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For concerns, you may call BPI MS at (02) 8840-9000 or send an e-mail to [email protected].Our representatives will be glad to assist you.

BPI/MS Insurance Corporation is regulated by the Insurance Commission (IC). For more details visit https://www.insurance.gov.ph.

IC Public Assistance Office contact details: Landline: (02) 8523-8461 loc. 103/127 SMS: 09171160007 or 09999930637 E-mail: [email protected] Offices:https://www.insurance.gov.ph/contact-us/
For concerns, you may call BPI MS at (02) 8840-9000 or send an e-mail to [email protected].Our representatives will be glad to assist you.

BPI/MS Insurance Corporation is regulated by the Insurance Commission (IC). For more details visit https://www.insurance.gov.ph.

IC Public Assistance Office contact details:
Landline: (02) 8523-8461 loc. 103/127
SMS: 09171160007 or 09999930637
E-mail: [email protected]
Offices: https://www.insurance.gov.ph/contact-us/

Travel Insurance Application details :

 (Maximum number of days allowed per travel is 90 days.)
 (As indicated in the ticket)

Gold

Non-Schengen
  • Accidental Death and Disablement

    1,000,000
  • Medical and Additional Expense

    1,000,000

Diamond

Non-Schengen
  • Accidental Death and Disablement

    1,000,000
  • Medical and Additional Expense

    1,000,000

Platinum

Non-Schengen
Popular
  • Accidental Death and Disablement

    1,000,000
  • Medical and Additional Expense

    1,000,000

 (This on-line system covers individuals from 1 year old to 75 years old only. If you are not between this age range, please email [email protected].)







I confirm that I have read and understood the Terms, Conditions, Warranties and Clauses stated above. All coverages are subject to the conditions and exclusions stated above. I further acknowledge that I will be unconditionally bound by the terms and conditions stated above when the insurance coverage takes effect.

I declare that I have verified and complied with all the necessary / specific travel rules and requirements of destinations / countries.

I declare that I am fit to travel.

For Payors, I declare that the Insured is fit to travel.

I declare that the above information is true and complete, and I have not withheld any information material to this Application. I agree that this Application shall be incorporated in the insurance contract between me and BPI/MS Insurance Corporation.

I hereby authorize BPI/MS to inquire about and investigate all the declared information from whatever sources BPI/MS may consider appropriate and use any contact details to communicate to me for whatever purpose (such as customer satisfaction surveys, etc.).

I agree that this Application, if approved, shall form part of and shall be the sole basis in issuing the Personal Accident Insurance Policy. Any material fact disclosed or misrepresented at the time this Application is accomplished, shall exempt the insurer from any liability caused or brought about by such undisclosed or misrepresented material fact.



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Travel Details

Period of Coverage : to

Plan Selection
Package :

Total Premium :

Sub Total :
Documentary Stamps : 0.00
Premium Tax (0.00%) : 0.00
Local Government Tax (0.00%) : 0.00

Insured's Details
 
Payor's Details

Upload ID Document - Insured

Disclaimer

We're sorry for the inconvenience but your policy failed to be issued. Please contact out helpline via email for assistance.

Quotation No.:
Total Payable:

We value your feedback. For other inquiries, requests and comments, please send an email to [email protected].

Thank you for choosing BPI/MS. An email will be sent to you to continue your purchase. If you do not receive it within 3 days, please send an email to [email protected].

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