|
|
Eligibility:
Coverage is NOT available for residents of USA, Australia, or Iran.
This plan is NOT intended to cover any travel outside the United States, except for incidental trips to Canada, Mexico or the Caribbean Islands after you arrive in the US (see policy for details).
|
| Applicant Age |
|
|
Applicant Gender
|
|
|
Second Traveler
|
|
|
Minor Dependents
|
(Under 18 & Traveling with You)
|
| Effective Date |
 << | Thursday, November 21, 2024 | >> |
|
|
Effective Date must be from 11/22/2024 to 5/21/2025. Cannot calculate quote.
|
|
Termination Date
|
<< | Thursday, November 21, 2024 | >> |
|
|
Diplomat America trip duration must be at least 15 days and no more than 365 days. Cannot calculate quote.
|
Choose Plan
(Policy Medical Maximum)
|
The total amount that the insurance will pay for covered Medical Expenses
|
|
|
|
Choose Deductible:
|
The Deductible is the amount of covered Medical Expenses which is your responsibility
per person to pay before benefits under this policy are payable.
|
|
Choose AD&D Benefit
|
Accidental Death & Dismemberment (AD&D) is a form of Life Insurance. The
amount indicated above is the maximum benefit per insured and is payable if within
365 days after the date of a covered accident the insured person’s injury results
in accidental death or dismemberment.
|
|
|
AVAILABLE POLICY RIDERS
/ ENHANCEMENTS
|
|
|
|
|
|
|
If you were referred by an agent, please type that information below.
|
|
Agent Name
|
|
|
Agent Phone
|
|
|
Agent Email
|
|
|
|
|
|
|
NOTE: If you are travelling with children who are NOT minor dependents, it is recommended
to purchase them a separate policy. Minor Dependents, however, MAY be added to this
policy.