The New Premium for your policy will be:




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:fit-4-travel - travel insurance In Partnership With
0800 848 8448

APPLICATION: For UK Residents and UK Expatriates only.

We are unable to offer travel insurance in, to or through any of the following countries: Afghanistan, Liberia, Syria, Iraq or Sudan.


How did you hear about us?
Please select from the dropdown list your country of residency:
This policy cannot provide cover for anyone who is not resident in these countries.
Will you be taking a cruise at any point on your holiday?
Where are you travelling to?
Area 1 - England, Scotland, Wales, Northern Ireland, the Isle of Man and your home location. (See note 1 below) (Cover only applies if the journey is away from your home and at least two nights stay in pre-booked and paid accommodation or involves a pre-booked flight).

Area 2 - European countries (Restricted) including Eire (Republic of Ireland), the Channel islands, Russia (west of the Ural Mountains), islands in the Mediterranean, the Azores, Madeira and Iceland excluding Spain, the Canary Islands, Turkey, Cyprus, Malta and Switzerland.

Area 3 - European countries as per Area 2 including Spain, the Canary Islands, Turkey, Cyprus, Malta and Switzerland.

Area 4 - Australia and New Zealand.

Area 5 - Worldwide excluding the United States of America, Canada, all Caribbean islands and Mexico.

Area 6 - Worldwide.

Note 1: Home location shall mean the country you normally live in (for at least six of the last twelve months before you bought or renewed this policy)
Who is cover for?
Would you like a quote for?
Single Trip   Annual Multi-Trip  

Travel Details

Please select from the calendar for all required dates.
What date would you like your policy to commence?
Please enter your travel dates in order for us to quote for a Single Trip policy:
Departure Date:
Return Date:

Additional Cover Options

Do you require any of the following additional optional benefits:
Winter Sports
This option is available only for travellers aged 65 years and under and for up to 21 days in any single period of insurance
Yes   No  
Golf
Yes   No  
Wedding / Civil Ceremony
Yes   No  
Natural Catastrophe Cover
Yes   No  
Would you like to extend the standard duration of 45 days for the Annual Multi-Trip to the maximum of 60 days for any one trip?
This option is available only for travellers aged 68 years and under
Yes   No  
Nil Policy Excess - you can choose to cover all applicable excesses that you would pay if you made a claim on the Policy.
Standard Policy Excess per traveller is: £50 under 65 years, £100 65-74 years, £200 75 years and over.
Yes   No  

Medical Declaration

This insurance Policy contains health restrictions and exclusions that apply to the cover provided under the Abandonment, Medical Expenses, Hospital Benefit, and Personal Accident sections. If you make a Claim for a Pre-Existing Medical Condition that you have not declared and has not been agreed by us in writing, your claim will be declined.

Please now answer the following questions:

Are you or anyone travelling on this policy:

Waiting for any tests, test results, investigations or receiving treatment for any condition or set of symptoms that may or may not have been diagnosed;
Yes No
Travelling against the advice of a medical practitioner or travelling to get medical treatment or medical advice abroad
Yes No
Have been told about a condition that is likely to cause your death
Yes No
Have you ever suffered from or received medical advice, treatment or medication for:

a) any heart-related, hypertension, blood circulatory, stroke, renal failure or diabetic condition
b) any breathing condition which can include a condition that has required the use of supplementary oxygen or the use of a nebuliser or inhaler
c) any cancer
Yes No
Have in the last 24 months, been referred to or seen by a hospital doctor or surgeon (other than an Accident and Emergency doctor) or required hospital in-patient treatment
Yes No
If you have answered 'Yes' to any of the above questions in respect of yourself or anyone travelling under this Policy, you will be required to complete an online medical screening to declare the condition(s) and be sure that the cover will meet your needs.

Persons to be Insured

The age limit for this insurance is:

Single Trip: There is no upper age limit in respect of the single-trip policy for insured persons travelling for up to 60 days, for those travelling between 61 days and 120 days the insured person must be aged 75 years or under when the policy cover commences.

