Manual policies online form CHF

I, the Main Applicant have been authorised by each of the persons named in this application to apply for this insurance on their behalf, and confirm that a copy of the Policy Summary Insurance Product Information Document and Policy Document has been made available to each Applicant for review prior to purchasing this insurance.

I and each of the Applicants:

• have confirmed that they can answer Yes to the Eligibility Statements detailed in step 1 of this Application.


• reside at the same address, being the address provided in this Application.


• request and expressly agree that this insurance policy be provided to me in English, that this insurance shall be governed exclusively by the law and practice of England and Wales unless otherwise required by applicable law, and that all communication of and in connection with this Policy shall be in the English language.


• understand the insurance applied for is not a general health insurance policy, but is intended to cover unforseen injury or illness occurring outside my/our Home Country, during the journey for which I/we are buying cover, and contains a Pre-existing Condition exclusion, a Pre-certification process and other restrictions and limits.


• understand that other taxes or costs may exist that are not paid through the Plan Administrator or imposed by it.


• understand that my/our insurance terminates upon returning to my/our Home Country.


• hereby apply to Lloyd’s through battleface Insurance Services Limited for the insurance described in the battleface Policy Document.


• agree to receiving my policy documents via email

The insurance you have applied for is underwritten by certain underwriters at Lloyd’s of London, One Lime Street, London EC3M 7AH. The Coverholder under which the Plan has been placed with Underwriters under Unique Market Reference B0621F33104822 is battleface Insurance Services Limited, Suite 102, 80 Churchill Square, Kings Hill, West Malling, Kent, ME19 4YU, UK. The Coverholder acts as Underwriters’ agent in binding risks, issuing documentation and the collection and processing of premiums and return premiums.

Full details of the complaints procedure and the Policy cancellation provisions are detailed in the Policy Summary and Policy Document. Information provided to Underwriters will be processed by them and their agents in compliance with the provisions of the General Data Protection Regulations 2018 of England and Wales, for the purpose of administering this insurance and handling claims, if any. The information may also be sent for processing to other entities, including those located outside the European Economic Area and others where there is a legal obligation to provide it.

As a consumer, you have a duty to take reasonable care to answer questions fully and accurately. This duty exists before coverage is placed and throughout the entire duration of the insurance. If you do not do so, your insurer may be able to void the Policy from inception.

This policy meets the needs of those who require personal accident and medical expenses cover whilst travelling or working abroad. It also meets the needs of those travelling to potentially dangerous territories and conflict zones and therefore may require enhanced benefits and limits such as crisis response, evacuation, war and terrorism, kidnap and political threat coverage. You have chosen the benefit limits which meet your individual requirements. We have not made any personal recommendation as to the suitability of this product.

We arrange a policy with the insurer on your behalf. You do not pay us a fee for doing this. We receive commission from the insurer which is a percentage of the total annual premium.

battleface Insurance Services Limited, Lloyd’s of London and other related insurance market participants may need to collect certain Special Categories of Personal Data about you in connection with your insurance cover, such as any pre-existing medical or other health conditions.

You are not under any obligation to consent for us to process your health information and may withdraw your consent at any time by emailing info@battleface.com. However, if you withdraw your consent this may result in us applying a restriction on your policy or in some instances, withdrawing your cover altogether.