Paper Application
|
Travel Plus
|
|
Trip Cost
Use full cost
per person
|
Plan Rate Per Person
|
|
Ages
0-34
|
Ages
35-60
|
Ages
61-70
|
Ages
71-75
|
Ages
76-80
|
Ages
81+
|
| $0* |
$32 |
$37 |
$55 |
$66 |
$87 |
$173 |
| $1-$500 |
$35 |
$41 |
$58 |
$71 |
$90 |
$176 |
| $501-$1,000 |
$62 |
$72 |
$102 |
$126 |
$158 |
$249 |
| $1,001-$1,500 |
$90 |
$103 |
$146 |
$177 |
$230 |
$375 |
| $1,501-$2,000 |
$116 |
$143 |
$187 |
$225 |
$307 |
$486 |
| $2,001-$2,500 |
$145 |
$178 |
$229 |
$289 |
$406 |
$607 |
| $2,501-$3,000 |
$170 |
$213 |
$272 |
$349 |
$484 |
$730 |
| $3,001-$3,500 |
$199 |
$263 |
$319 |
$407 |
$571 |
$853 |
| $3,501-$4,000 |
$223 |
$298 |
$363 |
$466 |
$668 |
$975 |
| $4,001-$4,500 |
$250 |
$334 |
$405 |
$540 |
$788 |
$1,096 |
| $4,501-$5,000 |
$275 |
$382 |
$448 |
$601 |
$881 |
$1,219 |
| $5,001-$6,000 |
$317 |
$420 |
$492 |
$661 |
$914 |
$1,374 |
| $6,001-$7,000 |
$369 |
$520 |
$609 |
$805 |
$1,151 |
$1,640 |
| $7,001-$8,000 |
$460 |
$599 |
$699 |
$957 |
$1,305 |
$1,910 |
| $8,001-$9,000 |
$530 |
$689 |
$799 |
$1,086 |
$1,480 |
$2,168 |
| $9,001-$10,000 |
$612 |
$789 |
$899 |
$1,212 |
$1,657 |
$2,467 |
* $0 Trip Cost band excludes Trip Cancellation and Interruption.
For rates on travel protection where the trip cost exceeds $10,000,
please look at the instant quotes link towards the top of this
brochure page and fill the entire application out.
The rates above are for trips from 1-31 days in length. For
trips from 32-180 days, add $5 per day.
An $8 processing fee will be added to each enrollment.
Rates are subject to change.
Optional Flight Coverage:
$1,000,000 for $56
$500,000 for $28
$300,000 for $17
|