Primary Age needs to be 14 days from coverage start date to 65 years. Spouse Age needs to be 17 years old to 65 years. Dependents needs to be 14days from coverage start date to 17 years old.

The date you want the coverage to start from. Start date has to be a future date. Plan starts at 12 midnight EST.

When do you want coverage to end? Plan ends at 12:00 midnight EST on chosen end date.

Primary destination country, where you are intending to travel. Certain Country restrictions are applicable.