Claim forms

Note: there are different addresses to which you must send the medical claim form.

 

• Personal Insurance
• Aon Risk Solutions IPM
• PO box 1005
• 3000BA Rotterdam

 

• ICare, Aon Global Health Complete / AGHS top up Plan
• Allianz Worldwide Care
• 18B Beckett Way
• Park West Business Campus
• Nangor Road, Dublin 12, Ireland

 

• Basic Health insurance
• One Underwriting Health
• Postbus 90165
• 5600 RV Eindhoven

 

Claims personal insurance

Claims form Personal Insurance

 

ICare, Aon Global Health Complete / AGHS top up Plan

Treatment Guarantee Form | 93 KB

Claims form (medical selection) | 121 KB

Claims form (non medical selection) | 105 KB