To obtain a quote for travel insurance, please complete the online form below.  For travellers of age 60 or older, we will also require answers to the following medical health questionnaire (see PDF link here):   
Travel Medical Health Questionnaire (For BC Travellers of age 60+)
COVID-19 Medical Health Questionnaire (For BC Travellers purchasing COVID-19 Medical Coverage)

Please note: the information that you provide in this questionnaire will be used to determine your premiums and eligibility for insurance, and you are responsible for the accuracy of the answers you provide.  If you falsely describe or fraudulently omit any fact that is material to the insurance company in order for it to be able to judge the risk, your insurance policy may be void.  Please ensure that you fully understand the answers that you are providing when completing this questionnaire; if you are unsure of some of these details, we strongly recommend that you obtain  professional advice.  You are welcome to contact our office with any questions you have about this questionnaire.

Are all travellers BC residents AND covered by BC provincial health plan:

Have any travellers been diagnosed with a terminal condition:

Is anyone travelling against a medical practitioner's advice:

Has anyone received or been recommended for palliative care:

What coverages are you interested in obtaining (select all that apply):

Insured #1
Insured #2
Security code:

Please note, email is not a secure method of transmitting sensitive personal information and by using this service you accept this risk. If you are concerned, you may use an alternative method.