All prices here are in Canadian Dollars
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Underwritten by
Applicant(s) Information
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Number of applicant(s) *
Amount Covered Before Departure
Age
Gender *
Date of Birth *
Last Name *
Given Name(s) *
Insurance Start Date *
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Travel Information
Duration of stay:
Insurance Expiry Date *
Destination *
Departure Province *
ELIGIBILITY (all applicants – all ages)
You are NOT eligible for coverage under this policy if:
a) you have been advised by a physician not to travel; and/or
b) you have been diagnosed with a terminal illness with less than 6 months to live; and/or
c) you have a kidney condition requiring dialysis; and/or
d) you have used home oxygen during the 12 months prior to the date of application
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Email *
Contact Information
Phone
Are you eligible for the insurance policy?
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