Change of payment mode

Metadata

User Id

Form Uuid

Language

Webmail2Id

mailTo

Bcc

formType

resourceDownloadUrl

onServer

The change applies to all persons listed on the same premium invoice. Please note that a retroactive change is possible at the earliest to the first day of the current month.

Insurance number

You will find your insurance number on the back of your health insurance card or on your insurance policy. Your insurance number has at least 10 and maximum 11 digits.

Surname

First name

Date of birth

Modification valid from

hidden Gueltig Ab Backend Format

Payment mode

Monatlich

Bimonthly

Quarterly

Half-yearly

Yearly

hiddenBslPayloadTyp

hiddenBslFormTyp

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