Travel health medical insurance from Canada

RATE REQUEST FORM
(Client Privacy)

Part One - Contact Info

Your Name

Salutation (Mr., Mrs., Ms., Miss)

E-mail Address
To receive a reply, you must provide a valid e-mail address

Telephone Number with Area Code

City & country where you are writing us from

Optional - How did you find us?

Thank you for doing us this big favour!

Part Two - About the Person to Be Insured

Date of Birth (example: 1999-12-31)

Use Comment field at bottom for additional travellers

Departure Point (city & Country)

Destination (country)

Departure or Effective Date

Return or Termination Date

Coverage Required

((We do not sell baggage & personal effects insurance)

Comment
(specify pre-existing medical conditions, if any, or any other pertinent information in order for us to recommend the most appropriate product)

Please double check your entries to ensure accuracy. Thank you!

What type of plan is for me?

Excess/Supplementary Medical Insurance is designed for Canadian residents travelling abroad with valid government health insurance, such as OHIP or BC MSP. The purpose of this type of insurance is to cover medical expenses over and above what a government plan would pay in case of emergency hospitalization or out-patient treatment.

Visitors to Canada Medical Insurance is for visitors, new immigrants and returning residents who do not have, or are waiting for, government health insurance coverage in Canada.

Expatriate Primary Medical Insurance is sold to Canadians who are no longer covered by a Canadian government health insurance plan due to extended stay outside the country or for any other reason.

All-inclusive Package more often than not offers the best value for Canadians travelling overseas for a short period of time while needing more than one type of coverages (medical, trip cancellation, baggage etc). To qualify for such a package, the traveller is required to make the purchase within 48 hours of initial payment for their trip. Furthermore, the trip must be booked through a company duly registered in Canada.

Trip Cancellation & Interruption insurance is self-explanatory by its name. Please see All-inclusive Package above for eligibility requirements.

Client Privacy

Laurus Travel is committed to respecting the confidentiality of clients' personal, business and financial information. We fully endorse and observe the privacy guidelines issued by the Federal Government and applicable provincial requirements. We collect and maintain your information solely for the purpose of providing you with the service and/or product(s) requested by you. We share your information with the insurance company or its representative that administers or adjudicates your claim, but we will not make your information available to any other party.