modifymyallianzpolicy.com
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Effective URL: https://modifymyallianzpolicy.com/policy/cancel-state/?pd=03/22/2023&pn=EUSP2330750631&fn=Lisa&s=NY&utm_source=tp&utm_medium=email...
Submission: On March 24 via manual from US — Scanned from DE
Effective URL: https://modifymyallianzpolicy.com/policy/cancel-state/?pd=03/22/2023&pn=EUSP2330750631&fn=Lisa&s=NY&utm_source=tp&utm_medium=email...
Submission: On March 24 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST #
<form id="azpCancellationForm" action="#" method="post">
<div class="frmLabel">Policy Number:</div>
<div class="frmValue">EUSP2330750631</div>
<div class="frmLabel">Purchase Date:</div>
<div class="frmValue">03/22/2023</div>
<input type="hidden" name="pd" id="pd" value="03/22/2023">
<input type="hidden" name="pn" id="pn" value="EUSP2330750631">
<input type="hidden" name="fn" id="fn" value="Lisa">
<input type="hidden" name="s" id="s" value="NY">
<div><input name="btnSubmit" id="btnSubmit" type="submit" value="Cancel My Policy"></div>
<div id="disabledMsg"></div>
</form>
Text Content
* Skip to main content THANKS FOR CHOOSING ALLIANZ GLOBAL ASSISTANCE Cancel your Policy As part of our commitment to our customers, we are offering you the option to easily cancel your policy and receive a refund of the cost of your premium. To proceed, please verify the below information and click ‘Cancel My Policy’. Policy Number: EUSP2330750631 Purchase Date: 03/22/2023 Terms, conditions, and exclusions apply to all plans. Benefits and limits vary by plan. For a complete description of the coverage and benefit limits offered under your specific plan, carefully review your plan’s Letter of Confirmation/Declaration of Coverage and Certificate of Insurance/Policy. Insurance benefits underwritten by BCS Insurance Company, or Jefferson Insurance Company, depending on your state of residence and plan chosen. Plans only available to U.S. residents and may not be available in all jurisdictions. Allianz Global Assistance and Allianz Travel are marks of AGA Service Company dba Allianz Global Assistance or its affiliates.Allianz Travel, Event Ticket, and Registration insurance products are distributed by Allianz Global Assistance, the licensed producer and administrator of these plans and an affiliate of Jefferson Insurance Company. The insured shall not receive any special benefit or advantage due to the affiliation between Allianz Global Assistance and Jefferson Insurance Company. Plans include insurance benefits and assistance services. Any Non-Insurance Assistance services purchased are provided through Allianz Global Assistance. Any non-insurance travel cancellation fee waiver purchased is provided by the travel supplier from whom you purchased that travel cancellation fee waiver. Except as expressly provided under your plan, you are responsible for charges you incur from third parties. Copyright © 2023 AGA Service Company. All rights reserved. This site uses cookies to improve your user experience and analyze site traffic. By Clicking ACCEPT or continuing to browse the site, you are agreeing to our use of cookies. Read our Privacy Policy for full details. Accept