Helpful hints

In the final step, you will be asked to attach documentation relevant to your claim.

View this guide to help determine what documents you need to submit:

Optional information that may be necessary to complete your claim:

If you get stuck at any point, give us a call 800-690-6295 (toll free) or 317-818-2808 (collect).

* Required

Trip Cancellation Claim

Primary Insured (Information must match exactly what is on your ID card.)
Who cancelled their trip?
Travel Details

Claimed Expenses

Are You Claiming Airline Tickets? Your airline tickets may have value up to one year from the original scheduled departure date.
Please indicate below whether you will be exchanging your tickets for another trip. Upload a copy of all electronic
ticket confirmations and costs incurred at the end of this form.
Do you have any other insurance?
Was the cancellation due to medical reasons?
Medical Claim Information
Was the person hospitalized for the mentioned symptoms or illness?
Has the person received medical attention for the mentioned symptoms or illness?
Payment Information
Method of Payment*
ACH/EFT: US $ Canada(CAD) $
International/non-U.S. Account Information

Complete for payment through bank transfer outside the U.S.

Account type
Any person who, with intent to defraud or knowing that he/she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits. In submitting this claim to Seven Corners, Inc., I declare that I have read & understood my policy’s terms and conditions and agree to the privacy policy and to the Fraud Notices.

I hereby authorize Seven Corners, Inc. (hereinafter COMPANY) to mail any payments to the above listed address and to deposit any amounts owed me for reimbursement of medical expenses or services rendered by initiating credit entries to my account at the financial institution (hereby BANK) indicated above. Further, I authorize BANK to accept and to credit any credit entries indicated by COMPANY to my account. In the event that COMPANY erroneously deposits funds in my account (by way of example, I am not entitled to the funds or the amount of deposit Is incorrect or such funds are deposited in the wrong account), I authorize COMPANY to debit or credit my account in the amount necessary to correct the initial deposit, but in no case shall any debit exceed the amount of the initial deposit. I further agree COMPANY is not responsible for any transaction fees charged and will release Seven Corners of any liability in the event of lost or stolen payments.

You will be asked to attach proof of expenses and other needed documents in the next step.

FINAL STEP: Submit proof of payment for claimed expenses.

  1. Click on BROWSE to attach a file to your claim, then click UPLOAD.
    • We cannot accept an upload larger than 4MB. If your files are too large, you may upload them individually.
    • File types allowed: pdf, doc, txt, jpeg, tif, bmp, gif, png. You can take a photo of your documents and upload the photo files.
  2. Files are loaded one at a time, you will be prompted to add more files as needed.

John Hancock Insurance Agency, Inc., is a Delaware domiciled corporation with its principal place of business at 197 Clarendon St. Boston, MA. (California license number OH37453). The policies described herein are underwritten by Starr Indemnity & Liability Company, a Texas domiciled corporation (NAIC Company Code: 38318; TX license number 93542) with its principal place of business at 399 Park Avenue, 8th Floor, New York, NY 10022.

Travel insurance provides emergency assistance services should you need help while you travel. Travel insurance covers: unexpected costs such as having to cancel or interrupt your trip due to unexpected reasons, such as illness of you, a family member, or a travel companion, severe weather, missed connections, strikes, default of travel supplier and other unexpected events that may arise before or during your trip. Plans include trip cancellation and interruption, accident and sickness with assistance services, medical repatriation, baggage coverage, accident insurance, travel accident insurance and many other benefits.

This is only a brief description of the coverage(s) available under policy LT007. The policy will contain reductions, limitations, exclusions, and termination provisions. Full details of the coverage are contained in the policy. Please read the policy carefully to fully understand the coverages, terms, conditions, limits and exclusions. If there are any conflicts or discrepancies between this document and the policy or if any point is not covered in this document, the terms and conditions of the policy shall govern. Not all plans or coverages are available in every state. Please contact 1-866-888-7803 if you have any questions.