Petersen International Underwriters logo
  • Brochure icon Brochures
  • Terms & Conditions
  • Contact Us

    Polenzani Benefits & Insurance Services, LLC

    3452 E. Foothill Blvd., Suite 514

    Pasadena, CA 91107

    Phone: (626) 568-1540

    Email: info@polenzani.com;tomg@polenzani.com

International Major Medical Application

  • Applicant
  • Countries
  • Quotation
  • Address
  • Summary
  • Disclosure
  • Payment
  • Complete


THIS IS NOT QUALIFYING HEALTH COVERAGE ("MINIMUM ESSENTIAL COVERAGE") THAT SATISFIES THE HEALTH COVERAGE REQUIREMENT OF THE AFFORDABLE CARE ACT. IF YOU DON'T HAVE MINIMUM ESSENTIAL COVERAGE, YOU MAY OWE AN ADDITIONAL PAYMENT WITH YOUR TAXES.

This plan does not cover pre-existing conditions.

This plan does not cover preventative care.

This plan does not satisfy the visa requirement for travel longer than 6 months per the 10/4/19 presidential proclamation.

Coverage cannot be purchased in the following states: GU, MD, NM, NY, SD

Click here to view Privacy Policy.

© Petersen International Underwriters. 2007-2023. All rights reserved.

Important Notice

This plan does not provide any benefits for novel coronaviruses including but not limited to COVID-19.