Your Library
Find the information and documents for our health plans and/or applications and forms needed in our processes.
----Bupa Insurance Limited (BINS)----
Claim Form - BINS
- 2024 (407.05 KB)
Terms and Conditions - Diamond Care - BINS
- 2025 (244.48 KB)
Membership Guide - Bupa Complete Care - BINS
- 2025 (162.25 KB)
Membership Guide - Bupa Diamond Care - BINS
- 2025 (160.29 KB)
Membership Guide - Premier 1 Diamond - BINS
- 2025 (244.35 KB)
Membership Guide - Premier 1 Gold - BINS
- 2025 (244.35 KB)
Membership Guide - Premier 1 Silver - BINS
- 2025 (246.94 KB)
Membership Guide - Premier Care - BINS
- 2025 (249.68 KB)
Membership Guide - Silver - BINS
- 2025 (282.35 KB)
----Seguros Internacionales Premium----
Table of benefits - Global Ultimate Health Plan - Dominican Republic
- 2024 (337.52 KB)
Table of benefits - Global Select Health Plan - Dominican Republic
- 2024 (259.63 KB)
Table of benefits - Global Premier Health Plan - Dominican Republic
- 2024 (297.66 KB)
Table of benefits - Global Major Health Plan - Dominican Republic
- 2024 (260.14 KB)
Table of benefits - Global Elite Health Plan - Dominican Republic
- 2024 (318.9 KB)
Sales Brochure - Global Premier Health Plan - Dominican Republic
- 2024 (5.72 MB)
Sales Brochure - Global Ultimate Health Plan - Dominican Republic
- 2024 (5.42 MB)
Sales Brochure - Global Select Health Plan - República Dominicana
- 2024 (4.48 MB)
Sales Brochure - Global Elite Health Plan - Dominican Republic
- 2024 (3.14 MB)
----Bupa Insurance Company (BIC)----
Claim Form HIS - BIC
- 2024 (123.65 KB)
Terms and Conditions - Bupa Care - BIC
- 2025 (246.27 KB)
Health Insurance Application - Individual - BIC
- 2024 (891.06 KB)
Health Insurance Application (Special) - Individual - BIC
- 2024 (2.86 MB)
International Health Insurance Application - Individual - BIC (Supreme/Optimum)
- 2024 (744.17 KB)
Terms and Conditions - Bupa Alpha - BIC
- 2025 (229.83 KB)
Terms and Conditions - Bupa Flex - BIC
- 2025 (228.4 KB)
Terms and Conditions - Bupa Supreme - BIC
- 2025 (232.39 KB)
Terms and Conditions - Bupa Optimum - BIC
- 2025 (230.16 KB)
Terms and Conditions - Bupa Critical Care - BIC
- 2025 (207.02 KB)
Terms and Conditions - Bupa Advantage CFG - BIC
- 2025 (251.88 KB)
Table of Benefits - Bupa Optimum - BIC
- 2024 (104.15 KB)
Table of Benefits - Bupa Supreme - BIC
- 2024 (78.4 KB)
Table of Benefits - Critical Care - BIC
- 2025 (111.85 KB)
Table of Benefits - Bupa Alpha - BIC
- 2025 (120.79 KB)
Table of Benefits - Privilege Care - BIC
- 2025 (126.99 KB)
Table of Benefits - Advantage Care - BIC
- 2025 (126.52 KB)
Table of Benefits - Bupa Max - BIC
- 2025 (140.27 KB)
Table of Benefits - Bupa Flex - BIC
- 2025 (66.78 KB)
Table of Benefits - Exclusive Care - BIC
- 2025 (129.62 KB)
Table of Benefits - Secure Care - BIC
- 2025 (121.6 KB)
Sales Brochure - Bupa Privilege - BIC
- 2025 (162.51 KB)
Sales Brochure - Bupa Exclusive Care - BIC
- 2025 (115.33 KB)
Sales Brochure - Bupa Essential Care - BIC
- 2025 (125.63 KB)
