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Main member's details

(this is the person in whose name the cover is held)
DD/MM/YYYY Member date of birth

Dependant student details

DD/MM/YYYY Student date of birth
( ) -
If yes, you are authorising your child to make claims on the membership without the need for your signature.


I understand that if my child leaves full-time study, marries, he/she will no longer be eligible to remain covered as a dependant student. I understand that rt health reserves the right to verify my child's eligibility for cover as a dependant student. I will notify rt health fund if there is any change in my child's circumstances that affects his/her eligibility to remain covered immediately.  

I confirm that my son/daughter meets the student criteria which is:
  • enrolled as a full-time student at an approved Australian school, college or university, and
  • financially dependent on the family (the main member or partner of the main member), and
  • not married or living in a de facto relationship.
Please note, part-time students and apprentices are not eligible for cover as dependant students.
Please also note that if at any time the eligibility as a dependant student ceases you need to contact us to make other arrangements if continuing health cover is required.
I've read and agree to the above terms and conditions and confirm the information I've provided is correct.