Information for Parents  l  Information for Schools

 
 
 
 
 
 





Apply online now
Complete the online form below to apply for the JUA Student Health Total School Cover. Our secure online credit card payment system approves transactions in seconds, and the insurance cover takes effect immediately. VISA, Mastercard and Bankcard are accepted. Please note that you must be an Authorised School Representative in order to apply on behalf of your students.


School Details  
 
  School/College Name:  
  School Address:
 
  Suburb/Town:     Postcode:  
  State:  
  Phone number:


 
Applicant Details    
  Your Name:  
  Your Phone Number:  
  Your Email Address:  
  Please confirm that you are an Authorised School Representative:
    Yes, I am an Authorised School Representative

  
  Would you like us to send you an email reminder to reapply next calendar year?
    Yes, please send me an email reminder


  
Acceptance of terms    
  By submitting this form, you acknowledge that you have read and accept the terms defined in the
Product Disclosure Statement & Policy Wording. (PDF 102K)

Tip: To save the PDF, right-click on the link above and select “Save Target As...”
    Yes, I have read and accept these terms


  
  Policy Details    
  Period of Insurance:  Cover commences from 1st January 2012 or the purchase date (where the premium is paid after 1st January 2012) until 31st December 2012.

  
  Number of students to be insured:  
 
  Level of cover: $7.00 AUD per student incl. GST for "Standard Benefits" Cover
$14.00 AUD per student incl. GST for "Double Benefits" Cover

  
   



 








    Privacy - Disclaimer

    JUA Student Health Cover
    A product by JUA Underwriting Agency Pty Ltd - ABN: 70 004 566 465 - AFSL: 235411
    Freecall: 1800 252 264 - Phone: (03) 9909 7480 - Fax: (03) 9909 7485
    Address: Suite 1610, 530 Little Collins Street, Melbourne, VIC 3000
    Email: reception@studenthealth.com.au