Travel Guard AIG Provides You With... Apa yang Anda dapatkan dari Travel Guard AIG TRAVEL WITH EASE OF MIND / KEMUDAHAN PERJALANAN Travel Guard AIG lets you travel the world in complete freedom, knowing you have the most comprehensive protection. Be it for as short business trip or extended family holiday, you can choose your plan from !"#$%&'#(!$)*+,#$-.$/#+#0!($*+'$(#)1&2#(3
Travel Guard AIG memberikan Anda kebebasan yang lengkap dalam mengelilingi dunia, menyadari bahwa Anda telah memiliki perlindungan yang paling komprehensif. Apakah itu perjalanan bisnis singkat atau liburan bersama keluarga. Anda dapat memilih rencana perlindungan dari berbagai santunan dan jenis pelayanan yang tersedia.
TRAVEL GUARD AIG ADVANTAGE / KELEBIHAN TRAVEL GUARD AIG YANG ANDA MILIKI 45$,)#*!$!)*1#6$/#+#0!($&+267'&+,8 9$$:#'&2*6$;$<22&'#+!*6$=#+!*6$>?@#+(#$A@$!-$AB=$CDD3DDDEF.-)$ Premier Plan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amily Plan. 9$$W&1#($K-7$7+6&P&!#'$>P#),#+2K$:#'&2*6$>1*27*!&-+$*+'$Q#@*!)&*!&-+$ $$$$V-1#)3 9$$<2!($-.$O#))-)&(P$*)#$&+267'#'3 9$$O*J#($2*)#$-.$K-7)$)#+!*6$1#"&26#$#?2#(($7@$!-$ABX$4YD3 9$$R)-1&'#($2-1#)$.-)$K-7)$"-7(#"-6'$2-+!#+!($%"&6(!$K-7$*)#$*%*K3HH 9$$R)-!#2!($K-7$%"&6#$K-7$#+Z-K$6#&(7)#$*P*!#7)$(@-)!&+,$(@-)!(E$(72"$*($$$ scuba diving, water sports, winter sports, skydiving, mountaineering, )-2JF26&P/&+,$*+'$!)#JJ&+,3
45$Z#+&($(*+!7+*+$P#+2*J7@8 9$ B*+!7+*+$/&*K*$P#'&($J*)#+*$(*J&!$'*+$J#2#6*J**+$!#)P*(7J$,&,&$ $$$$*J&/*!$J#2#6*J**+$(*P@*&$'#+,*+$ABX$CDD3DDD$7+!7J$R)#P&#)$R6*+3 9$$[#)7,&*+$*J&/*!$@#)*+,3HH 9$$R#)6&+'7+,*+$/&*K*$P#'&($J#!&J*$<+'*$P*(7J$)7P*"$(*J&!$'&$ Indonesia. 9$$B*+!7+*+$/*,*(&$'*+$J#!#)6*P/*!*+$@#)Z*6*+*+$J#!&J*$<+'*$'&$$$ Indonesia. 9$$B*+!7+*+$@#+,,*+!&*+$/&*K*$@#+,,7+**+$!#6#@-+$,#+,,*P$'&$67*)$ $$$$+#,#)&$7+!7J$$@#)P&+!**+$@#6*K*+*+$P#'&(3HH
9$$R#)@*+Z*+,*+$P*(*$/#)6*J7$@-6&($(#2*)*$-!-P*!&($*J&/*!$@#)*%*!*+$ rumah sakit atau karantina. 9$$B*+!7+*+$P#+2*J7@$(#P7*$7P7)$P76*&$'*)&$(*!7$!*"7+$"&+,,*$ manula. 9$$O&'*J$*'*$/&*K*$)#(&J-$(#+'&)&3 9$$R#)6&+'7+,*+$@*'*$@#)6#+,J*@*+$W-6.$<+'*3 9$$:#P/#)&J*+$(*+!7+*+$@*'*$(#P7*$*+*JF*+*J$<+'*$K*+,$(*"E$ $$$$/#)*@*@7+E$K*+,$!#)P*(7J$@*'*$R6*+$[#67*),*3 9$$:#P/#)&J*+$<+'*$(*+!7+*+$#1*J7*(&$P#'&($'*)7)*!$'*+$)#@*!)&*(&$ yang tak terhingga. 9$$[#!#+!7*+$P#+,#+*&$!#)-)&(P#$(7'*"$!#)P*(7J3 9$$:#+*+,*+&$/&*K*$)#(&J-$(#+'&)&$J#+'*)**+$(#%*$<+'*$(*P@*&$'#+,*+$ $$$ABX$4YD3 9$$:#P/#)&J*+$@#)6&+'7+,*+$@*'*$&(&$)7P*"$<+'*$(#6*P*$<+'*$'*6*P$ $$$$@#)Z*6*+*+$'&$67*)$+#,#)&3HH 9$$:#6&+'7+,&$<+'*$(**!$P#6*J7J*+$-6*")*,*$*P*!&)$(#@#)!&$P#+K#6*PE$ olah raga air, olah raga musim dingin, skydiving, naik gunung, panjat tebing dan trekking. HH$Terms and conditions according to policy BK*)*!$'*+$J#!#+!7*+$ sesuai Polis
ONE HOTLINE FOR ALL YOUR NEEDS/ SATU NOMOR HOTLINE UNTUK SEMUA KEBUTUHAN ANDA \-7]66$.##6$P-)#$(#27)#$%"#+$K-7$J+-%$"#6@$&($Z7(!$*$@"-+#F2*66$ *%*K$G"#!"#)$&!]($*$P#'&2*6$#P#),#+2K$-)$&+.-)P*!&-+$*/-7!$K-7)$ '#(!&+*!&-+E$-+#$#*(K$+7P/#)$&($*66$K-7$+##'$.-)8 9$$4^F"-7)$:#'&2*6$;$>P#),#+2K$<((&(!*+2# 9$$4^F"-7)$O)*1#6$M+.-)P*!&-+ G"#+$-1#)(#*(E$2*66$2-66#2!$!")-7,"$!"#$6-2*6$-@#)*!-)$*+'$%#]66$!*J#$ care of your phone charges.
