Confirmation of Coverage 確認承保範圍
June 25, 2025 6月25， 2025
RE: Confirmation of Coverage for KAI-JU CHANG 回復：確認 KAI-JU CHANG 的承保範圍
Certificate Number: PPLII85595798 證書編號：PPLII85595798
To Whom It May Concern: 敬啟物件：
Please be advised that KAI-JU CHANG has purchased Patriot International(SM) Platinum certificate number PPLII85595798 effective 29-Jun-2025 to 09-Jul-2025 at 12:01 AM EST. The policy is administered by International Medical Group®, Inc., and underwritten by SiriusPoint Specialty Insurance Company, a member of the SiriusPoint Ltd. group with offices in the EU (Belgium, Germany, Sweden, Switzerland), United Kingdom, Bermuda, Canada, United States, Singapore and China. Sirius has an “A-” (Excellent) rating from A.M. Best. 請注意，張啟鈦已購買愛國者國際（SM）白金證書號碼 PPLII85595798 有效期為 2025 年 6 月 29 日至 2025 年 7 月 9 日美國東部標準時間淩晨 12：01。該保單由 International Medical Group®， Inc. 管理，並由 SiriusPoint Specialty Insurance Company 承保，該公司是 SiriusPoint Ltd. 集團的成員，在歐盟（比利時、德國、瑞典、瑞士）、英國、百慕達、加拿大、美國、新加坡和中國設有辦事處。Sirius 獲得了 AM Best 的“A-”（優秀）評級。
Medical insurance coverage is provided while traveling worldwide outside of the insured person’s Country of Residence including United Kingdom, per policy provisions. Coverage includes medically necessary treatment related to COVID-19/SARS-CoV-2, subject to all other terms and conditions of this insurance. Coverage includes the Schengen states per the policy provisions. Emergency evacuation (also known as Repatriation) is provided up to a maximum benefit of 8,000,000.008,000,000.00 USD and Return of Mortal Remains benefits up to the policy maximum are included when coordinated by IMG. A copy of the Schedule of Benefits, which provides an outline of the plan’s coverage, limitations, and maximum benefits, as well as a copy of the Declaration page of the Certificate indicated above may be presented as required. This information will verify that Eligible Expenses, including Hospitalization and certain outpatient expenses, are subject to a 0.00 USD annual deductible. The maximum limit of coverage per period of insurance is 8,000,000.008,000,000.00 USD. 根據保單規定，在被保險人的居住國（包括英國）以外的世界範圍內旅行時提供醫療保險。承保範圍包括與 COVID-19/SARS-CoV-2 相關的醫療必要治療，但須遵守本保險的所有其他條款和條件。根據保單條款，覆蓋範圍包括申根國家。緊急疏散（也稱為遺體送返）最高賠 8,000,000.008,000,000.00 付為美元，遺體送返保障最高保額由 IMG 協調。可根據需要提供福利表的副本，其中提供了計劃的承保範圍、限制和最大福利的概述，以及上述證書的聲明頁副本。此資訊將驗證符合條件的費用（包括住院和某些門診費用）是否需要支付 0.00 美元的年度免賠額。每個保險期間的最高承保限額為 8,000,000.008,000,000.00 美元。
If you need further information, please feel free to contact our office at the number listed below. Thank you. 如果您需要更多資訊，請隨時撥打下面列出的電話號碼與我們的辦公室聯繫。謝謝。
Sincerely, 真誠地
Certificate Holder Services 證書持有人服務
+1.317.655.4500