Get New India Sixty Plus Mediclaim Policy Proposal Form

Filling out the New India Sixty Plus Mediclaim Policy Proposal Form online can seem daunting, but this guide will provide you with clear instructions to simplify the process. Follow these steps to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete the proposal form.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by entering the intermediary details. Fill out the name of the intermediary, intermediary code, mobile number, and email ID as required in the designated fields.
3. Provide the proposer’s details, including their name, gender, occupation, educational qualifications, family monthly income, and identification numbers (Aadhar card, passport, or PAN card). Ensure to include the mobile number, residential address, and email ID.
4. Complete the section regarding the names and relationships of family members to be insured. Include their date of birth, sex, occupation, and identification numbers for each person.
5. Answer the medical history questions accurately. Indicate whether all members proposed for insurance are in good health and disclose any past illnesses or accidents, providing detailed information as requested.
6. Review the declaration section. Confirm the statements about pre-existing conditions and successively sign and date this section using the provided fields.
7. Attach two stamp-size photographs of each person to be insured as required. Ensure that at least one photograph is affixed to the proposal.
8. Once all sections are filled out, review each detail for accuracy and completeness. Save changes to your form before proceeding.
9. You may choose to download, print, or share the completed form as necessary to submit your proposal.

Complete your New India Sixty Plus Mediclaim Policy Proposal Form online today for a hassle-free insurance experience.