Click the SAVE button to save your progress if you have to rush off, but don’t forget to come back to us because your updates will only reflect on our side if it’s fully completed and submitted.
Email email@example.com for any other update request not mentioned below, such as adding and/or removing a dependant, option change, etc.
NEW BROKER DETAILS
Please provide the details of the New Broker that you are appointing to advise you on your policy.
Please nominate 1 beneficiary to whom the benefit amount under the Accidental Death Benefit will be paid to in the event of your accidental death. If a beneficiary is
not nominated, the benefit amount will be paid to your estate.
In the event of your spouse's accidental death, the benefit amount will be paid to the principal insured person on the policy.
Please refer to your policy documentation for full terms and conditions.
As the main applicant, you understand that the beneficiary nominated will receive proceeds from the benefit payable under the Accidental Death Benefit, subject to the terms and conditions of your policy and/or limitations imposed by law at the time of your claimable event.
You also understand that:
CHANGE DEBIT ORDER DETAILS