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Mientras que hace la investigación para comprar seguro de visitantes, usted puede encontrar muchos planes. Dos planes de seguro médico de viaje pueden verse similar:

Aunque ambos planes de seguro médico de viaje funcionaría para cualquier persona que visite Estados Unidos, hay ciertas diferencias que serían importantes de entender para tomar una decisión educada.

Si tiene preocupaciones, dudas o preguntas, por favor revise la poliza de detalles individuales para informacion completa ya que no es posible para presentar con precisión todos los detalles concisa, como sigue. Si hay alguna discrepancia entre esta comparación y los detalles de la poliza actual, prevalecerán los detalles de la póliza.

Todas las cantidades están en dólares americanos.

Exámenes físicos y visión de rutina (anteojos, etc) no están cubiertos en ninguno de los planes.

Nota: Para todos los planes de cobertura comprensiva, los beneficios son lo mismo independientemente del máximo de la poliza a diferencia de los Planes de Cobertura Fija.

Por favor utilize esta información de alto nivel como un guia solamente y no tome decisiones basadas únicamente en esta comparacion. Si tiene preocupaciones, dudas o preguntas por favor llámenos para más detalles. No es posible de presentar con precisión todos los detalles en una manera concisa; si hay alguna discrepancia entre esta comparación y los detalles de la poliza actual, prevalecerán los detalles de la póliza.

Todas las cantidades están en dólares americanos.

Exámenes físicos y visión de rutina (anteojos, etc) no están cubiertos en ninguno de los planes.

Nota: Para todos los planes de cobertura comprensiva, los beneficios son lo mismo independientemente del máximo de la poliza a diferencia de los Planes de Cobertura Fija.

General

Atlas America
Comprensivo
Dentro de la red PPO: Después del deducible, el plan paga el 100% hasta el máximo de la poliza.

Fuera de la red PPO: Después del deducible, el plan paga los cargos Razonables y Habituales hasta el máximo de la póliza.

Médico – Paciente Externo

Estados Unidos-Atención de Urgencias: El deducible no se aplica, Copago de $25; al menos deducible de $0. Coseguro todavia se aplica. De otra manera, hasta el máximo de la poliza.
Hasta el máximo de la poliza

En Estados Unidos: Un copago adicional de $200 por visita de enfermedad que no resulta en admisión hospitalaria.
Hasta el maximo de la poliza, suministro de 60 dias por receta.
Hasta el máximo de la poliza
Hasta el máximo de la poliza
Hasta el máximo de la poliza
20% de cargo del cirujano primario. Sin cobertura de disponibilidad en espera.
Hasta el máximo de la poliza

Médico – Otros Tratamientos y Servicios

90 días
Lo mismo que cualquier otro gasto médico elegible
Cama de Hospital o silla de ruedas: Alquiler, hasta los precios de compra.
Recreativo: Incluido. Consulte la redacción de la poliza para las exclusiones específicas.
Hasta el máximo de la poliza, si lesión/enfermedad cubierta resulta en admisión hospitalaria.
Complicaciones del embarazo solamente, durante las primeras 26 semanas de embarazo.
-
$50 máximo por día.

Debe ser solicitado por adelantado por el médico.
El inicio agudo solamente, para personas menores de 70 años: Médico hasta el máximo de poliza; Evacuación Médica hasta $25,000.

Vida

Menores de 18 años: $5,000, Edades 18-69: $50,000, Edades 70-74: $12,500, Edades 75+: $6,250; Máximo de $250,000 por familia. Opcional: hasta $100,000 para las edades 18-69 solamente.
Menores de 18 años: $25,000, Edades 18-69: $50,000, Edades 70-74: $12,500, Edades 75+: $6,250; Máximo de $250,000 por familia.

Otros

Para cada padre asegurado, un niño menor de la edad de 10 años es gratis. Máximo 2 niños.
Incidental: Por un período de 3 meses, residentes estadounidenses reciben 15 días y residentes no estadounidenses reciben 30 días
$100 por día
-
$250 por día, Máximo de 5 días; Opcional: $10,000 por evacuación.
$50,000 Gastos médicos elegibles solamente

Características del Plan

Antes de la fecha de vigencia, reembolso total.