Sales Brochure - Bupa Secure Care - BIC
- 2025 (147.05 KB)
Credit Card Authorization Form for Insurance Premium - BIC
- 2025 (102.08 KB)
Claim Form - BIC
- 2024 (177.9 KB)
International Healthcare Insurance Application - BIC
- 2022 (885.45 KB)
Terms and Conditions - Bupa Max - BIC
- 2025 (224.92 KB)
Sales Brochure - Advantage Care - BIC
- 2025 (146.51 KB)
Welcome Guide - Bupa Care - BIC
- 2025 (266.39 KB)
Membership Guide - Worldwide - BIC
- 2025 (446.14 KB)
Membership Guide - Select - BIC
- 2025 (432.44 KB)
Membership Guide - Bupa Prestige - BIC
- 2025 (458.69 KB)
Membership Guide - Bupa Group - BIC
- 2025 (414.49 KB)
Membership Guide - Choice - BIC
- 2025 (389.77 KB)
----Bupa Care----
Transplant Procedure Rider - Bupa Secure Care - Trinidad & Tobago
- 2022 (97.58 KB)
Comparison Guide - Table - Bupa Care - Trinidad & Tobago
- 2022 (53.28 KB)
Terms and Conditions - Bupa Secure Care - Trinidad & Tobago
- 2022 (174.27 KB)
Terms and Conditions - Bupa Privilege - Trinidad & Tobago
- 2025 (264.91 KB)
Terms and Conditions - Bupa Advantage Care - Trinidad & Tobago
- 2025 (263.51 KB)
Terms and Conditions - Secure Care - Trinidad and Tobago
- 2025 (257.48 KB)
----Seguros Internacionales----
Sales Brochure - Bupa Secure Care - Trinidad & Tobago
- 2025 (885.74 KB)
Membership Guide - Bupa Advantage Care - Trinidad & Tobago
- 2025 (1.26 MB)
Membership Guide - Bupa Essential Care - Trinidad & Tobago
- 2025 (1.25 MB)
Membership Guide - Bupa Secure Care - Trinidad & Tobago
- 2025 (1.23 MB)
Membership Guide - Bupa Privilege Care - Trinidad & Tobago
- 2025 (1.27 MB)
Gastrointestinal Disorders Questionnaire - Trinidad and Tobago
- 2021 (90.72 KB)
Heart Disease Hypertension Questionnaire - Trinidad and Tobago
- 2021 (149.03 KB)
Maternity Questionnaire - Trinidad and Tobago
- 2021 (93.04 KB)
Psychiatric Disorders Questionnaire - Trinidad and Tobago
- 2021 (78.06 KB)
Seizures Questionnaire - Trinidad and Tobago
- 2021 (134.46 KB)
Statement of Good Health - Trinidad and Tobago
- 2021 (71.93 KB)
Thyroid Disorders Questionanire - Trinidad and Tobago
- 2021 (91.5 KB)
Treating Physician Statement - Trinidad and Tobago
- 2021 (83.35 KB)
Statement of Residence - Trinidad and Tobago
- 2021 (72.07 KB)
Asthma and Respiratory Disorders Questionnaire - Trinidad and Tobago
- 2021 (136.87 KB)
Diabetes and other Gluclose Disorders Questionnaire - Trinidad and Tobago
- 2021 (114.35 KB)
Certificate of good health reinstatement - Trinidad and Tobago
- 2021 (59.97 KB)
Claim Form - Trinidad and Tobago
- 2021 (228.04 KB)
Application to request review of exclusions - Trinidad and Tobago
- 2021 (48.35 KB)
Individual Health Insurance Application - Trinidad and Tobago
- 2022 (1.13 MB)
Medical Statement - Trinidad and Tobago
- 2021 (53.66 KB)
Certificate for dependent student - Trinidad and Tobago
- 2021 (70.96 KB)
Application for Transplant Procedures Rider - Trinidad and Tobago
- 2021 (136.86 KB)
Credit Card Payment for Insurance Premium - Trinidad and Tobago
- 2021 (107.13 KB)
