Documents

Find your insurance documents

Below are some commonly used forms and documents to help you make changes to or find information out about your nib policy.
If you need any help in filling out these forms, please call us on 0800 123 6420800 123 642.

Please return your completed form(s) to:
contactus@nib.co.nz, or
nib nz limited
PO Box 91 630
Victoria Street West
Auckland 1142

Forms

Customer feedback form 575.3 KB PDF Declaration of health 47.9 KB PDF Direct Debit form 25.9 KB PDF Premium Cover benefit claim form 52.6 KB PDF Premium Cover medical certificate 22.6 KB PDF Smoking status questionnaire form 417 KB PDF

Brochures

Easy Health brochure 1.1 MB PDF myhealthHQ overview 808.2 KB PDF Ngāti Whātua Ōrākei brochure 2.6 MB PDF Premier Health Business fact sheet 96.5 KB PDF Premier Health Business Proactive Option Flyer 35.2 KB PDF Private Hospital Cover Bronze fact sheet 79.4 KB PDF Private Hospital Cover Gold fact sheet 85.2 KB PDF Private Hospital Cover Silver fact sheet 81.9 KB PDF Ultimate Health and Ultimate Health Max brochure 1.7 MB PDF

Promotional Terms and Conditions

2018 Blues Challenge Terms and Conditions 205.9 KB PDF Quote and Win - Family Holiday T&Cs - Chinese 86.9 KB PDF Quote and Win - Family Holiday T&Cs - English 188.9 KB PDF

Other

QFE Disclosure Statement 97.7 KB PDF Terms and Conditions for $80 Eftpos Gift Card Offer 178 KB PDF Terms and Conditions for nib Blues Giveaway 241.9 KB PDF Terms and Conditions for Register for my nib to be in to win competition 89.4 KB PDF

Policy Documents

Bank Healthcare policy document 260.6 KB PDF Basic and Mid EveryDay Cover policy document 725.7 KB PDF Basic Private Hospital Policy Document 237.6 KB PDF Easy Health policy document 499 KB PDF Everyday for Everyone Cover policy document (ex Warehouse Money) 610.3 KB PDF Health Plus Business Policy Document 262.6 KB PDF Health Plus Policy Document 202.9 KB PDF HealthAon HospitalPlus Policy Document 200 KB PDF Hospital and Specialist Cover policy document (ex Warehouse Money) 657.8 KB PDF Hospital Category List 89.5 KB PDF Hospital Cover (HX, PX) Policy Document 378.1 KB PDF Hospital Cover (MH, MP, OH, OP, OW) Policy Document 193.7 KB PDF Hospital Cover (NB) Policy Document 293.6 KB PDF Hospital Cover (NH) Policy Document 240.7 KB PDF Hospital Cover (OT) Policy Document 351.2 KB PDF Hospital Cover EasyCare Policy Document 323 KB PDF Hospital Cover for EBS Policy Document 248.7 KB PDF Hospital Cover Plus Policy Document 289.8 KB PDF Hospital Cover policy document (ex Warehouse Money) 639.4 KB PDF Mid Private Hospital Cover Plus Policy Document 239.4 KB PDF Mid Private Hospital Cover Policy Document 705.3 KB PDF Ngāti Whātua Ōrākei policy document 402.6 KB PDF nib Travel Insurance policy document PDF Parent Plan Policy Document 249.4 KB PDF Premier Health Business Policy Document 333.9 KB PDF Premier Health Policy Document 399.5 KB PDF Premium Hospital Cover policy document 188.7 KB PDF Priority Health Business Diagnostic List 2013 - 2014 HTML Priority Health Business Policy Document 188.2 KB PDF Priority Health Business Surgical List 2013 - 2014 HTML Priority Health Businesss Modules 1 to 5 126.2 KB PDF Private Hospital Bronze Cover Policy Document 430.5 KB PDF Private Hospital Gold Policy Document 461.2 KB PDF Private Hospital Silver Policy Document 1.3 MB PDF Prosthesis schedule HTML Standard and Premium Everyday policy document 136.1 KB PDF Standard Hospital Cover policy document 188.6 KB PDF Staywell Classic Worksite Policy Document 970.1 KB PDF Top Private Hospital Cover Plus Policy Document 253.8 KB PDF Ultimate Health Max policy document 925.2 KB PDF Ultimate Health policy document 1.5 MB PDF

Major Medical Documents

Major Medical Amendment Form 126.9 KB PDF V19 Medical Extra - Policy Wordings 47 KB PDF V19 Mortgage Extra - Policy Wordings 50.2 KB PDF V26 Benefit sheet - Guaranteed Insurability Cover 14.7 KB PDF V26 Benefit sheet - Premium Cover 27.4 KB PDF V27 Assurance Extra - Policy Wordings 86.3 KB PDF V27 nib Benefit sheet - Major Medical Cover 321.8 KB PDF

Please note we only display the latest version of our policy documents on our website. nib customers can view the relevant documents for their policy on my nib or contact us on 0800 123 nib (0800 123 642)0800 123 nib.