Request for offer

 

Details of insured person

Title

Ms Mr.

First name

Last name

Nationality

Date of birth

Tel.

E-mail

 

 

Details of vested benefits

Value of vested benefits (CHF)

 

 

Risk benefits required

Commencement of cover

Disability pension as a result of sickness or accident* (Insured benefits (CHF), max. 30% of the pension assets)

 

Lump sum payable at death as a result of sickness or accident* (Insured benefits (CHF), max. 300% of the pension assets)

 

 

Benefits are insured up to a maximum of CHF 300,000 per year for disability and CHF 5 million in the event of death.

Questions for the determination of insurance cover

Are you smoking?

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Which country are you resident in?

Security query:

 

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