Travel Policies and Certificates

To obtain your Individual Policy or Group Certificate for all states based on your state of residence or information regarding the insurance premium portion of your plan cost, please complete the following. A pdf of your Individual Policy or Group Certificate will be emailed to the address you specify below.

*	State of Residence:	Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Please select your state of residence. If your state of residency is not listed, refer to your plan description to review terms, conditions or exclusions.
*	Policy Number or Plan Identifier:	If you have a Policy Number it will be located on the Schedule of Benefits page of your Plan Description. Your Policy Number will begin with the letters MZ or US. If you have a Plan Identifier it will be on the front cover of your Plan Description and on the footer of each page.
*	Travel Dates:	---to---  Please enter your travel start and end dates.
*	Email Address:	Please enter your email address. Your Individual Policy or Certificate of Insurance will be emailed to this address.
*	Re-Enter Email Address:
*	Telephone Number:	Your telephone number will be used to contact you in the event that there is problem with the email address you have provided.
*	Traveler Information:

Please enter the name of each traveler who purchased the plan, along with the protection plan cost paid. If you need to enter more than ten travelers, please submit an additional request.

The terms and conditions outlined in your Individual Policy or Group Certificate are activated upon the payment of the applicable plan cost.