Sources of Dependent, Short Term and Supplemental Insurance

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Sources of Dependent, Short Term and Supplemental Insurance
Please note that this list is for informational purposes only, it does not represent
any endorsement by the Fulbright Program or CIES.
In some circumstances, grantees may wish to purchase supplemental insurance for
themselves and/or their accompanying family members. Below is a list of some
companies in the United States that offer dependent, short term and supplemental
insurance. Some plans offer online enrollment and payment.
The main coverage points listed are subject to change. Contact the insurance provider
to determine if plans are available to meet your needs.
HTH Worldwide
Web site: http://www.hthworldwide.com
One Radnor Corporate Center Suit 100
100 Matsonford Road
Radnor, PA 19087 USA
1-610-254-8700 (Local); 1-6102933529 (Local Fax)
E-mail: customerservice@hthworldwide.com
TravelGap Voyager
 Maximum Benefits: $50,000, $100,000. $500,000, $1,000,000
 Medical Evacuation up to $500,000
 Repatriation coverage up to $25,000
 Deductible $0, $100, $250, $500
 Coverage up to six months
 Excludes pre-existing conditions
 Covers pregnancy
 Enroll online
Associated Insurance Plans International, Inc.
Web site: http://www.associatedinsuranceplans.com/
28085 Ashley Circle, Suite 201
Libertyville, IL 60048
Phone: (800) 452-5772
fax: (847) 281-8813
Email: office@aipstudentinsurance.com.
Atlas International (for 6 mos. or less)/Atlas Extra (coverage over 6 mos.)
 Coverage: 15 days to 12 months
 Ages: 14 days to 80+ years
 Provides $50,000, $250,000, $500,000 or $1,000,000 of coverage per
incident
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Medical Evacuation covered to maximum limit
Repatriation coverage covered to maximum limit
Deductibles of $100, $250, or $500
Excludes pre-existing conditions and pregnancy
Get quote online
International Student Organization
Web site: http://www.isoa.org
250 West 49th Street, Suite 806
New York, NY 10019
Toll Free: 1.800.244.1180
General: 212-262-8922
Fax: 212.262.8920
Email: mailbox@isoa.org
Compass Gold/Compass Silver
 $250,000 maximum per injury or sickness with $500,000 lifetime
maximum/&150,000 maximum per injury or sickness with $300,000
maximum overall coverage
 Medical evacuation $60,000/$50,000
 Repatriation $60,000/50,000
 $100 deductible
 Excludes pre-existing conditions
 Covers pregnancy
 Minimum: 3 months
New England Benefits Services
Web site: http://www.nebenefitservices.com
P.O. Box 35220
Brighton, MA 02135-0004
Phone: (800) 335-0003
Fax: (617) 254-8184
Email: info@nebenefitservices.com
Global Medical Insurance (Silver/Gold Plus/Platinum)
 $5,000,000/$5,000,000/$8,000,000 lifetime coverage
 $50,000/up to Maximum Limit (Gold Plus/Platinum) Medical
evacuation
 Repatriation only available on Platinum
 $250 to $10,000 deductible
 Excludes pre-existing conditions
 Pregnancy: $50,000 lifetime maximum on an optional rider
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Worldwide coverage, including home country
Get a quote/apply online
International Medical Group
Web site: http://www.gatewayplans.com/
2960 North Meridian Street
Indianapolis, IN 46208-4715
Phone: 1 (317) 655-4500 or 1 (877) 808-7434
Fax: 1 (317) 655-4505
Email: insurance@imglobal.com
Choose From Five Gateway Plans:
 Gateway INTERNATIONAL—short-term coverage for 5 days to 24
months for travel anywhere except to the United States
 PATRIOT PLATINUM---Short-term coverage for 5 days to 36 months
for travel anywhere except to the United States.
 Global Medical Insurance—longer term coverage for travel or work
assignments abroad for 6 or more consecutive months for up to 5
years
 Patriot Executive—multiple short-term or extended trips abroad
offering primary coverage for medical evacuation and repatriation with
a variety of other options;
Travel Insurance Services
Web site: http://www.travelinsure.com
2950 Camino Diablo, Suite 300
Walnut Creek, CA 94596-3949
Phone: 1-800-937-1387 or (925) 932-1387
Fax: (484) 652-5394
Email: webinfo@travelinsure.com
Study USA-Health Care
 Rated A++
 Ages 65 and under
 Medical Expenses $250,000
 Accidental Death and Dismemberment $5,000
 Emergency Medical Evacuation $500,000
 Mental/Nervous Disorders & Alcohol/Substance Abuse Benefits
$10,000
 Repatriation of Remains $100,000
 Excludes Pre-existing conditions and pregnancy
InterMedical Insurance (A/B)
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Maximum Stay 1Year
Medical Exspenses/Incident ($25,000/$100,000)
Deductible $50
Emergency Evacuation ($50,000/$75,000)
Accidental Death ($10,000/$100,000)
Repatriation of Remains $7,500
Excludes Pre-existing conditions and pregnancy
Wallach & Company, Inc.
Web site: http://www.wallach.com/
107 West Federal Street
P.O. Box 480
Middleburg, VA 20118
Phone: (540) 687-3166 or (800) 237-6615
Fax: (540) 687-3172
Email: info@wallach.com
Health Care Global/Health Care Abroad
 $50,000-$500,000 or $250,000 medical expense benefit per
accident/illness, which includes medical evacuation and repatriation.
 $100-$1,000 deductible
 $25,000 personal accident benefit.
 Ages 1-75 eligible (up to 84 for Health Care Abroad).
 Not available to residents of Washington State and New York State
Seven Corners, Inc.
Web site: https://www.sevencorners.com/insuranceplans/
303 Congressional Boulevard
Carmel, IN 46032
Phone: 0 (317) 575-2652 or 1 (800) 335-0611
Fax: (317) 575-2659
Email: policy@sevencorners.com
Liaison International/Liaison Continent
 $50,000-$1,000,000 Medical Maximum
 $300,000 Emergency medical evacuation/repatriation benefit.
 $25,000/$50,000 Accidental death & dismemberment.
 Up to six months
Liaison Majestic/Liaison Worldwide
 $1,000,000/$500,000 Medical Maximum
 $300,000 Emergency Medical evacuation/repatriation
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$25,000 Accidental death and dismemberment
$50,000 Political evacuation and repatriation (Majestic)
$5,000 Interruption of Trip (Worldwide)
Waiver for pre-existing condition available – see website for details
Up to 12 months
Liaison Student
 $250,000 medical maximum
 $0-$100 deductible per illness/injury
 Maternity coverage
 $100,000 Emergency medical evacuation
 $10,000 Accidental death and dismemberment
 Up to 12 months
Liaison Silver
 50 years old and up
 $60,000, $125,000, $600,000, $1,000,000 medical maximum
 $300,000 Emergency medical evacuation/repatriation
 $50,000 Accidental death & dismemberment
 $50,000 political evacuation and repatriation
 Waiver for pre-existing conditions available – see website for
details
 Up to 12 months
Cultural Insurance Services International
Web site: http://www.culturalinsurance.com
River Plaza
9 West Broad Street
Stamford, CT 06902-3788
Phone: (800) 303-8120
Fax: (203) 399-5596
Email: cisiwebadmin@culturalinsurance.com or
enrollments@culturalinsurance.com
Basic Plan/Comprehensive Plan
 $50,000/$250,000 maximum per accident or sickness
 $100/$0 deductible
 $10,000 accidental death and dismemberment
 $100,000 Medical Evacuation
 $50,000 Repatriation/Return of Mortal Remains
 All ages eligible
 Excludes pre-existing conditions
Global Underwriters
Web site: http://www.globalunderwriters.com/
3195 Linwood Road,
Suite 201
Cincinnati, Ohio 45208
Phone: 1 (800) 423-8496 or (513) 533 9800
Fax: (513) 533 1055 or (513) 533 1504
Email: diplomat@globalunderwriters.com
Diplomat International
 Coverage up to $50,000-$1,000,000
 Deductibles as low as $0-$5,000
 $10,000 Emergency Reunion
 $20,000 Repatriation of Remains
 $10,000 Personal Security Evacuation
 $25,000 Accidental Death
 Coverage for 5 days to 12 months
Diplomat LT
 Coverage from 3 months to 3 years
 $500,000-Plan A/$1,000,000-Plan B
 Deductibles vary from $50-$5,000
 Policies from $500,000-$1,000,000
 $300,000 Emergency Medical Evacuation
 $10,000 Emergency Reunion
 $20,000 Repatriation of Remains
CMI Insurance Worldwide
Web site: http://cmi-insurance.com/homepage.aspx
850 LaSalle Road, Suite 200
Baltimore, MD 21286
Phone: +1 (410) 583 2595 or 1 (800) 586-0753
Fax: +1 (410) 583 8244
Email: info@cmi-insurance.com
Study Abroad (Plan A - Basic/Plan B – High Option)
 $100,000/$250,000 life time Maximum
 $50/$0 deductible
 $3,000/$5,000 Emergency Reunion Benefit
 Ages 1-60+/Ages 1-39
 1 month- 12 months
 Excludes pre-existing conditions
Global Medical International
 $100,000 - $500,000 Lifetime Maximum
 $50-$1,000 deductible
 100% Emergency Medical Evacuation Benefit
 $12,500 Emergency Reunion Benefit
 $25,000 Accidental Death and Dismemberment Benefit
 15 days to 12 months
 Excludes pre-existing conditions and pregnancy
June 2011
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