ACCIDENT AND SICKNESS INSURANCE
        MEDICAL EXPENSES (PER COVERED ACCIDENT OR SICKNESS): $300,000
            Deductible per Occurrence:              $200.00
            Deductible for Emergency Room:     $200.00
            Benefit Maximum:                             $300,000 at 100%
    Accidental Death and Dismemberment Per Insured Person:    $25,000
    Emergency Medical Evacuation:        $100,000
    Repatriation of Mortal Remains:         $ 50,000