"In the interests of providing protection to customers traveling abroad, Towarzystwo Ubezpieczeń Europa S.A. confirms that in insurance concluded on the basis of the General Terms and Conditions of Travel World Insurance (code: OWU/11/154850/2019/M), it extends the scope of insurance liability to cover the costs of treatment, rescue and transport as well as travel assistance arising during a foreign trip as a result of contracting COVID-19 up to the sum insured for medical expenses and 2) extends the scope of travel assistance insurance to cover the costs of accommodation, meals and return transport to Poland of the insured in the event of compulsory quarantine or isolation related to COVID-19, recommended and organized by the medical services of the country of destination, up to a limit of EUR 2,000"

CONFIRMATION OF INSURANCE COVERAGE

Numer polisy/ Policy No.: XXXXXXXXXX

Towarzystwo Ubezpieczeń Europa Spółka Akcyjna z siedzibą [...] niniejszym potwierdza udzielenie ochrony ubezpieczeniowej dla / hereby confirms the provision of insurance coverage to:
Imię / First name
Nazwisko / Surname
Data urodzenia/ Date of birth
Płeć/ Gender
Suma ubezpieczenia kosztów leczenia, ratownictwa i transportu (na osobę) / Sum insured for medical treatment, rescue and transportation (per person): EUR 100,000

Zakres ubezpieczenia zapewnia pokrycie kosztów leczenia, w tym hospitalizacji, koszty transportu oraz pomocy w podróży zagranicznej w razie zachorowania na Covid -19 do wysokości sumy ubezpieczenia 100 000 EUR (tj. ok. 112 816 USD) oraz ochronę w razie obowiązkowej kwarantanny związanej z Covid-19 (koszty zakwaterowania, wyżywienia i transportu) do 2 000 EUR (tj. ok. 2 256 USD)./ The scope of insurance covers the costs of treatment, including hospitalization, costs of transport and assistance in travel abroad in the event of falling ill with Covid -19 up to the sum insured of EUR 100,000 (i.e. approximately USD 112 816 and protection in the event of obligatory quarantine related to with Covid-19 (costs of accommodation, meals and transport) up to EUR 2,000 (i.e. approx. USD 2,256).

Zakres terytorialny / Territorial scope: Cały świat (w tym: Kostaryka) / Worldwide (include: Costa Rica)

Okres ubezpieczenia / Period of insurance:
Od/ From: 3 stycznia 2022 / 3 January 2022
do/ to: 3 kwietnia 2022 / 3 April 2022
Polisa opłacona / Fully paid
Całodobowe Centrum Pomocy/ 24 Hour Helpline: +48 22 568 98 28
Data / Date 30/12/2021