Anda akan merasakan aman bilamana pertolongan akan datang hanya dengan melakukan satu panggilan telepon. Baik untuk pertolongan darurat medis atau informasi tentang tujuan Anda, hanya dengan satu +-P-)$!#6#@-+$7+!7J$(#P7*$J#/7!7"*+$<+'*E$K*&!78 9$N*+!7*+$:#'&($'*+$=*)7)*!$4^$Z*P 9$M+.-)P*(&$@#)Z*6*+*+$4^$Z*P3 Pada saat berpergian, hubungi kami dengan cara collect call melalui operator lokal agar biaya telepon dapat kami tanggung.
GET YOURSELF COVERED /DAPATKAN PERLINDUNGAN ANDA G&!"$&!($2-P@)#"#+(&1#$2-1#)*,#E$P*+K$!)*1#6#)($)#6K$-+$O)*1#6$W7*)'$ V"*)!&($#1#)K$K#*)$!-$P##!$!"#&)$!)*1#6$@)-!#2!&-+$+##'(3$\-7$!--$2*+$ put yourself and your family under the worldwide protection of Travel W7*)'$V"*)!&($%&!"$@#*2#$-.$P&+'3
=#+,*+$@#)6&+'7+,*+$K*+,$J-P@)#"#+(&.E$/*+K*J$@#6*J7$@#)Z*6*+*+$ yang mempercayakan kenyamanan perjalanannya pada Travel Guard
1
V"*)!&($(#!&*@$!*"7++K*3$<+'*$Z7,*$'*@*!$P#+#P@*!J*+$'&)&$<+'*$ (#+'&)&$'*+$J#67*),*$'*6*P$@#)6&+'7+,*+$O)*1#6$W7*)'$V"*)!&($'&$(#67)7"$ dunia.
Duplicate & Refund Coverage$T Polis Ganda dan Pengembalian Premi
Family Plan / Plan Keluarga
9$$M.$!"#$M+(7)#'$&($2-1#)#'$/K$P-)#$!"*+$C$R-6&2K$7+'#)%)&!!#+$/K$!"#$ Insurer for the same trip, the Insurer will consider the person to be $$$$&+(7)#'$-+6K$7+'#)$!"#$R-6&2K$%"&2"$@)-1&'#($!"#$"&,"#(!$/#+#0!$ level. 9$$d-$)#.7+'$-.$@)#P&7P$&($*66-%#'$-+2#$!"#$R-6&2K$"*($/##+$&((7#'3
9$$ O)&@$V-1#)*,#$_-)$C$-)$4$*'76!($!)*1#6&+,$%&!"$*+K$+7P/#)$-.$ children. The 2 adults need not be related but each child must be related to either of the Insured adults. The family must travel and return together. 9$$V"&6')#+$7+'#)$*+K$@6*+$!")-7,"-7!$!"#$R-6&2K$R#)&-'$P7(!$ be unmarried and under 18 years of age.
9$$N&6*P*+*$(&$O#)!*+,,7+,$!#6*"$!#)6&+'7+,&$-6#"$6#/&"$'*)&$C$R-6&($K*+,$ diterbitkan oleh Penanggung yang sama untuk perjalanan yang sama, Penanggung akan mempertimbangkan orang yang diasuransikan hanya dengan Polis yang memberi santunan tertinggi. 9$ O&'*J$*'*$@#+,#P/*6&*+$@)#P&$K*+,$'&@#)/-6#"J*+$J#!&J*$R-6&($!#6*"$ diterbitkan.
9$$R#)6&+'7+,*+$P#+2*J7@$7+!7J$C$*!*7$4$-)*+,$'#%*(*$(**!$ $$$$P#6*J7J*+$@#)Z*6*+*+$'#+,*+$/#)*@*@7+$Z7P6*"$*+*JF*+*J+K*3$$$ $$$$[#'7*$-)*+,$'#%*(*$!#)(#/7!$!&'*J$@#)67$P#P&6&J&$"7/7+,*+$J#67*),*$ tetapi anak yang dibawa harus memiliki hubungan keluarga dengan (*6*"$(*!7$'*)&$-)*+,$'#%*(*$K*+,$P#+Z*'&$O#)!*+,,7+,3$[#67*),*$ $$$$!#)(#/7!$"*)7($P#6*J7J*+$@#)Z*6*+*+$'*+$J#P/*6&$/#)(*P*F(*P*3$ 9$$<+*JF*+*J$K*+,$!#)P*(7J$@*'*$@6*+$J#67*),*$'*6*P$@#)&-'#$R-6&($&+&$ harus belum menikah dan berusia di bawah 18 tahun.
