Status requests
General
If you are an expatriated employee (AMA), international qualified employee or third country national, please use the status request form below.
You need this form for a new application or the application of a co-insured person.
You are welcome to complete the registration process via the online portal, which can be found in your respective employee group under “Health insurance”.
CIM (integrated qualified employee)
If you are an integrated qualified employee (CIM), please use the status request form below.
You need this form for a new application or the application of a co-insured person.
You are welcome to complete the registration process via the online portal, which can be found in your respective employee group under “Health insurance”.
Change of Country/Contract Extension
As there may be changes to your social security status in case of a change of country or a contract extension, we require a current status request from you. This form is for all employee groups. Please send it to the following e-mail address: