Grintek Electronics Medical Aid Scheme
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Forms

Application Form

Click here to apply for membership of GEMAS.

Once you’ve downloaded and printed the application form, please complete all the fields as accurately as possible using a quality black pen.

Please attach the following documents to the application form:

  • Previous medical scheme membership certificates
  • Copy of ID’s for adults and birth certificates for children
  • Marriage certificate
  • An affidavit is required if surnames differ or a common law spouse or partner are added as dependant
  • Adopted children –legal documentation to be provided
  • Student certificate and / or proof of registration from the university or college if a child dependant is studying.

After completion, please hand your application form to your HR department.

Additional Dependant Application

Who can be registered as a dependant?

  • Your spouse or partner
  • Dependant children under the age of 21
  • Dependant children over the age of 21 but under the age of 25 and is a full time student at a recognised tertiary educational institution.(Child dependant contribution rates still applicable)

Existing GEMAS members can add a dependant by completing the necessary application form.

Click here to apply for additional dependants

Please attach the following documents to the application form if applicable to the dependant:

  • Previous medical scheme membership certificates
  • Copy of ID’s for adults and birth certificates for children
  • Marriage certificate
  • An affidavit is required if surnames differ or a common law spouse or partner are added as dependant
  • Adopted children –legal documentation to be provided
  • Student certificate and / or proof of registration from the university or college if a child dependant is studying

Student certificate and / or proof of registration from the university or college if a child dependant is studying.

Banking Details

Continuation Members (members whose contributions are not paid by the company)

To conveniently pay

  • contributions by debit order,
  • pay both contributions and members’portions by debit order.

To conveniently receive

  • your claims refunds straight into your bank account, and / or update your banking details

It is the members' responsibility to advise the administrators in writing of any changes in banking details.

Click here Electronic Payments/Collections Form.

PLEASE NOTE: For security reasons, the Scheme can only accept original forms and not faxed or emailed versions. Post to: Private Bag X1897, Rivonia, 2128

Change of Address

To ensure uninterrupted service, members should promptly advise the Scheme of any change in their contact details.

Advise us by e-mail: admin@universal.co.za
Fax: (011) 803-7847
Or Mail: Grintek Electronics Medical Aid Scheme, Private Bag X1897, Rivonia, 2128

Please remember to include you membership number on all your correspondence!

Membership Cards

On joining, members receive a single membership card if single or two membership cards if married. Additional cards can be issued on request.

To obtain additional or replacement cards,
e-mail us: membership@universal.co.za
Fax us: (011) 208 1028
or mail us: P O BOX 1411 Rivonia 2128