Product Summary - Bupa Privilege Care - Trinidad & Tobago
- 2025 (181.6 KB)
Product Summary - Bupa Essential Care - Trinidad & Tobago
- 2025 (1.74 MB)
Product Summary - Bupa Advantage Care - Trinidad & Tobago
- 2025 (1.43 MB)
----Corporate Insurance----
Application for Group Health - Corporate Care - Trinidad and Tobago
- 2022 (108.88 KB)
Application for Group Health - Corporate Care - BIC
- 2025 (76.1 KB)
Medical Supplement - Corporate Care - BIC
- 2025 (152.39 KB)
Claim Form - Corporate Care - BIC
- 2024 (158.93 KB)
Terms and Conditions - Corporate Care - BIC
- 2025 (256.09 KB)
Dental Care Rider- Corporate - BIC
- 2025 (163.75 KB)
Vision Care Rider- Corporate - BIC
- 2025 (259.75 KB)
Table of Benefits - Corporate - Option 2 - BIC
- 2025 (232.29 KB)
Table of Benefits - Corporate - Option1 - BIC
- 2025 (229.38 KB)
Sales Brochure - Corporate - BIC
- 2025 (479.38 KB)
Membership Guide - Corporate Care - BIC
- 2025 (148.87 KB)
Terms and Conditions - Corporate Care - Trinidad and Tobago
- 2025 (294.4 KB)
Sales Brochure - Corporate Care - Trinidad and Tobago
- 2025 (140.87 KB)
Membership Guide - Corporate Care - Trinidad and Tobago
- 2022 (1.55 MB)
Member Enrollment Form for Group Health Ins - Corporate Care - Trinidad and Tobago
- 2021 (151.87 KB)
Application for Insurance - Corporate Care - Trinidad and Tobago
- 2021 (108.9 KB)
Claim Form - Corporate Care - Trinidad and Tobago
- 2021 (284.46 KB)
Medical Supplement - Corporate Care - Trinidad and Tobago
- 2021 (277.14 KB)
Group Medical Underwriting Form - Corporate Care - BIC
- 2024 (100.28 KB)
Member Enrollment Form for Group Health Ins - Corporate Care - BIC
- 2025 (153.25 KB)
----BIC-BINS----
Asthma and Respiratory Disorders Questionnaire - BIC BINS
- 2025 (84.1 KB)
Formulario de Autorización de Transferencia Bancaria para Reembolso - BIC BINS
- 2025 (63.8 KB)
Certificate for Dependent Student - BIC BINS
- 2025 (34.84 KB)
Certificate of Good Health for Policy Reinstatement - BIC BINS
- 2025 (57 KB)
Address Certification Form - Venezuela - BIC BINS
- 2025 (53.28 KB)
Maternity Questionnaire - BIC BINS
- 2025 (128.67 KB)
Heart Disease and Hypertension Questionnaire - BIC BINS
- 2025 (106.64 KB)
Gastrointestinal Disorders Questionnaire - BIC BINS
- 2025 (118.08 KB)
Extraordinary Benefits Request Form - BIC BINS
- 2025 (60.34 KB)
Application to Request Review of Exclusions - BIC BINS
- 2025 (32.65 KB)
Diabetes and Other Gluclose Metabolism Disorders Questionnaire - BIC BINS
- 2025 (151.65 KB)
Treating Physician Statement - BIC BINS
- 2025 (74.44 KB)
Psychiatric Disorders Questionnaire - BIC BINS
- 2025 (90.44 KB)
Seizures Questionnaire - BIC BINS
- 2025 (81.12 KB)
Statement of Good Health - BIC BINS
- 2025 (31.08 KB)
Statement of Residence - BIC BINS
- 2025 (47.46 KB)
Thyroid Disorders Questionanire - BIC BINS
- 2025 (61.11 KB)
Company Beneficial Ownership Disclosure Form - Venezuela - BIC BINS
- 2025 (47.91 KB)
Application for Transplant Procedures - BIC BINS
- 2025 (68.41 KB)
