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INDIVIDUAL MEMBER BROKER APPOINTMENT PLEASE COMPLETE IN BLACK INK PLEASE PRINT CLEARLY 4. MEMBER DETAILS (Complete only if employer is a noncompulsory group) Initials Surname Date of birth Membership

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What is bestmed intermediary appointment?

Bestmed intermediary appointment is the process of appointing an intermediary or agent to represent an individual or entity in dealings with Bestmed, a medical scheme provider.

Who is required to file bestmed intermediary appointment?

Any individual or entity who wishes to have an intermediary or agent represent them in dealings with Bestmed must file a bestmed intermediary appointment.

How to fill out bestmed intermediary appointment?

To fill out a bestmed intermediary appointment, you must provide the necessary information about the intermediary, including their contact details and authorization to act on your behalf.

What is the purpose of bestmed intermediary appointment?

The purpose of bestmed intermediary appointment is to formally authorize an intermediary to act on your behalf in matters related to Bestmed, such as claims, queries, and policy changes.

What information must be reported on bestmed intermediary appointment?

The bestmed intermediary appointment form must include the intermediary's name, contact information, and authorization details, as well as the details of the individual or entity appointing them.

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