|Benefit Period||$5,000 for a maximum of 30 days with proof of current medical insurance.|
|Hospital room and board||Up to the maximum limit for average semi-private room rate.|
|Intensive care||Up to the maximum limit|
|Hospital Daily Indemnity||$100/night, maximum 10 days.|
|Sports & Activities Coverage||Up to maximum limit for basic sports.|
|Terrorism Coverage||Up to $50,000 lifetime maximum.|
|Political Evacuation||Up to $10,000.|
|Accidental Death & Dismemberment||$25,000 principal sum.|
|Emergency Medical Evacuation||Up to the maximum limit.|
|Return of Mortal Remains||Up to $50,000.|
|Lost Luggage||Up to $50 per item of luggage, maximum of $250.|
|Return of Minor Children||Up to $50,000.|
|Emergency Dental Treatment||Injury due to accident: Up to maximum limit.
Sudden dental pain: Up to $100.
|Common Carrier Accidental Death||$50,000 to Beneficiary; maximum of $250,000 per family.|