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Making a claim : Personal Group

Call us on 01908 605 000 to book a demo



Making a claim

In order for us to set up a claim and send you a claim form we require some simple information from you. Please complete the below form.

Alternatively you can call our Customer Relations Team on 0800 542 5930

* denotes required field

Full Name
Email address
Date of Birth
Policy Number (if known)

Is the claim for you or someone else covered by our Plan(s)?
By giving us information about someone else you are confirming to us that you have their permission to do so
Are you claiming against a (tick all that apply):
Hospital plan
Convalescence plan
Death benefit plan
Date of Attendance
Number of Nights

Name of Hospital
Please list medical condition
How would you like to receive your claim form?
Please confirm you are happy for us to use the information you have provided to set up your claim.