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PHI 78/26 attachments - Out of Round premium application form and templates

These attachments to PHI circular 78/26 are the Out of Round premium application form and templates.

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1C – 2027 private health insurance premium Out of Round application form

PHI 78/26 attachments - Out of Round premium application form and templates [PDF - 749 KB]

PHI 78/26 attachments - Out of Round premium application form and templates [Word - 194 KB]

1D – Out of Round application templates

PHI 78/26 attachments - Out of Round premium application form and templates [Excel - 59 KB]

About this resource

Publication date:

2026

Publication type:

Form

Language:

English

Tags:

Private health insurance