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ICICI LOMBARD

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 * Customer
   Details
 * Quote
   Details
 * Proposal
   Details
 * Proposal
   Summary
 * Payment
   Options
   


RM DETAILS

Enter Reliance Retail Employee ID *


QUOTE DETAILS

Customer State (Applicable for GST) * MAHARASHTRA RAJASTHAN TAMIL NADU KARNATAKA
KERALA MADHYA PRADESH UTTAR PRADESH GUJARAT PUNJAB WEST BENGAL DELHI ANDHRA
PRADESH HARYANA ORISSA JHARKHAND CHHATTISGARH GOA ARUNACHAL PRADESH BIHAR
HIMACHAL PRADESH JAMMU & KASHMIR MANIPUR MEGHALAYA MIZORAM NAGALAND SIKKIM
TRIPURA UTTARANCHAL CHANDIGARH DAMAN & DIU DADRA & NAGAR HAVELI LAKSHADWEEP
PONDICHERRY ANDAMAN & NICOBAR ISLANDS ASSAM NEW DELHI TELANGANA LADAKH
UTTARAKHAND OTHER TERRITORY SEZ GUJARAT

NUMBER OF ADULT

   
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 * 
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Adult 1 Relationship * SELF SPOUSE
Adult 1 DOB *

NUMBER OF CHILD

   
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FEATURES

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Cover NameBenefit Tele-consultationUnlimitedPhysical Consultation 04 Health Risk
AssessmentDiet trackerHealth BlogsFitness tracker (Steps, sleep, sit & stand
time)Face Scan (Know your health vitals)Calorie ScanChat with expertEmergency
Medical AssistanceUnlimited


FEATURES ×




DECLARATION FOR MASTER POLICY HOLDER


This is a group policy, you can only extend the benefit to your family members
if you have already covered yourself in a group policy. Kindly share your group
health policy number enrolled with YES Bank as it is mandatory if you do not
wish to cover yourself in this application
Policy Number For Self *
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