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Please provide us with the following information so that we can offer you the best plan appropriate to your desires and needs.
If the exact date of entry/departure (start of the trip) is not known, please select the anticipated date of entry/departure. It is possible and easy to postpone the commencement of coverage in writing (via mail, fax or email) before the coverage begins.
Your permanent residency is the country in which you resided and lived your social and professionalife before the start of the trip.
Select as the country of destination the country in which you will mainly be residing during the duration of the insurance coverage.
Select as the country of destination the country in which you will mainly be residing during the duration of the insurance coverage. If you would like the insurance coverage to also apply to NAFTA countries, please select one of the NAFTA countries listed (USA, Canada, Mexico) under country of destination.
If you would like coverage for more than 60 months, please select 60 months here. Once the policy has expired, you have the option of extending it by another 60 months.
