{"id":2658,"title":"Surrogacy and Oocyte Care- Proposal Form","purpose":"proposal","insurer":{"slug":"care-health-insurance","name":"Care Health Insurance Ltd"},"source_pdf":"https://cms.careinsurance.com/cms/public/uploads/download_center/surrogacy-and-oocyte-care--proposal-form.pdf","sha256":"bb2639d1101a16a88ab7d777554bf5b41a82c8a2ea72f4e1a94517c4a07a1d07","pages":5,"collected":"2026-10-20","instructions":{"about":"This form is used by individuals or couples (proposers) intending to apply for insurance coverage related to surrogacy and oocyte donation. The proposer fills this form to provide personal, nominee, medical, and policy details for insurance underwriting.","notes":["Fill the form in CAPITAL LETTERS only.","Use additional information section if space is insufficient.","Registered mobile number will be used for WhatsApp notifications.","Submit original or valid proofs for identity and address as specified.","If paying premium by cash, do so only at authorized branches and obtain computerized receipt.","Any claim without computerized receipt against deposited cash will not be admitted.","Proposal number and URN to be filled by office.","If proposer is differently abled and has authorized representative, relevant declarations apply."],"title":"Surrogacy and Oocyte Care- Proposal Form","submit":{"to":"Care Health Insurance Limited","how":"","address":"Registered Office: 5th Floor, 19 Chawla House, Nehru Place, New Delhi-110019; Correspondence Office: Vipul Tech Square, Tower C, 3rd Floor, Golf Course Road, Sector-43, Gurugram-122009 (Haryana)"},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"Enter full name in capital letters","type":"text","label":"Name : (Mr./Ms./Mrs.) (First Name) (Middle Name) (Last Name)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Correspondence Address :","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Locality :","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City :","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Village :","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Gram Panchayat :","options":[],"required":false,"pdf_field":""},{"help":"6 digit postal code","type":"number","label":"Pin Code :","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State :","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Landmark :","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Permanent Address :","options":[],"required":true,"pdf_field":""},{"help":"Tick if permanent address is same as correspondence address","type":"checkbox","label":"If same as above, please tick here","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Landline (Residence)  :","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Office :","options":[],"required":false,"pdf_field":""},{"help":"Registered mobile number will be used for WhatsApp notifications","type":"phone","label":"Mobile No . :","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Alternate No :","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email :","options":[],"required":false,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date of Birth / Incorporation (in case Proposer is an entity) :","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Gender :","options":["Male","Female","Others"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status :","options":["Single","Married","Divorced","Widow(er)","Separated"],"required":true,"pdf_field":""},{"help":"Permanent Account Number","type":"text","label":"PAN Number :","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Nationality  :","options":["Indian","Other than Indian"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Form 60 (only in case the customer does not have PAN no.)   :","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Last 4 digits only","type":"text","label":"Aadhaar Number (last 4 digits) :","options":[],"required":false,"pdf_field":""},{"help":"Central KYC Registry number","type":"text","label":"CKYC :","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable","type":"checkbox","label":"Proof of Identity (POI) ( þ Tick whichever is applicable)","options":["PAN","Aadhaar","Passport","Driving License","Voter ID Card","Letter from a recognized public authority or public servant verifying the identity and residence of the Proposer"],"required":true,"pdf_field":""},{"help":"Tick all applicable","type":"checkbox","label":"Proof of Address (POA) (þ Tick whichever is applicable)","options":["Electricity bill (not older than 3 months)","Aadhaar","Passport","Ration Card","Driving License","Telephone Bill (not older than 3 months)","Bank Account Statement (not older than 3 months)","Letter from a recognized public authority or public servant verifying the identity and residence of the