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Become a Broker

Abu Dhabi
Basic Health Insurance Plan - Small Groups Basic Plan (Less than 11 Employees) checklist
Basic Health Insurance Plan - Large Groups (More than 11 Employees) checklist
Basic Health Insurance Plan - GCC Nationals checklist
Basic Health Insurance Plan - Female Employee Dependents checklist
Basic Health Insurance Plan - Domestic Helpers checklist
Basic Health Insurance Plan - Dependents checklist
Basic Health Insurance Plan - Small Investors checklist
Basic Health Insurance Plan - Endorsement checklist
Application checklist - Thiqa Top Up
Checklist for Enhanced Small Group - Enrolment, Renewal and Endorsement
Individual Application Form - Enhanced Sahtak UG Plans
Abu Dhabi Basic Plan - individual application
Abu Dhabi Basic Plan - salary certificate for individual
Abu Dhabi Basic Plan - salary certificate for groups
Abu Dhabi Basic Plan - undertaking letter
Letter of Acceptance - Basic (Abi Dhabi) Plan
Applicant Authorization Letter
Individual declaration letter
Declaration form for small investors
Individual Enhanced Application Form
Endorsement Form
Member Information Form
Reimbursement Form - EN
Abu Dhabi Medical examination form
Member Transaction Template
Additional Pregnancy Questionnaire
Providers cash collection rectification form
Abu Dhabi – Affiliation declaration form
Abu Dhabi Basic Plan - Undertaking Letter Group
Group Valid Passport and Visa Declaration
Group Application Form
Wheelchair pre-approval form
Group Health Declaration Form
Dubai
Group Valid Passport and Visa Declaration
Group Application Form
Medical Examination Form
Enrolment Checklist – Dubai
Authorised Signatory Form
Renewal Checklist – Dubai
Endorsement Checklist - Dubai
Endorsement Form
Member Information Form
Reimbursement Form
Member Transaction Template
Additional Pregnancy Questionnaire
Providers cash collection rectification form
Dubai – Affiliation declaration form
Group Health Declaration Form