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IN THE BEST INTEREST FOR RESIDENTS OF THE CAYMAN ISLANDS, GOVERNMENT HAS FORMED CINICO!

* DOWNLOAD - Please note that to download forms Adobe Acrobat Reader must already be installed on your computer.

A free copy may be downloaded here: Click to download Adobe Reader

Please also see the CINICO General Forms Page.

Health Questionnaire Form
Incident / Complaint Form
SHIC Plan Enrollment Form
CINICO health care coverage enrollment and eligibility.
Government Entities Plan Enrollment Form
CINICO health care coverage enrollment and eligibility.
Application for Direct Debit
Application form for direct debit payment for monthly SHIC premium.
Claim Form
Health Insurance claim form. Instructions on how to correctly file your claim.
Change in Member Circumstance
SHIC members.
Change in Member Circumstance
Government Entities.
CINICO Card Replacement Form
Card replacement request form.

Last Updated: 2011-01-06