Travel Insurance/Protection Decline Form

Emergencies can happen when you least expect it. We highly recommend that you protect your vacation with a travel protection 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 Protection 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 understand that we are not registered insurance agents, and can not legally provide specific advice or information regarding insurance. For information, please feel free to contact LeisureCareat 800-453-4031.

For your benefit, I have acquired a quote for travel protection for your vacation from LeisureCare which was supplied to you in your travel quote.

This is only a brief overview of coverages. For additional information including terms, conditions and exclusions, refer to the plan description. Travel protection is underwritten by Arch Insurance Company (NAIC #11150).

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 this form has been signed and submitted.

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 protection must be purchased within 14 days of paying the trip deposit, and before the final payment has been made.