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BVBA E. Laureys
Home
Menu
Our Team
Our vision
Insurance
Insurance
Private individuals
Self-employed & SMEs
Associations
Offer
Private individuals
Self-employed & SMEs
Calculate your price
Extra
Useful links
Digital
Available Apps
Stappenplannen
Damage
Information
Documents
Report damage
Contact
News
Language
Nederlands
English
Français
Quotation Guaranteed Income
Step
1
of
4
25%
Policyholder
Name
*
First
Last
Address
*
Street Address
City
ZIP / Postal Code
Email
*
Telephone
*
Date of birth
*
DD slash MM slash YYYY
Activities of the person to be insured
Start date independent activity
DD slash MM slash YYYY
The person to be insured performs the independent activity
Main occupation
Side occupation
The person to be insured is
Start-up self-employed (self-employed status less than 3 years)
Established self-employed person (self-employed status more than 3 years or equivalent work experience as employee)
Exact description of professional activity
In case of a self-employed person in a secondary occupation: description of the main occupation
Please divide your time to spend in the 5 parts below
Total is 100%
Administration and management (%)
Please enter a number less than or equal to
100
.
Manual labor (%)
Please enter a number less than or equal to
100
.
Transport (%)
Please enter a number less than or equal to
100
.
Working at heights (%)
Please enter a number less than or equal to
100
.
Other (description + %)
Are you staying abroad regularly?
No
Yes
Do you practice a sport that requires cover?
No
Yes
Specify the sport(s)
Coverage of your income
Your annual net taxable income from your work
What amount of your net taxable income do you want to insure?
Max. 80% of your net taxable income
Against which form(s) of unfitness do you wish to insure yourself?
Both economic disability and disability
Only economic disability
Invalidity:
reduction of physical integrity. (eg amputation finger => regardless of whether this has an influence on the exercise of your profession)
Economic unfitness:
the reduction of the work capacity due to the disability. (eg amputation finger influences pianist when exercising profession).
Illness and accidents
Of all kinds
Private life
Additional modalities
Own risk term
1 month
2 months
3 months
6 months
12 months
The period after the accident that the insurance does not have to intervene. Obviously: the longer this period, the lower your premium to be paid.
Bridging Own risk term (only possible if 1 month)
Duration policy
Until the age of 60
Until the age of 65
Comments
This field is for validation purposes and should be left unchanged.
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