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Do you have questions about your contract or the succession of your file? Please fill out this form. We ensure that you will receive a personal response as quickly as possible.
Your demand
Fill in the subject of the question
Advance / pledge
Benefit statement
Complaint
General information
Hospitalisation Insurance
My Global Benefits
My Healthcare Card
Outpatient care Insurance
Pension/death insurance
Registration / activation / login
Can you please clarify your demand *
Do you want to add attachments (benefit statements, hospital bills)?
Your data
Name*
First name*
Birthdate*
With this information we are able to give you a personalized answer.
Address*
Street
Number
Box
Postal code
Location
Email address*
Telephone number*
Your contract number / Healthcare card number *
* Mandatory fields
By clicking "Next", I agree to allow AG Insurance to use my personal data to contact me regarding my request. My personal data won't be communicated to third parties. My data will be processed in accordance with the applicable data protection and privacy laws as well as with AG Insurance's Privacy Notice and Cookie Policy. I hereby acknowledge that I have read
AG Insurance's Privacy Notice
and
Cookie Policy
.
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