Seven Corners Travel Medical Group Quote Request

All Seven Corners, Inc. international group programs require a minimum of 5 primary insureds and a $1,000 minimum deposit premium. Group programs may be modified to suit the group's needs. If you are in need of benefits and/or provisions that are not specifically addressed on this form, contact Seven Corners, Inc. for assistance in obtaining those benefits and/or provisions.

Additionally, if the group currently has international medical coverage through another carrier or has been covered for international benefits at some time in the past 12 months, please provide the name of the carrier, claims and premium experience of the coverage periods, current census, and benefit plan.