All prices here are in Canadian Dollars
Underwritten By
Applicant(s) Information:
Age
Gender *
Date of Birth *
Last Name *
Given Name(s) *
Underwritten by
Number of applicant(s) *
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Travel Information:
Insurance Expiry Date *
Insurance Start Date *
Duration of stay
Canada Arrival Date *
Visitor Type *
Destination *
Country of Origin *
Email *
Contact Information:
Phone:
ELIGIBILITY (all applicant(s) – all ages)
You are NOT eligible for coverage under this policy if:
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you are travelling against the advice of a physician,
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you have been diagnosed with a terminal illness with less than two (2) years to live,
-
you have been diagnosed with or received treatment within the last two (2) years for pancreatic, lung, brain, or liver cancer; or any type of cancer that has spread from one part or organ of the body to another (metastatic cancer),
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you have had or are waiting for an organ or bone marrow transplant (excluding corneal transplant),
-
you have a kidney condition requiring dialysis,
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you have used home oxygen during the 12 months prior to the date of application,
-
you reside in a nursing home, other long term care facility or rehabilitation centre.
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Are you eligible for the insurance policy?
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