COMPREHENSIVE TRAVEL PROTECTION
TRAVEL PROTECTION CARD
NAME : REDWAN AHMED A S S I S T N O.
110010110 8854
ADDRESS : House No A-17, Block A, Dayanand Colony, Lajpat S TA RT D AT E E N D D AT E
29/01/2025 29/04/2025
Nagar, DELHI-110025 STYLE PRO
Assist Fees : 7637( Incl GST @ 18% )
You can now enjoy exclusive travel assistance including insurance benefits on your trip. Kindly
ensure to carry this document for a pleasant travel experience.
Travel hassle-free with...
TRAVEL ASSISTANCE TRAVEL INSURANCE
24x7 Medical Lifestyle Domestic Roadside Arranged with an IRDAI authorised underwriter - ICICI
Assistance Assistance Assistance Lombard General Insurance Company Ltd.
Travel Support Services
Emergency Assistance Expert Intensive Care & Consultation 24/7 Customer Helpline
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Note: Assistance provided by ASEGO TRAVEL LLP,
24x7 helpline: +91 22 67872 037
Insurance underwritten by ICICI Lombard General
Assistance: customercare@asego.in Insurance Company Ltd.
Claims: claims@asego.in Customer will bear any cost or expenses arising
from availing the assistance services through a
Whatsapp message only for claims: +91 86478 34444 third par ty service provider.
asego.in
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BON VOYAGE!
Click here or scan the QR code for detailed information about our assistance services.
ICICI LOMBARD GENERAL INSURANCE COMPANY LTD.
ICICI Lombard House, 414, Veer Savarkar Marg, Prabhadevi,Mumbai – 400025
IRDAI Registration No: 115
Telephone: 1800 2666
Certificate Of Insurance
Customer Details:
Insured Name :REDWAN AHMED Date of Birth:29/01/1998 Passport Number:A3596310
Address :House No A-17, Block A, Dayanand Colony, Lajpat Nagar, DELHI-110025
Travel Assure - Group Overseas Travel Insurance Mobile no :7303018544 Landline no :7303018544
E Mail : FAIRWORLD2215@GMAIL.COM CR no :ITALY
Issue Date :24/10/2025
Certificate No : SX101195884 Intermediary Code :IM-1335344
Travel Assure - Group Overseas Travel Insurance Intermediary Name : ASEGO INSURANCE LLP
Th i s G roup Trave l I n su ran c e pol i c y 4 1 9 8 / O / 3 2 0 1 5 4 8 9 0 / 0 0 / 0 0 0 d ate d 2 1 - 1 2 - 2 0 2 3 has be e n issue d at M um bai by I C I C I Lom bard G e n e ra l I n suranc e C o m p any Ltd. to t h e m a ste r
pol i c y hol d e r, A S EG O TR AV EL L L P. an d gove r n e d by t h e te r m s, con d i t i on s and exc l usi ons t he re i n contai ne d or ot he r w i se expre sse d i n t he sai d c e r t i fi cate , but not exc e e di ng t he
S um I nsure d as sp e c i fi e d i n t h e S c h e d u l e . Th i s Ce r t i fi cate , i ssu e d u n d e r t he fac si m i l e si g nat ure of I CI CI L om bard G e ne ral I nsuranc e Com pany Ltd. re pre se nt s t he avai l abi l i t y of
be nefi t to t h e a b ove m e nt i o n e d I n su re d Pe rson . Th rou g h t h e m a ste r pol i c y hol de r I C I C I L om bard G e n e ra l I nsuranc e C o m p any Ltd. has re c e i ve d an am o u nt of R s . 2 8 5 2 . 9 0 ( I n c l
G ST @ 1 8 % ) toward s cove r i n g t h e r i s k b e n ef i t s , o n b e h al f o f t h e ab ove m e nt i o n e d i n su re d .
