DAN PUCHER

Option #1 includes Emergency Hospital & Medical and Flight Accident
Option #2 Includes Emergency Hospital&Medical,Fight Accident $100,000 ,Trip Cancellation $1,000 and Trip Interruption $2,000.

AGE	OPTION #1	OPTION #2
Single 0-60	$111/yr	$186/yr
Single 61-70	$224/yr	$300/yr
Single 71-75	$458/yr	$535/yr
Family 0-60	$223/yr	$372/yr

NOTES:

• Premium rate is per year.
• Coverage is limited to 35 days per trip.
• Canadian residents only.
• Client must be covered under a Government Health Plan for the full trip duration.
• There is no limit to the number of trips taken.
• Premiums are non-refundable after the effective date.
• The family rate applies to a maximum of 5 persons and includes the applicant and spouse under age 61 and their dependent children under age 22.