Traveling abroad can be an exciting experience, especially when you’re involved in an educational or cultural exchange program. But what would happen if a member of your group became ill or injured while away from home? Your experience can quickly turn frightening if you’re not prepared for a medical emergency.

Whether your trip takes you abroad for a few weeks or a year, your cultural exchange experience should be an enjoyable one. Your group has enough to worry about when they travel. Don’t let their medical coverage be an uncertainty. International Medical Group^® (IMG^®) has developed three Patriot Group Exchange Program^SM plans to provide you and your group Coverage Without Boundaries^®. Each plan offers a complete package of international benefits available 24 hours a day. Simply select the one that best fits your needs.

The Standard Short-Term Travel Plan is designed to meet the U.S. visa travel insurance requirements for groups of students studying abroad or participants of a group cultural exchange program. The plan may be purchased in monthly increments and can include coverage for the students or participants, their spouses and unmarried dependent children traveling with them. If the plan is purchased for a minimum of three months, coverage may be renewed (without break in coverage) for a total of up to 48 months. See the "Renewal of Coverage" section on page 11 for more information.

The Basic Short-Term Travel Plan is an economical plan designed for groups of students studying abroad or participants of a group cultural exchange program. The plan may be purchased in monthly increments and can include coverage for the students or participants, their spouses and unmarried dependent children traveling with them. If the plan is purchased for a minimum of three months, coverage may be renewed (without break in coverage) for a total of up to 48 months. See the "Renewal of Coverage" section on page 11 for more information.

The Long-Term Annual Plan is designed for cultural exchange or study abroad groups, their spouses and unmarried dependent children traveling with them. The plan has the flexibility to be tailored to meet specific needs of each program and can be renewed annually.

At IMG, we know that the reasons to travel abroad are many and varied - that’s why our services are designed to provide you with the security you need no matter where you are. Our goal is to make the medical process smooth and efficient. By providing global products and services to vacationers, those working or living abroad for short or extended periods, people traveling frequently between countries, and those who maintain multiple countries of residence, IMG is the single resource for all your international travel needs.

How we service and support your needs is what sets us apart. Since 1990, we’ve served more than a million people around the globe - always focused on the specific needs of each individual. We’ve set the benchmark for industry service levels by integrating independent credentialing services with in-house, fully owned and operated service divisions. At IMG, we’re with you, wherever you go - bringing support for all your insurance needs around the globe - providing you Global Peace of Mind^®.

Plan Maximum	Standard Plan - choice of $50,000, $250,000 or $500,000 per illness or injury with a Lifetime Maximum of $5,000,000. Basic Plan - $10,000 per illness or injury with a Lifetime Maximum of $5,000,000. Annual Plan - Customizable from $50,000 to a Lifetime Maximum of $5,000,000.
Coinsurance	No coinsurance
Deductible	$100 per Illness or Injury Long-Term Annual Plan: In-patient $100; Out-patient $40
Treatment Period	60 days per chronic illness
MyIMGSM	24 hour secure access from anywhere in the world to manage your account at anytime
International Emergency Care	A wide range of international emergency benefits available including emergency evacuation, emergency reunion, and return of mortal remains
Dependent Coverage	Coverage provided for dependents of faculty, scholars, students and exchange participants
Optional Add-on Plan	Additional coverage is available for high school sports, personal liability and legal assistance
Pre-existing Conditions	Available for non-U.S. and U.S. citizens. See plan design for benefit information.

STANDARD SHORT-TERM TRAVEL PLAN
All coverages, benefits and premium amounts shown in this booklet are in U.S. dollars

MEDICAL BENEFITS *Usual, Reasonable and Customary (URC) charges for eligible expenses in the area where you receive treatment.
Hospital Room and Board	Up to semi-private room rate
Hospital Intensive Care	URC*
Physical Therapy	URC* - 1 visit per day
Physician Visit	URC*
Student Health Center	$5 co-pay per visit
Prescription Drugs	URC*
Eligible Medical Expenses	URC*
Emergency Room	URC*
Emergency Room Illness with In-patient Admission	URC*
Emergency Room Illness without In-patient Admission	Additional $250 deductible
Dental
Injury Due to Accident	$500
Sudden and Unexpected Pain	$350

