If you are applying for a 12 month’s cover and wish to pay your premium on a quarterly basis, please download the form and send it to us to [email protected]

This solution is only eligible for CERN MPAs and their accompanying family members. You must have an Attestation of association with CERN or an Attestation of pre-registration of association with CERN to enroll to this healthcare insurance plan. 

The application form will take you approximatively 5-7 minutes to complete.