Annual Multi-Trip: The age limit is 75 years or under in respect of the annual multi-trip policy where the maximum duration of any one trip is limited to 45 days, or aged 68 years or under if the trip duration is extended to 60 days when the policy cover commences.

Policyholder

Please enter the full name of the Policyholder. This must include title, first name and surname.
   
Please click on the calendar to select.
Please enter the date of birth of the Policyholder.
How old will the Policyholder be when the holiday commences?
Please enter a contact telephone number.
We know you don't want nuisance calls, we will ONLY use this number if we NEED to contact you in relation to your insurance. We do not provide data to anyone not connected with this travel insurance.
Please enter the Policyholder's email address below.
We will instantly email your quotation to you as soon as you have completed this application, we will also administer your policy by email, so please ensure that this is entered correctly. We do not provide data to anyone not connected with this travel insurance.
Please select the number of additional travellers to be covered on this policy.

Choose Your Cover

Scheme Type Premium Tax(es) applicable to your Country of Residence Policy Fee Total Payable * Please Select Your Cover
Single Trip - Gold
Includes Cancellation Cover
Single Trip - Gold
Excludes Cancellation Cover
Single Trip - Platinum
Includes Cancellation Cover
Single Trip - Platinum
Excludes Cancellation Cover
Annual Multi-Trip - Gold
Includes Cancellation Cover
Annual Multi-Trip - Gold
Excludes Cancellation Cover
Annual Multi-Trip - Platinum
Includes Cancellation Cover
Annual Multi-Trip - Platinum
Excludes Cancellation Cover
Summary of Cover
This summary just provides you with details of cover levels. For details of exclusions and limitations to the cover we strongly recommend you read the Policy Summary document, which you can access by clicking
Policy Wording
If you would prefer to see the full Policy Document please click
Table of Benefits
Section Cover Description Maximum Sum Insured
(per insured person)
Excess
(see note 2 directly below the table)
Level of Cover
(as shown in the schedule)
Gold Platinum Under 65 yrs 65-74 yrs 75yrs and over
1 TRAVEL DISRUPTION - OPTIONAL COVER GBP 2,000 GBP 5,000 GBP 50 GBP 100 GBP 200
2 ABANDONMENT GBP 2,000 GBP 5,000 GBP 50 GBP 100 GBP 200
3 CATASTROPHE GBP 1,000 GBP 1,000 GBP 50 GBP 100 GBP 200
4 MISSED DEPARTURE GBP 500 GBP 500 No Excess No Excess No Excess
5 DELAYED DEPARTURE
GBP 30 for the first full 12 hours then GBP 15 for each full 12 hours delay after that
Nil GBP 300 No Excess No Excess No Excess
6 MEDICAL EXPENSES
1. Emergency Dental Treatment
2. Funeral Expenses
3. Loss of Medication
GBP 10,000,000
1. GBP 350
2. GBP 1,500
3. GBP 300
GBP 10,000,000
1. GBP 350
2. GBP 1,500
3. GBP 300
GBP 50 GBP 100 GBP 200
7 HOSPITAL BENEFIT GBP 375
(GBP 25 per day)
GBP 800
(GBP 25 per day)
No Excess No Excess No Excess
8 PERSONAL ACCIDENT
Death
Loss of Limb
Loss of Sight
Permanent Total Disablement

