Police Health Plan Limited discloses that it has made an election not to have a current rating under the Insurance Companies (Ratings and Inspections) Act 1994.

All surgical claim costs must be pre-approved by Police Health Plan Limited. In the event the proposed fees for the surgical procedure fall outside Usual Reasonable and Customary Charges (URC), then Police Health Plan Limited reserves the right to refer the member to another provider. Police Health Plan Limited also reserve the right to refer the member to a specialist surgeon for a second opinion.

Applications for prior approval of surgery must be received at least 7 working days prior to surgery.

All details must be entered on the claim form, which is available direct from our website or from Police Staff Welfare Officers, the Police Association Field Officers, representatives of the Welfare Fund, or by calling Police Health Plan Limited on 0800 500 122. Claim forms are also supplied with your settlement statement. You must keep small claims until they total $100, however they must be submitted within 18 months of incurring the charge. When claiming please supply original invoices or receipts. Photocopies are not acceptable. Each total claim submitted attracts a $20 administration fee.

Police Health Plan Limited, P0 Box 12-344, Wellington.

All claims will be settled to the premium contributor, unless the contributor has specified otherwise. Claim refunds will be paid to either the contributor’s nominated bank account or if not specified, to their Police and Families Credit Union Savings account.

Claim refunds cannot be paid when a Health Plan Policy is in arrears.