PSA – AIL of New Zealand

Thank you for requesting further information on these benefits for PSA members.

Please complete the form below if you are interested in claiming your certificate of coverage for the FREE COVER, taking up the OPTIONAL EXTRA or hearing more about the LIFE INSURANCE AND SUPPLEMENT HEALTH BENEFITS.

An AIL NZ representative will be in touch as soon as possible. You are under No Obligation.

If you have any questions about these benefits, please call AIL NZ on freephone 0800 894 121, (09) 973 5254 or email: info@ailnz.co.nz .

A Disclosure Statement is available here

Name*
First Last
PSA Membership Number:
Contact Number*
Street Address*
City*
Suburb*
Postcode*
Best time to call
Email*
Please tick the benefit(s) that you are wanting more information about below:
- Free Benefit: Certificate of Coverage - Free Accidental Death & Dismemberment Cover ($1,500 for member, $500 for spouse and each child under 19 years)
- Optional Extra Benefit: Accidental Death Benefit – ($10,000 for $2 first year and renewable each year after for $5)
- Additional Accidental Death and Dismemberment Cover
- Accident Injury Cover (including sports injuries)
- Hospital Indemnity
- Cancer Protection
- Critical Illness Cover
- Life Insurance – Permanent or Term Life Cover
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09 320-3031

0800-894-121

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