Resident anywhere in the world (apart from EEA, UK or Gibraltar) 

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

If you are resident in anywhere in the world other than EEA, UK or Gibraltar please use the forms below.

If you are resident in EEA 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
• Full Medical Underwriting Application Form
• Full Medical Underwriting Application Form Editable

Corporate Client

• Corporate Application Form

POLICY WORDINGS

Private Client

• Private Client Generic Policy Wording

Corporate Client

• Corporate Generic 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 form - 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