INTERNATIONAL EMERGENCY CARE When coordinated through the Plan Administrator
Emergency Medical Evacuation	$50,000 Lifetime Maximum
Emergency Reunion	$15,000
Return of Mortal Remains	$25,000
Political Evacuation	Up to $10,000

ADDITIONAL BENEFITS
Accidental Death	$25,000
Dismemberment	$25,000 two limbs; $12,500 one limb
Terrorism Coverage	Up to $50,000 Lifetime Maximum
Sudden Recurrence of a Pre-existing Condition (U.S. citizens)
Medical	Up to $5,000 of eligible expenses
Emergency Medical Evacuation	Up to $25,000 of eligible costs and expenses
Pre-existing Conditions (For U.S. citizens, this benefit will begin when the Sudden Recurrence benefit is exhausted)	$500 per year; $50,000 lifetime maximum - after 12 months of continuous coverage
Incidental Home Country Coverage	Up to a cumulative two weeks

OPTIONAL ADD-ON PLAN
Baggage
Loss/theft of Baggage	$250
Loss/theft of Valuables	$250
Loss/theft of Personal Papers	$250
Legal Assistance
Binder Fee	$500 when served with summons
Personal Liability
Injury to third party	$2,000 limit after $100 deductible
Damage to third person property	$500 limit after $100 deductible. Secondary to any other insurance in force
Limited High School Sports Coverage	URC*

OPTIONAL RIDERS Applies to all individuals on the Application Form
Adventure Sports Rider (available to insureds up to age 65 - apply 1.20 rate factor)	Age Lifetime Maximum 0 - 49 $50,000 50 - 59 $30,000 60 - 64 $15,000
Chaperone / Faculty Leader Replacement Rider (apply 1.10 rate factor)	Up to $3,000 for a round trip economy airline ticket for a replacement Chaperone / Faculty Leader

BASIC SHORT-TERM TRAVEL PLAN
All coverages, benefits and premium amounts shown in this booklet are in U.S. dollars

MEDICAL BENEFITS *Usual, Reasonable and Customary (URC) charges for eligible expenses in the area where you receive treatment.
Hospital Room and Board	Up to semi-private room rate
Hospital Intensive Care	URC*
Physical Therapy	URC* - 1 visit per day
Physician Visit	URC*
Student Health Center	$5 co-pay per visit
Prescription Drugs	URC*
Eligible Medical Expenses	URC*
Emergency Room	URC*
Emergency Room Illness with In-patient Admission	URC*
Emergency Room Illness without In-patient Admission	Additional $250 deductible

INTERNATIONAL EMERGENCY CARE When coordinated through the Plan Administrator
Emergency Medical Evacuation	$25,000 Lifetime Maximum
Emergency Reunion	$5,000 Lifetime Maximum
Return of Mortal Remains	$7,500
Political Evacuation	Up to $10,000

ADDITIONAL BENEFITS
Accidental Death	$5,000
Dismemberment	$5,000 two limbs; $2,500 one limb
Terrorism Coverage	Up to $50,000 Lifetime Maximum
Sudden Recurrence of a Pre-existing Condition (U.S. citizens)
Medical	Up to $5,000 of eligible expenses
Emergency Medical Evacuation	Up to $25,000 of eligible costs and expenses
Incidental Home Country Coverage	Up to a cumulative two weeks

OPTIONAL ADD-ON PLAN
Baggage
Loss/theft of Baggage	$250
Loss/theft of Valuables	$250
Loss/theft of Personal Papers	$250
Legal Assistance
Binder Fee	$500 when served with summons
Personal Liability
Injury to third party	$2,000 limit after $100 deductible
Damage to third person property	$500 limit after $100 deductible. Secondary to any other insurance in force
Limited High School Sports Coverage	URC*

OPTIONAL RIDERS Applies to all individuals on the Application Form
Adventure Sports Rider (available to insureds up to age 65 - apply 1.20 rate factor)	Age Lifetime Maximum 0 - 49 $50,000 50 - 59 $30,000 60 - 64 $15,000
Chaperone / Faculty Leader Replacement Rider (apply 1.10 rate factor)	Up to $3,000 for a round trip economy airline ticket for a replacement Chaperone / Faculty Leader

