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Travel Insurance Form Template for Nigeria

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Key Requirements PROMPT example:

Travel Insurance Form

"I need a Travel Insurance Form that covers our Nigerian corporation's employees for multiple international business trips throughout 2025, including coverage for electronic equipment, emergency medical evacuation, and COVID-19 related cancellations."

Document background
The Travel Insurance Form is a critical document used in the Nigerian insurance market to establish travel coverage protection for individuals and groups traveling domestically or internationally. This document is designed in accordance with the Insurance Act 2003 and NAICOM regulations, providing comprehensive protection against various travel-related risks. The form serves as both a policy application and a contract document, capturing essential information about the policyholder, travel details, selected coverage options, and premium calculations. It includes mandatory disclosures required by Nigerian law, ensuring transparency in terms of coverage limits, exclusions, and claims procedures. The document is particularly relevant in today's context of increased travel risks and health concerns, incorporating provisions for modern travel contingencies while maintaining compliance with Nigerian insurance regulations.
Suggested Sections

1. Policyholder Information: Details of the insured person including full name, contact information, passport details, and Nigerian residential address

2. Travel Details: Information about the journey including dates, destinations, purpose of travel, and mode of transportation

3. Coverage Summary: Overview of insurance coverage types and limits selected by the policyholder

4. Premium Details: Information about insurance costs, payment methods, and payment schedule

5. General Terms and Conditions: Standard terms governing the insurance contract including validity, renewals, and cancellation terms

6. Claims Procedures: Step-by-step process for filing claims, required documentation, and time limits

7. Exclusions: Clear listing of situations and circumstances not covered by the insurance

8. Emergency Contact Procedures: Instructions for contacting insurance provider in case of emergencies, including 24/7 helpline numbers

9. Declaration: Policyholder's confirmation of information accuracy and acceptance of terms

Optional Sections

1. Medical Coverage Extension: Additional section for enhanced medical coverage, including pre-existing conditions

2. Sports and Adventure Activities Coverage: Special coverage for high-risk activities and sports

3. Business Travel Extension: Additional coverage specific to business travelers including equipment and meeting cancellation

4. Family Coverage Rider: Extended coverage terms for family members traveling together

5. COVID-19 Coverage: Specific terms related to pandemic coverage and related restrictions

6. Multi-Trip Coverage: Terms for annual multi-trip insurance policies

7. Visa Rejection Coverage: Coverage for expenses in case of visa rejection

Suggested Schedules

1. Schedule A - Coverage Limits: Detailed breakdown of coverage limits for each type of coverage

2. Schedule B - Premium Calculation: Detailed premium calculation based on coverage selected, duration, and risk factors

3. Schedule C - Approved Medical Facilities: List of approved hospitals and medical facilities in covered territories

4. Schedule D - Claims Documentation Checklist: Comprehensive list of required documents for different types of claims

5. Appendix 1 - Definitions: Detailed definitions of terms used in the policy

6. Appendix 2 - Emergency Contact Directory: Complete list of emergency contact numbers and procedures by country/region

7. Appendix 3 - Excluded Countries List: List of countries where coverage is not valid or has special conditions

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions










































Clauses



























Relevant Industries

Insurance

Tourism and Travel

Financial Services

Healthcare

Corporate Services

Aviation

Maritime Transport

Education (for student travel)

Sports and Recreation

Business Services

Relevant Teams

Legal

Compliance

Underwriting

Claims Processing

Customer Service

Sales

Risk Management

Policy Administration

Corporate Travel

Human Resources

Operations

Document Management

Product Development

Relevant Roles

Insurance Underwriter

Claims Manager

Compliance Officer

Travel Insurance Specialist

Risk Assessment Officer

Corporate Travel Manager

HR Benefits Administrator

Insurance Sales Representative

Policy Documentation Specialist

Legal Counsel

Customer Service Representative

Travel Agent

Business Development Manager

Operations Manager

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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