Fish Insurance
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Healthcare Protect

Supporting people living independently

  • Your Details
  • Your Quote
  • Declaration
  • Payment
  • Confirmation

Welcome
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Please complete the following details.
Questions with an asterisk * are mandatory

Details of the person(s) receiving care

Please provide a correspondence email address. We may use this to contact you about the policy or a claim.

This is the first name of the person receiving care.

This is the last name of the person receiving care.

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This is the date of birth of the person receiving care.

Please provide a contact number. We may use this to discuss the policy or a claim. If the person receiving care doesn’t have a telephone number please leave blank.

This is the address where the care takes place. This does not have to be the correspondence address.

Is this the address where you’d like us to send all postal correspondence to, including policy documentation or claims information?

The employer is the person who’s responsible for the hiring of the carer and pays their wages.

If you don't want to add another person receiving care to your policy, please continue to the next section.

We are able to insure up to 4 people on the same policy however, all care users need to live at the same address and must be directly related to each other or legally married. For example, brothers, sisters, husband and wife.

Add another person receiving care

Details of the carers

Important!

As you have indicated cover is required for carer(s) whilst they carry out healthcare tasks, we need to know the details of the carer(s) that require liability insurance to cover them whilst carrying out these duties.

It is important the carer(s) is/are consulted and notified that an insurance policy is being purchased for them.

Individual policies will be arranged in the name of each carer and the policy documentation will be sent to directly to them.

Edit 

This is the first name of the carer. This name will appear on the policy documentation.

This is the last name of the carer. This name will appear on the policy documentation.

This is the carer's address. The carer's policy will be sent to this address.

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Please provide the date of birth of the carer.

Please provide a contact number. We may use this to discuss the carer’s policy or a claim. If the carer doesn’t have a telephone number please leave blank.

This is the email address for the carer and where their policy documents will be issued to

Please tick the box to confirm you have obtained consent from the carer to provide Fish with their personal information.

Add another carer

If you don't want to add another carer to the policy, please continue to the next section.

If you require cover for more than 12 carers, please contact Fish on 0333 331 3990.

Start date

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Please select a date you would like the cover to start. This date cannot be in the past, or more than 30 days in the future.

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