Get Liberty Health Connect Policy Proposal Form

Filling out the Liberty Health Connect Policy Proposal Form online is a crucial step in obtaining health insurance coverage. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the policy proposal form and open it in your preferred digital format.
2. Complete the proposer details section, which includes filling in your last name, first name, middle name, and title (Mr/Mrs/Ms). Provide your complete address, including city, state, district, and pin code.
3. In the proposer details section, enter your telephone number, mobile number, email address, nationality, marital status, annual income, and educational qualification.
4. Navigate to the plan details section and choose your policy type (Individual or Family Floater) and policy tenure (1 year or 2 years). If selecting Family Floater, specify the number of persons to be covered.
5. Select the sum insured option that best suits your needs and indicate the proposed policy period by selecting the start and end dates.
6. Proceed to fill out the proposed insured details, inputting the necessary information for each individual to be covered, including name, gender, date of birth, height, weight, and profession.
7. Provide nominee details, including the nominee's name, relationship to the proposer, and nominee's address.
8. In the medical and lifestyle information section, indicate any relevant medical history for each proposed insured by ticking the appropriate boxes and providing additional details as necessary.
9. Continue through the form by answering questions regarding previous or existing insurances and any relevant claim details.
10. Complete the payment details by specifying the instrument type, entering the bank name, and providing the relevant payment information.
11. Ensure all necessary documents, such as identification proof and age proof, are attached as listed in the provided checklist.
12. Review all information filled out for accuracy and completeness. Save your changes, and then download, print, or share the completed proposal form as needed.

Get started on filling out your LIBERTY HEALTH CONNECT POLICY PROPOSAL FORM online today!