Mitglied werden - deutsche Version

Become a member and join us!

THANK YOU VERY MUCH FOR YOUR APPLICATION FOR MEMBERSHIP!

What's the next step?

Shortly you will receive a message from us. If there are any open questions or ambiguities in your application, we will get back to you separately.

Personal details (*mandatory fields)

 

I agree that energie-BKK is allowed to inform or provide me with advice about benefits, products or service offers or about a customer survey. I can cancel my consent at any time - in whole or in part - by contacting energie-BKK.

* Please tick as appropriate

I was promoted


Requested commencement of insurance cover

Please select your current occupation

Trainee

Data on the employer

Other income, aside from your current wage. (Please, tick as appropriate)






Have you been assigned to a German pension insurance number (RV-Nr.), yet?

I have (a) child(ren)

Relevant data for the nursing care insurance contribution

Data on the employer

Issuing authority






Data on the employer

What income do you receive?






II have (a) child(ren)

Relevant data for the nursing care insurance contribution

Is your current health insurance non-contributory or including contribution payments?

I have (a) child(ren)

Relevant data for the nursing care insurance contribution

Distinction between full-time or part-time self-employment.

Full-time self-employment may be described by the following criteria:

  1. Inter alia, a minimum working time of 30 hours per week,
  2. livelihood is mainly financed through income from self-employment.

This is a non-exhaustive enumeration. Part-time self employment may be described by the following criteria:

  1. Inter alia, weekly working hours of fewer than 20 hours,
  2. livelihood is mainly financed through other income or partners income.

This, also is a non-exhaustive enumeration.

Are you currently insured with entitlement to sickness benefits?

Name of the University

I have (a) child(ren)

Relevant data for the nursing care insurance contribution

How were you insured so far?

Special conditions are attached to the possibility to switch from a private health insurance to a compulsory health insurance.
I.a., a registration is merely possible up to an age of 55. We gladly provide advice by phone to avoid obstacles. For this purpose, please provide us with your phone number and at what times we can reach you best.

Have you been assigned to a German pension insurance number (RV-Nr.), yet?

Do you want to co-insure family members without contribution?

Family members:

Following family members can be insured without contribution:

  • children; stepchildren*; grandchildren and foster children
  • spouses; civil partners

If…

  • their place of residence or habitual residence is in Germany,
  • they are no members of a statutory health insurance,
  • they are not full-time self-employed,
  • they do not achieve a monthly income of 470.00 Euro in 2021 (earnings within the meaning of the income tax law, e.g. investment income, taxable scholarships, income from rent and leasing, etc),
  • *either accomodated or mainly supported by a member.

The insurance for children can be covered…

  • until the age of 18,
  • until the age of 23, if not employed,
  • until the age of 25, if they are in school education or vocational training.

Options for an extension of the family insurance.

We may extend the family insurance beyond the 25th birthday due to the legally required military and civilian service, where appropriate. Voluntary services according to "Jugendfreiwilligen-" or "Bundesfreiwilligendienstgesetz", commenced at July 1, 2011 will be considered in an extension beyond the 25th birthday. The actual perion of service, at a maximum of 12 months, will be recognised.

We provide insurance for children suffering from a disability and consequential inability to take care for themselves without age restrictions (§ 2 Absatz 1 Satz 1 SGB IX). The disability must have been present when the child already has been insured as a family member.

Important to know!

If your spouse is privately insured, your children can be co-insured as family member on the follwoing conditions: The privately insured spouse is...

  • not related to the child
  • has a total income of less than 5,362.50 Euro per month (value for 2021) or
  • has a lower income than the energie-BKK member.

Notice. A seperate application form with signature is necessary. Subsequently, you have the possibility to fill in the form online and hand it in, printed and signed. Alternatively, we submit this form to you by post. (Checkboxes) postal application requested.

Personal details Edit

Zugangsweg
Form of address
Title
First name
Surname
Name affix
Street
No.
Postcode
City
Addition to address
Date of birth
Birthplace
Country of birth
Phone number
E-Email

I agree that energie-BKK is allowed to inform or provide me with advice about benefits, products or service offers or about a customer survey. I can cancel my consent at any time - in whole or in part - by contacting energie-BKK.

How did you hear about us?

I was promoted

First name
Surname
KV-number
bank transfer

Requested commencement of insurance coverEdit

Please select your current occupationEdit

Current occupation Edit

Trainee
Name
Street address
Postcode
City
Employed since
Statutory pension
Social security benefits (e.g. occupational pension)
Further benefits (e.g. capitalised pension)
Foreign pension
Earned income (from independent work)
Have you been assigned to a German pension insurance number (RV-Nr.), yet?
RV-Nr.
name at birth
place of birth
I have (a) child(ren)

Official Edit

Name
Street address
Postcode
City
Employed since

Issuing authority Edit

Name
Street address
Postcode
City
Employed since
I receive unemployment benefit
Unemployment benefit, type II (Hartz IV)
A blocking / idle period has been imposed

Artist/Publicist Edit

Do you have an artists` social insurance cover?
An artists` social insurance cover application is submitted

Trainee (Internship) Edit

Name
Street address
Postcode
City
Employed since

PensionerEdit

Statutory pension
Social security benefits (e.g. occupational pension)
Further benefits (e.g. capitalised pension)
Foreign pension
Earned income (from independent work)
I have (a) child(ren)

Pension claimant Edit

Is your current health insurance non-contributory or including contribution payments?
I have (a) child(ren)

Self-employed Edit

Part-time/Full-time?
Are you currently insured with entitlement to sickness benefits?

Student Edit

Name
Street address
Postcode
City
I have (a) child(ren)

Other Edit

Type of work

Previous type of insuranceEdit

Previous type of insurance*
I can best be contacted
Habitual residence in the Federal Republic of Germany since
Have you been assigned to a German pension insurance number (RV-Nr.), yet?
RV-No.
name at birth
place of birth
Previous health insurance

co-insure family members without contributionEdit

 

 

Data protection notice:

We collect and process the personal data provided in the form in accordance with Art. 6 EU GDPR and § 284 SGB V for the purposes of health insurance and § 94 SGB XI for the purposes of long-term care insurance in order to fulfil our statutory obligations. The information you voluntarily provide will be stored by us and used solely for the purposes described above. Further information on data protection can be found at www.energie-bkk.de/datenverarbeitung.

With this accession, the intermediary/recommender receives an expense allowance.

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