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.

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

Note:

The Out-of-Round application form has been re-issued as of 2 October 2026 to include additional guidance for insurers on the delegation of premium approvals.

1D – Out of Round application templates

About this resource

Publication date:
Publication type:
Form
Language:
English