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  • Bajaj Allianz Extra Care Proposal Form

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For Office Use Only: Scrutiny No. Bajaj Allianz General Insurance Co. Ltd. G.E. Plaza, Airport Road, Yerawada, Pune - 411 006. For Agent Use Only: Receipt No. Policy No. For Agent Use Only: Loan Account.

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The ExtraCare Health Card is a free program You get a 20 percent discount on thousands of CVS/pharmacy® brand health-related items for you and your family. Your discount applies to regularly priced items of $1 or more. You also get all the chances to save that come standard with the CVS ExtraCare Card.

The ExtraCare Health card offers a 20 percent discount1 on more than 1,3002 CVS/pharmacy brand, flexible spending account (FSA)-eligible3, health-related items. The following are examples of some of the categories and items eligible for the ExtraCare Health discount.

Definition: Proposal form is the most important and basic document required for life insurance contract between the insured and insurance company. It includes the insured's fundamental information like address, age, name, education, occupation etc.

Page 1 If your company has a TPA, enter the TPA's ID no. In case you. have another. health. insurance. ... Enter your. policy number. As on policy. document. Can be you or your family member Your employee code no. ... In case medical. treatment taken. at home. In case you. have benefit. ... Expenses. incurred before. and after. Hospitalization.

You must present your ExtraCare Card to get these savings. Savings apply to your total purchase with specified product(s). The savings do not apply to prescriptions, alcohol, gift cards, lottery, money orders, postage stamps, prepaid cards, tobacco products or items reimbursed by a governmental program.

This program helps you save money on everyday health-related items. Your ExtraCare Health Card gives you a 20%* savings on CVS pharmacy® brand-items that are health care flexible spending account (HCFSA)-eligible. You can buy these products in store or online at the CVS website.

Supplemental health insurance plans are health care plans used to cover anything above and beyond basic medical coverage. These plans provide extra medical coverage and can also be used to contribute to other costs not covered by your primary insurance plan such as copayments, coinsurance, and deductibles.

Proof of identity (Passport/Ration Card/Driving Licence/Aadhaar/Voter's ID). Proof of address (Voter's ID Card/Passport/Aadhaar).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232