Combined Services: Trip Details

Your Details

Destinations / Policy Type Cover Type:

Annual Multi-Trip Europe

Annual Multi-Trip Worldwide

Travellers Details:

Single

Couple

Family

*Start date:

End date:

Common Scheme Renewal Date
(01/10/2026)

* Please note: This is a membership scheme with a common start date and renewal date. The scheme renewal date for all policies issued under this scheme is 1st October 2026.
When selecting a specific ‘Start Date’ cover will run from that date to the next scheme renewal date. For example, if the Start Date is noted as 1st December, then cover will run from this date until the scheme renewal date of 1st October 2026.
The reason for this is the insurance is provided solely as a Member Scheme and therefore, has joining dates. This means cover is fixed, in any one insurance period, for all members. Members enjoy the same level of policy benefit, price and cover irrespective of age and individual medical circumstance.
Please note;
- No cover can be backdated
- No cover period can be greater than twelve months

Lead Traveller

*Name:

Title

*Date of Birth:

*Telephone Number:

*Email Address:

*Confirm Email:

*Postcode:

We may from time to time contact you by email or other electronic means to provide you with information in relation to special offers, services and events which may be of interest to you.

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We need your consent to use the sensitive details about you in connection with your insurance, Where you have provided us details about other people, we and other insurance market participants also need their consent to use the sensitive details about them in connection with your insurance cover. We need you to make sure you have obtained their consent before you proceed.

Please tick to confirm you have read and understand the above statement and are happy to proceed on this basis.

For more information about our service to you and how we will use your information, please read our Terms of Business and our Privacy Policy.