Serious Illness Cover Application Form

A serious or critical illness plan provides protection in the event that you suffer a critical illness such as cancer, a heart attack or stroke.

After suffering from a serious illness your earning or income ability can be greatly affected and this type of cover can help to relieve some of the financial burdens.

Our insurance consultants can help you find the serious illness cover which best suits your needs. Please fill out the form below to begin the process of protecting for the future of you and your loved ones.

Applicant 1

No. of years