Applicant (policyholder)

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Insured person


Period of insurance

Insurance tariff

Country of origin (last domicile)

The country of the permanent or usual place of residence prior to start of the temporary foreign residence.

Payment method

Declaration of agreement

Yes, I sufficiently informed myself about the product and I would like to continue without further consultation.
We are legally obligated to inform you that waiving the right to consultation may adversely affect the ability to assert a claim against us due to a breach of obligation of consultation.

I would like a consultation.
We would be happy to advise you by phone: +49 7024 469 51-0