Travel Insurance Form

By law, I am required to offer you travel insurance. For this reason, I require that all of my clients complete, sign and submit this Travel Insurance Form indicating that you have been offered travel insurance, and should you choose not to purchase travel insurance you accept all responsibility.

Emergencies can happen when you least expect them. I highly recommend that you protect your vacation with a travel insurance policy. The cruise lines, airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. Another important fact to keep in mind is that most health insurance policies will not cover you when you are out of the country.

Your Travel Insurance will protect you in the following areas:

  • Trip Cancellation
  • Trip Delay
  • Trip Interruption
  • Missed Connection
  • Baggage Loss, Theft, or Damage
  • Baggage Delay
  • Emergency Medical and Dental Expenses
  • Emergency Medical Transportation
  • 24/7 Hotline Assistance

Please also note that in order for you to benefit from pre-existing coverage your policy must be purchased before final payment. There is no added cost to the policy for pre-existing coverage.

It is also important to understand that you do NOT have coverage until you have an active policy! Pre-existing coverage will not apply to world events such as strikes, natural disasters, terrorism etc.

For your benefit, I have acquired a quote for travel insurance for your vacation. Your quote will be sent in a separate e-mail.

Please sign this acknowledgement to accept or decline the Travel Insurance that is being offered to you.*

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