Are You A COPA Member?

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Fill Out The Form Below For Your COPA Travel Insurance.

COPA Members Travel Insurance Application

Under Age 70 Annual Premium: $350
70 – 74 Annual Premium: $610
75 & Up Annual Premium: $1,220

COPA Member Information


Primary Residence

COPA Member

Spouse Of Member

Dependants & Children

Under age 70 Annual Premiums: $350

70 - 74 Annual Premiums: $610

75 - 79: $1,220

Disclaimer - COPA Travel Insurance is exclusive to COPA Members. Membership with COPA is mandatory for the coverage to be in force. If you are not a COPA member at the time of claim, coverage is not in force.

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