Apply for insurance

By using our online proposal form you can obtain immediate insurance cover.

The online proposal form is currently only available for Irish residents.

You need to have a suitable qualification for one of the Therapies that we cover.

We are unable to accept correspondence courses.

Please contact us if you are unsure whether your qualification is acceptable.

Before completing the online form you should read our terms of business and data protection.

Payment is online using WorldNet Tps.

To complete the form: