Public health insurance Co-insurance

Your public health insurance application

Insurance provider: TK

Occupation

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Annual Gross Income

No Data

Number of Children

No Data

Age

No Data

per month

Co-insurance for dependents

Would you like to add dependents to your policy?*

Yes

No

Who would you like to co-insure?*

Married partner

Child/ren

Both

How many children do you want to include?*

Does any of your children earn more than EUR 538 per month (in Germany or abroad)?*

Yes

No

Does your married partner earn more than EUR 538 per month (in Germany or abroad)?*

Yes

No

Please fill in all required fields.