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Downloads

Mediserv Contracts and Claim forms are available for download in Microsoft Word format and Adobe Acrobat PDF format.

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DOCUMENTS: National Wellness Lifestyle Management Programme (NWLM)
 
(a)
Success & Wellness Lifestyle Management Contract (Primary Contract) - NEW!
    Format: pdf
    EFFECTIVE: JANUARY 06, 2022
 
(b)
GEMS Contract
    Format: pdf
    EFFECTIVE: NOVEMBER 01, 2010
 
(c)
Schedule of Preventative Screening Requirements
    Format: pdf
    EFFECTIVE: OCTOBER 01, 2008
     
(d) How It Works? - The Wellness Lifestyle Management Programme
(Powerpoint Presentation)
    Format: Powerpoint
     
OTHER CONTRACTS AND FORMS
     
(i) Vision Claim Format: pdf
     
(ii) Dental Claim Format: pdf
     
(iii) Medical Claim Format: pdf
    EFFECTIVE: MAY. 01, 2007
     
The following two sets of forms must be submitted when applying for Death Benefits:
     
(a) Physician Statement Format: pdf
     
(b) Member Claim Format: pdf
     
     
Constituent Documents: Society of The Ventures & Investments Programme (VIP)
     
(a) VIP Non-Profit Registration Certificate Format: pdf
     
(b) Certificate & Articles Of Incorporation Format: pdf
     
(c) VIP Bye Laws Format: pdf
    PUBLICATION DATE: JANUARY. 06, 2021
(d) Primary Contract Format: pdf
    PUBLICATION DATE: JANUARY. 06, 2022
Download Instructions:
1) Click on the required format of the Form(s) from the list above.
2) Once downloaded / opened, print the form.
3) Fill in the appropiate information, Sign and Date the Form(s).
4) Submit the Form (s) to any one of our offices.
 
 
 
 
Disclaimer: This info is intended and believed to be accurate,
but Mediserv does not guarantee its accuracy. Mediserv disclaims any liability
for errors or omissions either expressed or implied.
 
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