REMOVE SOMEBODY FROM A POLICY Remove somebody from your policy Please select one of the following options: Remove an employee from your company policyRemove a partner or dependant from your existing policy Please select your policy type: I have a Company PolicyI have a Family or Individual Policy Which policies do you want to remove them from: (tick all that apply) Medical InsuranceMedex ProtectCashplanDental InsuranceTravel InsuranceGroup Life Insurance/Death in ServiceGroup Income ProtectionGroup Critical Illness Company information: Employee information: Select cover type...SingleCoupleSingle Parent FamilyFamily Remove another employee Remove a second employee: ---SingleCoupleSingle Parent FamilyFamily Remove another employee Remove a third employee: ---SingleCoupleSingle Parent FamilyFamily Remove another employee Remove a forth employee: ---SingleCoupleSingle Parent FamilyFamily Remove another employee Remove a fifth employee: ---SingleCoupleSingle Parent FamilyFamily You may submit a maximum of 5 employees at once using this form. To submit more employees please click submit and then start the process again. Company information: Employee and dependant information: Remove another dependant Remove a second dependant: Remove another dependant Remove a third dependant: Remove another dependant Remove a forth dependant: Remove another dependant Remove a fifth dependant: You may submit a maximum of 5 dependants at once using this form. To submit more dependants please click submit and then start the process again. Policy holder information: Dependant information: Remove another dependant Remove a second dependant: Remove another dependant Remove a third dependant: Remove another dependant Remove a forth dependant: Remove another dependant Remove a fifth dependant: You may submit a maximum of 5 dependants at once using this form. To submit more dependants please click submit and then start the process again. Help with your policy:Add somebody to your policy Business Travel Insurance claims Cash plan claims Change company name or transfer a policy Change my address Change Group Administrator/ Secretary or add an administrator to a policy Dental insurance claims Hospital & consultant finders Insurer contact details Medex Protect claims Medical insurance claims P11Ds, health insurance and the taxman Remove somebody from your policy
