Safe Visit - QUOTE AND APPLY FOR VISITORS TO CANADA INSURANCE

US / Canada:  1-877-541-1117
UK:  (44) 20-3695-0840

VISITORS TO CANADA MEDICAL INSURANCE

QUOTE AND APPLY FOR VISITORS TO CANADA INSURANCE
IN A FEW EASY STEPS

Tools - Download Forms

Document Description

Claim Form

Instructions: TO REPORT A CLAIM, call 1-877-882-2957 toll-free USA and Canada. If unable to use the toll-free number, call collect to Canada:
+1 519-251-7856. TO ENQUIRE ABOUT THE STATUS OF YOUR CLAIM, call 1-866-228-6386 from 8:00AM to 8:00PM ET.


Medical Declaration

a) Complete for any applicant age 60 to 85 who is applying for the Stable Chronic Condition Option.
b) Complete for all applicants age 86 or over. c) Fax to 1-866-255-0155 or mail to 21st Century within 3 business days of applying.


Refund Request Form

No premium will be refunded if a claim has been reported under this policy.
A $25 Administration Fee will be applied to all refunds. Refer to policy for full details.
Must be completed in full by Insured or Sponsor.

Underwritten By:
Administered By:
Contact Info:
8000 Bathurst St. Unit - 1
PO BOX 30029, Thornhill,
Ontario, Canada
L4J 0C6

Toll-free: 1-877-541-1117
Tel: 1-905-695-1110
Email: info@safevisit.ca
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