email@itgworldwide.com
www.itgworldwide.com
 
Patriot Group Travel Medical Insurance®

Please complete the following form in order to begin your Patriot Group Travel Medical Insurance® application.

If you would like to save your application and complete it at a later time, simply click on the "Save Application" button at the bottom of any page of the application after selecting a premium amount and before submitting your credit card information. If you have the Authorization Number and Password from a previous application that was not completed, click here to continue with the previous application.

* Denotes a required field.

(Minimum length of coverage is 5 days)
 
 
Age U.S. Citizens Non-U.S. Citizens
# of Primary Insureds # of Spouses # of Dependent Children # of Primary Insureds # of Spouses # of Dependent Children
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Optional File Upload

You have the option to upload a comma-separated value (CSV) file containing the group insureds. Select your file by clicking on the "Browse" button. Then, click on the "Upload" button.

   

Other IMG plans that may be of interest

For a complete list of international medical insurance plans, please click here.

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