Get a quote

In accordance with the European directive MiFID we are required by Belgian legislation to register all pre-contractual actions, to document personal details and keep these available for review by the appointed authority FSMA. This means we are obliged to ask you to complete the below form completely and correctly before we can offer you a quote or personal advice.

Person to be insured:
Purpose of your stay abroad:
Purpose of your stay abroad
I would like ... the following insurances:
Your contact details:

It may occur that Expat & Co needs to process medical and/or sensitive information about you. By sending in this form you give Expat & Co explicit consent to process this information with the purpose of managing your contracts correctly. These details will only be used by Expat & Co for the underwriting and management of your contracts and will not be kept longer than necessary.

According to Belgian and European privacy legislation you have the right to access your personal files and to corrections to the personal details pertaining to yourself. Further details can be gained from the Commission for the Protection of Personal Privacy, Drukpersstraat 35, 1000 Brussels, Belgium.

Get your smart insurance.

Request a quote