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Press Release

CONTACT US:

Azimuth Risk Solutions ^sm , LLC
8520 Allison Pointe Blvd, Suite 220, Indianapolis, IN 46250 USA

service@azimuthrisk.com

P: 888-201-8850 or 317-644-6291
F: 888-201-8851 or 317-423-9620

US Short Term Medical

Trip Protection Plan

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Start Date of Coverage (mm/dd/yyyy)

End Date of Coverage (mm/dd/yyyy)

Number of Travelers

Enter Birth Date of Primary Applicant (mm/dd/yyyy) (A)

Include Extreme Sports Rider Coverage (A)

Yes No

Your Destination*

* If any part of your travel includes time spent in the U.S., you must select "Travel to include the U.S."

* If your Destination is "Travel to include the U.S." your home address must be outside of the United States.

Review Benefits

If you have an adventurous side to your recreational activities, be sure to purchase the Sports Rider which covers activities like hang gliding, bungee jumping and jet skiing. Please know that only sports and activities which are for recreation and not for wage or profit.