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Instant travel insurance quote

Few simple steps to get you covered!

Please take particular care while answering the following questions. It is important that the information you provide are complete and accurate in order for us to base the Premium and Conditions for your specific insurance policy, otherwise your policy could be invalidate.

Select type of cover:

Are you looking to purchase this policy as a Private consumer or as a Commercial customer?

Please specify if you are completing this application on behalf of a Company:

Are you going to carry on a manual, or not manual occupation?

Please specify if you, or any of the policyholders, are going to undertake any manual occupation which involves use of heavy machinaries and/or hazardous activities during the entire travel period:

Select type of trip:

Select destination(s):

Select period of cover:

Your cover will terminate on your returning date.

Your cover will terminate within one year from your departing date.

Who is the cover for?

Do the traveller(s) have any pre-existing medical conditions?

Please select “Yes” if in the last 2 years, you or anyone else on this policy have any medical conditions.

Select your quote:

Please select the cover that suits you better from the ones offered below.

Silver
Gold
Platinum

Single trip

Select

Select

Select

Multi-trip annual cover

( You can still select this solution if you wish! )

Select

Select

Select

Tuition fee cover (Optional):

Add an optional Tuition fee cover on your Student Travel Overseas insurance:

$52.00

Note:

Your quotation has been provided based on you:

  • Travelling on the dates to the countries that have been selected by you;
  • Should our quote meet your requirements and you wish to proceed with the policy, we assume you have read and understand the importance of Your Duty of Disclosure;
  • You or anyone travelling with you have not made any claim under any travel insurance policy within the past 3 years.
  • That you are of sound health with no pre-existing medical conditions except for those catered under the 'Pre-existing Medical conditions covered by your chosen Policy' section of your policy document.

Please review your policy below for reference:

Your Duty of Disclosure:

By cheking this box you acknowledge you have read and undertood your obligations to us in providing correct information for us to base the Premium and Conditions for your specific insurance policy, key to this is Your Duty of Disclosure.

If you do not understand Your Duty of Disclosure or do not wish to tick the box then we are unable to proceed further with the issuance of your policy.

Traveller(s) information

Company address:

Main policy holder details:

Contact details:
Address:
Documents:
Pre-existing Medical Conditions:

Is this traveler suffering from any Pre-existing Medical Conditions?

Important (be aware):

Pre-existing Medical Conditions are as standard excluded under your policy, however if the Pre-existing Medical Conditions are:

  • Listed within the list of the 'Pre-existing Medical Conditions covered by your chosen Policy' section of your Policy document;
  • Controlled on medication prescribed by a medical practitioner;
  • Not required any specialist treatment for 24 consecutive months;

Then this exclusion will not apply. The cover only applies to the listed conditions and will only apply if we are advised of the conditions at the time of you are purchasing the policy.

Please review your policy below for reference:

Please tell us if the condition(s) for this traveler is listed within the 'Pre-existing Medical Conditions of your chosen policy'?
Please tell us which condition(s) is this traveler suffering from?
It is very important that you let us know about all pre-existing medical conditions. If you're declaring on behalf of another traveller, please make sure that you know full details of their medical history. If you miss to tell us something, it could invalidate the policy or result in a claim being refused or reduced.

Personal details (Optional):

Please check the box to confirm that you are content for us to retain your personal details for marketing purposes and future promotional offers. We wouldn’t want you to miss out on offers, exclusive deals and the latest information on products and services that are available to you from across Extramile Insurance Ltd.

If you leave the boxes blank we will retain your records only for the period we are required to do so by law, when this period has expired your records will be permanently deleted.

For more information about how we use your personal details you can visit our Privacy Statment page.

Terms and Conditions:

By cheking this box you confirm that you have read and agree to the Privacy Statment, the Terms and Conditions and our Key facts page on behalf of all persons to be insured.

Declaration:

Please check the box to confirm that the information provided is complete and accurate and any change in circumstance which occurs during the life of the policy will be notified to us as soon as reasonably possible.

You also consent to any information you have included about yourself being processed by Extramile Insurance Ltd for the purpose of providing insurance and claims handling, which may necessitate Extramile Insurance Ltd providing such information to third parties if necessary.

Please enter your card details.

We accept the following payment methods:

Payment method accepted

Summary of your cover:

Cover

Type

People

Departing

Returning

Travelling to

Business

Single trip

2

15/03/2018

22/03/2018

Spain

France

Italy

Your quote pricing:

Gold

Tuition fee

$300.00

$20.00

Total to pay:

$320.00

Need help?

In case of emergency:

If you need help while travelling, call FocusPoint at:
001 619 717 8549
Or email at:
crc@wwfocus.com
FocusPoint can provide you with:
  • 24/7 Medical Emergency Assistance

  • Political and Natural Disaster Repatriation or Assistance

  • Responsive Disaster Recovery Assistance.



For general enquiries:

Contact us
For more information about our Products and Services please refer to our Help page. Visit our Key facts page for Summaries and Specimen Policy Wordings.

More about us

Our experience in the field:

Learn more about us from our personal experiences. When things escalate and go terribly wrong, we know seconds count. It's good to know that one phone call can get you through to our Responsive Disaster Recovery teams 24/7. Read our case studies