IMPORTANT MATTERS / HAL-HAL PENTING
DETAILS TO KNOW / HAL - HAL PENTING YANG HARUS ANDA KETAHUI
Trip Duration / I*P*$R#)Z*6*+*+ O"#$P*?&P7P$6#+,!"$-.$#*2"$M+(7)#'$!)&@$&($C`D$'*K(3 :*J(&P7P$6*P*$@#)Z*6*+*+$K*+,$'&Z*P&+$*'*6*"$C`D$"*)&3$ Commencement of Coverage / Berlakunya Perlindungan 9$$ O)*1#6$V*+2#66*!&-+$aB#2!&-+$C^b$#..#2!&1#$#&!"#)8$a*b$cD$'*K($$$$$ $$$$/#.-)#$!"#$'*!#$-.$'#@*)!7)#E$-)$a/b$.)-P$!"#$'*!#$-.$@7)2"*(#$%"&2"$ $$$$P7(!$/#$*!$6#*(!$5$'*K($/#.-)#$!"#$'#@*)!7)#$'*!#$.-)$!"&($/#+#0!$!-$ respond, whichever is later. 9$$R#)(-+*6$<22&'#+!$R)-!#2!&-+$aB#2!&-+$Ccb$2-PP#+2#($4$"-7)($ $$$$/#.-)#$!"#$M+(7)#'a(b$6#*1#a(b$M+'-+#(&*$*+'$2#*(#a(b$%"#+#1#)$ $$$$*+K$-.$!"#$.-66-%&+,$-227)($0)(!8$$a*b$%"#+$!"#$@#)&-'$(@#2&0#'$&+$ $$$$$!"#$@-6&2K$"*($#?@&)#'E$a/b$%"#+$!"#$M+(7)#'$@#)(-+a(b$)#!7)+a(b$!-$ $$$$"&(T"#)T!"#&)$@#)P*+#+!$@6*2#$-.$)#(&'#+2#E$-)$a2b$%&!"&+$4$"-7)($ upon arrival back in Indonesia.
9$$R#P/*!*6*+$@#)Z*6*+*+$aN*,&*+$C^b$P76*&$#.#J!&.$/#)6*J7$@*'*$(**!$ a*b$cD$"*)&$(#/#67P$!*+,,*6$J#/#)*+,J*!*+E$*!*7$a/b$P76*&$!*+,,*6$ @#P/#6&*+$'&P*+*$@-6&($!#)(#/7!$"*)7($'&!#)/&!J*+$5$a!7Z7"b$"*)&$ sebelum tanggal keberangkatan agar santunann ini berlaku, tergantung mana yang lebih lama. 9$$R#)6&+'7+,*+$[#2#6*J**+$=&)&$aN*,&*+$Ccb$P76*&$/#)6*J7$4$Z*P$ sebelum Tertanggung meninggalkan Indonesia dan berakhir pada $$$$J-+'&(&$/#)&J7!$&+&$!#),*+!7+,$"*6$P*+*$K*+,$!#)Z*'&$6#/&"$'*"7678$ $$$$a*b$/&6*P*+*$@#)&-'#$K*+,$'&(#/7!J*+$@*'*$R-6&($!#6*"$J*'*67*)(*E$ $$$$a/b$J#!&J*$(&$O#)!*+,,7+,$J#P/*6&$J#$!#P@*!$!&+,,*6$!#!*@E$*!*7$a2b$ dalam waktu 2 jam setelah kedatangan kembali ke Indonesia. 2
C3$e+$!"#$#..#2!&1#$'*!#$-.$!"&($&+(7)*+2#E$K-7$P7(!$/#$0!$!-$!)*1#6$*+'$ not be aware of any circumstances which could lead to cancellation or disruption of the journey, otherwise any claim could be cancelled. 43$<,#$6&P&!3$V-1#)*,#$&($*1*&6*/6#$.-)$M+(7)#'$.)-P$C$K#*)$-.$*,#$7@$ $$$$!-$!"#$*!!*&+P#+!$-.$`D$K#*)($-.$*,#3$S-%#1#)E$&.$M+(7)#'$&($*/-1#$ $$$$5D$K#*)(E$/#+#0!($.-)$R#)(-+*6$<22&'#+!$*+'$:#'&2*6$>?@#+(#($("*66$/#$ 6&P&!#'$!-$YD$f$-.$!"#$P*?&P7P$(7P$&+(7)#'E$*66$-!"#)$/#+#0!($("*66$ )#P*&+$*!$CDDf3$_-)$*22-P@*+&#'$V"&6')#+$7+'#)$*$_*P&6K$R6*+E$!"#$ age limit is from 1 year to the attainment of 18 years. c3$O"#$P*?&P7P$@#)&-'$-.$2-1#)*,#$&($C`D$'*K(3 ^3A+'#)$(#2!&-+$C`F44$-.$!"#$R-6&2KE$K-7$P7(!$)#@-)!$6-((#($!-$!"#$6-2*6$ $$$$@-6&2#$-)$)#(@-+(&/6#$-.02#)$-.$*+K$*&)6&+#(E$1#((#6$-)$2-+1#K*+2#$ on which you are travelling and obtain a written statement from such authority.
