TraveLead International Travel Insurance

Single/Annual Plan:

Select Plan:

No. of Insured Person :

(Age 18 to 75)

(Age 76 to 80)

(Age 81 to 85)

Area of Travel:

Departure Date:(YYYY/MM/DD)

Arrival Date:(YYYY/MM/DD)

Promo Code

Total:

1 Day

Essential

Extra

Coverage

Sum Insured (PHP)

Section 1 - Accidental Death and Disablement (Common Carrier Benefit)

1,000,000

1,200,000

Section 2 - Burns Benefit

up to 100,000

up to 120,000

Section 3 - Medical Expenses

up to 1,000,000

up to 2,500,000

Section 3b - Overseas Hospital Cash

500 Per Day/
5,000 Per Trip

1,000 Per Day/
10,000 Per Trip

Section 3c - First Medical Assistance in case of Pre-existing illness

15,000

25,000

Product Highlights

Cover for terrorism
Medical expenses up to Php 1,000,000 including in and outpatient treatments
No sublimit or restriction on outpatient expenses and number of doctor visits
Follow up Medical Treatment benefit up to Php 100,000
Hospital Cash Benefit up to Php 1,500 per day
No co-payment or deductible
Personal accident benefit covers 18 different events of disablement and accidental death
Provides cover for amateur hazardous sports, such as hot air ballooning, scuba diving, skiing, etc.
Trip cancellation benefit up Php 50,000
Starr Global Assist 24-hour Emergency Assistance Services
The company reserves the right to update the information as necessary

Global Emergency Assistant Service

Major Exclusions

War, suicide, pregnancy, childbirth, any illegal or unlawful act, HIV-related illness including AIDS, professional sport, riding or driving in any kind of motor racing competition, loss connected to the effects of alcohol or drugs, psychosis, jewelry or accessories, mobile phone, antique, fragile articles, unlawful acts and any pre-existing conditions. Travel in, to or through Afghanistan, Cuba, Iran, North Korea, Sudan, Syria or Iraq.

Age Limit

General Conditions

An individual applicant must be 18 years old or above to apply for travel insurance.
An insured person or traveler aged from 6-months old to 80 years old is eligible to purchase a Short-Term Travel Plan.
An insured person or traveler aged from 76 years old to 80 years old will require a premium loading of 100%.
The maximum age eligible for purchasing an Annual Travel Plan is 70 years old and is renewable until 75 years old.
For an insured person aged 18 and below, the maximum sum insured for Accidental Death and Disablement is 25% of the sum insured.
Maximum number of days per trip is 180 days for Short Term Travel policies.
Maximum number of days per trip is 90 days for Annual Travel policies.
Personal money cover is not applicable to insured person aged 10 or below.
Insurance cover on Short Term Travel Policies will be automatically extended for up to a maximum of 7 days at no additional premium, if the return trip is unavoidably delayed due to unforeseen circumstances beyond the control of the insured person.
Written notice (Email : claimcare.ph@starrcompanies.com) of a claim must be given and notified to Starr Philippines within 30 days of the incident.
Provided you have purchased the Elite or Annual Plan all services under Section 4 – Starr Global Emergency Assistance Services must be arranged by Starr Global Emergency Assistance.
The Policyholder may cancel this Policy within five (5) days of purchasing this Policy provided this Policy is valid for a minimum of 30 days by giving us a written notice Email: customercare.ph@starrcompanies.com
Domestic travel is defined as travel within the Philippines to a destination that is at least 100 kilometers from the Insured’s usual place of residence or employment.
This brochure provides a summary of the plan only and is not a contract of insurance. Please refer to the policy wordings for the complete details of the benefits.

TraveLead International Travel Insurance

Single/Annual Plan:Single

Select Plan:Family

No. of Insured Person :

Area of Travel:

Departure Date:(YYYY/MM/DD)

Return Date:(YYYY/MM/DD)

Total Days:1

Premium:PHP 0.00

TraveLead International Travel Insurance

*Denotes items for mandatory completion

1. The applicant must be 18 years old

Fill in individual information

Confirm and pay

2. Premium loading is applicable for an insured person or traveler who is above 75 years old on all Short-Term Travel Plans

Applicant Detail

*Name

*Passport/ID No.

*Date of Birth

*Contact No.

*Email

*Address

*Country

Please click here to input information for the Official Receipt

Insured Person Information

1st Insured Person is Applicant

*Relationship To Applicant

*Name

*Passport/ID No

*Birthdate

Walang laman..

Emergency Contact Details

*Name

*Contact No.

*Relationship To Primary Insured

AMLA Information

*Place of Birth

Nature of Work

*Name of Employer/Business

*Source of Funds

Declaration

The producer hereby warrants and declares on behalf of the Propose Insured and/or all members of the travelling party (collectively "Proposed Insured") as follows:

I/We declare to the best of my/our knowledge and belief that the information given is true in every respect. I/We agree that this application and declaration shall form the basis of the contract between me/us, tripmoba.com and 3rd party provider of about to be purchased travel product/services. I/We authorize a 3rd party provider through tripmoba.com to obtain medical information from my/our medical practitioner(s) and I/we agree to supply additional information relevant to this insurance policy at my/our own expense. The insurance policy will be in force upon acceptance by tripmoba.com with a 3rd party provider. I/We hereby declare, agree and consent that any personal data collected or held by tripmoba.com (whether contained in this application or otherwise obtained) is provided and may be held by, used by and disclosed by tripmoba.com to a 3rd party provider and its subsidiaries, related companies, group companies, and/or any individual/organization associated with its company such as product distributors, contractors, other financial service providers or persons or entities providing administrative, operational, customer, technical and/or telecommunication support to tripmoba.com and 3rd party provider and/or its companies, within or outside the Philippines, for the purposes of processing this application and/or providing subsequent insurance-related services, including but not limited to administering the policies issued to you and/or processing any claim under the policies issued to you. I/We understand that tripmoba.com and 3rd party provider may be unable to process this application if I/we fail to provide any information requested in this application, and I/we have to right to request not to receive any direct marketing materials or calls, or to request access to and/or correct any personal information held by tripmoba.com and 3rd party provider concerning me/us. Such request can be made to tripmoba.com's and 3rd party provider's Data Privacy.

Policy Terms and Conditions

*I/We have read, understood and accepted the above statements, policy terms and conditions, including exclusions and limitations, which apply to all persons covered under this policy. I/We understand that upon my/our enrollment being approved by tripmoba.com and the 3rd party provider, the premium under my/our policy will be paid in cash or will be debited from the given Credit Card Account.

I/We agree and consent to my/our name(s), address(es), telephone number(s) and email address(es) being used by tripmoba.com and a 3rd party provider and/or provided by tripmoba.com and the 3rd party provider to tripmoba.com and the 3rd party provider companies and/or other selected third parties for direct marketing and the promotion of other insurance/financial products and services.

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Billing Information:

*Please put N/A if not applicable

Travel Insurance

Note: Field(s) with * are mandatory

*Last Name:

*First Name:

*Middle Name:

Name Extension:

*Email:

*Mobile:

*Address

*City:

*State/Province:

*Country:

Zip Code:

Breakdown

Item	Quantity	Amount
No items to show...

Total Amount:

PHP 0.00

Form of Payment:

Credit Card7-11DragonpayGcash

Reference Number	Product Name	Period of Insurance	Applicant	No. of Insured Person	Premium
	TraveLead International Travel Insurance	Jan 1 1900 to Jan 1 1900	Mrs	1	PHP 0.00