Contact

One or more fields have not been completed correctly. Please check your data before submitting the form.

Select the subject of your question:

Contact our sales managers

Contact our services

Your question

On which product(s) do you have a question? *

Pension

Death

Healthcare

Invalidity

Required field

Reference

request error

Type of question *

required field

Your question *

Required field

Your company

Name *

Required field

VAT number

Required field

Total number of employees *

Less than 50

Between 50 and 200

More than 200

Required field

Your details

First name *

Required field

Last Name *

Required field

Position within the company

Phone number *

required field

E-mail address *

required field

Invalid Captcha

By clicking "Send my question", I agree to allow AG Insurance to use my personal data for ***. My personal data won't be communicated to third parties. My data will be processed in accordance with the applicable data protection and privacy laws as well as with AG Insurance's Privacy Notice (https://www.agemployeebenefits.be/privacy/en) and Cookie Policy (https://www.agemployeebenefits.be/privacy/en/cookie-policy). I hereby acknowledge that I have read AG Insurance's Privacy Notice and Cookie Policy.