SALES EMAIL: info@hls.co.ke, TELEPHONE: (+254)-0733-999-600

Please note all fields marked with * are mandatory

Choose Options


I only require hospitalization cover. No outpatient benefits required.

I require Hospitalization and Outpatient benefits.

I require Dental benefits.

I require Maternity benefits.



Persons Covered




Details


Title
* First Name
* Last Name
* Nationality (in passport)
* Country of Residence
Country in which you require medical coverage
Length of Coverage


Contact Information


Daytime telephone number
* Mobile number
* Email Address