Clal Insurance Co Ltd. 52 Menachem 52 Begin Blvd, Tel Aviv, overseas travel. Clal Insurance Co Ltd.

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1 Clal Insurance Co Ltd. 52 Menachem 52 Begin Blvd, Tel Aviv, overseas travel Clal Insurance Co Ltd. Clal_Design_Health_057 03_2013 Clal Health Insurance Ltd Main Office 52 Menahem Begin Road Tel-Aviv Tel: Fax: Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health & Long Term Care Call Center , FAX Travel Abroad Call Center Dental Call Center Foreign Populations Call Center

2 Clal Insurance Co Ltd. (the "Company") offers its clients a peocedure for Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health Clal Health & Long Insurance Term Care Ltd Call Center Main Office , 52 Menahem FAX Begin Road Travel Tel-Aviv Abroad Call Tel: Center Fax: Dental Call Foreign Populations Call Center

3 Clal Insurance Co. Ltd. 52 Menachem 52 Begin Blvd, Tel Aviv Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health & Long Term Care Call Center , FAX Travel Abroad Call Center Clal Health Insurance Ltd Main Office 52 Menahem Begin Road Tel-Aviv Tel: Fax: Dental Health&LTC Call Call Center Center Travel Abroad Foreign Center Populations Dental Call Center Call Center Foreign Populations Call Center

4 Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health Clal Health & Long Insurance Term Care Ltd Call Center Main Office , 52 Menahem FAX Begin Road Travel Tel-Aviv Abroad Call Tel: Center Fax: Dental Call Foreign Populations Call Center

5 Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health & Long Term Care Call Center , FAX Travel Abroad Call Center Clal Health Insurance Ltd Main Office 52 Menahem Begin Road Tel-Aviv Tel: Fax: Dental Health&LTC Call Call Center Center Travel Abroad Foreign Center Populations Dental Call Center Call Center Foreign Populations Call Center

6 Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health & Long Term Care Call Center , FAX Travel Abroad Call Center Dental Call Center Foreign Populations Call Center

7 Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health Clal Health & Long Insurance Term Care Ltd Call Center Main Office , 52 Menahem FAX Begin Road Travel Tel-Aviv Abroad Call Tel: Center Fax: Dental Call Center Foreign Populations Call Center

8 Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health & Long Term Care Call Center , FAX Travel Abroad Call Center Dental Clal Health Call Center Insurance Ltd Main Foreign Office 52 Populations Menahem Call Begin Center Road Tel-Aviv Tel: Fax:

9 Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health & Long Term Care Call Center , FAX Travel Abroad Call Center Dental Call Center Foreign Populations Call Center Clal Health Insurance Ltd Main Office 52 Menahem Begin Road Tel-Aviv Tel: Fax:

10 that) (hereby declare Insurance Moreover, I hereby declare that) Date Clal Health Insurance Ltd Main Office 52 Menahem Begin Road Tel-Aviv Tel: Fax: Health&LTC Call Center Travel Abroad Center Dental Call Center Foreign Populations Call Center Clal Health, Health Division, Clal Insurance Company Ltd Clal Health Insurance LtdBegin, MainTel-Aviv Office Menahem Begin Road Tel-Aviv Tel: *Fax: Head Office: 52 Menachem Customer Call Center Hour Tel: Health & Long Term Care Call Center , FAX Travel Abroad Call Center Dental Call Center Foreign Populations Call Center

11 3. Photocopy of identity card& copy of cancel check or confirmation from the bank for having bank account, including account details Clal Health, Health Division, Clal Insurance Company Ltd Head Office: 52 Menachem Tel-Aviv Customer Call Center Clal Health Insurance Ltd Main Office 52 Begin Road Tel-Aviv Tel: Hour Tel: *Fax: Clal Health Insurance LtdBegin, MainAbroad Office 52 Menahem Menahem Begin Road Tel-Aviv Tel:Populations Fax: Health&LTC Call Center Travel Center Dental Call Center Foreign Call Center Health & Long Term Care Call Center , FAX Travel Abroad Call Center Dental Call Center Foreign Populations Call Center

12 9. In the event of a claim in respect of damage and/or loss of baggage 9.1 Confirmation from the carrier (such as airline, shipping company) that a report of the incident was made. In the event that the carrier is an airline, the PIR form must be produced, including list of items as given to the airline. 9.5 In case of lost or theft of mobile phone - confirmation from the cellular company for cutting off the line 9.6 If the passanger was accompanied by a spouse - give their personal details & where their travel insurance was taken out 11.4 In the event of bringing forward the retain date to Israel - documents and certificates detailing whether reimbursement was given in respect of services not utilized, such as organized tour, hotel & hire car, & the amount Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: *5454 Health & LongInsurance Term CareLtd Call Center , FAX Abroad Clal Health Main Office 52 Menahem Begin Road Travel Tel-Aviv 67137Call Tel:Center Fax: Health&LTC Center Travel Abroad Center Dental Call Center Foreign Populations Call Center Dental CallCall Center Foreign Populations Call Center Clal Health Insurance Ltd Main Office 52 Menahem Begin Road Tel-Aviv Tel: Fax:

13 Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health & Long Term Care Call Center , FAX Travel Abroad Call Center Clal Health Insurance Ltd Main Office 52 Menahem Begin Road Tel-Aviv Tel: Fax: Dental Call Center Foreign Populations Call Center

14 Head Office: 52 Menachem Begin, Tel-Aviv Hour Customer Call Center Tel: * 5454 Health Clal Health & Long Insurance Term Care Ltd Call Center Main Office , 52 Menahem FAX Begin Road Travel Tel-Aviv Abroad Call Tel: Center Fax: Dental Health&LTC Call Call Center Travel Abroad Foreign Center Populations Dental Call Center Call Center Foreign Populations Call Center

www.clal-health.co.il

www.clal-health.co.il 52 Clal Insurance Co Ltd. 52 Menachem Begin Blvd, Tel Aviv, overseas Clal Insurance Co Ltd. Clal_Design_Health_054 03_2013 www.clal-health.co.il Clal Insurance Co Ltd. )the "Company") offers its clients

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