Group Insurance Form Template for Netherlands

1. Medical Examination Requirements: Required when the insurance includes health coverage with medical underwriting

2. International Coverage: Included when coverage extends beyond the Netherlands

3. Profit Sharing Arrangement: Used when the policy includes profit-sharing provisions with the policyholder

4. Co-insurance Provisions: Required when multiple insurers are involved in providing the coverage

5. Waiting Periods: Included when certain benefits are subject to waiting periods

6. Special Risk Provisions: Required for groups with specific risk profiles or special coverage needs

7. Works Council Approval: Required when works council consultation is necessary under Dutch law

1. Schedule A - Benefits Schedule: Detailed breakdown of all covered benefits and associated limits

2. Schedule B - Premium Calculation: Detailed methodology for premium calculation and adjustments

3. Schedule C - Claims Documentation: List of required documents and procedures for claims submission

4. Schedule D - Excluded Conditions: Comprehensive list of exclusions and limitations

5. Schedule E - Group Member Registration: Forms and procedures for registering eligible group members

6. Appendix 1 - Privacy Notice: Detailed privacy policy and data protection procedures

7. Appendix 2 - Contact Information: List of key contacts for administration, claims, and support