Sumiswalder profile

The legal entity behind Sumiswalder is “Sumiswalder Krankenkasse” (legal form: association, UID CHE-107.232.368), based in Sumiswald. The FOPH register does not assign the insurer to any insurance group. The Federal Office of Public Health (FOPH) lists the insurer under number 194 in its register of approved health insurers, as of 01.01.2026. The register gives its area of operation as “AG, AI, AR, BE, BL, BS, FR, GL, GR, LU, NW, OW, SG, SH, SO, SZ, TG, UR, VS, ZG, ZH”. In basic health insurance, Sumiswalder must accept every person there who is required to take out insurance, without a health questionnaire, and the benefits are the same at every insurer under the Health Insurance Act (KVG/LAMal).

In the 2024 financial year, an average of 31,773 people had basic health insurance with Sumiswalder. That is 0.4% of the 9,005,998 insured persons across all insurers. These figures come from the FOPH supervisory data (table T 5.01), which are published every year for all health insurers. Per insured person, the insurer took in an average of CHF 3,849 in premiums in 2024 and paid out CHF 3,277 in net benefits.

For 2027, Sumiswalder has approved premiums in 21 of 26 cantons. As the reference for the premium level, we use adults in the standard model with a CHF 300 deductible and accident cover. Across all of the insurer’s premium regions, this gives an index of 94.7, where 100 is the unweighted average of all insurers in the same regions. On average, the premiums are therefore 5.3% below the average. Compared with the respective cantonal average, the lowest index is in the canton of Graubünden (92.1) and the highest in the canton of Basel-City (105.6).

Between 2011 and 2027, this reference premium at Sumiswalder changed, on average across its own premium regions, from CHF 327.80 to CHF 555.84 per month (+69.6%). Over the same period, the average of all insurers in the same regions went from CHF 330.01 to CHF 586.54 (+77.7%). The chart further down shows the trend year by year.

In 2027, Sumiswalder offers 3 model types: standard model (free choice of physicians), GP and HMO models and telemedicine and other models, with 4 tariffs in total, for example “GP model” and “sumis24Telmed”. Models with a restricted choice of service provider often apply only in certain regions; the premium calculator for your municipality shows whether a tariff is offered where you live.

In 2024, administrative costs came to CHF 104 per insured person (all insurers: CHF 193). The claims ratio, i.e. net benefits in relation to premiums, was 85.1% (all insurers: 94.9%). Reserves amounted to CHF 26.9 million, or CHF 848 per insured person. In the KVG solvency test as of 01.01.2025, Sumiswalder achieved a solvency ratio of 134%; the required minimum is 100%, while the figure for all insurers was 147%.

You cancel basic health insurance in writing. To switch on 1 January, your notice of cancellation must reach Sumiswalder by 30 November (Art. 7 para. 2 HIA); the FOPH recommends sending it by registered mail by 15 November. The insurer’s website does not give a separate cancellation address; we show the general postal address, which you’ll find further down. Which insurer is cheaper for you depends on where you live, your age, your deductible and your model. This page shows official figures without rating; you can work out your personal premiums in the premium calculator.