LONG-TERM ANNUAL PLAN

MEDICAL BENEFITS *Usual, Reasonable and Customary (URC) charges for eligible expenses in the area where you receive treatment.
Hospital Room and Board	Up to semi-private room rate
Hospital Intensive Care	URC*
Physical Therapy	URC* - 1 visit per day
Physician Visit	URC*
Student Health Center	$5 co-pay per visit
Prescription Drugs	URC*
Eligible Medical Expenses	URC*
Urgent Travel Expense	$500
Emergency Room	URC*
Emergency Room Illness with In-patient Admission	URC*
Emergency Room Illness without In-patient Admission	Additional $250 deductible
Dental
Injury Due to Accident	$500
Sudden and Unexpected Pain	$350

INTERNATIONAL EMERGENCY CARE When coordinated through the Plan Administrator
Emergency Medical Evacuation	Up to Maximum Limit
Emergency Reunion	$15,000
Return of Mortal Remains	$25,000
Political Evacuation	Up to $10,000

ADDITIONAL BENEFITS
Accidental Death	$25,000 (hazardous sports excluded)
Dismemberment	$25,000 two limbs; $12,500 one limb
Terrorism Coverage	Up to $50,000 Lifetime Maximum
Sudden Recurrence of a Preexisting Condition (U.S. citizens)
Medical	Up to $5,000 of eligible expenses
Emergency Medical Evacuation	Up to $25,000 of eligible costs and expenses
Incidental Home Country Coverage	Up to a cumulative two weeks
TMJ	$5,000 Lifetime Maximum
High School Sports Coverage	Organized sports coverage; Professional sports excluded
Baggage
Loss/theft of Baggage	$1,000
Loss/theft of Valuables	$350
Loss/theft of Personal Papers	$500

OPTIONAL ADD-ON PLAN
Legal Assistance
Binder Fee	$500 when served with summons
Attorney Fees	Up to $20,000
Personal Liability
Injury to third party	$5,000 medical payment sub-limit after $100 deductible; Up to $250,000 maximum with judgement
Damage to third person property	$1,000 sub-limit after $100 deductible; Up to $100,000 maximum with judgement

OPTIONAL RIDERS Applies to all individuals on the Application Form
Adventure Sports Rider (available to insureds up to age 65 - apply 1.20 rate factor)	Age Lifetime Maximum 0 - 49 $50,000 50 - 59 $30,000 60 - 64 $15,000
Chaperone / Faculty Leader Replacement Rider (apply 1.10 rate factor)	Up to $3,000 for a round trip economy airline ticket for a replacement Chaperone / Faculty Leader

The benefits, optional add-on plan and optional riders listed above are a summary only. Please see below for a list of descriptions.

STANDARD SHORT-TERM TRAVEL PLAN RATES MONTHLY PREMIUMS

Non-U.S. Citizens - Worldwide Excluding Home Country
Age	Option A $50,000 per Illness/Injury	Option B $250,000 per Illness/Injury	Option C $500,000 per Illness/Injury
Under 25 years	$43.78 $45.97 w/add-on	$54.34 $57.06 w/add-on	$57.29 $60.15 w/add-on
25 - 49 years	$57.05 $59.91 w/add-on	$70.74 $74.28 w/add-on	$87.44 $91.81 w/add-on
50 - 64 years	$122.13 $128.24 w/add-on	$151.45 $159.03 w/add-on	$159.77 $167.76 w/add-on
U.S. Citizens - Worldwide Excluding the U.S.
Age	Option A $50,000 per Illness/Injury	Option B $250,000 per Illness/Injury	Option C $500,000 per Illness/Injury
Under 25 years	$31.03 $32.59 w/add-on	$38.47 $40.39 w/add-on	$40.59 $42.62 w/add-on
25 - 49 years	$35.87 $37.67 w/add-on	$44.49 $46.71 w/add-on	$46.96 $49.31 w/add-on
50 - 64 years	$92.98 $97.63 w/add-on	$115.46 $121.24 w/add-on	$121.84 $127.93 w/add-on
Europe to Europe Travel Only
Age	Option A $50,000 per Illness/Injury	Option B $250,000 per Illness/Injury	Option C $500,000 per Illness/Injury
Under 25 years	$25.78 $27.07 w/add-on	$31.98 $33.58 w/add-on	$33.75 $35.44 w/add-on
25 - 49 years	$29.80 $31.28 w/add-on	$36.93 $38.78 w/add-on	$39 $40.95 w/add-on
50 - 64 years	$77.29 $81.15 w/add-on	$95.82 $100.61 w/add-on	$101.06 $106.11 w/add-on

