Group Trip Insurance
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Group Trip Insurance
Group Name
*
Contact Person's Name
*
Contact Person's Phone
*
Contact Person's Email
*
Departure Date
Date Format: MM slash DD slash YYYY
Return Date
Date Format: MM slash DD slash YYYY
Initial Trip Payment Date
Date Format: MM slash DD slash YYYY
Final Trip Payment Date
Date Format: MM slash DD slash YYYY
Name of Airline, Tour Operator/Cruise Line
Citizenship of Travelers (i.e. US or non-US)
US
Non US
Current Location of Travelers (i.e. in US or outside-US)
US
Non US
Confirm that you need medical coverage for sicknesses & accidents (i.e. Yes or No)
Yes
No
Confirm that you seek coverage for trip cancellation costs; this will increase your insurance premium
Yes
No
Please enter the trip cost and number of travelers in the appropriate boxes:
Trip Cost
0 - 34 years
35 - 59 years
60 and above years
Comments
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