Page 23 - Travel Documents Book-combined_Neat

Policy Details Tax Invoice

Policy Number Policy Premium $206.00
QIAUS22029651 Total AUD $206.00

Plan International Comprehensive Total Invoiced AUD $206.00
Issued 24 Jul 2022, 3:28 PM AEST Previously Invoiced (AUD $0.00)
Effective 24 Jul 2022, 3:28 PM AEST This Invoice (incl. Tax) AUD $206.00
Policy Excess $100.00 Stamp Duty $1.84
Destinations Selected* GST $0.00
Fiji AUD $206.00 was charged to your nominated Card.
For information on your 21 day cooling off rights please refer to your PDS.
Departure Date Return Date
31/08/2022 10/09/2022 Qantas Travel Insurance policies are managed by nib Travel Services (Australia) Pty Limited (nib) ABN 81
115 932 173 AFSL 308461 and underwritten by Pacific International Insurance Pty Ltd, ABN 83 169 311
193. Qantas (AR 261363) is nib’s authorised representative and acts on behalf of nib. This is general advice
Overseas Medical limit^ only. Consider the Product Disclosure Statement (PDS), Target Market Determination (TMD) and your
personal circumstances before you buy.
$Unlimited (including COVID-19. Subject to policy terms, conditions, limitations and exclusions)
This document is a legally binding contract between You (the Insured) and Us (Pacific International
Insured Primary Traveller(s) Insurance Pty Ltd, ABN 83 169 311 193). The contract is based on the information You provided at the time
of application. The insurance provided by this Certificate covers liability, loss or damage in relation to the
VINCENT PARISH period of insurance for which you have paid the premium. The insurance is provided under the terms and
conditions contained in this Certificate and the Product Disclosure Statement. The binder authorises the
Coverholder to sign and issue this Certificate on behalf of Pacific International Insurance Pty Ltd, ABN 83
Certificate Margaret Louise Parish Signed for and on the behalf of the Coverholder
169 311 193.
of Insurance Qantas Frequent Flyer number
0004876243

Cover for a claim made under this policy that arises from any of your Existing Medical Conditions (as defined
in the Product Disclosure Statement (PDS)) is limited to your automatically covered conditions where you
meet all the specified criteria, or where we have expressly agreed to cover your Specified Medical
Condition(s) and you have paid the additional premium. In some cases an increased excess will apply. This
excess cannot be removed.
Emergency Assistance ^Expenses for up to 12 months from the date an illness first appears or injury first occurs. Includes
reasonable and necessary overseas medical expenses arising from sudden illness or serious injury
(including COVID-19). See PDS for details of cover.
*This policy does not cover travel to the following countries: Russia, Venezuela, Afghanistan, Belarus,
In the event of an emergency, we can be contacted 24 hours a Burkina Faso, Myanmar, Burundi, Central African Republic, Chad, Iran, Iraq, Libya, Mali, Niger, Somalia,
South Sudan, Syria, Ukraine & Yemen and Cuba, Russia, North Korea, Venezuela, Belarus, Myanmar, Iran,
day on: Saint Vincent and the Grenadines, Syria & Ukraine
+61 3 8523 2800 or
travel-assist@nib.com.au
Call reverse charges via the local operator to avoid call costs.