III L~sforsakringar. liil Skane Bank & Forsiikring. Travel Insurance during temporary stay abroad Summary of policy conditions

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1 A O _._.._._. III L~sforsakringar liil Skane Bank & Forsiikring Travel Insurance during temporary stay abroad Summary of policy conditions Sum insured Costs for Medical Treatment Costs during maximum three years from the date when the accident occurred. By illness expenses within 60 days from first doctor's visit medical care and treatment material aid dental treatment in the event of accident dental treatment in the event of dental trouble requiring immediate treatment no matter the cause Travel Costs travel costs in case of medical treatment travel back home transport of deseased/funeral on the spot travel costs for relative in case of serious illness or funeral necessary and reasonable costs maximum limit SEK 3500 necessary and reasonable costs Ifa personal emergency should occur in Sweden additional costs for travelling back to Sweden and travel costs back to the lace for our studies I necessary and reasonable costs Damage to your Luggage personal property maximum limit SEK cash maximum limit SEK 3000 securities maximum limit SEK l cover in case of Assault I maximum limit SEK I ~~ _......_......J!--e-i~s~:a~~:b-o~-i~-~;:~nai injury and property d'-a-m-a-g-e--+maximum limit SEK 5 ooo~ooo--l legal Protection I ~aximum limit SEK I I

2 III Lansforsakringar liil Skane Bank & FDrsiikring.~-'!!p'p}ement~ry insurance.._.._. _ Reimbursement of the cost of stud in mm-aaxxl1:mm"-umu-m'1111:illiilli-~t SSEE-K - -- K b--o-asol'c am'o-u-n-t-l Sum payable at medical disablement in the event of accident I Sum payable at death in the event of accident i maximum limit SEK 1 basic amount I..J...._.. _ J Extended "V,,,. Ai'." cancellations cover maximum limit SEK 45 OOO/person 75 OOO/family if illness or an accident occur and you can not spend, maximum limit SEK 45 OOO/person your journey as planned I 75 OOO/family I replacement journey J maximum limit SEK 15 OOO/person I ~~~~~g:. J==H~E~!~5Ey~ ~~:~~~;:;;~t::~\~~e~~~1~=~ By illness expenses within three years from the first I necessary and reasonable costs._-' f-i=do_c_t_or-:-s,.-v_is_i_t---:---:::-----=--::----:---:.'-:----:--=----+i~~~-~-=--==- ::_:_:c-:-::----~ Dental treatment in the event of dental trouble requiring maximum limit SEK ' i~~~j~!~.e.<:l!p:~!!~!.!~~_~~~e_._.._......_._ _ 1 This is only a brief summary of the policy conditions. If accidents occur the complete terms of the insurance are applicable. SOS International If you should have an accident or fall seriollsly ill or need transport back to Sweden, please contact SOS International. The transport should be ordered by the doctor. SOS International's address is: Nitivej 6, DK-2000 Frederiksberg, Denmark. Tel No and Fax No

3 7 1:1 Blad 8 Doctor's Certificate (Please complete this form) (Viinligen uppvisa for behandlande liikare pa vistelseorten) Name of patient Home address Identity number or date of birth Period of treatment Diagnosis (underline principal diagnosis) Instruction to patient regarding -3Lhospitalization b) change of accommodation c) traveling home d) confinement to bed from... to Place Date Signature

4 7 1:1 DOCTOR'S CERTIFICATE Please complete this form Write wit I I capita. IIetters. Name of patient Home address Identity number or date of birth 1. Period of treatment (from - to) 2. Diagnosis (underline principal diagnosis) 3. Instructions to patient regarding a. hospitalization c. travelling home b. change of accomodation d confinement to bed Lika viktigt Blad 12 Du ska kontakta: SOS INTERNATIONAL, vid sjukdom eller olyeksfall. De har oppet dygnet runt oeh ar forsakringsbransehens gemensamma serviceforetag. som SOS INTERNATIONAL Nitivej 6 DK-2000 Frederiksberg - Danmark passet. Tfn Fax Forslikringsnummer *00 Spara detta servicekortet till utlandsresan. 1:, Riv av och lagg det redan nu tillsammans med passet :'...--:"':..-.. ~ Place Signature Date..-:--:'.,...---".-:--:..:--:':...,..., , ,... ~._..,...,._.:--:':.:--:- - =- Obs! FOIjande nummer gallerom du Lansffirsakringar ringer eller faxar fran utlandet: iii Skane Tel Fax , ,...-:-: :-..,...,.....,...,..,...,...,...,.., , ,...",....,...,., ,- - - ~ Vik ocb riv! '" u

5 Genom din Hem-. Hem/Bostadsratts- eller VillaHemfOrsiikring har du ett reseskydd for resor i 45 dagar, i hela varlden. Ett reseskydd som ar tillriickligt for de allra flesta utlandsresor, Ska du vam borta langre an 45 dagar far du kopa ett tillagg ilulan du reser, Forsiikringen galler for dig och ovriga medlemmar i dill hushall. Forsiikringen galler med grundsjiilvrisk For rallsskyddsforsiikringen ar sj iilvrisken hogre. Hur forsiikringen galler i ovrigt kan du lasa om i villkoren. Svenska ambassader och konsulat ar alltid beredda att hjalpa dig om du har svirigheter eller inte kan fa hjiilp av reseforetagets personal till exempel om dill pass kommit bort. Du kan ocksa kontakta SOS for ridgivning och hjalp vid skador, Nagra praktiska rad infor och under resan Kontakta forsiikringskassan innan resan si far du det europeiska sjukforsakringskortet som visar all du omfattas av svensk sjukforsiikring. Hogsta ersattningen for resgods ar kronor. Packa inte pengar och vardesaker i vaskor som du lamnar ifriin dig. Amnal alltid till den lokala polisenom du blir bestulen. overfallen eller drabbas av skadegorelse. Begar kopia pi anmiilan. For att du ska fa ersattning vid akut sjukdom eller olycksfall pa din resa kravs liikarbesok pa resmilet hos allman virdinrallning i forsta hand. Om hemtransport maste ske i fortid vid akut sjukdom eller olycksfall ska alltid SOS-INTERNATIONAL kontaktas. Kostnad for tillflillig behandling vid akut tandvird ersalls av reseforsakringen, upp till maxbeloppet. Tamed servicekortet vid lakarbesok och be liikaren fylla i intyget pa andra sidan av della servicekort. Spara hitton pi alla utlagg du vill ha ersattning for, To whom it may concern! (Visa Hikaren denna text.) This is to certify that we ha"e insured the policyholder. Othcr persons registered at the same address and being members of the same household as the said policyholder, are also insured under the policy. Ifany doubt should arise as to whelher a person is insured under the policy, please contact SOS-International. This Ira"el insurance is "alid for the first 45 days of the journey. The policy co"ers Ihe following expenses arising from acute illness or accident while Ira"elling. *Medical expenses, defined as the necessary, reasonable and customary cosls of an authorised physician, hospital Irealment and medicines as well as tra"el expenses incurred in "isiting the physician or hospital. *Additional expenses pertaining to the insured's return to Sweden, if prescribed by the physician in writing. *Costs of necessary, reasonable and customary denial treatment in the e"ent of acule toothache. Ifthe insured tra"eller is unable to pay the cost of treatment himself, or in case of se"ere accident, acute illness or death, you are requested to contact SOS-International in Copenhagen, Denmark. Vik och riv!