GAP – AG Insurance via your employer

Contact our services

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

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.