{"id":2045,"title":"LOAN SHIELD RIDER PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"acko-life-insurance","name":"Acko Life Insurance Limited"},"source_pdf":"https://acko-cms.ackoassets.com/Proposal_Form_Loan_Shield_Rider_with_UIN_01598586c2.pdf","sha256":"1375457cd5f1130d60a4ab77c712610e9185f0cfd5ed6bfa7fdfd47c687ee04d","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for customers applying to add the Loan Shield Rider to their base insurance plan. The customer fills this form along with the base plan proposal form.","notes":["Customer must provide details along with the base plan proposal form.","Hospitalization cover cannot be chosen for any specific disease.","Category-wise tables will be furnished if multiple categories are selected."],"title":"LOAN SHIELD RIDER PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Benefits and Coverage Details","fields":[{"help":"Enter the minimum number of hospitalization days required for coverage","type":"number","label":"Minimum no. of days of Hospitalization Required","options":[],"required":null,"pdf_field":""},{"help":"Enter a number between 0 and 45","type":"number","label":"Minimum no. of days of Hospitalization Required (between 0 - 45 days)","options":[],"required":null,"pdf_field":""}],"filled_by":"customer"},{"title":"Waiting Periods","fields":[{"help":"Specify the waiting period for pre-existing diseases","type":"text","label":"Pre-Existing Disease Waiting Period","options":[],"required":null,"pdf_field":""},{"help":"Specify the initial waiting period for hospitalization","type":"text","label":"Initial Waiting Period for Hospitalization","options":[],"required":null,"pdf_field":""},{"help":"Specify the waiting period for critical illnesses","type":"text","label":"Critical Illness Waiting Period","options":[],"required":null,"pdf_field":""},{"help":"Specify the survival period after critical illness","type":"text","label":"Critical Illness Survival Period","options":[],"required":null,"pdf_field":""}],"filled_by":"customer"},{"title":"Special Conditions","fields":[{"help":"Mention any special conditions applicable","type":"text","label":"Special Conditions (if any) 1","options":[],"required":false,"pdf_field":""}],"filled_by":"customer"},{"title":"Declarations","fields":[{"help":"Enter any declarations required","type":"text","label":"Declarations (if any) 1","options":[],"required":null,"pdf_field":""}],"filled_by":"customer"},{"title":"Specific Critical Illnesses Details","fields":[{"help":"Select one critical illness coverage category","type":"choice","label":"Critical Illness Group Opted","options":["Category A","Category B","Category C"],"required":true,"pdf_field":""}],"filled_by":"customer"}],"deadlines":[],"applies_to":"Loan Shield Rider attached to the Base Plan","attachments":[],"declarations":["The Loan Shield Rider can only be bought along with the Base Plan and not separately."],"dropped_labels":4},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"phone","value":"1800-210-1992","label":"Customer Care Number","level":null,"hours":"Monday to Sunday: 9:00 AM – 8:00 PM","applies_to":"life","source_url":"https://www.acko.com/life/contact-us/","quote":"t us\nSupport\nRenewals\nNew to ACKO?\nRenew life insurance\nExisting ACKO Customer\nLogin and renew policy\nClaims\nCall us at\n1800-210-1992\nEmail us at\n[email protected]\nLogin\nACKO Life Home\n/\nLife Insurance\n/\nAcko Life Insurance Customer Care | Customer Care","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91 8069067215","label":"Customer Care Phone Number for PERSONS WITH DISABILITIES (PwD)","level":null,"hours":"Monday to Sunday: 9:00 AM – 8:00 PM","applies_to":"life","source_url":"https://www.acko.com/life/contact-us/","quote":"y to Sunday: 9:00 AM – 8:00 PM\nACKO Life Insurance Customer Care Phone Number for PERSONS WITH DISABILITIES (PwD)\nCall: +91 8069067215\nMonday to Sunday: 9:00 AM – 8:00 PM\nProducts\nLife insurance\nTerm insurance\n1 crore term insurance\nCompany\nAbout us\nCare","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-210-1992","label":"Grievance desk phone number","level":1,"hours":null,"applies_to":"life","source_url":"https://www.acko.com/life/customer-service/grievance-redressal/","quote":"t us\nSupport\nRenewals\nNew to ACKO?\nRenew life insurance\nExisting ACKO Customer\nLogin and renew policy\nClaims\nCall us at\n1800-210-1992\nEmail us at\n[email protected]\nLogin\nACKO Life Home\n/\nACKO Life Insurance Customer Service\n/\nACKO Life Insurance Grievan","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Ms. Komal Arawat (Grievance Redressal Officer) Acko Life Insurance Limited, 36/5 Hustlehub One East, Somasandrapalya, 27th Main Road, Sector 2, HSR Layout, Bangalore – 560102","label":"Grievance Redressal Officer postal address","level":2,"hours":null,"applies_to":"life","source_url":"https://www.acko.com/life/customer-service/grievance-redressal/","quote":null,"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/acko-life-insurance/2045-loan-shield-rider-proposal-form"}