Resident in the EEA 

For policies that incepted or renewed on or after 1st January 2023.

If you are resident in the EEA please use the forms below.

(EEA - Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain and Sweden) 

If you are resident in anywhere else in the world other than the EEA, UK or Gibraltar please click HERE

If you are resident in the UK or Gibraltar please click HERE

APPLICATION FORMS

Private Client

• Private Client Application Form
• Private Client Application Form Editable
• Private Client Application Form (Germany)
• Private Client Application Form (Germany) Editable
• Full Medical Underwriting Application Form
• Full Medical Underwriting Application Form Editable
• Full Medical Underwriting Application Form (Germany)

Corporate Client

• Corporate Application Form

POLICY WORDINGS

Private Client

• Private Client Policy Wording

Corporate Client

• Corporate Policy Wording

INSURANCE PRODUCT INFORMATION DOCUMENTS

Private Client

• Prima Platinum Insurance Product Information Document
• Prima Premier Insurance Product Information Document
• Prima Classic Insurance Product Information Document

Corporate Client

• Prima Platinum Insurance Product Information Document
• Prima Premier Insurance Product Information Document
• Prima Classic Insurance Product Information Document

CLAIM FORMS 

• Step-by-Step Guide to Making a Claim
• Medical Certificate
• Out-patient claim form
• Out-patient claim from - editable
• Pregnancy claim form
• Dental treatment claim form
• Hospital Cash Benefit claim form
• Wellness Vaccinations and Optical claim form
• Medical Release Form

OTHER FORMS

• Private Client Payment Terms & Conditions
• Corporate Payment Terms & Conditions
• The Prima Plan Guide
• European Out-patient Direct Settlement