{"id":2681,"title":"senior health advantage 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/senior-health-advantage---proposal-form.pdf","sha256":"c82719cda383a832c166996a3e89fc5db76bbde8575115824867d4e4166f85bf","pages":6,"collected":"2026-10-20","instructions":{"about":"This form is used by individuals (proposers) to apply for the Senior Health Advantage insurance policy from Care Health Insurance Limited. The proposer fills in personal, nominee, insured persons, medical, and payment details to request insurance coverage.","notes":["Fill the form in CAPITAL LETTERS only.","Use additional information section if space is insufficient.","Original bills and medical documents should be attached where applicable.","Premium payment by cash should be done only at nearest Care Health Insurance branch or authorized bank branch with computerized receipt.","Any claim without computerized receipt against deposited cash will not be admitted.","The company may reject proposal and refund premium (less medical test costs) if information is incomplete or discrepant.","Total nominee percentage must not exceed 100%.","If more than 3 nominees, provide separate application or add via website endorsement.","If applying for portability, fill separate portability form.","PEP means Politically Exposed Person; disclose if applicable.","Disability certificate required if differently abled person is proposed.","Attach cancelled cheque for NEFT details.","The acknowledgement receipt does not amount to acceptance of risk or policy commencement."],"title":"senior health advantage Proposal Form","submit":{"to":"Care Health Insurance Limited","how":"submit at nearest Care Health Insurance Limited branch or authorized bank branch","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":"Enter full correspondence address","type":"text","label":"Correspondence Address : Locality City Village Gram Panchayat Pin Code State Landmark","options":[],"required":true,"pdf_field":""},{"help":"Tick if permanent address is same as correspondence","type":"text","label":"Permanent Address : If same as above, please tick here Locality City Village Gram Panchayat Pin Code State","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Telephone","options":[],"required":false,"pdf_field":""},{"help":"Registered mobile number will be used for WhatsApp notifications","type":"phone","label":"Mobile*","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":"Enter date of birth in DDMMYYYY format","type":"date","label":"Date of Birth / Incorporation (in case Proposer is an entity) DDMMYYYY","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Gender: Male Female Others","options":["Male","Female","Others"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status : Single Married Divorced Widow(er) Separated","options":["Single","Married","Divorced","Widow(er)","Separated"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Mother's Name","options":[],"required":false,"pdf_field":""},{"help":"Provide PAN or Form 60 if PAN not available","type":"text","label":"PAN Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Form 60 (only in case the customer does not have PAN no.) : Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Consent given by signing to use Aadhaar for authentication","type":"text","label":"Aadhaar Number (last 4 digits)","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable identity proofs","type":"checkbox","label":"CKYC: Please share the following for authentication purpose: Proof of Identity (POI) Tick whichever is applicable) Aadhaar PAN Passport Driving License Voter ID Card Letter from a recognized public authority or public servant verifying the identity and residence of the Proposer","options":["Aadhaar","PAN","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 address proofs","type":"checkbox","label":"Proof of Address (POA) Tick whichever is applicable) 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","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":""}],"filled_by":"proposer"},{"title":"Electronic Policy Issuance (e-Insurance Account)","fields":[{"help":"","type":"yes-no","label":"Would you like to opt for Electronic Policy Issuance through an e-Insurance Account (elA) of an Insurance Repository? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide name of insurance repository if you have an eIA","type":"text","label":"If you have an elA, please provide following details: Name of Insurance Repository","options":[],"required":false,"pdf_field":""},{"help":"Provide eIA number if available","type":"text","label":"elANo","options":[],"required":false,"pdf_field":""},{"help":"Provide name as per eIA","type":"text","label":"Name as appearing in elA","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"If you do not have an elA, would you like to open an account? Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Help us preserve the environment by opting to receive policy related information in soft copy/via email only: Yes No","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Enter percentage share for each nominee; total must be 100%","type":"number","label":"Specify the percentage (%) of the claim amount payable to each nominee in the event of the policyholder's death. The total percentage of contribution across all the nominee must not exceed 100%","options":[],"required":true,"pdf_field":""},{"help":"Tick if same as proposer","type":"text","label":"Correspondence Address (If same as Proposer please tick here) (Nominee 1, Nominee 2, Nominee 3)","options":[],"required":false,"pdf_field":""},{"help":"Tick if same as proposer","type":"text","label":"Permanent Address (If same as Proposer please tick here) (Nominee 1, Nominee 2, Nominee 3)","options":[],"required":false,"pdf_field":""},{"help":"Provide appointee details if nominee is minor","type":"text","label":"Appointee