Visitors to Canada - Travel Insurance Online Quote-Application Form

  1. Maximum period of coverage: 365 days.
  2. Minimum amount of premium: $20
  3. You must meet the eligibility in the policy wording.
  4. Effective date must be at least 24 hours from application time.

Fill in the information in the light blue shaded boxes , then click the quotation button below.
It will automatically quote the number of days coverage and the total cost of the insurance.

<= Quotation Button

Effective Date : Y/M/D

 

Expiry Date : Y/M/D

 

Number of Days Coverage

Days

No. 1

Year (4 digits) / /

M F

$ /

$

No. 2

Year (4 digits) / /

M F

$ /

$

No. 3

Year (4 digits) / /

M F

$ /

$

$

Please fill in the following.

 

 VISA    MC    AMEX  

/

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