Después de la fecha de vigencia, el reembolso prorrateado menos la cuota de cancelacion de $25 siempre y cuando no se hayan presentado reclamos desde la fecha de vigencia.
5 días mínimo hasta 364 días máximo
$0
$0
Retraso de viaje de 12+ horas y estancia inesperada durante la noche $100/día, 2 días máximo
Correo Electrónico
Postal
Mensajero
Por Periodo De Poliza
$0
$100
$250
$500
$1,000
$2,500
$5,000
Máximo De Por Vida
$10,000 80-99
$50,000 Hasta 79
$100,000 Hasta 79
$250,000 Hasta 79
$500,000 Hasta 69
$1,000,000 Hasta 69
$2,000,000 Hasta 69
Tokio Marine HCC - MIS Group
Lloyd's
  • Esta comparación solo muestra grandes diferencias entre dos planes dados. Para una comparacion comprensiva más completa, por favor revise la pestaña "Comparación Detallada" arriba.
  • El máximo de la poliza, se refiere a lo Usual, cargos Razonables y Acostumbrados (URC).
  • Las coberturas mostradas son por persona a menos que se indique lo contrario.
  • País de Origen para IMG (productos de Patriot, Visitors Care) - Si es ciudadano estadounidense, su país de origen es Estados Unidos, independientemente de la ubicación de su residencia principal. Si no es un ciudadano de los Estados Unidos, el país de origen es el país donde reside principalmente y recibe correo ordinario.
  • País de origen para Tokio Marine HCC - MIS Group (Atlas, Visitor Secure) - Si es ciudadano estadounidense, su país de origen es Estados Unidos, independientemente de la ubicación de su residencia principal. Si no es un ciudadano de los Estados Unidos, el país de origen es el país donde reside principalmente y recibe correo ordinario.
  • País de Origen para Seven Corners (productos de Inbound, productos de Liaison) - El país donde el asegurado tiene su domicilio y su establecimiento auténtico, fijo y permanente. Si usted es un ciudadano estadounidense, el país de origen es siempre Estados Unidos. (*Excluyendo Liaison International)
  • Green Cover - Los beneficios que se muestran aquí son para la Parte A y Parte B comprados juntos; si sólo se compra una parte (ya sea A o B), los beneficios serán diferentes de los mostrados aquí.
  • El máximo de la poliza, se refiere a lo Usual, cargos Razonables y Acostumbrados (URC).
  • Las coberturas mostradas son por persona a menos que se indique lo contrario.

To continue with the application please scroll down to confirm this notice

CALIFORNIA RESIDENTS SPECIAL NOTICE

1. THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS.

2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.

3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.

4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE” BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1-800-927-4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG.

5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: www.insurance.ca.gov.

8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER’S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU.

07/11
LSW1146D

Cuba Notice

Travel to Cuba remains subject to restrictions imposed by U.S. sanctions, administered by the US Treasury. Only those who qualify for travel authorized under US Treasury's regulations and who comply with the terms of such authorization can legally travel to Cuba. Individuals traveling to Cuba must meet the following criteria in order to qualify for travel authorized under one of the general licenses outlined below:

Criteria for travel authorized by the US Treasury

If you have read and agree to the terms of both Notices: California and Cuba, please click the continue button if you wish to complete the application process. Otherwise, please click cancel to abort the application process.

To continue with the application please scroll down to confirm this notice

CALIFORNIA RESIDENTS SPECIAL NOTICE

1. THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS.

2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.

3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.

4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE” BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1-800-927-4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG.

5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: www.insurance.ca.gov.

8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER’S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU.

07/11
LSW1146D

If you have read and agreed to the terms of this notice and wish to continue, please click the continue button. Otherwise, please click cancel to abort the application process.

Cuba Notice

Travel to Cuba remains subject to restrictions imposed by U.S. sanctions, administered by the US Treasury. Only those who qualify for travel authorized under US Treasury's regulations and who comply with the terms of such authorization can legally travel to Cuba. Individuals traveling to Cuba must meet the following criteria in order to qualify for travel authorized under one of the general licenses outlined below:

Criteria for travel authorized by the US Treasury

I certify that I have read the above and that all individuals applying for coverage qualify for travel authorized under one of the general licenses per US Treasury regulations.

Reset Application

Pressing “CONFIRM” will reset the whole application and erase all the data previously entered.

If you have already saved this application, you will still be able to retrieve the application with the information previously entered. Details for retrieval would have been given at the time of saving, which can be done any time after the initial quote.


