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Personal Accident Insurance

A flexible, affordable and convenient way to help protect the ones you love. Who can enrol for this coverage?

* Required Information

Choose Your Coverage

You are Insuring:
Your Coverage Amount:
Your Date of Birth:
Spouse's Coverage Amount:
Spouse's Date of Birth:
Monthly Premium:

Your Coverage Needs

Benefit Amount Myself
(without Tax)
Myself and My Spouse
(without Tax)
Benefit Amount $50,000
Benefit Amount $100,000
Benefit Amount $150,000
Benefit Amount $200,000
Benefit Amount $250,000
We're sorry, but we are unable to offer you coverage since your age is outside the range of 18-69 years. Please update your age if you have made an error.
We're sorry, but we are unable to offer coverage for your spouse since his or her age is outside the range of 18-69 years. Please update his or her age if you have made an error. You can still enrol for coverage on yourself only if you are between 18-69 years of age.

Enter Personal and Payment Info

Personal Information:
Your Name:
Your Gender:
Home Address:
Apt:
Phone Number:
Cell Phone:
Email:
Receive Email Confirmation of Enrolment:
Spouse's Name:
Spouse's Gender:
Beneficiary: Estate
Payment Information:
Credit Card Type:
Credit Card Number:
CVV:
Expiry Date:
Name on Credit Card:

About You

Please provide first name in order to proceed.
Please provide last name in order to proceed.
Gender

Contact Information

Please provide Home Address in order to proceed.
Please provide a city
Please select a province
Quebec Residents
Please provide Postal Code in order to proceed.
Please provide contact number in order to proceed.
Is It a Cell Phone?
Please enter a valid email address
Email Confirmation Please enter an email address to receive an email confirmation

About Your Spouse

Please provide first name in order to proceed.
Please provide last name in order to proceed.
Gender

Your Beneficiary

Beneficiary:Estate

Secure Payment Information

Please select a card type
Please provide credit card number in order to proceed.
Please provide CVV number in order to proceed. Please provide CVV number in order to proceed. CVV number cannot contain letters or special characters.
Expiry Month Please provide a credit card expiry date
Please provide your name as it appears on your credit card
Premium Payment Authorization: Please provide premium payment authorization

Review and Confirm

Your Total Monthly Payment will be $ (Monthly Premium $ + Tax $).

Please verify that the information above is correct, and review and agree to the terms and conditions below before clicking the "Complete Enrolment" button.

Family

Protect Yourself Against the High Cost of Hospitalization

You’re pre-approved for our affordable hospital insurance coverage, Royal RecoverAssist®.

For Basic Coverage, your premium would be as little as: $6.25 per month (excluding taxes).

Learn More about Personal Accident Insurance coverage