Risikolebensversicherung

<TITLE>Risikolebensversicherung</TITLE> <BODY> <H1 ALIGN="left"><FONT FACE="Arial" COLOR="#007881" SIZE="5"> Risikolebensversicherung<BR>  </FONT></H1> <H2>Risikolebensversicherung  Vergleich, Informationen zur Risikolebensversicherung </H2> <CENTER> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" STYLE="border-collapse: collapse" BORDERCOLOR="#111111" WIDTH="100%" ID="AutoNumber25"> <TR> <TD WIDTH="8"> </TD> <TD> </TD> </TR> </TABLE> <TABLE ID="AutoNumber4" STYLE="BORDER-COLLAPSE: collapse" borderColor="#111111" cellSpacing="0" borderColorDark="#88cee6" cellPadding="0" WIDTH="95%" borderColorLight="#ffffff" BORDER="0"> <TR> <TD vAlign="top" WIDTH="50%" bgColor="#ffffff"> <FONT FACE="Arial" COLOR="#007881" SIZE="5">Risikolebensversicherung Lebensversicherung Anfrage:</FONT></TD> <TD WIDTH="50%" bgColor="#ffffff"> </TD> </TR> </TABLE> <TABLE ID="AutoNumber6" STYLE="BORDER-COLLAPSE: collapse" borderColor="#111111" cellSpacing="0" borderColorDark="#000000" cellPadding="0" WIDTH="95%" borderColorLight="#000080" BORDER="2"> </TABLE> </CENTER> <TABLE cellSpacing="0" cellPadding="0" WIDTH="100%" BORDER="0"> <TR> <TD vAlign="top"> <TABLE STYLE="BORDER-COLLAPSE: collapse" borderColor="#111111" cellSpacing="0" cellPadding="0" BORDER="0"> <TR> <TD WIDTH="448"> </TD> <TD WIDTH="99%"> <SCRIPT Language="JavaScript" Type="text/javascript"></SCRIPT><FORM LANGUAGE="JavaScript" ACTION="http://www.versicherungsvergleiche-juling.de/php2/Formular-risiko/licomail_mailer.php" METHOD="post" ONSUBMIT="return FrontPage_Form1_Validator(this)" NAME="FrontPage_Form1"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="hidden" VALUE="kontaktformular.config.php" NAME="licomail_config_file"> <DIV ALIGN="center"> <CENTER> <TABLE STYLE="BORDER-COLLAPSE: collapse" borderColor="#111111" cellSpacing="2" cellPadding="2" WIDTH="479" BORDER="0"> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold">Vorname/Name:</B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" NAME="Vorname" SIZE="20">  <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="28" NAME="Name"></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold">Strasse:</B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="38" NAME="Strasse"></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold">PLZ / Ort:</B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" maxLength="4" SIZE="9" NAME="PLZ"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="30" NAME="Ort"></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold">Telefon Privat:</B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" maxLength="20" SIZE="17" NAME="Telefon">  <B>Tel.gesch.</B>:<INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="17" NAME="Telefongeschaeftlich"></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold">E-Mail:</B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="38" NAME="E-Mail"></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><SMALL> <FONT FACE="Arial" SIZE="2">Geburtsdatum:</FONT></SMALL></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" NAME="Geburtsdatum" SIZE="20">    </TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><SMALL> <FONT FACE="Arial" SIZE="2">Staatsangehörigkeit:</FONT></SMALL></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="checkbox" VALUE="ON" NAME="Staatsangeh"> Deutsch <B STYLE="FONT-WEIGHT: bold">   wenn nicht</B> : <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="23" NAME="kommtAus"></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial" SIZE="2"> Selbständig:</FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="checkbox" VALUE="ON" NAME="sebstaendigJA"> Ja    <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="checkbox" VALUE="ON" NAME="sebstaendigNEIN"> Nein<B><SPAN STYLE="FONT-WEIGHT: bold">  </SPAN></B> <B STYLE="FONT-WEIGHT: bold">Beruf:<INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="27" NAME="Beruf"></B></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC">  </TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331">  </TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial" SIZE="2"> Versicherungsbeginn</FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <FONT FACE="Arial" COLOR="#000000"><SMALL>Tag </SMALL></FONT> <SELECT STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" SIZE="1" NAME="Versicherungsbeginn_Tag"> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="1." SELECTED> 1.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2."> 2.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="3."> 3.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="4."> 4.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="5."> 5.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="6."> 6.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="7."> 7.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="8."> 8.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="9."> 9.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="10."> 10.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="11."> 11.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="12."> 12.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="13."> 13.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="14."> 14.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="15."> 15.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="16."> 16.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="17."> 17.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="18."> 18.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="19."> 19.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="20."> 20.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="21."> 21.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="22."> 22.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="23."> 23.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="24."> 24.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="25."> 25.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="26."> 26.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="27."> 27.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="28."> 28.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="29."> 29.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="30."> 30.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="31."> 31.</OPTION> </SELECT><FONT FACE="Arial" COLOR="#000000">  <SMALL> Monat </SMALL></FONT> <SELECT STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" SIZE="1" NAME="Versicherungsbeginn_Monat"> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="1." SELECTED> 1.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2."> 2.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="3."> 3.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="4."> 4.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="5."> 5.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="6."> 6.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="7."> 7.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="8."> 8.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="9."> 9.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="10."> 10.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="11."> 11.</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="12."> 12.</OPTION> </SELECT><FONT FACE="Arial" COLOR="#000000"><SMALL> Jahr </SMALL></FONT> <SELECT STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" SIZE="1" NAME="Versicherungsbeginn_Jahr"> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2000" SELECTED> 2000</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2001"> 2001</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2002"> 2002</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2003"> 2003</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2004"> 2004</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2005"> 2005</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2006"> 2006</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2007"> 2007</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2008"> 2008</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2009"> 2009</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="2010"> 2010</OPTION> </SELECT><FONT FACE="Arial" COLOR="#000000"><SMALL></SMALL></FONT></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial" SIZE="2"> Raucherstatus</FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <SELECT STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" SIZE="1" NAME="Raucherstatus"> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="( bitte auswählen )"> ( bitte auswählen )</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="Nichtraucher" SELECTED> Nichtraucher</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="Raucher"> Raucher</OPTION> </SELECT></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial" SIZE="2"> Versicherungsdauer</FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="5" NAME="Versicherungsdauer_Jahre"> <B STYLE="FONT-WEIGHT: bold"><SMALL> <FONT FACE="Arial" SIZE="2">Jahre oder    Endalter</FONT></SMALL></B> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="5" NAME="Versicherungsdauer_Endalter"></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial" SIZE="2"> Berechnung</FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <SELECT STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" SIZE="1" NAME="Berechnungssystem"> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="( bitte auswählen )"> ( bitte auswählen )</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="Todesfallsumme" SELECTED> Todesfallsumme</OPTION> <OPTION STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" VALUE="Beitrag gem. Zahlweise"> Beitrag gem. Zahlweise</OPTION> </SELECT>  <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="8" NAME="Beitrag"><SMALL><FONT FACE="Arial">  <B><FONT SIZE="2">Betrag in EUR</FONT></B></FONT></SMALL></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial" SIZE="2"> Berufsunfähigkeit</FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <TABLE ID="AutoNumber21" STYLE="BORDER-COLLAPSE: collapse" borderColor="#111111" HEIGHT="31" cellSpacing="0" cellPadding="0" WIDTH="100%" BORDER="0"> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="52%" HEIGHT="31"> <SMALL><FONT FACE="Arial"><B STYLE="FONT-WEIGHT: bold"> <FONT SIZE="2">I</FONT></B><FONT SIZE="2"><B STYLE="FONT-WEIGHT: bold">ch wünsche in der Risikolebensversicherung den Einschluss einer<BR> Beitragsbefreiung bei Berufsunfähigkeit</B>:</FONT></FONT></SMALL></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="48%" HEIGHT="31"> <SMALL><FONT FACE="Arial"><B STYLE="FONT-WEIGHT: bold"> <FONT SIZE="2"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="radio" CHECKED VALUE="ja" NAME="Einschluss einer Beitragsbefreiung bei Berufsunfähigkeit">ja   <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="radio" VALUE="nein" NAME="Einschluss