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Sky Rescue
Emergency medical evacuation coverage for international travelers
Instant Quotes & Purchase
Paper Application

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Why Consider Travel Insurance?
When you and your family are traveling abroad, probably the last thing on your mind is your health insurance. But what would happen if you or one of your family members became ill or injured while away from home and the treatment you need isn't available nearby?

Most travelers assume that their standard medical plan will cover the services necessary to get you to the nearest medical facility. The truth is, while traditional plans may offer adequate domestic coverage, they are not designed to provide this expensive service internationally.

What would you do if you needed to be evacuated to a qualified medical facility? How would you deal with the language and currency barriers? Who do you call? Imagine trying to call your insurance company or plan administrator at 3:00 a.m. from a foreign country during a medical emergency! Will they be there when you need them the most?

International Medical Group® (IMG®) has developed Sky RescueSM to provide you and your family Coverage Without Boundaries® so you can spend more time enjoying your international experience, and less time worrying about your medical security.

Why Sky RescueSM
The Sky Rescue plan provides scheduled coverage for individuals under the age of 65 traveling outside their home country for a minimum of three months. The plan may be purchased for three months, six months or 12 months.

Additionally, the plan offers excellent benefits and services to meet your global needs. You have access to international, multilingual customer service centers, claims administrators who process claims from all over the world, handling virtually every language and currency, and 24 hour access to highly qualified coordinators of emergency medical services and international treatment.

A Unique, Full-Service Approach
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 INFORMATION & HIGHLIGHTS
Deductible
No deductible except for the Personal Liability Coverage
Personal Liability - Injury to a Third Person
Up to $2,000 after a $100 special deductible
Personal Liability - Damage to a Third Person's Property
Up to $500 after a $100 special deductible
MyIMGSM
24 hour secure access from anywhere in the world to manage your account at anytime
Emergency Travel Assistance Services
A complete arrangement of emergency travel assistance services including lost passport assistance, emergency prescription replacement, legal referrals and more
International Emergency Care
A wide range of international emergency benefits available including emergency evacuation, emergency reunion, return of mortal remains, return of minor children and more

SCHEDULE OF BENEFITS
All coverages, benefits and premium amounts shown in this booklet are in U.S. dollars.

INTERNATIONAL EMERGENCY CARE
When coordinated through the Plan Administrator.
Emergency Evacuation
Up to $100,000
Emergency Reunion
Up to $15,000
Return of Mortal Remains
Up to $20,000
Return of Minor Children
Up to $5,000
Political Evacuation
Up to $10,000
ADDITIONAL BENEFITS
Accidental Death & Dismemberment
Up to $100,000
Loss of:
Sight of One Eye
One Hand or One Foot
One Hand and the Loss of Sight of One Eye
One foot and the Loss of Sight of One Eye
One Hand and One Foot
Both Hands or Both Feet
Sight of Both Eyes

$50,000
$50,000
$100,000
$100,000
$100,000
$100,000
$100,000
Trip Interruption
Up to $5,000
Lost Luggage
Up to $50 per item; maximum of $250 per Period of Coverage
OPTIONAL COVERAGE
Enhanced Accidental Death and Dismemberment
Available for the primary insured only; see below for more details and rates
EMERGENCY TRAVEL ASSISTANCE SERVICES
The following services are available to you as part of Sky Rescue
Emergency Travel Arrangements
Lost Passport/Travel Documents Assistance
Lost Luggage Assistance
Embassy or Consulate Referral
Emergency Message Relay
Emergency Prescription Replacement
Medical Referral
24-Hour Medical Monitoring
Emergency Cash Transfer
Legal Referral
Emergency Translations
This is a summary of benefits only.
Please see below for a list of benefit descriptions

RATES
SKY RESCUE STANDARD COVERAGE RATES
 
3 months
6 months
12 months
Single
$76
$95
$168
Couple
$101
$127
$224
Family
$126
$157
$280

SKY RESCUE OPTIONAL COVERAGE RATES
Enhanced Accidental Death and Dismemberment*
 
3 months
6 months
12 months
Up to $100,000
additional coverage
$38
$48
$60
Up to $200,000
additional coverage
$76
$96
$120
Up to $300,000
additional coverage
$114
$144
$180
Up to $400,000
additional coverage
$152
$192
$240
*Optional coverage is available for the primary insured person only. This coverage is in addition to the $100,000 Accidental Death and Dismemberment included in the Sky Rescue plan. All premium rates are effective through 3/31/2011. Rates include surplus lines tax where applicable.

CONDITIONS OF COVERAGE
  1. Coverage and benefits are subject to all terms of the certificate of coverage and Master Policy.
  2. Coverage under the plan is secondary to any other coverage.
  3. Coverage and benefits are for medically necessary, 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 or the Benefit Period.
  6. Claims must be presented to IMG for payment within the Period of Coverage, Benefit Period or during the three months immediately following the Period of Coverage.