BASIC SHORT-TERM TRAVEL PLAN RATES MONTHLY PREMIUMS

Non-U.S. Citizens - Worldwide Excluding Home Country $10,000 per Illness/Injury
Age	Monthly Premium	Monthly Premium w/add-on
Under 25 years	$26.73	$28.06
25 - 49 years	$34.87	$36.61
50 - 64 years	$74.62	$78.35
U.S. Citizens - Worldwide Excluding the U.S. $10,000 per Illness/Injury
Age	Monthly Premium	Monthly Premium w/add-on
Under 25 years	$18.95	$19.90
25 - 49 years	$21.94	$23.04
50 - 64 years	$56.86	$59.70
Europe to Europe Travel Only $10,000 per Illness/Injury
Age	Monthly Premium	Monthly Premium w/add-on
Under 25 years	$22.51	$23.63
25 - 49 years	$26.01	$27.31
50 - 64 years	$67.47	$70.84

LONG-TERM ANNUAL PLAN RATES

If you would like more information on these rates, please contact us.

1. Coverage and benefits are subject to the deductible and coinsurance, and all terms of the certificate of coverage and Master Policy.
2. Coverage under a Patriot Group Exchange Program plan is secondary to any other coverage.
3. Coverage and benefits are for medically necessary and usual, reasonable and customary charges only.
4. Charges must be administered or ordered by a physician.
5. Charges must be incurred during the Period of Coverage.
6. Claims must be presented to IMG for payment within the Period of Coverage or during the three months immediately following the Period of Coverage.

The following conditions apply to all persons applying for and/or enrolling in a Patriot Group Exchange Program plan.

• The group member must be actively engaged or participating in an educational or cultural exchange program in the country of assignment through a sponsoring organization or school.
• The group member and his/her traveling dependents must have legally departed the Home Country and entered the Host Country and must not be a citizen of the Host Country.

If the Short-Term plans are purchased for a minimum of three months, coverage may be renewed (without break in coverage) for a total of up to 48 months. Renewals may be completed by using a paper application. For information on the Long-Term Annual Plan, please contact your independent agent or International Medical Group.

The group’s satisfaction is very important to IMG and the plan underwriter. If the sponsoring organization or group is not pleased with this product for any reason, a written request may be submitted, prior to the effective date, for cancellation and refund of the premium. If the group does not have any claims filed with IMG, you may cancel the plan after the effective date, however, the following conditions will apply: 1) the group will be required to pay a $50 cancellation fee and 2) only full month premiums will be considered for refunds (e.g., if the group chooses to cancel coverage two months and two weeks prior to the date coverage ends, IMG will only consider the two full months for a refund). If anyone in the group has filed a claim, the premium is non-refundable.

You may either apply online for Instant Quotes & Purchase or complete a Paper Application

If you are applying online, no papers are required to be mailed or faxed. If you are making paper application, you can either fax the credit card applications to (972) 767-4470 or mail all applications to:

Insubuy^®, Inc.
4700 Dexter Dr, Suite 100
Plano, TX 75093 USA

You can apply over the phone as well by calling toll-free (866) INSU-BUY.

Short-Term Travel Plans - Before the group begins its travel, simply fill out the Application Form and calculate the premium for the time period(s) your group will be traveling. Once the Application Form is completed, return it to your insurance agent or broker, and/or mail it to IMG. The group member(s), their spouses and unmarried dependent children (over 14 days and under 18 years of age) listed on the Application Form and for whom premiums have been paid will be covered from the latest of the following dates: 1) the date IMG receives the completed Application Form and the appropriate premium; 2) the date the group member departs from his/her country of citizenship; or 3) the date requested on the Application Form.

