INSURED AREA

GMC HENNER

Tel : +33 (0) 1 55 62 53 73
Email : wycc@henner.com

FOR SAFARI USERS, IF YOU HAVE ISSUE TO CONNECT TO YOUR PRIVATE AREA FROM THIS PAGE. PLEASE USE THE ORIGINAL SITE PAGE TO CONNECT.

GMC HENNER original Website here

INDIVIDUAL/FAMILY

NGO/EMBASSY

COMPANY

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I wish a quote for*
Number of children*
Up to 18 years old
Date of Birth of the main insured*
Date Format: DD slash MM slash YYYY

Date of birth of the legal partner*
Date Format: DD slash MM slash YYYY

Main Insurance Coverage Area*
Our insurance plan is WORLDWIDE in case of emergency when traveling (no more than 90 consecutive days
For all other care (doctor, dentist, vision,alternative care,...) choose the main area of coverage)

ZONE 1 WORLDWIDE
ZONE 2 WORLDWIDE excluding USA / CANADA
ZONE 3 WORLDWIDE excluding USA, Bahamas, Hong Kong, Jersey, United Kingdom, Singapore, Switzerland, Australia, Canada, Israel, Japan, Russia
ZONE 4 Reserved for South East Asia (ASEAN) and Africa excluding Singapore, South Africa, Seychelles

Effective date of coverage*
Date Format: DD slash MM slash YYYY

Duration*
Currency prefered*

Nationality*
Residential country*
Name*
First Name Last Name
E-mail*

Name
This field is for validation purposes and should be left unchanged.

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GMC HENNER

F.A.Q

LA SOUSCRIPTION

RENOUVELLEMENT ET RÉSILIATION

L’ASSURANCE

Encore des interrogations ? Contactez nous au Tel :+33 (0) 4 69 96 94 00 ou info@privassur.com