Liaison Majestic excl USA Insurance

  • Comprehensive benefits plan
  • For visitors traveling outside home country (U.S.A. excluded)
  • After deductible, Plan pays 100% to policy maximum
  • Cancelable and Renewable
  • Same as Policy Maximum of waiver of pre-existing conditions for U.S. citizens traveling outside the U.S. and Canada if the insured has primary health plan and age under 65. Up to $20,000 if no primary health plan and $2,500 if age 65 & above.
  • Coverage is provided outside of home country including during travel
  • Deductible and Policy Maximum are per policy period per person
  • Coverage is available from 5 days to 3 years for ages 14 days to 100 years
  • Multi Plan PPO Network
  • Not available if home residence in Maryland(MD) & Washington(WA)
  • Administrator: Seven Corners
    Underwriter: Lloyd’s of London & Tramont Insurance Company
  • Underwriter is Lloyd's of London if home residence is U.S.A.
  • Other Benefits:  • Accidental Death & Dismemberment  •Coma Benefit  •Common Carrier Accidental Death  •Dental (Emergency)  •Emergency Medical Evacuation/Repatriation  •Emergency Reunion  •Felonious Assault Benefit  •Home Country Coverage  •Interruption of Trip  •Local Ambulance Expense  •Loss of Checked Luggage  •Return of Mortal Remains  •Terrorism
  • Optional Riders:  • Hazardous Sport Coverage

Benefits

All coverages and plan costs listed in this Evidence of Benefits are in U.S. Dollar amounts.
BENEFITLIMIT
Medical Maximums$60,000; $125,000; $600,000; $1,000,000 Medical Maximum is per person per Period of Coverage. Insureds age 65 to 79 traveling inside the United States are limited to a $60,000 medical maximum. Insureds age 80 years and older traveling inside the United States are limited to a $20,000 medical maximum.
Insureds age 70 to 79 traveling outside the United States are limited to a $125,000 medical maximum. Insureds age 80 years and older traveling outside the United States are limited to a $20,000 medical maximum.
Deductible$0, $100, $250, $500, $1,000, $2,500. Deductible is per person per Period of Coverage. Maximum of 3 Policy Period Deductibles per family.
CoinsuranceIndividuals traveling outside the U.S. & Canada: After You pay the Deductible, the Policy pays 100% to the selected Medical Maximum.

Individuals traveling inside the U.S. & Canada: After You pay the Deductible, the Policy pays 80% of the next $5,000 of eligible expenses, then 100% to the selected Medical Maximum.
Hospital Indemnity$150 per night, up to a maximum of 30 days (Applicable to Individuals traveling outside the U.S. and Canada only).
Dental (Sudden Relief of Pain)To a maximum of $100 (Only available to programs purchased for 1 month or more.)
Dental (Accident Coverage)To a maximum of $500
(Only available to programs purchased for 1 month or more.)
Emergency Medical Evacuation/Repatriation$300,000 (in addition to the Medical Maximum)
Return of Mortal Remains$50,000
Political Evacuation:$50,000
Felonious Assault$10,000
Coma Benefit$50,000
TerrorismUsual, reasonable and customary to $50,000 Lifetime Maximum
Return of Minor Child(ren)$50,000
Emergency Reunion$50,000
Local Ambulance Benefit$5,000
Accidental Death & Dismemberment (AD&D) Note: In the event of a Common Carrier Accidental Death, this benefit will not be paid.$25,000 principal sum for Insured or Insured Spouse
$5,000 principal sum for Dependent Child(ren) Aggregate limit of $250,000 per family
Common Carrier Accidental Death$50,000 principal sum for Insured or Insured Spouse,
$12,500 principal sum for Dependent Child(ren) Aggregate limit of $250,000 per family
Loss of Baggage$250
Interruption of Trip$5,000
Home Country CoverageIncidental Trips to The Home Country: Up to $50,000
Extension of Benefits (Follow Me Home Coverage): Up to $5,000
Hospital Room & BoardUsual, reasonable and customary to the selected Medical Maximum
Intensive CareUsual, reasonable and customary to the selected Medical Maximum
Outpatient Medical ExpensesUsual, reasonable and customary to the selected Medical Maximum
Waiver of Pre-existing ConditionsAvailable only for U.S. citizens traveling outside the United States and Canada.
If the insured has a Primary Health Plan as defined herein, the benefit covers to the medical maximum (for persons age 65 and over, the amount is limited to $2,500). If the insured does not have a Primary Health Plan, the benefit covers the first $20,000 in eligible medical expenses (for persons age 65 and over, the amount is limited to $2,500).
Heart Attack and StrokeUp to $200 per day for each night spent in the hospital after being admitted for either a heart attack or stroke. (For foreign nationals visiting the United States only)
Benefit Period180 Days
Hazardous Sport CoverageOptional, provided only if required premium is paid.