Details (Only where the Nominee age is less than 18 years): Appointee Name Age Mobile No. Email ID Relationship with Minor","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Policy Details","fields":[{"help":"Enter sum insured amount in rupees","type":"amount","label":"Sum Insured (in Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Select cover type","type":"choice","label":"Cover Type: Individual Floater","options":["Individual","Floater"],"required":true,"pdf_field":""},{"help":"If yes, specify deductible amount","type":"choice","label":"Deductible Option: Yes No (If Yes, then please mention Deductible (in Rs.))","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Specify plan name","type":"text","label":"Plan","options":[],"required":true,"pdf_field":""},{"help":"Refer Annexure I for optional covers","type":"text","label":"Details of Optional Cover(s) as per Annexure - I","options":[],"required":false,"pdf_field":""},{"help":"If yes, submit portability form","type":"yes-no","label":"Are you applying for portability? Yes No (If yes, please fill in the separate Portability Form)","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Medical / Lifestyle Related Information","fields":[{"help":"Attach relevant medical documents if applicable","type":"attachment","label":"Please share the medical documents, wherever applicable such as discharge summary/ investigation reports/ follow up records/ angiography report/ latest ECHO, ECG, stress test.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Information","fields":[{"help":"Provide details for any yes answers or other pre-existing conditions","type":"text","label":"Additional Information (IF YOUR ANSWER IS 'YES' TO ANY OF THE ABOVE QUESTIONS OR THE PROPOSED TO BE INSURED ARE SUFFERING FROM ANY OTHER PRE EXISTING DISEASE WHICH IS NOT MENTIONED IN THE ABOVE LIST)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Attending Physician's Details","fields":[{"help":"Provide family physician's full name","type":"text","label":"Name of Family Physician : (First Name) (Middle Name) (Last Name)","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Contact Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Previous or Existing Health Insurance","fields":[{"help":"","type":"yes-no","label":"Has any of your proposal(s) for Health insurance been declined, cancelled, charged a higher premium or issued with special condition(s)? (Yes/No)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is any of the person(s) proposed for insurance covered under any other health insurance policy with Care Health Insurance? (Yes/No)","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration","fields":[{"help":"Sign to confirm all declarations","type":"signature","label":"Signature of the Proposer/Authorized Representative (On behalf of all the persons to be insured under the Policy)","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Payment Information","fields":[{"help":"Select payment mode","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":"Select premium payment frequency","type":"choice","label":"Premium payment mode: Single Monthly Quarterly Half-yearly (Tick whichever is applicable)","options":["Single","Monthly","Quarterly","Half-yearly"],"required":true,"pdf_field":""},{"help":"Provide cheque/DD number or authorization ID if applicable","type":"text","label":"Cheque / Demand Draft No. / Authorization ID","options":[],"required":false,"pdf_field":""},{"help":"Enter payment amount","type":"amount","label":"Payment Amount (₹)","options":[],"required":true,"pdf_field":""},{"help":"Enter premium amount","type":"amount","label":"Premium Amount (₹)","options":[],"required":true,"pdf_field":""},{"help":"Date of payment","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Name of bank for payment","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"NEFT Details (For Claims & Refund Purposes)","fields":[{"help":"Bank account number for payouts","type":"text","label":"Account Number","options":[],"required":true,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFSC Code","options":[],"required":true,"pdf_field":""},{"help":"Name of bank","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""},{"help":"Branch name of bank","type":"text","label":"Bank Branch Name","options":[],"required":false,"pdf_field":""},{"help":"Account holder's name","type":"text","label":"Name of the Account Holder","options":[],"required":true,"pdf_field":""},{"help":"Attach cancelled cheque copy","type":"attachment","label":"Note : Please submit copy of cancelled cheque along with Proposal Form","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration for Agents","fields":[{"help":"Agent's full name","type":"text","label":"Full Name","options":[],"required":true,"pdf_field":""},{"help":"Agent's license number","type":"text","label":"License No. (Advisor/Corporate Agent/Broker/Relationship Officer)","options":[],"required":true,"pdf_field":""},{"help":"Agent's signature","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Specified Person name","type":"text","label":"SP Name","options":[],"required":false,"pdf_field":""},{"help":"Specified Person code","type":"text","label":"SP Code","options":[],"required":false,"pdf_field":""}],"filled_by":"agent"},{"title":"Addendum - Vernacular Declaration","fields":[{"help":"Place of declaration","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Declarant's signature","type":"signature","label":"Signature of the Declarant","options":[],"required":true,"pdf_field":""}],"filled_by":"declarant"},{"title":"Annexure - I: Optional Covers","fields":[{"help":"Select if opting for room rent and ICU modification","type":"yes-no","label":"Optional Benefit: Room Rent and ICU Modification: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select air ambulance cover and option if