TRAVEL INSURANCE

It’s your perfect travel companion

Regulated by the Insurance Regulatory Authority

ABOUT US What to do in the Event of a Medical Emergency
Britam is a leading diversified financial services group, listed on the In the event of an insured's death, medical expenses exceeding US$500,
Nairobi Securities Exchange. The group has interests across the Eastern accident involvement, or hospital admission, SPECIALTY ASSISTANCE
Africa region. It offers a wide range of financial products and services, must be contacted immediately. The company will not be liable for any
including insurance, asset management, banking, and property. costs incurred without prior approval from SPECIALTY ASSISTANCE.

SPECIALTY ASSISTANCE provides a comprehensive medical assistance

WHAT IS TRAVEL INSURANCE?
service to the insured, operating 24/7 year-round. They can be reached
It is an insurance policy that provides 24-hour emergency medical
anywhere in the world by telephone or fax for effective medical assistance.
assistance, personal accident cover, compensation for travel delay and
loss of traveler's property, and covers other travel-related contingencies
arising during the trip. For Assistance Worldwide Contact:
Specialty Assistance
London, UK
IMPORTANT POINTS
Tel: (24 HR) +44 (0)20 7902 7405
1. Nature of Coverage
Fax: (24 HR) +44 (0)20 7928 4748
This policy is not a general health insurance plan. It provides coverage
Email: (24 HR) assistance@specialty-group.com
for sudden and unexpected illness or accidents that occur while the
For non-emergency medical and all other claims, you must complete a
insured is outside their home country.
claim form as soon as possible after the incident or within 31 days of
returning to your home country.
2. Pre-existing exclusion
This policy excludes coverage for any medical services arising from
Send the completed claim form, along with invoices, proof of ownership,
pre-existing medical conditions, as defined in this document.
travel documents, and any other relevant details, to Britam.

3. General Health Exclusion

This policy excludes coverage if the insured:
a) Travels against the advice of a physician.
b) Is receiving, on a waiting list for treatment, or awaiting medical test
/investigation results for treatment prescribed by a physician.
c) Travels for the purpose of obtaining treatment.
d) Has received a terminal prognosis for a medical condition.

1 TRAVEL INSURANCE
Gold Premium (Inbound) Premium (Outbound)

BENEFITS IN USD PLAN BENEFITS IN USD PLAN PLAN

Emergency Medical expenses 200,000

Emergency Medical expenses 100,000 100,000

Personal Death
Accident PTD 25,000 Personal Death
Accident PTD 25,000 25,000

Baggage, Personal Effects 1000

Baggage, Personal Effects 1,000 1,000

Repatriation of Mortal Remains 12,500

Repatriation of Mortal Remains 12,500 10,000

Personal Liability 150,000

Personal Liability 150,000 150,000
Hijack (Per Day) 100 Accumulation 7,500
Hijack (Per Day) 100 Accumulation 5,000 100 Accumulation 5,000
Loss of passport 150
Loss of passport 150 150
Cancellation and Curtailment 1,500
Cancellation and Curtailment 1,500 1,500
50 per 12hrs upto 200
Travel Delay
Travel Delay 50 per 12hrs upto 200 50 per 12hrs upto 200
Covered at an additional premium of 25% of
War and Terrorism
Basic premium Covered at an additional premium of 25% of Covered at an additional premium of 25% of
War and Terrorism Basic premium
Covered at an extra premium Basic premium
COVID extension
of 20% of the basic premiums
Covered at an extra premium of 20% Covered at an extra premium of 20% of the basic premiums
Upto 70 years COVID extension of the basic premiums
1-7 Days 27.00
Upto 70 years Upto 70 years
8-14 Days 65.00
1-7 Days 25.00 1-7 Days 23.00
15-30 Days 127.00
8-14 Days 38.00 8-14 Days 40.00
31-60 Days 175.00
15-30 Days 63.00 15-30 Days 65.00
61-90 Days 227.00
31-60 Days 81.00 31-60 Days 85.00
91-180 Days 300.00
61-90 Days 100.00 61-90 Days 107.00
Annual 375.00
91-180 Days 150.00 91-180 Days 150.00
Group Plan $4 Per day
Annual 275.00 Annual 275.00
Group Plan $3 Per day

Schengen Schengen (Basic)

Family Plan Student
BENEFITS IN USD PLAN PLAN

BENEFITS IN USD PLAN PLAN

Emergency Medical expenses 60,000 60,000

Emergency Medical expenses 100,000 50,000

Personal Death
Accident PTD 25,000 25,000
Personal Death
Accident PTD 25,000 10,000
Baggage, Personal Effects 1,000 1,000

Repatriation of Mortal Remains 5,000 Baggage, Personal Effects 1,000 1,000

10,000

100,000 Repatriation of Mortal Remains 12,500 5,000

Personal Liability 200,000

Hijack (Per Day) 500 No cover Personal Liability 150,000 100,000

Loss of passport 150 No cover Hijack (Per Day) 100 Accumulation 5,000 500

Cancellation and Curtailment 1,000 No cover Loss of passport 150 150

Travel Delay $10 per 12hrs upto max $100 No cover Cancellation and Curtailment 1,500 500

