Application for exemption from compulsory health insurance

  1. Before you fill in the form

    Advantages:

    • Schedule 20 minutes to complete the form
    • The data cannot be stored temporarily for further processing at a later date
    • Please fill out the form as completely as possible 
    • Keep all necessary documents ready
  2. Application form

    Applicant

    This is a required field.

    This is a required field.

    This is a required field.

    Address in Switzerland ; for cross-border commuters the address abroad

    This is a required field.

    This is a required field.

    This is a required field.

    TT.MM.JJJJ

    This is a required field.

    Please enter a correct time span.

    This is a required field.

    The input does not correspond to the specifications for a telephone number.

    This is a required field.

    Please enter a valid email address.

    This is a required field.

    If no e-mail address is given, correspondence will be sent by post.

    Sex

    This is a required field.

    This is a required field.

    Children

    This is a required field.

    If available: Name of the employer (company)

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    Type of insurance

    This is a required field.

    statutory = foreign state health insurance within the EU/EFTA (European Health Insurance Card) ; private = foreign private and/or international health insurance ; other = e.g. student insurance according to VVG or Swiss Health Insurance

    Residence permit

    This is a required field.

    This is a required field.

    Spouse or civil partner

    This is a required field.

    This is a required field.

    This is a required field.

    Address in Switzerland ; for cross-border commuters the address abroad

    This is a required field.

    This is a required field.

    This is a required field.

    TT.MM.JJJJ

    This is a required field.

    Please enter a correct time span.

    This is a required field.

    employed

    This is a required field.

    This is a required field.

    Also apply for spouse or civil partner

    This is a required field.

    Children

    This is a required field.

    This is a required field.

    This is a required field.

    This is a required field.

    This is a required field.

    TT.MM.JJJJ

    This is a required field.

    Please enter a correct time span.

    employed

    This is a required field.

    Also apply for the child

    This is a required field.

    Information on education, trainings and employment

    This is a required field.

    Gainful employment is defined as any work for remuneration, even if it is low.

    Type of education

    This is a required field.

    Specified education

    This is a required field.

    This is a required field.

    Specification of the stay and the employment

    This is a required field.

    Note to employees posted to Switzerland: Persons who are posted to Switzerland as employees, provided they are exempt from the obligation to contribute to the AHV/IV [Old Age and Survivors Insurance (OASI) and Invalidity Insurance (IV)] scheme, and the members of their families accompanying them.

    Employment in Switzerland

    This is a required field.

    Employment abroad

    This is a required field.

    Employed abroad

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    This is a required field.

    This is a required field.

    This is a required field.

    This is a required field.