ELIGIBILITY
The following condition applies to all persons applying for and/or enrolling in Sky Rescue.
  • Sky Rescue is travel insurance for U.S. citizens under the age of 65 traveling outside the United States and for non-U.S. citizens under the age of 65 traveling outside their home country.

EXTENSION OF COVERAGE
The Sky Rescue plan can be rewritten for succeeding or subsequent periods once the initial Period of Coverage expires. New Deductible, Eligibility, Conditions of Coverage and Pre-Existing Condition Exclusions apply to any succeeding or subsequent Period of Coverage. A new application must also be completed.

QUALITY GUARANTEE
Your satisfaction is very important to IMG and the plan underwriter. If you are not pleased with this product for any reason, you may submit a written request, prior to your effective date, for cancellation and refund of your premium.

ENROLLMENT PROCESS & APPLICATION FORM
You should read the following important information prior to completing the Application Form.

HOW TO ENROLL

Before you begin your travel, simply fill out the online application or complete a paper application and calculate the premium for the time period you and your family will be traveling. If completing a paper application, return it to us.

Mail to:
Insubuy, Inc.
4700 Dexter Dr.
Ste 100
Plano, TX 75093

You, your spouse 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 your completed Application Form and the appropriate premium (for non-U.S. citizens, the date following such receipt);
  2. the date you depart from your home country; or
  3. the date requested on your Application Form.

Sky Rescue 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 your Application Form; or
  3. the date you return to your home country.

ENROLLMENT PROCESSING & FULFILLMENT KITS
IMG normally processes Application Forms within 24 hours of receipt. Once processing is complete, IMG will mail a fulfillment kit to the mailing address listed on the Application Form. The fulfillment kit will include an IMG Identification Card, IMG contact numbers, Claim Forms and your insurance certificate providing a complete description of your rights and benefits under the contract. Please note: If you require express mail delivery, there is an additional charge listed on the Application Form.

ONLINE FULFILLMENT KIT
For your convenience, you may choose to download your fulfillment kit from our website rather than having it mailed to you. To do this, you must check the appropriate box on the Application Form. We must have your correct email address to complete this process. Once IMG has received and processed your Application Form, you will receive an email from IMG that contains all of the hyperlinks to easily obtain the fulfillment information through the Internet.

CLAIMS PROCEDURE
CLAIM PAYMENT

All benefits payable under Sky Rescue are subject to the provisions described in this brochure and as contained in the Policy 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.

DESCRIPTION OF BENEFITS
The following is a partial list of benefits and terms that are offered on the Sky Rescue plan.

INTERNATIONAL EMERGENCY CARE

POLITICAL EVACUATION:
If the United States Department of State, Bureau of Consular Affairs issues a travel advisory 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 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 travel advisory;
  2. Political Evacuation and Repatriation is approved and coordinated by the Company.

EMERGENCY EVACUATION:
The plan includes coverage for emergency medical evacuation 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 $100,000. 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.

EMERGENCY REUNION:
The plan provides emergency reunion coverage, up to $15,000 for a maximum of 15 days, 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.

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, up to a maximum of $20,000.

RETURN OF MINOR CHILDREN:
If an insured person is hospitalized due to a covered illness/injury and is traveling alone with child(ren) 19 or under that otherwise would be left unattended, the plan will pay up to $5,000 for one way economy fare to their home country, including a chaperone, if necessary, for the safety of the child(ren).

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.

ACCIDENTAL DEATH AND DISMEMBERMENT:
In the event of the accidental death of an insured, the plan will pay $100,000 to the insured's estate or designated beneficiary provided that the death was not the result of a pre-existing condition. In the event of dismemberment suffered by an insured, the plan will pay as specified above.

TRIP INTERRUPTION:
If, during a covered trip, there is a death of an immediate family member (spouse, child, parent or sibling) or the substantial destruction of the insured's principal residence, the plan will pay to return the insured to the area of principal residence. The plan will pay for a one way air or ground transportation ticket of the same class as the unused travel ticket, less the value of the unused return ticket.

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.

DESCRIPTION OF EMERGENCY TRAVEL ASSISTANCE SERVICES
EMERGENCY TRAVEL ARRANGEMENTS:
In the event you must return home or discontinue your trip as a result of an interruption in travel due to an illness of your spouse, child, parent, in-law, or grandparent, IMG will help you make the appropriate travel arrangements. You are responsible for the cost of the travel tickets.

LOST PASSPORT/TRAVEL DOCUMENTS ASSISTANCE:
IMG will help you report, retrieve or replace lost or stolen travel documents, such as your passport, credit cards and airline tickets.

