Cross-border commuter

Order your personal quote now

Title:*

Name:*

First name:*

Address:*

Country:*

Postal code/city:*

Birth date:*

Telephone during the day:*

E-Mail:

Employer:

Company:*

Address:

Postal code/city:*

Working status:*

I work more than 8 hours per week

I work less than 8 hours per week

Previous insurer:

Name of the previous insurer:*

Valid work permit:

Valid as of:*

Since (year):*

Quotation for ÖKK EUROLINE (statutory health insurance):

Delivery of the quote:*

via mail

via e-mail (please indicate e-mail address)

Comments:

Please indicate further persons with their name, first name and birth date under comments. All other data will be transferred directly.

* Required field