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PATRIOT GROUP TRAVEL MEDICAL INSURANCE^®

	Benefits

• have a group of 5 or more that will be traveling together, and 
• are traveling to a destination that is not the country of citizenship of any of the traveling members. 

Obtaining coverage is as simple as: 

• Each Group must have 5 or more Members.
• Fill out the Enrollment Form with information on Sponsoring Organization
• Fill out the Census Form with information on each Group Member
• Calculate your Premium and select desired payment mode
• Mail or fax the above information to IMG.