Ogun State
health insurance
management system
ogshia

© 2024 Ogun State Health Insurance Agency.

Beneficiary Enrollment

*Upload Picture

*Plan Type

Title

*First Name

Other Name

*Last Name

Email Address

*Mobile Number

*No of Children

*Date of Birth

Age

*Gender

Male

Female

*Marital Status

*Residential Address

*State of Residence

*LGA of Residence

*Ward

*Provider

*State of Origin

*LGA of Origin

Nationality

Religion

Tribe

*Occupation

NIN

Height (m)

Weight (kg)

Blood Pressure (mmHg/mmHg)

BMI

*Institution

*Faculty

*Department

*Year/Level

*Matric No

*Level of Education

Are you on the National Health Insurance Scheme?

Yes

Do you currently own a recommended glasses?

Yes

Medical History: Tick all pre-existing conditions that applies

Next of Kin Information

*Last Name

*First Name

Other Name

*Relationship

*Mobile Number

*Contact Address

*State

*LGA

Spouse Information

Upload Picture

Last Name

First Name

Date of Birth

Access to this System by anyone other than the intended user is prohibited. The information contained within may be privileged or otherwise protected by work product immunity or other legal rules. If you have received access to the system by mistake, please immediately contact InStrat at info@instratghs.com