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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.

any other Certificate that replaces You may have received previously. The benefits described in this Certificate are subject to all the terms, conditions and exclusions of the Policy. This Certificate is an important document. Please read it and keep it in a safe place. II. DEFINITIONS . Certain words used in this Certificate are capitalized

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