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Application forms

Editable application forms are now available for you to complete digitally. You can navigate through the form by pressing the down arrow. If you can't physically sign a form, you must sign it digitally. We accept digital signatures from these digital signature providers:

SigniFlow
DocuSign
Quickly Sign
Hellosign
Santamflow
Smart Advice signatures
Adobe Sign with certificate

Advanced Illness Benefit application form

Application for bariatric surgery

Application for out of hospital management of a Prescribed Minimum Benefits

Application for registration of a newborn baby

Application to add dependants (with MQ)

Application to become a member (with MQ)

Application to become a member (without MQ)

Application for special payments to be made from the Accumulated Savings Account

Becoming an employer contact

Chronic Illness Benefit

Continuation form (changing the main member)

Ex Gratia

HIV Programme Application

International Claims Form

Member withdrawal

Permission to make certain information available to a third party

Pre-assessment request

Request for additional cover for approved Chronic Disease List conditions

Request for additional cover for out-of-hospital Prescribed Minimum Benefit conditions

Request for extended supply of medicine

Request for extra Prescribed Minimum Benefit (PMB) cover for HIV

Request for pre-exposure prophylaxis (PREP)

Request to change banking details

Request to reverse the payment of a claim that Engen Medical Benefit Fund received and paid

Transfer from active to retiree status

Mental Health Information Hub

Here for you, here for your health

Feel assured, you are not alone. Our information hub covers a wide range of mental health topics and is created for anyone interested in understanding more about mental wellbeing, whether you are diagnosed, experiencing symptoms, or seeking information for a family member or loved one.

Depression

How can you best support a loved one who has a mental illness?

How the four aspects of mental health affect your wellbeing

Online privacy vs safety: The delicate balance we have to get right with our kids!

Taking strain? Take these 7 steps to practice mindfulness

Oncology Article Hub

Understanding cancer allows you to better cope with and combat the condition. Read on to find information to help you understand cancer, what it is and how it is treated.

Engaging with your employer about your cancer

Engaging with your family and friends

How to tell your children about your cancer diagnosis

Navigating your Cancer Journey

Understanding Cancer

You've just been diagnosed: now what?