After you have filled out and sent the online form, you will receive a printable declaration page (Versicherungsschein) by e-mail, assuming all information is complete and valid. Help: auxiliary information you will find touching the You will find further information required for completing the application under the question mark next to the respective fields. next to the respective fields.
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.
If the policyholder’s name is not on the mailbox, please enter the recipient's name in the field, c/o.
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Tipp for qq-user:To be sure that you receive all documents, please fill in another (not qq-)e-mail in the field for the second e-mail
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.
By clicking on the adjoining field you confirm that you have read, understood and agreed to the following conditions. Versicherungsschutz soll über die DAK - Deutsche Angestellten Krankenkasse - bestehen. 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:
By clicking on the adjoining field you confirm that you have read, understood and agreed to the following conditions 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:
Type of insurance: Statutory health insurance for employees
Insurable persons: Socially insured employees in Germany
Entry age: -
Premium
Duration: 1 Month - unlimited
Benefits*
*For a complete list of benefits see the general insurance conditions (GTI).