Confirmation of Coverage Policy Details Confirmation Number:
GCPB01012
Location Number:
10-0135
Primary Insured:
Marben Bland 137 Thurman Drive GRAY, GA 31032
Plan Number:
GCPB-0521
Brochure Code:
GCPB-0521
Policy Effective Dates Departure Date:
05/02/2022
Trip Cancellation:
N/A
Return Date:
05/14/2022
Post Departure:
05/02/2022
Coverage:
Protection Plan without Trip Cancellation
Insured
Plan Cost
Marben Bland
$25.00
Total Policy Cost:
$25.00
Beneficiary:
Annie Ingram
Benefits Confirmation Number: GCPB01012 Plan Benefits Trip Cancellation Trip Interruption Trip Delay Sporting Equipment Delay Missed Connection Baggage & Personal Effects Baggage Delay Emergency Medical & Dental Expense Emergency Evacuation & Repatriation Accidental Death & Dismemberment Travel Assistance Services
Print double-sided to produce a Confirmation of Coverage card you can cut out and take with you on your trip.
Plan Number: GCPB-0521 Maximum Coverage Per Person
100% of Insured Trip Cost 150% of Insured Trip Cost $1,000 ($250/day) $200 $1,000 $1,500 $250 $25,000 ($500 dental sublimit) $150,000 $10,000 Included
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