I n d i v i d u a l

E l i t e

F a m i l y

S e n i o r C i t i z e n
Coverages
Medical Expenses, Evacuation and Repatriation Emergency dental pain relief included in (I) above Personal Accident AD & D Common Carrier Loss of Checked Baggage** Delay of Baggage Loss of Passport Hijack Trip Delay Personal Liability Emergency Cash Advance**** Golfer Hole-in-one Trip Cancellation Home Burglary Insurance Trip Curtailment Hospitalization Daily Allowance Special Conditions (limit of liability) Any one illness Any one accident

Travel Asia Elite :

This is a special package devised for individuals travelling to Asia. Travellers can select from Travel Asia Flair and Travel Asia Supreme, according to their need for cover. These packages are extremely convenient with cover options ranging from 1 - 30 days.
Elite Asia Flair
Coverages Medical Expenses, Evacuation and Repatriation Emergency dental pain relief included in (I) above Personal Accident AD & D Common Carrier Loss of Checked Baggage Delay of Baggage Loss of Passport Hijack Trip Delay Personal Liability Emergency Cash Advance**** 7,500*** 2,500 200** 100 100 $50 per day to maximum $ 300 $ 20 per 12 hrs to max $ 120 10,000 500 100 Nil Nil Nil Nil Nil 12 hrs 25 Nil 7,500*** 2,500 200** 100 100 $60 per day to maximum $ 360 $ 30 per 12 hrs to max $ 180 10,000 500 100 Nil Nil Nil Nil Nil 12 hrs 25 Nil 500 50 500 50 Benefits in US $ 15,000 Deductible in US $ 50

Travel Elite Family :

If you are travelling abroad with your family, this package is designed for
you. It covers the entire family (self & spouse upto 60 years of age, two children, under 21 years) for medical eventualities abroad and provides floater benefit to individual family members.

Benefits in US $ Silver Gold

50,000 500 2,00,000 500

Platinum
5,00,000 500 25,000 5,000 1,000 100 250 $60 per day to maximum $ 360 $ 30 per 12 hrs to max $ 180 2,00,000 1,000 500 1,000 Rs.3, 00,000 500 $25 per day to max $150 17,500 35,000

Deductible in US $
100 100 Nil Nil Nil 12 hrs 25 Nil 12 hrs 100 Nil Nil Nil Nil Nil Nil

Travel Super Age Elite:

This package is specially designed for senior citizens aged between 71-75 years.Travel Super Age Elite US$50,000 Coverages
Medical expenses, evacuation And repatriation Emergency dental pain relief included in (I) above Personal Accident AD & D Common Carrier Loss of checked Baggage** Delay of checked Baggage Loss of Passport Hijack Trip Delay Personal Liability Emergency Cash Advance+ Golfer's Hole-in-one Trip Cancellation Home Burglary Insurance Trip Curtailment Hospitalization Daily Allowance Special conditions* Any one illness Any one accident

Period of Risk Above 50% of Policy Period Above 40% to 50% of Policy Period Above 30 % to 40 % of Policy period Above 20 % to 30% of Policy Period Policy inception -20% of Policy period
Originating Country USA (001) Canada (001) Austria (043) Belgium (032) Denmark (045) France (033) Germany (049) Hungary (036) Ireland (353) Italy (039) Malaysia (060) Netherlands (031) New Zealand (064) Norway (047) Philippines (063) Portugal (351) Spain (034) Sweden (046) Swizerland (041) UK (044) Finland (358) - carrier TS Finland (358) - carrier Elisa Hong Kong (852) Israel (972) Singapore (065) So. Korea (082) - carrier Telecom So. Korea (082) - carrier Dacom Thailand (066) Japan (081) - carrier Tele Japan (081) - carrier IDC Japan (081) - carrier NTT Japan (081) - carrier KDD Australia (061)

Rate of Premium Retained by Company 100% of premium 80% of premium 75% of premium 60% of premium 50% of premium
Dialed Number 186658 76903 186691 43705

Bajaj Allianz

Travel Elite
For those who travel a class apart

In case of any claim or assistance abroad call Toll-Free Numbers :

Sum Insured in US$

50,000 500 10,000 1,500 500 100 250 $50 per day to max.$300 $20 per 12hrs. to max.$120 100,000 500 250 500 Rs.1,00,000 200 $25 per day to max. $100 10,000 20,000

Deductibles
$100 100 NIL NIL NIL 12 hrs. $25 NIL 12 hrs. NIL NIL NIL NIL NIL NIL NIL

