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Please find below insurance(s) matching with your travel

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Country of Departure
Country of Departure*
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CountryOfDeparture
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CountryOfArrival
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First travel country
First travel country*
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Date of Departure*
DD slash MM slash YYYY
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Return Date*
DD slash MM slash YYYY
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Is there any travelers more than 75 years old (included)
Is there any travelers more than 75 years old (included)*
- Yes
- No
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Is there any travelers more than 80 years old (included)
Is there any travelers more than 80 years old (included)*
- Yes
- No
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Travel to an other country
Are you going to travel to a country other than *
- Yes
- No
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Please select your visiting countries on the list below
Please select your visiting countries on the list below*
- Austria
- Belgium
- Bulgaria
- Croatia
- Cyprus
- Czechia
- Denmark
- Estonia
- Finland
- France
- French Overseas
- Germany
- Greece
- Hungary
- Iceland
- Ireland
- Italy
- Latvia
- Liechtenstein
- Lithuania
- Luxembourg
- Malta
- Netherlands
- Norway
- Poland
- Portugal
- Romania
- Slovakia
- Slovenia
- Spain
- Sweden
- Switzerland
- United Kingdom
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Insurance(s)

Please click to select one of them

Essential

Medical expenses up to 30 000 €

24/7 Travel Assistance	~~Air ticket cancellation~~	~~Legal fees abroad & Advance of bail abroad~~
Medical Repatriation (including death)	~~Luggage insurance~~	~~Legal Assistance~~
~~Sports (search and rescue costs)~~	~~Including Attempt~~	~~Assistance for loss or theft papers abroad~~

Schengen Visa compliant

Refund in case of Visa Refusal

Validity: One Trip

IPID + Terms and Conditions

Please click here to select your insurance Selected Insurance: Essential

Axa Silver

Silver

Medical expenses up to 30 000 €

24/7 Travel Assistance	Air ticket cancellation	~~Legal fees abroad & Advance of bail abroad~~
Medical Repatriation (including death)	Luggage insurance	~~Legal Assistance~~
Sports (search and rescue costs)	Including Attempt	~~Assistance for loss or theft papers abroad~~

Schengen Visa compliant

Refund in case of Visa Refusal

Validity: One Trip

IPID + Terms and Conditions

Please click here to select your insurance Selected Insurance: Silver

EA+

Essential Plus

Medical expenses up to 60 000 €

24/7 Travel Assistance	~~Air ticket cancellation~~	~~Legal fees abroad & Advance of bail abroad~~
Medical Repatriation (including death)	~~Luggage insurance~~	~~Legal Assistance~~
~~Sports (search and rescue costs)~~	~~Including Attempt~~	~~Assistance for loss or theft papers abroad~~

Schengen Visa compliant

Refund in case of Visa Refusal

Validity: One Trip

IPID + Terms and Conditions

Please click here to select your insurance Selected Insurance: Essential Plus

Axa Gold

Gold

Medical expenses up to 50 000 €

24/7 Travel Assistance	Air ticket cancellation	Legal fees abroad & Advance of bail abroad
Medical Repatriation (including death)	Luggage insurance	~~Legal Assistance~~
Sports (search and rescue costs)	Including Attempt	Assistance for loss or theft papers abroad

Schengen Visa compliant

Refund in case of Visa Refusal

Validity: One Trip

IPID + Terms and Conditions

Please click here to select your insurance Selected Insurance: Gold

Serenity

Medical expenses up to 30 000 €

24/7 Travel Assistance	~~Air ticket cancellation~~	~~Legal fees abroad & Advance of bail abroad~~
Medical Repatriation (including death)	Luggage insurance	Legal Assistance
Sports (search and rescue costs)	~~Including Attempt~~	Assistance for loss or theft papers abroad

