Public health insurance Co-insurance

Your Public Health Insurance

Insurance Provider: TK

Occupation

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Annual Gross Income

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Number of Children

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Age

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per month

Public Health Insurance

Co-insurance for dependents

Please tell us whether you would like to add dependents to your policy.

Required information from the previous steps is missing. Please go back and complete the previous pages before continuing.

Dependents

Would you like to add dependents to your policy?*

Yes No

Who would you like to co-insure?*

Married partner Child/ren Both

Does any of your children earn more than EUR 565 per month (in Germany or abroad)?*

Yes No

Does your married partner earn more than EUR 565 per month (in Germany or abroad)?*

Yes No

Dependent information

Please fill in all required fields.