Proposer"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Mother’s Name :","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of the Proposed to be Insured","fields":[{"help":"","type":"text","label":"Name of the Female (First Name, Last Name)","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date of Birth (DD/MM/YYYY)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Relationship with Proposer","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status","options":["Single","Married","Divorced","Widow(er)","Separated"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Aadhaar Number /PAN(optional)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Nominee (Relationship with Insured)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City of Residence","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Height  (in centimeters)","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Weight (in kilograms)","options":[],"required":true,"pdf_field":""},{"help":"Tick if same as proposer","type":"checkbox","label":"Correspondence Address (If same as Proposer please tick here)","options":[],"required":false,"pdf_field":""},{"help":"Tick if same as proposer","type":"checkbox","label":"Permanent Address (If same as Proposer please tick here)","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E-mail ID","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Account No","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"IFSC/ MICR Code","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of the Account Holder","options":[],"required":false,"pdf_field":""},{"help":"Fill only if nominee is minor","type":"table","label":"Appointee Details (Only where the Nominee age is less than 18 years) (Appointee Name, Relationship with Minor, Age, Mobile No., Email ID)","options":[],"required":false,"pdf_field":""},{"help":"Select if you want this cover","type":"choice","label":"Optional Cover: Out-patient consultation with Gynecologist","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Coverage Amount","options":["Up to Rs. 1000","Up to 2000","3 physical consultations","6 physical consultations"],"required":false,"pdf_field":""},{"help":"Select if you want this cover","type":"choice","label":"Optional Cover: Room Rent Modification","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Would you like to opt for Electronic Policy Issuance through an e-Insurance Account (eIA) of an Insurance Repository?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Fill if you have eIA","type":"text","label":"If you have an eIA, please provide following details: Name of Insurance Repository, eIA No, Name as appearing in eIA","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"If you do not have an eIA, would you like to open an account?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"If Yes, choose any one Insurance Repository","options":["CAMSRep – CAMS Insurance Repository & Services","NDML – NSDL Data Management Limited","KARVY Insurance Repository Limited","CIRL – Central Insurance Repository Limited"],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Help us preserve the environment by opting to receive policy related information in soft copy/via email only","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Embryo Transfer Date/Oocyte Donation Date (Proposal date should be before this date)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Policy Details: PLAN A (for Surrogate Mother), PLAN B (for Oocyte donor), Sum Insured (in Rs.), Cover Type","options":["Individual"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Information and Medical / Lifestyle Related Information","fields":[{"help":"If yes, provide details below","type":"yes-no","label":"Are You currently or in past Diagnosed/Suffered/Treated/Taken Medication for any of the following conditions: Cancer/ Diabetes/ Stroke/ Heart Disease/ Kidney Disease/ Liver Disease/ Hypertension (Blood Pressure)/ HIV?","options":["Y","N"],"required":true,"pdf_field":""},{"help":"If yes, provide details below","type":"yes-no","label":"Mental-Psychiatric illness/ Depression / Dementia or any other disease of Brain and Nervous System?","options":["Y","N"],"required":true,"pdf_field":""},{"help":"If yes, provide since when","type":"yes-no","label":"Have You been suffering/ suffered from pregnancy related complication?","options":["Y","N"],"required":true,"pdf_field":""},{"help":"If yes, provide since when","type":"yes-no","label":"Have You been diagnosed with any gynecological disease for which any intervention, hormonal replacement therapy or medication exceeding 5 days have been prescribed?","options":["Y","N"],"required":true,"pdf_field":""},{"help":"If yes, provide quantities","type":"yes-no","label":"Do You Smoke, consume alcohol, or chew