COVER SHEET FOR SUBMISSION
Please download here.
The general waiting periods can be waived on the basis of a medical check-up. The required check-up report for completion by your doctor can be downloaded here.
CHANGE OF PERSONAL DATA
Request to change personal data
CHANGE OF BANK DETAILS
Requestfor change of bank details for refunds
DIRECT DEBIT AUTHORIZATION
If your account is to be directly debited with the insurance premiums, you will need to provide us with a direct debit authorization. Please fill in the form completely and send it back to us.
INSURANCE VERIFICATION REQUEST FOR INPATIENT TREATMENT
Please fill in the form completely and send it back to us.
ADDITIONAL INSURANCE FOR CHILDREN
Additional insurance for children