Get a Quote - CSSC Members Your Name*Name of person who referred you to us (if any)Your date of birth*Your phone number*Your Email Address*Postcode*Which type of cover do your require?Health InsuranceLife InsuranceMore DetailsDo you require a Single, Joint, or Family policy?*SingleJointAre you a smoker?YesNoYour Partners NameYour Partners Date of BirthPartners Occupation?Is partner a smoker?YesNoYour First Child NameChilds Date of BirthYour Second Child NameChilds Date of BirthYour Third Child NameChilds Date of BirthVITALITY BENEFITSPlease tick which Vitality rewards you are most likely to benefit from?£0 upfront for Apple Watch Series 4 GPS when you take out an eligible policyAmazon Prime OfferUp to 50% Off Virgin Active & Nuffield Health Gym MembershipsApple Watch Series 3 GPS DealGarmin & Polar Fitness Trackers DiscountsFree Cinema tickets every weekFree Starbucks every week50% off trainers at Sweatshop1 Years Weight Watchers Membership for only £30Up to £500 cash back on bikes at Evans CyclesUp to 50% cash back on spends at Lloyd PharmacyUp to 40% off return flights with BA in Europe£125 cash back each year if you keep active (Does not apply with Health Insurance)COVER REQUIREMENTSQuestions to make you think and help you pick your coverHow long do you require cover for?What is the current balance of your mortgage?How many years until your mortgage is paid off?How much would you/your family need to get by on each year if you or your partner die prematurely or gets a serious illness?Please tick to confirm that you understand that you have not received any advice from us Yes, I understand I have not been given any advice, it's my decision how to proceed. This iframe contains the logic required to handle Ajax powered Gravity Forms. Need help with your quote? Call a Health-Reward adviser now on 0800 881 5666 Lines are open 9am – 8:30pm, Monday to Friday. Calls may be recorded and monitored to improve customer services. Calls to this number are FREE.