People Risk Referral

As a valued Aon client, we have a duty of care to inform you of possible risks that you can cover. If you would like to discuss with our Aon specialists the options available to you, please provide your details in the contact form below and indicate which covers you particularly would like to discuss.

First Name:

Middle Name/Initial:

Surname:

Preferred Name:

Gender:

Current Age:

Occupation:

Contact Phone Number:

Email Address:

Where are you located in New Zealand (city/town)?:

Please select your nearest Branch:

Please enter your Aon Domestic/Commercial Account Manager's name:

I am interested in having a discussion about (tick any that apply):

Select All
Life Cover
Trauma
TPD Cover
Income Protection
Health Insurance
Key Person Cover (Shareholders)
Partnership Cover (Buy/Sell)
Business Expenses Cover

To view detailed information for Personal Life and Health Insurance please click here

To view detailed information for Business Life and Key Person Insurance cover please click here

Additional Comments:

Privacy

The personal information that, Aon New Zealand (Aon) and the insurers collect from you and others will be used for the purposes of evaluating your insurance needs, deciding whether to issue insurance cover, arranging and administering your insurance cover and assessing and managing any claims and any incidental matters relating to these actions (the Purpose). It may be necessary for us to pass your information on to third parties as stated in the section below. The personal information that you or your agents provide will be held by Aon in accordance with the Privacy Act 2020, at Level 21, the Aon Centre, 29 Customs St West, Auckland or one of our other branches, within New Zealand and/or in offshore facilities of companies which are part of the global group of companies held by Aon plc (NYSE: AON). You have certain rights of access to and correction of any of your personal information that Aon holds. You do not have to provide the information requested but unless you do so, the relevant insurer may refuse to provide cover.

I/We authorise:

Aon to collect, store and disclose any personal information required for the Purpose including information relating to any other insurance held or previously held and any claims made. This includes Aon giving and obtaining personal information related to the Purpose to and from Aon’s its agents, other insurance companies, other insurance brokers, the Insurance Claims Register Ltd, and service providers who may provide us with additional support in relation to the Purpose.
Aon disclosing personal information to third parties that may be located outside of New Zealand and who may not be subject to data protection laws that are comparable to those in New Zealand.
Aon to disclose personal information that you or your agents have provided, to the Financial Markets Authority if required by it to do so.

I/We confirm:

That I/we consent and have obtained the consent of any person whose personal information I/we have provided to Aon in this application to disclose their personal information to third parties such as insurers and noting that these parties may be located outside of New Zealand and may not be subject to comparable data protection laws to those in New Zealand.

I have also obtained the consent from any other person referred to in this proposal to obtaining such further information about them from third parties for the purposes of this proposal and any resulting insurance policy or claim.

As part of the Aon group of companies, Aon New Zealand subscribes to handling personal data in accordance with both the Aon New Zealand Privacy Statement and the Aon New Zealand Privacy Policy.