1A – 2027 private health insurance premium application form
1B – templates
About this resource
Publication date:
Publication type:
Form
Language:
English
Australian Government Department of Health, Disability and Ageing
PHI 78/26 attachments - 2027 Private health insurance premium application form and templates
These attachments to PHI circular 78/26 are the 2027 private health insurance premium application form and templates. Attachment 1B was reissued on 15 October 2026 with a minor correction.