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Travel Insurance Application

We have partnered with Banner Financial Services* to provide a travel insurance policy that covers participants for all authorised projects and activities undertaken with Christians Abroad in accordance with the terms and conditions of the policy of insurance.

Travel Insurance Application

I can confirm:


Unfortunately we are unable to provide a quote at this time – please contact us on 0345 209 8549 where we may be able to help you with alternative quote.



Unfortunately we are unable to provide a quote at this time – please contact us on 0345 209 8549 where we may be able to help you with alternative quote.



Unfortunately we are unable to provide a quote at this time – please contact us on 0345 209 8549 where we may be able to help you with alternative quote.



Unfortunately we are unable to provide a quote at this time – please contact us on 0345 209 8549 where we may be able to help you with alternative quote.


Afghanistan, Chechnya, Central Africa Republic, Cuba, Democratic Republic of Congo, Egypt, Iran, Iraq, Israel/Palestine (West Bank, Gaza Strip & Occupied Territories), Libya, Nigeria, North Korea, Somalia, South Sudan, Sudan, Syria, Ukraine, Venezuela or Yemen.


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Individual Cover

A maximum of 120 days cover per annum, maximum 45 days per trip.



Countries covered: Albania, Andorra, Austria, Azores, Balearic Islands, Belarus, Belgium, Bosnia-Herzegovina, Bulgaria, Campoine D’Italia, Canary Islands, Ceuta, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Falkland Islands, Faroe Islands, Finland, France, French Guiana, Germany, Gibraltar, Greece, Greenland, Guadeloupe, Guernsey, Hungary, Iceland, Ireland, Isle of Man, Italy, Jersey, Kosovo, Latvia, Liechtenstein, Lithuania, Livigno, Luxembourg, Macedonia, Madeira, Malta, Martinique, Mayotte, Melilla, Moldova, Monaco, Montenegro, Netherlands, Norway, Poland, Portugal, Reunion, Romania, Russia, Saint Barthelemy, Saint Martin (France), San Marino, Serbia, Slovakia, Slovenia, Spain, Svalbard, Sweden, Vatican City.



Dates of Travel


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Medical Declaration

At the time of taking out this insurance you are advised to disclose all details of any pre-existing medical conditions. For the purpose of this insurance, a pre-existing condition is deemed to be any ongoing medical condition or set of symptoms, which have been experienced and for which treatment or medical advice has been sought prior to incepting this insurance. If there are any changes to your health after this policy has been issued and before travel, you must notify us immediately.
Q1) Medical Declaration

Have you:

• Been diagnosed with a terminal condition?

• Had any cardiovascular problems, or any other heart condition, hypertension or any cerebrovascular problems that have occurred at any time before commencement of this trip?

• Any other medical condition that is ongoing or from which you have suffered symptoms that have required inpatient treatment (hospital admission)?


Unfortunately we are unable to provide a quote at this time – please contact us on 0345 209 8549 where we may be able to help you with alternative quote.


Q2) Medical Declaration

Are you:

• Travelling against medical advice?

• Travelling with the purpose of seeking medical treatment?


Unfortunately we are unable to provide a quote at this time – please contact us on 0345 209 8549 where we may be able to help you with alternative quote.


Q3) Medical Declaration

During the 2 years prior to the commencement of cover under this policy have you:

• Been referred for any treatment surgery, investigations or follow-ups at any hospital, surgery?

• Required inpatient treatment (hospital admission) for any of the following conditions – Asthma, Bronchitis, any other lung or respiratory condition, cancer, any growth or form of malignancy, diabetes mellitus, epilepsy or fits, any kidney or bladder disorder, any mental or physiological condition?


Unfortunately we are unable to provide a quote at this time – please contact us on 0345 209 8549 where we may be able to help you with alternative quote.



Your Schedule

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Your Details

Please note – we will email your policy documentation to the email address you provide us with.

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Couple Cover

A maximum of 120 days cover per annum, maximum 45 days per trip.



Countries covered: Albania, Andorra, Austria, Azores, Balearic Islands, Belarus, Belgium, Bosnia-Herzegovina, Bulgaria, Campoine D’Italia, Canary Islands, Ceuta, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Falkland Islands, Faroe Islands, Finland, France, French Guiana, Germany, Gibraltar, Greece, Greenland, Guadeloupe, Guernsey, Hungary, Iceland, Ireland, Isle of Man, Italy, Jersey, Kosovo, Latvia, Liechtenstein, Lithuania, Livigno, Luxembourg, Macedonia, Madeira, Malta, Martinique, Mayotte, Melilla, Moldova, Monaco, Montenegro, Netherlands, Norway, Poland, Portugal, Reunion, Romania, Russia, Saint Barthelemy, Saint Martin (France), San Marino, Serbia, Slovakia, Slovenia, Spain, Svalbard, Sweden, Vatican City.



Dates of Travel


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Insurance For


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Family Cover

A maximum of 120 days cover per annum, maximum 45 days per trip.




Countries covered: Albania, Andorra, Austria, Azores, Balearic Islands, Belarus, Belgium, Bosnia-Herzegovina, Bulgaria, Campoine D’Italia, Canary Islands, Ceuta, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Falkland Islands, Faroe Islands, Finland, France, French Guiana, Germany, Gibraltar, Greece, Greenland, Guadeloupe, Guernsey, Hungary, Iceland, Ireland, Isle of Man, Italy, Jersey, Kosovo, Latvia, Liechtenstein, Lithuania, Livigno, Luxembourg, Macedonia, Madeira, Malta, Martinique, Mayotte, Melilla, Moldova, Monaco, Montenegro, Netherlands, Norway, Poland, Portugal, Reunion, Romania, Russia, Saint Barthelemy, Saint Martin (France), San Marino, Serbia, Slovakia, Slovenia, Spain, Svalbard, Sweden, Vatican City.



Dates of Travel


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Your Premium

The total price is :


Declaration

I declare that the above answers to my knowledge and belief are true and complete in every respect and that no material fact has been suppressed or withheld. I understand that any change in information must be notified immediately and no cover exists until such change has been approved by the insurers.

Please note: Cover does not start until the application has been received and accepted by Banner Financial Services.


Confirmation





Endorsement for attachment to Your Schedule of Insurance Underwritten by Antares Syndicate 1274 Contract Number: B1121C220593


Covid 19 Endorsement

COVID-19 COVER EXTENSION UNDER SECTION 3, CANCELLATION, CURTAILMENT (INCLUDING REPLACEMENT AND REARRANGEMENT) AND CHANGE OF ITINERARY

Subject to the payment of the additional premium We agree to remove special exception 15 from Section 3. Cover is therefore granted on the following basis;

If a PCR test confirms that the Insured Person has a Positive Test for COVID-19 within 7 days of the commencement of an Insured Journey, We will pay up to the limit shown in the Schedule for each Insured Person any irrecoverable payments paid or contracted to be paid for travel, accommodation and unused pre-booked excursions should the trip be cancelled.

This cover only applies where it is an Insured Person who has received a Positive Test for Covid-19

For the purpose of this cover, a “Positive Test” means a polymerase chain reaction (PCR) test returning a positive result with subsequent laboratory confirmation of the positive result (the laboratory confirmation may be after the 7 day period referred to in this cover)

The General Exclusions, Conditions as well as the special exceptions (other than No 15) listed under Section 3, Cancellation and Curtailment, continue to apply.

ADDITIONAL EXCLUSIONS APPLICABLE TO THE COVID-19 EXTENSION

We will not be liable for:

1. Any claims for Curtailment ; or

2. Where the Insured Person experienced any symptoms consistent with Covid-19 or received any diagnosis or test result (including but not limited to a Positive Test) indicating that they had contracted Covid-19 prior to the Policy being taken out and the same case of Covid-19 persisted into the time commencing from 7 days of the Insured Person’s scheduled commencement of an Insured Journey; or

3. for any costs, expenses or any other amount incurred in respect of self-isolation or quarantine whether legally mandated or otherwise; or

4. for costs, expenses or any other amount incurred if the Insured Journey is cancelled or Curtailed as a result of any governmental orders and/or restrictions and/or rules related to Covid-19 which are applied collectively to a group of persons and/or businesses (e.g. 'lockdowns'); or

5. for costs if the Insured Person has refused or not taken up an offer of vaccination for Covid-19 (this means both doses if available to the Insured Person and the vaccine requires two doses) for any reason other than genuine medical grounds (The Insured Person must prove to Us the genuine medical grounds) or

6. any amounts recovered or recoverable by the Insured, or Insured Person from any other source

(including but not limited to from Accommodation providers, Public Transport providers, travel

service providers, and any creditor under the Consumer Credit Act 1974 or similar legislation).

Such recoveries shall be deducted from the claim, or if We have already paid the claim such

amounts will be recoverable from the Insured by Us.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED

Signed on behalf of

Banner Financial Services


Date of Issue: 6 September 2022


Banner Financial Services is a trading name of Harrison Beaumont Insurance Services Ltd who is authorised and regulated by the Financial Conduct Authority. (FCA Registered Number 303968) Registered Office: Pond Hall, Pond Hall Road, Hadleigh, Suffolk IP7 5PP. Registered in England & Wales, registration number 04582221. BAN148 (0422)

Summary

Description Information Quantity Price
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Have a Question?

If you need help with your travel insurance quote then please call us on

0345 209 8549

between 8.30am and 5.30pm Mon – Fri

or email us using this contact form

*Banner Financial Services is a trading name of Harrison Beaumont Insurance Services Ltd who are authorised and regulated by the Financial Conduct Authority, registration number 303968. Registered address is Pond Hall, Pond Hall Road, Hadleigh, Suffolk, IP7 5PP. Registered in England and Wales, Registration number 4582221.