Request a Free Review on an Existing Company Policy

Back to Review an Existing Company Policy

In order for us to complete a full market review on your behalf please complete the form below and submit:

It is important to note that completing this form will not change your premium or your relationship with the current insurer.

Your Personal Details Company Name Title Forename * Surname *

Date Of Birth

Address Line 1* Postcode * Telephone Number * Mobile Number Email Address

Your Current Medical Insurance Policy Existing Insurer * Existing Insurer (other) Existing Product Name * Renewal Date Policy Number * Premium Payment Frequency Notes

Please confirm that you have read and understood the Key Facts and Terms of Business

Appointing Chase Templeton as your broker, provides the following benefits:

FREE annual review of your existing medical insurance
FREE benefit comparison
FREE claims support
Due to our size in the market we can give you access to the insurers' most competitive products
Free advice and potential cost savings on other key insurance areas

** I would like to appoint Chase Templeton as my broker

Click Here to view an example letter that we will send to your current insurer on your behalf.

Your Current Insurer may require a signature in order to complete this process. In this instance we will print the letter and post back to you, along with a freepost envelope. Please sign and return FREE of charge.

** If you do not wish Chase Templeton to be your broker please mark the box with an ‘N’

Key Facts

Terms of Business

To view the PDF files, download Adobe Reader