Company Response
6/15/2026
Our records indicate that a travel protection plan was purchased on September 10, 2025, providing
coverage for travel from September 25, 2025, through December 14, 2025.
As with any type of insurance, our programs have terms, conditions, and exclusions that impact
coverage. They are not "all-risk" in nature, and not every unforeseen situation is one for which coverage
applies. To help our consumers understand this, we include the following in the insuring agreement:
This travel insurance policy covers only the sudden and unexpected specific situations, events,
and losses included in this policy, and only under the conditions described. Please review this
policy carefully.
…
NOTE:
Not every loss is covered, even if it is due to something sudden, unexpected, or out of your
control. Only those losses meeting the conditions described in this policy may be covered.
Please refer to the General Exclusions section of this document for exclusions applicable to all
coverages under your policy.
On January 10, 2026, Mr. Escobedo's daughter contacted us to initiate a claim under the Emergency
Medical benefit due to Mr. Escobedo's illness during travel. Supporting documentation was submitted on
January 22, 2026.
Upon our review on February 8, 2026, the reviewing examiner determined that additional documentation
was required to determine eligibility. Correspondence outlining the required documentation was sent the
same day.
Additional documentation was received on February 23, 2026. During our review on March 6, 2026, it was
noted that certain expenses were to be paid directly to the medical provider. The claim was therefore
referred to our medical team for direct provider payment. Regrettably, it appears that payment was not
issued to the provider at that time. We sincerely apologize for this oversight and for any inconvenience or
delay it may have caused.
Following review of the complaint, a payment in the amount of $3892.04 was issued to Mr. Escobedo via
direct deposit on May 13, 2026, representing reimbursement for medical expenses paid out of pocket.
The payment should have been reflected in his account within 3-5 business days from the date of
issuance
Additionally, as requested, payments for the remaining medical expenses were issued directly to the
provider as follows:
821.05CHF – paid May 20, 2026
517.10CHF – paid May 26, 2026
133.35CHF – paid May 28, 2026
178.00CHF – paid May 30, 2026
29.25CHF – paid June 2, 2026
If there are any outstanding medical expenses that have not yet been submitted, Mr. Escobedo may
forward them at his convenience for review. We remain available to assist with any additional
documentation or inquiries.
Should Mr. Escobedo have any additional questions or require further assistance, our Claims Department
is available at 800-334-7525.
Read More