EASY TRAVEL INSURANCE

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Frequent Traveller

Required fields are marked with an asterisk (*)

:: Trip Details

* Commencement Date

dd/mm/yyyy

* What is the country or region you will be spending the majority of your trip?

Worldwide including USA, Canada, Central America, South America, Antarctica

Europe, Africa, China, Indian Sub-Continent, Japan, Middle East, Asia (other than those countries listed in Region 3)

United Kingdom, Ireland, Hong Kong, Singapore and South-East Asia

South Pacific and Norfolk Islands

Australia

* Adult Details

Resident of New Zealand

Yes No

Date of Birth

* Adult Details

Resident of New Zealand

Yes No

Date of Birth

* No. of Accompanying Children

Children (0-21 yrs)

* Have you already departed from your normal place of residence in New Zealand? Yes No

This policy is only available to residents of New Zealand who are under 70 years of age at the time the Certificate of Insurance is to be issued and must be issued prior to the commencement of your trip.
This policy provides cover for any trip both overseas or within New Zealand.
You are covered whilst travelling independently of any other named adult on your policy.
There is no limit to the amount of trips you may take during your 12 month period of insurance.
The maximum duration of any one trip is 60 days.
Travellers must be in New Zealand at the time the Certificate of Insurance is issued.
This policy cannot be purchased more than 12 months prior to the nominated commencement date.
If you have a High Risk existing medical condition or require cover for an existing medical condition other than those automatically covered, a Traveller's Medical Appraisal Form must be completed and submitted for approval by QBE Insurance prior to the issue of the Certificate of Insurance.
You cannot substitute the nominated insured, whose name appears on the Certificate of Insurance.

Policies are underwritten by QBE Insurance (Australia) Limited, ABN 78 003 191 035 - Incorporated in Australia