| Countries Traveling To | 
	 
						
					 
							
									  
								Primary Destination:*Destination cannot be the same as Home Country*If you are traveling
								to multiple destinations, select the destination where you will spend the most time
								for your Primary Destination. Please note you will be covered if you travel outside
								the Primary Destination, as long as you do not travel in any of the following Restricted
								Destinations:
								 Algeria, Cameroon, Iraq, Israel, Libya, Nigeria, North Korea, Pakistan, Palestinian Territories, Russian Federation (North Caucasus Region Of Russia), Saudi Arabia, Somalia, Syria, Ukraine and Yemen 
								**If travel includes a restricted destination, War Risk Area 1 coverage must be
								purchased for coverage to apply. 
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		| War Risk Coverage |  Please include this coverage in my Quote 
								By purchasing War Risk Coverage the policy is amended as follows: any Exclusion
								under this Plan for “declared or undeclared war or any act thereof” are waived for
								an Insured Person’s loss(es) caused in whole or in part by, or resulting in whole
								or in part from, declared or undeclared war or any act thereof. This coverage does
								not provide coverage in the US or in your home country (refer to Description of
								Coverage for precise wording).
 Medical Maximum coverage options available: $50,000; $100,000; $250,000; $500,000.
								If over 70 years of age, age restrictions apply to the Medical Maximum available.
 If travel includes War Risk Area 1 Countries (Restricted Destinations), War Risk
								Coverage MUST be purchased for any/all coverages to be in effect under this policy.
 
 War Risk Area 1
								(High War Risk - coverage is mandatory – covers your travels to countries in War
								Risk Areas 1, 2, and 3) Algeria, Cameroon, Iraq, Israel, Libya, Nigeria, North Korea, Pakistan, Palestinian Territories, Russian Federation (North Caucasus Region Of Russia), Saudi Arabia, Somalia, Syria, Ukraine and Yemen
 
 War Risk Area 2
								(Medium War Risk – coverage is highly recommended - covers your travels to countries
								in War Risk Areas 2 and 3) Armenia, Azerbaijan, Bahrain, Bangladesh, Bolivia, Burma, Burundi, Central African Republic, Chad, Colombia, Congo, Democratic Republic Of The, East Timor, Egypt, Eritrea, Haiti, India - Jammu, India - Kashmir, India - Mumbai, Indonesia, Ivory Coast, Kenya, Kyrgyzstan, Lebanon, Liberia, Mali, Mauritania, Mexico, Nepal, Niger, Oman, Papua New Guinea, Philippines, Qatar, Sierra Leone, South Sudan, Sri Lanka, Sudan, Uzbekistan, Venezuela and Zimbabwe
 
 War Risk Area 3
								(Low War Risk – recommended - covers your travels to countries in War Risk Area
								3) All other Countries not listed in Area 1 or Area 2 Locations.
 
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