Forms

Online Forms

info Please note you have to be a logged in user to use our online forms.
Application - High Risk Insurance Person
The High-Risk Insurance Person application is submitted by approved insurers to request a risk rating for individuals with pre-existing conditions who are enrolling in an Individual or Group Standard Health Insurance Contract (SHIC) plan.
Standard Permium Rate Increase Request
The Standard Health Insurance Premium form is submitted by approved insurers to request changes to the standard premium rates. An approved insurer may use this form to submit a request to increase the standard premium rate of the Standard Health Insurance Contract (SHIC).
Individual Report - Standard Health Insurance Fees

Registered Medical Practitioners and Health Care Facilities may complete the Individual Report form to request the addition of specific CPT code(s) to the Standard Health Insurance Fees (SHIF) Schedule. If approved by the Commission, the CPT code(s) will be added to the fee schedule and published on the department’s website.

Please note: The Standard Health Insurance Fee (SHIF) is the list of fees that are utilized by Approved Insurers in the Cayman Islands to pay claims.

Health Insurance Commission Complaint Intake

The Complaint Intake Form is the official form used by stakeholders to report complaints related to health insurance matters.

Notification of No Health Insurance Coverage

Registered Medical Practitioners and Health Care Facilities may complete this form if a patient received services and no insurance information was verified.

Medical Code & Fees

Registered Medical Practitioners and Health Care Facilities must file an annual report with the Commission detailing the CPT codes and fees used for medical billing.

Paper Forms

Application - High Risk Insurance Person
The High-Risk Insurance Person application is submitted by approved insurers to request a risk rating for individuals with pre-existing conditions who are enrolling in an Individual or Group Standard Health Insurance Contract (SHIC) plan.
Standard Premium Rate Increase Request
The Standard Health Insurance Premium form is submitted by approved insurers to request changes to the standard premium rates. An approved insurer may use this form to submit a request to increase the standard premium rate of the Standard Health Insurance Contract (SHIC).
Individual Report - Standard Health Insurance Fees

Registered Medical Practitioners and Health Care Facilities may complete the Individual Report form to request the addition of specific CPT code(s) to the Standard Health Insurance Fees (SHIF) Schedule. If approved by the Commission, the CPT code(s) will be added to the fee schedule and published on the department’s website.

Please note: The Standard Health Insurance Fee (SHIF) is the list of fees that are utilized by Approved Insurers in the Cayman Islands to pay claims.

Health Insurance Commission Complaint Intake

The Complaint Intake Form is the official form used by stakeholders to report complaints related to health insurance matters.

Notification of No Health Insurance Coverage

Registered Medical Practitioners and Health Care Facilities must file an annual report with the Commission detailing the CPT codes and fees used for medical billing.

Application Package for New Approved Insurers

Paper Forms

Application - High Risk Insurance Person
The High-Risk Insurance Person application is submitted by approved insurers to request a risk rating for individuals with pre-existing conditions who are enrolling in an Individual or Group Standard Health Insurance Contract (SHIC) plan.
Standard Premium Rate Increase Request
The Standard Health Insurance Premium form is submitted by approved insurers to request changes to the standard premium rates. An approved insurer may use this form to submit a request to increase the standard premium rate of the Standard Health Insurance Contract (SHIC).
Individual Report - Standard Health Insurance Fees

Registered Medical Practitioners and Health Care Facilities may complete the Individual Report form to request the addition of specific CPT code(s) to the Standard Health Insurance Fees (SHIF) Schedule. If approved by the Commission, the CPT code(s) will be added to the fee schedule and published on the department’s website.

Please note: The Standard Health Insurance Fee (SHIF) is the list of fees that are utilized by Approved Insurers in the Cayman Islands to pay claims.

Health Insurance Commission Complaint Intake

The Complaint Intake Form is the official form used by stakeholders to report complaints related to health insurance matters.

Notification of No Health Insurance Coverage

Registered Medical Practitioners and Health Care Facilities must file an annual report with the Commission detailing the CPT codes and fees used for medical billing.

Application Package for New Approved Insurers