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Traveler 1

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Are you traveling to the United States to work in the state of Florida?

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Estimate & Optional Coverages

Atlas International (Most Popular)

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Accidental Death & Dismemberment Coverage (for members 18-69)

Increase your coverage amount to $100,000 for only $0.35 / person / day

Crisis Response Coverage with $10,000 Natural Disaster Evacuation

Increase your coverage amount to $100,000 for only $1.40 / person / day

Personal Liability Coverage

Increase your coverage amount to $100,000 for only $0.35 / person / day

Bundle and Save!

Bundle all three coverages and save !

Your Producer

Your Producer

Atlas America

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I hereby agree to the sports exclusion statement.

I hereby apply for membership in the Atlas/International Citizen Group Insurance Trust, Hamilton, Bermuda and for the insurance provided to members by Lloyd’s. I understand that the insurance applied for is not a general health insurance policy, but is intended for use in the event of a sudden and unexpected event while traveling outside my Home Country. I understand that my insurance terminates upon my return to my Home Country unless I qualify for a Benefit Period or Home Country Coverage. I understand this insurance contains a Pre-existing Condition exclusion and other restrictions and exclusions. I understand that, prior to my current coverage expiration date, I can contact Green Rock for transaction instructions regarding policy extensions and/or renewal eligibility. I understand that if my insurance is not Extended or Renewed prior to or on the current coverage expiration date I must purchase a new policy in order to have coverage. I understand that the information contained herein is a summary of the Master Policy and that I may obtain a complete copy of the Master Policy upon request to Green Rock. It is the responsibility of Indian residents purchasing insurance cover to obtain permission from the Central Government and Reserve Bank of India. I understand that Lloyd’s, as underwriter of the plan, is solely liable for the coverage and benefits provided under the insurance. I understand that Lloyd’s operates as an approved, non-admitted insurer in all states of the United States except Illinois and Kentucky where they are admitted. As such, claims under this insurance may not be made against any state guaranty fund. I understand and agree that the insurance agent/broker, if any, assisting with this Application is a representative of the Applicant. Licensed insurance brokers and independent agents are compensated through commissions calculated as a percentage of premium for the purchase, renewal, placement or servicing of insurance coverage. If signed by a representative of the Applicant, the undersigned warrants his/her capacity to so act. If signed as guardian or proxy of the Applicant, the undersigned warrants his/her capacity to so act. By acceptance of coverage and/or submission of any claim for benefits, the Applicant ratifies the authority of the signer to so act and bind the Applicant. Rates include surplus lines taxes and fees where applicable.

By clicking the "Submit" button below, I agree to the above Terms and Conditions and I authorize Tokio Marine HCC – MIS Group to debit my VISA, MasterCard, American Express or Discover Card account for the amount specified above. Coverage purchased by credit card is subject to validation and acceptance by the credit card company. If requesting cancellation, I understand that I must notify Tokio Marine HCC – MIS Group, IN WRITING, PRIOR to the effective date for a full refund and that express delivery charges are not refundable.

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Eligibility Requirements

Specialty extreme sports is available at Sports Adventurer