APPLICATION FORM

Click here to apply for membership of GEMAS.

Application for new members 2007

Once you’ve downloaded and printed the application form, please complete all the fields as accurately as possible using a quality black pen.

Please attach the following documents to the application form:

• Previous medical scheme membership certificates
• Copy of ID’s for adults and birth certificates for children
• Marriage certificate
• An affidavit is required if surnames differ or a common law spouse or partner are added as dependant
• Adopted children –legal documentation to be provided
• Student certificate and / or proof of registration from the university or college if a child dependant is studying.

After completion, please hand your application form to your HR department .

ADDITIONAL DEPENDANTS

APPLICATION –Additional Dependant

Who can be registered as a dependant?

• Your spouse or partner
• Dependant children under the age of 21
• Dependant children over the age of 21 but under the age of 25 and is a full time student at a recognised tertiary educational institution.(Child dependant contribution rates still applicable)

Existing GEMAS members can add a dependant by completing the necessary application form.

Click here to apply for additional dependants

Application for additional dependants 2007

Please attach the following documents to the application form if applicable to the dependant:

• Previous medical scheme membership certificates
• Copy of ID’s for adults and birth certificates for children
• Marriage certificate
• An affidavit is required if surnames differ or a common law spouse or partner are added as dependant
• Adopted children –legal documentation to be provided
• Student certificate and / or proof of registration from the university or college if a child dependant is studying

BANKING DETAILS
Continuation Members (members whose contributions are not paid by the company)

To conveniently pay

• contributions by debit order,
• pay both contributions and members’portions by debit order.

To conveniently receive

• your claims refunds straight into your bank account, and / or update your banking details

It is the members' responsibility to advise the administrators in writing of any changes in banking details.

Click here Electronic Payments/Collections Form.

Electronic Payments/Collections Form.

PLEASE NOTE:  For security reasons, the Scheme can only accept original forms and not faxed or emailed versions.  Post to:  Private Bag X1897, Rivonia, 2128

CHANGE OF ADDRESS
To ensure uninterrupted service, members should promptly advice the Scheme of any change in their contact details.

Advise us by e-mail:  admin@status.co.za
Fax: (011) 803-7847
Or Mail: Grintek Electronics Medical Aid Scheme, Private Bag X1897, Rivonia, 2128

MEMBERSHIP CARDS
On joining, members receive a single membership card if single or two membership cards if married.  Additional cards can be issued on request.

To obtain additional or replacement cards,

e-mail us:  admin@status.co.za
fax us: (011) 803-7847
or mail us: Private Bag x1897, Rivonia, 2128

ANNUAL FINANCIAL STATEMENTS

–Annual Financials Statements 2010