Insurance Section
Finance Department
MX Building, City Campus North
Camp Street
Wolverhampton WV1 1AD
United Kingdom
Tel: + 44 (0) 1902 321301
Fax: + 44 (0) 1902 321278
Email: /

Lifeline Plus

Group Personal Accident & Travel

BUSINESS TRAVEL INSURANCE CERTIFICATE

INSURED PERSON(S)
Name of Insured Person(s):
Destination(s):
Inclusive Dates of Travel:
The following is a brief summary only of the Policy benefits. For further information contact the Insurance & Administrative Officer on (01902 32)1301 or email
AIG LIFELINE PLUS POLICY NUMBER: 0015867540 / COVER LIMITS
Death, Permanent Total Disablement from Gainful Employment of any and every kind / £20,000
Emergency Medical and Associated Expenses (incurred outside the United Kingdom)
Any expenses incurred where a journey has been undertaken against medical advice are excluded / Unlimited
Personal Effects (lost, stolen & damaged baggage or personal belongings)
All property insured
Any one article or pair or set of articles / £5,000
£3,000
Money (lost or stolen travellers cheques/travel tickets/cash/bank or currency notes)
All money insured
Maximum cash limit / £5,000
£3,000
Cancellation, Curtailment or Change of Itinerary / £10,000
Travel Delay / Up to £500
Personal Liability / £5,000,000

IN THE EVENT OF A MEDICAL EMERGENCY AND/OR HOSPITALISATION ABROAD

IN THE FIRST INSTANCE CONTACT AIG LIFELINE PLUS ASSIST HELPLINE ON

+44(0)1273 400850 (24 HOUR)

You will be asked to provide: Your name and the Policy Number 0015867540; a phone or fax number where you can be contacted; your address abroad; the nature of the emergency & the name of the University.

Signed as Confirmation of cover
Martyn A Jones
Insurance and Administrative Officer
University of Wolverhampton / / For issuing Faculty/School/Department use:Form Completed by: Date: Faculty/Department: If emailing this form please send to:

NOTE: On issue of this form to the member of staff, a copy must be passed to the Insurance & Administrative Officer, either by email or post to: Finance Department, MX Building, City Campus, Camp Street, Wolverhampton, WV1 1AD

8/15 FNC/TECH/1361