Get Bajaj Allianz Health Guard Proposal Form

This guide provides a clear and comprehensive approach to completing the Bajaj Allianz Health Guard Proposal Form online. Follow the outlined steps to ensure that all required information is accurately provided, facilitating a smoother onboarding process for your health insurance.

Follow the steps to successfully complete the proposal form.

1. Click ‘Get Form’ button to access the proposal form and open it in your preferred digital editing tool.
2. Begin filling out the personal details section. Enter the name of the proposer, including surname, first name, and middle name. Provide state, telephone number, residential address, city, pin code, and email address.
3. Provide the name and address of your family doctor in the designated field. This is essential for health risk assessments.
4. In the section for details of the person to be insured, fill in the name, income tax PAN number, telephone, date of birth, age, gender, height, weight, occupation, gross monthly income, relationship to the proposer, qualification, sum assured, and premium amount.
5. Provide details of any other insurance policies held, such as Mediclaim or critical illness insurance. Include policy number, insurer's name and address, sum insured, period of insurance, no claim bonus percentage, and any claims received or receivable along with the nature of problems.
6. Answer questions regarding tobacco or alcohol consumption. Select 'Yes' or 'No' and provide additional details if applicable.
7. Respond to the medical history questions, indicating whether the insured person has suffered from or been investigated for specific health conditions. If yes, provide details in the given fields.
8. Indicate if the insured person is currently receiving treatment or has received treatment in the past. Include details such as the name of the illness, treatment received, dates, and medical practitioner or hospital information.
9. Confirm whether any previous insurance proposals were declined or accepted on special terms, providing necessary details in the space provided.
10. Review the declaration section, ensuring all information provided is accurate. The proposer must sign and date the form, affirming their statements. Specify the period of insurance required.
11. Upon completion, save the changes made to the form, then proceed to download, print, or share the form as necessary.

Complete your Bajaj Allianz Health Guard Proposal Form online today to ensure your health insurance coverage.