This document appears to be a proposal form for an Arogya Rakshak health insurance plan from LIC. It collects personal details of the principal insured.LIC's Arogya Rakshak (Plan No. 906, UIN : 512N318V01). Below are the forms you need to make insurance changes. Use this form or apply online at MNsure to apply for the following programs and help: Medical Assistance (MA) MinnesotaCare. Fill in the Proposal Form and the Portability Form available with the new insurer.