1. Pada saat tanggal efektif perlindungan asuransi ini, Anda harus dalam keadaan sehat untuk melakukan perjalanan dan tidak dalam keadaan yang dapat menyebabkan pembatalan perjalanan atau $$$$,*+,,7*+$@#)Z*6*+*+E$*@*/&6*$"*6F"*6$!#)(#/7!$'&*/*&J*+$P*J*$J6*&P$ apapun akan ditolak. 43N*!*($A(&*3$V*J7@*+$@#)6&+'7+,*+$'*@*!$P#+Z*+,J*7$O#)!*+,,7+,$ $$$$P76*&$7(&*$C$!*"7+$(*P@*&$'#+,*+$7(&*$`D$!*"7+3$<J*+$!#!*@&E$/&6*$ $$$O#)!*+,,7+,$/#)7(&*$'&$*!*($5D$!*"7+E$(*+!7+*+$[#2#6*J**+$=&)&$ $$$$'*+$R#+,,*+!&*+$N&*K*FN&*K*$:#'&($*J*+$'&/*!*(&$"&+,,*$YDf$'*)&$ $$$$P*J(&P7P$!-!*6$(*+!7+*+$*(7)*+(&E$$(#'*+,J*+$(*+!7+*+F(*+!7+*+$ $$$$*(7)*+(&$K*+,$6*&+$*J*+$!#!*@$(*P*$CDDf$'*)&$!-!*6$(*+!7+*+$*(7)*+(&3$ $$$$A+!7J$*+*JF*+*J$K*+,$!#)P*(7J$'*6*P$R6*+$J#67*),*E$/*!*(*+$7(&*$ adalah mulai dari 1 tahun sampai dengan pencapaian usia 18 tahun. c3$:*J(&P7P$@#)&-'#$@#)6&+'7+,*+$*'*6*"$C`D$"*)&3$ ^3=&$/*%*"$N*,&*+$C`F44$'*)&$R-6&(E$*+'*$"*)7($P#6*@-)J*+$J#"&6*+,*+$ pada petugas polisi setempat atau petugas berwenang lainnya dari perusahaan penerbangan, kapal, atau penyelenggara alat angkut yang anda gunakan untuk melakukan perjalanan dan memperoleh pernyataan tertulis untuk kejadian tersebut.
3
SCHEDULE OF BENEFITS / DAFTAR SANTUNAN MEDICAL BENEFIT AND SERVICES / PELAYANAN MEDIS DAN SANTUNAN Section 1. Medical & Accident Dental Expenses Incurred Overseas V-1#)($:#'&2*6$>?@#+(#($&+27))#'$%"&6(!$-1#)(#*($'7#$!-$&+Z7)K$-)$(&2J+#((3$ M+(7)#'$/#.-)#$*+'$7@-+$!"#$*!!*&+!P#+!$-.$`D$K#*)(3 Biaya-Biaya Medis Dan Kecelakaan Gigi Yang Terjadi Di Luar Negeri Menjamin biaya-biaya Medis yang timbul akibat Cedera atau Penyakit yang diderita oleh Tertanggung ketika berada di luar negeri. Ditanggung sebelum dan saat mencapai usia 80 tahun.
Section 2. Medical & Accident Dental Expenses Incurred in Indonesia V-1#)($:#'&2*6$>?@#+(#($&+27))#'$.-)$P#'&2*6$!)#*!P#+!$-)$.-66-%$7@$ medical treatment in Indonesia due to injury or sickness. Insured before the *!!*&+!P#+!$-.$`D$K#*)(3
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Biaya-Biaya Medis Yang Timbul Di Indonesia :#+Z*P&+$/&*K*F/&*K*$:#'&($K*+,$!&P/76$7+!7J$@#)*%*!*+$P#'&($*!*7$@#)*%*!*+$P#'&($ 6*+Z7!*+$'&$M+'-+#(&*$7+!7J$V#'#)*$*!*7$R#+K*J&!$K*+,$'&'#)&!*$O#)!*+,,7+,$J#!&J*$ /#)*'*$'&$67*)$+#,#)&3$=&!*+,,7+,$(#/#67P$P#+2*@*&$7(&*$`D$!*"7+3
Section 3. Overseas Hospital Income R*K($ABX$YD$.-)$#1#)K$2-P@6#!#$'*K$!"#$M+(7)#'$&($"-(@&!*6&L#'$-1#)(#*(3 Santunan Harian Rawat Inap Rumah Sakit Di Luar Negeri :#P/*K*)$ABX$YD$@#)$"*)&$*@*/&6*$O#)!*+,,7+,$'&)*%*!$'&$)7P*"$(*J&!$'&$67*)$+#,#)&3
Section 4. Hospital Income in Indonesia R*K($ABX$cY$.-)$#1#)K$2-P@6#!#$'*K$!"#$&+(7)#'$&($"-(@&!*6&L#'$&+$M+'-+#(&*3 Santunan Harian Rawat Inap di Indonesia :#P/*K*)$ABX$cY$@#)$"*)&$*@*/&6*$O#)!*+,,7+,$'&$)*%*!$'&$)7P*"$(*J&!$'&$M+'-+#(&*
Section 5. Emergency Medical Evacuation V-1#)($<66$>P#),#+2K$<((&(!*+2#$:#'&2*6$>1*27*!&-+$>?@#+(#($!-$*+-!"#)$ location for medical treatment or return back to Indonesia. Evakuasi Medis Darurat :#+Z*P&+$(#P7*$/&*K*$K*+,$'&J#67*)J*+$>:>QW>dV\$$7+!7J$#1*J7*(&$J#$ lokasi lain demi perawatan medis atau kembali ke Indonesia.
