Atlas America® Non-U.S. citizens traveling to the U.S.

Retrieve Application

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Step 1: Quote
Quote
Coverage
Apply
Review
Payment
Confirmation

Repeat customer? Log in to MyAccount and let us do the heavy lifting with pre-filled details!

We have pre-filled relevant information from your previous application for your convenience. Review all the information carefully to make sure it is still accurate.

Please enter the information in English only.

Insureds' Ages

Enter the ages of each person to be insured on the policy.

Choose method of entry:

Method of entry is required.

Age Group {{numOfTraveler + 1}}
{{numOfTraveler + 1}}

Age Group is required.# of Insureds is required.# of Insureds cannot be 0.

Add Age Group

Group size must be 5 or more.

Age group already selected.

{{fileName}}Upload insureds' ages spreadsheet

Spreadsheet is required.

File type is not allowed. Please use .xlsx.

Download spreadsheet template

Coverage Dates

Enter the start and end dates for your insurance coverage.

Start Date is required. Cannot contain special characters. Cannot contain letters. Please enter the Start Date in the specified date format.

End Date is required. Cannot contain letters. Cannot contain special characters. Please enter the End Date in the specified date format. End Date cannot be before Start Date.

Coverage Length: {{numberOfTripDays}} {{(numberOfTripDays > 1 ? 'Days' : 'Day')}}

Insureds' Age(s)

Enter the ages of each person to be insured on the policy.
{{numOfTraveler + 1}}
PrimarySpouse Child {{numOfTraveler-1}}{{numOfTraveler}}

Primary Age is required.Insured {{numOfTraveler+1}} Age is required.

Spouse must be at least 18 years old.

Child {{numOfTraveler-1}} Age is required.Spouse Age is required.Insured {{numOfTraveler+1}} Age is required.

Minimum Age must be at least 0.

Child {{numOfTraveler-1}} must be under 18 years old.

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Host Country

Select the country you will visit.

Host Country is required.

Please review specific Eligibility Restrictions.

Attention:

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Welcome! Now you can retrieve quotes, applications, access policies, download documents and more in MyAccount.