{"id":16604,"date":"2023-12-28T16:55:22","date_gmt":"2023-12-28T14:55:22","guid":{"rendered":"https:\/\/eurofinco.be\/?page_id=16604"},"modified":"2023-12-28T16:58:50","modified_gmt":"2023-12-28T14:58:50","slug":"schuldsaldo","status":"publish","type":"page","link":"https:\/\/eurofinco.be\/en\/schuldsaldo\/","title":{"rendered":"debt balance"},"content":{"rendered":"<div class=\"wpcf7 no-js\" id=\"wpcf7-f16606-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"16606\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/16604#wpcf7-f16606-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/16604#wpcf7-f16606-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"16606\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f16606-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h2>Health declaration debt balance insurance\n<\/h2>\n<p>&nbsp;\n<\/p>\n<p>Your name\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Naam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Naam\" \/><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Your first name\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Voornamen\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Voornamen\" \/><\/span>\n<\/p>\n<p>&nbsp;<br \/>\nYour height?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Lengte\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Lengte\" \/><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Your weight?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Gewicht\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Gewicht\" \/><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Are you a smoker?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Roker\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Roker\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Ja\">Yes<\/option><option value=\"Nee\">No<\/option><option value=\"Gestopt sinds meer dan 12 maanden\">Stopped for more than 12 months<\/option><\/select><\/span><br \/>\n&nbsp;\n<\/p>\n<p>In case you stopped: enter the date:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Datum-gestopt-met-roken\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Datum-gestopt-met-roken\" \/><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>I declare that I have never been medically declined for underwriting life insurance or guaranteed income insurance and have no similar application pending with any other insurance company.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Geweigerd\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Geweigerd\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Ja\">Yes<\/option><option value=\"Nee\">No<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>I expressly declare to be in good health and to the best of my knowledge NOT to have suffered or to have suffered during the last 10 years from any serious illness, infirmity or condition*.\n<\/p>\n<p>*Serious includes, the following diseases, defects or disorders: (not suffering from)<br \/>\n- disorders of the nervous system or neuromuscular diseases (cerebral haemorrhage, Huntington's disease, CVA, MS , ALS, epilepsy)<br \/>\n- cardiovascular diseases (heart disease, infarction, thrombosis)<br \/>\n- neo-proliferative disorders and blood diseases (cancer, tumour, leukaemia, haemophilia)<br \/>\n- infectious diseases (HIV, hepatitis B &amp; C)<br \/>\n- lung diseases (COPD, pulmonary emphysema, cystic fibrosis)<br \/>\n- kidney disease (insufficiency, dialysis, transplantation)<br \/>\n- neuromental disorders (psychosis, schizophrenia, suicide attempt)<br \/>\n- rare diseases<br \/>\n- ex-cancer patients and chronically ill people should correctly disclose the conditions they have suffered or are suffering from in accordance with the questions asked about them in this medical questionnaire. However, they may, in certain cases, enjoy a 'right to be forgotten' when applying for debt balance insurance. More information on this can be found at www.abcverzekering.be\/recht-om-vergeten-te-worden\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"In_Goede_Gezondheid\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"In_Goede_Gezondheid\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Ja\">Yes<\/option><option value=\"Nee\">No<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>I am not currently disabled or I have not been disabled for more than 1 month in the last 5 years.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Niet_Arbeidsongeschikt\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Niet_Arbeidsongeschikt\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Juist\">Right<\/option><option value=\"Onjuist\">Incorrect<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>I am not following any medical treatment or I have not followed any medical treatment with a duration of more than 3 consecutive weeks during the last 5 years.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Geen_Medische_behandeling\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Geen_Medische_behandeling\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Juist\">Right<\/option><option value=\"Onjuist\">Incorrect<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>I have not been hospitalised (during the last 10 years) and I should not be hospitalised in the next 12 months, undergo surgery or medical examinations.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Niet_Gehospitaliseerd\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Niet_Gehospitaliseerd\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Juist\">Right<\/option><option value=\"Onjuist\">Incorrect<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Alcohol consumption : Do you confirm the 2 statements below?<br \/>\na) I drink less than 2 glasses of alcohol a day on average these days<br \/>\nb) and, I have drunk less than 2 glasses of alcohol per day on average over the past 5 years\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Weinig_Alcohol\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Weinig_Alcohol\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Ja\">Yes<\/option><option value=\"Nee\">No<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Medical treatment : Do you confirm the 3 statements below?<br \/>\n(a) I am NOT following ANY medical treatment these days(1)<br \/>\n(b) and, I have NOT undergone any medical examination(2) in the last 12 months<br \/>\nc) and, I have NOT followed any medical treatment(1) longer than 3 weeks in the past 5 years\n<\/p>\n<p>(1) \"Treatment\" means:<br \/>\n- The use of pastilles, tablets, sachets, syrups, suppositories, inhalations, intramuscular or intravenous pricks or baxters (not including the pill or other contraceptives). Does not cover trivial infections such as a flu or cold, gastrointestinal complaints with a duration of less than a week<br \/>\n- any other therapeutic treatment<br \/>\n(2) Except in the context of trivial infections such as a flu or cold, gastrointestinal complaints lasting less than a week, a check-up or a pregnancy without complications<br \/>\n(3) Does not cover incapacity for work due to pregnancy without complications\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Geen_behandeling\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Geen_behandeling\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Ja\">Yes<\/option><option value=\"Nee\">No<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Hospitalisation : Please confirm the 2 statements below?<br \/>\n(a) there is NO hospitalisation currently provided<br \/>\n(b) and, other than for childbirth, in the past five years I was<br \/>\n- NOT cared for in a hospital<br \/>\n- NOT hospitalised for more than 1 week<br \/>\n- NOT operated\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Geen_hospitalisatie\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Geen_hospitalisatie\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Ja\">Yes<\/option><option value=\"Nee\">No<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Periodicity of premium payments:\n<\/p>\n<p>Monthly (or quarterly if monthly amount is too low for insurer)<br \/>\nAnnual\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"periodiciteit\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"periodiciteit\"><option value=\"Maak uw keuze\">Make your choice<\/option><option value=\"Maandelijks (of per kwartaal indien maandelijks bedrag te laag is voor verzekeraar)\">Monthly (or quarterly if monthly amount is too low for insurer)<\/option><option value=\"Jaarlijks\">Annual<\/option><\/select><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Direct debit account number? (IBAN - mandatory for monthly premiums)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"IBAN\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"IBAN\" \/><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Your e-mail\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"E-mail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"E-mail\" \/><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p>Your telephone number\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Tel1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"Tel1\" \/><\/span>\n<\/p>\n<p>&nbsp;\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send form\" \/>\n<\/p>\n\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-16604","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/eurofinco.be\/en\/wp-json\/wp\/v2\/pages\/16604","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eurofinco.be\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eurofinco.be\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eurofinco.be\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eurofinco.be\/en\/wp-json\/wp\/v2\/comments?post=16604"}],"version-history":[{"count":0,"href":"https:\/\/eurofinco.be\/en\/wp-json\/wp\/v2\/pages\/16604\/revisions"}],"wp:attachment":[{"href":"https:\/\/eurofinco.be\/en\/wp-json\/wp\/v2\/media?parent=16604"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}