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7/5/2016 https://www2.worldnomads.com/certificate.aspx?

v=CC7142774EB33953ED5B0ED8C5B68E139CF840FB4AC29537A86EF0B12E786553B45C23AC

CertificateofInsurance
PolicyNumber:

WNBRA16007130

Peopleinsured:

MrsBRUNASCAPIGLIATI

Address:

TRAVESSASAOPAULO,TEOFILOOTONI,MINASGERAIS34000000
BRA

Period/sofCover

6Jul2016to19Jul2016

Region:

WorldwideexcludingtravelinUSA&Brazil

Plan:

Standard

Underwrittenby:

BupaDenmark,filialafBupaInsuranceLimitedEngland(USD)
WNROW201111AUG

Policyexcess:

A$100USDdeductibleorcopayappliesforallclaimsexceptfor
EmergencyMedicalTransport,Evacuation&Repatriationexpenses.
Thisamountiswhatyouarerequiredtopayforeachclaimarising
fromanyoneevent.

Basepremium:

USD$48.94

Totalpremium:

USD$48.94

DOB:4Mar1998

Issued:5Jul201612:12PM
(GMT/UTC)

WorldNomadsissupportedbydifferentinsurersfromaroundtheworld.Alwaysread
yourpolicywordingtoreviewyourspecificcoverageandtomakesurethatthepolicyis
rightforyou.BupaDenmark,filialafBupaInsuranceLimited,Englanddanmarka/s
(BupaGlobalTravel)isaninsurancecompanyauthorisedandregulatedbytheDanish
InsuranceContractsActandtheEuropeanfinancialsupervisoryauthorities.Travel
insuranceprovidedbyBupaGlobalTravelisissuedunderDanishLaw.BupaGlobal
TravelisamemberoftheBupaGroup.

footprintsnetwork.org
donation:

USD$2

Totalcost:

USD$50.94

Whatyou'recoveredfor
OverseasMedical&DentalExpenses

USD$5,000,000

Hospitalisationortreatmentbyadoctororspecialist
Prescribedmedicinesbyadoctororspecialist
Painrelievingdentaltreatment
Counsellingafteranassaultormugging
Dailyemergencycashallowanceinhospital

100%ofexpenses
100%ofexpenses
$300
$250
$2,000
($50perday)
Notincluded
Notincluded
Standardsports&
activities
Nonmanualwork
only

Physiotherapyorchiropractictreatment
Treatmentbyacupuncturistorosteopath
Adventuresportsandactivities
Study,work&volunteer

24hourEmergencyAssistance

Unlimited

EmergencyMedicalTransport,Evacuation,Repatriation&Travel
Expenses

USD$500,000

https://www2.worldnomads.com/certificate.aspx?v=CC7142774EB33953ED5B0ED8C5B68E139CF840FB4AC29537A86EF0B12E786553B45C23AC00569 1/3

7/5/2016 https://www2.worldnomads.com/certificate.aspx?v=CC7142774EB33953ED5B0ED8C5B68E139CF840FB4AC29537A86EF0B12E786553B45C23AC

Medicalevacuationorrepatriationhome
Ambulancetransport
Nonmedicalevacuation
Personalsupportandaccompaniment
Compassionateemergencyrepatriation
Accidentaldeathrepatriationofremains

Included
Included
Included
$5,000
($250/day)
Included
$15,000

PreTripCancellation

USD$5,000

TripInterruption

USD$3,500

Travelproviderinsolvency
Homevisit

Included
Onevisitincluded

ResumptionofTrip

USD$1,500

TravelDelay

USD$500

MissedFlightConnection

Notincluded

Hijacking

Notincluded

SpecialEventCover

Notincluded

Baggage&PersonalEffects

USD$2,500

Theftofbaggage
Lossordamagebyfireornaturaldisaster
Lossordamagetocheckedinbaggage
Delayedbaggage

Theftofcash
Theftordamagetosportingequipment

Included
Included
Included
$450
($150/24hrsupto3
days)
Notincluded
Notincluded

Passport&TravelDocuments

USD$500

PersonalLiabilityPhysicalInjuryorPropertyDamage

USD$1,000,000

RentalVehicleInsuranceExcess

Notincluded

PersonalAccident

Notincluded

Accidentaldeath,lossofeye(s),limb(s),permanenttotaldisablement
Studentloanandcreditrepayment

Notincluded
Notincluded

24hourEmergencyAssistance
ContacttheBupaGlobalAssistanceTeamfromanywhereintheworld(24hrs,7days):
PhoneDenmark:+4570232461
(Nottollfree.Callviaanoperatorreversecharge/collect.)
Textyourpolicynumber:+4542413000
(Textmessageonly.Nophonecalls.)
Email:emergency@ihi.com
Allitemisedphonecall/textcostsareclaimable.

Contactus

Travelclaims

Phone:+61282630400
Phone:1300787375(inAustralia)

Yourclaimwillbemanagedbyyourinsurer,Bupa
GlobalTravel.

https://www2.worldnomads.com/certificate.aspx?v=CC7142774EB33953ED5B0ED8C5B68E139CF840FB4AC29537A86EF0B12E786553B45C23AC00569 2/3

7/5/2016 https://www2.worldnomads.com/certificate.aspx?v=CC7142774EB33953ED5B0ED8C5B68E139CF840FB4AC29537A86EF0B12E786553B45C23AC

OurofficeisopeninSydney,Australia(closed
Australianpublicholidays).We'reheretohelp:
9pm9amMondaytoFridayUTC/GMT
11pm3amSaturdayandSundayUTC/GMT

ContacttheBupaGlobalTravelclaimsteamfrom
9amto5pmMondaytoFridayinCopenhagen,
Denmark(closedpublicholidays).
Email:worldnomads@ihi.com
PhoneDenmark:+4570207048
BupaGlobalTravelClaims
8,Palaegade
DK1261CopenhagenK
Denmark
Manageyourclaimwhiletravellingthroughyour
WorldNomads.commembership.
Yourusernameis:
brunalaviniascapigliati1@live.com

PLEASENOTE:CoverageforPreExistingMedicalConditions
Unlessspecificallydescribedascoveredunderthetermsofyourfulldescriptionofcoverage(policy
wording),coverageisnotprovidedforanypreexistingmedicalordentalconditions,whichincludesany
illnessorinjurywhereyou(oranyoneelse)havehadsymptoms,treatment,prescriptions,surgeryor
haveseenaspecialistbeforeyoupurchasedthispolicy.Anyillnessorinjurywhichhascomeinto
existence,orhasshownsymptoms,orhasbeendiagnosedinthepreviousinsuranceperiod(s)willnot
becoveredintheextendedinsuranceperiod.

Formoreinformationonyourmoneybackguaranteeentitlements,pleaserefertoyourPolicyWording/
ProductDisclosureStatement/Certificate/Policy/ProductGuide.
WorldNomads.comPty.Ltd.|POBoxH2,SydneyNSW1215,Australia|ABN62127485198|Phone+612
82630400|Fax+61282630444|www.worldnomads.com

https://www2.worldnomads.com/certificate.aspx?v=CC7142774EB33953ED5B0ED8C5B68E139CF840FB4AC29537A86EF0B12E786553B45C23AC00569 3/3

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