Purchase INF PREMIER PLUS X Plan

1 Travel Details
2 Plan Details
3 Traveler Details
4 Review
5 Payment

TRAVEL DETAILS

Coverage Start Date *

(Effective from 12:00 AM EST)

Coverage End Date *

(Valid until 11:59 PM EST)

Date of arrival *

(The date when the traveler arrives or arrived in the Destination country)

You are ineligible to purchase this policy if you have already arrived at your destination at the time of purchase

Destination Country *

Residence Country *

Citizenship Country *

Primary Applicant Date of Birth *

Please enter the date of birth exactly as it appears on your travel documents (e.g., passport). Requests to correct the date of birth after the policy has been purchased may lead to changes in the policy’s premium and benefits.

Is Spouse Coverage Required

Is Child Coverage Required

Child coverage is not applicable for this plan

Email Address *

PLAN DETAILS

This quote is valid for from - to -, with both dates included

Policy maximum

Deductible

Primary Traveller (Age -)

Total Policy Cost

-

TRAVELER DETAILS

All fields are mandatory unless marked as optional

Insured Individual Details

Primary traveller

First Name *

Last name *

Please provide your first and last names as shown on official identification, such as a passport or government ID

Date of birth * -

Gender *

Citizenship *

Passport *

Not available for Citizens of: Cuba, Iran, Islamic Republic of, Korea, Democratic People's Republic of, Korea, Republic of, Russian Federation & Syrian Arab Republic.

Spouse traveller

First Name *

Last name *

Please provide your first and last names as shown on official identification, such as a passport or government ID

Date of birth * -

Gender *

Citizenship *

Passport *

Not available for Citizens of: Cuba, Iran, Islamic Republic of, Korea, Democratic People's Republic of, Korea, Republic of, Russian Federation & Syrian Arab Republic.

Mailing Address Information

Please enter Any Residential or business address

Use primary applicant information

First Name *

Last name *

Please provide your first and last names as shown on official identification, such as a passport or government ID

Address 1 *

Address 2 (Optional)

Country *

State *

City *

Zip/Postal Code *

Mobile number *

Beneficiary

Provide the name of the person who will receive the benefits in the event of the insured person's accidental death. This should typically be someone other than the insured traveler. For example, if you are purchasing this policy for your parents, you may list yourself as the beneficiary.

Beneficiary Name *

Relationship *

Travel details

Coverage Start date

Coverage End date

Coverage Duration

Date Of Arrival

Destination Country

Citizenship Country

Home Country

Spouse Coverage

Child Coverage

Plan details

Policy Maximum

Deductible amount

Quote Price

Traveler Details

Primary traveller

Full Name

Gender

Date of birth

Citizenship

Passport

Quote

Spouse traveller

Full Name

Gender

Date of birth

Citizenship

Passport

Quote

Mailing Details

Name

Mobile number

Address

Beneficiary

Beneficiary Name

Relationship

PAYMENT

Total Amount

Secure Payment details

Please enter the cardholder’s card details and billing address

Card Type *

SecurityMetrics PCI validation certification

Name on card *

Enter the cardholder’s name exactly as it appears on the card

Card number *

Expiration month *

Expiration year *

Security Code / CVV *

The digits security code found on the back of your card.

Billing address

Use Primary Applicant Information

First Name *

Last name *

Please provide your first and last names as shown on official identification, such as a passport or government ID

Address 1 *

Address 2 (Optional)

Country *

Due to plan's restriction, billing address is available only for the United States of America

State *

City *

Zip/Postal Code *

Mobile number *

By selecting this box, I confirm that I have read and agree to the Terms and Conditions set forth by INF.

I confirm that no one covered under this policy is currently seeking or scheduled for emergency medical treatment during the period of coverage, and that this plan is being purchased for unforeseen medical emergencies.

By selecting this box, I confirm that I have read and agree to the Terms and Conditions and Privacy Policy of Onshorekare.

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InsurTech from Silicon Valley, California

Travel Summary

Start date

End date

Coverage Length

Number of travelers

Policy Maximum

Deductible

Cost Summary

Primary (Age -)

Total Price

InsurTech from Silicon Valley, California

INF PREMIER PLUS X

TRAVEL DETAILS

PLAN DETAILS

Total Policy Cost

-

TRAVELER DETAILS

Insured Individual Details

Primary traveller

Spouse traveller

Child traveller

Mailing Address Information

Beneficiary

Travel details

Plan details

Traveler Details

Primary traveller

Spouse traveller

Child Traveller

Mailing Details

Beneficiary

PAYMENT

Secure Payment details

Billing address

Travel Summary

Cost Summary

Total Price

INF PREMIER PLUS X

INF PREMIER PLUS X

TRAVEL DETAILS

PLAN DETAILS

Total Policy Cost

-

TRAVELER DETAILS

Insured Individual Details

Primary traveller

Spouse traveller

Child traveller

Mailing Address Information

Beneficiary

Travel details

Plan details

Traveler Details

Primary traveller

Spouse traveller

Child Traveller

Mailing Details

Beneficiary

PAYMENT

Secure Payment details

Billing address

Travel Summary

Cost Summary

Total Price

Plan Information

INF PREMIER PLUS X

Location Restrictions