Insurance Details :
Commencement Date:From:29/01/2025 End Date: mid-night on: :29/04/2025 No. of Days:90
Plan Name :IC Single Trip STP - 2 75000 Geographical Coverage :Excluding USA and CANADA
Assignee :LEGAL HEIR Relation :Legal Heir
Exclusions :
Coverages Sum Insured Deductibles Coverages Sum Insured Deductibles
Emergency Medical Expenses Emergency
Medical Evacuation Repatriation of Mortal USD 75000 NA Dental Treatment Expenses USD 1000 NA
remains
USD 50 per
Daily Allowance in case of Hospitalization day upto 7 NA Compassionate Visit USD 5000 NA
days
Personal Accident Accidental Death -Common Carrier
Accidental Death Permanent Total Disability-Common Carrier
USD 25000 NA USD 5000 NA
Permanent Total Disability(PTD) Permanent partial Disability -Common
Permanent Partial Disability(PPD) Carrier
USD 100 per
Hijack Distress Allowance day upto 4 12 HRS Child Escort USD 1000 NA
days
Total Loss of checked in Baggage USD 1500 NA Delay of Checked-in Baggage USD 250 12 HRS
USD 750 per
Loss of Passport and documents USD 750 NA Mugging Benefits day upto 1 NA
day
Trip Cancellation and/or Interruption USD 1500 NA Missed connection USD 1000 3 HRS
USD 100 per
Trip Delay day upto 1 3 HRS Flight Delay(Airlines) USD 500 3 HRS
days
Over Booked-Common Carrier USD 1500 6 HRS Bounced Hotel Booking USD 1000 NA
Travel Inconvenience USD 1000 NA Overseas Travel Service Supplier Insolvency USD 1000 NA
Loss of International Driving License USD 1000 NA Car Rental Excess Insurance USD 1000 NA
Personal Liability USD 200000 NA Legal expenses USD 1500 NA
INR As per INR As per
Home Burglary Insurance (Contents) INR 300000 erst while fire Home fire Insurance (Contents) INR 300000 erst while fire
tariff tariff
Financial Emergency Assistance USD 1000 NA Bail Bond USD 5000 NA
Golf Equipment Cover USD 2000 NA Pet Care (in INR) INR 15000 NA
Loss of Gadgets USD 1000 -
This policy covers adventure sports upto the limits specified under 'Other Terms & Conditions' and will be a part of Emergency Medical Expenses sum
insured
Emergency Assistance Details :
For claims, Contact ICICI Lombard 24hr Help Line number for assistance and registering your claim:
In USA & Canada (Toll Free) +1 844 871 1200;
Rest of the World (Call Back Facility) +91 124 449 8778
National Toll Free Number 1800 102 5721;
Fax Number +91 124 4006674
Email Address : icicilombard@falck.com
OR Login to the e-claim link https://fgaindia.com/FalckMLink/Register.aspx
Other Terms & Conditions :
• This policy covers Emergency Medical Expenses incurred due to sudden and unexpected injury or any acute Sickness including COVID-19, arising when insured
is outside the 'Republic of India' up to the limits as mentioned in the policy schedule.
• This Travel Insurance policy is only limited to customers of ASEGO TRAVEL LLP.
• This policy covers the insured if travelling to any Schengen & its associate countries to a minimum of Euro 30000 minus deductibles (if any).
• This policy consist of following coverage’s which will be treated as benefit covers i.e. Personal Accident- Accidental Death Permanent Total Disability (PTD)
Permanent Partial Disability (PPD), Accidental Death—Common Carrier, Permanent Total Disability - Common ,Permanent Partial Disability - Common carrier,
Daily Allowance in case of Hospitalization, and Hijack Distress Allowance subject to policy terms and conditions applicable to these sections. All others
coverage’s will be treated as indemnity.
• Sum insured for Emergency Medical Evacuation and Repatriation of mortal remains will be sublimited to sum insured specified in Emergency Medical Expenses.
