Please complete this form if you wish to initiate the online application of voluntary or additional insurance cover for your client through our group life insurer Hannover Life Re of Australasia (HLRA).
Once you complete this form, your client will receive an email from email@example.com within one business day that contains a secure URL allowing your client to complete this application directly with Hannover Life Re of Australasia (HLRA). HLRA will request any further information needed from your client, and health evidence required to complete the application.
If you have any questions regarding this application, please call our Client Services team on 1300 264 264 or email firstname.lastname@example.org.
For information on the different types of insurance available to your client, the general terms of that insurance and the cost of insurance (premiums), please review the Product Disclosure Statement and Additional Information Booklet relevant to your clients account with AMG Super.