Useful Forms and Applications

If you have already chosen or know the insurance company to which you wish to apply, please complete the following application form and email it to us. Alternatively request that we contact you and we will be in touch to help you with your insurance arrangements

Fidelity Life

http://www.fidelitylife.co.nz/homepage/default.aspx or click below

Fidelity Life

Application Form Fidelity life Application Form.pdf

Short Application Form Fidelity Life Short Form Application.pdf

Direct Debit Form Fidelity Life Direct Debit Form.pdf

Declaration of Continued Good Health Fidelity Life Health Declaration.pdf

Loss of Policy ApplicationforReplacementPolicy.pdf

OnePath 

http://www.onepath.co.nz/Pages/default.aspx ir click below

Onepath 

Application Form Assurance Extra Application Form Onepath.pdf

Childrens Application Form OnePath Children Major Medical Cover application form.pdf

Direct Debit OnePath Direct Debit form.pdf

Declaration of Continued Good Health Declaration of Continued Good Health.pdf

Partners Life

http://www.partnerslife.co.nz/ or click below

Partners Life 

Application form Partners-Protection-Plan Application Form.pdf

Childrens application form PL Childrens_App_Form_.pdf

Direct Debit PL_DDAuthority.pdf

Loss of Policy PL Lost policy application.pdf

Sovereign

https://www.sovereign.co.nz/ or click below

Sovereign 

Application form Sovereign Life and Health application form.pdf

Short application form Sovereign short form TotalCareMax.pdf

Childrens application form ApplicationforReplacementPolicy.pdf

Direct Debit Sovereign Direct Debit.pdf

Continued good health Sovereign Continued good health.pdf

Asteron

http://www.asteron.co.nz/ or click below

Asteron 

Application form

Direct Debit

Loss of Policy

 

Claim Forms

OnePath  - Major Medical

E claims@onepath.co.nz

F 0508 464 666

Onepath Major Medical claim form

Your guide to making a Major Medical claim

 

Partners Life- Private Medical Cover

F 0800 15 54 33

E service@partnerslife.co.nz

Private-Medical-Cover-claim.pdf