Get Additional Dependants Application Form - Hosmed

Completing the Additional Dependants Application Form for Hosmed is a vital step in ensuring that your dependants are properly registered. This guide provides clear, step-by-step instructions to help you navigate the form efficiently and accurately.

Follow the steps to complete your form effectively.

1. Press the ‘Get Form’ button to acquire the form and open it in your document editor.
2. Begin filling in Section A with your member details, including your title, initials, first name, surname, identity number, email address, and phone numbers. Ensure all information is accurate and complete.
3. Continue to Section B, 'Particulars of Dependants.' Here, you will need to enter the name, surname, ID number, relationship to the member, sex, date of admission to Hosmed, and marriage date if applicable for your dependants. Remember to indicate if they were previously registered with another medical scheme.
4. For any dependants previously registered with another medical scheme, complete the additional fields regarding the name of the previous scheme, membership number, duration of membership, and details about any exclusions from benefits.
5. Proceed to Section C, 'Employer Details.' Fill in the company name, region, and provide your signature along with the date of employment and your designation.
6. In Section D, you will need to address the medical history of your dependants. Carefully read each question and indicate 'Yes' or 'No' accordingly. If necessary, attach a separate document to provide full details.
7. Once you have completed all sections, review the form for any missing information or errors. It is essential to ensure everything is accurate to avoid delays.
8. Finally, save your changes, download the completed form, or print it for submission. Make sure to attach all required documents as indicated in the instructions.

Take action now to ensure your dependants are registered by completing the form online.