
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:
Afghanistan, Chechnya, Central Africa Republic, Cuba, Democratic Republic of Congo, Egypt, Iran, Iraq, Israel/Palestine, Libya, Nigeria, North Korea, Russia, Somalia, South Sudan, Sudan, Syria, Turkey, Ukraine (including Kherson, Zaporizhia Oblasts & Mykolayiv), Venezuela or Yemen.
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Individual Cover
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, Saint Barthelemy, Saint Martin (France), San Marino, Serbia, Slovakia, Slovenia, Spain, Svalbard, Sweden, Vatican City.
Dates of Travel
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Medical Declaration
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)?
Q2) Medical Declaration
Are you:
• Travelling against medical advice?
• Travelling with the purpose of seeking medical treatment?
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?
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Your Details
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Couple Cover
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, Saint Barthelemy, Saint Martin (France), San Marino, Serbia, Slovakia, Slovenia, Spain, Svalbard, Sweden, Vatican City.
Dates of Travel
0$
Family Cover
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, Saint Barthelemy, Saint Martin (France), San Marino, Serbia, Slovakia, Slovenia, Spain, Svalbard, Sweden, Vatican City.
Dates of Travel
0$
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.
We will contact you by email to confirm we have received and accepted your application.
Confirmation
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
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Have a Question?
If you need help with your travel insurance quote then please call us on
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.