We are pleased that you have decided to join TK. We would like to ask you to fill in the following form to be able to accept you as a member.
You are already a member of TK or have applied for membership with us? Then you don't have to fill in the application. Please inform us of any changes of your insurance cover by phone. Thank you.

Information about your current insurance cover

In which country did you last have health insurance cover or in which country did you live?
In which country did you last have health insurance cover or in which country did you live?
Your contact person
Herr Richard Connolly
ERICON broker GmbH
TK will inform this contact person if a membership contract is signed.

Information about your employment

Edit section Information about your employment

Personal information and start of insurance

Edit section Personal information and start of insurance

Submit photo for TK eHealth card

Edit section Submit photo for TK eHealth card