Downloads
Would you like to know if you're entitled to extra reimbursements? Find out in the reimbursement tool. Available in Dutch only.
Downloads
- Application form basic and supplementary insurances pdf
- Modification form healthcare insurance general pdf
- Application form dental insurance pdf
- Application form fertility treatment pdf
- Application form medical treatment abroad pdf
- Claim form medical expenses abroad pdf
- Response form: staying abroad pdf
Downloads
- Confirmation of cancellation: insured is policyholder (bvu1) pdf
- Confirmation of cancellation: insured is not policyholder (bvu2) pdf
- Confirmation of cancellation: deceased (bvu3) pdf
- Triggers cancellation insurance pdf
- Cancellation with reference to SVB (move or emigration) pdf
- Cancellation with reference to SVB (change in address) pdf
- Cancellation reason unknown pdf
- Cancellation pre-notice (bvu5) pdf
- Cancellation pre-notice emigration (bvu6) pdf
- Cancellation of expired application (bvu7) pdf
- Cancellation no right (bvu8) pdf
Downloads
- Invoice statement: credit (dov1) pdf
- Invoice statement: debit direct debit (dov2) pdf
- Invoice statement: debit accept form (dov3) pdf
- Invoice statement: no financial consequences (dov4) pdf
- Invoice statement: credit account number unknown (dov5) pdf
- Invoice statement: copy (dov6) pdf
- Invoice statement: debit payment method unknown (dov7) pdf
Downloads
- List of triggers for new policy document pdf
- Cancellation supplementary insurance: insured is policyholder (pol1) pdf
- Cancellation supplementary insurance: insured is not policyholder (pol2) pdf
- Alteration: insured is policyholder (pol3) pdf
- Alteration: insured is not policyholder (pol4) pdf
- List of triggers alteration (pol3 & pol4) pdf
- New policy: insured is policyholder (pol5) pdf
- New policy: insured is not policyholder (pol6) pdf
- Birth of a child (pol7) pdf
- Transfer: insured is policyholder (pol8) pdf
- List of triggers transfer: insured is policyholder (pol8) pdf
- Transfer: insured is not policyholder (pol9) pdf
- List of triggers transfer: insured is not policyholder (pol9) pdf
- New policy: insured is policyholder (pol10) pdf
- New policy: insured is not policyholder (pol11) pdf
- New Policy: insured is policyholder (pol12) pdf
- New policy: insured is not policyholder (pol13) pdf
Downloads
- First reminder letter: premium (rl1) pdf
- First reminder letter: premium after counter-entry (rl2) pdf
- First reminder letter: reimbursement (rl3) pdf
- First reminder letter: reimbursement after counter-entry (rl4) pdf
- Second reminder letter: premium (rl5) pdf
- Second reminder letter: reimbursement (rl6) pdf
- Second reminder letter: premium (to the heirs) (rl7) pdf
- Last reminder letter: premium (rl8) pdf
- Last reminder letter: reimbursement (rl9) pdf
- Last reminder letter: premium (to the heirs) (rl10) pdf