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Gesetzliche Krankenversicherung - - Statutory health insurance for employees

Statutory health insurance - Statutory health insurance for employees (DAK-Gesundheit)

Gesetzliche Krankenversicherung

online application



Instructions for completing the formInstructions for completing the form

After you have filled out and sent the online form, you will receive a printable declaration page/confirmation of coverage (Versicherungsschein) via email, assuming all provided information is complete and valid and you have been approved for coverage.

You will find help regarding the necessary details you are asked to provide by clicking on the ? You will find further information required for completing the application by clicking on ? next to the respective fields. next to the respective fields.

Note


Street - Please provide further details regarding this information!
Zip code - Please provide further details regarding this information!
City - Please provide further details regarding this information!
Country - Please provide further details regarding this information!
Date of birth (Year) - Please select an option.
Date of birth (Month) - Please select an option.
Date of birth (Day) - Please select an option.
gender - Please select an option.
Last name - Please provide further details regarding this information!
First name - Please provide further details regarding this information!
Place of birth - Please provide further details regarding this information!
Nationality - Please select an option.
Step 1: Applying for statutory health insurance with DAK-Gesundheit
Yes, I would like to become a member of the statutory health insurance for students at DAK-Gesundheit.
In order to be able to finalize your policy, we require further information!

Important questionsImportant questions
Did the insured Person (IP) hold health insurance in Germany before commencement of coverage?
Insured personPolicyholder / Insured person



(dd-mm-yyyy)
Age

Policyholder / contract holderAdditional information policyholder/ Insured person

Policyholder’s address/Contact informationPolicyholder’s address/Contact information

If the policyholder’s name is not on the mailbox, please enter the recipient's name in the field, c/o.






Important questionsAdditional questions on statutory health insurance










Additional contact information in the event of questionsAdditional 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.

* 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 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 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 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.


Apply for DAK statutory health insurance for studentsApply for DAK statutory health insurance for employees

Step 1: Applying for statutory health insurance with DAK-Gesundheit



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In brief x

Type of insurance: Statutory health insurance for employees

Insurable persons: Employees in Germany insured through social security

Entry age: -

Duration: 1 month - unlimited



Benefits*

    Public health insurance
*For a complete list of benefits see the General Terms and Conditions of Insurance (GTI).