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Application to add dependants (with underwriting) …

Page 1 of 10LA Health Medical Scheme, registration number 1145, is administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07. Discovery Health (Pty) Ltd is an authorised financial services detailsTel: 0860 103 933 PO Box 652509, Benmore 2010 to add dependants (with underwriting )Complete this form if you want to add dependant/s to your membership of LA Health Medical we areLA Health Medical Scheme (referred to as the Scheme ), registration number 1145 is the Scheme that your dependant/s are applying to become a member of. This is a non-profit organisation, registered with the Council for Medical Health (Pty) Ltd (referred to we us and our or as the administrator ) is a separate company and an authorised financial services provider (registration number 1997/013480/07). We take care of the administration of your membership for the Scheme.

LA Health Medical Scheme, registration number 1145, is administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07. Discovery Health (Pty) Ltd is an authorised financial services provider.

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