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Step 1/4 - Trip Details

1
TRIP DETAILS

2
COVERAGE

3
APPLICANT DETAILS

4
PAYMENT

Round Trip Elite Insurance Application

Please note that :

Optional Coverage : Flight coverage and Collision Damage Waiver
Destination Restrictions: We cannot cover trips to Islamic Republic of Iran, Syrian Arab Republic, and Cuba.

All fields are required fields unless stated as optional

Travelers Current Residency

Resident Country

Resident State

Trip Details

Trip Destination

Trip Start Date
(Coverage Begins at 12:00 AM EST)

Trip End Date
(Coverage Ends at 12:00 AM EST)

Initial Trip Deposit date

Travelers Information

Traveler #1

Primary

Date of Birth

Trip Cost

Where can we email your policy details?

Email Address

This email address will be used to communicate the policy related information and the status of the policy application.

RTEL

Seven Corners

United States Fire Insurance Company

This Plan provides extensive Trip Protection and Medical coverage

Trip Cancellation: Trip cost up to Maximum $30,000
Trip Interruption: up to 150% of trip cost
Trip Delay: up to $1,500
Medical emergency evacuation: $1,000,000
Missed connection: $1,500
Medical Coverage: $250,000
Optional Coverage: Flight coverage, Collision Damage Waiver, Cancel For Any Reason and Cancel For Work Reasons, Lost of Equipment Rental include Ski Days and Golf Rounds