Please beware of phishing! Emails which were not sent by our employees are currently circulating, allegedly on behalf of Vanbreda Risk & Benefits. Did you receive an email with the domain name @vanbreda-be.com? Do not click on it and report it to your usual contact person in our organisation. Our email addresses always end in @vanbreda.be.

Underwriting form Ambuflex Plus

Name: Vanbreda Risk & Benefits
Price range: $

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If you have a current hospitalisation plan, please upload here.

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I confirm having read and understood the information sheet, as well as the policy conditions (Dutch/French) of this product. I confirm that I am sufficiently informed about this product by Vanbreda Risk & Benefits and that this product meets my needs.
I confirm that I will inform my employees about this insurance and the fact that their personal data are transferred to Vanbreda Risk & Benefits, solely for the purpose of bringing their affiliation to the insurance in order. More information about the privacy policy of Vanbreda Risk & Benefits can be found here.
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