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y, wholly or partially, contributed to or caused by the following: (1) infirmity, disease or sickness of the Ticketholder, other than as defined by Medical Emergency; (2) Delay; (3) fraud or illegal activity of any kind by the Ticketholder; (4) confiscation by any governmental authority; (5) active participation
. only or call (440) 914-2950 from other locations worldwide. If the failure of a Cardmember to promptly report a loss prejudices the rights of the Insurer, the claim may be denied. BP/CO2FYI/0306 EFTA01703351 Prepared For JEFFREY E EPSTEIN 3718-463688-42008 DUPLICATE COPY A000urd !trim Page 10
y, wholly or partially, contributed to or caused by the following: (1) infirmity, disease or sickness of the Ticketholder, other than as defined by Medical Emergency; (2) Delay; (3) fraud or illegal activity of any kind by the Ticketholder; (4) confiscation by any governmental authority; (5) active participation
S. only or call (440) 914-2950 from other locations worldwide. If the faiure of a Cardmember to promptly report a loss prejudices the rights of the Insurer, the claim may be denied. The second paragraph under "How Benefits are Paid" is replaced with the following: Al other payments, with the exception
y, wholly or partially, contributed to or caused by the following: (1) infirmity, disease or sickness of the Ticketholder, other than as defined by Medical Emergency; (2) Delay; (3) fraud or illegal activity of any kind by the Ticketholder; (4) confiscation by any governmental authority; (5) active participation
.S. only or call (440)9142950 from ether locations worldwide. If the failure of a Cardmember to promptly report a loss prejudices the rights of the Insurer, the claim may be denied. The second paragraph under -How Benefits are Pale is replaced with the following: All other payments, with the exception
y, wholly or partially, contributed to or caused by the following: (1) infirmity, disease or sickness of the Ticketholder, other than as defined by Medical Emergency; (2) Delay; (3) fraud or illegal activity of any kind by the Ticketholder; (4) confiscation by any governmental authority; (5) active participation
U.S. only or call (440) 9142950 from other locations worldwide. If the faun, of a Cardmember to promptly report a loss prejudices the rights of the Insurer, the claim may be denied. The second paragraph under 'How Benefits are Paid' Is replaced with the following: All other payments, with the exception
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LOCATIONAMEX Assurance Company
ORGANIZATIONthe District of Columbia
LOCATIONPermanent Residence
ORGANIZATIONthe Description of Benefits
ORGANIZATIONthe Covered Incident
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ORGANIZATIONGreen Bay
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