Insurance — Cover reinstatement form

If your cover was cancelled due to inactivity, you can reinstate it by completing this form. Inactivity means your account has not received any contribution or rollover for a continuous period of 16 months.

Reinstatement of cover is subject to certain conditions and these can be found in the Insurance guide (and/or the Insurance transition guide for ex-QIEC Super members).

We must receive this form within 60 days from the date your insurance cover was cancelled.

Complete your personal details

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