tobacco, ghutka or paan or use any recreational drugs? If 'Yes' then please indicate the following: Hard Liquor (No. of Pegs in 30 ml per week), Beer(Bottles/ml per week), Wine( Glasses/ml per week), Smoking (no. of Sticks per day), Gutka /Pan Masala/Chewing Tobacco(Sachets/Grams per day)","options":["Y","N"],"required":true,"pdf_field":""},{"help":"If yes, provide since when","type":"yes-no","label":"Any other disease / health adversity / injury/ condition / treatment not mentioned above?","options":["Y","N"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Any history of Oocyte donation","options":["Y","N"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Any history of Surrogacy","options":["Y","N"],"required":true,"pdf_field":""},{"help":"If yes, provide ABHA Number (optional)","type":"yes-no","label":"Do you have ABHA No.?","options":["Y","N"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you ever been entrusted with prominent public functions?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"If yes, enclose Disability certificate and specify percentage of impairment and UDID Number","type":"yes-no","label":"Do you fall under the category of Differently Abled Persons?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Tick whichever is applicable","type":"choice","label":"ONE-TIME MANDATE BIMA-ASBA: I hereby give my consent and authorize Care Health Insurance Limited to block the payable premium amount and debit the same from my Bank Account under Bima-ASBA facility on acceptance of my Proposal. UPI-Mandate Confirmation","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Payment Information","fields":[{"help":"Strike out modes not applicable","type":"choice","label":"Payment By: Cash / Cheque / Demand Draft / Card /ECS (NACH)/Reward Points/Wallet/Any other mode (Strike out whichever is not applicable)","options":["Cash","Cheque","Demand Draft","Card","ECS (NACH)","Reward Points","Wallet","Any other mode"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Cheque / Demand Draft No. / Authorization ID :","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Payment Amount (`) :","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Premium Amount (`) :","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date :","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Bank Name :","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Account Number :","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"IFSC Code :","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Branch Name :","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of the Account Holder :","options":[],"required":false,"pdf_field":""},{"help":"Attach cancelled cheque copy","type":"attachment","label":"Please submit copy of cancelled cheque along with Proposal Form","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Proposer/Authorized Representative* :","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date :","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place :","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Authorizations","fields":[{"help":"","type":"text","label":"License No. (Advisor/Corporate Agent/Broker/Relationship Officer)","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":false,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Proposer/Authorized Representative* :","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date :","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place :","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer and agent"}],"deadlines":[],"applies_to":"Surrogacy and Oocyte Care insurance policies","attachments":["All attached documents form part of this Proposal Form","Copy of cancelled cheque","Disability certificate (if applicable)"],"declarations":["The information given is true and complete to the best of the proposer's knowledge.","The policy will come into force only after full payment of the premium.","The proposer will notify any change in occupation or health before risk acceptance.","The company may seek medical information from doctors, hospitals, employers, and insurers for underwriting and claims.","The company may share proposal and medical information with government and regulatory authorities including via ABHA.","The insurance advisor declares that the proposal form contents have been explained to the proposer and understands consequences of untrue statements."],"dropped_labels":6},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001.","label":"Insurance Ombudsman Ahmedabad","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAH","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 24th Main Road, Jeevan Soudha Bldg., JP Nagar, 1st Phase, BENGALURU - 560 078.","label":"Insurance Ombudsman Bengaluru","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nA","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, Janak Vihar Complex, 2nd Floor, 6, Malviya Nagar, Opp. Airtel, Near New Market, BHOPAL (M.P.)