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Part 2 · Individual classes of insurance  ›  Chapter 8 · Health insurance › Section 206

Termination by the insurer

(1) Any termination of cost-of-illness insurance which complies with an obligation under section 193 (3) sentence 1 is ruled out by the insurer. Over and above this, the insurer may not give statutory notice of termination on cost-of-illness, daily sickness allowance insurance and long-term nursing care insurance if the insurance can completely or partly replace the health insurance cover, or long-term nursing care insurance provided for in the statutory social insurance system. It is also ruled out for daily hospital allowance insurance taken out alongside full cost-of-illness insurance. In derogation from sentence 2, the insurer may terminate a daily sickness allowance insurance for which there is no statutory right to an allowance towards contributions from an employer as per the end of each insured year in the first three years, subject to a notice period of three months.

(2) If, in the case of daily hospital allowance insurance or partial cost-of-illness insurance, the preconditions under subsection (1) are not met, the insurer may only terminate the insurance agreement as per the end of the insurance year within the first three insurance years. The notice period is three months.

(3) Where cost-of-illness insurance, or long-term nursing care insurance, is effectively terminated by the insurer on account of delayed payment by the policyholder, the insured persons are entitled to declare that the insurance agreement will continue, and to name the future policyholder; the premium is payable from such time onwards as the insurance agreement continues. The insurer informs the insured persons in writing about the termination and the right under sentence 1. This right lapses two months after the time when the insured person learns of this right.

(4) The statutory notice of termination of a group contract of insurance which covers the risk of illness by the insurer is permissible if the insured persons can continue the health insurance, taking into account the rights acquired under the contract and the old-age reserve, insofar as it has been set aside, at the terms and conditions of the individual insurance. Subsection (3) sentences 2 and 3 apply accordingly.

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