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Why Choose Atlas )!.% ?Do I need travel medical insurance?Many times the primary medical insurance in yourhome country will not cover you while traveling abroadand often will not provide important services, perhapsessential ones, in the event of an illness or injury. Atlas )!.% includes these essentials such as translationassistance during treatment, doctor and hospitalreferrals, and assistance replacing lost prescriptions.Why Choose Atlas )!.% ?Whatever your reason, international travel should be apleasant experience. Complications and emergencies suchas illness, injury, and natural disasters are a fact of life. Whilewe hope none of these happens, we’re here to help if they do.Atlas )!.% helps protect you from potential fi nancialdisaster while traveling abroad with benefits includinginpatient and outpatient medical expenses, 1,000,000 ofcoverage for emergency medical evacuation, coveragefor lost checked baggage, and many other importantbenefits. Atlas )!.% gives you the peace-of-mind you’relooking for!After purchasing coverage, how can I trust thecompany to be there if I need them?HCC Medical Insurance Services LLC (HCCMIS),headquartered in the United States in Indianapolis,Indiana, is a full-service company offering internationalmedical insurance and short-term medical insuranceproducts designed to meet needs of consumersworldwide. HCCMIS is a subsidiary of HCC InsuranceHoldings, Inc. (NYSE: HCC), a leading SpecialtyInsurance group. HCC holds a financial strength ratingof AA (Very Strong) by Standard & Poor’s and FitchRatings and A (Superior) by A.M. Best Company.For more information about Atlas )!.% , pleasevisit #ā#ċ )ĥ .%!.ĥ Car AccidentConverting kilometers to miles can be hard, but a speed limit is aspeed limit. Car accident 120,599*Did YouConsider This?Atlas )!.% : available for 1.12 per day***This amount is an example of an actual claim handled by HCCMIS.Coverage for similar claims is not to be inferred as all claims are unique.**This example is for applicants ages 18-29 with a 250 deductible and 200,000maximum limit.1

Schedule of BenefitsBENEFITLIMITDeductibles 0, 100, 250, 500, 1,000 or 2,500 per certificate period.Coinsurance – Claims incurred in U.S.or CanadaFor the certificate period, underwriters will pay 80% of the next 5,000 of eligible expenses afterthe deductible, then 100% to the overall maximum limit. Coinsurance will be waived if expensesare incurred within the PPO and are submitted to underwriters for review and payment directlyto the provider.Coinsurance – Claims incurred outside U.S. or CanadaFor the certificate period, underwriters will pay 100% of eligible expenses after the deductible upto the overall maximum limit.Hospital Room and BoardAverage semi-private room rate, including nursing services.Local AmbulanceUsual, reasonable and customary charges, when covered illness or injury results in hospitalizationas inpatient.Intensive Care UnitUsual, reasonable and customary charges.Emergency Room Co-paymentIn addition to coinsurance, the member shall be responsible for a 200 co-payment for each useof emergency room for an Illness unless the member is admitted to the hospital. There will be nocopayment for emergency room treatment of an injury.Urgent Care CenterFor each visit, the member shall be responsible for a 50 co-payment, after which coinsurancewill apply. Not subject to deductible.Hospital Indemnity (in addition tomedical expenses) 100 per day of inpatient hospitalization for member’s use to offset miscellaneous expenses (notsubject to deductible or coinsurance).Physical Therapy 50 maximum per day.All Other Eligible Medical ExpensesUsual, reasonable and customary charges.Acute Onset of Pre-existing Condition (only available to membersyounger than 70)Limited benefit up to the medical coverage maximum (excludes chronic and congenital conditions). 25,000 lifetime maximum for emergency medical evacuation.Emergency Dental (acute onset ofpain) 250 limit per certificate period (not subject to deductible or coinsurance).Emergency Medical Evacuation 1,000,000 lifetime maximum, except as provided under acute onset of pre-existing condition(not subject to deductible or coinsurance).Return of Minor Children 50,000 per certificate period (not subject to deductible or coinsurance).Pet ReturnUp to 1,000 to return a traveling pet home if member is hospitalized.Repatriation of RemainsOverall maximum limit (not subject to deductible or coinsurance).Emergency Reunion 50,000 limit per certificate period, subject to a maximum of 15 days(not subject to deductible or coinsurance).Natural DisasterMaximum 100 a day for 5 days (not subject to deductible or coinsurance).Trip Interruption 5,000 limit per certificate period (not subject to deductible or coinsurance).Trip Delay 100 for a 12-hour delay requiring an unplanned overnight stay (2 days maximum).Lost Checked Luggage 500 limit per certificate period (not subject to deductible or coinsurance).Political Evacuation 10,000 lifetime maximum (not subject to deductible or coinsurance).Terrorism 50,000 maximum lifetime limit, eligible medical expenses only.Accidental Death and Dismemberment (excludes loss due to commoncarrier accident; 250,000 maximumbenefit per one family or group)Not subject to deductible or coinsurance.Members up to age 18Lifetime max. - 5,000; Death - 5,000; Loss of 2 limbs - 5,000; Loss of 1 limb - 2,500.Members age 18 through 69Lifetime max. - 50,000; Death - 50,000; Loss of 2 limbs - 50,000; Loss of 1 limb - 25,000.Members age 70 through 74Lifetime max. - 12,500; Death - 12,500; Loss of 2 limbs - 12,500; Loss of 1 limb - 6,250.Members age 75 and olderLifetime max. - 6,250; Death - 6,250; Loss of 2 limbs - 6,250; Loss of 1 limb - 3,125.Common Carrier Accidental Death( 250,000 maximum benefit per anyone family or group)Not subject to deductible or coinsurance.Up to age 18 - 25,000 per member; Age 18 to 69 - 50,000 per member;Age 70 to 74 - 12,500 per member; Age 75 and older - 6,250.Hospital Pre-certification Penalty50% of eligible medical expenses.Overall Maximum Limit Per CertificatePeriodAge 80 or older - 10,000; Age 70 to 79 - 50,000, 100,000;All others - 50,000, 100,000, 200,000, 500,000 or 1,000,000.Crisis Response 10,000 limit per certificate period;Includes access to Unity Crisis Group services.Personal Liability 10,000 lifetime maximum.Bedside Visit 1,500 (economy ticket for family member to visit if member admitted to ICU).2

