{"id":2024,"title":"MIGRATION FORM","purpose":"service","insurer":{"slug":"shriram-general-insurance","name":"Shriram General Insurance Company Limited"},"source_pdf":"https://cdn.shriramgi.com/webassets/download/health-form/Health_Migration_Form.pdf","sha256":"20172147f4a62a571ac004b6b9f8fad5cb51d711365d9f1adda71ddc36eac0fa","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is used by policyholders to request migration of their existing health insurance policy to a new policy with the insurer.","notes":["Migration and issuance will be subject to complete underwriting and medical assessment based on underwriting guidelines."],"title":"MIGRATION FORM","submit":{"to":"","how":"","address":""},"purpose":"service","sections":[{"title":"Policyholder Details","fields":[{"help":"","type":"text","label":"Name of the Policy Holder/ Insured(s):","options":[],"required":null,"pdf_field":""},{"help":"Enter date in DD/MM/YYYY format","type":"date","label":"Date of Birth:","options":[],"required":null,"pdf_field":""},{"help":"Enter age in years","type":"number","label":"Age: (Years)","options":[],"required":null,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address of the policyholder/insured:","options":[],"required":null,"pdf_field":""},{"help":"Enter a valid email address","type":"email","label":"Email:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City (District):","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State:","options":[],"required":null,"pdf_field":""},{"help":"6 digit postal code","type":"number","label":"Pin code:","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of existing insurer","fields":[{"help":"Name of current insurance product","type":"text","label":"Name of the product:","options":[],"required":null,"pdf_field":""},{"help":"Current sum insured amount","type":"amount","label":"Sum Insured:","options":[],"required":null,"pdf_field":""},{"help":"Bonus amount accumulated","type":"amount","label":"Cumulative Bonus:","options":[],"required":null,"pdf_field":""},{"help":"List any riders or add-ons","type":"text","label":"Add-ons/riders taken:","options":[],"required":null,"pdf_field":""},{"help":"Existing policy number","type":"text","label":"Policy number:","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of the proposed insurance","fields":[{"help":"Name of new insurance product","type":"text","label":"Name of the product proposed/intend to take:","options":[],"required":null,"pdf_field":""},{"help":"Proposed sum insured amount","type":"amount","label":"Sum Insured Proposed:","options":[],"required":null,"pdf_field":""},{"help":"Indicate if cumulative bonus should be converted","type":"yes-no","label":"Whether Cumulative Bonus to be converted to an enhanced sum insured:","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Family Members to be included","fields":[{"help":"Number of family members","type":"number","label":"No. of family members to be included in the policy to be migrated:","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Claims Details for Existing Policy","fields":[{"help":"Fill details for each insured member: Policy Number, Type of Policy, Claim Number, Claimed Amount, Ailment","type":"table","label":"Insured","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Pre-Existing Disease and Exclusion Declaration","fields":[{"help":"Indicate Yes or No","type":"choice","label":"Whether the PED exclusions / time bound exclusion have longer exclusion period than the existing policy (Yes/No):","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate Yes or No","type":"choice","label":"Has any of the insured been diagnosed or suspected to have any health issue except common cold, flu, fever, loose motions post issuance of previous policy? (Yes/No):","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Signature and Date","fields":[{"help":"Date of signing in DD/MM/YYYY format","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Policy Holder","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":[],"applies_to":"health insurance policies","attachments":["Photocopy of the existing policy documents"],"declarations":["I am aware that waiting periods, exclusions and other conditions will be applicable in line with the 'Migration' guidelines prescribed by the Insurance Regulatory and Development Authority of India."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"phone","value":"1800-300-30000","label":"Customer Service Helpline number","level":1,"hours":null,"applies_to":"all","source_url":"https://www.shriramgi.com/grievance-redressal-mechanism","quote":"@shriramgi.com\nor you can also register your complaint at\nBima Bharosa Portal\nCall our Customer Service Helpline number 1800-300-30000 / 1800-103-3009 to report your grievance.\nOur senior citizen customers can reach us through the dedicated channel below","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-103-3009","label":"Customer Service Helpline number","level":1,"hours":null,"applies_to":"all","source_url":"https://www.shriramgi.com/grievance-redressal-mechanism","quote":"you can also register your complaint at\nBima Bharosa Portal\nCall our Customer Service Helpline number 1800-300-30000 / 1800-103-3009 to report your grievance.\nOur senior citizen customers can reach us through the dedicated channel below to service them","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"gro@shriramgi.com","label":"Grievance Redressal Officer email","level":1,"hours":null,"applies_to":"all","source_url":"https://www.shriramgi.com/grievance-redressal-mechanism","quote":"al Officer at your nearest Shriram General Insurance\nBranch\n.\nYou can also write to us from your registered email ID at\ngro@shriramgi.com\nor you can also register your complaint at\nBima Bharosa Portal\nCall our Customer Service Helpline number 1800-300-30000","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-103-3009","label":"Grievance Cell No","level":null,"hours":null,"applies_to":"all","source_url":"https://cdn.shriramgi.com/webassets/download/policy-wordings/bd1c8925-acbd-4587-b36f-32bf85af43a5_Marine%20Cargo%20Insurance_%20Policy%20Wording.pdf","quote":"ress: Shriram General Insurance Co. Ltd. E-8, EPIP, RIICO Industrial Area, Sitapura, Jaipur – 302022 Grievance Cell No: 1800-103-3009, 1800-300-30000 E-mail ID: md@shriramgi.com Fax No.: 91-141-2770693 You can also reach us by email or register their co","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-300-30000","label":"Grievance Cell No","level":null,"hours":null,"applies_to":"all","source_url":"https://cdn.shriramgi.com/webassets/download/policy-wordings/bd1c8925-acbd-4587-b36f-32bf85af43a5_Marine%20Cargo%20Insurance_%20Policy%20Wording.pdf","quote":"eneral Insurance Co. Ltd. E-8, EPIP, RIICO Industrial Area, Sitapura, Jaipur – 302022 Grievance Cell No: 1800-103-3009, 1800-300-30000 E-mail ID: md@shriramgi.com Fax No.: 91-141-2770693 You can also reach us by email or register their complaints on the","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/shriram-general-insurance/2024-migration-form"}