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Ngāti Whātua Ōrākei

Health Insurance Enrolment

Complete all sections of this form to enrol into the Ngāti Whātua Ōrākei Health Insurance. To be eligible, you must be a registered Ngāti Whātua Ōrākei hapū member. Anyone 18 and over must complete a separate form.

Registered and eligible Ngāti Whātua Ōrākei hapū members will be covered under the Ngāti Whātua Ōrākei Health Insurance. Any additional cover for yourself or any cover for non-member whānau will be at your own cost. For any assistance, free phone the friendly nib team on 0800 nib nwo (0800 642 696).

Personal details

Biological gender

Contact details

Address

Or enter my address manually

Children details

Your insurance policy benefits will apply to all of your tamariki who are under 18 and are registered members of Ngāti Whātua Ōrākei.

Gender

Non-member details

If you want to add whānau who are not registered Ngāti Whātua Ōrākei hapū members please fill out their details and someone from nib will contact you:

Gender

Person who referred me