{"id":2454,"title":"MY HEALTH CARE-PLAN 1 PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/health-insurance/My-Health-Care-Plan/My-Healthcare-Plan-PF-offline.pdf","sha256":"d5cda2250315e47d5159a09498ac7657b043badc1244328f03cdd41e5ac9c133","pages":7,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals proposing to purchase the My Health Care Plan 1 insurance policy from Bajaj General Insurance Limited. The proposer fills it to provide personal, health, and insurance details for underwriting.","notes":["Please answer all questions in BLOCK letters.","The liability of the company does not commence until the proposal is accepted and premium paid.","Use original documents for attachments.","Nominee for self must be one of the specified relations.","If dependent members opt for loss of income cover, proposer must also opt for it.","Fitness discount requires details of marathon run within last 12 months.","For NRInsure cover, submit required NRI documents at inception and renewal.","Keep policy contact and bank details updated for faster service.","The form must be signed by proposer and agent; if proposer is disabled, authorized representative may sign.","No rebate of commission or premium is allowed as per Insurance Act 1938 Section 41."],"title":"MY HEALTH CARE-PLAN 1 PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"Enter your full name in block letters","type":"text","label":"Full Name : Title First Name Middle Name Surname","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Are you an existing Bajaj General Customer: Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If existing customer, provide policy number","type":"text","label":"the Policy No.: OG","options":[],"required":false,"pdf_field":""},{"help":"If existing customer, provide PID number","type":"text","label":"Existing Customer (PID) No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"checkbox","label":"I hereby confirm that, there is no change in my existing KYC details that are available from my previous/existing policy","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Gender: Male Female Other","options":["Male","Female","Other"],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"Pan No.","options":[],"required":false,"pdf_field":""},{"help":"Enter last 4 digits of Aadhaar","type":"text","label":"Aadhaar No. Enter last 4 digits only","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bajaj Employee Code, if Proposer is General/Life Employee","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status: Married Single Divorced Widowed","options":["Married","Single","Divorced","Widowed"],"required":true,"pdf_field":""},{"help":"Enter number of sons and daughters","type":"number","label":"No. of children: Sons Daughters","options":[],"required":false,"pdf_field":""},{"help":"If Other, specify","type":"choice","label":"Occupation Business Salaried Professional Student House wife Retired Other","options":["Business","Salaried","Professional","Student","House wife","Retired","Other"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Are you or any of your family members registered under the Ayushmaan Bharat Yojana? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If registered under Ayushmaan Bharat Yojana, provide ABHA number","type":"text","label":"Ayushmaan Bharat Health Account Number (ABHA)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Address Details","fields":[{"help":"Fill communication address details","type":"text","label":"Communication Address (all communications will be sent to below) House No. House Name Landmark/Locality Road/Area Name City/District State Pin Code Telephone Mobile Email","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Details","fields":[{"help":"","type":"choice","label":"Educational Qualification Matriculate Under Graduate Graduate Post Graduate Professionally Qualified","options":["Matriculate","Under Graduate","Graduate","Post Graduate","Professionally Qualified"],"required":true,"pdf_field":""},{"help":"Enter monthly income in rupees","type":"amount","label":"Proposer Monthly Income: Rs.","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Nationality","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Policy Term: 1 Year 2 Years 3 Years","options":["1 Year","2 Years","3 Years"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Policy type Individual Floater","options":["Individual","Floater"],"required":true,"pdf_field":""},{"help":"Select if opting for voluntary co-pay discount","type":"choice","label":"Voluntary Co pay Discount 5% 10% 15% 20%","options":["5%","10%","15%","20%"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details Of Persons To Be Insured","fields":[{"help":"Provide details for each person to be insured","type":"table","label":"Name Relationship with Proposer DOB (dd/mm/yyyy) Age Gender (M/F) Ht (cms) Wt (kgs) ABHA Number","options":[],"required":true,"pdf_field":""},{"help":"Consent to access ABHA records if ABHA number provided","type":"checkbox","label":"ABHA Declaration","options":["I/We provide my/ our consent to access my/ our (all insured) medical and personal records/ details from ABHA"],"required":false,"pdf_field":""},{"help":"Provide nominee details","type":"text","label":"Nominee Details: Name DOB (dd/mm/yyyy) Age Relation Nominee Appointee (If nominee is minor) If Nominee is 'Others' please specify the relationship and reason","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Plan and Sum Insured Details","fields":[{"help":"Provide sum insured details for each member","type":"table","label":"Member Name Sum Insured (Individual) Sum Insured (Floater)","options":[],"required":true,"pdf_field":""},{"help":"Select room rent option","type":"choice","label":"Change