1-877-443-0101

 

Travel Insurance

 

Submit your request for Travel Insurance Quotes

 

Name

 

Applicant 1:  

Age

   

Applicant 2:

 Age

 

Province of Residence

 

Country of Primary Destination

  (Where you are going to travel)

   Individual Coverage                     Couple

 

Emergency Medical Insurance

   Single-Trip Medical Plan                    Annual Multi-Trip Medical Plan 

 

  Please enter the Total number of days  per trip*             

*For Single-Trip plans and and Top-ups : Total trip length including your departure and return dates

  For Multi-Trip plans: Max number of days per trip

If you are topping up your existing travel medical insurance coverage,

please enter the number of days covered under your existing  policy   

 

Non-medical Insurance

Please choose  insurance plan you want to apply for:

  Single-Trip Plan                          Annual Multi-Trip Plan

The cost of Trip Cancellation & Interruption insurance depends on your trip cost (non-refundable and non-transferable portion of your travel arrangements). Please enter  this amount  below.

Trip Cancellation & Interruption    Trip Cost (sum insured per person)  $

Baggage Loss          Baggage Cost  (sum insured per person)   $

 

Date of Booking Your Trip              (ddmmmyyyy) 

 All -Inclusive Plan

May include Emergency Medical, Trip cancellation & Interruption, Baggage Insurance, Flight accident Insurance

  Single-Trip Plan                           Annual Multi-Trip Plan

The cost of this insurance depends on your trip cost (non-refundable and non-transferable portion of your travel arrangements). Please enter  this amount  below.

 All-Inclusive   plan          Trip Cost  (sum insured per person)  $

Coverage for  Pre-existing Medical Conditions

   E-mail      

   Phone       (if you want an insurance broker call you)

 

Additional Information

(You can provide information about your pre-existing conditions,

or how you want to customize your travel insurance plan, etc. )

Please confirm your E-mail   

 

 

 

 

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Revised: November 12, 2018