I want to change personal details on my health insurance policy

Fill in our form so we can help

Once you’ve completed this form, we’ll confirm your change of personal details by email. If that’s not possible, we’ll send confirmation by post within 10 working days.

If you need to change an address on your policy, please use our change of address form.

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Your details

Please complete with the information we hold on file for you.

Policy number

It’s important that you include this as it helps us identify your policy.

Select or enter your policy number

It’s important that you include this as it helps us identify your policy.

If the email address you have provided isn’t the one we hold on our records we will get in touch with you by phone or post

Please enter the date in the format dd/mm/yyyy

Insured person(s) this change is for

What do you need to change?

Let us know what you'd like to change below. If you don't need to change something, leave it blank.

Please enter the date in the format dd/mm/yyyy

Additional support

Do you have any additional support requirements you would like to make us aware of?
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