in Room rent options General Ward 1% of SI max up to 500 1.5% of SI max 7500 2% of SI max up to 7500 Default","options":["General Ward","1% of SI max up to 500","1.5% of SI max 7500","2% of SI max up to 7500","Default"],"required":false,"pdf_field":""},{"help":"Select pre-hospitalization days","type":"choice","label":"Pre-hospitalization Medical Expenses (days) 30 90 180 240 Default","options":["30","90","180","240","Default"],"required":false,"pdf_field":""},{"help":"Select post-hospitalization days","type":"choice","label":"Post-hospitalization Medical Expenses (days) 30 60 180 240 Default","options":["30","60","180","240","Default"],"required":false,"pdf_field":""},{"help":"Select waiting period for pre-existing disease","type":"choice","label":"Waiting period (pre-existing disease) 12 months 24 months Default","options":["12 months","24 months","Default"],"required":false,"pdf_field":""},{"help":"Select waiting period for specific disease","type":"choice","label":"Waiting period (specific disease) 12 months 36 months Default","options":["12 months","36 months","Default"],"required":false,"pdf_field":""},{"help":"Select if opting for major illness and accident multiplier","type":"choice","label":"Major Illness and Accident Multiplier Opted Not opted","options":["Opted","Not opted"],"required":false,"pdf_field":""},{"help":"Select if opting for international emergency cover","type":"choice","label":"International Cover (Emergency Care only) Opted Not opted","options":["Opted","Not opted"],"required":false,"pdf_field":""},{"help":"Specify loss of income cover for applicable members","type":"table","label":"Loss of income (applicable only for Self, Spouse and dependent Parents for individual policy & Self and Spouse for floater policy) Name of Insured Relation with proposer Yes / No","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Fitness Discount and Other Insurance Details","fields":[{"help":"Provide details of other insurance policies if applicable","type":"table","label":"Do you have Motor, Health, Home, Cyber and Pet Insurance with a premium more than INR 2500? If yes please provide details Policy number Policy period LOB Member 1 Member 2 Member 3 Member 4 Member 5","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Rider Details","fields":[{"help":"Select Insta Shield cover and conditions for each insured","type":"table","label":"Insta Shield Cover Name Primary Insured 1 Insured 2 Insured 3 Insured 4 Insured 5 Yes No If yes, please select the conditions below Asthma Diabetes Hypertension (Blood pressure) Hyperlipidemia (Cholesterol) Obesity Hypothyroidism","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select Fetal Flourish cover for each insured","type":"table","label":"Fetal Flourish Cover Name Primary Insured 1 Insured 2 Insured 3 Insured 4 Insured 5 Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select NRInsure cover for each insured","type":"table","label":"NRInsure Cover Name Primary Insured 1 Insured 2 Insured 3 Insured 4 Insured 5 Yes No","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Health Questionnaire","fields":[{"help":"Answer yes or no","type":"yes-no","label":"Have you or your spouse/partner or family member of either family suffered from or are suffering from any genetic disease or have been advised any test to evaluate genetic disorders? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer yes or no and provide details if yes","type":"yes-no","label":"Has any proposal for life, critical illness or health insurance on your life ever been postponed, declined or accepted on special terms? If yes, give details","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer yes or no","type":"yes-no","label":"Has any of the persons to be insured suffer from/or investigated for any of the following diseases? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer yes or no","type":"yes-no","label":"Have you or any of the persons proposed to be insured were/are detected as COVID positive? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer yes or no","type":"yes-no","label":"Do you or any of the family members to be covered have/had any health complaints/met with any accident in the past 4 years and prior to 4 years and have been taking treatment, regular medication or planned for any treatment/surgery/hospitalization? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide family disease details if yes","type":"table","label":"Member Name Relationship with Proposer Disease Name At what Age illness suffered","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Details","fields":[{"help":"Select payment mode and frequency","type":"choice","label":"Payment Mode Full Payment Instalment Payment Monthly Quarterly Half Yearly Annual","options":["Full Payment","Instalment Payment"],"required":true,"pdf_field":""},{"help":"Select payment method","type":"choice","label":"Payment Details Cash Cheque DD Credit Card Debit Card UPI","options":["Cash","Cheque","DD","Credit Card","Debit Card","UPI"],"required":true,"pdf_field":""},{"help":"If payment by cheque, specify who gave it","type":"choice","label":"Cheque Given By Spouse Father Mother Son/Daughter Financer Employer/Employee","options":["Spouse","Father","Mother","Son/Daughter","Financer","Employer/Employee"],"required":false,"pdf_field":""},{"help":"Consent for online payment blocking","type":"checkbox","label":"BIMA ASBA Declaration","options":["I hereby accord my consent to authorise Bajaj General Insurance Limited to block the applicable premium payable under BIMA ASBA facility"],"required":false,"pdf_field":""},{"help":"Provide transaction details if applicable","type":"text","label":"Amount Transaction No. Transaction Date Bank