-462 023.","label":"Insurance Ombudsman Bhopal","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAHMEDABAD | Insurance Omb","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 62, Forest Park, BHUBANESHWAR-751 009.","label":"Insurance Ombudsman Bhubaneswar","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, S.C.O. No.101-103, 2nd Floor, Batra Building. Sector 17-D, CHANDIGARH-160 017.","label":"Insurance Ombudsman Chandigarh","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nA","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, Fathima Akhtar Court, 4th Floor, 453, Anna Salai, Teynampet, CHENNAI-600 018.","label":"Insurance Ombudsman Chennai","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Bldg., Asaf Ali Road, NEW DELHI-110 002.","label":"Insurance Ombudsman Delhi","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Dama","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, “Jeevan Nivesh”, 5th Floor, Near Panbazar Overbridge, S.S. Road, GUWAHATI-781 001 (ASSAM).","label":"Insurance Ombudsman Guwahati","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAHMEDABAD | I","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 6-2-46, 1st Floor, Moin Court, Lane Opp. Saleem Function Palace, A.C. Guards, Lakdi-Ka-Pool, HYDERABAD-500 004.","label":"Insurance Ombudsman Hyderabad","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAHMEDABAD | Insurance Ombudsman, |","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, Jeevan Nidhi – II Bldg., Gr. Floor, Bhawani Singh Marg, Jaipur - 302 005.","label":"Insurance Ombudsman Jaipur","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 2nd Floor, Pulinat Bldg., Opp. Cochin Shipyard, M.G. Road, ERNAKULAM-682 015.","label":"Insurance Ombudsman Ernakulam","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 4th Floor, Hindustan Bldg. Annexe, 4, C.R.Avenue, Kolkata – 700 072.","label":"Insurance Ombudsman Kolkata","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 6th Floor, Jeevan Bhawan, Phase-2, Nawal Kishore Road, Hazaratganj, LUCKNOW-226 001.","label":"Insurance Ombudsman Lucknow","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAHMEDAB","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 3rd Floor, Jeevan Seva Annexe, S.V. Road, Santacruz(W), MUMBAI-400 054.","label":"Insurance Ombudsman Mumbai","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman an","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, Bhagwan Sahai Palace 4th Floor, Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301.","label":"Insurance Ombudsman Noida","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAHMEDABAD | Insurance Ombu","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Office of the Insurance Ombudsman, 2nd Floor, Jeevan Darshan Bldg., C.T.S. No.s. 195 to 198, N.C. Kelkar Road, Narayan Peth, Pune – 411 030.","label":"Insurance Ombudsman Pune","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", District)\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union\n\nAHMEDABAD | Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAHMEDABAD | Insurance Ombuds","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"customerfirst@careinsurance.com","label":"Grievance Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"Insured Member may contact the Company with the details of the grievance through:\nWebsite: www.careinsurance.com Email: customerfirst@careinsurance.com Contact No.: 1800-102-6655, 1800-102-4488\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union Ter","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.ahmedabad@ecoi.co.in","label":"Insurance Ombudsman Ahmedabad Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"n, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAHMEDABAD | Insurance Ombudsman, | Gujarat , Dadra & Nagar Haveli,\nOffi","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.bengaluru@ecoi.co.in","label":"Insurance Ombudsman Bengaluru Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"an, 24th Main Road, Jeevan Soudha Bldg., JP Nagar, 1st Phase, BENGALURU - 560 078. Tel No: 080-22222049/22222048 Email: bimalokpal.bengaluru@ecoi.co.in | Karnataka\nBENGALURU | Insurance Ombudsman, | Karnataka\nOffice of the Insurance Ombudsman, 24th Main Road, Jeevan Soud","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.bhopal@ecoi.co.in","label":"Insurance Ombudsman Bhopal Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"lviya Nagar, Opp. Airtel, Near New Market, BHOPAL (M.P.)