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Your application will reviewed by our underwriters, offering you in most cases a direct acceptance. Based on your past medical history or ongoing claims, a fair loading on your premium can be decided, but no exclusions will be applied.

Your renewal rates are not based on your claims, and will only increase when all rates need to be reviewed and with your age.

Download your individual application form.
Fill in and sign it with Acrobat reader or an other PDF reader app.