Name Branch Electronic-Insurance Account","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Details and Contact Preferences","fields":[{"help":"Select if you want to open e-IA account","type":"choice","label":"Do you want to open e-IA account Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide bank details for refund","type":"text","label":"Bank Details Name as per Bank Account Name of the Bank IFSC Code Bank Account No Account Type Mobile No Email Address","options":[],"required":true,"pdf_field":""},{"help":"Consent for refund to bank account","type":"checkbox","label":"I/We hereby authorize Bajaj General Insurance Limited to refund any amount related to my policy and/or claim directly credited to my aforesaid Bank Account","options":[],"required":true,"pdf_field":""},{"help":"Select preferred contact method","type":"choice","label":"In case of any Offer, you would prefer to be contacted by Phone Email WhatsApp","options":["Phone","Email","WhatsApp"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration and Signature","fields":[{"help":"Read and agree to the declaration statements","type":"text","label":"Declaration *","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign or provide thumb impression","type":"signature","label":"Signature/ Thumb Impression of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Agent or intermediary signature","type":"signature","label":"Signature of Intermediary","options":[],"required":false,"pdf_field":""},{"help":"Name of witness if applicable","type":"text","label":"Name of Witness","options":[],"required":false,"pdf_field":""},{"help":"Witness signature if applicable","type":"signature","label":"Signature of Witness","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Disability Declaration","fields":[{"help":"Declare any disability","type":"yes-no","label":"Any Physical deformity or handicap? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide disability details and certificate","type":"text","label":"If Yes. Please provide details","options":[],"required":false,"pdf_field":""},{"help":"If proposer disabled, authorized representative name","type":"text","label":"Name of Authorised Representative","options":[],"required":false,"pdf_field":""},{"help":"Date of authorization","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"Signature of authorized representative","type":"signature","label":"Signature of Authorised Representative","options":[],"required":false,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer or authorized representative"},{"title":"Agent Details and Declaration","fields":[{"help":"Agent or IMD name","type":"text","label":"Agent/IMD Name","options":[],"required":true,"pdf_field":""},{"help":"Agent or IMD code","type":"text","label":"Agent/IMD Code","options":[],"required":true,"pdf_field":""},{"help":"Agent signature","type":"signature","label":"Agent/IMD Signature","options":[],"required":true,"pdf_field":""},{"help":"Sales person or point of sale name","type":"text","label":"SP / BQP / DP / PoS Name","options":[],"required":false,"pdf_field":""},{"help":"Corresponding number","type":"text","label":"SP / BQP / DP / PoS CoR No.","options":[],"required":false,"pdf_field":""},{"help":"Signature of sales person or PoS","type":"signature","label":"SP / BQP / DP / PoS Signature","options":[],"required":false,"pdf_field":""},{"help":"Agent declaration text to be read and agreed","type":"text","label":"Agent Declaration","options":[],"required":true,"pdf_field":""},{"help":"Date of agent declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Agent signature","type":"signature","label":"Signature of Agent","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"agent"},{"title":"Receipt of Payment","fields":[{"help":"Name of payer","type":"text","label":"Received from Ms. / Mrs. / Mr","options":[],"required":true,"pdf_field":""},{"help":"Amount received","type":"amount","label":"sum of Rs.","options":[],"required":true,"pdf_field":""},{"help":"Payment mode","type":"choice","label":"through Cash / Cheque / DD / Credit Card / Debit Card No.","options":["Cash","Cheque","DD","Credit Card","Debit Card"],"required":true,"pdf_field":""},{"help":"Date of receipt","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Signature of official","type":"signature","label":"Signature of Bajaj General Official/ Intermediary","options":[],"required":true,"pdf_field":""},{"help":"Name of official","type":"text","label":"Bajaj General Official / Intermediary Name","options":[],"required":true,"pdf_field":""},{"help":"Time of receipt","type":"text","label":"Time","options":[],"required":false,"pdf_field":""},{"help":"Place of receipt","type":"text","label":"Place","options":[],"required":false,"pdf_field":""}],"filled_by":"Bajaj General Official/Intermediary"},{"title":"Portability Form","fields":[{"help":"Name of policyholder","type":"text","label":"Name of the Policyholder / insured(s)","options":[],"required":true,"pdf_field":""},{"help":"DOB or age","type":"date","label":"Date of Birth / Age","options":[],"required":true,"pdf_field":""},{"help":"Address details","type":"text","label":"Address of policyholder /insured","options":[],"required":true,"pdf_field":""},{"help":"Reason for portability","type":"text","label":"Reason(s) of portability","options":[],"required":true,"pdf_field":""},{"help":"Number of family members to port","type":"number","label":"No of family member to be included in the policy to be ported","options":[],"required":true,"pdf_field":""},{"help":"Provide details of previous insurance for each insured","type":"table","label":"First Name of Insured Details of previous health insurance policy/ Policy number Health Id card number Sum Insured CB Previous