Insurance Explorer Inc.

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Health insurance covers up to $1,000,000. Please read the policy before filling out the application.

This product is underwritten by Industrial Alliance Insurance and Financial Services Inc.
What is your birth date? 

STEP 1: TRAVEL AND TRIP INFORMATION

Effective Date of this policy
Termination Date of this policy
OR Duration of coverage days for Multi-trip annual, combo or single trip
Add-ons (Optional):    
Is this a Top-up? (Are you extending another insurance coverage? Have you already departed on your trip?)To top-up or extend coverage of an annual plan, or to purchase coverage after the departure.
  1. Click Yes and enter the Departure Date (i.e., the date you left or intend to leave Canada,)
  2. Enter the Effective Date for the desired extension,
  3. Enter the Termination Date or the Duration of the coverage you wish to purchase.
Departure date from Canada: Enter the date you left or intend to leave Canada; it must preceed the the Effective date of this policy.
Coverage Details:    
Who is the coverage for?
Note: Family denotes oldest adult plus dependants. (All must be eligible.)
Do you want coverage for COVID-19? (If "No", save 10%)


Do you require coverage in the USA or Mexico? (If "No", save 15%)
 
Allowances:    
Did you have a travel insurance claim in the last 4 years? (if "No", save 5%)
 
Name of your Beneficiary: Relationship:

STEP 2 : ELIGIBILITY:

You must meet the Eligibility Requirements set out below any time you depart Canada on a Single Trip Plan or depart your province of residence on an Annual Multi-Trip Plan, to be eligible for coverage under this policy:
  1. You are present in Canada when you purchase this policy and if you are not covered under your Government Health Insurance Plan (GHIP) you agree to accept an additional deductible of $500 U.S. on each claim.
  2. You know of no reason why you would require medical attention during your trip.
  3. In the 12 months prior to the effective date you have not:
    1. had a diagnosis of a terminal illness;
    2. been a resident in a long-term care facility or in an assisted living facility where you were helped with any activities of daily living (bathing, eating, using a toilet, taking medication(s) or getting into or out of a chair or bed); or
    3. been advised by any physician that travelling on your trip would be medically unsafe or that you should not travel on your trip.
  4. You have not had an organ transplant (excluding a corneal transplant.)
If you cannot meet all of the above Eligibility Requirements any time you depart on your trip(s), you are not eligible for coverage under this policy.

I confirm I am eligible.

Notes
Please enter any additional, pertinent information and any other information relating to your health here: (500 characters)

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