Get Group Short Application Form - Accuro Health Insurance

Filling out the Group Short Application Form for Accuro Health Insurance is an important step towards securing health coverage for yourself and your eligible participants. This guide provides step-by-step instructions to help you complete the application accurately and efficiently online.

Follow the steps to accurately complete your application online.

1. Click the 'Get Form' button to access the Group Short Application Form and open it for editing.
2. Begin by entering the group details, including the company name and the date of employment in DD/MM/YY format. Additionally, provide the employee number.
3. In the details of the main member section, select a title (Mr, Mrs, Miss, Ms, or another), input the full name including first names and surname, and enter the date of birth using the DAY/MONTH/YEAR format.
4. Fill in the postal address with the street or PO Box, town/city, postcode, and telephone numbers (home, business, mobile) as required. Indicate if you wish to receive correspondence via email by providing your email address.
5. If applicable, provide the start date of any previous insurance you had. Specify if you authorize an advisor to access all information related to your policy.
6. Choose your base plan from the options available. You can select additional plans as needed, including the Specialist plan, GP plan, and Dental and Optical plan.
7. For each additional participant to be insured, fill in their date of birth, relationship to the main member, gender, and select applicable excess levels. Ensure that all children included are under 25.
8. Read through the declaration carefully. Ensure you understand and agree with the terms and conditions before signing. Each participant aged 16 years and over must provide their signature and the date signed.
9. Once all fields are completed and checked for accuracy, save your changes. You can then download, print, or share the completed form as needed.

Complete your application for Accuro Health Insurance online today to secure your coverage.