Purchase a Plan

Agent Information
Location Number (if applicable)
This number can be found on the back
of your brochure (e.g.: 33-7777)
Agent Code
Booking Information
Invoice Number
First Trip Payment Date*
RadDatePicker
RadDatePicker
Open the calendar popup.

(mm/dd/yyyy)
Plan Options
 
Flight Insure Plus
Underwritten by Berkshire Hathaway Specialty Insurance

Select Package Type

 
Select Flight Accident Level 
 
Trip Information
Prior to departure, your travel documents must indicate your Departure Date and Return Date.
Departure Date*
RadDatePicker
RadDatePicker
Open the calendar popup.

(mm/dd/yyyy)
Return Date*
RadDatePicker
RadDatePicker
Open the calendar popup.

(mm/dd/yyyy)
Destination*
select
Primary Traveler Information
 
First Name*
Last Name*
 
Date of Birth* (mm/dd/yyyy)
 /  / 

Additional Traveler Information
Traveler #2
 
First Name*
Last Name*
 
Date of Birth* (mm/dd/yyyy)
 /  / 
 

Traveler #3
 
First Name*
Last Name*
 
Date of Birth* (mm/dd/yyyy)
 /  / 
 

Add Travelers
Only individuals in the same household may be on one policy, up to a maximum of 10.
Additional Primary Traveler Information
Address*
 
City*
State*
select
Zip*
 
Country*
select

Phone*
    
Fax 
    
Beneficiary
(max 256 chars)
Policy Document Delivery Options
 
Delivery Method
 


Primary Traveler*
(Optional) Recipient #2

* Required Field
Plan Details
Flight Insure Plus
Benefits
Coverage Per Person

Available to CA & CO
AD&D Common-Carrier Air Only
Select Coverage $300,000,
$500,000, $1 Million
Trip Delay
$100
Baggage & Personal Effects
$1,000
Baggage Delay
$500
Emergency Medical & Dental Expense
$10,000
($500 dental sublimit)
Emergency Medical Evacuation & Repatriation
$100,000
Travel Assistance*
Included
 
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For Assistance Please Call 1-800-228-9792
 
 
 
The product descriptions provided above are only summaries. The full coverage terms and details, including limitations and exclusions, are contained in the insurance policy or Description of Coverage. Coverage and rates may vary by states. If there is any conflict between the contents of this website and the Policy or Description of Coverage, the Policy or Description of Coverage will govern in all cases. Travel Assistance Services are provided by the designated provider listed in the policy or on your Confirmation of Coverage.
Travelex Insurance Services, Inc. 810 North 96th Street, Suite 300, Omaha, NE, 68114. CA Agency License #0D10209.