Remove members from a policy…

To remove a member from your health insurance policy or cash plan please complete this form.

We will then contact your insurer and organise this on your behalf.



Company information:


Employee information:




Remove another employee


Remove a second employee:




Remove another employee


Remove a third employee:




Remove another employee


Remove a forth employee:




Remove another employee


Remove a fifth employee:




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.