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Life | Health | Income | Mortgage
Home
Why Group Plus?
Why Group Plus?
Team
Testimonials
A real life story
Group disclosure statement
Group privacy policy
Group complaints policy
Insurance
COVER YOU
Life & Funeral Cover
Mortgage & Income Protection
Trauma, Cancer, Needlestick & Total Disability Cover
Health Insurance
Redundancy Insurance
Rent & Household Expense Cover
Travel Insurance & Insurance for International Students and Visitors
Pet Insurance
COVER YOUR STUFF
Car, House & Contents Insurance
Landlords Cover
Public Liability Cover
Professional Indemnity Cover
Trade Packs
Commercial Fire & General
Services
FINANCIAL SERVICES
KiwiSaver
Trusts
Wills
Enduring Powers of Attorney
Trade Union
BORROWING MONEY
Home Loans
Personal Loans
Mortgage Refinancing
First Home Buyers Advice
Contact
Articles
> Also for Trade Unions…
Home
Why Group Plus?
Why Group Plus?
Team
Testimonials
A real life story
Group disclosure statement
Group privacy policy
Group complaints policy
Insurance
COVER YOU
Life & Funeral Cover
Mortgage & Income Protection
Trauma, Cancer, Needlestick & Total Disability Cover
Health Insurance
Redundancy Insurance
Rent & Household Expense Cover
Travel Insurance & Insurance for International Students and Visitors
Pet Insurance
COVER YOUR STUFF
Car, House & Contents Insurance
Landlords Cover
Public Liability Cover
Professional Indemnity Cover
Trade Packs
Commercial Fire & General
Services
FINANCIAL SERVICES
KiwiSaver
Trusts
Wills
Enduring Powers of Attorney
Trade Union
BORROWING MONEY
Home Loans
Personal Loans
Mortgage Refinancing
First Home Buyers Advice
Contact
Articles
> Also for Trade Unions…
Personal Insurance Quote Form
First Name
*
Last Name
Gender
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Female
Smoking Status
Smoker
Non-smoker
Email Address
Date of Birth
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Month
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Year
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Home Phone
Work Number
Mobile Number
Life Cover
What amount of life cover would you like?
Trauma / Cancer Cover
What amount of trauma cover would you like?
Income or Mortgage Protection
What industry do you work in?
What is your actual role?
What is your current income including bonuses?
What is the amount of your mortgage if you have one?
What is the amount of your repayments?
Repayment schedule
Fortnightly
Monthly
Health Insurance
What covers would you like included?
Major medical (operations)
Specialists & Tests
GP Visits, Dental & Optical
Natural & Preventative Care
What excess do you prefer?
$0
$250
$500
$1,000
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