Register for health insurance in Belgium

Did you come to work in Belgium as an employee? Do you still have to register for health insurance? This is possible with this form.

Who are you?

First name

Last name

Gender

Date of birth

Home country

Contact details

E-mail address

(Mobile) phone

Street

House number

Bus

Postal Code

City or municipality

About your job and your registration

Which company do you work for?

AB InBev

Imec (Imec)

Other…

First working day in Belgium

Have you ever been insured in Belgium before?

yes

Additional insurance

CM-Hospitaalplan

CM-Hospitaalfix

CM-MediKo Plan