Section 6. Repatriation V-1#)($*66$>P#),#+2K$<((&(!*+2#$#?@#+(#($&+27))#'$&+$)#!7)+&+,$!"#$)#P*&+($ of the Insured who suffered loss of life during the trip, to Indonesia. Repatriasi :#+Z*P&+$(#P7*$/&*K*F/&*K*$K*+,$'&J#67*)J*+$>:>QW>dV\$$7+!7J$ P#P76*+,J*+$aZ#+*L*"b$O#)!*+,,7+,$J#$M+'-+#(&*3
Section 7. Direct Repatriation V-1#)($*66$>P#),#+2K$<((&(!*+2#$#?@#+(#($&+27))#'$&+$)#!7)+&+,$!"#$)#P*&+($ of the Insured who suffered loss of life during the trip to home country. Repatriasi Langsung :#+Z*P&+$(#P7*$/&*K*F/&*K*$K*+,$'&J#67*)J*+$>:>QW>dV\$$7+!7J$ P#P76*+,J*+$aZ#+*L*"b$O#)!*+,,7+,$J#$+#,*)*$!#P@*!$!&+,,*6T*(*6+K*3
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Section 8. Hospital Visitation Pays for the travel expenses of sending one relative or friend if the Insured 2*++-!$/#$#1*27*!#'$*+'$)#g7&)#($"-(@&!*6&L*!&-+$.-)$P-)#$!"*+$Y$'*K($%"&6(!$ overseas.
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Yes
Yes
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Kunjungan Rumah Sakit :#P/*K*)$/&*K*$@#)Z*6*+*+$7+!7J$P#+,&)&PJ*+$(*!7$-)*+,$*+,,-!*$J#67*),*$*!*7$!#P*+E$ jika Tertanggung tidak dapat dievakuasi dan memerlukan perawatan di rumah sakit (#6*P*$6#/&"$'*)&$Y$a6&P*b$"*)&3
Section 9. Compassionate Visit Pays for the travel expenses of sending one relative or friend if assistance is required to assist in repatriation arrangement of the Insured’s remains. Kunjungan Perjalanan :#P/*K*)$/&*K*$@#)Z*6*+*+$7+!7J$P#+,&)&PJ*+$(*!7$-)*+,$*+,,-!*$J#67*),*E$7+!7J$ P#P/*+!7$@#+,*!7)*+$@#P76*+,*+$aZ#+*L*"b$O#)!*+,,7+,3
Section 10. Child Guard Pays for one relative or friend to accompany the Insured’s children home .-66-%&+,$"-(@&!*6&L*!&-+$-.$!"#$M+(7)#'3 Perlindungan Anak :#P/*K*)$7+!7J$(*!7$-)*+,$*+,,-!*$J#67*),*$*!*7$!#P*+$7+!7J$P#+#P*+&$*+*J$ Tertanggung untuk pulang ketika Tertanggung dirawat di rumah sakit.
Section 11. Emergency Telephone Charges Q#&P/7)(#$!#6#@"-+#$2"*),#($.-)$:#'&2*6$)#6*!#'$(#)1&2#($&+$2-+!*2!&+,$ >P#),#+2K$<((&(!*+2#3 Biaya-Biaya Telepon Darurat :#P/*K*)$J#P/*6&$/&*K*F/&*K*$!#6#@-+$'*)7)*!$K*+,$/#)"7/7+,*+$'#+,*+$6*K*+*+$ >:>QW>dV\$$7+!7J$/*+!7*+$P#'&(T'*)7)*!3
Section 12. Automatic Extension of Policy Period V-1#)($*7!-P*!&2$#?!#+(&-+$-.$!"&($@-6&2K$7@$!-$cD$'*K($%&!"-7!$*''&!&-+*6$ @)#P&7P$'7#$!-$"-(@&!*6&L*!&-+$-)$g7*)*+!&+#'$-.$!"#$M+(7)#'3 Perpanjangan Periode Polis Secara Langsung :#+Z*P&+$@#)@*+Z*+,*+$R-6&($(*P@*&$'#+,*+$cD$"*)&$(#2*)*$6*+,(7+,$!*+@*$'&J#+*J*+$ premi tambahan karena Tertanggung dirawat atau dikarantina.