Patriot Group Exchange Program coverage ends on the earliest of the following dates: 1) the end of the period for which premium has been paid; 2) the date requested on the Application Form; or 3) the date the group member returns to his/her country of residence.

Long-Term Annual Plan - please contact your independent agent or International Medical Group for more information.

ENROLLMENT PROCESSING - FULFILLMENT KITS
Short-Term Travel Plans - IMG normally processes Application Forms within 24 hours of receipt. Once processing is complete, IMG will mail a fulfillment kit for each member of the group to the Sponsor’s mailing address listed on the Application Form. The fulfillment kit will include an IMG Identification Card for each group member, IMG contact numbers, Claim Forms and your insurance certificate providing a complete description of your rights and benefits under the contract. Please note: If express mail delivery is required, there is an additional charge listed on the Application Form.

PRECERTIFICATION
Each proposed hospital admission, in-patient or out-patient surgery, and other procedures as noted in the Certificate Wording must be Precertified for medical necessity, which means the insured person or their attending physician must call the number listed on the IMG Identification Card prior to admittance to a hospital or performance of a surgery. In case of an Emergency Admission, the Precertification call must be made within 48 hours of the admission, or as soon as reasonably possible. If a hospital admission or a surgery is not Precertified, eligible claims and expenses will be reduced by 50%. It is important to note that Precertification is only a determination of medical necessity, not an assurance of coverage, verification of benefits or a guarantee of payment. All medical expenses must meet usual, reasonable, customary, and eligible payment guidelines. Please refer to the Certificate Wording for full details of the Precertification requirements.

For Precertification, emergency evacuation and repatriation, please call: IMG in the U.S.: 1.800.628.4664 (toll free) or 1.317.655.4500. Call IMG outside the U.S.: 001.317.655.4500 (collect if necessary). This information will also be provided on your ID card.

Note: You may begin the Precertification process through MyIMG or the Current Clients section of our website. Simply look for the Precertification option. You will be asked to provide the required information, which can then be submitted electronically to IMG. Once we have confirmed receipt of your request, our utilization management and review team will review the information provided and respond to the insured person or the provider within 48 business hours. Please note that this online service will only initiate the Precertification process, and it should not be used to Precertify emergency admissions, procedures or evacuations.

CLAIM PAYMENT
All benefits payable under Patriot Group Exchange Program are subject to the provisions described in this brochure and as contained in the Certificate Wording and certificate of coverage. To make claim processing efficient, claims may be paid in two ways.

1. Eligible claims that have been paid by or on behalf of the Insured Person will be reimbursed by check directly to the Insured Person.
2. Eligible claims that have not yet been paid by the Insured Person will, at the option of IMG, be paid either to the Insured Person or directly to the provider.

Please mail completed claim forms to International Medical Group, P.O. Box 88500, Indianapolis, IN 46208-0500 USA. All IMG contact numbers, claim forms and Certificate Wordings will be included in the fulfillment kit.

The following is a partial list of benefits and terms that are offered on the Patriot Group Exchange Program plans.

EMERGENCY ROOM:
Charges incurred for the use of the Emergency Room due to an accident are covered up to the per injury plan maximum.

Charges incurred for the use of the Emergency Room for treatment of an illness are subject to an additional (extra) $250 deductible if treatment does not require admittance to the hospital.

DENTAL:
Injury due to an accident - The Standard Short-Term Travel Plan and the Long-Term Annual Plan cover the cost of emergency dental treatment and dental procedures necessary to restore sound natural teeth lost or damaged in an accident.

Sudden dental pain - The Standard Short-Term Travel Plan and the Long-Term Annual Plan will pay for the necessary treatment of sudden, unexpected pain to sound natural teeth.

SUDDEN RECURRENCE OF A PRE-EXISTING CONDITION (U.S. CITIZENS ONLY):
Up to $5,000 will be paid for the eligible expenses of a sudden and unexpected recurrence of a Pre-existing Condition (defined below) while traveling outside of the U.S. In addition, up to $25,000 will be paid for the eligible costs and expenses of an Emergency Medical Evacuation arising or resulting from a sudden and unexpected recurrence of a Pre-existing Condition.

