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Patriot Group Travel Medical Insurance® - Non-U.S. Citizens
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Designed for the Groups of Five or More Traveling Abroad
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Overview • Benefits • Exclusions • Free Quote
/ Apply Online
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Premiums: Patriot International® •
Patriot America® |
Patriot America® provides coverage for Non-US citizens
traveling abroad for a minimum of 10 days up to a maximum of two years. If the plan is purchased for a minimum of three months, coverage may
be renewed (without break in coverage) for a total of up to two years. If any group member
applying for coverage is age 65 or older, please see the Eligibility section on
panel 8 of the Patriot Group Travel Medical Insurance brochure for additional information.
| ONE MONTH RATES (Five Policy Maximum Options) |
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Option 1
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Option 2
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Option 3
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Option 4
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$50,000
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$100,000
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$500,000
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$1,000,000
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AGE |
One Month
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One Month
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One Month
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One Month
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18-29 |
$39 |
$45 |
$58 |
$68 |
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30-39
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$50 |
$60 |
$76 |
$87 |
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40-49
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$76 |
$86 |
$113 |
$128 |
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50-59
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$108 |
$132 |
$160 |
$185 |
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60-64
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$128 |
$157 |
$186 |
$223 |
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65-69
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$146 |
$187 |
$203 |
$243 |
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70-79
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$197 |
N/A
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N/A
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N/A
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80+*
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$343 |
N/A
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N/A
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N/A
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Dep. Child
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$23 |
$25 |
$32 |
$35 |
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Child Alone
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$35 |
$41 |
$53 |
$59 |
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*US $10,000 Limit
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DAILY RATES
(Minimum Coverage Is 10 Days & All Members Must Have Same Deductible) |
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Option 5
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Option 6
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Option 7
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Option 8
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$50,000
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$100,000
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$500,000
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$1,000,000
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AGE
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Daily
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Daily
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Daily
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Daily
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18-29
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$1.30
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$1.55
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$1.95 |
$2.25 |
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30-39
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$1.65
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$2.00 |
$2.55 |
$2.90 |
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40-49
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$2.55 |
$2.85 |
$3.80 |
$4.30 |
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50-59
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$3.60 |
$4.45 |
$5.40 |
$6.15 |
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60-64
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$4.30 |
$5.25 |
$6.25 |
$7.50 |
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65-69
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$4.90 |
$6.30 |
$6.80 |
$8.10 |
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70-79
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$6.60
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N/A
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N/A
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N/A
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80+*
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$11.45
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N/A
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N/A
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N/A
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Dep. Child
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$0.75
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$0.90 |
$1.10 |
$1.20 |
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Child Alone
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$1.20
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$1.40 |
$1.80
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$2.00 |
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*US $10,000 Limit
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All premium rates are in US dollars and are effective through
12/31/2007. Rates include 2.5% surplus lines tax. A dependent child is your child
shown on the Application Form over 14 days and under 18 years of age, traveling
with you, and for whom premium has been paid.
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This web page contains only a consolidated and summary description of all current
Patriot Travel Medical Insurance benefits, conditions, limitations and exclusions.
A certificate containing the complete Policy Wording with all terms, conditions
and exclusions will be included with the fulfillment kit. IMG reserves the right
to issue the most current Policy Wording for this insurance plan in the event this
application and/or brochure has expired, is modified, or is replaced with a newer
version. Current Policy Wordings are available upon request.
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