GBP 15,000
GBP 15,000
GBP 15,000
GBP 15,000

GBP 15,000
GBP 15,000
GBP 15,000
GBP 15,000
No Excess No Excess No Excess
9 BAGGAGE
Mobility Aids
Single Article, Pair or Set Limit
Total Valuables Limit
GBP 2,000
GBP 2,500
GBP 200
GBP 300
GBP 3,000
GBP 2,500
GBP 300
GBP 300
GBP 65 GBP 100 GBP 200
10 DELAYED BAGGAGE GBP 300 GBP 300 GBP 65 GBP 100 GBP 200
11 MONEY, PASSPORT AND DOCUMENTS
Cash Limit
Passport
GBP 750
GBP 200
GBP 300
GBP 1,000
GBP 300
GBP 300
GBP 100 GBP 100 GBP 200
12 PERSONAL LIABILITY GBP 2,000,000 GBP 2,000,000 GBP 65 GBP 100 GBP 200
13 LEGAL EXPENSES GBP 25,000 GBP 25,000 GBP 65 GBP 100 GBP 200
14 HIJACK GBP 500
(GBP 50 per day)
GBP 500
(GBP 50 per day)
No Excess No Excess No Excess
15 PET FEES COVER GBP 500
(GBP 25 per day)
GBP 500
(GBP 25 per day)
No Excess No Excess No Excess
16 END SUPPLIER FAILURE GBP 1,500 GBP 1,500 GBP 65 GBP 100 GBP 200
Optional Benefits (cover is provided if noted in the schedule)
17 WINTER SPORTS
SKI EQUIPMENT
Single Article, Pair or Set Limit
GBP 500
GBP 250
GBP 65 GBP 100 GBP 200
SKI HIRE GBP 260
(GBP 20 per day)
No Excess No Excess No Excess
SKI PACK GBP 250 GBP 50 GBP 100 GBP 200
PISTE CLOSURE GBP 250
(GBP 25 per day)
No Excess No Excess No Excess
AVALANCHE AND LANDSLIDE GBP 150 GBP 30 GBP 100 GBP 200
18 GOLF
GOLF EQUIPMENT
Single Article or Pair Limit
GBP 1,000
GBP 300
GBP 65 GBP 100 GBP 200
GOLF EQUIPMENT HIRE GBP 400
(GBP 40 per day)
No Excess No Excess No Excess
NON REFUNDABLE GOLF FEES GBP 300
(GBP 75 per day)
No Excess No Excess No Excess
19 WEDDING/CIVIL CEREMONY
WEDDING RINGS
WEDDING GIFTS
OTHER WEDDING ATTIRE

Single Article or Pair Limit
GBP 1,500
GBP 750
GBP 1,000
GBP 400
GBP 75 GBP 100 GBP 200
20 NATURAL CATASTROPHE
1. CANCELLATION
2. ADDITIONAL EXPENSES
3. REPLACEMENT ACCOMMODATION
4. TRAVEL DELAY (FOR EACH FULL 12 HOURS)
GBP 1,500
GBP 150 per day
GBP 150 per day
GBP 25
GBP 50
GBP 50
GBP 50
No Excess
GBP 100
GBP 100
GBP 100
No Excess
GBP 200
GBP 200
GBP 200
No Excess
*note 2: you may have chosen to waive the excess when you purchased this Policy, and this will be shown in the schedule.

Important Information

Are you or any traveller to be insured aware of any medical condition affecting a relative, business associate, travelling companion or someone you are going to stay with, which could result in the trip being cancelled or curtailed?
You should understand and give explicit consent that the sensitive health and other information provided will be used by International Travel and Healthcare, AmTrust Europe Limited (the Insurer), their agents and regulators to process your insurance, provide medical screening, handle claims and prevent fraud.
International Travel and Healthcare is committed to keeping your data confidential and processes all information in accordance with the Data Protection Act 1998. International Travel and Healthcare does not sell, rent or trade its mailing lists, phone numbers or email addresses.
I consent to the information provided being used in accordance with the above statement.
You must confirm that the information you have provided is truthful and accurate. Failure to do so may invalidate this insurance, leaving you with no right to make a claim. We must be informed of any facts which are likely to influence us in the acceptance, assessment or continuance of this insurance. It is an offence to misrepresent information.
I declare that the information I have provided is, to the best of my knowledge, truthful and accurate. I confirm that if circumstances change which may affect this insurance, I will notify International Travel and Healthcare as soon as possible.
If there are any changes or additional medical conditions that affect a pre-existing medical condition which occurs before the start of any travel and after the Policy has been issued, you must call the Medical Screening Helpline on 01689 892 228 and advise the changes immediately.