Healthcare Application

Before you apply it's important you read and understand the Healthcare Scheme Rules.

About you

Please select your title
Please enter your first name
Please enter your last name

dd/mm/yyyy
Please enter your date of birth

Please note the Healthcare Scheme is only open to new applicants between the ages of 18 and 65.

Contact details

Please enter your email address
Please enter your contact number

Just start typing your address...
Please enter your address

Your Cover


Please select the level of cover you require

Select your level of cover and date of birth, and you'll find out how much your policy will be.

Unfortunately we can't complete your application online, however, please contact us on 01543 441 630 to try and complete your application over the phone.

Your Employment

Please select your relationship to the Police
Please enter your relationship to the Police employee
Please select your relationship to the Police

dd/mm/yyyy
Please enter your date of joining
Please enter your pension number

Your Payment


Please confirm the method of payment

Please note, the Direct Debit form will be sent to you for you to sign before your application can be completed.

Vouchers

Marketing preferences

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Please ensure you have answered each question

To find out more about how your data is used and stored and our promise to you visit: policemutual.co.uk/dataprivacy

How we will use your personal data

PMHC Limited (Police Mutual) is committed to respecting and protecting your personal data. This sets out what we will do with your information and the arrangements we will make to keep that information private and safe. It also explains your rights.

The information you have supplied will be used to provide you with the Healthcare plan, and to administer that plan. To find out how else we may use your information, select the 'How we will use your information we will collect' link below

Click on the links below to find out more:
How will we use the information we collect?
Who and why might we share your information with
What precautions do we take to protect your information?
How long do we keep hold of your information?
Your rights
Complaints

To view our full privacy policy click here

If you have any questions about our privacy policy, you can contact our Data Protection Officer directly at datacontroller@bspokegroup.co.uk or by writing to them at: 4th Floor, 24 Old Bond Street, London W1S 4AW.