Are you 18 years or older?

Yes No

Do you have a benefit partner?

Yes No

In which country do you live?

Do you have Dutch health insurance?

Yes No

What is your gross annual income?

Is your benefit partner 18 years or older?

Yes No

In which country does your benefit partner live?

Does your benefit partner have Dutch health insurance?

Yes No

Does your benefit partner only receive income from the Netherlands?

Is your benefit partner insured via the CAK?

Yes No

What is your benefit partner’s income?

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