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Additional Travelers

Trip Information

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Traveler 1

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Optional Coverages (Price quoted covers all travelers - limits are per-person)

Rental Car Ins

Air Flight Life Ins

Personal Property

Sport Upgrade Pac

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By checking this box, I agree to the Terms and Conditions of the plan I'm purchasing.

Satisfaction Guarantee: If you are not satisfied with your plan for any reason, you may return your plan documents to us within 14 days of purchase, and your premium will be refunded in full, provided you have not filed a claim or departed on your trip.

The total quoted price for the travel protection plan includes the travel plan payment and a separate fee for travel assistance services. You may obtain information on the pricing of the plan payment and assistance services by emailing assistancefees@tripmate.com.

Purchase Details

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Cost

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Optional Coverages

Total Price

Total Price is for the entire plan which includes insurance and non-insurance assistance services.

Benefit Limits and Coverage Features Please note: plan benefits, limits, and provisions may vary by state jurisdiction.	Nationwide Latitudes Premier Plan	US Fire Ez Travel Platinum Plan	Nationwide Latitudes Superior Plan	US Fire EZ Travel Gold Plan	Nationwide Latitudes Value Plan	US Fire EZ Travel Silver Plan

Coverage For Travel Arrangements
Pre-Departure Trip Cancellation	Trip Cost	Trip Cost	Trip Cost	Trip Cost	Trip Cost	Trip Cost
Post-Departure Trip Interruption	200% of Trip Cost	150% of Trip Cost	150% of Trip Cost	150% of Trip Cost	Trip Cost	Trip Cost
Missed Connection	$1,000	$2,500	$750	$1,500	$500	$750
Trip/Travel Delay	$1,000	$1,250	$750	$1,000	$500	$750
Per Day Max Limit for meals & accommodations	No Daily Sublimit	$250	No daily sublimit	$200	No Daily Limit	$150
Required minimum delay time	5 Hours	8 hours	5 Hours	8 Hours	5 Hours	8 Hours
Cancel For Any Reason	75% of Penalty Amount	75-100% of Penalty Amount (See Certificate)	Not Included	Not Included	Not Included	Not Included
Coverage For You
Medical Expense / Emergency Assistance
Accident & Sickness Medical Expense	$100,000	$100,000	$50,000	$100,000	$15,000	$25,000
Emergency Dental Expense	$750	$750	$750	$750	$750	$750
Emergency Medical Evacuation & Return of Remains	$1,000,000	$500,000	$500,000	$250,000	$30,000	Included
24 Hour Travel Medical Assistance Services (A non-insurance service - Premium quoted is for the entire plan which includes includes the cost of the travel protection and a fee for non-insurance services. )
Non-Medical Emergency Evacuation	No	$25,000	No	$25,000	No	No
Pet Medical Expense (cat or dog)	$1000 with $50 deductible	No	No	No	No	No
Accidental Death & Dismemberment
24 Hour Coverage during trip	$25,000	$50,000	$25,000	$50,000	Not Included	$25,000
Air Flight Accident	$100,000	$100,000	Included	$50,000	Not Included	$25,000
Coverage For Your Belongings
Baggage & Personal Effects	$2,500	$2,500	$1,000	$2,000	$500	$1,000
Baggage Delay	$600	$500	$250	$300	$100	$150
Per Day Maximum Limit	No Daily Limit	$250	No Daily Limit	$150	No Daily Limit	No Daily Limit
Required minimum delay time	12 Hours	12 Hours	12 Hours	12 Hours	12 Hours	12 Hours
Coverage For Your Activities
Rental Car Damage	$35,000	$30,000	No	No	No	No
Lost Golf Rounds	No	No	No	No	No	No
Required minimum delay time	Not Applicable	Not Applicable	Not Applicable	Not Applicable	Not Applicable	Not Applicable
Sports Coverage	No	Additional Option	No	Additional Option	No	Additional Option
Sports Equipment Rental	No	Additional Option	No	Additional Option	No	Additional Option
Per Day Maximum Limit	Not Applicable	Not Applicable	Not Applicable	Not Applicable	Not Applicable	Not Applicable
Required minimum time delay	Not Applicable	Not Applicable	Not Applicable	Not Applicable	Not Applicable	Not Applicable
Property Damage Liability	No	No	No	No	No	No
Vehicle Breakdown or Disablement	No	No	No	No	No	No
Required minimum delay time	Not Applicable	Not Applicable	Not Applicable	Not Applicable	Not Applicable	Not Applicable
Coverage Features
Coverage For Travel Arrangements
Trip Cancellation or Interruption Due to:
Sickness, Injury or Death
Pre-Existing Medical Condition Waiver included if medically able to travel at the time the plan is purchased and within the specified time period of initial deposit	Within 14 days of initial trip deposit and requires you to insure total cost of all travel arrangements subject to cancellation penalties	Within 15 days of initial trip deposit	Within 14 days of initial trip deposit and requires you to insure total cost of all travel arrangements subject to cancellation penalties	Within 15 days of initial trip deposit	No	Within 15 days of initial trip deposit
