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Policy Information:
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Purchase Date: 05/06/2003
InsureMyTrip Order Number: 4474718
Company: CSA Travel Protection
Plan Name: Silver
Policy Number: 03126G0012
Premium: $ 125.00
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Customer Information:
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Insured Name(s)
Conor O'Mahony
Address: 142 Pine Street
Cambridge, Massachusetts 02139
United States
Daytime Phone: 617-642-5078
Evening Phone: 617-642-5078
Email Address: [email protected]
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Coverage Information (per person)
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Trip Cancellation: $ 2,800
Trip Interruption: $ 4,200
Travel Baggage: $ 1,000
Baggage Delay: $ 250
Travel Delay: $ 750
Accidental Death: $ 0
Medical: $ 10,000
Dental: included in Medical
Emergency Evacuation: $ 50,000
Rental Car Collision/Loss: $ 25,000
Flight Insurance: $ 100,000
Beneficiary: Desmond O'Mahony
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Travel Information:
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Trip Deposit Date: 04/28/2002
Final Payment Date: 05/08/2003
Departure Date: 07/16/2003
Return Date: 08/20/2003
Number of Days: 36
Destination: Kenya, Tanzania, Uganda
Tour Operator: Dragoman
Airline: British Airways
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Insurance Company Information:
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CSA Travel Protection
P.O. Box 939057
San Diego, CA 92193-9884 USA
(800) 888-8459 - 24 Hour Emergency Assistance and Claims
(410) 257-5702 - If overseas, call collect
Coverage is underwritten by Monumental General Casualty Company
(all states except as otherwise noted) under Policy Form
# TAHC2000GPC; Certificate #TAHC2000GCC. Stonebridge Casualty
Insurance Company for the states of AL, AZ, CO, DE, ID, MN, NJ, NM,
NY, ND, PA, and VT under Policy Form # TAHC5000GPS, Certificate
# TAHC5000GCS. All are members of the Aegon Insurance Group,
Baltimore, MD. For the States of NC, ME, NH, & WI - Coverage
is underwritten by the Commercial Union Insurance Company, Boston, MA,
a member of the OneBeacon Insurance Group.
Your credit card statement will reflect billing by CSA Travel
Protection
for your travel insurance order.
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InsureMyTrip.com Information:
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All InsureMyTrip policies are sold by IMT Services Corp.,
an insurance agency based in Commack, New York, USA.
InsureMyTrip.com can be contacted as follows:
InsureMyTrip.com
50 Motor Parkway
Commack, NY 11725-5410 USA
[email protected]
Customer Service:
(860) 290-4850
(860) 282-6158 fax
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