Follow the steps to effectively complete the claim form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the personal information section, including the name of the proposer, occupation, date of birth, and annual income. Make sure that each detail is completed in block letters.
3. Provide your residence address and email ID along with your mobile number. This will help the insurance provider to contact you if necessary.
4. Indicate your preference for receiving the insurance policy through an insurance repository and provide the necessary e-Insurance Account number if applicable.
5. In the nominee section, enter the nominee's name, relationship, and their date of birth. If the nominee is a minor, also include the appointee's details.
6. Choose the policy opted for (Family Health Optima Accident Care Policy or Medi Classic Accident Care Individual Insurance Policy) and select the sum insured option that fits your needs.
7. Complete the payments section by indicating the payment method, amount, and include bank details if necessary. Ensure you attach any requested documents such as proof of date of birth.
8. Fill in the section detailing the insured person's information for each individual being covered, including their name, gender, date of birth, height, weight, relationship, and occupation.
9. Complete the health history section, providing information regarding any existing medical conditions, treatments, or medications currently being taken. Be thorough as this can impact coverage.
10. Finally, review all entries for accuracy, save changes to the document, and choose to download, print, or share the form as necessary.

Take the next step in securing your health coverage by completing the claim form online today.