Elite Asia Supreme

Benefits in US $ 25,000 Deductible in US $ 50

Travel Elite-Family US $ 50,000

Coverages Medical Expenses, Evacuation and Repatriation Emergency dental pain relief included in (I) above Personal Accident AD & D Common Carrier Loss of Checked Baggage Delay of Baggage Loss of Passport Hijack Trip Delay Personal Liability Emergency Cash Advance**** Golfer's Hole-in-one Trip Cancellation Home Burglary Insurance Trip Curtailment Hospitalization Daily Advance Benefits in US $ 50000 500 10,000*** 2,500 250** 100 250 $50 per day to maximum $ 300 $ 20 per 12 hrs to max $ 120 1,00,000 500 250 500 Rs.1, 00,000 200 $25 per day to max $100 Deductible in US $ 100 100 Nil Nil Nil 12 hrs 25 Nil 12 hrs 100 Nil Nil Nil Nil Nil Nil

15,000 25,000 2,500 5,000 500 1,000 100 100 250 250 $50 per day to $60 per day to maximum $ 300 maximum $ 360 $ 20 per 12 hrs to $ 30 per 12 hrs to max $ 120 max $ 180 1,00,000 2,00,000 500 1,000 250 500 1,000 500 Rs.2, 00,000 Rs.1, 00,000 300 200 $25 per day to $25 per day to max $125 max $100 12,500 25,000 15,000 30,000

00+800 10002005

**Per Baggage maximum 50 % and per item in the baggage 10 %. **** Cash Advance Would include delivery charges

Premium Table
Age Days of Travel 1-4 days 5-7 days 8-14 days 15-21 days 22-28 days 29-35 days 36-47 days 48-60 days 61-75 days 76-90 days 91-120 days 121-150 days 151-180 days Travel Age Silver Excluding USA / Canada 805 943 1265 1632 2012 2414 3105 3793 5118 6554 8968 11729 13915 Travel Age Gold Including USA / Canada 1911 2052 2857 3375 3923 4610 5750 8622 12959 13139 16299 22436 26364 Including Excluding USA / USA / Canada Canada 1058 1265 1862 2529 3163 3851 4944 6209 7662 9566 14833 19777 24376 1328 1449 1825 1951 2192 2646 3726 4553 6141 7865 10761 14074 16695 Excluding USA / Canada 2662 2662 2875 3102 3606 4290 5203 8487 12276 14786 18513 25355 31190

(In Rs.)

Travel Age Platinum Including USA / Canada 3803 3803 4107 4427 5112 6069 7440 12095 18456 20822 26964 33805 44270

**Per Baggage maximum 50% and per item in baggage maximum 10%. +Cash advance would include delivery charges.

**Per Baggage maximum 50 % and per item in the baggage 10 %. *** Only 50% of the Sum assured in respect of the death of the insured person below age of 18 years**** Cash Advance Would include delivery charges

Premium Table
Excluding USA/Canada Age Days of Travel 1-4 days 5-7 days 8-14 days 15-21 days 22-28 days 29-35 days 36-47 days 48-60 days 61-75 days 76-90 days 91-120 days 121-150 days 151-180 days 1339 1518 1941 2455 2968 3597 4527 5533 7927 9320 12764 18549 22104 1851 2097 2813 3651 4490 5385 6848 8431 11619 13693 21122 30956 36983 71-75 years 71-75 years

(In Rs.)

Including USA/Canada

990+800 10002005 999+800 10002005 001+800 10002005 014+800 10002005 001+800 10002005 001+800 10002005 002+800 10002005 001+800 10002005 0041-010+800 10002005 0061-010+800 10002005 0033-010+800 10002005 001-010+800 10002005 0011+800 10002005

Premium Table Travel Asia Elite Flair:

Age 1-4 5-7 8-14 15-21 22-30 0.6 40 yrs 288 374 431 489 546 41-60 yrs 374 431 489 546 633 603 661 805 920 1035

(In Rs.)

61-70 yrs

**Per Baggage maximum 50 % and per item in the baggage 10 %. *** Only 50% of the Sum assured in respect of the death of the insured person below age of 18 years**** Cash Advance Would include delivery charges

When dialing a universal toll free number the caller must first dial the appropriate country's int'l access code (+) as illustrated above.

Fax : 91-20-30512207 | travel@bajajallianz.co.in

Disclaimer: The above information is only indicative in nature. For details of the coverage & exclusions please contact our nearest office. This Policy of Insurance is a Contract between the Company and the Insured Person. The Insured Person) shall not transfer, assign, alienate or in any way pass the benefits and/or liabilities to any other person, Institution, Hospital, Company or Body Corporate without specific prior approval in writing by a duly authorized officer of the Company. However, if the Insured Person(s) is permanently incapacitated or deceased, the legal heirs of the Insured may represent him in respect of Claim under the Policy

Premium Table
(In Rs.)

Premium includes service tax applicable on 1 April 2012

Premium Table - Travel Asia Elite Supreme

Age 1-4 5-7 8-14 15-21 22-30 0.6 40 yrs 374 459 597 661 748 41-60 yrs 459 517 661 748 805

Days of travel 15 days 30 days 60 days

(In Rs.)

Excl. USA/Canada 1400 2160 2969

Incl. USA/Canada 1681 2592 3564

Premium includes service tax as applicable on 1 April 2012

Exclusions applicable to Travel Policies: 1.Any medical condition or complication arising from it which existed before the commencement of the Policy Period, or for which care, treatment or advice was sought, recommended by or received from a Physician. 2. Routine physical or other examination where there is no objective indication of impairment of normal health. 3. Medical expenses beyond the expiry of the Policy Period. 4. Suicide, attempted suicide or wilfully self-inflicted injury or illness, mental disorder, anxiety/stress / depression/nervousness having no underlying physical illness as a cause; venereal disease, alcoholism, drunkenness or the abuse of drugs. 5. Manual work or hazardous occupation, self-exposure to needless peril (except in an attempt to save human life), or if engaging in any criminal or illegal act. 6. Pregnancy, resulting childbirth, miscarriage, abortion, or complication arising out of any of the foregoing. 7.Experimental, unproven or non-standard treatment. 8. Treatment by any other system other than modern medicine (also known as Allopathy). 9. The cost of spectacles, contact lenses, and hearing aids, crutches, and all other external appliances and/or devices whether for diagnosis or treatment. 10. Delay of baggage when the intended destination is in India 11. Loss or damage to the Insured's passport as a result of the confiscation or detention by customs, police or any other authority. 12. Loss which is not reported to the appropriate police authority within 24 hours of the discovery of the loss, and in respect of which an official report has not been obtained. 13. Loss caused by the Insured's failure to take reasonable steps to guard against the loss of the passport.

61-70 yrs 690 805 948 1225 1493

Family floater, self, spouse up to 60 yrs and two children below age of 21 yrs covered in the above premium. For each additional adult between 21-60 yrs additional @ 40% premium will be charged. For each additional child(upto 21yrs.)25% extra shall be charged. Premium includes service tax as applicable on 1 April 2012

Contact Details Bajaj Allianz General Insurance Company Limited, G.E. Plaza, Airport Road, Yerawada, Pune - 411 006. Tel: (020) 6602 6666. Fax: (020) 6602 6667. www.bajajallianz.com For any queries please contact:
BSNL/MTNL (Toll Free) 1800 22 5858 Any Mobile & Landline (Toll Free) 1800 209 5858 Other (Chargeble) <Prefix City Code> 3030 5858

Travel Age Elite :

This package is specially devised for senior citizens aged between 61 to 70 years and offers the flexibility of cover for trips abroad ranging from 1-180 days.

Premium includes service tax as applicable on Feb '09.

Email: info@bajajallianz.co.in

Premium includes service tax as applicable on 1 April 2012 Restricted to travel in Asia, excluding Japan, Period of Travel not to exceed 30 days.

In case of any early return of the insured person prior to expiry of the policy period the company will refund premium at the following rates subject to no claims being incurred on the policy Insurance is the subject matter of the solicitation
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I n d i v i d u a l

E l i t e

I n d i v i d u a l

E l i t e

I n d i v i d u a l

E l i t e

Bajaj Allianz
Bajaj Allianz is a joint venture between Bajaj Finserv Limited and Allianz SE. Both enjoy a reputation of expertise, stability and strength. This joint venture company incorporates global expertise with local experience. The comprehensive, innovative solutions combine the technical expertise and experience of Allianz SE, and indepth market knowledge and goodwill of Bajaj brand in India. Competitive pricing and quick honest response have earned the company the customer's trust and market leadership in a very short time.

