Ryan Insurance 35 Years of Excellence

Ryan Insurance Group
Travel Insurance Quote

Please note that all material facts must be disclosed as failure to do so could invalidate your insurance cover. If you are in any doubt about any facts which might be material you should disclose them.
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* Required Information.

Personal Details
Name: *

Date of Birth

Please Select the Day, Month & Year you were born
Day: *
Month: *
Year: *
Occupation: *
E-mail: *
Marital Status: *
UK Resident: *
Yes
No
Address: *
Daytime contact number: *
What Directed You To Our Website?:

Length of Cover
Single trip travel insurance: *
Yes
No
If yes, confirm dates of travel (inc) From:
To:
Annual multi-trip (unlimited travel up to 31 days per trip): *
Yes
No
If yes, confirm date cover required from (please note we recommend that cover is issued from the date when you book your trip to ensure cancellation cover is in force):

Destination
UK: *
Yes
No
Europe: *
Yes
No
Worldwide exc USA/Canada/Caribbean: *
Yes
No
Worldwide inc USA/Canada/Caribbean: *
Yes
No
If known, please confirm the country/countries you are planning to travel to:

Policy Requirements
Do you wish to include cover for winter sports? *
Yes
No
Do you wish to include cover for your personal baggage? *
Yes
No
Do you wish to waive the excess for an additional premium? *
Yes
No
Do you wish to exclude cancellation cover? *
Yes
No

Person(s) to be Insured

Person 1
Full name (including title): *
Date of birth: *
Sex: *
Male
Female

Person 2
Full name (including title):
Date of birth:
Sex:
Male
Female
Relationship:

Person 3
Full name (including title):
Date of birth:
Sex:
Male
Female
Relationship:

Person 4
Full name (including title):
Date of birth:
Sex:
Male
Female
Relationship:

Person 5
Full name (including title):
Date of birth:
Sex:
Male
Female
Relationship:

Medical History
Does any person to be insured, close relative or any person upon whom the trip may depend have any pre-existing medical conditions? *
Yes
No

If yes, you may be required to contact the insurers medical
screening line. In some cases exclusions may apply to the policy
or an additional premium may be payable. Full details will follow
with our quotation.

Additional Questions
Will any person insured be travelling for business purposes? *
Yes
No
If yes, please provide details of type of work to be undertaken:
Will any person insured be participating in any hazardous or sporting activities (e.g. scuba diving, watersports, cycling etc)? *
Yes
No
If yes, please provide details of activities to be undertaken:
Are there any other specific requirements for the insurance policy?

General Conditions

Please note that travel insurance cannot be provided
for countries where the Foreign and Commonwealth Office
have advised against travel. For further information
visit www.fco.gov.uk

Terms & Conditions

  • I understand Ryan Insurance Group use a select panel of insurers for this type of business
  • My quotation will be valid until the end of the current month
  • I am obliged to provide all material facts that may affect the rating or acceptance of the policy, as failure to do so could invalidate my insurance cover
  • Ryan Insurance Group is obliged by law to give me the opportunity to hear how they give advice, deal with compensation and handle complaints. This information is contained within their terms of business agreement (attached).

Agreement
I have read and agree to the terms and conditions above: *

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Ryan Insurance Group Limited is authorised and regulated by the Financial Services Authority
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