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NOTE: ALL INSURANCE QUOTES ARE PROVIDED BY ALLIANZ INSURANCE. YOU CAN TAKE A LOOK AT THE CURRENT BASIC PLAN FOR ALL RESIDENTS EXCEPT NEW YORK AND WASHINGTON.

Emergencies can happen when you least expect it.  I highly recommend that you protect your vacation with a travel insurance policy.  The cruise lines, airlines, hotels and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all.  Another important fact to keep in mind is that that most health insurance policies will not cover you when you are out of the country.  Your Travel Insurance will protect you in the following areas:  

Trip Cancellation

Trip Delay

Trip Interruption

Missed Connection

Baggage Loss, Theft or Damage

Baggage Delay

Emergency Medical and Dental Expenses

Emergency Medical Transportation

24/7 Hotline Assistance    

Please also note that in order for you to benefit from pre-existing coverage your policy must have been purchased before final payment. There is no added cost to the policy for pre-existing coverage.

It is also important to understand that you do NOT have coverage until you have an active policy!  Pre-existing coverage will not apply to world events such as strikes, natural disasters, terrorism etc. 

Please understand that I am not a registered insurance agent, and can not legally provide specific advice or information regarding insurance.   For information, please feel free to contact Allianz Insurance Company at 1-866-672-9580. 

For your benefit, I have acquired a quote for travel insurance for your vacation.  Your quote will be sent in a separate e-mail.

I have been advised of, and understand the benefits of Travel Protection Insurance.

I understand that I do not have any coverage until 24 hours after the quote has been paid for,  signed and submitted.

I understand that an estimated quote will be provided upon receipt of this form with all documentation and identification. You must provide proof of trip information and value amount purchased.

Upon receipt of the quote, Should I decline this protection, I understand that I will assume all financial responsibility for any expenses incurred as a result of being unable to travel, or travel disrupted for any reason as well as any medical expenses.  I also understand that I must purchase Travel Insurance immediately to obtain maximum coverage,  in order to be covered for any pre-existiing conditions travel insurance must be purchased prior to final payment has been made, and it must cover full cost of all non-refundable trip arrangements. 

Note: If you cancel your insurance within 10 days of purchase, and have not filed a claim or departed on your trip, you are entitled to a refund of the premium purchase and such will be processed.

By selecting the Please Submit button and submitting this form you acknowledge your request for a travel insurance quote, which you will receive separately via email. You acknowledge and understand that you are not covered until a policy has been purchased.

Please provide a signature in the box provided using a stylus or mouse or keypad.

Please Select The 'Please Submit' Button To Request A Quote. Thank you!