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Submitted URL: https://www.allianzworldwidepartners.com/usa/shared-services/policy/policy-certificate/?policy_no=1AX7kwDS4gmop5s%2fFBEf1g%3d%3d&purch_da...
Effective URL: https://www.allianzworldwidepartners.com/shared-services/policy/policy-certificate/?policy_no=1AX7kwDS4gmop5s%2fFBEf1g%3d%3d&purch_date=0...
Submission: On May 05 via manual from US — Scanned from DE

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Insurance benefits underwritten by BCS Insurance Company (OH, Administrative
Office: 2 Mid America Plaza, Suite 200, Oakbrook Terrace, IL 60181), rated “A”
(Excellent) by A.M. Best Co., under BCS Form No. 52.201 series or 52.401 series,
or Jefferson Insurance Company (NY, Administrative Office: 9950 Mayland Drive,
Richmond, VA 23233), rated “A+” (Superior) by A.M. Best Co., under Jefferson
Form No. 101-C series or 101-P series, depending on your state of residence and
plan chosen. Plans only available to U.S. residents and may not be available in
all jurisdictions. Allianz Global Assistance and Allianz Travel Insurance are
marks of AGA Service Company dba Allianz Global Assistance or its affiliates.
Allianz Travel Insurance products are distributed by Allianz Global Assistance,
the licensed producer and administrator of these plans and an affiliate of
Jefferson Insurance Company. The insured shall not receive any special benefit
or advantage due to the affiliation between AGA Service Company and Jefferson
Insurance Company. Plans include insurance benefits and assistance services. Any
Non-Insurance Assistance services purchased are provided through AGA Service
Company. Except as expressly provided under your plan, you are responsible for
charges you incur from third parties. Contact AGA Service Company at
800-284-8300 or 9950 Mayland Drive, Richmond, VA 23233 or
customerservice@allianzassistance.com.

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