Change your health insurance
Become a member
in 5 minutes

Change your health insurance

Would you like to become a member of BKK Werra-Meissner? Then you can fill out your membership declaration easily online here in just a few steps.

Your information (current insurance, employment and personal information) will change the form and ask you new questions. As soon as we have received your declaration, we will arrange for your insurance to be changed.

Ask your questions about changing health insurance

Membership Application

Your occupation

In this next step we need to gather some information on your current employment.

Employed since/from:

Name of your employer

Your employer's address

Data transfer to the notifiable body*

I hereby agree that you may inform the notifiable body (i.e. employer or the job centre) about the change of my health insurance company.

Do you currently engage in self-employed activities, too?

Yes

Personal details

In this final step we need to ask you for some personal data. Concluding this step you'll then be able to conveniently sign this form and submit it to be processed by our staff.

Surname*

Given name(s)*

Street address*

Postal code

City*

Phone*

E-Mail*

Your marital status

Date of birth*

Is your German pension insurance number available?

Yes

Surname at birth

Place of birth

Nationality

German pension insurance number

Do you currently draw a pension or have you applied for a pension?

Yes

Do you receive pensions (i.e. a company pension or from a direct insurance scheme)

Yes

Are there any dependents present and shall they be co-insured under the health insurance plan without contributions?

Yes

Upload photo (if available)

Data Protection

Information on the processing of data done by BKK Werra-Meissner in accordance with Art. 13 GDPR can be found on https://www.bkk-werra-meissner.de/ueber-uns/datenschutz/ (German language version)

Informed consent*

I hereby accept the privacy policy of BKK Werra-Meissner and I agree that my data shall be used for the sole purpose of a contract initiation.

Your signature

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