Bank transfer authorization for claim reimbursement - BIC BINS
- 2024 (64.71 KB)
----Bupa Insurance Limited (BINS)----
Claim Form - BINS
- 2024 (407.05 KB)
Terms and Conditions - Diamond Care - BINS
- 2025 (244.48 KB)
Membership Guide - Bupa Complete Care - BINS
- 2025 (162.25 KB)
Membership Guide - Bupa Diamond Care - BINS
- 2025 (160.29 KB)
Membership Guide - Premier 1 Diamond - BINS
- 2025 (244.35 KB)
Membership Guide - Premier 1 Gold - BINS
- 2025 (244.35 KB)
Membership Guide - Premier 1 Silver - BINS
- 2025 (246.94 KB)
Membership Guide - Premier Care - BINS
- 2025 (249.68 KB)
Membership Guide - Silver - BINS
- 2025 (282.35 KB)
----Seguros Internacionales Premium----
Table of benefits - Global Ultimate Health Plan - Dominican Republic
- 2024 (337.52 KB)
Table of benefits - Global Select Health Plan - Dominican Republic
- 2024 (259.63 KB)
Table of benefits - Global Premier Health Plan - Dominican Republic
- 2024 (297.66 KB)
Table of benefits - Global Major Health Plan - Dominican Republic
- 2024 (260.14 KB)
Table of benefits - Global Elite Health Plan - Dominican Republic
- 2024 (318.9 KB)
Sales Brochure - Global Premier Health Plan - Dominican Republic
- 2024 (5.72 MB)
Sales Brochure - Global Ultimate Health Plan - Dominican Republic
- 2024 (5.42 MB)
Sales Brochure - Global Select Health Plan - República Dominicana
- 2024 (4.48 MB)
Sales Brochure - Global Elite Health Plan - Dominican Republic
- 2024 (3.14 MB)
----Bupa Insurance Company (BIC)----
Claim Form HIS - BIC
- 2024 (123.65 KB)
Terms and Conditions - Bupa Care - BIC
- 2025 (246.27 KB)
Health Insurance Application - Individual - BIC
- 2024 (891.06 KB)
Health Insurance Application (Special) - Individual - BIC
- 2024 (2.86 MB)
International Health Insurance Application - Individual - BIC (Supreme/Optimum)
- 2024 (744.17 KB)
Terms and Conditions - Bupa Alpha - BIC
- 2025 (229.83 KB)
Terms and Conditions - Bupa Flex - BIC
- 2025 (228.4 KB)
Terms and Conditions - Bupa Supreme - BIC
- 2025 (232.39 KB)
Terms and Conditions - Bupa Optimum - BIC
- 2025 (230.16 KB)
Terms and Conditions - Bupa Critical Care - BIC
- 2025 (207.02 KB)
Terms and Conditions - Bupa Advantage CFG - BIC
- 2025 (251.88 KB)
Table of Benefits - Bupa Optimum - BIC
- 2024 (104.15 KB)
Table of Benefits - Bupa Supreme - BIC
- 2024 (78.4 KB)
Table of Benefits - Critical Care - BIC
- 2025 (111.85 KB)
Table of Benefits - Bupa Alpha - BIC
- 2025 (120.79 KB)
Table of Benefits - Privilege Care - BIC
- 2025 (126.99 KB)
Table of Benefits - Advantage Care - BIC
- 2025 (126.52 KB)
Table of Benefits - Bupa Max - BIC
- 2025 (140.27 KB)
Table of Benefits - Bupa Flex - BIC
- 2025 (66.78 KB)
Table of Benefits - Exclusive Care - BIC
- 2025 (129.62 KB)
Table of Benefits - Secure Care - BIC
- 2025 (121.6 KB)
Sales Brochure - Bupa Privilege - BIC
- 2025 (162.51 KB)
Sales Brochure - Bupa Exclusive Care - BIC
- 2025 (115.33 KB)
Sales Brochure - Bupa Essential Care - BIC
- 2025 (125.63 KB)
Sales Brochure - Bupa Secure Care - BIC
- 2025 (147.05 KB)
