Accident & Sickness Insurance Print E-mail
 
Complete the sections below to the best of your ability. We will then be able to prepare a no obligation quotation for the desired insurance. 
 

Please complete the details below so that we may prepare a personal quotation for you using a specialist Accident & Sickness Policy. Should you require advice regarding long-term income protection , please speak to your adviser.
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About you...

Your Name:
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Date of Birth:
required field Min Age 18 Max Age 70 - Under 60 for Income Benefits
Address:
Telephone: required field
Email Address:
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Policy Start Date:
Occupation: required field Please be specific.
Excluded Occupations

Type of Cover Required: required field

 

Selected Benefits Required...

Death - Tax Free Lump Sum Benefit
Loss of one or more Limbs/Sight of one or both eyes - Tax Free Lump Sum Benefit
Permanent Total Disablement - Tax Free Lump Sum Benefit
Temporary Total Disablement (from usual occupation) Amount per week (after tax and N.I.) - Max 75% of Gross Weekly Wage







Annual Gross Salary:
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Please check this box to confirm that you are a resident of the United Kingdom required field








Cover is only available to UK residents, however coverage provided by the plan is worldwide subject to continued UK status.

 










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Company Registration Number: 3995407
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Essential Health is an independent health insurance specialist broker based in the UK.
We deal with all aspects of Private Health Insurance including Private Medical Insurance, Income Protection and other forms of Financial Protection as well as Expat Health Insurance. So if you are looking for Affordable Health Insurance for your company or Family Health Cover and would value some assistance, please contact us.
Equally, if you are looking for Affordable Long-term Medical Insurance or Income Replacement to protect your longterm financial well being we are confident that we can help. Our Friendly staff are waiting to see how we can help.

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