国外・州外旅行保険（Allianz Outbound）見積り

1. As of the effective date of your policy you must:
• a) be at least 15 days old,
• b) be a Canadian resident and be insured for benefits under a Canadian government health insurance plan during the entire Coverage Period,
• c) not have been advised against travel by a physician for a period of time which includes your trip, and
• d) not be travelling or going on your trip to receive treatment or alternative therapy of any kind.

2. In the two (2) years prior to the effective date, you must not have been diagnosed with or received treatment for a terminal condition for which a physician gave you a prognosis of eventual death or for which palliative care was or is being received.

3. If you are age 65 or older on the effective date, to be eligible for coverage you must not require assistance with activities of daily living including but not limited to, eating, bathing, using the toilet, changing positions (including getting in and out of a bed or chair), or dressing, as the result of a medical condition or state of health.

全ての旅行者が上記の加入資格を満たしていますか？ *

加入資格を満たさないため、保険に加入できません。

旅行の同伴者の情報をご記入ください。（お名前、生年月日、性別、申込者との関係性、カナダ滞在ステータス、州保険の有無、州保険の有効期限）