:: the following forms are available to download. if you prefer that we mail you a brochure package, please email us your address. If you complete an application form, please make sure to fax it to us at 561.348.2147. Do not send it directly to the insurer.

Provider	Plan	Application
IMG	Global Medical Plan	Application Brochure
IMG	Patriot Executive	App and Brochure
IMG	Patriot Extreme Sport	App and Brochure
IMG	Patriot Trip Elite	App and Brochure
IMG	Patriot Trip	App and Brochure
IMG	Patriot Travel	App and Brochure
IMG	Student Trip	App and Brochure
IMG	Global Crew	Brochure Application
InterGlobal	Ultracare	Plans Brochure Application Dental, Maternity AddOns Compare Benefits Claim Form Premiums
InterGlobal	International Schools Plan	Plans Brochure Application Dental, Maternity Plans Compare Benefits Claim Form Premiums Premiums - Japan
William Russell	Global Elite	Plan Brochure Application Key Facts Plan Agreement Claim Form Premiums - Dollars Premiums - Sterling Premiums - Euros
William Russell	Global Essential	Plans Brochure Application Key Facts Plan Agreement Claim Form Premiums - Africa Premiums - Far East Premiums - Middle East
Multinational Underwriters	Citizen Secure	Plan Brochure Application
Multinational Underwriters	Citizen Secure Economy	Plan Brochure Application
Multinational Underwriters	Student Secure	Plan Brochure & App
Multinational Underwriters	Atlas Short Term Travel Plan	Plan Brochure & App
Multinational Underwriters	Amigo Travel Plan	Plan Brochure & App
Multinational Underwriters	Amigo Professional Traveler Plan	Plan Brochure & App
HTH Worldwide	Global Citizen	Plan Brochure Application
HTH Worldwide	Global Student USA	Brochure & Enrollment
HTH Worldwide	US Student Abroad	Brochure & Enrollment
HTH Worldwide	Travel Gap Single Trip	Brochure & Enrollment
HTH Worldwide	Travel Gap Multi Trip	Brochure & Enrollment
HTH Worldwide	Trip Protector	Brochure & Enrollment
Seven Corners	Reside Prime	Plan Brochure & App Program Summary Claim Form
Seven Corners	Reside	Plan Brochure & App Program Summary Claim Form
Seven Corners	Liaison International	Plan Brochure & App Program Summary Claim Form
Seven Corners	Liaison Student	Plan Brochure & App
Seven Corners	Liaison Traveler	Plan Brochure & App Program Summary
Seven Corners	Liaison Majestic	Plan Brochure & App Program Summary
Seven Corners	Rountrip	Plan Brochure & App Program Summary
Seven Corners	Inbound Immigrant	Plan Brochure & App Program Summary
Seven Corners (groups only)	Major Medical	Quote Request
Cigna (groups only)	Global Health Advantage 2-9 employees	Brochure
Cigna (groups only)	Global Health Advantage 10+ employees	Brochure