POLITICAL EVACUATION:
If the United States Department of State, Bureau of Consular Affairs issues a mandatory evacuation order of the host country that becomes effective on or after the insured person’s date of arrival in the host country, the Company will pay up to $10,000 lifetime maximum for transportation to the nearest place of safety or for repatriation to the insured person’s home country or country of residence provided that:

1. The Insured Person contacts the Company within 10 days of the United States Department of State, Bureau of Consular Affairs issues the evacuation order;
2. Political Evacuation and Repatriation is approved and coordinated by the Company.

EMERGENCY EVACUATION:
Each plan includes coverage for emergency medical evacuations to the nearest qualified medical facility; expenses for reasonable travel and accommodations resulting from the evacuation; and the cost of returning to either the home country or the country where the evacuation occurred, up to the indicated amount per plan design.

EMERGENCY REUNION:
Each plan provides emergency reunion coverage for the reasonable travel and lodging expenses of a relative or friend during an Emergency Medical Evacuation: either the cost of accompanying the insured during the evacuation or traveling from the home country to be reunited with the insured. The coverage also includes a round trip air ticket for a relative if the member is hospitalized for seven days or longer.

RETURN OF MORTAL REMAINS:
If a covered illness/injury results in death, expenses for Repatriation of bodily remains or ashes to the home country will be covered.

To be eligible for the Evacuation, Reunion and Return benefits, these must be recommended by the attending physician in critical medical situations, and approved in advance and coordinated by IMG.

INCIDENTAL HOME COUNTRY COVERAGE:
During the Period of Coverage an insured person may return to their home country for incidental visits up to a cumulative two weeks total, subject to:

1. The insured person must have left their home country,
2. The total Period of Coverage must be for a minimum of 30 days, and
3. The return to the home country may not be taken to receive treatment for an illness or injury incurred while traveling.

ACCIDENTAL DEATH AND DISMEMBERMENT:
Each plan includes a principal sum benefit for Accidental Death and Dismemberment occurring during the Period of Coverage: • Accidental Loss of life - principal sum; • Accidental Loss of two Members - principal sum; • Accidental Loss of one Member - principal sum. "Member" means hand, foot or eye.

TERRORISM:
Each plan provides coverage for injuries and illness incurred as a result of an act of Terrorism, limited in amount and by circumstances. If an insured person is injured as a result of an act of Terrorism, and the insured person has no direct or indirect participation in the act, the plan will reimburse for eligible medical claims. However, claims incurred as a result of radiological, nuclear, chemical or biological weapons or events are not covered.

Terrorism is defined as the systematic or planned use of violence, fear, or threat of violence in order to intimidate a population or government, especially as a means of coercion or to obtain a granting of any demand. However, this benefit does not cover an act of Terrorism in any country or location where the United States government has issued a travel advisory that has been in effect within the six months prior to the insured person's date of arrival.

This benefit also does not cover an act of Terrorism in the event that an advisory to leave a certain country or location is issued by the United States government after the insured person's arrival date, and the insured person unreasonably fails or refuses to depart the country or location.

LOST LUGGAGE:
This benefit will be paid in the event that the Common Carrier permanently loses an insured person’s checked luggage. This coverage is secondary to any other available coverage, including the Carrier’s.

ADVENTURE SPORTS RIDER:
The Adventure Sports Rider is available on the Patriot Group Exchange Program plans for those up to the age of 65. The following activities are covered to the lifetime maximum amounts listed on pages four, six and eight: abseiling, aviation, BMX, bobsleigh, bungee jumping, canyoning, caving, flying (private plane), hang gliding, heli-skiing, high diving, hot air ballooning, inline skating, jet skiing, kayaking, mountain biking, paragliding, parascending, rappelling, rock climbing (ropes and guides to 4500m from ground level), skydiving, snow boarding, snowmobiling, snow skiing, spelunking, surfing, trekking, whitewater rafting (to Class V), windsurfing. These adventure activities must be engaged in solely for leisure, recreation, or entertainment purposes.

