All of the Petersen International Underwriters Disability, Liability, Life and Medical Plans listed below are fully backed and insured by certain underwriters at Lloyds, London, an
A+ rated insurer.
Enter our secure links below to get ONLINE QUOTES and
Alternatively, REQUEST A PERSONALIZED QUOTE and/or ADDTIONAL INFORMATION
on any of the following Specialty Products.
Simply submit the "PIU Disability, Liability, Life, and Medical Plan Request Form" below:
PIU Disability, Liability, Life, and Medical Plan Request Form
* First Name
* Last Name or Family Name
* Name of Company or Contractor
* Email
State (U.S.A. Only)
Province (Canada Only)
* Country Where You Reside?
Country Code
Telephone
* Retype Email
Part 1.
Contact
Data
INDICATE A CONTACT PREFERENCE:
Do you have a US or Canadian Address?
Part 2.
Coverage Area
* Country(ies) You Plan to Visit
and Need Coverage?
FOR ALL PLANS LISTED HERE, USE THE FORM BELOW TO OBTAIN A PERSONALIZED QUOTE OR REQUEST ADDITIONAL INFORMATION. I WILL RESPOND WITHIN 24 HOURS.
-RESPECTFULLY, KEN PATTERSON
Part 3.
Coverage Needed
Occupation:
SELECT ANY/ALL OF THE PLANS BELOW THAT ARE OF INTEREST TO YOU:
DISABILITY PLANS:
LIABILITY PLANS:
LIFE PLANS:
MAJOR MEDICAL PLANS:
Part 4.
For Disability & Kidnap and Ransom Plans
Estimated Annual Income**:
USD
** [We can only provide up to 10x your annual income for life insurance coverage under our AD&D Policies.]
Contractor Name, if any:
Is this a US-based Contractor?
Length of Assignment:
Year(s)
Month(s)
Day(s)
Additional information that you would like us to know that will assist us in preparing an accurate quotation. For instance, information about your international assignment, coverage needs, and/or travel needs: