Activate your accident coverage

We just need a few details to activate your coverage.

Who are you activating coverage for?

A parent or legal guardian must apply on behalf of children under 18 years old.

Myself

My spouse

My child

Your details

First name

Last name

Email address

Date of birth

Address

Apartment, unit, suite, etc.Optional

City

State

Zip code

I attest I am a citizen or permanent resident of the United States or hold a valid temporary United States work visa.

Yes

No

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