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AXA PPP Healthcare

AXA PPP

 

AXA PPP were founded in England in 1940, with the active support of the medical royal colleges, the British Medical Association and the King's Fund to set up a health insurance scheme for people in London.

 

PPP International serve around 2.5 million customers and their business activity includes Medical insurance for individuals and companies throughout the world and Dental care services.

 

Today they are members of the global AXA group.

General Information:

 

To receive a free, no obligation tailored quotation on AXA PPP Healthcare please complete the form below and one of our expert advisors will email you initial quotations within one working day. If you would prefer someone to contact you by telephone to discuss your medical insurance needs in more detail, please let us know in the "Questions" box at the end of this form or visit our callback page.

 

1 - About you

Title  * :
First name  * :
Last name  * :
Date of birth DD/MM/YYYY  * :
 /   / 
Nationality, as on passport  * :
Country/countries where cover required  * :
Occupation  :
Do you wish to include spouse/dependant  * :

2 - Cover required

Level of cover  * :
Length of cover  * :
*If less than 12 months - how many months  :
Start date required  * :
 /   / 
Currency required  * :
Premium frequency  * :

3 - Medical history

If you have any pre-existing medical conditions or are currently receiving medical treatment, please provide details:

4 - Contact details

E-mail address  * :
Confirm email address  * :
Alternative E-Mail Address  :
Daytime telephone number  * :
  
Address 1  :
Address 2  :
Town/ City  :
State / Province / County  :
Post/ Zip code  :
Country  * :

5 - Further information & Newsletter / Survey

Please use this box to provide any further information or ask any questions that you may have for us:
We offer an APRIL Medibroker newsletter by E-mail.
Would you like to subscribe?  * :
On an annual basis we carry out a customer satisfaction survey (carried out in confidence by a third party market research company employed by APRIL GROUP) in order to assess our service levels and standards.
Would you like to participate ?  * :
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Use of your information will solely by used by APRIL Medibroker and any personal information will remain confidential within normal procedures in advising on and completing applications for private medical insurance and associated plans. Your information will not be disclosed to any third parties outside of APRIL GROUP or used for unsolicited marketing.

 

Use of your information will solely by used by APRIL Medibroker and any personal information will remain confidential within normal procedures in advising on and completing applications for private medical insurance and associated plans. Your information will not be disclosed to any third parties outside of APRIL Group or used for unsolicited marketing.

 

 

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APRIL Medibroker Limited is regulated in the United Kingdom by the Financial Services Authority. Our regulated Firm number is 304773. Full details can be found on the FSA Register You can contact the Financial Services Authority (FSA) at: 25 The North Colonnade, Canary Wharf, London E14 5HS. You can also call their Consumer Helpline on 0845 606 1234. Additional information can be obtained from www.fsa.gov.uk - © 2010 APRIL Medibroker Limited. All rights reserved.