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Save time! Enroll online! www.CISI-Bolduc.com
Online enrollment with CISI is simple, quick, and convenient. Features include:
• Enrollment processing
• Emailconfirmationofenrollment
• Emailreceiptofpersonalizedinsurancematerials (coveragebrochure,claimform,IDcardandproofofinsurance/consulate letter)
• Free Phone App
Cultural Insurance Services International (CISI) 1 High Ridge Park Stamford,CT06905 800.303.8120 www.CISI-Bolduc.com
Underwritten by ACE American Insurance Company
www.CISI-Bolduc.com
CHOOSE PEACE OF MIND.
CHOOSE CISI.
Rotary Youth Exchange Insurance
Coverage up to 1 month
Worldwide Rate
❑❑ Plan A and Personal Liability $63 U.S. Dollars
❑❑ Plan B and Personal Liability $76 U.S. Dollars
For Rotary students traveling INTO the United States
❑❑ Plan A and Personal Liability $80 U.S. Dollars
❑❑ Plan B and Personal Liability $96 U.S. Dollars
❑❑ Plan B+ and Personal Liability $118 U.S. Dollars
Coverage up to 3 months
Worldwide Rate
❑❑ Plan A and Personal Liability $172 U.S. Dollars
❑❑ Plan B and Personal Liability $208 U.S. Dollars
For Rotary students traveling INTO the United States
❑❑ Plan A and Personal Liability $213 U.S. Dollars
❑❑ Plan B and Personal Liability $261 U.S. Dollars
❑❑ Plan B+ and Personal Liability $323 U.S. Dollars
Coverage of 4 months and beyond, but less than 365 days
Worldwide Rate
❑❑ Plan A and Personal Liability $567 U.S. Dollars
❑❑ Plan B and Personal Liability $839 U.S. Dollars
For Rotary students traveling INTO the United States
❑❑ Plan A and Personal Liability $1,160 U.S. Dollars
❑❑ Plan B and Personal Liability $1,219 U.S. Dollars
❑❑ Plan B+ and Personal Liability $1,508 U.S. Dollars
Contact Us Today!Ted Cenatiempo • 203.399.5556
www.CISI-Bolduc.com
Market Leader in Youth Exchange
Cultural Insurance Services International, CISI, is the leading
provider of study abroad and international student insurance
coverage. Since 1992, we have insured over 1 million international
students and cultural exchange participants worldwide. Our
relationships with financially stable insurance carriers, all rated A
or better by A.M. Best, permit us to provide you with wide-ranging
coverage you require at affordable prices.
Why Choose CISI?
• Worldwide coverage
• Our plans meet and exceed the RI insurance requirements
• Plans starting at 100%, no deducible for accident & sickness
coverage
• Customer focused, experienced and knowledgeable staff
• Personal security advice and response services
• In-house Crisis Management Team
• Legal Assistance
• Payment guarantees to foreign medical providers and foreign
currency claim payments
• 24/7 Toll free worldwide assistance with multilingual
emergency assistance services
• Security Check-in feature available through the mobile app
• Travel Risk Intelligence Portal
• District and Participant portal access
• Fully Integrated with YEAH
• Access to the Aetna Network (for USA only)
CISI Provides
• Medical Insurance
• Emergency Medical Evacuation
• Repatriation/Return of Mortal Remains
• Security Evacuation
• Emergency Medical Family Reunion Coverage
• Transportation Expense Benefit
• Trip Interruption
• Trip Delay
• Trip Cancellation
• Personal Property & Liability
• Sports Coverage
• Worldwide Coverage
Medical Expenses Plan A Plan B Plan B+
MaximumLifetimeBenefitspercoveredAccidentandSickness
$1,000,000 $1,000,000 $1,000,000
Accident & Sickness Coverage Outside of the USA 80/20%
$100 deductible
100%
$0 deductible
Accident & Sickness Coverage Inside of the USA 80/20%
$100 deductible
$100 deductible
80%to$1,000outofpocketlimit;planpays100%thereafter
100%
$0 deductible
Chiropractic Care Maximum $500 $500 $500
EmergencyDentalExpenseMaximum $100 $400 $400
Out-Patient Mental and Nervous Expenses Maximum $1,000 $1,000 $1,000
In-Patient Mental and Nervous Expenses Maximum $25,000 $25,000 $25,000
Pre-Existing Coverage $500 $500 $500
AccidentalDeath&DismembermentBenefit $100,000 $100,000 $100,000
Medical Evacuation Coverage $100,000 $100,000 $100,000
Security Evacuation Coverage $100,000 $100,000 $100,000
Repatriation/ReturnofMortalRemains $50,000 $50,000 $50,000
TransportationExpenseBenefit $5,000 $5,000 $5,000
EmergencyFamilyReunionBenefit $5,000 $5,000 $5,000
TripCancellationBenefit $3,000 $3,000 $3,000
TripInterruptionBenefit $3,000 $3,000 $3,000
TripDelay $500 $500 $500
Personal Liability $500,000 $500,000 $500,000
Personal Liability For Medical Payments $5,000 $5,000 $5,000
PersonalLiabilityforAdditionalLivingExpense $5,000 $5,000 $5,000
Personal Property Financial Instrument Reimbursement
$1,000 $1,000 $1,000
LiabilityDeductible $250 $250 $250
Great Coverage at a Great Price!
Schedule of Benefits: