Thank you for your interest in our product Care Student.
The application is made in three simple steps:
A link to step 2 (if necessary) (further health questions) or to step 3 (address details and insurance details) will be displayed after completing and submitting this online form. At the same time, we will send you an e-mail containing this link.
Enabling JavaScript is required for the application form to work. Below you get specific instructions on enabling JavaScript in your browser. If your browser isn't listed, please consult its help resources. Internet Explorer 6.0+ Click the Tools menu. Select Internet Options. Click the Security tab. Click the Custom Level button. Scroll down until you see the 'Scripting' section. Select the 'Enable' radio button for 'Active Scripting.' Click the OK button. If you see a confirmation window, click the Yes button. Firefox 3.6+ Click the Tools menu. Select Options. Click the Content tab. Select the 'Enable JavaScript' checkbox. Click the OK button.
This person cannot be insured under this plan! Please contact our Sales department at +49 228 97735-44.
I confirm that I have given all information completely, carefully and correctly. In addition, I am entitled to make all declarations/statements and am fully informed of their submission. Should this not be the case at any point, I have made this clear. To the best of our knowledge, all in the application requested information must be answered carefully, completely and correctly. A breach of your pre-contractual duty of disclosure may entitle HanseMerkur Krankenversicherung AG to withdraw from the contract, terminate the contract or amend the contract. Please note the separate notification according to § 19 Abs. 5 Versicherungsvertragsgesetz about the consequences of a violation of the legal duty of disclosure (PDF file).
The fields marked with an * asterisk are not required to take out a policy, but the information provided makes it easier for us to contact you. You will not receive any unsolicited advertising material via email, and we will not forward your information on to any third parties.
*The compulsory nursing care insurance is only due for persons who are subject to compulsory social insurance (e.g. registered students).
By clicking on the adjoining field the applicant and the person to be insured confirm that they have read, understood and agreed to the following important statements and documents . If the applicant and the insured person are not identical, you confirm that you are entitled to make all legal declarations for the insured person by virtue of the same or the law or may make such declarations on their behalf. At the same time, by clicking here you are confirming that you printed and / or downloaded the following terms and conditions/documents before sending your application:
