Care College - Health insurance for language pupils & students

online application


Notes on completing the form

After having filled out the online form, you will receive a printable insurance certificate by e-mail, if all information are complete and valid. You can generally already use this to apply for or extend the visa or residence permit. After successful assessment of your application we will also send you an insurance card by mail within two working days.

Help: auxiliary information you will find touching the next to the respective fields.

Note

 

Important questions
Has the insured person (IP) already been insured with us?

Did the IP hold health insurance in the travel country before commencement of coverage?
Policyholder / Contracting Party
Is the insured party a company?
Salutation First name Last name Date of birth Age
Are the policyholder and the insured person identical?

Policyholder’s address/Contact information
c/o

If the policyholder’s name is not on the letter box, please enter the displayed name in the field c/o.

Street no
Postal code City
Region* | Country
Insured person
Salutation First name Last name Date of birth Age Nationality
Information about health insurance | Show premium table
Insurance plan Inception date Ending date Duration Duration Premium *
Days
Information about stay abroad
Residence before starting trip Country of stay Entry/departure dateReason for stay abroad
Information about liability- and accident insurance
Do you want to take out liability and/or accident insurance?Care Protector
Please choose how you want to pay the insurance premium
 
Premium
  Health insurance Accident and liability insurance
No. Premium
Duration
Premium
Total
Premium
monthly
Duration
(Months)
Premium
Total
1 x= x= x=
     
Premium calculation
Health insurance
Liability insurance
Accident and liability insurance
Amount
The health insurance premium increases as of the month 18 up to monthly
Additional information for contact in the event of questions
e-mail Area code* Telephone* Fax-no.* Where did you hear about us?

Here you can fill in a further e-mail-address, to which we will send the insurance documents aditionally.*

The fields marked with an * asterisc are not compulsory for conclusion of the policy, but it makes easier to approach you. You won’t get unrequested advertising by e-mail.


Agency / broker number
Agency number or broker number at the Care Concept AG =>
Conditions health insurance

By clicking on the adjoining field you are confirming that you have read, understand and agreed the following conditions. At the same time you are confirming that you have printed and / or downloaded the following conditions:


Send application

By sending the form you are entering into a binding agreement to conclude an insurance policy via Care Concept® AG in Bonn with Advigon Versicherung AG . On beginning studies at a German college or university, you are normally covered by the statutory health insurance. After sending you will receive a confirmation of receipt of your application and a few minutes later an e-mail with your documentation. We will send you your written documents by mail within two working days.

In the event of further questions Care Concept is only to be pleased to be of service in several languages on the free number from the telephone network in Germany 0800 977 35 00 otherwise dial +49 228 97735-11.

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