Group Quote Request

Complete this form for groups of more than 8 people, traveling to the same destination and trip period (In case you want to quote 1 to 8 travelers, please click here). Origin of travel can be different for for each member of the group.

You may also send an e-mail to groupquote@usa-assist.com attaching an Excel spreadsheet with the informacion requested in the this form.

Contact Name
Email
Telephone number(s)
Primary Destination
Departure Date
Return Date
Number of Travelers
Plan
Optional Flight Coverage

Who can purchase USA-ASSIST Travel Insurance? Please click here.

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