Healthcare99
Healthcare99
Healthcare99
Contact Healthcare99

Phone: 0800 65 34 73 EXTN 2
Email: NZ.HEALTHCARE99@GBTPA.CO.NZ

To be eligible to be a member of Healthcare99 you must be a member of NZFFWS. Contributions are in addition to your NZFFWS membership.

There are two plans available: Option A (full cover) and Option B.

Join now by filling in the online form below.

Join here

Date of Birth*
Select which option you would like to join*
Address*

Partner/Spouse

Date of Birth

Child #1

Date of Birth

Child #2

Date of Birth

Child #3

Date of Birth

Child #4

Date of Birth

Pre-existing Conditions

Pre-existing Conditions
Please list your pre-existing and congenital conditions below.

I/We declare that:
I/We declare that:
I/We declare that:
I/We declare that:
Have you or any other person to be covered under this Healthcare 99 Benefit ever had any insurer decline, cancel, require withdrawal, or ever have imposed special terms on you or ever refused you a claim?*
Is there any further information that may affect the acceptance of membership to Healthcare 99 (eg. bankruptcy, insolvency, criminal activity or associations or convictions or any other circumstances giving greater than normal risk of loss. Note this is not an exhaustive list)*
Tick this box to agree*
I understand that on being approved for membership, I will accept the Rules of the Society as being binding upon me. I hereby give authority for the Society to have deducted from my wages, salary or other payments as the case may be, the contributions payable to the Society and any levies which may from time to time be imposed and subsequently ratified at the Annual General Meeting of the Welfare Society. I will not be a full member until my first contribution fee has been received by the office of the Welfare Society. Once this form is submitted, if I do not have a payroll number I will receive a direct debit form from the office which I will complete and return to the office of the Welfare Society so my full membership can be confirmed.