I want to change personal details on my health insurance policy

Fill in our form so we can help

Once you’ve completed this form, we’ll confirm your change of personal details by email. If that’s not possible, we’ll send confirmation by post within 10 working days.

If you need to change an address on your policy, please use our change of address form.

Direct customers

If you took out your health insurance policy directly from us, and your policy number starts with 0, 1, 2, 3 or 4.

Use our form for direct customers

Workplace employees

If you have health insurance through your company, and your policy number starts with 5, 90, 91, 92, 93 or 94.

Use our form for workplace employees

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Your details

Please complete with the information we hold on file for you.

It’s important that you include this as it helps us identify your policy.

If the email address you have provided isn’t the one we hold on our records we will get in touch with you by phone or post

Please enter the date in the format dd/mm/yyyy

Insured person(s) this change is for

Please enter the date in the format dd/mm/yyyy

What do you need to change? (optional)

Select all that apply.

What do you need to change?

If there's something you don't need to change, just leave blank.

Please enter the date in the format dd/mm/yyyy

Such as having your documents in an alternative format or that you require additional support with communications (e.g. a translator or being hard of hearing).

We will update this on your client record for all your products with Aviva.

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