Click the example image above to continue to the application page. You will be asked for more detailed information such as name, travel dates, destination, travel arrangements, contact information, and credit card information. Once you have entered your credit card information you will see a confirmation page with your Insurance Confirmation Page (print this out) and the Insurance Certificate of Coverage (please review)
If you have any questions about this plan and benefits, please call 1-800-576-2674.
