Administration Forms

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Application Forms

Health Insurance Applications

application comprehensive international plan 2020 Download  pdf

application standard international plan 2020 Download  pdf

application premier international plan 2020 Download  pdf

application major medical plan 2020 Download  pdf

physician examination report Download  pdf

Travel Insurance Applications

pci bon voyage travel plan application 2020 Download  pdf

pci annual travel plan application 2020 Download  pdf

Claim Forms

Health Insurance Claim Forms

notification of inpatient/outpatient claim form Download  pdf

dental claim form Download  pdf

oral examination report Download  pdf

Travel Insurance Claim

travel insurance claims form Download  pdf

Treatment Plans

referral for follow-up care Download  pdf

treatment plan for chemotherapy and radiotherapy Download  pdf

treatment plan for physiotherapy, chiropractic and acupuncture Download  pdf

Policy Documents

pc policy document_medical policy 2020 Download  pdf

pci policy document annual travel 2020 Download  pdf

pci policy document bon voyage travel Download  pdf

Premium Payment Form

payment method Download  pdf