Covered at an additional premium of 25% of Covered at an additional premium of 25% of Travel Delay 50 per 12hrs upto 200
War and Terrorism $10 per 12hrs upto max $100
Basic premium the Basic premium

COVID extension Covered at an extra premium of 20% Covered at an extra premium of 20% Covered at an additional premium of 25% of Covered at an additional premium of 25% of
of the basic premiums of the basic premiums War and Terrorism Basic premium
Basic premium
Upto 70 years Upto 70 years Covered at an extra premium of 20% Covered at an extra premium of 20%
1-7 Days 25.00 1-7 Days 19.00 COVID extension of the basic premiums of the basic premiums
8-10 Days 36.00 8-10 Days 26.00 16-45 years
1-7 Days 53.00
11-15 Days 46.00 11-15 Days 35.00 Including USA/Canada Excluding USA/Canada
8-14 Days 128.00
16-21 Days 57.00 16-21 Days 42.00 Upto 92 Days 255 212
15-30 Days 248.00
22-31 Days 68.00 22-31 Days 48.00 93-185 Days 332 275
31-60 Days 345.00
32-62 Days 87.00 32-62 Days 89.00 Annual 485 360
61-90 Days 435.00
63-93 Days 157.00 63-93 Days 136.00
91-180 Days 570.00
94-185 Days 255.00 94-185 Days 220.00
Annual 721.00
Annual 350.00 Annual 300.00
Group Plan $3 Per day
Group Plan $3 Per day Group Plan $3 Per day

2 TRAVEL INSURANCE
NOTES BRITAM TRAVEL INSURANCE APPLICATION FORM

1. Annual premium applies to an annual multi-trip travel insurance. Persons to be Insured

(State Full Names Mr/Mrs/Miss)
Date of Birth Passport No. Relationship to
Policy Holder
Premium per
Person
Additional Premium
for Terrorism
Total Premium

policy with a maximum trip duration of 92 days per trip. 1.

2. Age is calculated at the commencement of the trip.

2.

Others to be Insured

3. Children under 16: 50% of the rate for adults up to 70 years old. 1.

2.
4. Adults above 70 years: to submit a satisfactory medical
NB: For Group Plan please provide a schedule with the details of the insured name, date of birth & passport number.

examination report prior to acceptance.

5. Ages above 70 years: 200% of the rate for adults up to 70 years old. Title:
Address of Applicant
Dates of Travel: From: To:

6. Maximum age at expiry of insurance: 80 years. Full name:

E-mail Address of Applicant
Country of Travel:

E-Mail: Reason for Travel:

7. Pre-existing conditions are not covered. Telephone No.
Selected Plan
Mobile Number: (As per plan available):
8. A minimum of 10 travelers traveling for at least 3 days on the same Name, address and contact details of :-
Occupation: Model of Travel:

itinerary are required to qualify for the group plan option. 1.Country
Usual family Doctor
of Residence: Next of Kin Details
(Name and contact):

9. Premiums indicated are inclusive of applicable taxes. 2.Postal

Next ofAddress:
kin Agent Name:

10. The family plan covers the member, their spouse, and up to a To be read and signed by the applicant
maximum of 5 children under the age of 18 years. Children aged
ToI be
/ We hereby
read and declare thatthe
signed by all applicant
person(s) named in this application form are in good health and will not travel unless they are in good health and fit to undertake the insured trip
nor has anyone named in this application been diagnosed with and does not suffer from any medical condition for which medical treatment may be required. I am / We are
aware that this is not a general health insurance policy and that pre-existing medical conditions are not covered. I have been made aware of the important terms and

19-25 years can be covered if they provide evidence of full-time conditions of this insurance and that certain restrictions to do with the cover do apply as per terms, conditions and exclusions which are fully described in the policy wording.
trip nor
I/We consent to Britam General Insurance Company Kenya Limited:

education. that
I. thisCollecting,
this
is not a general
II. insurance andand
Collecting
using, health
thatsharing
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insurance
disclosing,
restrictions
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processing and that
to doinformation
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storing
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my/our personal
do apply as
in accordance per
with
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terms,
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are not
for purposes
conditions
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that I have
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its website
tobeen madeand
my policy aware of the important
as permitted
which are fully described
(https://www.britam.com/):
by law. terms andconditions of
andin the policy wording.
III. Transferring my/our personal data to their reinsurers and affiliated companies for purposes of insurance and as permitted by law.
IV. No liability (except for the period stated in the Insurer's Official Cover Note) is undertaken until the proposal form is accepted by the Insurer and the premium paid.
I am a permanent resident of Purpose of travel

Signed:
Signed: Date: Date: Agent Name:

3 TRAVEL INSURANCE
 Head Office Britam Tower
Hospital Rd Upper Hill

Tel: 0705100100 I Whatsapp: 0705100100

Email: customerservice@britam.co.ke

www.britam.com BritamEA BritamGroup

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