Our forms are different depending on your plan type. In order to better meet your needs, we request that you use the correct forms.
You can ask your human resources department for information about your plan.
Classical Life / Pension4Life
HospiCare
e-volulife
AmbuCare
Pension@Work
Income Care
Services to Former Affiliates
Claim notification
Medical certificate
NL
FR
EN
DE
Request for individual continuation coverage