Forms

Koruhealth Forms

Current Air New Zealand Employees

Application Form
If you want your partner or dependant(s) to be included in your membership, you'll need to send copies of a marriage and/or birth certificate(s)* along with your application form

KoruHealth Claim Form
Koruhealth Change Form 
Koruhealth 19+ Application Form 
If a member's child aged 19 or older wishes to have their own single membership, they can fill out and submit this form. The member retains responsibility for payment of the adult child's fees.

Past Air New Zealand Employees / Retirees


KoruHealth Claim Form
Koruhealth Change Form
Koruhealth 19+ Application Form
When a member's child reaches 19, if they wish to have their own single membership, they can fill out and submit this form. The adult child must be covered under the membership at the time they apply and the member retains responsibility for payment of their fees.