CHAPERONE / FACULTY LEADER REPLACEMENT RIDER:
In the event that an insured person who is designated as a Chaperone/Faculty Leader by the sponsoring organization has an unexpected death of a relative, a medical emergency, or the substantial destruction of the principal residence in his/her home country, which causes the insured person to have to cancel or interrupt travel, Patriot Group Exchange Program covers reimbursement up to $3,000 for the expense of a round trip economy airline ticket for a replacement Chaperone/Faculty Leader. For premium information, please see the Application Form.

Charges for the following services, treatments and/or conditions, among others, are excluded from coverage under the Patriot Group Exchange Program plans.

1. A Pre-existing Condition is defined as any injury, illness, sickness, disease, or other physical, medical, mental or nervous condition, disorder or ailment that, with reasonable medical certainty, existed at the time of application or at any time during the three years prior to the effective date of the insurance, whether or not previously manifested or symptomatic, diagnosed, treated, or disclosed prior to the effective date, including any subsequent, chronic or recurring complications or consequences related thereto or arising therefrom.
2. Treatment or surgeries which are elective, investigational, experimental or for research purposes.
3. War, military action, terrorism, political insurrection, protest, or any act thereof. The Company will not pay for a Political Evacuation if there is a travel advisory in effect on or within six (6) months prior to the Insured Person’s date of arrival in the Host Country.
4. Immunizations and routine physical exams.
5. Treatment of Temporomandibular Joint or dental treatment, except as expressly provided for in the certificate of insurance
6. Venereal disease, AIDS virus, AIDS related illness, ARC Syndrome, or AIDS, and the cost of testing for these conditions, and charges for treatment or surgeries which are incurred by any Insured who was HIV+ at time of enrollment into this insurance.
7. Pregnancy, childbirth, birth control, artificial insemination, treatment for infertility or impotency, sterilization or reversal thereof, or abortion.
8. Injury sustained while participating in amateur or professional sports or other athletic activity which is organized and/or sanctioned, or which involves regular or scheduled practices, games or competition. The following hazardous activities are excluded unless the Adventure Sports Rider is purchased: abseiling, aviation (except when traveling as a passenger in a commercial aircraft), BMX, bobsleigh, bungee jumping, canyoning, caving, high diving, hang gliding, heliskiing, hot air ballooning, inline skating, jet skiing, kayaking, mountain biking, paragliding, paracending, rappelling, rock climbing, sky diving, snow skiing, snowboarding, snowmobiling, spelunking, surfing, trekking, wind-surfing and whitewater rafting.
   
   Racing of any kind, BASE jumping, mountaineering, climbing or trekking above elevation 4500 meters above ground level or without proper ropes or guides; luge, motocross, Moto-X, rodeo activity, ski jumping, whitewater rafting exceeding Class V difficulty, scuba below 10 meters; and/or adventure sports not expressly covered hereunder are excluded regardless of which plan or rider is selected.
9. Vision or ear tests and the provision of visual or hearing aids.
10. Vocational, recreational, speech or music therapy.
11. Treatment while confined primarily to receive custodial care, educational or rehabilitative care, or nursing services.
12. Charges, injuries and/or illnesses resulting or arising from or occurring during the commission or continuing perpetration of a violation of law by the insured, including without limitation, the engaging in an illegal occupation or act, but excluding minor traffic violations.
13. Treatment for, and injuries and/or illnesses resulting or arising from, substance abuse or drug addiction.
14. Injury and/or illness resulting or arising from being under the influence of alcohol or drugs; and injury or illness resulting from operating any type of vehicle after consuming any alcohol or drugs.
15. Willful self-inflicted injury or illness.
16. Treatment required as a result of or arising from complications from a treatment or condition not covered under the certificate.
17. Any services or supplies performed or provided by a relative of the Insured or provided at no cost to Insured.
18. Treatment for mental and nervous disorders.
19. Organ or tissue transplants or related services.
20. Illness or injury where the trip to the host country is undertaken for treatment or advice for such illness or injury, except as expressly provided for in the certificate of insurance.
21. Treatment incurred as a result of or arising from exposure to nuclear radiation, and/or radioactive material(s).
22. Charges for Treatment of a Chronic Illness incurred beyond sixty (60) days from the date of initial Treatment thereof.

