Camp Insurance Request Form

Maximum Accident Medical Benefit: $25,000 | Accidental Death $5,000 | Deductible: $500

If you have any questions or issues filling out the form below, please contact us at 800-566-6479.

Certificate(s) of insurance and insurance binder(s) will be issued to you via email and payment must be made in full prior to issuance.

Please allow up to 7 business days for processing. If you do not receive correspondence from us after 7 business days, please contact us.