Travel Elite
We have customized plans for virtually every travel need. All you have to do is choose a plan that suits you: Individual
Gold Platinum + Travel Asia Elite - Flair & Supreme + Policies with varying benefits/limits/premiums to choose from.
+ Travel Elite Family - Floater benefits for the entire family under a single policy. + Travel Age Elite - Silver, Gold and Platinum. Exclusively designed for the health needs of the 61-70 yrs age group. + Silver

Travel Elite Silver :

Travel Elite Gold :

A travel policy that caters to the needs of an individual traveling abroad. It covers all medical eventualities including hospitalization and other incidental expenses while also offering a much higher insured sum.
Coverages Medical Expenses, Evacuation and Repatriation Emergency dental pain relief included in (I) above Personal Accident AD & D Common Carrier Loss of Checked Baggage Delay of Baggage Loss of Passport Hijack Trip Delay Personal Liability Emergency Cash Advance**** Golfer Hole-in-one Trip Cancellation Home Burglary Insurance Trip Curtailment Hospitalization Daily Allowance Benefits in US $ 2,00,000 500 25,000*** 5,000 1,000** 100 250 $60 per day to maximum $ 360 $ 30 per 12 hrs to max $ 180 2,00,000 1,000 500 1,000 Rs.2, 00,000 300 $25 per day to max $125 Deductible in US $ 100 100 Nil Nil Nil 12 hrs 25 Nil 12 hrs 100 Nil Nil Nil Nil Nil Nil

Travel Elite Platinum :

The policy offers high value benefits for an individual travelling abroad. It covers all medical eventualities including hospitalization and other incidental expenses with enhanced medical coverage of $5,00,000 and increased limit of $1,000 for emergency cash.
Coverages Medical Expenses, Evacuation and Repatriation Emergency dental pain relief included in (I) above Personal Accident AD & D Common Carrier Loss of Checked Baggage Delay of Baggage Loss of Passport Hijack Trip Delay Personal Liability Emergency Cash Advance**** Golfer Hole-in-one Trip Cancellation Home Burglary Insurance Trip Curtailment Hospitalization Daily Allowance Benefits in US $ 5,00,000 500 25,000*** 5,000 1,000** 100 250 $60 per day to maximum $ 360 $ 30 per 12 hrs to max $ 180 2,00,000 1,000 500 1,000 Rs.3, 00,000 500 $25 per day to max $150 Deductible in US $ 100 100 Nil Nil Nil 12 hrs 25 Nil 12 hrs 100 Nil Nil Nil Nil Nil Nil

Ensuring a risk free business trip

What do Trip Delay, Cancellation and Curtailment entail?
Trip Delay: If the aircraft on which you are booked to travel from India is delayed beyond 12 hrs from original scheduled departure time, the sum mentioned in the schedule is paid. Trip Cancellation is compensation for loss of personal accommodation or travel charge, following the cancellation of the trip due to death, serious injury or sudden sickness requiring minimum three days hospitalization of insured of family member. Similarly, for Trip Curtailment under the above-mentioned circumstance, the company compensates the insured.

Specially compiled travel policy that caters to the needs of an individual traveling abroad. It covers all medical eventualities including hospitalization and other incidental expenses at a fraction of the amount that would be otherwise needed.
Coverages Benefits in US $ Deductible in US $
100 100 Nil Nil Nil 12 hrs Nil 12 hrs 100 Nil Nil Nil Nil Nil Nil 25 50,000 Medical Expenses, Evacuation and Repatriation 500 Emergency dental pain relief included in (I) above 15,000*** Personal Accident 2,500 AD & D Common Carrier 500** Loss of Checked Baggage 100 Delay of Baggage $50 per day to maximum $ 300 Hijack $ 20 per 12 hrs to max $ 120 Trip Delay 1,00,000 Personal Liability 500 Emergency Cash Advance**** 250 Golfer Hole-in-one 500 Trip Cancellation Rs.1, 00,000 Home Burglary Insurance 200 Trip Curtailment $25 per day to max $100 Hospitalization Daily Allowance 250 Loss of Passport

Family The Bajaj Allianz Advantage Senior Citizen

Global expertise & local knowledge

Does Travel Elite offer Cash less service?

Yes. Travel Elite offers Direct Settlement for in-hospital medical expenses abroad. (Subject to policy terms and conditions and sublimits)

Innovative packages to match individual needs

Travel Super Age Elite -For individuals aged 71-75 yrs.

Corporates
Only insurance company with in house international toll free phone and fax number

**Per Baggage maximum 50 % and per item in the baggage 10 %. *** Only 50% of the Sum assured in respect of the death of the insured person below age of 18 years**** Cash Advance Would include delivery charges.

+ Corporate Elite - Lite and Plus. Meets the exclusive needs of corporate travelers. + Student Elite Plan - A Customized policy for

What if I am in urgent need of cash abroad?