PERSONAL ACCIDENT ASSIST / SANTUNAN KECELAKAAN Section 13. Accidental Death & Permanent Disablement <22&'#+!*6$=#*!"$*+'$=&(*/6#P#+!$-227)&+,$%&!"&+$hD$'*K($-.$*+$<22&'#+!$ sustained during the journey. Kematian Karena Kecelakaan dan Cacat Total tetap :#+&+,,*6$=7+&*$'*+$V*2*!$O#!*@$*J&/*!$[#2#6*J**+$'*6*P$Z*+,J*$%*J!7$hD a(#P/&6*+$@767"b$"*)&$(#Z*J$J#2#6*J**+$K*+,$!#)Z*'&$(#6*P*$@#)Z*6*+*+3
TRAVEL ASSIST / BANTUAN PERJALANAN Section 14. Travel Cancellation V-1#)($6-(($-.$&))#'##P*/6#$!)*1#6$*+'$*22-PP-'*!&-+$#?@#+(#($@*&'$&+$ *'1*+2#$*+'$-227))&+,$7@$!-$cD$'*K($@)&-)$!-$'#@*)!7)#$.)-P$M+'-+#(&*3 Pembatalan Perjalanan :#+Z*P&+$J#)7,&*+$/&*K*$@#)Z*6*+*+$'*+$*J-P-'*(&$K*+,$!&'*J$'*@*!$'&!7J*)$6*,&$K*+,$ !#6*"$'&/*K*)$'&$P7J*$'*+$!#)Z*'&$(*P@*&$'#+,*+$cD$"*)&$(#/#67P$J#/#)*+,J*!*+$'*)&$ Indonesia.
6
7
Section 15. Travel Postponement V-1#)($*''&!&-+*6$*'P&+&(!)*!&1#$2"*),#($.-)$!)*1#6$*+'$*22-PP-'*!&-+$ #?@#+(#($@*&'$&+$*'1*+2#$*+'$-227))&+,$7@$!-$cD$'*K($@)&-)$!-$'#@*)!7)#$ from Indonesia.
ABX$CEYDD
F
ABX$CEDDD
ABX$4EYDD
ABX$5YD
ABX$iYD
ABX$CEDDD
ABX$c5Y
ABX$c4Y
ABX$CEDDD
ABX$5YD
ABX$iYD
ABX$YDD
ABX$^DD
ABX$CDD
ABX$5YD
F
F
ABX$YDD
ABX$^DD
ABX$CDD
Penundaan Perjalanan :#+Z*P&+$/&*K*F/&*K*$*'P&+(&!)*(&$7+!7J$/&*K*$R#)Z*6*+*+$'*+$<J-P-'*(&$K*+,$!#6*"$ '&/*K*)$'&$P7J*$K*+,$!#)Z*'&$'*6*P$cD$a!&,*$@767"b$"*)&$(#/#67P$J#/#)*+,J*!*+$'*)&$ Indonesia.
Section 16. Travel Curtailment Including Aircraft Hijacking V-1#)($*''&!&-+*6$!)*1#6$-)$*22-PP-'*!&-+$#?@#+(#($&+27))#'$-)$.-).#&!#'$ after the commencement of the trip. Pengurangan Perjalanan Termasuk Pembajakan Pesawat Udara :#+Z*P&+$/&*K*F/&*K*$!*P/*"*+$7+!7J$/&*K*$R#)Z*6*+*+$'*+$<J-P-'*(&$K*+,$!#)Z*'&$ setelah dimulainya perjalanan.
Section 17. Travel Interruption V-1#)($!"#$7+7(#'$@-)!&-+$-.$!"#$!)&@$@*&'$&+$*'1*+2#$'7#$!-$"-(@&!*6&L*!&-+$ -.$!"#$M+(7)#'$.-)$P-)#$!"*+$Y$a01#b$'*K(3 Gangguan Perjalanan :#+Z*P&+$/*,&*+$K*+,$!&'*J$!#)@*J*&$7+!7J$/&*K*$R#)Z*6*+*+$'*+T*!*7$<J-P-'*(&$K*+,$ telah dibayar di muka, jika Tertanggung ditrawat di rumah sakit di luar negeri selama 6#/&"$'*)&$Y$a6&P*b$"*)&3
Section 18. Personal Baggage Including Laptop Computer V-1#)($6-(($-)$'*P*,#$!-$/*,,*,#E$26-!"&+,E$@#)(-+*6$#..#2!(E$I*@!-@$ V-P@7!#)$a:*?3$ABX$cDD$.-)$*+K$-+#$*)!&26#$-)$@*&)$-)$(#!$-.$*)!&26#(3$:*?3$ .-)$I*@!-@$V-P@7!#)($ABX$YDDb3 Bagasi Pribadi Termasuk Komputer Lap Top :#+Z*P&+$J#)7,&*+$*!*7$J#)7(*J*+$!#)"*'*@$/*,*(&E$@*J*&*+E$/*)*+,F/*)*+,$@)&/*'&E$ I*@$O-@3$a:*J(&P7P$ABX$cDD$7+!7J$(*!7$*!*7$(#@*(*+,$*)!&J#6E$'*+$:*J(&P7P$ABX$YDD$ 7+!7J$I*@$O-@b
Section 19. Baggage Delay R*K($ABX$YD$.-)$#*2"$.766$C4$2-+(#27!&1#$"-7)($!"*!$!"#$M+(7)#']($/*,,*,#$&($ delayed whilst overseas and in Indonesia. Keterlambatan Bagasi :#P/*K*)$ABX$YD$7+!7J$(#!&*@$C4$a'7*$/#6*(b$Z*P$/#)!7)7!F!7)7!$J#!#)6*P/*!*+$/*,*(&$ Tertanggung selama di luar negeri dan di Indonesia.
