Administration Forms

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Application Forms

Health Insurance Applications

application comprehensive international plan 2021 Download  pdf

application standard international plan 2021 Download  pdf

application premier international plan 2021 Download  pdf

application major medical plan 2021 Download  pdf

physician examination report Download  pdf

Travel Insurance Applications

application annual travel plan 2021 Download  pdf

application bon voyage travel plan 2021 Download  pdf

Claim Forms

Health Insurance Claim Forms

notification of inpatient/outpatient claim form Download  pdf

dental claim form Download  pdf

oral examination report Download  pdf

Travel Insurance Claim

travel insurance claims form Download  pdf

Treatment Plans

referral for follow-up care Download  pdf

treatment plan for chemotherapy and radiotherapy Download  pdf

treatment plan for physiotherapy, chiropractic and acupuncture Download  pdf

Policy Documents

policy document medical 2021 Download  pdf

policy document annual travel 2021 Download  pdf

policy document bon voyage travel 2021 Download  pdf

Premium Payment Form

payment method Download  pdf