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  • Extra Insurance Request Form

  • Registered Girl Scouts (Girls and Adults) are covered by accident activity insurance through Mutual of Omaha Insurance Co (Ba sic Coverage Plan 1). Non-members who are invited to attend a Girl Scout event or trip are covered under the Basic Coverage Plan 1. Extra Insurance is only needed for International Travel and if coverage for accident and sickness is needed. Each day of this trip must be covered, including travel days. This form with payment information and an itinerary (international travel), must accompany your Trip Approval Form three (3) weeks before the trip or event to give enough time to complete any missing training or paperwork.
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