Parent Insurance

• Application Date(YYYY-MM-DD) *

• Effective Date(YYYY-MM-DD)*

• Expiry Date(YYYY-MM-DD)*

• Days*

The days of coverage must not exceed 365

• Date of Birth1*

• Age1

• Add one more person
• Delete one person

• First Name*

• Last Name*

• Date of Birth 1*

• Gender*

  Male Female

• Beneficiary*

• Address1*

• Address2

• City *

• Province *

  AB BC ON

• Postal Code *

• Country of Permanent Residence

• *Product is available in BC, Alberta and Ontario only.

• Student Name*

• School Name*

• School Full Address

• School Contact Num

• Email Address*

• Phone/Mobile*

• Wechat

• Special Notes/Instructions

• All Persons insured are subject to the terms and conditions below.

  The contract, which contains your policy number, effective date, expiry date, and payment information will be confirmed to you via email.

  The applicant has been advised to read and understand the policy for full details of coverage and exclusions. You must agree to the terms of the contract.

  以下條件條款適用於所有受保成員：

  此保險合同，包括您的保險單號、生效日期、失效日期以及付款信息，將通過電子郵件的方式向您確認。

  建議申請人閱讀並理解本保險政策中關於受保範圍以及例外的全部細節。您必須同意該保險合同的條款以進行購買。

  After successful payment, please wait until you are automatically redirected to the Invoice page.

  付款完成後，請務必等待窗口自動跳轉至賬單頁面。

• For All Members

• I Agree  

• Payment*

  ==Select==credit card or Visa debt==Select==