applicable","type":"choice","label":"Optional Benefit: Air Ambulance Cover: Yes No (If Yes, then please mention the option opted: Option I Option 2)","options":["Yes","No","Option I","Option 2"],"required":false,"pdf_field":""},{"help":"Select if opting for Smart Select","type":"yes-no","label":"Optional Benefit: Smart Select: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for sub-limit on advanced technology","type":"yes-no","label":"Optional Benefit: Sub-Limit on Advance Technology Methods: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select increase in PED waiting period and options","type":"choice","label":"Optional Benefit: Increase in PED Waiting Period: Yes No (If Yes, then please tick mark the options opted: Sublimit 1 Sublimit 2 4 Years)","options":["Yes","No","Sublimit 1","Sublimit 2","4 Years"],"required":false,"pdf_field":""},{"help":"Select if opting for unlimited automatic recharge","type":"yes-no","label":"Optional Benefit: Unlimited Automatic Recharge: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for instant cover","type":"yes-no","label":"Optional Benefit: Instant Cover: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for termination of automatic recharge","type":"yes-no","label":"Optional Benefit: Termination of Automatic Recharge Coverage: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for modification of no claim bonus","type":"yes-no","label":"Optional Benefit: Modification of No Claim Bonus: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select disease management programs and options","type":"checkbox","label":"Optional Benefit: Disease Management Programs for: Asthma: Yes No (If Yes, then please tick mark the options opted: Submit 2 Sublimit 1) Hypertension: Yes No Hyperlipidemia: Yes No","options":["Asthma","Hypertension","Hyperlipidemia","Submit 2","Sublimit 1"],"required":false,"pdf_field":""},{"help":"Select if opting for modification of pre/post hospitalization expenses","type":"yes-no","label":"Optional Benefit: Modification of Pre-hospitalization Medical Expenses and Post-hospitalization Medical Expenses: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for companion benefit","type":"yes-no","label":"Optional Benefit: Companion Benefit: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for sub-limit on hospitalization expenses","type":"yes-no","label":"Optional Benefit: Sub-Limit on Hospitalization related Expenses: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for additional sum insured for accidental hospitalization","type":"yes-no","label":"Optional Benefit: Additional Sum Insured for Accidental Hospitalization: Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for additional sum insured for critical illnesses and waiting period","type":"yes-no","label":"Optional Benefit: Additional Sum Insured for Defined Critical Illnesses: Yes No (If Yes, then please mention the waiting period option opted: 2 Years)","options":["Yes","No","2 Years"],"required":false,"pdf_field":""},{"help":"Select if opting for OPD care and specify coverage amount","type":"yes-no","label":"Optional Benefit: OPD Care: Yes No (If Yes, then please mention the coverage amount opted)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for OPD consultation and therapy expenses and specify coverage amount","type":"yes-no","label":"Optional Benefit: OPD Consultation & Therapy Expenses: Yes No (If Yes, then please mention the coverage amount opted)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for sub-limit on specified diseases","type":"yes-no","label":"Optional Benefit: Sub-Limit on Specified Diseases","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"One-Time Mandate Bima-ASBA","fields":[{"help":"Consent for Bima-ASBA premium payment","type":"yes-no","label":"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.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm UPI mandate","type":"yes-no","label":"UPI-Mandate Confirmation: Yes No (Tick whichever is applicable)","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Acknowledgement for Proposal","fields":[{"help":"Proposal number assigned by company","type":"text","label":"Proposal No","options":[],"required":false,"pdf_field":""},{"help":"Company representative signature","type":"signature","label":"Signature of the Representative","options":[],"required":false,"pdf_field":""},{"help":"Company representative name","type":"text","label":"Name of the Representative","options":[],"required":false,"pdf_field":""}],"filled_by":"insurance company"}],"deadlines":[],"applies_to":"Senior Health Advantage health insurance policy proposals","attachments":["All attached documents form part of this Proposal Form","Medical documents such as discharge summary, investigation reports, follow up records, angiography report, latest ECHO, ECG, stress test","Copy of cancelled cheque along with Proposal Form"],"declarations":["The statements and particulars given are true and complete to the best of the proposer's knowledge and form the basis of the insurance policy.","The policy will come into force only after full payment of the premium.","The proposer will notify any change in occupation or health after submission but before acceptance.","Consent is given to the company to seek medical information from doctors, hospitals, employers, and insurers for underwriting and claim settlement.","Authorization is given to share proposal and medical information with government and regulatory authorities including via ABHA.","Agent declares that the proposal form contents and implications have been explained to the proposer.","If proposer is illiterate or signs in vernacular, a declarant confirms the contents were explained in a language understood by the proposer."],"dropped_labels":24},"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/2681-senior-health-advantage-proposal-form"}