Common Carrier Delay/Cancellation:
Unannounced strike
Mechanical breakdown
Bad weather
Residence, destination or workplace made uninhabitable by fire, flood, or natural disaster
Residence
Destination					No
Workplace	If responsible for decision making and part of disaster recovery team		No		No
Involuntary termination of employment
Required length of employment	1 year continuous employment	1 year continuous employment	1 year continuous employment	1 year continuous employment	1 year continuous employment	1 year continuous employment
Permanent transfer of employment
Distance of transfer	250 miles or more	250 miles or more	250 miles or more	250 miles or more	250 miles or more	250 miles or more
Being hijacked, quarantined or jury duty
Death/hospitalization of Host at destination
Traffic accident while en route to departure
Bankruptcy or default of a travel supplier					No	No
Required time for bankruptcy/default coverage to start	More than 14 day following effective date	More than 14 day following effective date	More than 14 day following effective date	More than 14 day following effective date	Not Applicable	Not Applicable
A terrorist attack in a city listed on your itinerary within 30 days of your scheduled departure date	If purchased within 14 days of initial trip deposit		If purchased within 14 days of initial trip deposit		No	No
Documented theft of passports or visas	No		No		No
Military personnel called to emergency duty for a natural disaster					No
Revocation of previously granted military leave			No		No	No
Documented work reasons			No		No	No
Mandatory evacuation due to bad weather or natural disaster	No		No		No	No
A hurricane warning being issued for your trip destination	No		No		No	No
Your normal pregnancy as long as the pregnancy occurs after your effective date	No	No	No		No
Attending a Family Member’s childbirth if pregnancy occurs after your effective date	No	No	No		No
Extension of primary or secondary school year into Your trip dates due to unforeseen events	No		No		No
Trip Cancellation reimburses:
Prepaid, forfeited, non-refundable trip payments or deposits
Airline reissue fees or frequent flyer fees due to covered reasons	Up tp $250	Up to $150	Up to $200	Up to $150	No	Up to $150
Single Occupancy Upgrade charges incurred when fellow traveler cancels for covered reason
Timeshare exchange Fees, maintenance charges, cancellation or change fees, timeshare points and guest fees imposed by your property management company	No	No	No	No	No	No
Cancel For Any Reason Benefit added if purchased within the specified time period of initial deposit	Within 14 days of initial trip deposit	Within 15 days of initial trip deposit	Not Applicable	Not Applicable	Not Applicable	Not Applicable
Cancel For Any Reason requires you to insure total cost of all travel arrangements subject to cancellation penalties		Not Required	Not Applicable	Not Applicable	Not Applicable	Not Applicable
Cancel For Any Reason must cancel by:	2 days or more before scheduled departure	2 days or more before scheduled departure	Not Applicable	Not Applicable	Not Applicable	Not Applicable
Trip Interruption reimburses:
Prepaid, unused, non-refundable land or water travel arrangements
Additional airfare expense to return home, or to join/rejoin the trip
Single Occupancy Upgrade charges incurred due to a covered reason	No		No		No
Missed Connection Due to:
Any Common Carrier caused delay
Quarantine, hijacking, Strike, natural disaster, terrorism or riot	No		No		No
Documented weather condition preventing you from getting to the point of departure
Missed Connection reimburses:
Additional transportation cost to join the trip
Reasonable accommodations and meal expenses
Unused portion of the prepaid expenses for covered travel arrangements
Trip or Travel Delay Due to:
Sickness or injury	No		No		No
Common Carrier Delay
Involvement in traffic accident en route to departure
Lost/stolen passports, travel documents or money, civil commotion or riot.
Quarantine, hijacking, strike, natural disaster, civil commotion or riot
A documented weather condition preventing you from getting to the point of departure
A documented road closure by authorities
Trip/Travel Delay reimburses:
Additional meal and accommodation expenses
Local transportation expenses
Airline club expenses	No	$50	No	$50	No	$50
Internet usage fees	No	$25	No	$25	No	$25
Kennel fees for Your cat or dog	No	$25/day	No	$25/day	No	$25/day
Itinerary Change made by your cruise/tour supplier	No		No		No
