Choose the right PHV tariff and complete your policy in Germany

Fill in the form and we will help you choose a tariff, check your details and finalize the contract.

Fill the form Usually takes 5-7 minutes

Tariff is selected for your exact situation: single, couple, family or single parent.
We help with payment options, contract start and ongoing support.
Important details can be provided in advance to speed up processing.

How it works

You submit your details through the form.
We review your answers and contact you if clarification is needed.
After confirmation, we help you complete the insurance contract.

If you have questions about filling out the form or about our services, message our support service chat.

WhatsApp Telegram

PHV request

We use personal data only to process your request.

Lidia Deibel Insurance expert

Hello! I will contact you after receiving your request, answer your questions and help you complete the insurance contract.

1. Your profile

Are you already in Germany? *

{{ errors.germanyStatus }} Who should be included in the insurance? * This affects available tariffs and pricing.

{{ errors.familyStatus }} Did you previously have PHV coverage in Germany? *

{{ errors.hadPreviousPolicy }} Please provide details of your previous policy Insurer, tariff, policy number, coverage period and other relevant details. {{ errors.previousPolicyDetails }} Upload old policy (optional)

1 file allowed: PDF or image. Maximum file size: 10 MB.

{{ errors.previousPolicyAttachment }} Any claims in the last 5 years? * Cases where liability insurance paid damages for you.

{{ errors.hadClaimsLast5Years }} Describe those claims {{ errors.claimsDetails }} Are you or your spouse/partner self-employed? *

{{ errors.hasEntrepreneurship }} What type of activity? * {{ errors.entrepreneurshipDetails }}

2. Tariff and payment

3. Personal details

Full name * As in passport, in Latin letters. {{ errors.fullName }}

Date of birth * {{ errors.birthDate }} Preferred insurance start date * {{ errors.insuranceStartDate }}

Spouse/partner details

Spouse/partner full name * As in passport, in Latin letters. {{ errors.spouseFullName }} Spouse/partner date of birth * {{ errors.spouseBirthDate }}

What is your status in Germany? * Please choose the status from the list. {{ errors.residencyStatus }} Please specify your status * {{ errors.residencyStatusOther }} Your address in Germany (if available) * If you stay with friends or in a hotel, provide an address where mail can be received. {{ errors.addressInGermany }} E-mail * {{ errors.email }}

Messenger Telegram / WhatsApp

German bank details * IBAN and account holder full name in Latin letters. {{ errors.germanBankDetails }} Do you still have questions? * {{ errors.questionsStatus }} Additional information If you want to add anything to your request, write it here.

4. Confirmation

I consent to this website storing my submitted information to respond to my request. * {{ errors.consentStorage }} I confirm that I have read the service basic information and agree with it. * {{ errors.consentTerms }}

Your request has been submitted!

Send us a message in messenger so we can contact you faster.

We usually reply within one business day.

Telegram WhatsApp

Request number: {{ successDealCode }}

File upload status

{{ item.name }} - {{ item.uploaded ? "File sent" : "File not sent" }} ({{ item.error }})

Best regards,
Tupa-Germania team

Choose the right PHV tariff and complete your policy in Germany

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