Add a member to your company policy

Sorry, you need to enable JavaScript to use this form. If you are unable to do this, please return to our contact us page to find the relevant telephone number.

Please tick this box to confirm you are the group administrator

Your details

Please complete with the information we hold on file for you as the group administrator

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

Search for the address by entering the postcode. The postcode should be in Great Britain, Northern Ireland, Isle of Man or Channel Islands.

The details of the member you would like to add

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

Search for the address by entering the postcode. The postcode should be in Great Britain, Northern Ireland, Isle of Man or Channel Islands.

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

Is the person employed by the company?
Do you want to add other dependents?

Dependent

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

Do they live at the same address as the employee?
Search for the address by entering the postcode. The postcode should be in Great Britain, Northern Ireland, Isle of Man or Channel Islands.
Do you want to add another dependent?

Another Dependent

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

Do they live at the same address as the employee?
Search for the address by entering the postcode. The postcode should be in Great Britain, Northern Ireland, Isle of Man or Channel Islands.
Do you have any additional support requirements you would like to make us aware of?

Please be aware that we will update this on your client record for your health policy with Aviva

Please select from the following

Aviva uses your personal data as set out in our Privacy Policy. We use Google’s reCAPTCHA technology to protect our websites from spam and abuse. The Google Privacy Policy and Terms of Service apply to reCAPTCHA.

Back to start of main content