To purchase our plans by credit card (Visa or MasterCard)
simply complete the Online Application Form which follows (click the orange button below to begin). Please note that this will take approximately 10-15 minutes. You will need the following items to complete your application online.
Upon completion you will be issued with a policy number. In the case where your application does not require further underwriting* you can register and gain immediate access to your
online account.
You will then have 30 days to change your mind.
Alternatively,
if
you wish to pay by cheque or bank transfer, please download a PDF version of the
Application Form, print it, complete your details and send it to
Allianz Worldwide Care.
* Further underwriting is generally required when you answer 'yes' to any of the questions in the Health or Dental Declaration parts of the online form.
Personalised online application form for registered agencies
This exciting new feature allows your agency to use and distribute a
personalised version of our online application forms.
Click here to access this new service.
