Due to travel restrictions, plans are only available with travel dates on or after

Due to travel restrictions, plans are only available with effective start dates on or after

Ukraine; Belarus; Moldova, Republic of; (North) Korea, Democratic People's Rep; Russian Federation

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Trip Cost:

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Policy Dates:

Policy Dates

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Total Price:

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FLIGHT ITINERARY

Add your flight itinerary to receive real-time alerts and reimbursements for eligible delays.

Flight Date

Airline

Flight Number

Departing From

Flight {{$index + 1}}

Flight Date

Airline

Flight Number

Departing From

Flight Itinerary

Flight {{$index + 1}}

Flight Date

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Departing From

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Notification Method:

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When you opt in and provide flight information, we’ll monitor flights and send flight status and benefit alerts, including about flight delays that qualify for automated travel delay payment. Standard message/data rates apply to SMS alerts. SmartBenefits automated claims system and payment availability is not guaranteed and is subject to our sole discretion. All claims subject to policy terms, conditions, and exclusions.

INSURED(S)

Name:

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CONTACT INFORMATION

Contact Information

Address 1

Address 2

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State

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Address 1

Address 2

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TRANSACTION HISTORY

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Date

Description

Amount

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SINGLE TRIP ANNUAL RENTAL CAR

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Type the country where you will be spending the most amount of time.

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Calculate Your Trip Cost

Use this tool to calculate all purchases like ski-lift passes, show tickets, or even rental equipment.

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Do you have a Travel agent ACCAM?

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Travel Dates

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Plan Start Date

Terms, conditions, and exclusions apply. Please see Coverage Alerts for events that could affect your plan. Please see your plan for full details. Benefits/Coverage may vary by state, and sublimits may apply.

*A travel supplier's cessation of operations due to its financial circumstances may not be available as a covered reason under all plans.
*Rental Car Damage and Theft Coverage, when purchased as part of an annual plan, is not available to KS, TX, and NY residents. For WA residents, it may not be available in all plans. See your plan details for additional information.

Insurance benefits underwritten by BCS Insurance Company (OH, Administrative Office: 2 Mid America Plaza, Suite 200, Oakbrook Terrace, IL 60181), rated “A” (Excellent) by A.M. Best Co., under BCS Form No. 52.201 series or 52.401 series, or Jefferson Insurance Company (NY, Administrative Office: 9950 Mayland Drive, Richmond, VA 23233), rated “A+” (Superior) by A.M. Best Co., under Jefferson Form No. 101-C series or 101-P series, depending on your state of residence and plan chosen. A+ (Superior) and A (Excellent) are the 2nd and 3rd highest, respectively, of A.M. Best's 13 Financial Strength Ratings. Plans only available to U.S. residents and may not be available in all jurisdictions. Allianz Global Assistance and Allianz Travel Insurance are marks of AGA Service Company dba Allianz Global Assistance or its affiliates. Allianz Travel Insurance products are distributed by Allianz Global Assistance, the licensed producer and administrator of these plans and an affiliate of Jefferson Insurance Company. The insured shall not receive any special benefit or advantage due to the affiliation between AGA Service Company and Jefferson Insurance Company. Plans include insurance benefits and assistance services. Any Non-Insurance Assistance services purchased are provided through AGA Service Company. Except as expressly provided under your plan, you are responsible for charges you incur from third parties. Contact AGA Service Company at 800-284-8300 or 9950 Mayland Drive, Richmond, VA 23233 or customerservice@allianzassistance.com.

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