Public health insurance personal information

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

Personal Information

Please enter your personal information to continue.

Your details

First name*

Last name*

Last name at birth*

Birthdate*

Your gender*

Your country of birth*

Your city of birth*

Your nationality*

Marital status*

Your personal email address*

Your personal phone number

Country of previous residence*

Address information

Do you have a German address?*

Yes No

If you do not currently have a German address, we will use your employer's c/o address instead.
All documents will be sent to this address, as well as to you by email. As soon as you have an address in Germany, you can inform TK of this by email.

Postal code*

City*

Street*

House number*

Additional information (c/o, apartment, ...)

Employer's information

Name of your employer*

Postal code*

City*

Street*

House number*

Previous insurance

Did you have insurance coverage during the last 12 months?*

Yes No

Name of previous health insurance company*

Insurance status was*

Public Private

From*

To*

TK health insurance card

Shall we apply for your TK health insurance card?*

Yes No

Please upload a portrait photo of yourself. Accepted formats: JPG, PNG or WEBP. Maximum file size: 12 MB. Neutral background, no headwear or sunglasses.*

Please fill in all required fields.