VisitorSecure Insurance Application

Please note that :

For individuals coming to the US who are over age 65, coverage must be effective within 30 days of arrival
VisitorSecure 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.
VisitorSecure is not available to individuals who are physically located in Canada at the time of purchase.

All fields are required fields unless stated as optional

Will your trip include the US or US territories?

Citizenship

Home Country

Sorry, we don't have an online application for your country at this time. Please contact support@visitorscoverage.com for more infomation.

Where are you traveling to?

Where are you traveling to? : If any part of your trip includes the United States, please select United States as your Destination Country. Other countries except Home Country on your trip is automatically covered.

Date of arrival

Are you a US green card holder ?

US green card holder is not eligible for this plan. Here is the list of eligible plans for US green card holder.

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

VisitorSecure

Administrative Company

HCC MIS

Carrier / Underwriter

Lloyd's

Eligibility

For international travelers traveling anywhere outside their home country including USA.
Coverage for minimum 5 days to maximum up to 364 days in a policy period.

Limited Coverage Plan

Plan pays fixed amount per incident up to the policy maximum, 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