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Tools & Downloads

Here you will find a range of useful forms, guides and information.  If you can’t find what you are looking for or need further information, call us on 1300 734 359 or email insurance@diversa.com.au.

Diversa Group Life Pool Premium Rate Tables

These tables provide the current premium rates applicable to individuals (including SMSF members) insured by the Pool from 7 October 2011.

If you would like a premium illustration for your particular situation, please contact your adviser.  If you don't have an adviser, complete a premium quote request and either fax or email it to us.

Premium rates for employer groups and superannuation funds are available on request.

diversa_group_life_pool_carded_rate_tables_-_version_1_20111007.pdf
Personal Statement

Use this personal statement when you are being underwritten for insurance to provide the insurer with details about your health and pastimes.

group_life_personal_statement-oct_2011.pdf
Group Life Premium Quote Request

Use this form to obtain a premium quote from the Diversa Group Life Pool.  It should be used by individual and SMSF members only.

If you are a member of an employer group or other super fund, you should contact your employer or fund administrator for details of the cost of cover for your particular group.

group_life_pool_quote_request_form_version_1.pdf
Customer ID Form - SMSFs

Complete this form to help us verify the identity of your SMSF and it's trustees when first joining the the Pool.

diversa_group_insurance__cust_identification_form_smsf__v1.pdf
Customer ID Form - Individuals

Complete this form to help us verify your identity when first joining the the Pool.

diversa_group_insurance_cust_identification_form_individual__v1.pdf
Choice of Fund Transfer Form

Use this form to request a transfer of your existing insurance into your super fund via the Diversa Group Life Pool.

diversa_glp_-_choice_of_fund_insurance_transfer_form.pdf
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