Maxicare MaxiPlus Requirements for Enrollment

Requirements for Enrollment:

1.           Filled out Maxicare Corporate Enrollment Sheet (found at the last 3 pages of this proposal). The Enrollment Sheet has 3 sheets

a.           Info Sheet  (Name of Company, Nature of Business, Company TIN etc)

b.           Principals/Employees to be enrolled (fullnames/ birthdates/ positions/ gender/ civil status)

c.           Dependents to be enrolled (fullnames/ birthdates/ positions/ gender/ civil status )

2.           BIR 2303

3.           Any gov’t issued ID of the signatory

4.           KYC Requirements. See Pages 38-40 for the list of KYC Requirements. (to be submitted to us after we prepare the conforme for your signature).