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FAQ
Medical Expenses & Personal Accident Quote Request
Please complete the form below and submit it to your Lynx Motorsport team
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risk Provide any
Contact Name
*
First
Last
Email
*
Proposers' Name (if different from above)
Proposers' Correspondence Address and Postcode
Proposers' Year of Birth
*
Employment Status
— Select Choice —
Employed
Self Employed
Retired (pension)
Student
Unemployed
This status would determine whether or not you would qualify for temporary benefits such as loss of income.
Territories Visiting
— Select Choice —
UK & Europe
Middle East & Asia
North America / Canada
Rest of the World
Provide details of the risk type of event(s), countries visiting, venues and dates (if known)
Level of Medical Cover / Repatriation Required
*
— Select Choice —
£100,000 (Minimum for Europe)
£150,000
£200,000
£250,000 (Minimum for USA/Canada)
£300,000 +
Essential if you are competing outside of the United Kingdom, this policy is designed to cover your medical expenses, support your emergency treatment and if required, medical repatriation back to the UK.
Level of Personal Accident Cover Required
*
— Select Choice —
£50,000
£100,000
£150,000
£200,000
£250,000
£300,000 +
This is cover for accidental death and permanent total disablement, e.g. loss of sight, or loss of limb.
Do you have any existing, pre existing medical conditions, and/or undergoing medical treatment
YES
NO
Have you ever made any claims against a medical or personal accident policy
*
YES
NO
Contact Consent
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I consent to Lynx Insurance Brokers Ltd contacting me for the purposes of providing an insurance quotation.
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I consent to Lynx Insurance Brokers Ltd contacting me with marketing updates and insurance product news via email and phone. You can unsubscribe by contacting us at anytime.
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