Travel insurance quote request

If you are unfamiliar with the different types of travel insurance we recommend, please visit our travel insurance FAQ page first.

I am interested in a quote for

An all-inclusive travel insurance policy

Trip cancellation & interruption insurance only

Emergency medical travel insurance only

Other

It is important to me that my policy includes a CFAR (Cancel for any reason) benefit

Yes

I am filling out this form for

Travellers of the same household can purchase one travel insurance policy, are you looking for travel insurance for yourself or your family?

Name(Required)

First Last

Second traveller (travel companion) name

First Last

Email(Required)

Mobile Phone

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Birthdate(Required)

Travel companion birthdate(Required)

Departure date(Required)

The date you leave your home state/province. Please note, your travel dates can and should be updated on your policy if your plans change.

Return date(Required)

The date you return from your travel to your home state/province.

Trip Destination(Required)

Trip cost per person(Required)

The non-refundable tour price or in other words the trip cancellation amount to be insured per person. This amount can be update if you would like to include other nonrefundable travel expenses like additional hotel nights or nonrefundable flights at a later date. Please note if you are paying your tour fees in USD or CAD.

Deposit date

When have you paid or will you pay a deposit for this trip?

Comments

If you have any other requests or questions for us, please note them here. If you have any further dependents to add like kids or grandkids, please note their names and birthdates in this field as well.

Travel insurance quote request

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