1. Terms and Conditions

The following statements must be true for all members.

All persons insured are subject to the terms and conditions below.

This document does not constitute the entire insurance policy, and the applicant has been advised to read the policy booklet for full details of coverage and exclusions. You must agree to the terms of the contract.

We will contact you to confirm your purchasing information before we issue the polices. Hence,you still have chance to change the order.

2. Traveller Information

* required field

Premium provided is only estimate and subject to final confirmation from the insurer.

Travel Dates
Insured Members
Beneficiary is for AD and D, should be any family member other than the insured.
Family means three or more of: parent(s) or legal guardian(s) and their unmarried children under age 21.
Coverage and Deductible
Traveller Information
Insured 1
Insured 2
Insured 3
Insured 4
Insured 5
Contact Information
Canada Address
3. Stable Pre-existing Medical Condition Converage

Answer the following question(s) for each member individually:

Do you want stable pre-existing condition covered?

4. Review and Pay


Please confirm the information you provided below.

Note: we don't store your credit card number.
Last 3 digit on the back of the credit card