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PHI 62/23 attachments – 2024 private health insurance premium application form and templates

These attachments to PHI circular 62/23 are the 2024 private health insurance premium application form and templates.

Scroll down to access downloads and media.

Attachment A – 2024 private health insurance premium application form

PHI 62/23 attachments – 2024 private health insurance premium application form and templates [PDF - 448 KB] - 21 pages

PHI 62/23 attachments – 2024 private health insurance premium application form and templates [Word - 164 KB] - 21 pages

Attachment B – templates

PHI 62/23 attachments – 2024 private health insurance premium application form and templates [Excel - 521 KB] - 6 pages

About this resource

Publication date:

22 September 2023

Publication type:

Form

Language:

English

Tags:

Private health insurance