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Liaison Travel Elite Insurance Application

Please note that :

  • Not Available for Addresses from the Following US States: Colorado (CO), Maryland (MD), New York (NY), South Dakota (SD) & Washington (WA).
  • Not available if Home Country/Country of Residences are: Cuba (CUB), Gambia (GMB), Ghana (GHA), Iran (IRN), Nigeria (NGA), Sierra Leone (SLE) & Syria (SYR).
  • Not Available for the following Destination Countries: Iran (IRN) & Syria (SYR).
All fields are required fields unless stated as optional
Sorry, we don't have an online application for your country at this time. Please contact support@visitorscoverage.com for more infomation.

(Begins at 12:00 AM EST)

(Ends at 11:59 PM EST)

(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.
Where can we email your policy details?
LEL

Administrative Company

Seven Corners

Carrier / Underwriter

Lloyd's of London and Tramont Insurance Company

Eligibility

  • For international travelers traveling outside their home country.
  • Coverage for minimum 5 days to maximum up to 364 days at a time. The plan is available up to a maximum of 3 years (1092 days)

Comprehensive Coverage Plan


The comprehensive plan provides percentage of eligible expenses, up to the policy maximum. After the deductible, within the PPO Network in the USA, the Liaison Elite plan covers 100% up to the policy maximum. Outside the PPO Network, Liaison Elite plan pays 90% of first $5,000; then 100% up to chosen medical maximum.

Outside the USA the plan pays 100% up to the policy maximum. Review Policy document(Description of Coverage,for complete policy details including benefits and exclusions.

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