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Employer Fast Track Enquiry Form
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Simply complete the data sheet below and select “Submit Advice Form” to send the results to Health Link Consultants. All information received is treated as confidential (refer to our Privacy Policy). If you prefer not to use the internet, please print this page then fax or mail it to us.
Remember, you must be authorised or have obtained the consent of your employer for the supply of data information to us. We will be in contact with your employer and will need to confirm that you were the contact person and provided these details to us.
On receipt of the details, we will prepare a written proposal for a Corporate Health Care Plan. there is no initial charge for this service. Should your employer wish to proceed with the plan, then we will completely arrange the introduction, implementation and all on-going advice and service for the plan.
Your Title
Authorised Contact Title
Payroll Frequency
Existing Health Insurance Plan
Do you have an existing Employer Health Plan?
If YES please fill in the details below. If NO skip to the next section
Does Employer subsidy apply?
Proposal Options
Proposed Level of Employer Support
Preferred Contact Basis
Preferred Follow-up Basis
Please provide any extra information or queries in this text box.
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