{"id":1857,"title":"PORTABILITY FORM","purpose":"service","insurer":{"slug":"navi-general-insurance","name":"Navi General Insurance Limited"},"source_pdf":"https://public-navi-docs.s3.ap-south-1.amazonaws.com/Portability%20Form","sha256":"37f9e9195164d932a57fd8bdc3b5dffa17caaf83b2fce6cff64db8235c7fad36","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is used by a policyholder to request portability of their existing health insurance policy to a new insurer.","notes":[],"title":"PORTABILITY FORM","submit":{"to":"","how":"","address":""},"purpose":"service","sections":[{"title":"PART I","fields":[{"help":"","type":"text","label":"Name of the Policyholder / insured (s)","options":[],"required":null,"pdf_field":""},{"help":"Enter date of birth or age of the insured","type":"date","label":"Date of Birth/ Age","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of the policyholder/insured","options":[],"required":null,"pdf_field":""},{"help":"Fill details: Name of the product, Sum Insured, Cumulative Bonus, Add-ons/riders taken, Policy number, Claim details if any","type":"table","label":"Details of existing insurer","options":[],"required":null,"pdf_field":""},{"help":"Fill details: Name of the product proposed/intend to take, Sum Insured Proposed, Whether Cumulative Bonus to be converted to an enhanced sum insured","type":"table","label":"Details of the proposed insurance","options":[],"required":null,"pdf_field":""},{"help":"Explain why you want to port your policy","type":"text","label":"Reason(s) for portability","options":[],"required":null,"pdf_field":""},{"help":"Enter number of family members to include","type":"number","label":"No. of family members to be included in the policy to be ported:","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"PART II","fields":[{"help":"Answer if the new policy has longer exclusion periods","type":"yes-no","label":"Whether the PED exclusions / time bound exclusion have longer exclusion period than the existing policy:  (Please indicate Yes / NO)","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Write consent agreeing to observe additional waiting period if applicable","type":"text","label":"If yes, please give written consent to the declaration below","options":[],"required":null,"pdf_field":""},{"help":"Sign here to confirm consent","type":"signature","label":"Signature of Policyholder","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":[],"applies_to":"health insurance portability","attachments":["Photocopy of the existing policy documents"],"declarations":["I am aware that the waiting period for the following disease(s)/treatment(s) is ________ days/ years more than the previous policy terms.","I hereby agree to observe the additional waiting period for the following disease(s)/treatment(s)."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"grievance","channel":"email","value":"gro@navi.com","label":"Second Escalation - Grievance Redressal Officer","level":2,"hours":null,"applies_to":"all","source_url":"https://public-navi-docs.s3.ap-south-1.amazonaws.com/NaviCommercialVehicleLiabilityOnlyInsurance%20CIS.pdf","quote":"t Customer Experience Team at - insurance.help@navi.com • Second Escalation - Email to Grievance Redressal Officer at – gro@navi.com Turn Around Time (TAT) for claims settlement 30 days from the date of last document receipt Claim Registration Notify o","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"022-40018100","label":"Level 2 Escalation - Grievance Redressal Officer phone","level":2,"hours":null,"applies_to":"all","source_url":"https://public-navi-docs.s3.ap-south-1.amazonaws.com/NaviCommercialVehicleLiabilityOnlyInsurance%20Policy%20Wordings.pdf","quote":"e to our Head Customer Experience and Grievance Redressal Officer at Head.CustomerExperience@navi.com or contact GRO at 022-40018100. Level 3: If you are not happy with the resolution, you may approach IRDAI by calling on the Toll-Free no. 155255\n(or)","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Navi General Insurance Limited Registered Office: Vaishnavi Tech Square, 10th Floor, Iballur Village, Begur Hobli, Bengaluru, Karnataka- 560102","label":"Grievance Redressal Officer Address","level":null,"hours":null,"applies_to":"all","source_url":"https://public-navi-docs.s3.ap-south-1.amazonaws.com/NaviCommercialVehicleLiabilityOnlyInsurance%20CIS.pdf","quote":"https://www.naviinsurance.com/service/ 5. Walk in for assistance 6. Dispatch your letters to us at – Corporate Office: Navi General Insurance Limited, Vaishnavi Tech Square, 10th Floor, Iballur Village, Begur Hobli, Bengaluru, Karnataka- 560102 7. Escalation – • First Escalation – Contact Customer Experience Team at - insurance.help@navi.com • Second Escalation - Email to Grievan","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800 123 0004","label":"Grievance Redressal Officer Toll free","level":null,"hours":null,"applies_to":"all","source_url":"https://public-navi-docs.s3.ap-south-1.amazonaws.com/NaviCommercialVehicleLiabilityOnlyInsurance%20CIS.pdf","quote":"nses - paid amount under own damage claim\n12 | Policy Servicing Claim Intimation and Processing | 1. Call Us: Toll Free 1800 123 0004 2. Email: insurance.help@navi.com 3. Email for Senior Citizens- seniorcare@navi.com 4. Visit our website: https://www.n","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/navi-general-insurance/1857-portability-form"}