¿Sabías?

Los precios están regulados por la ley.

Usted no puede encontrar un precio más bajo en cualquier lugar para el mismo producto.

Aprender Más

¿Por qué comprar un seguro de Insubuy®?

Mismo precio. Mejor servicio.

Hay muchas ventajas en la compra de Insubuy® y sin desventajas.

Aprender Más

¿Visitando Estados Unidos?

Los costos de atención médica son muy altos en los EE.UU.

Compre seguro de visitantes de Estados Unidos y disfrute de su viaje.

Aprender Más

¿Viaja al extranjero?

¿Sabía usted que su seguro no le puede cubrir en el extranjero o que puede proporcionar cobertura limitada?

Compre un seguro médico de viaje que incluya evacuación médica de emergencia.

Aprender Más

¿Nuevo inmigrante a los Estados Unidos?

Usted no sería elegible para inscribirse en Medicare por los primeros 5 años.

Compre un nuevo seguro médico para inmigrantes para salvar la brecha.

Aprender Más

¿Va de vacaciones?

Usted podría perder sus gastos de viaje no reembolsables si tuviera que cancelar su viaje.

Compre un plan de paquete de seguro de cancelación de viaje y no se preocupe.

Aprender Más

¿Eres un visitante de intercambio en EE.UU.?

El Departamento de Estado de EE.UU. requiere que todos los titulares de visa J adquieran un seguro conforme.

Compre el seguro médico de visa J para satisfacer sus necesidades.

Aprender Más

¿Viaja a Europa?

Los países Schengen exigen que la mayoría de los ciudadanos no de EE.UU. compren el seguro de visado Schengen.

Haga una compra instantánea en línea y obtenga la carta del visado instantáneamente.

Aprender Más

¿Viaja con frecuencia durante todo el año?

No necesita comprar un seguro de viaje para cada viaje.

Compre un seguro de viaje multi (múltiple) viaje anual para sus viajes.

Aprender Más

¿Estudiante internacional en los Estados Unidos?

La mayoría de las escuelas requieren que los estudiantes internacionales compren un seguro de salud.

Compre un seguro de salud para estudiantes internacionales que cumpla con la mayoría de los requisitos de la escuela.

Aprender Más

To continue with the application please scroll down to confirm this notice

CALIFORNIA RESIDENTS SPECIAL NOTICE

1. THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS.

2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.

3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.

4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE” BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1-800-927-4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG.

5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: www.insurance.ca.gov.

8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER’S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU.

07/11
LSW1146D

Cuba Notice

Travel to Cuba remains subject to restrictions imposed by U.S. sanctions, administered by the US Treasury. Only those who qualify for travel authorized under US Treasury's regulations and who comply with the terms of such authorization can legally travel to Cuba. Individuals traveling to Cuba must meet the following criteria in order to qualify for travel authorized under one of the general licenses outlined below:

Criteria for travel authorized by the US Treasury

If you have read and agree to the terms of both Notices: California and Cuba, please click the continue button if you wish to complete the application process. Otherwise, please click cancel to abort the application process.

To continue with the application please scroll down to confirm this notice

CALIFORNIA RESIDENTS SPECIAL NOTICE

1. THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS.

2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.

3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.

4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE” BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1-800-927-4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG.

5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: www.insurance.ca.gov.

8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER’S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU.

07/11
LSW1146D

If you have read and agreed to the terms of this notice and wish to continue, please click the continue button. Otherwise, please click cancel to abort the application process.

Cuba Notice

Travel to Cuba remains subject to restrictions imposed by U.S. sanctions, administered by the US Treasury. Only those who qualify for travel authorized under US Treasury's regulations and who comply with the terms of such authorization can legally travel to Cuba. Individuals traveling to Cuba must meet the following criteria in order to qualify for travel authorized under one of the general licenses outlined below:

Criteria for travel authorized by the US Treasury

I certify that I have read the above and that all individuals applying for coverage qualify for travel authorized under one of the general licenses per US Treasury regulations.

Reset Application

Pressing “CONFIRM” will reset the whole application and erase all the data previously entered.

If you have already saved this application, you will still be able to retrieve the application with the information previously entered. Details for retrieval would have been given at the time of saving, which can be done any time after the initial quote.