LOST LUGGAGE ASSISTANCE:
IMG will assist you in communicating with the commercial carrier for the return of your lost luggage.

EMBASSY OR CONSULATE REFERRAL:
IMG will inform you of the location and contact telephone numbers for the nearest embassy or consulate, no matter where you are.

EMERGENCY MESSAGE RELAY:
IMG will receive or transmit emergency messages between you, your family and your employer.

EMERGENCY PRESCRIPTION REPLACEMENT:
IMG will assist with the replacement of lost or damaged prescription medication. You are responsible for the cost of the actual medication and shipping costs (if any).

MEDICAL REFERRAL:
If urgent medical advice or care is needed, IMG is prepared to refer you to the nearest appropriate care facility or provide a listing of available medical care to you. IMG will also help with obtaining an appointment with the medical care provider you have chosen.

24-HOUR MEDICAL MONITORING:
If you are hospitalized, IMG will provide medical professionals to communicate with your treating doctor(s) and help you monitor your condition. IMG can also communicate with your family doctor as you direct.

EMERGENCY CASH TRANSFER:
IMG will help you transfer funds, up to $500, in the event of a medical or travel emergency.

LEGAL REFERRAL:
IMG will provide you with a referral to the nearest attorney.

EMERGENCY TRANSLATIONS:
IMG will provide personal, emergency telephone translation services and referral to a local interpreter service should you require language assistance.

EXCLUSIONS
Charges for the following services, treatments and/or conditions, among others, are excluded from coverage under the Sky Rescue plan.
  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. 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.
  3. 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.
  4. Charges for pre-natal care, delivery, post-natal care, and care of newborns, including complications of pregnancy, miscarriage, complications of delivery and/or complications of newborns.
  5. Injury sustained while participating in amateur or professional sports, including practice or preparation for such 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: racing of any kind, aviation (except when traveling as a passenger in a commercial aircraft), BMX, BASE jumping, bobsleigh, bungee jumping, canyoning, caving, high diving, hang gliding, heli-skiing, hot air ballooning, inline skating, jet skiing, kayaking, luge, motocross moto-x), mountain biking, mountaineering, parachuting, rappelling, rock climbing, rodeo, scuba diving, ski jumping, sky diving, snow skiing, snowboarding, snowmobiling, spelunking, snorkeling, surfing, wakeboarding, water skiing, wind-surfing and whitewater rafting.
  6. 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.
  7. Treatment for, and injuries and/or illnesses resulting or arising from, substance abuse or drug addiction.
  8. 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.
  9. Willfully self-inflicted injury or illness.
  10. Treatment required as a result of or arising from complications from a treatment or condition not covered under the certificate.
  11. Any services or supplies performed or provided by a relative of the Insured or provided at no cost to Insured.
  12. Treatment for mental and nervous disorders.
  13. Charges incurred for any travel, meals, transportation and/or accommodations, except as otherwise expressly provided for in this insurance.
  14. Any taxes, involuntary or forced contributions, assessments, charges, fees or surcharges imposed by any governmental agency or authority.

This brochure contains only a consolidated and summary description of all current Sky Rescue 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.

ADDITIONAL BENEFITS & SERVICES
MyIMGSM
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
  • Locate a provider
  • Request ID cards
  • Initiate precertification
  • Obtain certificate documents
  • Recommend provider/facility

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, an on-site specialized division devoted entirely to medical management.

The clinical staff consists of qualified physicians and registered nurses who are experts at assessing the need for services and ensuring those services are delivered in a timely, cost-effective manner. ACM has international medical experience, providing services in more than 170 countries worldwide.

ACM is accredited by URAC, an independent, nonprofit organization that is internationally recognized for promoting continuous improvement in the quality and efficiency of health care management. Through a rigorous and comprehensive review that ensures ongoing compliance, ACM earned its URAC accreditation in Health Utilization Management.

From routine medical care to complex case management, from checkups 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.

One Call. One Company. Your Complete International Resource.
IMG offers a comprehensive range of international medical insurance and travel insurance products for every insurance need. Whether you need individual coverage for a vacation, extended coverage for a longterm stay abroad, or group coverage for employees in locations around the world, we've got the right plan for you and the exceptional services to back them up.
  • Short-term Travel Plans
  • Long-term Travel Plans
  • Travel Insurance / Trip Cancellation Plans
  • Employer Group Plans
  • Mission Plans
  • Marine Plans
  • International Student and Educator Plans
  • Adventure Sports Plans
  • Emergency Evacuation Plans
  • Green and Environmentally Friendly Plans

Plan Administrator & Plan Underwriter
Plan Administrator

As the Plan Administrator for Sky RescueSM, 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

Sky Rescue is a surplus lines product 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, Sky Rescue, Coverage Without Boundaries and Global Peace of Mind 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).

07/01/2010