-462 023. Tel : 0755-2769201/9202 , Fax : 0755-2769203 E-mail : bimalokpal.bhopal@ecoi.co.in | Madhya Pradesh & Chhattisgarh\nBHOPAL | Insurance Ombudsman, | Madhya Pradesh & Chhattisgarh\nOffice of the Insurance O","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.bhubaneswar@ecoi.co.in","label":"Insurance Ombudsman Bhubaneswar Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"the Insurance Ombudsman, 62, Forest Park, BHUBANESHWAR-751 009. Tel : 0674-2596455/2596003 , Fax : 0674-2596429 E-mail: bimalokpal.bhubaneswar@ecoi.co.in | Orissa\nBHUBANESHWAR | Insurance Ombudsman, | Orissa\nOffice of the Insurance Ombudsman, 62, Forest Park, BHUBANESHWAR-","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.chandigarh@ecoi.co.in","label":"Insurance Ombudsman Chandigarh Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"103, 2nd Floor, Batra Building. Sector 17-D, CHANDIGARH-160 017. Tel : 0172-2706468/2705861, Fax : 0172-2708274 E-mail: bimalokpal.chandigarh@ecoi.co.in | Punjab , Haryana, Himachal Pradesh, Jammu & Kashmir, Chandigarh\nCHANDIGARH | Insurance Ombudsman, | Punjab , Haryana,","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.chennai@ecoi.co.in","label":"Insurance Ombudsman Chennai Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"ourt, 4th Floor, 453, Anna Salai, Teynampet, CHENNAI-600 018. Tel : 044-24333668 /24335284, Fax : 044-24333664 E-mail : bimalokpal.chennai@ecoi.co.in | Tamil Nadu, Pondicherry Town and Karaikal (which are part of Pondicherry)\nCHENNAI | Insurance Ombudsman, | Tamil Nadu","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.delhi@ecoi.co.in","label":"Insurance Ombudsman Delhi Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"Ombudsman, 2/2 A, Universal Insurance Bldg., Asaf Ali Road, NEW DELHI-110 002. Tel : 011 - 23232481 / 23213504 E-mail : bimalokpal.delhi@ecoi.co.in | Delhi\nDELHI | Insurance Ombudsman, | Delhi\nOffice of the Insurance Ombudsman, 2/2 A, Universal Insurance Bldg., Asaf","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.guwahati@ecoi.co.in","label":"Insurance Ombudsman Guwahati Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"esh”, 5th Floor, Near Panbazar Overbridge, S.S. Road, GUWAHATI-781 001 (ASSAM). Tel : 0361 - 2632204 / 2602205 E-mail : bimalokpal.guwahati@ecoi.co.in | Assam , Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura\nGUWAHATI | Insurance Ombudsman, | Assam","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.hyderabad@ecoi.co.in","label":"Insurance Ombudsman Hyderabad Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"ion Palace, A.C. Guards, Lakdi-Ka-Pool, HYDERABAD-500 004. Tel : 040 - 67504123 / 23312122, Fax : 040-23376599 E-mail : bimalokpal.hyderabad@ecoi.co.in | Andhra Pradesh, Telangana and Yanam – a part of Territory of Pondicherry\nHYDERABAD | Insurance Ombudsman, | Andhra Pr","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"Bimalokpal.jaipur@ecoi.co.in","label":"Insurance Ombudsman Jaipur Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"surance Ombudsman, Jeevan Nidhi – II Bldg., Gr. Floor, Bhawani Singh Marg, Jaipur - 302 005. Tel : 0141-2740363 Email : Bimalokpal.jaipur@ecoi.co.in | Rajasthan\nJAIPUR | Insurance Ombudsman, | Rajasthan\nOffice of the Insurance Ombudsman, Jeevan Nidhi – II Bldg., Gr. F","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.ernakulam@ecoi.co.in","label":"Insurance Ombudsman Ernakulam Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"inat Bldg., Opp. Cochin Shipyard, M.G. Road, ERNAKULAM-682 015. Tel : 0484-2358759/2359338, Fax : 0484-2359336 E-mail : bimalokpal.ernakulam@ecoi.co.in | Kerala, Lakshadweep, Mahe – a part of Pondicherry\nERNAKULAM | Insurance Ombudsman, | Kerala, Lakshadweep, Mahe – a pa","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.kolkata@ecoi.co.in","label":"Insurance Ombudsman Kolkata Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"oor, Hindustan Bldg. Annexe, 4, C.R.Avenue, Kolkata – 700 072. Tel : 033-22124339/22124340, Fax : 033-22124341 E-mail : bimalokpal.kolkata@ecoi.co.in | West Bengal, Andaman & Nicobar Islands, Sikkim\nKOLKATA | Insurance Ombudsman, | West Bengal, Andaman & Nicobar\nOffice","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.lucknow@ecoi.co.in","label":"Insurance Ombudsman Lucknow Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"an, Phase-2, Nawal Kishore Road, Hazaratganj, LUCKNOW-226 001. Tel : 0522 -2231331/2231330, Fax : 0522-2231310 E-mail : bimalokpal.lucknow@ecoi.co.in | Districts of Uttar Pradesh : Laitpur, Jhansi, Mahoba, Hamirpur, Banda, Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, F","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.mumbai@ecoi.co.in","label":"Insurance Ombudsman Mumbai Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"Jeevan Seva Annexe, S.V. Road, Santacruz(W), MUMBAI-400 054. Tel.: 022 - 26106552 / 26106960 Fax: 022 - 26106052 Email: bimalokpal.mumbai@ecoi.co.in | Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane\nMUMBAI | Insurance Ombudsman, | Goa,\nOffice of the Insu","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.noida@ecoi.co.in","label":"Insurance Ombudsman Noida Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301. Tel.: 0120-2514250 / 2514252 / 2514253 Email: bimalokpal.noida@ecoi.co.in | State of Uttaranchal and the following Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun, B","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"bimalokpal.pune@ecoi.co.in","label":"Insurance Ombudsman Pune Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"han Bldg., 2nd Floor, C.T.S. No.s. 195 to 198, N.C. Kelkar Road, Narayan Peth, Pune – 411 030. Tel: 020-32341320 Email: bimalokpal.pune@ecoi.co.in | Maharashtra, Area of Navi Mumbai and Thane excluding Mumbai Metropolitan Region.\nPUNE Insurance Ombudsman, | Maharash","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"inscoun@ecoi.co.in","label":"Executive Council of Insurers Email","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"or, Jeevan Seva Annexe, S.V. Road, Santacruz(W), Mumbai – 400 054. Tel : 022-26106889/671/980 Fax : 022-26106949 Email- inscoun@ecoi.co.in","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-102-6655","label":"Customer Service Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"he details of the grievance through:\nWebsite: www.careinsurance.com Email: customerfirst@careinsurance.com Contact No.: 1800-102-6655, 1800-102-4488\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union Territory, District)\nOffice of","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-102-4488","label":"Customer Service Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"he grievance through:\nWebsite: www.careinsurance.com Email: customerfirst@careinsurance.com Contact No.: 1800-102-6655, 1800-102-4488\nOffice of the Ombudsman | Contact Details | Jurisdiction of Office (Union Territory, District)\nOffice of the Ombudsman","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"079-25501201/02/05/06","label":"Insurance Ombudsman Ahmedabad Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"ffice of the Insurance Ombudsman, Jeevan Prakash Building, 6th Floor, Tilak Marg, Relief Road, AHMEDABAD-380 001. Tel : 079-25501201/02/05/06 E-mail : bimalokpal.ahmedabad@ecoi.co.in | Gujarat , Dadra & Nagar Haveli, Daman and Diu\nAHMEDABAD | Insurance Ombudsma","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"080-22222049/22222048","label":"Insurance Ombudsman Bengaluru Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"fice of the Insurance Ombudsman, 24th Main Road, Jeevan Soudha Bldg., JP Nagar, 1st Phase, BENGALURU - 560 078. Tel No: 080-22222049/22222048 Email: bimalokpal.bengaluru@ecoi.co.in | Karnataka\nBENGALURU | Insurance Ombudsman, | Karnataka\nOffice of the Insurance","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"0755-2769201/9202","label":"Insurance Ombudsman Bhopal Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"Ombudsman, Janak Vihar Complex, 2nd Floor, 6, Malviya Nagar, Opp. Airtel, Near New Market, BHOPAL (M.P.)-462 023. Tel : 0755-2769201/9202 , Fax : 0755-2769203 E-mail : bimalokpal.bhopal@ecoi.co.in | Madhya Pradesh & Chhattisgarh\nBHOPAL | Insurance Ombudsman","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"0674-2596455/2596003","label":"Insurance Ombudsman Bhubaneswar Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":".in\nBHUBANESHWAR | Insurance Ombudsman, Office of the Insurance Ombudsman, 62, Forest Park, BHUBANESHWAR-751 009. Tel : 0674-2596455/2596003 , Fax : 0674-2596429 E-mail: bimalokpal.bhubaneswar@ecoi.co.in | Orissa\nBHUBANESHWAR | Insurance Ombudsman, | Orissa\nOf","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"0172-2706468/2705861","label":"Insurance Ombudsman Chandigarh Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"Office of the Insurance Ombudsman, S.C.O. No.101-103, 2nd Floor, Batra Building. Sector 17-D, CHANDIGARH-160 017. Tel : 0172-2706468/2705861, Fax : 0172-2708274 E-mail: bimalokpal.chandigarh@ecoi.co.in | Punjab , Haryana, Himachal Pradesh, Jammu & Kashmir, Cha","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"044-24333668 /24335284","label":"Insurance Ombudsman Chennai Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"Office of the Insurance Ombudsman, Fathima Akhtar Court, 4th Floor, 453, Anna Salai, Teynampet, CHENNAI-600 018. Tel : 044-24333668 /24335284, Fax : 044-24333664 E-mail : bimalokpal.chennai@ecoi.co.in | Tamil Nadu, Pondicherry Town and Karaikal (which are part","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"011 - 23232481 / 23213504","label":"Insurance Ombudsman