Gesetzliche Krankenversicherung - - Statutory health insurance for employees

Statutory health insurance - - Statutory health insurance for employees

online application

Instructions on completing the form

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 next to the respective fields.


Important questions
Did the IP hold health insurance in Germany before commencement of coverage?
Policyholder / Insured person


Additional information policyholder/ Insured person
Policyholder’s address/Contact information

Additional questions on statutory health insurance

Information about health insurance
DAK - Statutory health insurance for employees

Additional contact information in the event of questions


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.

Terms and conditions health insurance

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:

In brief Information x

Type of insurance: Statutory health insurance for employees

Insurable persons: Socially insured employees in Germany

Entry age: -


Duration: 1 Month - unlimited


*For a complete list of benefits see the general insurance conditions (GTI).

Data privacy