Health

Contribution and Tariff Enquiry Agent

The contribution, the optional tariffs and the deadline belong in one call. Anyone who has to look things up loses the thread.

Explains the supplementary contribution, optional tariffs and the special right of termination in plain terms.

Open agent
Public administration

Four processes that take up the most time today

Developed in Germany · Hosted in the EU

Developed in Germany · Hosted in the EU or on-premises

Delivered together with

STACKIT Sovereign hosting in Germany, single-tenant from the first user.
Rödl Legal, tax and compliance expertise for legally sound deployment.
4P Consulting Advisory and implementation for the public sector, starting with the AI readiness assessment.

One call about the contribution decides whether the member stays.

The question rarely comes up, usually after the letter announcing a contribution change. In that conversation, the member's own supplementary contribution, the fund's optional tariffs and the deadline for the special right of termination all have to come together. Anyone who has to look them up loses the thread, and the call ends with a request for a callback.

1call about the contributionThe member asks why the contribution is going up and what that means for the contract.
3pieces of information in one callSupplementary contribution, optional tariffs and the special right of termination have to be covered together.
4optional tariffsSickness benefit, excess, cost reimbursement and cover abroad are in the fund's range.
1callback requestIf one of the three pieces of information is missing, the call ends unresolved and has to be repeated.

With the contribution, the four optional tariffs and the deadline on screen in the same call, there is no callback request and the response is 50% faster.

The 50% faster enquiry response is this agent's headline figure. The number of optional tariffs and the course of the call describe a typical case in a health insurance fund's customer service; they are not a measured value.

Three steps through the process.

The agent sets out the supplementary contribution, optional tariffs and notice period side by side with their source references; the member chooses the tariff.

Break down the contribution for the member

The agent shows the general contribution rate and the fund's supplementary contribution separately and applies them to the member's income. It states the date of the rates it is calculating from.

Member 8842-19, supplementary contribution shown from 1 July 2026

Compare the fund's optional tariffs

The agent sets the four optional tariffs side by side with their conditions and minimum terms. It marks what already applies to this member.

4 optional tariffs with minimum terms, 1 of them running until 31 December 2026

Clarify the right of termination and its deadline

The agent states the deadline for the special right of termination and the day it expires. It files the response with the case; customer care passes it on.

auskunft_8842-19.pdf, deadline 31 July 2026, with source reference

What the agent does not do.

It does not advise on the choice of tariff.

It sets the tariffs side by side with their conditions. The choice rests with the member and with portfolio management.

It does not accept a termination.

It states the deadline and the route. The termination itself is handled by customer care in membership administration.

It does not switch automatically to a newly adopted supplementary contribution.

Until the new rate is entered, it tells member 8842-19 the position from 1 July 2026. Membership administration enters the new rate.

Connected systems

  • Membership administration
  • contribution and tariff database
  • contribution account

Operations

  • Deployment modelEU cloud, private cloud or on-premises
  • Data processingGDPR-compliant, no model training on your data
  • Responsible teamsCustomer service, portfolio management

The questions that come up before the first meeting.

How quickly is the Contribution and Tariff Enquiry Agent ready to use?

A pilot typically runs on your own data within 4 to 6 weeks. The agent connects to your existing systems rather than running as a separate, parallel environment.

Where is the data processed?

EU cloud, private cloud or on-premises. Processing is GDPR-compliant and models are never trained on your data. Details in the Trust Center.

Where does the figure “50% faster enquiry response” come from?

It is based on experience from comparable projects and process benchmarks, not a commitment. We establish the realistic effect for your organisation in the assessment before the pilot.

Related agents.

Intake review, case 2026/04711

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