Authority to Access Membership Request Form
As the Primary Member (policy holder) you can authorise your spouse/partner to operate your policy as though they are the Primary Member with the exception of removing dependants from your policy or terminating the policy.
You can also authorise another person to make enquiries about your insurance policy.
You may change or withdraw this authority at any time by advising our office in writing or by phoning our Customer Contact Centre on 1300 661 283.
By completing this form, you agree to the Union Health Terms and Conditions and declaration listed on the form.