Online expression of wish – Morgan Sindall Group

We work closely with your employer to deliver a unique, high quality; tailored experience aimed at all of your health-related needs. As a member of an Employers Private Medical Insurance (PMI) scheme, should you need to make a claim, you can start the authorisation process here and we will contact you within 90 minutes.

Claims Helpline
0345 241 9876
(9 am to 5 pm weekdays)

Its essential that you get in touch with us before attending any appointments, so we can make sure that your claim is covered under the terms and conditions of the policy before you incur any costs.

My Information

First Name *

Last Name *

Date Of Birth *

National Insurance Number *

Your Employer *

Email *

Address

Beneficiary or Beneficiaries

I wish the Trustees to consider paying any lump sum death benefits to the following person(s).

If you wish to name more than one person, please state the percentage for each person. If you wish to nominate more than four persons, please enclose a separate letter with this form.

Number of Beneficiaries

1234

Beneficiary 1

Name of Beneficiary *

Relationship to me *

Percentage of Benefit *

Beneficiary 2

Name of Beneficiary *

Relationship to me *

Percentage of Benefit *

Beneficiary 3

Name of Beneficiary *

Relationship to me *

Percentage of Benefit *

Beneficiary 4

Name of Beneficiary *

Relationship to me *

Percentage of Benefit *

Declaration

I wish the above to be considered as possible recipients of any lump sum payable on my death at the discretion of the Trustees and where more than one person is named by me above in the proportions indicated. In confirm that I understand that the Trustees can take this expression of wish form into account when deciding how to exercise its discretionary powers, but is not legally bound to do so. This supercedes an previous expression of wish signed by me.

Online expression of wish – Morgan Sindall Group

My Information

Beneficiary or Beneficiaries

Beneficiary 1

Beneficiary 2

Beneficiary 3

Beneficiary 4

Declaration

GDPR

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