Section 20. Travel Documents Pays the Insured’s travel and hotel expenses including cost of obtaining replacement passports, travel tickets and other relevant travel documents. I-(($-.$P-+#K$'7#$!-$!"#.!$&($*6(-$2-1#)#'$P*?$AB=$CYD Dokumen Perjalanan :#P/*K*)$/&*K*$R#)Z*6*+*+$'*+$/&*K*$<J-P-'*(&E$!#)P*(7J$'&$'*6*P+K*$/&*K*$7+!7J$ P#+'*@*!J*+$@#+,,*+!&*+$@*(@-)E$!&J#!$@#)Z*6*+*+E$'*+$'-J7P#+F'-J7P#+$@#)Z*6*+*+$ 6*&++K*$K*+,$"&6*+,3$[#"&6*+,*+$7*+,$!7+*&$*J&/*!$@#+27)&*+$Z7,*$*J*+$'&Z*P&+$ R#+*+,,7+,$'#+,*+$/*!*($P*J(&P7P$@#+,,*+!&*+$AB=$CYD3
Section 21. Travel Delay/Flight Delay R*K($ABX$YD$.-)$#*2"$.766$C4$2-+(#27!&1#$"-7)($-.$'#6*K$%"&6(!$-1#)(#*($*+'$ in Indonesia. Penundaan Pengangkuatan Umum Terjadwal :#P/*K*)$ABX$YD$7+!7J$(#!&*@$C4$a'7*$/#6*(b$Z*P$@#+7"$J#!#)6*P/*!*+$K*+,$!#)Z*'&$'&$ luar negeri dan di Indonesia.
8
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Section 22. Travel Misconnection V-1#)($#?@#+(#($&+27))#'$*($*$)#(76!$-.$P&(2-++#2!&-+$*!$!"#$!)*+(.#)$@-&+!3 Ketinggalan Perjalanan :#+Z*P&+$(#,*6*$/&*K*$K*+,$'&(#/*/J*+$-6#"$J#!&+,,*6*+$@#)Z*6*+*+$'&$!#P@*!$ pengalihan perjalanan.
LIFESTYLE ASSIST / BANTUAN LIFESTYLE Section 23. Home Guard R*K($.-)$'*P*,#$a'7#$!-$0)#b$!-$"-7(#"-6'$2-+!#+!($-.$!"#$M+(7)#']($ residence which was left vacant for the full duration of the trip.
ABX$cDD
F$
F
Premier
B!*+'*)'
ABX$YEDDD
F
F
ABX$4YD
F
F
*b$ABX$4YD /b$ABX$4DD
F
F
ABX$CDDEDDD
ABX$cYEDDD
ABX$CYEDDD
Yes
Yes
Yes
Perlindungan Tempat Tinggal :#P/*K*)$J#)7(*J*+$a*J&/*!$J#/*J*)*+b$*!*($&(&$)7P*"$O#)!*+,,7+,$K*+,$'&!&+,,*6$ kosong karena perjalanan Tertanggung.
Section 24. Rental Vehicle Excess Pays for the cost of the insurance excess of a car rented by the Insured if it is involved in an accident. Resiko Sendiri Sewa Kendaraan :#P/*K*)$/&*K*$)#(&J-$(#+'&)&$(#"7/7+,*+$'#+,*+$J#)7(*J*+$*!*7$J#"&6*+,*+$K*+,$ '&(#/*/J*+$-6#"$[#2#6*J**+$!#)"*'*@$J#+'*)**+$K*+,$'&(#%*$-6#"$O#)!*+,,7+,3
Section 25. Golf Advantage *b$V-1#)($K-7$.-)$'*P*,#$-)$6-(($-.$,-60+,$#g7&@P#+!3 /b$V-1#)($K-7$.-)$#+!#)!*&+P#+!$#?@#+(#($&+$*2"&+,$S-6#F&+Fe+#3 Santunan untuk Golf *b$:#+Z*P&+$*!*($J#)7(*J*+TJ#"&6*+,*+$R#)*6*!*+$W-6. /b$:#+Z*P&+$/&*K*$#+!#)!*&+P#+!$*!*($@#)*K**+$*@*/&6*$O#)!*+,,7+,$P#P#+*+,J*+$ S-6#F&+Fe+#
Section 26. Personal Liability V-1#)($!"#$M+(7)#'$*,*&+(!$6&*/&6&!K$!-$!"&)'$@*)!&#($-)$'*P*,#$!-$!"#&)$ @)-@#)!K$2*7(#'$/K$"&(T"#)$+#,6&,#+2#3 Tanggung Gugat Pribadi Luar Negeri :#+Z*P&+$O#)!*+,,7+,$*!*($O*+,,7+,$W7,*!$J#@*'*$@&"*J$J#!&,*$*!*7$J#)7(*J*+$"*)!*$ benda milik pihak ketiga karena kelalaian Tertanggung
Section 27. Cover in the event of Terrorism B#2!&-+($C$!")-7,"$4i$-.$!"&($@-6&2K$*)#$*@@6&2*/6#$&.$!"#K$-227)$*($!"#$)#(76!$ of an Act of Terrorism whilst the Insured is overseas. Pertanggungan pada saat terjadi Terorisme N*,&*+$CF4i$'*)&$R-6&($&+&$/#)6*J7$Z&J*$!#)Z*'&$*J&/*!$(7*!7$!&+'*J*+$!#)-)&(P#$J#!&J*$ tertanggung di luar negeri.