Schengen Visa compliant

Refund in case of Visa Refusal

Validity: One Trip

IPID + Terms and Conditions

Please click here to select your insurance Selected Insurance: Serenity

Platinium

350,00 €

Platinium

Medical expenses up to 100 000 €

24/7 Travel Assistance	Air ticket cancellation	Legal fees abroad & Advance of bail abroad
Medical Repatriation (including death)	Luggage insurance	~~Legal Assistance~~
Sports (search and rescue costs)	Including Attempt	Assistance for loss or theft papers abroad

Schengen Visa compliant

Refund in case of Visa Refusal

Validity: 1 year Multi Trip
Maximum 120 days per trip

IPID + Terms and Conditions

Please click here to select your insurance Selected Insurance: Platinium

Insurance Plan
Price: 0,00 €
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Traveller Details
Name*
Name *
First Last
Address*
City *
Country*
Country *
Date of Birth*
Date of Birth *
DD slash MM slash YYYY
Nationality*
Nationality *
Passport Number*
Passport Number *
Phone*e.g +974 4444 4444
Email*You will receive your insurance policy and any other important information on this email
Enter Email Confirm Email
Alternate EmailThis field allows you to send a copy of your contract to another email address
Administrative codeThis field is for internal purpose only
Would you like to add travellers to your Insurance Policy?*If you travel as a group, in a group or as a family, you can add up to 9 additional Insureds to your insurance policy and pay all at once
- Yes
- No
Please choose an Insurance plan in order to proceed your payment
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Number of additional travelers*
Number of additional travellers *
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- reset
Additional traveller 1
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
Additional traveller 2
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
Additional traveller 3
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
Additional traveller 4
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
Additional traveller 5
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
Additional traveller 6
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
Additional traveller 7
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
Additional traveller 8
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
Additional traveller 9
Name*
First Last
Passport Number*
Date of Birth*
DD slash MM slash YYYY
Nationality*
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Ce champ permet d'afficher les informations ci-dessous. Il met fin à la section qui affiche ou non les additional travelers
Total
0,00 €
Subtotal
0,00 €
Your Summary
Name

Address /

Date of Birth

Nationality

Passport Number

Phone

Email

Country of Departure

Country of Arrival

Date of departure

Return date

Total
Checkout
Platinium renewal
Travel serenely by choosing our free yearly renewal option
- Yes
I accept that Insurte and its partners use my personal data to send me, especially by email, information on their products and services, according to our Privacy Policy.
I accept that Insurte and its partners use my personal data to send me, especially by email, information on their products and services, according to our Privacy Policy.
- I accept
You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy. You confirm that you have the legal capacity to contract.*
You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy. You confirm that you have the legal capacity to contract.
- I agree
You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.*
You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.
- I agree
You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.*
You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.
- I agree
You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.*
You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.
- I agree
Cardholder Name*The cardholder name on the bank card
First Last
Credit Card*
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totalEA
totalSilver
totalEA+
totalGold
totalAZ
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nbr days>7
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nbr days<7
waiting period
délai de carence
Total Number of Beneficiaries
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renewal
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affiliate
Number Insurance Plan
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Subscription ID
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Transaction ID
EAExcluded
EAPlusExcluded
AxaSilverGoldExcluded
AZExcluded
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Entry ID Searched

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Insurté - Insurance Broker - 5 Ter Rue du Magasin à Poudre 14000 Caen (France)
Registered with the Caen (France) Register of Business and Companies under number 523 065 860 and with ORIAS under number 10 056 187. Insurte is subject to the control of the French Prudential and Resolution Supervisory Authority (ACPR), located at 4 Place de Budapest, CS 92459, 75436 Paris Cedex 09 (France).

Name
Address	/
Date of Birth
Nationality
Passport Number
Phone
Email
Country of Departure
Country of Arrival
Date of departure
Return date
Total

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Insurance(s)

Traveller Details

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Additional traveller 2

Additional traveller 3

Additional traveller 4

Additional traveller 5

Additional traveller 6

Additional traveller 7

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