Mitgliedsantrag (englisch) - BKK Deutsche Bank

Becoming a member couldn't be easier

You can easily become a member with us – we will be delighted to help you! We need a few different documents from you so that you can be insured with BKK. We have developed this interview-type online application to make it easier for you to join.

If you provide all the information we ask for here, you will be sent the completed BKK registration forms, which you only have to sign and then return to us.

Anmeldeformular - Mitgliedsantrag (english)

Start of membership

I want to be a member as from:*

Notes regarding the start of membership:

BKK membership normally starts from the day you start your employment, which is stipulated in your employment contract.

* These fields must be completed.

Your personal data

Title

Surname*

First name*

Date of birth*

Gender*

Nationality*

Street*

Postal Code*

Town/city*

Notes about your address:

Important
Please fill in your permanent private address in Germany, not the bank address. It is only then that the health insurance card and other forms can be sent to you. If you still do not have a permanent residence (and are staying in a hotel, for example), please give us this address. When you later have a new address, please sent it to us as soon as possible.

Pension or social security number

Renten- bzw. Sozialversicherungsnummer nicht vorhanden

I don't have a social security number

Notes about your social security number:

If you don‘t have the number yet, please fill in your place of birth and surname at birth and we will apply for it on your behalf. You receive the social security card from the „Deutsche Rentenversicherung“ after a few weeks.

Place of birth (town and country)

Surname at birth

* These fields must be completed.

Your employment details

Employer

Deutsche Bank

DB Privat- und Firmenkundenbank

Other employer

Is this your first employment in Germany?

Yes

Type of insurance

Mandatory insurance

Voluntary insurance

Notes about your type of insurance:

This depends on your employment and your annual salary. A special salary limit applies. It is called "annual income limit". Please ask your employer which type of insurance you must choose.

My previous health insurance

Health insurance until now (full name and address):

My previous insurance was:

Family insurance

Mandatory insurance

Voluntary insurance

Please attach some kind of confirmation (proof, certificate, letter with insurance ID etc.) from your last health insurance provider (also from foreign country) with duration of your insurance.

Length of membership in current health insurance:

from

Are you in a legal period of maternity leave at the moment?

Yes, I am in a legal period of maternity leave at the moment

Have you applied for a retirement pension or are you receiving a pension/other financial support?

Yes, I have applied for a retirement pension or I am receiving a pension/other financial support

Are you self-employed or are you undertaking any other occupation?

Yes, I am self-employed or I am undertaking another occupation

(*If yes, please attach the necessary documents)

You have (nearly) finished

Please check your details in the preview before you complete your entries.
You will not be able to retrieve your data again after you leave this application. It will be deleted.

Email address*

We need your telephone number in case we have any questions:

Telephone number*

Datenschutz*

I have read the notes on data protection. *

I was recruited by a member of the BKK Deutsche Bank

A member recruited by another member

Were you persuaded by one of our members? Now there is a choice: The member can arrange the planting of trees and commit to climate protection OR the member will receive a premium of EUR 15. The certificate will be sent to you or the premium will be transferred after your membership starts.

Surname of the member who persuaded you

First name of the member who persuaded you

Date of birth

Donation

Please transfer EUR 15.

IBAN

Bank

BIC

Please send me the signed application and the other documents (by email or fax at +49 (0) 211 9065-499).

Do you still have any questions or do you need further information?
Visit us on the Internet at: www.bkkdb.de/en.htm or use our Service no.: +49 (0) 211 9065-485 and give us a call.

* This field must be completed!

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