:Secutive | Compass Insurance Booking: Louisiana Tech University

Welcome to the Booking System for Louisiana Tech University

Booking your travel insurance online with the Louisiana Tech University Booking System^© is quick and simple:

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Choose your insurance coverage		Enter your personal & travel information		Review your insurance coverage		Process the order

Choose your insurance coverage

J-1 Scholar and OPT (Travel Medical Insurance)

Medical Maximum Benefit: USD 250,000

CC008744|OS | 4719

3.5132 USD per day

Details

Enter your Email Address:

(This is where your confirmation and credit card receipt will be sent.)

Enter your Personal & Travel Information:

Person 1:

First Name
Last Name
Date of Birth	/ /
Gender
University ID
Visa Status
Start Date
End Date
Home Country
Travel Destination

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Review your insurance coverage

Please check your booking details to ensure that all information is correct.

By confirming your booking you also authorize Global Secutive, LLC to charge your credit card in the amount of

Insured(s) Information:

Coverage Information:

Selected insurance coverage	J-1 Scholar and OPT (Travel Medical Insurance) Medical Maximum Benefit: USD 250,000 [CC008744\|OS] Rate per person / travel day: 3.5132 USD
Total Cost:

Please Confirm:

I have read and made note of the Policy Wording *. I have read and made note of the Withdrawal and the Cancellation Terms *.

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Process the order

Make Payment:

Total Cost:

Select Payment Method:

PayPal:

Credit Card Information:

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