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  • Boncap Declaration Form

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Highest income-band. Version: SEP 2015 - A 2 If you Checklist of Documents supplied We need Your latest payslip or P.O. Box 1101, Florida Glen 1708 Call Centre 0860 002 108 Fax (011) 671 5380 Email newapplications bonitas.co.za Letter from employer/company that con rms your income Earn a monthly salary and Your latest IRP5/IT3A and Your bank statements for the last 3 months (showing your monthly income and other consistent additional income/s, if applicable) 4 latest Weekly payslips.

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How to fill out the Boncap Declaration Form online

The Boncap Declaration Form is essential for members who have selected the BonCap Option. This guide will provide you with clear instructions on how to fill out the form online, ensuring you complete it accurately and efficiently.

Follow the steps to fill out the Boncap Declaration Form online.

  1. Click the ‘Get Form’ button to obtain the Boncap Declaration Form and open it in the editor.
  2. In Section 1, fill in the main member’s details clearly. Ensure all fields including title, surname, first names, identity number, date of birth, tax number, marital status, gender, ethnic group, cellphone, telephone numbers, and email are completed accurately.
  3. Next, select the income band that applies to your gross monthly income. If proof of income is not provided, it will default to the highest income band.
  4. Proceed to Section 2 to complete your spouse/partner’s details. Repeat the same process of filling in all fields clearly and selecting the applicable income band.
  5. Move to Section 3, which is only for those whose premiums are paid by a third party. Fill in the third party's details, including their title, surname, first names, and contact information. They will also need to provide banking details for contributions.
  6. In Section 4, declare the income. Fill in the relevant income details for both the main member and spouse/partner, listing all sources of income and ensuring accuracy.
  7. Attach all required documents as outlined in the checklist provided in the form. Missing documents could result in being defaulted to the highest income band.
  8. Finally, complete Section 5 by signing the form to acknowledge that the information provided is correct. Store your completed form securely.
  9. After filling out the form, you can save changes, download it for your records, print a copy, or share it as needed.

Start completing the Boncap Declaration Form online now to ensure your membership is processed efficiently.

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Bonitas BonSave provides extensive hospital cover and savings for out-of-hospital expenses. It provides major medical cover at 100% of the scheme's rate, limited benefits for 27 chronic conditions, cover for maternity consultations and a self-managed savings account.

Bonitas - Standard The Bonitas Standard plan offers semi-comprehensive medical aid cover, including unlimited hospitalisation and benefits for 45 chronic conditions, basic and advanced dentistry, optometry and maternity care.

Email: queries@bonitas.co.za.

The BonCap plan features unlimited hospital cover at 100% of the Bonitas rate and unlimited GP consultations, subject to using network providers. There's also limited cover for out-of-network and specialist consultations.

What You Get Hospital. network. N/A. Hospital. cover. Unlimited. Blood tests and x-rays. Unlimited at 100% of the Bonitas Rate. MRIs and CT. scans. R14 240 per family (In and out-of-hospital) (R2 000 co-payment per scan, except for PMB) Internal nerve. stimulators. ... Cochlear. implants. ... Mental health. hospitalisation. ... Take-home. medicine.

You get access to day-to-day benefits including unlimited GP consultations, layers of virtual care, dental and optical consultations, a private hospital network and more.

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Fill Boncap Declaration Form

Please note: • You are required to attach all the relevant proof of income and other supporting documents to avoid any administration delays. Please complete the form in full and check that all your information is correct before submitting it. A2. Beneficiaries are entitled to benefits as shown in this Annexure B, subject to the monetary limits and implementation restrictions set out. Find out everything you need to know about Bonitas BonCap medical aid plan, including information on cover, rates and benefits.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232