Private Health Insurance Occupation in Germany

Your private health insurance application

Insurance Provider: Hallesche

Birth year

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Yearly income

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Occupation

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Selected plan

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per month

Private Health Insurance

Information about your occupation in Germany

Please provide the occupational information required for your private health insurance application.

Main applicant

Your main occupation in Germany:

Who is your employer:

Employer's address

Street:

House number:

Postcode:

City:

Where do you study? (Name of university):

University address

Street:

House number:

Postcode:

City:

What is your job title:

Your annual gross income before taxes:

Your start date of employment in Germany:

Additional information about your income

Have you got your employment contract yet?

Yes

No

Please upload the following excerpts of your employment contract (PDF max. 1.5 MB each, JPG/PNG max. 12 MB each):

First page showing both contractual partners
Page showing your agreed period of employment
Page showing your agreed gross income
Last page showing signatures of both parties

Uploading these pages is not mandatory. However, it helps us a lot to speed up your application. Accepted formats: PDF, JPG or PNG.

Your German TAX-ID (if already available):

Spouse

Main occupation in Germany:

Who is your employer:

Employer's address

Street:

House number:

Postcode:

City:

Where do you study? (Name of university):

University address

Street:

House number:

Postcode:

City:

What is your job title:

Annual gross income before taxes:

Start date of employment in Germany:

Additional information about your income

Have you got your employment contract yet?

Yes

No

You can optionally upload the following excerpts of your employment contract (optional, but very helpful for a faster review):

First page showing both contractual partners
Page showing agreed period of employment
Page showing agreed gross income
Last page showing signatures of both parties

Uploading these pages is not mandatory. However, it helps us a lot to speed up your application. Accepted formats: PDF, JPG or PNG. PDF max. 1.5 MB each, JPG/PNG max. 12 MB each.

German TAX-ID (if already available):

Please fill out all required fields.