Travel Insurance Application

PMGI Limited (Forces Mutual) is committed to respecting and protecting your personal data. This section sets out what we will do with your information and explains your rights.

The information you have supplied will be used by Forces Mutual to provide you with a quotation and administer your Travel insurance policy if you choose to proceed. We will also share your information with Motorplus Limited t/a Coplus and Astrenska Insurance Limited who underwrite the policy.

Click on the links below to find out more:
How we will use the information we collect?
Who and why might we share your information with?
What precautions do we take to protect your information?
How long do we keep hold of your information?
Yours rights
Complaints

To view our full privacy policy click here

If you have any questions about our privacy policy, you can contact our Data Protection Officer directly at datacontroller@bspokegroup.co.uk or by writing to them at: 4th Floor, 24 Old Bond Street London, W1S 4AW

The price and cover details for your chosen policy are shown below. If you are happy with this, have read the policy documents and are happy this cover meets your needs then you can proceed to take out the cover by completing the Direct Debit payment details below.
To set up your direct debit online you must be the account holder and able to authorise debits from the account.

Demands and needs

In choosing this product and the level of cover, you have not received any personal recommendations from Forces Mutual, Coplus, or any other insurer.

Travel Insurance is arranged by Motorplus Limited t/a Coplus and underwritten by Astrenska Insurance Limited.

Travel Insurance – this product meets the demands and needs to provide protection in the event of loss, damage, injury, illness or liability in the course of the trip and that you do not require cover for any pre-existing medical condition (s). Cover provided is in accordance with policy terms and conditions.

You can save and print this information here.

Payment details

Direct Debit Mandate

PMGI Ltd
5th Floor
20 Chapel Street
Liverpool
L3 9AG

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Name(s) of account holder(s)

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Bank/building Society account number

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Branch sort code

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Service user number

388290

Name and full postal address of your Bank or Building Society

To the manager

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Instruction to your Bank or Building Society

Please pay PMGI Ltd direct debits from the account detailed subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with PMGI Ltd and, if so, details will be passed electronically to my Bank / Building Society.

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Date

08/09/2024

The Direct Debit Guarantee

• This guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debit.
• If there are any changes to the amount, date or frequency of your Direct Debit, we will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request PMGI Ltd to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
• If an error is made in the payment of your Direct Debit, by PMGI Ltd or your Bank or Building Society, you are entitled to a full and immediate refund of the amount paid from your Bank or Building Society. If you receive a refund you are not entitled to, you must pay it back when PMGI Ltd asks you to.
• You can cancel a Direct Debit at any time by simply contacting your Bank or Building Society. Written confirmation may also be required. Please also notify us.

By completing your Travel Insurance policy purchase, you are confirming you have read and agree that the following statements below are correct:

• I understand the content of this completed online application form and I wish to proceed to buy a policy;
• I confirm that the information I've provided is correct and accurate to the best of my knowledge and understanding;
• I agree that if the information I've provided should change after I have purchased the policy and during the period of the policy, that I will let Forces Mutual know. (Changes include change of address, cover level and eligibility status as a member of HM Forces or equivalent Ministry of Defence or affiliated organisation);
• I accept that if the information provided by me is not correct and accurate, my policy may be cancelled or treated as if it never existed, and/or the insurer may refuse to pay all or part of any claim, or it may revise the premium, and/or change any excess, or the extent of the cover;
• I agree that if the application is accepted, I understand I must pay the monthly premiums for the policy to remain in place;
• I confirm that I meet the eligibility criteria; as a UK citizen under 65 and a member of HM Forces or equivalent Ministry of Defence or affiliated organisation;
• I am aware and agree that the premium will be collected on the first available 1st or 15th of the month. All subsequently collections being collected on the 1st of the month. I understand that premiums will be payable until either I or Forces Mutual cancel the policy;
• I agree that this product matches my demands and needs of providing protection in the event of loss, damage, injury, illness or liability in the course of the trip and that I do not require cover for any pre-existing condition(s);
• I understand cover is provided in accordance with the policy terms and conditions and that this policy does not provide cover for pre-existing medical conditions and other exclusions, which has been explained to me in purchasing this policy. I understand I can get further details in my policy booklet, which I have had the opportunity to read;
• I understand that when I receive my insurance documents, I have 14 days to change my mind and cancel my cover and have my payments refunded (if no claims are made).

It is important you understand all of the Key Information for Travel Insurance and check the cover you are buying to ensure that it meets your needs. We recommend you read all of the policy documents including the Insurance Product Information Document (IPID) before you continue, and keep them in a safe place.

You should also read the Our Terms of Business as this provides important information about our service.