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Location Number: (if applicable)

this number can be found on the
back of your brochure (e.g.:33-7777)

Country of Residency:*

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Departure Date:*

Return Date:*

Number of Travelers:

Traveler

Age*

Trip Cost*


Base Plan Benefits
Trip Cancellation	100% of Trip Cost	100% of Trip Cost	100% of Trip Cost	100% of Trip Cost	100% of Trip Cost
Trip Interruption	100% of Trip Cost	150% of Trip Cost	150% of Trip Cost	150% of Trip Cost	150% of Trip Cost
Trip Delay / Missed Connection	$500	$750	$750	$1,000	$750
Itinerary Change	—	—	—	—	$250
Baggage / Baggage Delay	$500 / $100	$1,000 / $250	$1,000 / $250	$2,500 / $600	$1,000 / $250
Medical Expense Benefits	$15,000 Sickness $15,000 Accident	$50,000	$50,000	$100,000	$50,000
Medical Evacuation / Repatriation of Remains	$100,000	$500,000	$500,000	$1 Million	$250,000
Common Carrier AD&D	—	—	—	$50,000	—
24 Hour AD&D	—	$25,000	$25,000	$25,000	$25,000
Travel Assistance	Included	Included	Included	Included	Included
Plan Upgrades
Cancel for Any Reason	—	Available	Available	Included Optional Upgrades Available (see brochure for details)	—
All Events	—	—	—	—	Available
Flight Accident AD&D	Available with the Transportation Pak	Available with the Transportation Pak	Available with the Transportation Pak	Included with the Transportation Pak	Available
Medical Expense Benefits	—	—	—	—	Available
Rental Vehicle Coverage / Collision Damage Waiver	Available with the Transportation Pak	Available with the Transportation Pak	Available with the Transportation Pak	Included with the Transportation Pak	Available $50,000
Transportation Pak	Available	Available	Available	Included	—
Adventure Pak	—	Available	Available	—	—
Athlete / Student Pak	—	Available	Included	—	—
Family Pak	—	Available	Included (may not be available to residents of all states)	—	—
Professional Pak	—	Available	Included	—	—
Protector Pak	—	Available	Available	—	—
Plan Highlights
Pre-existing Condition Waiver	—	Purchase plan within 21 days of initial trip deposit	Purchase plan within 21 days of initial trip deposit	Purchase plan within 30 days of initial trip deposit	Purchase plan within 21 days of initial trip deposit
Pre-existing Look Back Period	60 Days	60 Days	60 Days	60 Days	60 Days
Primary / Secondary Coverage	Primary	Primary	Primary	Primary	Primary
Children Free	—	—	Under 21	—	Under 18
Plan Details
Maximum Trip Cost	$10,000	$25,000	$25,000	$50,000	$30,000
Maximum Trip Length	30 Days	180 Days	180 Days	180 Days	365 Days
Underwriter	Nationwide Mutual Insurance Company United States Fire Insurance Company	Nationwide Mutual Insurance Company United States Fire Insurance Company	Nationwide Mutual Insurance Company United States Fire Insurance Company	Nationwide Mutual Insurance Company United States Fire Insurance Company	Old Republic Insurance Company
A.M. Best Rating	A+ A	A+ A	A+ A	A+ A	A+
Refund Policy	10 day review period	10 day review period	10 day review period	10 day review period	10 day review period
	View Brochure (pdf)	View Brochure (pdf)	View Brochure (pdf)	View Brochure (pdf)	View Brochure (pdf)

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Phone: (800) 228-9792
(8:00 a.m. to 7:00 p.m. CST, Monday - Friday)
customerservice@travelexinsurance.com

Technical Difficulties

Phone: (888) 457-4602
(8:00 a.m. to 7:00 p.m. CST, Monday - Friday)
techsupport@travelexinsurance.com

Emergency While Traveling

Click here for emergency phone numbers
while traveling

The above information contains a brief description of benefits. Refer to the applicable Certificate of Insurance or Evidence of Coverage (the "Policy") for full policy details. Certain conditions, exclusions, and limitations apply as set out in the Policy. Products may not be available to residents of all states. If there is any conflict between the contents of this website and the Policy, the Policy will govern in all cases.