Offer form personal insurance

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Company name

Seat of the company

Address Line 1

City

State / Province / Region

Legal form

Operating mode

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Website

Name of the contact person

First

Last

E-mail of the contact person

Priority phone number

IBAN number of the company

Desired start of contract

Desired companies

Requested offers

UVG (Mandatory Accident Insurance Act)
Daily sickness benefits insurance
UVG supplement (UVG supplementary insurance)

General information about the operation

Existing or existing prior insurers, if yes Name of company(ies)

In the case of existing prior insurance, it is mandatory that a prior insurer inquiry be requested regarding the claims history.

Does the company have a collective bargaining agreement, if so which one?

Desired payment method

Number of insured persons and annual AHV salary amounts

Number of men

AHV payroll men

Number of women

AHV payroll women

Average age men

Average age women

1. UVG insurance (compulsory Accident Insurance Act)

Wages to be insured according to UVG BU (occupational accidents)

Total wages BU men

Wage total BU women

Wages to be insured according to UVG NBU (non-occupational accidents)

Wage total NBU men

Total wages NBU women

2. UVG supplement (UVG supplementary insurance)

Desired coverages UVG supplementary insurance

Medical expenses Private hospital ward
Daily allowance solutions
Integrity compensation (IV capital)
IV pension; 80% of the UVG-exceeding wage.
Death benefit
Survivor's pension (100% of the salary exceeding the UVG)
UVG differential coverage
Consequences of previous accidents
Back pay in the event of death

Daily allowance solutions

Daily allowance during the UVG waiting period; insured daily allowance: 80% of the UVG wage, waiting period: 0 days, benefit period: 2 days minus waiting period
Daily allowance - basis UVG wage; insured daily allowance: 10% of the UVG wage, waiting period: 2 days, benefit duration: 730 days minus waiting period
Daily allowance - basis UVG wage; insured daily allowance: 20% of UVG wage, waiting period: 2 days, benefit duration: 730 days minus waiting period
Daily allowance - basis UVG-exceeding salary; insured daily allowance: 80% of the UVG-exceeding salary, waiting period: 2 days, duration of benefits: 730 days minus waiting period

X times the lump-sum death benefit of the AHV annual payroll sum

X times the disability capital as integrity compensation of the AHV annual wage sum (progression 350%)

3. daily sickness benefit insurance

Variant of the power duration

Duration of benefits 730 days per case
Power duration 730 within 900 days

Amount of the insured daily benefit in % of the insured salary

80%
90%
100%

Waiting periods in days

Desired additional coverages Daily sickness benefit insurance

80% Maternity compensation of insured salary in addition to EO
Back pay in the event of death

Additions and remarks

If necessary, upload files such as an excerpt from the commercial register, policy(ies) of the previous insurer, claims history (AKD), personnel lists or other attachments here.

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Terms of use

I accept the following terms of use

The purpose of this form is to obtain personal insurance quotes for the UVG (compulsory accident insurance law), UVG supplement and daily sickness benefit insurance sectors of the applying company. The offers will be put out to tender with various insurers in a submission procedure. All information provided will be made available to the insurance companies by ABES Zurich Ltd© as required. ABES Zürich AG© stores the data required for this submission procedure until the end of the submission. In the event of a negative decision, the data will be deleted. ABES Zürich AG© undertakes to treat the information received confidentially in the event of a possible conclusion of a contract.

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