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We’ll need to know a bit about you and anyone else you want covered on the policy so we can give you your quote.

Country of residence

Where will your client be spending most of their time?

Select the country where your client lives. This needs to be country where the main policy holder spends a significant amount of their time and in which the relevant authorities will consider your client to be resident for the duration of the insurance.

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Your broker identification

This is your 4 or 5 digit broker ID, without spaces

Please enter valid Broker ID.

Broker ID is Required

How we can get in touch with you

Email address is required

Invalid email address

Please use English alphabet characters only (no accents or special characters)

Please enter a valid international dialling code

Please enter a valid telephone number; for example, 1223 445566.

Invalid telephone number

About your client's policy

When would you like your insurance to start?

You can choose a date up to 6 weeks from today except 28, 29, 30 or 31 in any month.

Start date is required

Who is the main policyholder?

This is the person whose name will be on all policy documents and who will pay for the premium

Main policyholder

This is the person whose name will be on all policy documents and who will pay for the premium

Title is required
Please use English alphabet characters only (no accents or special characters) First name is required
Please use English alphabet characters only (no accents or special characters) Last name is required
Invalid date of birth Date of Birth is required

Applicant must be 18 or over

Unfortunately we cannot take new policies for people over the age of 80

Nationality is required Invalid Nationality

Please enter their details

Title is required
Please use English alphabet characters only (no accents or special characters) First name is required
Please use English alphabet characters only (no accents or special characters) Last name is required
Invalid date of birth Date of Birth is required

Additional applicant must be over 1 years of age

Unfortunately we cannot take new policies for people over the age of 80

Nationality is required Invalid Nationality
Relationship is required

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The quote we'll give you will be based on the information you've provided to us about your needs. We may get in touch with you to ask for some more details which could mean your price changes.


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find the right cover for your needs

When it comes to international health insurance, we know that everyone’s needs are different. Here’s some information about our policies so you can find the right one for your client.

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/ month

This is your copay or deductible amount.

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/ year

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Quote

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Next Steps

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1. You will receive an automated quote by email. If you'd like to discuss this cover in more detail to ensure it best meets your client's needs, give us a call. If you and your client are happy with it, let us know and we'll set up your their policy.

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2. We'll send you a welcome email with your client's details.

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3. Your client can access their welcome pack and insurance card in MembersWorld app.

You can call one of our advisors to discuss your application now on 03301 737 689. You can also get a copy of this quote sent to you via email.

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03301 737 698

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