22.5% - Personal liability 0,10% of the insurance premium + Taxes 22,25%
* Zero deductible option applied Important Notes
001/XXX/10001/1 BAIT-SCH-02
Tax included in total premium
EUR 68.04
Address
AIG Europe Limited Rappresentanza Generale per l’Italia - Via Della Chiusa, 2 - 20123 Milano
Numero di iscrizione presso il Registro delle Imprese di Milano / Codice Fiscale / Partita IVA 08037550962. Numero di repertorio economico amministrativo (REA) 1999051
Sede Secondaria di AIG Europe Limited-Registrata in Inghilterra e nel Galles con il numero 01486260 - Sede legale: The AIG Building, 58 Fenchurch Street, Londra EC3M 4AB, Regno Unito Capitale Sociale Sterline 197.118.478 - Tel.: 023690.1, Fax: 023690.222, www.aig.co.it
Edizione Dicembre 2012 24 HOUR MEDICAL EMERGENCY SERVICE
In the event of a Medical Emergency covered by this Insurance, the insured will have to contact our 24 hour medical emergency service Tel: 0039 039 6554 6635 or 0044 1273 740 872
Any occurrence or loss which may give rise to a claim should be reported via email to: [email protected].
Total premium (excluding tax)
EUR 14.46
21 SIG. S POLIZZA
All premiums, benefits and excesses are shown in EUROS
Worldwide (incl. USA/Canada)
If you need to know the exact benefits provided by your travel insurance, please refer to the “terms and conditions” attached to the email confirmation received after the purchase. This document is also available online.
COLUMBUS
directAIG Europe Limited Rappresentanza Generale per l’Italia - Via Della Chiusa, 2 - 20123 Milano
Numero di iscrizione presso il Registro delle Imprese di Milano / Codice Fiscale / Partita IVA 08037550962. Numero di repertorio economico amministrativo (REA) 1999051 Sede Secondaria di AIG Europe Limited-Registrata in Inghilterra e nel Galles con il numero 01486260 - Sede legale: The AIG Building, 58 Fenchurch Street, Londra EC3M 4AB, Regno Unito
Capitale Sociale Sterline 197.118.478 - Tel.: 023690.1, Fax: 023690.222, www.aig.co.it Edizione Dicembre 2012
Edizione 3.02
AIG Europe Limited Rappresentanza Generale per l’Italia - Via Della Chiusa, 2 - 20123 Milano
Numero di iscrizione presso il Registro delle Imprese di Milano / Codice Fiscale / Partita IVA 08037550962. Numero di repertorio economico amministrativo (REA) 1999051
Sede Secondaria di AIG Europe Limited-Registrata in Inghilterra e nel Galles con il numero 01486260 - Sede legale: The AIG Building, 58 Fenchurch Street, Londra EC3M 4AB, Regno Unito Capitale Sociale Sterline 197.118.478 - Tel.: 023690.1, Fax: 023690.222, www.aig.co.it
Edizione Dicembre 2012 Important notes:
All our policies are not valid for travel to Cuba, Liberia, Sudan, Afghanistan. It does not include travel in Italy and travel to destinations not recommended by the Ministry of Foreign Affairs..For further details please contact: http://www.columbusassicurazioni.it or send an email [email protected]. The principal policy holder declares that he/she is not the holder of any other policy that covers the same risks.
No cover is provided by this policy if you (or any other person insured in the same policy) are on any official government or police database of suspected or actual terrorists, members of terrorist organizations, drug traffickers or illegal suppliers of nuclear, chemical or biological weapons.
Data: 22/10/2012
Date and signature.
________________________________________________
AIG Europe Limited - Rappresentanza Generale per l’Italia PERSONAL DATA PROTECTION - under article. 13, legislative decree N. 196/2003
The principal policy holder declares that he/she has read the 'Information ex. Article 13 of Legislative Decree no. 196/2003 - “personal data protection” -
All information provided by our customers is treated as confidential and only disclosed in the normal course of negotiating, arranging and administering your insurance. This may include disclosing information to agents and service providers such as loss adjustors and approved contractors.
Principal policy holder ________________________________________
This policy has been distributed by the broker Columbus Direct.
The principal policy holder declares that he/she has received, read and accepted the following documents and all the “terms and conditions” :
1. Policy wording, terms of business, Information Notice and personal data protection all based on article 185 of the Italian Insurance Code and s.m.i. 2. Terms and conditions, Information Notice and glossary
3. 7A and 7B forms relating to the insurance intermediary and its privacy obligations
4. Privacy Statement relating to the protection of personal data, which was issued by the insurance intermediary in accordance with Article 12 of Legislative Decree no. 196/2003
5. He/she is aware that this policy does not provide cover for travel to Cuba. Liberia, Sudan and Afghanistan
Principal policy holder ________________________________________
AIG Europe Limited Rappresentanza Generale per l’Italia - Via Della Chiusa, 2 - 20123 Milano
Numero di iscrizione presso il Registro delle Imprese di Milano / Codice Fiscale / Partita IVA 08037550962. Numero di repertorio economico amministrativo (REA) 1999051 Sede Secondaria di AIG Europe Limited-Registrata in Inghilterra e nel Galles con il numero 01486260 - Sede legale: The AIG Building, 58 Fenchurch , Londra EC3M 4AB, Regno Unito
Capitale Sociale Sterline 197.118.478 - Tel.: 023690.1, Fax: 023690.222, www.aig.co.it Edizione Dicembre 2012
Lo specialista di assicurazione viaggi dal 1988