What’s Covered by Atlas )!.% ?International CoverageOther quality benefits offered by Atlas )!.% *Emergency Medical Evacuation andEmergency ReunionAcute Onset of Pre-Existing ConditionsWould you know what to do if you found yourself ina life-threatening situation far from home? HCCMISis experienced in arranging emergency medical evacuations.Atlas )!.% will cover the necessary expenses totransport you to the nearest medical facility qualifi ed totreat your life-threatening condition. over #!ƫ (/ ƫ%* (1 !/ the transportation, lodging, and mealcosts for a relative to join you after an emergency medicalevacuation.If you are younger than 70, you may be covered foran acute onset of a pre-existing condition. Atlas )!.%provides a limited benefi t up to the medical coveragemaximum lifetime for eligible medical expenses.This also includes a 25,000 lifetime maximum foremergency medical evacuation. An acute onset of a preexisting condition is a sudden and unexpected outbreakor recurrence of a pre-existing condition which occursspontaneously and without advance warning either inthe form of physician recommendations or symptoms.Treatment must be obtained within 24 hours of thesudden and unexpected outbreak or recurrence. Chronicand congenital conditions are excluded from coverage.Repatriation of RemainsWhat would your family do if disaster strikes while youare away from home? The death of a loved one is nevereasy, no matter the circumstances. In the unfortunateevent of your death while traveling abroad, Atlas )!.% will arrange for and cover the costsassociated with the repatriation of your remains.Hospitalization and Outpatient TreatmentReturn of Minor ChildrenSports CoverageIf you are expected to be hospitalized for more than36 hours due to a covered injury or illness and coveredchildren under 18 years of age will be left unattendedas a result, Atlas )!.% will cover the transportationcost for the children to return home.Atlas )!.% includes coverage for eligible injuriesand illnesses that could occur while participating inmany popular vacation sports - skiing,snowboarding, snorkeling, water skiing, and others at no additional cost. Certain extreme sports areexcluded from coverage.TerrorismIn these turbulent times, the risk of a terrorist attackis a reality. If you are in the wrong place at the wrongtime, Atlas )!.% offers coverage for medicalexpenses resulting from these acts.If a covered illness or injury requires hospitalization,the plan provides coverage for costs associated withhospitalization care, including intensive care, andoutpatient treatment.Complications of PregnancyAtlas )!.% offers ƫ overage for complications ofpregnancy during the firs0 26 weeks of gestation.Crisis ResponsePolitical EvacuationIf, during the coverage period and after your arrival, theUnited States government issues a travel warning foryour destination country, Atlas )!.% will coordinateyour alternate departure arrangements from thatcountry and cover the associated costs.Natural Disaster BenefitNatural disasters can happen anywhere and at anytime. If a natural disaster occurs on your trip, causingyou to become displaced from youraccommodations, Atlas )!.% will provide relief ofa maximum of 100 a day for 5 days to help coverthe costs of alternative accommodations.Atlas )!.% offer ƫup to 10,000 to ""/!0 costsassociated with kidnapping such as ransom, crisisresponse expenses, and loss of personal belongings. Thisbenefit includes access to the services of Unity CrisisGroup for advice, coordination with law enforcement, andnegotiations during a kidnapping.*The description of coverage in these pages is for informational purposesonly. Actual coverage will vary based the terms and conditions of the policyissued. The information described herein does not amend or otherwiseaffect the terms and conditions of any insurance policy issued by HCCMISor its affiliates. In the event that a policy is inconsistent with the informationdescribed herein, the language of the policy will take precedence.HCC Medical Insurance Services, LLC (HCCMIS) is a service company thatis a subsidiary of HCC Insurance Holdings Inc. HCCMIS is regulated bythe State of Indiana in our capacity as Third Party Administrator. HCCMIShas authority to enter into contracts of insurance on behalf of the Lloyd’sunderwriting members of Lloyd’s Syndicate 4141, which is managed by HCCUnderwriting Agency Ltd.3

