Adviser Suite

Arthritis, osteoarthritis, rheumatoid arthritis or gout

Non-transportation aviation

Spinal (back or neck) disorders, muscular or joint disorders

Keyman, partnership and loan cover

To confirm information disclosed in the health and lifestyle questionnaire has not changed since initial application; including medical, occupation, travel, hobbies, etc.

Diabetes or impaired fasting glucose

Digestive disorders, Crohn’s Disease, ulcerative colitis, gastric reflux, ulcers or hernia

Diving for professional or recreational purposes

Epilepsy, fits, multiple sclerosis or other neurological complaints, to be completed by medical attendants.

For financial underwriting to assess the life insured’s eligibility for the level of cover requested

Urinary or kidney disorders, stones, pyelonephritis, blood or protein in urine

Growths, lumps, tumours, cysts, abnormal moles or skin lesions

Health, lifestyle, work, family history, medical history, country of residence

High blood pressure

Mental health issues such as depression, anxiety, schizophrenia, eating disorders, or bipolar disorder

Amateur and professional motorsports

Indoor and outdoor climbing

Lifting or moving heavy goods; working underground, at heights, or with specialised equipment; handling dangerous materials such as explosives, chemicals, radioactive matter; or subjection to adverse environmental conditions

Working underwater, at heights, in the drilling area or with explosives in the oil and gas industry

To be completed when a plan with insurance benefits has lapsed and there is a request for it to be reinstated

Amateur and professional sailing (lakes, rivers, sea, trans-ocean, round the world)

For requests by the life insured for medical records to be sent to a medical practitioner

To be filled by the life insured when requested by Zurich

If the life insured has visited or intend to visit Iran, Iraq, Yemen, Afghanistan, Pakistan, Syria, any country of the former Soviet Union or any country in Africa

Yo update your policy when you stop smoking or using nicotine

For life insured working in armed forces

Epilepsy, fits, multiple sclerosis or other neurological complaints to be completed by the life insured.

To provide information on the use of tobacco or nicotine by the life insured

To provide information on Medical request form