COVID-19 Insurance Registration Form

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Powered by mTek via Hillcroft Insurance Brokerage Ltd.

Four Simple Steps:

1) Provide Policy Holder Information.
2) Provide Insured Individual Information.
3) Select Package and Pay
4) You are insured and smarter #besmart

The Insurance Policy provides Coverage for a person on diagnosis and hospitalization with COVID-19 for atleast 24 hours.
More benefits and frequently asked questions : https://covid19.mtek-services.com/#faq

Policy Holder Information

Details of the individual purchasing the policy and not necessarily the COVID-19 insured individual

Name of the policy holder: *

Date of Birth: *

YYYY

National Id Number *

KRA Personal Identification Number (PIN) *

Mobile Number *

Email Address *

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