Name of the Organization : Universal Healthcare Administrators (Pty) Ltd
Type of Facility : How to Join CompCare Wellness Medical Scheme
Head Office : Rivonia
Website : https://compcare.co.za/home
Membership Application Form : https://www.southafricain.com/uploads/2558-Membershipform.pdf
Employer Application Form : https://www.southafricain.com/uploads/2558-CompCareemployee.pdf
How to Join CompCare Wellness Medical Scheme :
How to Join :
** Everyone who would like to join CompCare Wellness (in their own capacity or as part of an employer group) needs to complete an application form.
Related : CompCare Wellness NetworX option suitable for Students : www.southafricain.com/2553.html
** Once you’ve downloaded and printed the application form, please complete all the fields as accurately as possible using a black pen.
Please attach the following documents to the application form :
** Latest salary advice /payslip
** Previous medical scheme membership certificates
** Copy of ID’s for adults and birth certificates for children
** Marriage certificate
** An affidavit should surnames differ or a common law spouse or partner are added as dependant
** Adopted children -legal documentation to be provided
** Student certificate and /or proof of registration from the university or college if a child dependant is studying
** Although we accept faxed copies as an interim measure, the original application form must be received by CompCare to complete the application process.
** Fax numbers for applications – 086 645 0991
Postal Address for application forms:
Attention: Membership Department
CompCare Wellness Medical Scheme
Private Bag X49
Rivonia
2128
CompCare Wellness Medical Scheme confirms that :
1. All personal details and medical information shall be kept confidential.
2. Personal and medical information will not be sold for commercial purposes or used for related scheme business.
3. CompCare Wellness Medical Scheme has taken adequate security measures to protect the confidentiality of the said information.
4. Limited controlled access is granted to employees and third parties, for the medical scheme to fulfil its obligations towards its beneficiaries.
5. Personal and medical information will be used for processing this application, reimbursement of claims, determining member entitlement to benefits and risk management practice.
6. CompCare Wellness Medical Scheme confirms that it has entered into confidentiality agreements with all contracted third parties who have access to beneficiary information for the purposes of data transfer management, scheme administration and managed care arrangements.
Where A Broker Has Been Used, The Broker Must Complete The Following Broker Declaration Section :
1. I hereby confirm that I have been appointed by the member applicant, and acknowledge that the member applicant may terminate my services at any time.
2. I confirm that I am fully accredited in terms of relevant legislation, on date of my signature, of this document.
3. Financial Services Board: Accreditation number Council for Medical Schemes: Accreditation number
4. I confirm that I have provided the member applicant with my full name, physical and postal address and telephone number.
5. The commission payable upon completion of the transaction by the: Member applicant R Scheme R
6. I confirm that I have a valid contract with the scheme.
7. I confirm that the information provided by me, to the member applicant and the scheme is true and correct to the best of my knowledge.
8. I confirm that where I have completed this application from on behalf of the applicant member, the applicant member is familiar with the information requested and responses provided.
9. The advice and assistance provided to the applicant member was impartial and in his / her best interests.
10. In the event of a material misrepresentation being made by me or engagement in unlawful conduct I undertake to refund all monies paid by the applicant member and / or the scheme in consequence of such misrepresentation or conduct.
11. I confirm that the member applicant has personally signed the form.