Guide to Completing the 2020 Private Health Insurance Premium Application Form

Templates A, B and C (Product Information, Financial Forecasts, Snapshot)

We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.

Publication date: 
21 August 2019
Last updated: 
22 August 2019
Publication type: 
Intended audience: 
Health sector

The approved form to apply for premium changes includes:

  • A written report
  • Template A — Product Information
  • Template B — Financial Forecasts
  • Template C — Snapshot.

Read the guide for:

  • what the written report must include
  • how to complete the templates.