einer Beitragsbefreiung bei Berufsunfähigkeit">nein</FONT></B></FONT></SMALL></TD> </TR> </TABLE> </TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial" SIZE="2"> Berufsunfähigkeits-<BR> rente</FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <TABLE ID="AutoNumber22" STYLE="BORDER-COLLAPSE: collapse" borderColor="#111111" cellSpacing="0" cellPadding="0" WIDTH="100%" BORDER="0"> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="52%"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial"><SMALL> <FONT SIZE="2">Ich wünsche den Einschluss einer monatlichen Berufsunfähigkeitsrente</FONT></SMALL></FONT></B><SMALL><FONT SIZE="2" FACE="Arial"><B STYLE="font-weight: bold">in der Risikolebensversicherung</B></FONT></SMALL><B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial"><SMALL><FONT SIZE="2">:</FONT></SMALL></FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="48%"> <FONT FACE="Arial"><SMALL> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="radio" CHECKED VALUE="ja" NAME="Einschluss einer monatlichen Berufsunfähigkeitsrente">ja   <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="radio" VALUE="nein" NAME="Einschluss einer monatlichen Berufsunfähigkeitsrente">nein</SMALL></FONT></TD> </TR> </TABLE> </TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC">  </TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <TABLE ID="AutoNumber23" STYLE="BORDER-COLLAPSE: collapse" borderColor="#111111" cellSpacing="0" cellPadding="0" WIDTH="100%" BORDER="0"> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="52%"> <B STYLE="FONT-WEIGHT: bold"><FONT FACE="Arial"><SMALL> <FONT SIZE="2">Höhe der monatlichen Rente:</FONT></SMALL></FONT></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="48%"> <FONT SIZE="2"><B STYLE="FONT-WEIGHT: bold"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="8" NAME="Höhe der mtl BU Rente"> </B></FONT><B STYLE="FONT-WEIGHT: bold"><SMALL> <FONT FACE="Arial" SIZE="2">EUR</FONT></SMALL></B></TD> </TR> </TABLE> </TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC">  </TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <SMALL><FONT FACE="Arial"> </FONT></SMALL><I><SMALL><FONT FACE="Arial">...bei dem Einschluss einer BU- Zusatzversicherung sind folgende Angaben zur korrekten Angebotsermittlung noch nötig:</FONT></SMALL></I></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="134" BGCOLOR="#ECECEC">  </TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <TABLE ID="AutoNumber24" STYLE="BORDER-COLLAPSE: collapse" borderColor="#111111" cellSpacing="0" cellPadding="0" WIDTH="100%" BORDER="0"> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="51%"> <B STYLE="FONT-WEIGHT: bold"><SMALL> <FONT FACE="Arial" SIZE="2">Sind Sie ein  Akademiker?</FONT></SMALL></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="49%"> <SMALL><FONT FACE="Arial"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="radio" CHECKED VALUE="ja" NAME="Akademiker">ja   <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="radio" VALUE="nein" NAME="Akademiker">nein</FONT></SMALL></TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="51%"> <B STYLE="FONT-WEIGHT: bold"><SMALL><FONT FACE="Arial"> Welche Tätigkeit üben Sie derzeit genau aus:</FONT></SMALL></B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="49%"> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" SIZE="30" NAME="Taetigkeit"></TD> </TR> </TABLE> </TD> </TR> <TR> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" vAlign="top" WIDTH="134" BGCOLOR="#ECECEC"> <BR> <B STYLE="FONT-WEIGHT: bold">unklare Punkte:</B></TD> <TD STYLE="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #557881; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif" WIDTH="331"> <TEXTAREA STYLE="BORDER-RIGHT: #badebf 1px solid; BORDER-TOP: #ececec 1px solid; FONT-WEIGHT: normal; FONT-SIZE: 9pt; BORDER-LEFT: #ececec 1px solid; COLOR: #007881; BORDER-BOTTOM: #badebf 1px solid; FONT-FAMILY: Verdana, Geneva, Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #dee6eb" NAME="unklar" ROWS="7" COLS="51"></TEXTAREA><P> <B STYLE="FONT-WEIGHT: bold">Wie wünschen Sie die Kontaktaufnahme bzg ihrer </B><SMALL> <FONT SIZE="2" FACE="Arial"><B STYLE="font-weight: bold">  Risikolebensversicherung</B></FONT></SMALL><B STYLE="FONT-WEIGHT: bold">?</B></P> <P> </P> <P><B STYLE="FONT-WEIGHT: bold"> <INPUT CLASS="radio" TYPE="radio" CHECKED VALUE="EMail" NAME="Kontaktaufnahme">Per E-Mail natürlich, wozu gibt's Internet??!<BR> <INPUT CLASS="radio" TYPE="radio" VALUE="Telefon" NAME="Kontaktaufnahme">Rufen Sie mich mal an!<BR> <INPUT CLASS="radio" TYPE="radio" VALUE="Post" NAME="Kontaktaufnahme">Schreiben Sie einen Brief... ;-)<BR> <BR> <BR> </B> <INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="submit" VALUE="Eingaben senden" NAME="licomail_send"><INPUT STYLE="font-weight: normal; font-size: 9pt; color: #007881; font-family: Verdana, Geneva, Arial, Helvetica, sans-serif; border-left: 1px solid #ececec; border-right: 1px solid #badebf; border-top: 1px solid #ececec; border-bottom: 1px solid #badebf; background-color: #dee6eb" TYPE="reset" VALUE="Zurücksetzen"></TD> </TR> </TABLE> </CENTER> </DIV> <P ALIGN="center"><SPAN CLASS="genmed"><FONT SIZE="3"> <A TARGET="_parent" CLASS="genmed" HREF="http://versicherungen-secureconcept.org/index.htm"> Home</A></FONT></SPAN><FONT STYLE="font-family: Verdana, Arial, Helvetica, sans-serif" SIZE="3"> </FONT><FONT 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