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What kind of traveler are you?


Multi-Trip Traveler

(Annual Policy for Canadian Frequent Travellers)

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Country of Residence

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Province of Residence

(If from Canada please input your home province, if from out of Canada, please input destination province.)

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Destination

(Let us know whether you are leaving your province of residence to travel within Canada, to the USA or internationally. Do not select Canada if not all travel is within Canada.)

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Covered by a Canadian government health insurance plan?

(Select "no" if you are not covered by a Canadian provincial or territorial government health insurance plan.)

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Name & Birthday of Travelers

How many travelers?














































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Departure Date

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Coverage Start/End Dates

(If topping up your plan, kindly provide the complete trip dates, not just the dates for the additional coverage required)

Coverage Start Date

Coverage End Date

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Topping up an Annual Insurance Plan?

(Select "yes" if you already have an annual insurance plan and want to buy coverage for extra travel days to stay protected on a longer trip)

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Education Start/End Dates

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Where are you from?

(Country)

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Destination Province

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Do you need insurance for a super visa?

(The Super Visa allows parents and grandparents to visit family in Canada for up to two years at a time, without renewing their status. It's valid for 10 years and permits a single entry or multiple entries into Canada. One of the key requirements to apply for the Super Visa is travel insurance purchased from a Canadian insurance company which is valid for a minimum of 365 days with medical coverage of at least $100,000.)

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Arrival date in Canada

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Province of Residence

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How many days does your annual plan cover?

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Final Step

Please enter your Email, Phone and any additional information

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