Enrollment and Filing a ClaimPersonal LiabilityEnrollmentAtlas )!.% offers up to 10,000 to off set the followingtypes of court-entered eligible judgments or approvedsettlements incurred by the member: Third-party injury; %),(5ƫ# ƫ0 ƫ#ā#ċ )ĥ .%!.ĥ ƫ/!(! 0ƫ 0( /ƫ )!.% Čƫ * ƫ Damage/loss of a third party’s personal property; Damage/loss of a related third party’s personal property.Home Country CoverageIncidental Home Country CoverageFor U.S. Citizens, for every three month period duringwhich the Member is covered hereunder, Medical Expensesincurred in the U.S. are covered up to a maximum of 15 daysfor any three month period. For Non-U.S. Citizens, for everythree month period during which the Member is coveredhereunder, Medical Expenses incurred in the member’s homecountry are covered up to a maximum of 30 days for anythree month period. Any benefit accrued under a single 3month period does not accumulate to another period. Failureof the member to continue his or her international trip or themembers return to their home country for the sole purpose ofobtaining treatment for an illness or injury that began whiletraveling shall void any home country coverage providedunder the terms of this agreement.Benefit Period Medical CoverageWhile the certificate is in effect, the benefit period does notapply. Upon termination of the certificate, underwriters willpay eligible medical expenses, as defined herein, for up to90 days beginning on the first day of diagnosis or treatmentof a covered injury or illness while the member is outside hisor her home country and while the certificate was in effect.The benefit period applies only to eligible medical expensesrelated to the injury or illness that began while the certificatewas in effect." (( 3ƫ0 !ƫ/0!,/ƫ *ƫ0 !ƫ/ .!!*ēPre-certificationTo receive full benefits, pre-certification is required forhospitalization, surgery, emergency medical and politicalevacuations, emergency reunions, trip interruptions,repatriation of remains, CAT Scans, and MRIs.Pre-certification may be done b5ƫ2%/%0%*#ƫ5 1.ƫ 1/0 )!.ƫ .0 (ċƫPre-certification does not guarantee benefits.Claim FilingYou may file a claim by submitting a claimant’s statementand authorization form. Th%/ƫ%/ƫ ((ƫ" 1* ƫ%*ƫ5 1.ƫ 1/0 )!.ƫ .0 (ċ Complete the form, attach all itemized invoices andpayment receipts, and send them to the address shown onthe claimant’s statement.Patient Protection and Affordable Care Act (“PPACA”): This insurance is notsubject to, and does not provide certain of the insurance benefits required by, theUnited States PPACA. In no event will Underwriters provide benefits in excessof those specified in the policy documents, and this insurance is not subject toguaranteed issuance or renewal. PPACA requires certain U.S. residents and citizensto obtain PPACA compliant insurance coverage. In certain circumstances penaltiesmay be imposed on U.S. residents and citizens who do not maintain PPACAcompliant insurance coverage. You should consult your attorney or tax professionalto determine if PPACA’s requirements are applicable to you. The policy contains theplan benefits, including a lifetime maximum that you have selected. Please reviewyour choices to ensure that you have sufficient coverage to meet your medicalneeds.4

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Go One Global, Inc.1494 Hamilton Avenue Suite #101San Jose, CA 95125 USACustomer Support:1-800-257-7718support@g1g.comwww.g1g.com *& 5%*#ƫ0 !ƫ 1.*!5ƫ %* !ƫāĊĉĆ

HCC Medical Insurance Services LLC (HCCMIS), headquartered in the United States in Indianapolis, Indiana, is a full-service company o! ering international medical insurance and short-term medical insurance products designed to meet needs of consumers worldwide. HCCMIS is a subsidiary of HCC Insurance Holdings, Inc. (NYSE: HCC), a leading Specialty