Become a member of Bertelsmann BKK

We will take care of everything else! When you start at Bertelsmann, you can switch to Bertelsmann BKK within 14 days - without cancelling your previous german health insurance. Registration with the BKK is sufficient. If you miss this deadline, you have another opportunity to switch. Therefore you must have been insured with your previous german health insurer for 12 months. If you register in October, the change will take place on January 1. If you register in November, on February 1.

Do you have any questions? We will be happy to help you.
Fon +49 5241 80-74000, service@bertelsmann-bkk.de

Online-Application

An asterisk (*) denotes mandatory fields.

I would like to become a member as from

Day *

Month *

Year *

A) MY PERSONAL DATA

Title *

First name(s) *

Surname *

Street address *

ZIP *

City *

Federal State

We are open to anyone with a residence or employer in Baden-Württemberg, Bavaria, Berlin, Hamburg, Hesse, Mecklenburg-Western Pomerania, Lower Saxony, North Rhine-Westphalia, Saxony and Thuringia. As well as for spouses of existing members regardless of place of residence or employment.

Phone private *

Phone office

Email *

My dates of birth

Name at birth (if applicable)

Day of birth *

Month *

Year *

Place of birth *

Country of birth *

Nationality *

My Social Security Number

Fill in your german Social Security Number here.
You’ll find it on your salary printout.
e.g: 50 010190 R 012

Regarding my Social Security Number...

I don’t know

I don’t have one

It is as follows:

Social Security Number

Marital status *

B) MY FAMILY

My children and / or my husband shall be exempt from contributions. Please send me the application:

via email

via mail

with Bertelsmann-in-house mail,

You can download the application for exempted children / partners on the page "Antrag herunterladen".

Bertelsmann-Department

C) MY EMPLOYER

Employer

Department (if available)

Personnel number (if available)

Street of employer

ZIP

City of employer

D) MY STATUS

Status

E) MY PREVIOUS HEALTH INSURER

Name of health insurer *

Address of health insurer

ZIP

City of health insurer

Insured since

Day

Month

Year

Insured as *

Name of the main insured person

F) UPLOAD DOCUMENTS

Upload

Notices

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Data Protection Notice and Declaration of Consent

The data are collected and processed in order to fulfill our tasks according to section 284 and section 175 of the Fifth German Social Security Code (Sozialgesetzbuch V [SGB V]). According to section 60 SGB I and section 206 SGB V, your cooperation is required. Membership cannot be effected without the required data. Recipients of your data may include third parties or service providers commissioned by us (e.g., the manufacturer eGK) within the scope of legal obligations and powers of notification. For detailed information on data processing and your rights, please visit https://www.bertelsmann-bkk.de/datenschutzrechte.

I have read the data protection notice and agree that Bertelsmann BKK may store the contact data I have provided in order to contact me by email or telephone regarding questions about my insurance coverage. This consent has been granted voluntarily. I can revoke it at any time. *