Name and Surname Preferred contact method TelephoneEmail
Telephone Number Email
I acknowledge that my contact details will be shared with other third party service providers and insurers who render cover and services on behalf of Unison in accordance with the Protection of Personal Information Act 4 of 2013. I understand that my contact details may be shared within such third parties solely for the purpose of securing and providing the insurance cover to which I have subscribed and should any other operators become involved, my further consent will be obtained prior to processing with any other third party.
I consent to receive Marketing Updates & Offers from Unison YesNo
I acknowledge that my contact details will be shared with other third party service providers and insurers who render cover and services on behalf of Unison in accordance with the Protection of Personal Information Act 4 of 2013. I understand that my contact details may be shared within such third parties solely for the purpose of securing and providing the insurance cover to which I have subscribed and should any other operators become involved, my further consent will be obtained prior to processing with any other third party. I consent to receive Marketing Updates & Offers from Unison YesNo
Cover TypeMain member onlyMain member and Immediate family coverParent and Parent in-law coverExtended family cover
Main Member Level of Cover 1000020000250003000035000
Main member and Immediate Family Level of Cover 10000125002000025000300003500040000
Family Cover Type Parent coverParent in-law cover
Father Yes Mother Yes Level of Cover 20003000400050007500100001200015000200002500030000 Value added Benefits? Yes
Value Added Benefits: Lump sum benefit per person: R3 000 Airtime: R250 Counselling: 8 x 1 hour sessions Please Note: The Value Added Benefit is only available for members under age of 75 years.
Father In Law Yes Mother In Law Yes Level of Cover 20003000400050007500100001200015000200002500030000 Value added Benefits? Yes
Extended Family Member
Member Age 15 - 2122 - 3031 - 4546 - 6061+ Member Age Not applicable15 - 2122 - 3031 - 4546 - 6061+ Member Age Not applicable15 - 2122 - 3031 - 4546 - 6061+ Member Age Not applicable15 - 2122 - 3031 - 4546 - 6061+ Member Age Not applicable15 - 2122 - 3031 - 4546 - 6061+
Extended Family Member Level of Cover 3000400050007500100001200015000200002500030000 Value added Benefits? Yes
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Telephone Number
Email
Preferred method of response
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I consent to receive Marketing Updates & Offers from UnisonYesNo
Name and Surname Preferred contact method TelephoneEmailWhatsapp
Telephone Number I consent to receive Marketing Updates & Offers from UnisonYesNo
TIC offers Travel insurance as a third-party representative. You will be redirected to their website upon acknowledgment.
I agree to be redirected to the TIC website for Travel Insurance Options
I agree to be redirected to the TIC website for Travel Insurance Claim