Exclude accident insurance

If you work for at least eight hours a week at the same employer, you are already insured against the financial consequences of an accident. You can therefore exclude accident insurance from your basic insurance cover (ÖKK BASIS) in accordance with Art. 8 of the Swiss Health Insurance Act (KVG).

Insurance no.*

First name*

Last name*

Address*

Postcode*

City*

E-mail*

Telephone (daytime)

Date of birth*

Accident exclusion*

We will exclude accident insurance for you as of the first day of the month following the date this form was sent.

Comments

I would like to exclude the accident insurance from my basic insurance (BASIS)* I understand that if I withdraw from the accident insurance of my employer, I have to notify ÖKK about this within a month. ÖKK can demand the premium difference for the accident cover if I fail to notify them.

HIN encryption I would like to receive any documents via HIN-encrypted message.

* Required field

The information provided will not be passed on to third parties. These data will only be stored and used to process the relevant matter.

By submitting the form, you confirm that you have acknowledged and accepted the Data protection notice.

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Exclude accident insurance

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