121 Healthcare Ltd

121 Healthcare Logo, 1.5K

Request for Primecare Saver policy details from Standard Life Healthcare

For a single parent with one child, parent aged 68

To complete your request for the Primecare Saver policy details from Standard Life Healthcare, please complete the details below:

Post code:
E-mail address:
Daytime phone number:
Evening phone number:
Date of birth:
About your family
  1st child 2nd child 3rd child 4th child
Date of birth:
Any additional comments or questions:
I confirm that I have read the guide to buying Private Medical Insurance, that I am a resident of the United Kingdom and that I have checked that the policy details shown on this site meet my requirements. I understand that the period of cover is for 12 months and that I will be asked if I wish to continue with the insurance at the end of that time. I also understand that it is my responsibility to provide complete and accurate information to insurers when I take out an insurance policy, throughout the life of the policy and when I renew my insurance. I understand that it is important that all statements I make on proposal forms, claim forms and other documents are full and accurate. If I fail to disclose any material information to my insurers, I realise that this failure could invalidate my insurance cover and could mean that some or all of a claim may not be paid.

121 Healthcare Ltd,
92 Bath Road,
GL53 7JT

Telephone: 01242 513222
Fax: 01242 584008
E-Mail: info@121healthcare.com
Copyright © 2000 - 2008, 121 Healthcare Ltd