Credit Card Authorization Form for Insurance Premium - BIC
- 2025 (102.08 KB)
Claim Form - BIC
- 2024 (177.9 KB)
International Healthcare Insurance Application - BIC
- 2022 (885.45 KB)
Terms and Conditions - Bupa Max - BIC
- 2025 (224.92 KB)
Sales Brochure - Advantage Care - BIC
- 2025 (146.51 KB)
Welcome Guide - Bupa Care - BIC
- 2025 (266.39 KB)
Membership Guide - Worldwide - BIC
- 2025 (446.14 KB)
Membership Guide - Select - BIC
- 2025 (432.44 KB)
Membership Guide - Bupa Prestige - BIC
- 2025 (458.69 KB)
Membership Guide - Bupa Group - BIC
- 2025 (414.49 KB)
Membership Guide - Choice - BIC
- 2025 (389.77 KB)
----Bupa Care----
Transplant Procedure Rider - Bupa Secure Care - Trinidad & Tobago
- 2022 (97.58 KB)
Comparison Guide - Table - Bupa Care - Trinidad & Tobago
- 2022 (53.28 KB)
Terms and Conditions - Bupa Secure Care - Trinidad & Tobago
- 2022 (174.27 KB)
Terms and Conditions - Bupa Privilege - Trinidad & Tobago
- 2025 (264.91 KB)
Terms and Conditions - Bupa Advantage Care - Trinidad & Tobago
- 2025 (263.51 KB)
Terms and Conditions - Secure Care - Trinidad and Tobago
- 2025 (257.48 KB)
----Seguros Internacionales----
Sales Brochure - Bupa Secure Care - Trinidad & Tobago
- 2025 (885.74 KB)
Membership Guide - Bupa Advantage Care - Trinidad & Tobago
- 2025 (1.26 MB)
Membership Guide - Bupa Essential Care - Trinidad & Tobago
- 2025 (1.25 MB)
Membership Guide - Bupa Secure Care - Trinidad & Tobago
- 2025 (1.23 MB)
Membership Guide - Bupa Privilege Care - Trinidad & Tobago
- 2025 (1.27 MB)
Gastrointestinal Disorders Questionnaire - Trinidad and Tobago
- 2021 (90.72 KB)
Heart Disease Hypertension Questionnaire - Trinidad and Tobago
- 2021 (149.03 KB)
Maternity Questionnaire - Trinidad and Tobago
- 2021 (93.04 KB)
Psychiatric Disorders Questionnaire - Trinidad and Tobago
- 2021 (78.06 KB)
Seizures Questionnaire - Trinidad and Tobago
- 2021 (134.46 KB)
Statement of Good Health - Trinidad and Tobago
- 2021 (71.93 KB)
Thyroid Disorders Questionanire - Trinidad and Tobago
- 2021 (91.5 KB)
Treating Physician Statement - Trinidad and Tobago
- 2021 (83.35 KB)
Statement of Residence - Trinidad and Tobago
- 2021 (72.07 KB)
Asthma and Respiratory Disorders Questionnaire - Trinidad and Tobago
- 2021 (136.87 KB)
Diabetes and other Gluclose Disorders Questionnaire - Trinidad and Tobago
- 2021 (114.35 KB)
Certificate of good health reinstatement - Trinidad and Tobago
- 2021 (59.97 KB)
Claim Form - Trinidad and Tobago
- 2021 (228.04 KB)
Application to request review of exclusions - Trinidad and Tobago
- 2021 (48.35 KB)
Individual Health Insurance Application - Trinidad and Tobago
- 2022 (1.13 MB)
Medical Statement - Trinidad and Tobago
- 2021 (53.66 KB)
Certificate for dependent student - Trinidad and Tobago
- 2021 (70.96 KB)
Application for Transplant Procedures Rider - Trinidad and Tobago
- 2021 (136.86 KB)
Credit Card Payment for Insurance Premium - Trinidad and Tobago
- 2021 (107.13 KB)
Product Summary - Bupa Privilege Care - Trinidad & Tobago
- 2025 (181.6 KB)
