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PATRIOT
TRAVEL
MEDICAL INSURANCE® How to Enroll Before you begin your travel, simply fill out the attached enrollment form and pay the premium for the time period you and your family will be traveling. Once you have completed the enrollment form, return it to your agent or mail it to IMG®. You, your spouse and unmarried dependent children (over 14 days and under 18 years of age) on the enrollment form will be covered from the latest of the following dates:
Patriot Travel Medical Insurance coverage ends on the earliest of the following dates:
Enrollment Processing & Fullfillment Kits IMG normally processes enrollment forms within 24 hours of receipt. Once processing is complete we mail a fulfillment kit to the address listed on the enrollment form. The fulfillment kit includes an IMG Identification Card, IMG contact numbers, Claim Forms and complete Policy Wording. Please note: If you require overnight delivery, fax confirmation or special correspondence there is an additional charge listed on the enrollment form. PATRIOT
TRAVEL
MEDICAL INSURANCE Click here to enroll in Patriot Travel Medical Insurance
Patriot Home | Protection Package | Claim Management
NYIG
An affiliate of IMG
The Empire State Building 350 Fifth Avenue Suite 3304, New York, NY 10118 Tel: 212.268-8520 800.804.5763 Fax: 212.268-8524 E-mail: info@nyig.com
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