🛡️ Health Insurance Enrolment

Pick your preferred plan, fill in your details and pay the annual premium securely. Our team reviews every application and activates your cover shortly after payment.

1. Choose your plan

2. Personal details

Full name *

Phone *

Email *

Date of birth

Gender

Marital status

Home address

Occupation

Number of dependants

3. Next of kin

Full name *

Phone *

Relationship

4. Medical history

Pre-existing conditions (e.g. hypertension, diabetes, asthma — write "None" if applicable)

Annual premium to pay

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Submitted to our insurance desk; payment arranged after review.