Step 1 of 6
Your Personal Details
The final step before you get covered it to provide the following details:
Step 2 of 6
Your Contact Details
Tell us how to get in touch with you.
Step 3 of 6
Your Dependents Details
Add the details of the people you would like to cover on your policy.
Spouse / Life Partner and all children registered as dependents (including full-time students and permanently disabled children) on your medical scheme may be covered on your GapCover policy.
NB: Any changes must be communicated to the Administrator within 30 days of the occurrence and only dependents that are registered on the policy will be covered.(Dependent children are only covered up to their 26th birthday, unless such a child is permanently dependent on the policy holder due to physical or mental disability.)
Step 5 of 6
Your Payment Details
Complete your bank account details in order to set up a debit order.
Debit Order Mandate
By selecting "Next" below, you thereby authorise Western National Insurance Company Limited to debit your account for the monthly contribution for GapCover. You acknowledge that all such payments from your bank account issued by Western National Insurance Company Limited shall be treated by your bank as if the instructions have been issued by you. You acknowledge that these premiums will be deducted monthly on the selected debit order date from the above account.