CD
11
PREMIUM/PREMI (US$)
EXCLUSIONS
G-)6'%&'#T$B#67)7"$=7+&*
CF^ '*K(T hari
YFi '*K(T hari
5F` '*K(T hari
hFCD '*K(T hari
CCFCY '*K(T hari
CiF4D '*K(T hari
4CF4Y '*K(T hari
13
4D
CD
16
Y
12
23
cY
16
4Y
8
22
33
^h
4Y
38
C^
32
^D
iD
cD
^i
4D
^D
^Y
5D
38
Y`
4Y
Y4
The following is a summary of the exclusions to the Policy, however please refer to your Policy for complete details. 9$ <+K$@)#F#?&(!&+,$2-+'&!&-+($.-)$%"&2"$!"#$M+(7)#'$)#2#&1#'$ medical treatment, diagnosis, consultation or prescribed drugs %&!"&+$!%#61#$aC4b$P-+!"$@#)&-'$@)#2#'&+,$!"#$#..#2!&1#$'*!#$-.$ the policy, or a condition for which medical advice or treatment %*($)#2-PP#+'#'$/K$*$U7*6&0#'$:#'&2*6$R)*2!&!&-+#)$%&!"&+$ *$!%#61#$aC4b$P-+!"$@#)&-'$@)#2#'&+,$!"#$#..#2!&1#$'*!#$-.$!"#$ Policy. 9$ O"#$M+(7)#'$#+,*,&+,$&+$+*1*6E$P&6&!*)KE$*&)$.-)2#$(#)1&2#$-)$ operations, or testing any kind of conveyance, being employed as a manual worker, whilst engaged in offshore or in mining, aerial @"-!-,)*@"K$-)$"*+'6&+,$-.$#?@6-(&1#($-)$*PP7+7!&-+E$0)#*)P(3 9$ B7&2&'#$-)$*!!#P@!#'$(7&2&'#$-.$&+!#+!&-+*6$(#6.$&+Z7)K3 9$ O"#$M+(7)#'$&($#+,*,#'$&+$@)-.#((&-+*6$(@-)!$-)$%"#)#$*+$M+(7)#'$ would or could earn income or remuneration from engaging in any such sport. 9$ <+K$6-(($-)$'*P*,#$'7#$!-$!"#$M+(7)#'$)&'&+,$-)$')&1&+,$&+$*+K$ kind of race. Note: This brochure is not an insurance Policy. !"#$%&'()&*+(),-,+(%&+.&-/"&,(%0#'(*"&1,22&3"&%4"*,5")&,(&-/"&6+2,*78
Y`
86
^C
63
32
iD
iY
h5
^Y
68
37
iY
PENGECUALIAN-PENGECUALIAN
4iFcC '*K(T hari
73
CCY
^`
73
^D
5D
Additional %##J$T Tambahan per minggu
CY
4Y
CD
CY
8
12
Berikut ini adalah ringkasan dari pengecualian untuk Polis, namun mohon tetap merujuk pada Polis anda untuk informasi lengkapnya. 9$ [-+'&(&FJ-+'&(&$K*+,$!#6*"$*'*$(#/#67P+K*$'&P*+*$O#)!*+,7+,$ pernah mendapatkan perawatan medis, diagnosa, konsultasi atau pengobatan dengan resep dalam kurun waktu 12 bulan sebelum tanggal efektif polis ini, atau suatu kondisi dimana perawatan *!*7$+*(&"*!$P#'&($!#6*"$'&)#J-P#+'*(&J*+$-6#"$R)*J!&(&$:#'&($ N#)J7*6&0J*(&$'*6*P$J7)7+$%*J!7$C4$/76*+$(#/#67P$!*+,,*6$#.#J!&.$ Polis ini. 9$ [#"&6*+,*+$*!*7$!*+,,7+,$,7,*!$K*+,$!&P/76$(#2*)*$6*+,(7+,$ dan tidak langsung bila Tertanggung melakukan perjalanan dalam kapasitas sebagai anggota militer, penguji alat angkut apapun, sebagai karyawan yang bertugas di lepas pantai atau tambang, fotografer udara, pengguna bahan peledak atau amunisi, dan senjata api. 9$ N7+7"$'&)&$*!*7$(#,*6*$7(*"*$/7+7"$'&)&$K*+,$(#2*)*$(#+,*Z*$ untuk melukai diri sendiri. 9$ O#)!*+,,7+,$&J7!$(#)!*$'*6*P$-6*")*,*$@)-.#(&-+*6$*!*7$'&P*+*$ Tertanggung mendapatkan pendapatan atas bayaran dari aktivitas olahraga tersebut. 9$ B#,*6*$J#"&6*+,*+$*!*7$J#)7(*J*+$K*+,$'&*J&/*!J*+$'*)&$ keikutsertaan Tertanggung di berbagai jenis balapan. Catatan : Brosur ini bukan merupakan Polis Asuransi. Syarat dan ketentuan tetap merujuk pada Polis
12
13
