Health Insurance Template

A health insurance template is a readymade document which lays down the format in which a particular health insurance is framed. These types of templates contain the details of the health insurance policy, the name of the insurance holder and other insurance related details. The template is framed in such a way that it consists of all those details which are needed in any kind of a health insurance. The reason why such templates are used is because health institutes do not wish to spend time on thinking of a proper format and drafting such documents themselves. The other reason is that such templates are customisable and hence seem like the easy way out. If you are looking for a sample of a health insurance template, then just scroll down.

“You can Download the Free Health Insurance Template form, customize it according to your needs and Print. Health Insurance Template is either in MS Word, Excel or in PDF.”

Sample Health Insurance Template

Health Insurance Template

Download Health Insurance Template

Name of applicant ___________ [your name]

Address ___________ [your address]

Contact no _____________ [your phone number]

Profession__________ [mention occupation]

Date of birth ___dd/mm/yyyy_

Previous insurance ____________ [mention details of previous insurance, if any]

Premium details___________ [mention details of premium]

Bank details

Bank account number ______________ [mention bank account no]

Annual income___________ [mention your salary]

Health background

Any serious ailment that you have ___________ [mention if you have a sickness]

Any past ailment ____________ [previous sickness]

Any past injuries due to accidents with cause___________ [past accidents]

Any medication you need ___________ [regular medicines taken]

Had any surgery ___________ [surgical exposure]

Pregnant presently or been before __________ [choose the right option]

Signature ______________ [your sign]

Date ___dd/mm/yyyy___

Category: Health Templates

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