Nhif Registration Application Form PDF Details

Navigating the bureaucracy of health insurance registration can be a daunting task, and the National Hospital Insurance Fund (NHIF) Registration Application Form represents a critical step in ensuring access to healthcare services for citizens and residents of Kenya. This comprehensive document, bearing the identifier NHIF 33 and directed to the NHIF's headquarters in Nairobi, outlines the necessary information and procedural steps for employers, organized groups, or sponsors seeking to register under the NHIF scheme. The form requires detailed inputs such as the name and postal address of the entity, contact details including a telephone number and email address, and specifics about the headquarters' location, including the business location, branch, road/street, and building details. Furthermore, it mandates the provision of a certificate or registration number, alongside the company's PIN number, both necessitating attached copies for verification purposes. The form also stipulates spaces for the full name and signature of the authorized officer, underlined by the official stamp of the employer or organizing group, ensuring authenticity and accountability throughout the registration process. Upon submission, the application undergoes a review and approval sequence, as indicated by sections for reception, inspection, recommendation, and final issuance, each requiring the full name and signature of the respective NHIF official responsible at each stage. This intricate process underscores the NHIF's commitment to meticulous record-keeping and verification, essential for fostering a robust and inclusive healthcare financing system.

QuestionAnswer
Form NameNhif Registration Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnhif registration online, nhif employer portal, nhif portal login account login, nhif application

Form Preview Example

NHIF 33

P.O. Box 30443, NAIROBI

WEBSITE: WWW.NHIF.OR.KE EMAIL: INFO@NHIF.OR.KE

EMPLOYER'S/ORGANIZED GROUP/SPONSORS CODE ....................................................................

Tick where applicable

Employed

Organised groups

Sponsored

 

 

 

 

 

 

 

 

 

 

1.Employer’s/ Organized Group/ Sponsor Particulars

(a)

Name:

(b)

Postal Address:

Code:

(c)Telephone Number:.........................................................................................................................................

(d)E-mail Address: ...............................................................................................................................................

2.Headquarters’ Registered Office

(a)Business Location/Branch: ..............................................................................................................................

(b)Road/Street: ....................................................................................................................................................

(c) Building:

Floor/Room No.:

3.Certificate/Registration Number (Attach copy)*:

4.Company PIN Number (Attach copy):........................................................................................................................................................................................................................

......................................................................

.............................................................................

Full Name of Authorized Officer

Employer’s/Organized Group Official Stamp

......................................................................

.............................................................................

Signature

Date

 

 

1. Received By:

Approved and Issued Code By:

(a) Full Name _____________________________

(a) Full Name ______________________________

(b) Signature ______________________________

(b) Signature _______________________________

(c) Date __________________________________

(c) Date __________________________________

2. Inspected and Recommended By:

 

(a) Full Name _____________________________

 

(b) Signature ______________________________

 

(c) Date __________________________________

 

NB: The following other documents are also valid

 

• Copy of Kenya Gazette

 

• Copy of the Act of parliament

 

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1. The nhif application necessitates specific details to be inserted. Make sure the next fields are filled out:

nhif registration portal writing process shown (step 1)

2. After the previous section is finished, you'll want to insert the necessary particulars in Full Name of Authorized Officer, EmployersOrganized Group Official, Signature, Date, cid, Approved and Issued Code By, a Full Name, a Full Name, b Signature, b Signature, c Date, c Date, Inspected and Recommended By, a Full Name, and b Signature so you can move forward to the third step.

nhif registration portal completion process explained (part 2)

Always be extremely attentive when filling in a Full Name and a Full Name, as this is the section where most people make errors.

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