One of the important features of this policy is Emergency Cash Advance. It is an assistance service, wherein the company facilitates providing emergency cash to the insured during incidents such as theft/burglary of luggage/money or hold ups by co-coordinating with the insured person's relatives in India to provide emergency cash assistance to the insured person as per his requirement, up to the limit specified in the policy schedule.

**Per Baggage maximum 50 % and per item in the baggage maximum 10 %. *** Only 50% of the Sum assured in respect of the death of the insured person below age of 18 years**** Cash Advance Would include delivery charges.

Premium Table
Age Days of Travel 1-4 5-7 8-14 15-21 22-28 29-35 36-47 48-60 61-75 76-90 91-120 121-150 151-180 Excluding USA/Canada 0.6-40 yrs. 41-60 yrs. 678 737 915 965 1067 1348 1549 1818 2263 2696 3793 4829 6668 758 827 1042 1115 1252 1511 1748 2060 2929 3679 5404 6668 7933

(In Rs.)

**Per Baggage maximum 50 % and per item in the baggage 10 %. *** Only 50% of the Sum assured in respect of the death of the insured person below age of 18 years**** Cash Advance Would include delivery charges.

Student

students traveling abroad to study.

Student & Corporate Travelers: For specific plans devised to suit your needs, please contact the nearest branch office or call on our toll free numbers.

Premium Table
Age Days of Travel 1-4 5-7 8-14 15-21 22-28 29-35 36-47 48-60 61-75 76-90 91-120 121-150 151-180 Excluding USA/Canada 0.6-40 yrs. 41-60 yrs. 459 546 794 835 939 1174 1356 1590 1956 2347 2989 3391 4311 540 591 887 939 1069 1356 1564 1851 2269 2687 3565 4025 5060

(In Rs.)

Including USA/Canada -40 yrs. 41-60 yrs. 933 1023 1373 1449 1627 2009 2314 3587 5072 6094 7497 10149 12648 1091 1173 1632 1929 2243 2636 3286 4928 7405 7509 9313 12821 15063

Premium Table
Excluding USA/Canada Age 1-4 5-7 8-14 15-21 22-28 29-35 36-47 48-60 61-75 76-90 91-120 121-150 151-180 0.6-40 yrs. 1036 1036 1118 1195 1373 1654 1958 3178 4577 5491 6726 8509 10867 41-60 yrs. 1521 1521 1644 1773 2060 2452 2972 4850 7013 8449 10579 14488 17822 -40 yrs. 1506 1506 1627 1730 1958 2366 2797 4551 6510 7883 9428 11382 14603

(In Rs.)

Including USA/Canada 41-60 yrs. 2173 2173 2345 2529 2920 3467 4251 6911 10547 11898 15409 19317 25297

Quick disbursement of claims

Including USA/Canada -40 yrs. 41-60 yrs. 713 822 1173 1253 1433 1773 2033 2760 4083 4886 5864 6785 7991 874 920 1265 1433 1616 2033 2322 3748 5461 6611 7819 8912 9830

What is Travel Elite?

Travel Elite gives the discerning traveler an array of policies to choose from, with each policy customized to meet your specific needs. Depending upon whether one is a student, businessman, corporate executive, senior citizen or one traveling with the family, one can choose Travel Elite, Travel Asia Elite, Travel Elite Family, Corporate Elite or Student Elite policies. The Policy is comprehensive and covers personal Accident (death and disablement), Medical Expenses and Repatriation (including medical evacuation to a hospital in India preapproved by claims administrator), Loss and Delay of Checked Baggage, Loss of Passport, Personal Liability (legal), Cashless Service, Hospitalization expenses, Golfer's Hole-in-one, Hijack Cover, Trip Delay, Trip Cancellation, Trip Curtailment, Home Burglary Insurance, Emergency Cash Advance and Accidental Death and Disability(Common Carrier)

Any Other Special Features of the Travel Elite Policy?

Yes. The Golfer's Hole-in-one is a sporting gesture from the company. It offers reimbursement of expenses incurred in celebrating hole-inone by the insured during the trip, anywhere in the world (excluding India) in a United States Golfer's Association recognized golf course. These are specially customized travel policies that cater to the needs of an individual traveling abroad. They cover all medical eventualities including hospitalization and other incidental expenses at a fraction of the amount that would be otherwise needed. Depending upon your requirement (the sum insured and the premium payable), you can choose from any of these three policies.

Providing emergency cash advance.

Premium includes service tax as applicable on 1 April 2012

Premium includes service tax as applicable on 1 April 2012

Premium includes service tax as applicable on 1 April 2012