Add Someone To a Policy

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Add somebody to your policy

    Would you like a quotation before adding this new member?

    Do you want quote variations to include partner and/or children?

    Please complete the details of all the people you’d like quotes for.

    Please select one of the following options:

    Please select your policy type:

    Which policies do you want to add them to: (tick all that apply)

    Company information:

    Employee information:

    If you have different benefit levels for different employee categories which classification would you like this member added to?
    Do you want to include a Partner/Spouse? Do you want to include any dependent children? Proposed join date:

    Does the employee or anyone to be added to the policy already have health insurance in place?

    Please provide details of their current insurer and renewal date:

    Has the employee or anyone to be added to the policy had health insurance (either via their employer or a family/individual plan) in the previous three months?

    Add a second employee:

    If you have different benefit levels for different employee categories which classification would you like this member added to?
    Do you want to include a Partner/Spouse? Do you want to include any dependent children? Proposed join date:

    Does the employee or anyone to be added to the policy already have health insurance in place?

    Please provide details of their current insurer and renewal date:

    Has the employee or anyone to be added to the policy had health insurance (either via their employer or a family/individual plan) in the previous three months?

    Add a third employee:

    If you have different benefit levels for different employee categories which classification would you like this member added to?
    Do you want to include a Partner/Spouse? Do you want to include any dependent children? Proposed join date:

    Does the employee or anyone to be added to the policy already have health insurance in place?

    Please provide details of their current insurer and renewal date:

    Has the employee or anyone to be added to the policy had health insurance (either via their employer or a family/individual plan) in the previous three months?

    Add a forth employee:

    If you have different benefit levels for different employee categories which classification would you like this member added to?
    Do you want to include a Partner/Spouse? Do you want to include any dependent children? Proposed join date:

    Does the employee or anyone to be added to the policy already have health insurance in place?

    Please provide details of their current insurer and renewal date:

    Has the employee or anyone to be added to the policy had health insurance (either via their employer or a family/individual plan) in the previous three months?

    Add a fifth employee:

    If you have different benefit levels for different employee categories which classification would you like this member added to?
    Do you want to include a Partner/Spouse? Do you want to include any dependent children? Proposed join date:

    Does the employee or anyone to be added to the policy already have health insurance in place?

    Please provide details of their current insurer and renewal date:

    Has the employee or anyone to be added to the policy had health insurance (either via their employer or a family/individual plan) in the previous three months?

    You may submit a maximum of 5 employees at once using this form. To submit more employees please click submit and then start the process again.

    Company information:

    Employee information:

    Policy holder information:

    Dependant information:

    Does the dependant already have a health insurance policy in place?

    Please provide details of their current insurer and renewal date:

    Has the dependant had health insurance (either via their employer or a family/individual plan) in the previous three months?

    Add another dependant

    Add a second dependant:

    Does the dependant already have a health insurance policy in place?

    Please provide details of their current insurer and renewal date:

    Has the dependant had health insurance (either via their employer or a family/individual plan) in the previous three months?

    Add another dependant

    Add a third dependant:

    Does the dependant already have a health insurance policy in place?

    Please provide details of their current insurer and renewal date:

    Has the dependant had health insurance (either via their employer or a family/individual plan) in the previous three months?

    Add another dependant

    Add a forth dependant:

    Does the dependant already have a health insurance policy in place?

    Please provide details of their current insurer and renewal date:

    Has the dependant had health insurance (either via their employer or a family/individual plan) in the previous three months?

    Add another dependant

    Add a fifth dependant:

    Does the dependant already have a health insurance policy in place?

    Please provide details of their current insurer and renewal date:

    Has the dependant had health insurance (either via their employer or a family/individual plan) in the previous three months?

    You may submit a maximum of 5 dependants at once using this form. To submit more dependants please click submit and then start the process again.

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