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PHI 67/24 attachments – 2025 Private health insurance premium application form and templates

These attachments to PHI circular 59/24 are the 2025 private health insurance premium application form and templates.

Cover page for the PHI premium application form (2025)

Scroll down to access downloads and media.

Attachment A – 2025 private health insurance premium application form

PHI 67/24 attachments – 2025 Private health insurance premium application form and templates [PDF - 448 KB] - 22 pages

PHI 67/24 attachments – 2025 Private health insurance premium application form and templates [Word - 167 KB] - 22 pages

Attachment B – templates

PHI 67/24 attachments – 2025 Private health insurance premium application form and templates [Excel - 425 KB] - 8 pages

About this resource

Publication date:

20 September 2024

Publication type:

Form

Language:

English

Tags:

Private health insurance