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Step 1/4 - Trip Details

1
TRIP DETAILS

2
COVERAGE

3
APPLICANT DETAILS

4
PAYMENT

Inbound USA Insurance Application

Please note that :

Plan has to be purchased within 1 year of arrival in USA.
Not available for the residents of Maryland (MD), New York (NY), North Dakota (ND) & Washington (WA).

All fields are required fields unless stated as optional

Date of Arrival in the US

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 can we email your policy details?

Email Address

Inbound USA

Administrative Company

Seven Corners

Carrier / Underwriter

Lloyd's of London

Eligibility

For foreign visitors traveling to the USA.
Coverage for minimum 5 days to maximum up to 364 days.

Limited Coverage Plan

Plan provide basic and fixed pre defined dollar amount for covered services, as defined in the policy.

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

Review & Download

Plan Brochure Description of Coverage