Atlas International Insurance Application

Please note that :

Atlas International is not available to individuals who are physically located in the state of New York (NY), Maryland (MD) and Washington (WA) at time of purchase.

All fields are required fields unless stated as optional

Where are you traveling to?

Will your trip include the US or US territories?

You are not eligible to purchase Atlas International because your trip include US or US territories. You may be eligible to purchase Atlas America.

Coverage Start Date

Coverage End Date

Coverage Area

Applicant Date of Birth

Spouse Coverage Needed

Spouse Date of Birth

Child Coverage Needed
(18 years and under)

Dependent Child: Children 18 years and under of the primary insured on this policy. Grandchildren, nieces, nephews etc. are not considered as dependent children. Please fill a separate application in such cases or for older children.

+ Add Child

Where should the purchase receipt and policy details be sent?

Email Address
(Optional)

Atlas International

Administrative Company

HCC MIS

Carrier / Underwriter

Lloyd's

Eligibility

For international travelers travelling anywhere outside their home country. No Coverage in USA.
Coverage for minimum 5 days to maximum up to 364 days in a policy period.

Comprehensive Coverage Plan

Inside Canada

After the deductible, plan pays 80% of first $5,000; then 100% up to chosen medical maximum.

Outside Canada

The comprehensive plan provides percentage of eligible expenses, up to the policy maximum. After the deductible, 100% up to the chosen medical maximum.

Review Policy document(Description of Coverage) ,for complete policy details including benefits and exclusions.

Review & Download

Plan Brochure Description of Coverage