Resident in the UK or Gibraltar 

For policies that incepted or renewed on or after the 1st January 2022.

If you are resident in the UK or Gibraltar please use the forms below.

If you are resident anywhere else in the world apart from EEA, UK or Gibraltar please click HERE 

If you are resident in EEA please click HERE 

APPLICATION FORMS

Private Client

• Private Client Application Form
• EDITABLE-Private Client Application Form
• Full Medical Underwriting Application Form
• EDITABLE Full Medical Underwriting Application Form

Corporate Client

• Corporate Application Form

POLICY WORDINGS

Private Client

• Private Client Policy Wording

Corporate Client

• Corporate Policy Wording

INSURANCE PRODUCT INFORMATION DOCUMENTS (IPID)

Private Client

• IPID Prima Platinum
• IPID Prima Premier
• IPID Prima Classic

Corporate Client

• IPID Prima Platinum
• IPID Prima Premier
• IPID Prima Classic

CLAIM FORMS

• Step by Step Guide to Making a Claim
• Medical Certificate
• Out-patient claim form
• Out-patient claim form - editable
• Pregnancy claim form
• Dental treatment claim form
• Hospital Cash Benefit claim form
• Wellness Vaccinations and Optical claim form
• Medical Release Form

OTHER FORMS

• Private Client Payment Terms & Conditions
• Corporate Payment Terms & Conditions
• The Prima Plan Guide
• European Out-patient Direct Settlement