Get A Quote

Thank you for your interest in Hollard Gap Cover.

Please fill in the details below to get your monthly premium.

Then complete our quick and easy 4-minute online application form and have your cover in place in under 15 minutes.

As easy as that!

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Quote Type

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How would you like to complete your quote ?(Required)

Online

Please give me a call

Personal Details(Required)

First Name Surname

Contact Number(Required)

Age of Policyholder(Required)

Please enter a number less than or equal to 65.

Please note:

Premium calculations are based on the age of the main member joining, not the spouse irrespective of the spouse being older or not.
The main member on gap must be the main member on the medical scheme.
The maximum entry age of anyone joining is 65. So if your spouse is over 65 they are not eligible for cover.

Medical Scheme(Required)

Medical Scheme Option(Required)

Do you want to include your spouse? Is your spouse < 65yrs?(Required)

Yes

No. of children (< 24 years)(Required)

Please enter a number less than or equal to 10.

No. of children (24+ years)(Required)

Please enter a number less than or equal to 10.

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Would you like a copy of your Hollard Gap Cover Quote ?

Yes

Could you please provide your email address so that we can share a copy of your quote with you(Required)

Enter Email Confirm Email

Do you currently have a Hollard broker assisting you?(Required)

Yes, a broker is assisting me

No, I am applying directly

I am a broker requesting a quote

Contact Number(Required)