INEXT COMPREHENSIVE ULTIMATE INTERNATIONAL MEDICAL INSURANCE

Schedule of Benefits:

Deductible: $0

Medical Expense Up to$500,000

Accident Expense Up to $500,000

Coinsurance 100% to plan maximum

Mental Health Included in the $500,000

Medical Expense Self-Inflicted Injury Included in the $500,000

Medical Expense Repatriation of Remains Up to $50,000

Emergency Reunion Up to $300 per day/ 10 day maximum

Emergency Medical Evacuation Up to $1,000,000

Cashless Access to Emergency Care Up to $5,000 for covered event

Alcohol and Drug Abuse Included in the $500,000

Medical Expense Accidental Death and Dismemberment Up to $20,000 per insured

Maternity Included in the $500,000

Medical Expense Dental Emergency Up to $750

Interscholastic Sports-Related Injuries Included in the $500,000

Medical Expense Intramural, Club and Recreational Sports Injuries Included in the $500,000

Medical Expense 24-Hour Travel Assistance, Including Medical Translation Included - Provided by Generali Global Assistance Trip Delay Up to $150 per day - $600 maximum

Trip Delay due to Quarantine $250/day - $2,500 maximum

Loss of Baggage and Personal Effects Up to $2,000

Baggage Delay Up to $200

This is only a brief description of the coverage(s) available. Your policy, along with the Confirmation of Coverage will contain plan limitations, exclusions, and termination provisions.

This plan is underwritten by Crum & Forster SPC and administered by Fairmont Specialty Trust.

www.inext.com | info@inext.com | 1.855.578.6398