Online-Anmeldung

I would like to become a member
Personal Details
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
My Dates Of Birth
My employer

Other status *
My previous health insurer
Other
My children and / or my husband shall be exempt from contributions. Please send me the application:
You can download the application for exempted children / partners here.
My husband / partner is a member of a statutory health insurer and also wishes to become a member. Please send me the application:
You can download the application for your husband or partner here.
My photo for the health card (eGK)

Accepted filetypes: jpg, gif, png
Max. filesize: 2.00 MB
Privacy Policy
To lawfully fulfill its duties, the health insurer needs to have all data specified above; these are collected in accordance with the provisions of the German social security code and stored on data carriers. Your data is subject to data protection and will be treated confidentially. Your application will be effective upon receipt by the health insurer. Termination is not possible before the end of the notice period.