Approximate time to complete this form is between 10 - 15 minutes.
Please complete the form below and one of our Partnership Managers will be in touch.
The information we, Southern Cross Medical Care Society (Southern Cross), collect here will be used to draft an Affiliated Provider agreement with the intention to contract for services. Upon agreement to the terms and conditions of an Affiliated Provider agreement, the eligible practitioner(s), email(s), specialty, location(s) of practice and appointment phone number(s) noted here will be published on Healthcare Finder, our database of practices and providers that is publicly available . We may also use the information provided here to administer payments to you, send you information about our products and services, newsletters, surveys and to communicate with you about relevant matters.
You and your listed providers are entitled to access and request correction of the personal information that we hold about you and your listed providers.
Southern Cross Medical Care Society (trading as Southern Cross Health Society) is a licensed insurer and a licensed financial advice provider. For more information about the financial advice service we provide and a copy of our public disclosure statement please visit southerncross.co.nz/disclosure-statement.
Southern Cross Medical Care Society (trading as Southern Cross Health Society) has an A+ (Strong) financial strength rating given by Standard & Poor’s (Australia) Pty Limited. The rating scale is: AAA (Extremely Strong), AA (Very Strong), A (Strong), BBB (Good), BB (Marginal), B (Weak), CCC (Very Weak), CC (Extremely Weak), SD or D (Selective Default or Default). Ratings from ‘AA’ to ‘CCC’ may be modified by the addition of a plus (+) or minus (-) sign to show relative standing within the major rating categories. Full details of the rating scale are available at www.spglobal.com/ratings/en/about/intro-to-credit-ratings. Standard & Poor’s is an approved rating agency under the Insurance (Prudential Supervision) Act 2010.
