GAP COVER APPLICATION

Basic Cover Plus — cover starting from January 2027

Your application

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Step 01 of 06

Your details

Let's get to know you a little better.

You must belong to a medical aid registered with the Council for Medical Schemes to apply for Gap Cover.

Title*

Initials

First name*

Surname*

Contact number*

Date of birth*

South African ID number*

Email address*

Employer

Postal address*

Cover is regulated. Experience is Not!

Total Risk Administrators (Pty) Ltd — FSP No 40815

Underwritten by Auto & General Insurance Company Limited