Itinerary Change reimburses prepaid, forfeited, non-refundable event/activity payments	No	Up to $250	No	Up to $250	No	Up to $250
Coverage For You
Accident & Sickness Medical Expense due to:
Injury or Sickness occurring during the trip
Pre-Existing Medical Condition Waiver included if medically able to travel at the time the plan is purchased and within the specified time period of initial deposit	Within 14 days of initial trip deposit and requires you to insure total cost of all travel arrangements subject to cancellation penalties	Within 15 days of initial trip deposit	Within 14 days of initial trip deposit and requires you to insure total cost of all travel arrangements subject to cancellation penalties	Within 15 days of initial trip deposit	No	Within 15 days of initial trip deposit
Accident & Sickness Medical Expense reimburses:
On a Primary or Excess Basis	Primary- on trip expenses	Primary- on trip expenses	Primary- on trip expenses	Primary- on trip expenses	Primary- on trip expenses	Primary- on trip expenses
Services of a physician; prescribed drugs, and therapeutic services/supplies
Emergency dental expenses	$750 limit		$750 limit		$750 limit
Hospital services
Ambulance transportation to and/or from a hospital
Medical Evacuation due to:
Injury or Sickness when appropriate care, treatment or facilities are not available locally
Medical Evacuation reimburses:
Medically required transportation expenses to a Hospital for care and treatment or home
Transportation expenses to return an unattended dependent home due to a hospitalization	(More than 7 days)	(More than 7 days)	(More than 7 days)	(More than 7 days)	(More than 7 days)	(More than 7 days)
Transportation expenses for a bedside visit when hospitalized	(More than 7 days)	(More than 7 days)	(More than 7 days)	(More than 7 days)	(More than 7 days)	(More than 7 days)
Return of Remains due to death occuring during a trip
Return of Remains reimburses transportation and preparation expenses for return of remains home
Non-Medical Emergency Evacuation due to natural disaster, civil, military, or political unrest	Not Included		Not Included		Not Included
Non-Medical Emergency Evacuation for being expelled or declared a person non-grata by a country	Not Included		Not Included		Not Included
Non-Medical Emergency Evacuation reimburses transportation expenses to the nearest place of safety or to your home	Not Included		Not Included		Not Included
Coverage For Your Belongings
Baggage & Personal Effects loss or damage due to loss theft or damage
Baggage & Personal Effects reimburses:
Cost to replace clothing and other personal articles
Cost to replace lost/stolen passports or visas
Maximum Sublimit for loss to jewelry, furs, cameras & accessories, etc.	$500	$600	$500	$600	$500	$600
Per Article Maximum Limit	$300	$300	$300	$300	$300	$300
Baggage Delay due to:
Misdirection by a Common Carrier
Baggage Delay reimburses cost of necessary personal items purchased during the delay
Underwriter	Nationwide	US Fire	Nationwide	US Fire	Nationwide	US Fire
Additional Non-Insurance Services Included
24 Hour Worldwide Assistance Services
(Premium quoted is for the entire plan which includes includes the cost of the travel protection and a fee for non-insurance services. )
24 Hour Emergency Medical Hotline
Medical consultation and monitoring when you are hospitalized
Coordinate medical evacuation arrangements
Help with replacing lost/stolen prescriptions
Help arranging for return of remains
Nurse Helpline for general health information before and during your trip
24 Hour Travel Assistance Services
Sending emergency messages to friends, family or business associates
Language interpretation services
Help with emergency cash transfers
Passport/Visa, vaccinations, & travel health Information
Help with replacing lost/stolen tickets or travel documents
24 Hour Concierge Services
Restaurant and shopping recommendations or reservations
Local transport, reservations, sports, theatre, & event information/ticketing
Golf course referrals & tee times
Baggage tracking/assistance
24 Hour Business Assistance Services
Assistance with emergency communications
Assistance with locating available business services
Telephone or web conference assistance
Information about weather conditions, travel delays & flight status
Emergency travel arrangements

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Additional Travelers

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Traveler 4

Traveler 5

Traveler 6

Traveler 7

Traveler 8

Traveler 9

Traveler 10

Trip Information

Optional Coverages (Price quoted covers all travelers - limits are per-person)

Payment Information

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