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AETI Sample Designated Trip Base Certificate

AETI-CRT 3/10 FOR INFORMATIONAL PURPOSES ONLY: For complete details on the terms, conditions, and exclusions of this coverage please refer to the plan documents you receive upon enrollment. Please note that although this Sample is a group policy form, you may receive one or more individual policies. AMERICAN EXPRESS TRAVEL INSURANCE Certificate OF INSURANCE Underwritten by AMEX Assurance Company Administrative Of f ice, 18850 N 56th St, AZ08-02-02, Phoenix, AZ 85054 We have issued the Group Master Policy AX0126 (herein called the Policy) to the Master Policyholder. Covera ge is provided to You and Traveling Companions enrolled for coverage, subject to the exclusions a nd p ro visio ns o f th e Po licy.

requirements of the Plan, and for whom all premiums have been paid. If You pay for coverage on behalf of another person(s), but do not accompany the person(s) on the Covered Trip, You are not a Covered Person. Covered Trip is defined in the Description Of Benefits section in connection with each type of benefit provided by Us under this ...

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