This brochure contains only a consolidated and summary description of all current Patriot Group Exchange Program benefits, conditions, limitations and exclusions. A certificate containing the complete Certificate Wording with all terms, conditions and exclusions will be included in the fulfillment kit. IMG reserves the right to issue the most current Certificate Wording for this insurance plan in the event this application and/or brochure has expired, is modified, or is replaced with a newer version. Current Certificate Wordings are available upon request.

MyIMG^SM
Service at your fingertips anytime, anywhere - that’s what MyIMG provides. MyIMG is our proprietary online service that allows you to access information and manage accounts, 24 hours a day, seven days a week, from anywhere in the world. Our service centers in the U.S. and Europe are always available to help or handle emergencies 24 hours a day, but through MyIMG you have immediate access to a wealth of information about your account and can manage routine areas to help you save time when you may need it most. Some features include:

• Get explanation of benefits
• Obtain certificate documents
• Recommend provider/facility
• Initiate precertification
• Locate a provider
• Request ID cards

Locating a Provider
You may also seek treatment with the hospital or doctor of your choice. When seeking treatment in the U.S., you can reduce your out-of-pocket costs by using the independent Preferred Provider Organization (PPO), a separately organized network of hundreds of thousands of established, highly qualified health care physicians and many well-recognized hospitals in the U.S. contracted by IMG. You can quickly search the network through MyIMG. Additionally, to help you locate health care providers outside the U.S., IMG provides its online International Provider Access^SM (IPA), a database of over 17,000 providers.

Universal Rx Pharmacy Discount Savings
This is a discount savings program available to every certificate holder of the Patriot Group Exchange Program plans. This program allows card members to purchase prescriptions at one of over 35,000 participating pharmacies in the U.S. and receive the lower of 1) Universal Rx contract price or 2) the pharmacy regular retail price.

This discount program is not insurance coverage. It is purely a discount program to purchasers of the Patriot Group Exchange Program plans. Use of the discount card does not guarantee that prescribed medication is covered under the insurance benefit plan.

At IMG, we know that the reasons to travel abroad are many and varied - that’s why our services are designed to provide you with the security you need no matter where you are. Our goal is to make the medical process smooth and efficient. By providing global products and services to vacationers, those working or living abroad for short or extended periods, people traveling frequently between countries, and those who maintain multiple countries of residence, IMG is the single resource for all your international travel needs.

Akeso Care Management^® (ACM^®)
The ability to access quality health care is of paramount importance when a medical emergency arises abroad. To coordinate care and provide U.S. and internationally based medical management services, IMG formed ACM, a URAC accredited, on-site specialized division devoted entirely to medical management. ACM’s clinical members are experts at assessing the need for services and ensuring those services are delivered in a timely, cost-effective manner.

From routine medical care to complex case management, from check-ups to emergency medical evacuations, ACM is there for you. They are committed to consumer protection and empowerment, quality operations and regulatory compliance. This translates into better care for you - around the world, around the clock.

Plan Administrator
As the Plan Administrator for the Patriot Group Exchange Program^SM plans, IMG acts as the authorized agent for and on behalf of Sirius International.

International Medical Group^®, Inc.
P.O. Box 88509
2960 North Meridian Street
Indianapolis, IN 46208-0509 USA

Plan Underwriter
These Patriot Group Exchange Program plans are surplus lines products underwritten by Sirius International Insurance Corporation (publ), rated A (excellent) by A.M. Best and A- by Standard & Poor’s (at the time of printing). Sirius International is a White Mountains Re company.

IMG, International Medical Group, the IMG block design logo, imglobal, Patriot Group Exchange Program, ACM, Akeso, Akeso Care Management, and Coverage Without Boundaries are the trademarks, service marks and/or registered marks of International Medical Group, Inc.

Sirius, Sirius International, and the Sirius design logo are the trademarks, service marks and/or registered marks of Sirius International Insurance Corporation (publ).