Pre-existing condition(s) are excluded from the policy including but not limited to life threatening conditions to save the Insured/Insured person’s life. This
exclusion will apply to the following sections: Emergency Medical Expenses, Emergency Medical Evacuation, Dental Treatment Expenses, Daily Allowance in case
of Hospitalization, Permanent Total Disability (PTD), Permanent Partial Disability (PPD). This exclusion has been waived to the extent of USD 20000 per policy or
upto 15% Sum Insured whichever is lesser & limited to section as indicated in the Policy Certificate for mentioned section for the age of upto 80 Years and USD
3000 for the above 80 Years
• Any claim arising out of sporting activities in so far as they involve the training or participation in competitions of professional or semi-professional sports
persons, Adventure Sports is not covered This exclusion has been waived to the extent of USD 20000 per policy if specifically opted or mentioned above.
• Sanctions Limitation and Exclusion Clause: Not applicable for sanctioned countries listed in certificate of insurance.
• No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide any benefit hereunder to the extent that the
prevision of such cover, payment or such claim or provision of such benefit would expose that (re)insurer to any sanction, prohibition or restriction under United
Nations resolutions or the trade or economic sanction, laws or regulations of the European Union, United Kingdom or United States of America. Excluding
from/to and or countries places prohibited by GOI & also Specifically Excluding Iran I Iraq/Syria/ Sudan/ North Korea/Cuba/Crimea.
• Below Sublimit is applicable from the age 61 Years up to the age of 80 years for Emergency Medical Expenses.
S u b l i m i t A p p l i ca b l e - f ro m 6 1 Ye a rs - 8 0 Ye a rs
Room Re nt i n c l u d i n g B oard i n g l od g i n g $ 1 7 5 0 / d ay u p to 3 0 d ays
I nte n s i ve C a re u n i t $ 3 2 5 0 / d ay u p to 7 d ays
Op e rat i on Th e at re c h arge s (I n c l u si ve su rge on c harge s)” M ax i m u m U p to U S D 1 5 0 0 0
A n e st h et i st s e r v i c e s U p to 2 5 % o f S u rg i cal Tre at m e nt
P hysi c i an Vi si t M ax $ 1 0 0 / d ay u p to 1 0 v i s i t s
Di ag nost i c and R adi ol og y se r v i c e s M ax u p to U S D 1 0 0 0
A m b u l an c e S e r v i c e s M ax u p to $ 5 0 0
Ho s p i tal M i s c e l l an e o u s E x p e n s e s M ax i m u m o f U S D 1 0 0 0
• Above mentioned sub limits are not applicable for Emergency medical Expenses section if sublimit waiver has been opted by insured & clearly mentioned on
above coverage section
• Sublimit applicable for age group above 80 years upto the age of 90 years & only limited to Emergency Medical Expenses is restricted to USD 5000 per illness &
Injury.
• Subject to the terms, conditions and exclusions of the ICICI Lombard General Insurance Company Ltd.
A ut hor i se d S i g nator y
S can t h e co d e o f au t h e nt i cate ( I C I C I L o m b a rd G e n e ra l
policy I nsuranc e Com pany Ltd. )
The certificate has been issued based on the information provided by you/your representative and the policy is not valid if any of the information
provided is incorrect, subject otherwise to the Terms, Conditions and Exclusions mentioned in the policy.
Certificate is only valid to the customers who are travelling from India.
•• Treatm ent abroad i f that i s the s ol e reas on or one of the reas ons for the I ns ured/ I ns ured pers on' s tem porar y stay
abroad• A ny cl ai m i f the I ns ured Pers on 1. I s travel l i ng agai nst the adv i ce of a Medi cal Practi ti oner; 2. I s recei v i ng , or i s
on a wai ti ng l i st to recei ve, s peci fi ed m edi cal treatm ent decl ared i n the Medi cal Practi ti oner ’s report or certi fi cate;
• Has recei ved term i naI prog nos i s for a m edi cal condi ti on; I s taki ng part i n a navaI , m i l i tar y or ai r force O perati on. •
1 G eneral E xcl us i ons
C ongeni tal ex ternal di s eas es , del ects or anom al i es • D i s eas es , i l l nes s and acci dents that are res ul ts of war and warl i ke
occurrence or i nvas i on, acts of forei g n enem i es , hosti l i ti es , ci v i l war, rebel l i on, i ns urrecti on, ci v i l com m oti on as s um i ng
the proporti ons of or am ounti ng to an upri s i ng , m i l i tar y or us urped power, acti ve parti ci pati on i n ri ots , confi s cati on or
nati onal i zati on or requi s i ti on of or destructi on of or dam age to property by or under the order of any governm ent or
l ocal authori ty.
For any cl ai m rel ated quer y, i nti m ati on of cl ai m and s ubm i s s i on of cl ai m rel ated docum ents you m ay contact our
E m ergency A s s i stance Ser v i ce Prov i der.
I n cas e of a cl ai m , you m ay reach us at 844- 691- 8883 (For C anada), 844- 691- 8885 (For USA ) or +91 11 42221403 (For
2 Noti ce of C l ai m other parts of the worl d) or em ai l us at custom ers upport@i ci ci l om bard. com
A l ternati vel y you can contact us throug h: Tol l Free - 1800 2666
E m ai l - custom ers upport@i ci ci l om bard. com Post/couri er to C om pany - I C I C I L om bard G eneral I ns urance C om pany Ltd. ,
I C I C I B ank Tower, Pl ot No. 12, Fi nanci al D i stri ct, Nanakram G uda,G achi bowl i , Hyderabad- 500032
Cl a i ms Proc ed u re
1. I n the event of an acci dent or s udden i l l nes s whi ch i s l i kel y to g i ve ri s e to a cl ai m under thi s Pol i cy, the I ns ured Pers on
s hal l i m m edi atel y contact the E m ergency A s s i stance Ser v i ce Prov i der g i v i ng detai l s of the Pol i cy i s s ued to hi m / her. The
detai l s of phone num bers and Hel p L i ne are g i ven i n the Noti ce of cl ai m s ecti on.
2. A l l neces s ar y cl ai m docum ents s houl d be furni s hed to the C om pany/ E m ergency A s s i stance Ser v i ce Prov i der by the
pol i cy hol der/ i ns ured to m ake a cl ai m . However, cl ai m s fi l ed even beyond s uch peri od s houl d be cons i dered i f there are
val i d reas ons of any del ay.
3 Cl a i m Proc ed u re & D ocum entati on 3. C l ai m Ser v i ce G uarantee: The C om pany s hal l s ettl e the cl ai m wi thi n 30 days from the date of recei pt of l ast neces s ar y
docum ent i n accordance wi th the prov i s i on of reg ul ati on 27 of I RDA I (Heal th I ns urance) Reg ul ati ons , 2016. I n the cas e of
del ay i n the paym ent of a cl ai m , the C om pany s hal l be l i abl e to pay i nterest from the date of recei pt of l ast neces s ar y
docum ent to the date of paym ent of cl ai m at a rate 2% above the bank rate
Cl a i ms D oc u mentati on -
• D ul y fi l l ed i n and s i g ned cl ai m form • C erti fi cate of I ns urance •A ny addi ti onal docum ent rel evant to cl ai m and s peci fi ed
i n the Pol i cy wordi ng s Thi s i s onl y a s um m ar y of the product features . The actual benefi ts avai l abl e are as des cri bed i n
the pol i cy wordi ng s and wi l l be s ubject to the pol i cy term s , condi ti ons and excl us i ons .
For D etai l ed Term s & C ondi ti ons of your Travel I ns urance Pol i cy K i ndl y C l i ck here
or paste the l i nk "https : / /as ego. co/as egotravel / new/ Travel - A s s ure- G roup- O vers eas - Travel - I ns urance- Pol i cy- Wordi ng s . pdf" on your brows er.
Webs i te: w w w. i ci ci l om bard. com ; I RDA I Reg i strati on No: 115, E m ai l : custom ers upport@i ci ci l om bard. com
I C I C I L om bard G eneral I ns urance C om pany Ltd. ,, I C I C I L om bard Hous e, 414, Veer Savarkar Marg , Prabhadev i ,Mum bai – 400025
UI N: I C I TG O P22203V022122, C I N: L 67200MH2000PLC 129408
