Purchase a Plan

Travel Agent Location
Agent Information
Location Number (if applicable)
This number can be found on the back
of your brochure (e.g.: 33-7777)
Agent Code
Invoice Number
Travel Agent
Are you a travel agent?
Please Select One*

   
Plan Options
 
Business Traveler Multi Trip
Underwritten by Stonebridge Casualty Insurance Company
 
Period of Coverage
 

Trip Information
Start Date*
 /  / 
(mm/dd/yyyy)
Tour Operator
select
 
Cruise Line
select
 
Originating Airline
select
 
Primary Traveler Information
 
First Name*  
Last Name*  
 
Date of Birth* (mm/dd/yyyy)
 /  / 
 

Are you a United States Citizen?*
Address*
 
 
 
City*
 
State*
Zip*
  
Country*
select

Phone*
     
Fax 
     
Email
 
Beneficiary
(max 256 chars)
 
Upgrade Your Plan
 
Select Flight Accident Level 
 



 

 

View Details

 

View Details
Policy Document Delivery Options
 
Delivery Method
 


 
Recipient #1
(Optional) Recipient #2

* Required Field
Plan Details
Business Traveler
Multi Trip
Benefit
Coverage

Trip Interruption
$1,000
Trip Delay
$750
Missed Connection
$750
(for cruises only)
Baggage / Baggage Delay
$2,000 / $600
Professional / Business Property
$500
($100 deductible)
Medical Evacuation / Repatriation of Remains
$1 Million
24 Hour AD&D
$50,000
Travel Assistance
Included
Policy Details
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For Assistance Please Call (800) 228-9792
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. *Assistance Services provided by Travelex's designated provider.