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Save time! Enroll online! www.CISI-Bolduc.com Online enrollment with CISI is simple, quick, and convenient. Features include: Enrollment processing Email confirmation of enrollment Email receipt of personalized insurance materials (coverage brochure, claim form, ID card and proof of insurance/consulate letter) Free Phone App Cultural Insurance Services International (CISI) 1 High Ridge Park Stamford, CT 06905 800.303.8120 www.CISI-Bolduc.com Underwritten by ACE American Insurance Company www.CISI-Bolduc.com CHOOSE PEACE OF MIND. CHOOSE CISI. Rotary Youth Exchange Insurance Coverage up to 1 month Worldwide Rate Plan A and Personal Liability $63 U.S. Dollars Plan B and Personal Liability $76 U.S. Dollars For Rotary students traveling INTO the United States Plan A and Personal Liability $80 U.S. Dollars Plan B and Personal Liability $96 U.S. Dollars Plan B+ and Personal Liability $118 U.S. Dollars Coverage up to 3 months Worldwide Rate Plan A and Personal Liability $172 U.S. Dollars Plan B and Personal Liability $208 U.S. Dollars For Rotary students traveling INTO the United States Plan A and Personal Liability $213 U.S. Dollars Plan B and Personal Liability $261 U.S. Dollars Plan B+ and Personal Liability $323 U.S. Dollars Coverage of 4 months and beyond, but less than 365 days Worldwide Rate Plan A and Personal Liability $567 U.S. Dollars Plan B and Personal Liability $839 U.S. Dollars For Rotary students traveling INTO the United States Plan A and Personal Liability $1,160 U.S. Dollars Plan B and Personal Liability $1,219 U.S. Dollars Plan B+ and Personal Liability $1,508 U.S. Dollars Contact Us Today! Ted Cenatiempo 203.399.5556 [email protected] www.CISI-Bolduc.com

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Save time! Enroll online! www.CISI-Bolduc.com

Online enrollment with CISI is simple, quick, and convenient. Features include:

• Enrollment processing

• Emailconfirmationofenrollment

• Emailreceiptofpersonalizedinsurancematerials (coveragebrochure,claimform,IDcardandproofofinsurance/consulate letter)

• Free Phone App

Cultural Insurance Services International (CISI) 1 High Ridge Park Stamford,CT06905 800.303.8120 www.CISI-Bolduc.com

Underwritten by ACE American Insurance Company

www.CISI-Bolduc.com

CHOOSE PEACE OF MIND.

CHOOSE CISI.

Rotary Youth Exchange Insurance

Coverage up to 1 month

Worldwide Rate

❑❑ Plan A and Personal Liability $63 U.S. Dollars

❑❑ Plan B and Personal Liability $76 U.S. Dollars

For Rotary students traveling INTO the United States

❑❑ Plan A and Personal Liability $80 U.S. Dollars

❑❑ Plan B and Personal Liability $96 U.S. Dollars

❑❑ Plan B+ and Personal Liability $118 U.S. Dollars

Coverage up to 3 months

Worldwide Rate

❑❑ Plan A and Personal Liability $172 U.S. Dollars

❑❑ Plan B and Personal Liability $208 U.S. Dollars

For Rotary students traveling INTO the United States

❑❑ Plan A and Personal Liability $213 U.S. Dollars

❑❑ Plan B and Personal Liability $261 U.S. Dollars

❑❑ Plan B+ and Personal Liability $323 U.S. Dollars

Coverage of 4 months and beyond, but less than 365 days

Worldwide Rate

❑❑ Plan A and Personal Liability $567 U.S. Dollars

❑❑ Plan B and Personal Liability $839 U.S. Dollars

For Rotary students traveling INTO the United States

❑❑ Plan A and Personal Liability $1,160 U.S. Dollars

❑❑ Plan B and Personal Liability $1,219 U.S. Dollars

❑❑ Plan B+ and Personal Liability $1,508 U.S. Dollars

Contact Us Today!Ted Cenatiempo • 203.399.5556

[email protected]

www.CISI-Bolduc.com

Market Leader in Youth Exchange

Cultural Insurance Services International, CISI, is the leading

provider of study abroad and international student insurance

coverage. Since 1992, we have insured over 1 million international

students and cultural exchange participants worldwide. Our

relationships with financially stable insurance carriers, all rated A

or better by A.M. Best, permit us to provide you with wide-ranging

coverage you require at affordable prices.

Why Choose CISI?

• Worldwide coverage

• Our plans meet and exceed the RI insurance requirements

• Plans starting at 100%, no deducible for accident & sickness

coverage

• Customer focused, experienced and knowledgeable staff

• Personal security advice and response services

• In-house Crisis Management Team

• Legal Assistance

• Payment guarantees to foreign medical providers and foreign

currency claim payments

• 24/7 Toll free worldwide assistance with multilingual

emergency assistance services

• Security Check-in feature available through the mobile app

• Travel Risk Intelligence Portal

• District and Participant portal access

• Fully Integrated with YEAH

• Access to the Aetna Network (for USA only)

CISI Provides

• Medical Insurance

• Emergency Medical Evacuation

• Repatriation/Return of Mortal Remains

• Security Evacuation

• Emergency Medical Family Reunion Coverage

• Transportation Expense Benefit

• Trip Interruption

• Trip Delay

• Trip Cancellation

• Personal Property & Liability

• Sports Coverage

• Worldwide Coverage

Medical Expenses Plan A Plan B Plan B+

MaximumLifetimeBenefitspercoveredAccidentandSickness

$1,000,000 $1,000,000 $1,000,000

Accident & Sickness Coverage Outside of the USA 80/20%

$100 deductible

100%

$0 deductible

Accident & Sickness Coverage Inside of the USA 80/20%

$100 deductible

$100 deductible

80%to$1,000outofpocketlimit;planpays100%thereafter

100%

$0 deductible

Chiropractic Care Maximum $500 $500 $500

EmergencyDentalExpenseMaximum $100 $400 $400

Out-Patient Mental and Nervous Expenses Maximum $1,000 $1,000 $1,000

In-Patient Mental and Nervous Expenses Maximum $25,000 $25,000 $25,000

Pre-Existing Coverage $500 $500 $500

AccidentalDeath&DismembermentBenefit $100,000 $100,000 $100,000

Medical Evacuation Coverage $100,000 $100,000 $100,000

Security Evacuation Coverage $100,000 $100,000 $100,000

Repatriation/ReturnofMortalRemains $50,000 $50,000 $50,000

TransportationExpenseBenefit $5,000 $5,000 $5,000

EmergencyFamilyReunionBenefit $5,000 $5,000 $5,000

TripCancellationBenefit $3,000 $3,000 $3,000

TripInterruptionBenefit $3,000 $3,000 $3,000

TripDelay $500 $500 $500

Personal Liability $500,000 $500,000 $500,000

Personal Liability For Medical Payments $5,000 $5,000 $5,000

PersonalLiabilityforAdditionalLivingExpense $5,000 $5,000 $5,000

Personal Property Financial Instrument Reimbursement

$1,000 $1,000 $1,000

LiabilityDeductible $250 $250 $250

Great Coverage at a Great Price!

Schedule of Benefits: