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Personal Details

Name and Surname*
Telephone*
NIE Number*
Occupation
Gender*
Post Code*
Email*
Date of Birth*

Health Details

No. of people requiring cover*
Pre-existing Conditions

Current Insurer

Insurance Provider
Current Policy Number
Date of renewal
Additional comments

Comments

Comments

Points to consider**

  • There are discounts for the number of policyholders
  • There are discounts for the payment method
  • There are tax advantages for the self-employed by individual contracting, for companies and their workers.
  • Special Conditions with Dental Insurance
  • There are grace periods applicable if you do not come from another insurance company
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