Remove members from your company policy

Please select one of the options below:

To remove members 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.

To remove a dependant child or partner from an employee’s policy please complete this form.

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


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.