Get A Quote For Your Group Health Insurance Cover

Contact Information

Company/Organisation Name *

Contact Person's First Name *

Contact Person's Last Name *

Email Address *

Contact Number *

Underwriting Information

Is it the first time your company/organisation is applying for a group health policy? *YesNo

Number of individuals to be insured at inception of the group *

The average age of all the individuals to be insured at inception of the group *

Do you want to consider offering the option to your employees to include their dependents to your health insurance group? *YesNo

Number of current insured members *

Name of current insurer *

Renewal Date *

What type of cover are the members insured under? *

Do you offer the option to employees to include their dependents to your health insurance group? *YesNo

Data Protection Notice

To the extent that the information supplied by you, whether orally or in writing, constitutes personal data, including sensitive data within the provisions of the Data Protection Act, you consent to the processing of such data for purposes of administering your proposal for insurance, your Policy, underwriting, handling of claims and also for the purposes of detecting, preventing and suppressing fraud and of keeping statistics. We maybe required to collect further information from our sub-agents, other insurance companies, insurance intermediaries or insurance associations.

In addition, we may pass some or all of the information to other insurance companies, or insurance associations for underwriting and claims handling purposes and also for the purposes of detecting, preventing and suppressing fraud and of keeping statistics. This also helps us to check the information provided. When we deal with your request for insurance, we may search this information. When you tell us about an incident which may or may not give rise to a claim, we will pass information relating to it to the Malta Insurance Association.

We and other companies within our group would like, on occasion, to keep you informed of our products and services, by mail, fax, e-mail or other electronic means. Please inform us in writing if you do not wish to receive this information or if you wish to receive such information solely from GasanMamo Insurance Ltd. Moreover, were hereby ask you whether you wish to receive direct marketing information from us by e-mail to your e-mail address provided below.

You have the right to request access to, and rectification of, your personal data held by us by directing your request in writing signed by yourself to the Data Protection Officer, GasanMamo Insurance Ltd, Msida Road, Gzira GZR 1405

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Group Health Quote

Group Health Quote

Contact Information