s.cejudo@assistanceplus.mg
www.evacuation-sanitaire.com/
GlobeHopperSM Multi-Trip Group
View Plan Details

Please complete the following form in order to begin your GlobeHopperSM Multi-Trip Group application.

If you would like to save your application and complete it at a later time, simply click on the "Save For Later" button at the bottom of any page of the application after selecting a premium amount and before submitting your credit card information. If you have the Authorisation Number and Password from a previous application that was not completed, click here to continue with the previous application.

* Denotes a required field.

IMG Europe Ltd. is authorised and regulated by the UK Financial Conduct Authority. International Medical Group, Inc (IMG) are authorised and regulated by the Department of Insurance, Indiana, USA.


(Period of Cover is 12 months)
 
Age # of Primary Insureds # of Spouses # of Dependent Children
 
 
 
 
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Optional File Upload

You have the option to upload a comma-separated value (CSV) file containing the group insureds. Select your file by clicking on the "Browse" button. Then, click on the "Upload" button.