Product Summary - Bupa Essential Care - Trinidad & Tobago
- 2025 (1.74 MB)
Product Summary - Bupa Advantage Care - Trinidad & Tobago
- 2025 (1.43 MB)
----Corporate Insurance----
Application for Group Health - Corporate Care - Trinidad and Tobago
- 2022 (108.88 KB)
Application for Group Health - Corporate Care - BIC
- 2025 (76.1 KB)
Medical Supplement - Corporate Care - BIC
- 2025 (152.39 KB)
Claim Form - Corporate Care - BIC
- 2024 (158.93 KB)
Terms and Conditions - Corporate Care - BIC
- 2025 (256.09 KB)
Dental Care Rider- Corporate - BIC
- 2025 (163.75 KB)
Vision Care Rider- Corporate - BIC
- 2025 (259.75 KB)
Table of Benefits - Corporate - Option 2 - BIC
- 2025 (232.29 KB)
Table of Benefits - Corporate - Option1 - BIC
- 2025 (229.38 KB)
Sales Brochure - Corporate - BIC
- 2025 (479.38 KB)
Membership Guide - Corporate Care - BIC
- 2025 (148.87 KB)
Terms and Conditions - Corporate Care - Trinidad and Tobago
- 2025 (294.4 KB)
Sales Brochure - Corporate Care - Trinidad and Tobago
- 2025 (140.87 KB)
Membership Guide - Corporate Care - Trinidad and Tobago
- 2022 (1.55 MB)
Member Enrollment Form for Group Health Ins - Corporate Care - Trinidad and Tobago
- 2021 (151.87 KB)
Application for Insurance - Corporate Care - Trinidad and Tobago
- 2021 (108.9 KB)
Claim Form - Corporate Care - Trinidad and Tobago
- 2021 (284.46 KB)
Medical Supplement - Corporate Care - Trinidad and Tobago
- 2021 (277.14 KB)
Group Medical Underwriting Form - Corporate Care - BIC
- 2024 (100.28 KB)
Member Enrollment Form for Group Health Ins - Corporate Care - BIC
- 2025 (153.25 KB)
----BIC-BINS----
Asthma and Respiratory Disorders Questionnaire - BIC BINS
- 2025 (84.1 KB)
Formulario de Autorización de Transferencia Bancaria para Reembolso - BIC BINS
- 2025 (63.8 KB)
Certificate for Dependent Student - BIC BINS
- 2025 (34.84 KB)
Certificate of Good Health for Policy Reinstatement - BIC BINS
- 2025 (57 KB)
Address Certification Form - Venezuela - BIC BINS
- 2025 (53.28 KB)
Maternity Questionnaire - BIC BINS
- 2025 (128.67 KB)
Heart Disease and Hypertension Questionnaire - BIC BINS
- 2025 (106.64 KB)
Gastrointestinal Disorders Questionnaire - BIC BINS
- 2025 (118.08 KB)
Extraordinary Benefits Request Form - BIC BINS
- 2025 (60.34 KB)
Application to Request Review of Exclusions - BIC BINS
- 2025 (32.65 KB)
Diabetes and Other Gluclose Metabolism Disorders Questionnaire - BIC BINS
- 2025 (151.65 KB)
Treating Physician Statement - BIC BINS
- 2025 (74.44 KB)
Psychiatric Disorders Questionnaire - BIC BINS
- 2025 (90.44 KB)
Seizures Questionnaire - BIC BINS
- 2025 (81.12 KB)
Statement of Good Health - BIC BINS
- 2025 (31.08 KB)
Statement of Residence - BIC BINS
- 2025 (47.46 KB)
Thyroid Disorders Questionanire - BIC BINS
- 2025 (61.11 KB)
Company Beneficial Ownership Disclosure Form - Venezuela - BIC BINS
- 2025 (47.91 KB)
Application for Transplant Procedures - BIC BINS
- 2025 (68.41 KB)
Bank transfer authorization for claim reimbursement - BIC BINS
- 2024 (64.71 KB)