Insurance First policy inception date From To","options":[],"required":true,"pdf_field":""},{"help":"Attach photocopy of existing policy documents","type":"attachment","label":"Enclosure: Photocopy of the existing policy documents","options":[],"required":true,"pdf_field":""},{"help":"Policyholder signature","type":"signature","label":"Signature of Policyholder","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Portability Declaration","fields":[{"help":"Answer yes or no","type":"choice","label":"Whether the PED exclusions / time bound exclusion have longer exclusion period than existing policy (Please indicate Yes /No) Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Consent to additional waiting period if applicable","type":"text","label":"If yes, please give written consent to the declaration below","options":[],"required":false,"pdf_field":""},{"help":"Signature for consent","type":"signature","label":"Signature of Policyholder","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Declarations","fields":[{"help":"Declare if Politically Exposed Person","type":"text","label":"Are you or any of the proposal applicants a PEP or a close relative of PEP? If yes, please share the details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Individual and Floater health insurance policies under My Health Care Plan 1","attachments":["Photocopy of the existing policy documents","Disability Certificate issued by the Medical Board appointed by the Government for certifying Disability"],"declarations":["The information provided is true and complete to the best of my knowledge and forms the basis of the policy.","The policy will commence only after acceptance and full premium payment.","I will notify any change in occupation or health before risk acceptance.","I consent to the company seeking medical and insurance information for underwriting and claims.","I authorize sharing of proposal and medical records with reinsurers and regulatory authorities.","I consent to premium payment blocking under BIMA ASBA if applicable.","I authorize refund of policy/claim amounts directly to my bank account.","I declare that premiums are paid from legally acquired sources.","I consent to KYC verification through CERSAI or NSDL portals.","I understand that non-disclosure or untrue statements may lead to policy cancellation and forfeiture of premiums.","I have read and understood the agent's declaration regarding explanation of the proposal form.","I agree to observe additional waiting periods if longer than previous policy in portability.","I declare whether I or any applicant is a Politically Exposed Person (PEP)."],"dropped_labels":13},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"careforyou@bajajgeneral.com","label":"Customer Service Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"in a new tab\nBajaj General Insurance Limited\nTollfree: For sales :\n1800-209-0144\nFor service :\n1800-209-5858\nEmail id:\ncareforyou@bajajgeneral.com\nFor senior citizens:\nseniorcitizen@bajajgeneral.com\nFor senior citizens:\n1800-209-5858\nFax no:\n020-30512246\nRegistered","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-209-5858","label":"Service Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"Careers\nBecome\n                                An Agent\nAwards\nUpdate KYC\nMY ABHA\nBuy Policy:\n1800-209-0144\n| Service:\n1800-209-5858\nService Chat:\n+91 75074 25858\nInsure\nHealth Insurance\nIndividual Health Insurance\nFamily Health Insurance\nInternational","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-209-0144","label":"Sales Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"nsurance\nSupport\nAbout Us\nCareers\nBecome\n                                An Agent\nAwards\nUpdate KYC\nMY ABHA\nBuy Policy:\n1800-209-0144\n| Service:\n1800-209-5858\nService Chat:\n+91 75074 25858\nInsure\nHealth Insurance\nIndividual Health Insurance\nFamily Healt","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-5858","label":"Customer Service Toll Free Number","level":1,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"ted servicing team to help you meet your service needs.\nCustomer Service - We're Here to Help\nDial our Toll Free Number\n1800-209-5858\nEmail us on\ncareforyou@bajajgeneral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Cha","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"ggro@bajajgeneral.com","label":"Grievance Redressal Officer Email Mr. Jerome Vincent","level":2,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"fied with the response given to you by our team, you may write to our Grievance Redressal Officer Mr. Jerome Vincent at\nggro@bajajgeneral.com\nLevel 3\nHead Customer Service\nif you are still not satisfied with the solutions provided, or have some feedback for us,","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-7073","label":"Toll free No. Intermediary","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"Here to Help\nDial our Toll Free Number\n1800-209-5858\nEmail us on\ncareforyou@bajajgeneral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Chatbot\nConnect with us on WhatsApp +91 7507425858\nFor Support\nBajaj General App\nPle","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"whatsapp","value":"+91 7507425858","label":"BOING WhatsApp Chatbot","level":null,"hours":"24x7","applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"ral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Chatbot\nConnect with us on WhatsApp +91 7507425858\nFor Support\nBajaj General App\nPlease scan and download\nMissed Call Facility\nMissed Call - 80809 45060 Short code - SMS","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/bajaj-general-insurance/2454-my-health-care-plan-1-proposal-form"}