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1-888-977-7778 Monday-Friday 9-9, Saturdays 11-5, EST. Our International Number is: 1-514-630-6116

Toll-Free Fax:
1-888-245-5505

World Headquarters:
147 Place Terry Fox
Kirkland, Quebec
CANADA H9H 4Z5


Guaranteed Issue Life Insurance to Protect Your Family
  • No Medical Exams
  • No Doctor's reports
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more info...
 

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1-888-977-7778
(toll free)
 (Monday-Friday 9-9, Saturdays 11-5, EST.
 Our International Number is: 1-514-630-6116)

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Travel Insurance Quote Request


Travel insurance covers medical and accident losses while abroad, and can include trip cancellation coverage, loss of baggage, medical, emergency assistance, and life coverage as well.

If you would like us to shop and compare insurance rates for your best value buy, fill in completely the Request To Quote Form below and we will contact you today.

Choose which options to include in your quote
 Trip Cancellation
 Trip Interruption
 Accidental Death & Dismemberment
 All Inclusive Holiday Travel Plan
 Baggage Insurance

Tell Us About Yourself
 
Province:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Home Phone:
Work Phone:
Fax (optional):
 
Marital Status:
Single Married
Choose Option:
Option 1 = Coverage for any new sickness or new injury only.
Option 2 = Coverage for pre-existing medical conditions, along with coverage for any new sickness or newinjury.
 
Departure Date:
Return Date:
 
Departure City:
Destination City:
 
Number of Days Coverage?
(Standard number of days covered choices are: 2, 4, 8, 15, 30, 60, or 90 days.)
 
Any Unusual Activities?
(If you will engage in unusual activities such as scuba diving, airplane flying, rock climbing, etc., list them here.)


This best describes my travelling situation:

Visitor to Canada with Work Permit
Canadian Waiting for Provincial HealthInsurance
Canadian Travelling Inside Canada
Canadian travelling Outside Canada
Visitor in Canada without Provincial HealthInsurance
Health Travel Insurance Outside Canada (for Canadians)


Underwriting Information:
 

Insured

Travel companion # 1

Travel companion # 2