Change of name

Apply to the Health Insurance Association if the name of the insured person or a dependent changes or if you wish to add a new family member as a dependent due to marriage.

Change of name

Required documents

Notification of Name Change (Correction) of Insured Person/Dependent

Sample completed form

Health insurance card (for applicable insured person or dependent)

Deadline Within five days of change in first or last name
Applies to Insured persons or dependents whose names have changed
Submit to Please check here.