Use this form for Easy Health applications. This form can also be used to request changes to any existing Hospital Cover EasyCare policy.

This form is to be used in conjunction with an nib Ultimate Health Max / Ultimate Health application form for each adult applicant who has also completed the full health questionnaire in a Partners Life application form within the last 30 days.

This form is to be used in conjunction with an nib Ultimate Health Max / Ultimate Health application form for each adult applicant who has also completed the full health questionnaire in an AIA application form within the last 30 days.

This form is to be used in conjunction with an nib Ultimate Health Max / Ultimate Health application form for each adult applicant who has also completed the full health questionnaire in an Asteron Life application form within the last 30 days.

This form is to be used in conjunction with an nib Ultimate Health Max / Ultimate Health application form for each adult applicant who has also completed the full health questionnaire in a Cigna application form within the last 30 days.

Use this form to request changes to existing Major Medical policies only.

This form is to be completed whenever an existing private health insurance policy or benefit is to be replaced, exchanged or converted.

Use this form for reinstating a lapsed health insurance policy and/or renewing an original application for health insurance.