Get Boncap Bonitas Application Form

Completing the Boncap Bonitas application form online can seem daunting. This guide provides clear, step-by-step instructions to help you successfully fill out each section of the form with confidence.

Follow the steps to complete the application form accurately.

1. Click ‘Get Form’ button to obtain the Boncap Bonitas application form and open it in your preferred document editor.
2. Begin with Section 1. Membership option: Select the BonCap option by marking the appropriate box. Ensure clarity, as this determines the network doctors and hospitals you can use.
3. Proceed to fill in the income bands, selecting the applicable range by ticking the corresponding box. This section impacts your contribution rates, so review your income carefully.
4. In Section 2, intermediary details: If applicable, have your broker complete the section and ensure they sign where indicated.
5. Move to Section 3. Employer information must be completed and signed by your employer, including providing their stamp. Ensure all blocks are filled to avoid rejection due to incomplete information.
6. Section 4 requires you to provide personal details of the principal member. Fill in your title, initials, full name, marital status, and contact information. Ensure proper spacing and clarity.
7. If you are a government employee, complete Section 5 by providing your Persal number and a copy of your salary advice.
8. In Section 6, detail any dependants you wish to register. You can include up to six dependants. Ensure you provide required identification for each dependant.
9. Section 7 covers medical details. Be thorough in your disclosures as incomplete information could limit benefits. Provide details for any medical conditions for yourself and your dependants.
10. Complete Section 8 regarding previous medical scheme details. If applicable, attach copies of previous membership certificates to substantiate your claims.
11. Fill out Section 9 with your bank details for claim refunds and contributions. Ensure the account holder details are correct.
12. Finally, in Section 10, acknowledge and declare your commitment to the information provided. Ensure your signature is present before submitting.
13. Once all sections are completed and reviewed, save the changes. Download or print the completed form for your records, and share it as necessary.

Start filling out your Boncap Bonitas application form online today for a smooth application process.