Primary Care - Rates Effective from 28 March 2018

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Primary Care
A plan to assist with your day-to-day health care costs
Email Address
I am a participating union member *
Date of Birth *
Is your Partner to be included *
Are any Children to be included *
What is your preferred Payment Frequency *

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Subscriber Status > Member Details > Linked Hospital Cover > Declaration

Subscriber Status

I am a Current Subscriber *
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I am a new Subscriber *
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I am a Student Teacher *
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Union *
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MOE Employee Number *
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I wish to be a Family/Whanau non union Subscriber *
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Existing HealthCarePlus Membership Number
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Subscriber Status > Member Details > Linked Hospital Cover > Declaration

Linked Hospital Cover arranged through a HealthCarePlus Representative

HealthCarePlus Representative Name (If known)
I'm interested to know more about:
HealthCarePlus Hospital Cover *
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HealthCarePlus Life, Income/Mortgage and/or Trauma Insurance *
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HealthCarePlus Home Loans Solution *
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Subscriber Status > Member Details > Linked Hospital Cover > Declaration

Enter your promo code below:

Subscriber Details

Given Name *
Middle Name
Family Name *
Gender *
Title *
Preferred Email Address *
Alternative Email Address
Home Phone
Mobile Phone
Address: *
Town/City *
Postcode
Name of Place of Work *
Work Site Phone

Partner Details

Given Name *
Middle Name
Family Name *
Gender *
Title *
Date of Birth *

Child #1 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #2 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #3 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #4 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #5 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #6 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #7 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #8 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #9 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

Child #10 Details

(Children must be under 21 years)

Given Name *
Middle Name
Family Name *
Gender *
Date of Birth *

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Subscriber Status > Member Details > Linked Hospital Cover > Declaration

Declaration and Commencement of Cover

The rate/new rate will be
$-.--
Paid by*
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Financial Strength: Education Benevolent Society Incorporated trading as HealthCarePlus has B++(Good) financial strength rating from A.M. Best Company Inc. of New Jersey, United States Of America. A.M. Best is an approved insurance rating agency in terms of Insurance (Prudential Supervision) Act 2010.

Secure Ratings Vulnerable Ratings
A++ A+ A A- B++ B+ B B- C++ C+ C C- D
Superior Excellent Good Fair Marginal Weak Poor

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