Resident in the UK or Gibraltar 

Global Prima Medical Insurance

For NEW policies that incepted on or renewed after the 1st April 2024.

If you are resident in the UK or Gibraltar please use the forms below.

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

If you are resident in EEA please click HERE 

APPLICATION FORMS

Private Client

• Full Medical Underwriting Application Form (Editable)
• Moratorium Application Form (Editable)
• Bronze Application Form (Editable)
• Switch (CPME) (Editable)

Corporate Client

• Corporate Application Form

POLICY WORDINGS

Private Client

• Private Client Policy Wording

Corporate Client

• Corporate Policy Wording

INSURANCE PRODUCT INFORMATION DOCUMENTS (IPID)

Private Client

• IPID - Platinum
• IPID - Gold
• IPID - Silver
• IPID - Bronze Plus
• IPID - Bronze

Corporate Client

• IPID - Platinum
• IPID - Gold
• IPID - Silver
• IPID - Bronze Plus
• IPID - Bronze

CLAIM FORMS

• Step by Step Guide to Making a Claim
• One Page Claims Guide
• Medical Certificate
• Out-patient claim form
• 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 Sales Brochure
• European Out-patient Direct Settlement