Personal Accident Insurance and Sickness Insurance

Personal Accident and Sickness insurance provides a short term (up to two years) solution to reductions in your income as a result of accident or sickness.  Premiums are quoted on an annual basis, and cover will be subject to an excess period of usually 14 or 21 days of inability to work.

If you require more specific benefits than are available here please contact our offices on 0845 458 3790.

 personal accident insurance quotes

Please submit your details for a no obligation quotation for personal accident and sickness insurance.

Personal Accident and Sickness Insurance Quote
Name   Email   
Address       
       
Postcode      
Telephone   Mobile  
Date of Birth  dd/mm/yyyy
Occupation   Duties performed    
Employment Status   If self employed for less than a year previous occupation
Cover Required   HeightFt/in Weight lbs
Sum Payable in respect of Death, Loss of Sight, Loss of Limb or Permanent Total Disablement   Weekly Benefits Payable in respect of Temporary Total Disablement  
Net weekly pay   Gross weekly pay  
       
Do you travel outside Europe?   if "Yes" please state likely countries.
Do you wish to be covered for the following risks;   Winter Sports  
Skin/Scuba Diving   Rock Climbing  
Potholing     Hang Gliding or Parachuting  
Hunting on Horseback   Competitive Driving  
Riding Motorcycles   Air Travel Other than as a passenger  
Football   Rugby  
Dangerous Pastimes   details
Defective hearing or vision   details
Have you ever suffered from hernia, lower back strain, disc lesion or any other physical defect of  a chronic or recurring nature?  
 details
Have you ever suffered from any heart condition, hypertensions, varicose veins, nervous condition, alcoholism, drug addiction or other illness, weakness of a chronic or recurring nature.?  
details
Have you undergone, or do you have any reason to believe you may need to undergo a surgical operation?please give details
What accidents or illness have prevented you from working for a period of more than 14 days in the last three years?
Are you generally in good health?  
Have you ever had special terms imposed on you, or had any insurance cancelled by any insurer?  details

 

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