Delhi Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"Ombudsman, Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Bldg., Asaf Ali Road, NEW DELHI-110 002. Tel : 011 - 23232481 / 23213504 E-mail : bimalokpal.delhi@ecoi.co.in | Delhi\nDELHI | Insurance Ombudsman, | Delhi\nOffice of the Insurance Ombudsman, 2/","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"0361 - 2632204 / 2602205","label":"Insurance Ombudsman Guwahati Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"e Insurance Ombudsman, “Jeevan Nivesh”, 5th Floor, Near Panbazar Overbridge, S.S. Road, GUWAHATI-781 001 (ASSAM). Tel : 0361 - 2632204 / 2602205 E-mail : bimalokpal.guwahati@ecoi.co.in | Assam , Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"040 - 67504123 / 23312122","label":"Insurance Ombudsman Hyderabad Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":", 6-2-46, 1st Floor, Moin Court, Lane Opp. Saleem Function Palace, A.C. Guards, Lakdi-Ka-Pool, HYDERABAD-500 004. Tel : 040 - 67504123 / 23312122, Fax : 040-23376599 E-mail : bimalokpal.hyderabad@ecoi.co.in | Andhra Pradesh, Telangana and Yanam – a part of Territor","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"0141-2740363","label":"Insurance Ombudsman Jaipur Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"man, Office of the Insurance Ombudsman, Jeevan Nidhi – II Bldg., Gr. Floor, Bhawani Singh Marg, Jaipur - 302 005. Tel : 0141-2740363 Email : Bimalokpal.jaipur@ecoi.co.in | Rajasthan\nJAIPUR | Insurance Ombudsman, | Rajasthan\nOffice of the Insurance Ombu","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"0484-2358759/2359338","label":"Insurance Ombudsman Ernakulam Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"Office of the Insurance Ombudsman, 2nd Floor, Pulinat Bldg., Opp. Cochin Shipyard, M.G. Road, ERNAKULAM-682 015. Tel : 0484-2358759/2359338, Fax : 0484-2359336 E-mail : bimalokpal.ernakulam@ecoi.co.in | Kerala, Lakshadweep, Mahe – a part of Pondicherry\nERNAKU","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"033-22124339/22124340","label":"Insurance Ombudsman Kolkata Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"mbudsman, Office of the Insurance Ombudsman, 4th Floor, Hindustan Bldg. Annexe, 4, C.R.Avenue, Kolkata – 700 072. Tel : 033-22124339/22124340, Fax : 033-22124341 E-mail : bimalokpal.kolkata@ecoi.co.in | West Bengal, Andaman & Nicobar Islands, Sikkim\nKOLKATA | I","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"0522 -2231331/2231330","label":"Insurance Ombudsman Lucknow Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"of the Insurance Ombudsman, 6th Floor, Jeevan Bhawan, Phase-2, Nawal Kishore Road, Hazaratganj, LUCKNOW-226 001. Tel : 0522 -2231331/2231330, Fax : 0522-2231310 E-mail : bimalokpal.lucknow@ecoi.co.in | Districts of Uttar Pradesh : Laitpur, Jhansi, Mahoba, Hami","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"022 - 26106552 / 26106960","label":"Insurance Ombudsman Mumbai Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"dsman, Office of the Insurance Ombudsman, 3rd Floor, Jeevan Seva Annexe, S.V. Road, Santacruz(W), MUMBAI-400 054. Tel.: 022 - 26106552 / 26106960 Fax: 022 - 26106052 Email: bimalokpal.mumbai@ecoi.co.in | Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"0120-2514250 / 2514252 / 2514253","label":"Insurance Ombudsman Noida Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"mbudsman, Bhagwan Sahai Palace 4th Floor, Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301. Tel.: 0120-2514250 / 2514252 / 2514253 Email: bimalokpal.noida@ecoi.co.in | State of Uttaranchal and the following Districts of Uttar Pradesh: Agra, Aligarh,","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"020-32341320","label":"Insurance Ombudsman Pune Tel","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"budsman, Jeevan Darshan Bldg., 2nd Floor, C.T.S. No.s. 195 to 198, N.C. Kelkar Road, Narayan Peth, Pune – 411 030. Tel: 020-32341320 Email: bimalokpal.pune@ecoi.co.in | Maharashtra, Area of Navi Mumbai and Thane excluding Mumbai Metropolitan Region.\nPU","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"www.careinsurance.com","label":"Company Website","level":null,"hours":null,"applies_to":"all","source_url":"https://irdai.gov.in/documents/37343/931203/RHIHLGP21406V032021_2020-2021.pdf/5b2d9a80-5a69-11ba-524e-cb079ca95f0e?version=1.1&t=1668583066863&download=true","quote":"redress, the Policyholder / Insured Member may contact the Company with the details of the grievance through:\nWebsite: www.careinsurance.com Email: customerfirst@careinsurance.com Contact No.: 1800-102-6655, 1800-102-4488\nOffice of the Ombudsman | Contact Deta","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/care-health-insurance/2658-surrogacy-and-oocyte-care-proposal-form"}