{"id":2689,"title":"Proposal Form - ‘Group Arogya Sanjeevani Policy-Care Health Insurance’","purpose":"proposal","insurer":{"slug":"care-health-insurance","name":"Care Health Insurance Ltd"},"source_pdf":"https://cms.careinsurance.com/cms/public/uploads/download_center/group-arogya-sanjeevani-policy---care-health-insurance---proposal-form.pdf","sha256":"4ba6db040d7e75447beeafabf3c63682dbd7d3fe98e461aa0900d77a5d813cff","pages":6,"collected":"2026-10-20","instructions":{"about":"This form is used by the proposer (policyholder) to apply for the Group Arogya Sanjeevani health insurance policy from Care Health Insurance Limited. The proposer provides personal, group, and health details for underwriting and policy issuance.","notes":["Fill the form in CAPITAL LETTERS only.","Use additional sheets if space is insufficient.","Attach all required KYC and medical documents.","The company may reject incomplete or discrepant proposals and refund premium after deducting medical test costs.","Cheque/Demand Draft should be drawn in favour of 'Care Health Insurance Ltd.'","This form is not valid against cash payment.","Insurance is subject matter of solicitation and acceptance by the company.","Use the Additional Information section if needed."],"title":"Proposal Form - ‘Group Arogya Sanjeevani Policy-Care Health Insurance’","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"Enter the full legal name of the proposer or entity in capital letters","type":"text","label":"Full name of the Proposer/Entity","options":[],"required":true,"pdf_field":""},{"help":"Enter the permanent address of the proposer","type":"text","label":"Permanent Address","options":[],"required":true,"pdf_field":""},{"help":"Nearest landmark to the address","type":"text","label":"Landmark","options":[],"required":false,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":true,"pdf_field":""},{"help":"State of residence","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Mobile phone number of the proposer","type":"phone","label":"Mobile No","options":[],"required":true,"pdf_field":""},{"help":"Enter date in DD/MM/YYYY format","type":"date","label":"Date of Incorporation/Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Permanent Account Number as per Indian tax regulations","type":"text","label":"P.A.N. ( Mandatory )","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Do all the members proposed to be insured form part of one Group or Association or Corporate body? Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Locality of the correspondence address","type":"text","label":"Locality","options":[],"required":false,"pdf_field":""},{"help":"City of the correspondence address","type":"text","label":"City","options":[],"required":false,"pdf_field":""},{"help":"Address for correspondence if different from permanent address","type":"text","label":"Correspondence Address","options":[],"required":true,"pdf_field":""},{"help":"Residential landline number with STD code","type":"phone","label":"Land line (R)","options":[],"required":false,"pdf_field":""},{"help":"Email address of the proposer","type":"email","label":"E-mail ID","options":[],"required":false,"pdf_field":""},{"help":"Any identification or bank account number","type":"text","label":"Identification No. / Bank Account No. / any other","options":[],"required":false,"pdf_field":""},{"help":"Select if the scheme is contributory","type":"choice","label":"Is the scheme contributory Yes No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Past Policy and Claim Details","fields":[{"help":"Name and address of previous insurance company","type":"text","label":"Name & Address of the Insurer","options":[],"required":false,"pdf_field":""},{"help":"Previous policy number","type":"text","label":"Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Premium paid for the policy","type":"amount","label":"Premium `","options":[],"required":false,"pdf_field":""},{"help":"Name of Third Party Administrator if any","type":"text","label":"Name of TPA","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Policy Details","fields":[{"help":"Select coverage type","type":"choice","label":"Coverage Type: Individual Family","options":["Individual","Family"],"required":true,"pdf_field":""},{"help":"Specify family member combination","type":"text","label":"If Family coverage type is opted, then the Member Combination chosen: Members","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of the Proposed to be Insured (Annexure I)","fields":[{"help":"Name of the primary insured","type":"text","label":"Policyholder Name","options":[],"required":true,"pdf_field":""},{"help":"Policy or bank account number","type":"text","label":"Policyholder No/Bank Identification Account No.","options":[],"required":false,"pdf_field":""},{"help":"ID of primary insured member","type":"text","label":"Primary Insured Member ID","options":[],"required":false,"pdf_field":""},{"help":"Name of each insured member or dependent","type":"text","label":"Insured Member/Dependent Name","options":[],"required":true,"pdf_field":""},{"help":"Address of primary insured member","type":"text","label":"Address of Primary Insured Member","options":[],"required":false,"pdf_field":""},{"help":"Age and DOB of insured member","type":"date","label":"Age & Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Relationship to primary insured","type":"text","label":"Insured Member Relationship with Primary","options":[],"required":true,"pdf_field":""},{"help":"Gender of insured member","type":"choice","label":"Gender","options":["Male","Female","Other"],"required":true,"pdf_field":""},{"help":"Nominee name if any","type":"text","label":"Nominee","options":[],"required":false,"pdf_field":""},{"help":"Enter ABHA number if available","type":"text","label":"Do you have ABHA No.? If Yes, please mention","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section A: Medical Declaration","fields":[{"help":"Answer Yes or No for each condition and specify since when if Yes","type":"table","label":"Have you or any of the persons proposed for insurance suffered from any of the following diseases and/or have undergone treatment in a hospital for these diseases? (Y/N) and Since (Year)","options":["Y","N"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section B: Corporate Declaration","fields":[{"help":"Answer Yes or No","type":"yes-no","label":"Based on your company employee leave records, in the past two (2) years, has any person to be insured been on sick leave or hospital leave for five (5) consecutive days or more; or on hospital leave for 2 times or more? (Yes/No)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer Yes or No","type":"yes-no","label":"Is any person to be insured currently hospitalized or been told that any medical treatment likely to result in inpatient stay or surgery is required? (Yes/No)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer Yes or No","type":"yes-no","label":"During the past two (2) years, has any person to be insured been diagnosed with, or under treatment for any of the listed conditions (cardiovascular, neurological, hematologic, respiratory, digestive, urinary, autoimmune, others)? (Yes/No)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer Yes or No","type":"yes-no","label":"During the last 6 months has any person to be insured been advised or taking any repeat medication or injections for at least 3 times a week for minimum 3 weeks or had 4 or more visits to a doctor? (Yes/No)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Authorized personnel must sign here","type":"signature","label":"Signature of the Authorized Personnel","options":[],"required":true,"pdf_field":""},{"help":"Primary insured member must sign here","type":"signature","label":"Signature of the Primary Insured Member","options":[],"required":true,"pdf_field":""}],"filled_by":"authorized personnel"},{"title":"Premium Payment Information and Acknowledgement","fields":[{"help":"Date of payment","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Amount paid","type":"amount","label":"Payment Amount (INR)","options":[],"required":true,"pdf_field":""},{"help":"Select payment mode","type":"choice","label":"Payment By: Cheque / Demand Draft No. / Any other Mode (Strike out whichever is not applicable)","options":["Cheque","Demand Draft","Any other Mode"],"required":true,"pdf_field":""},{"help":"Enter cheque or draft number or authorization ID","type":"text","label":"Cheque / Demand Draft No. / Authorization ID","options":[],"required":false,"pdf_field":""},{"help":"Name of bank for cheque or draft","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"Name of insurance representative acknowledging payment","type":"text","label":"Name of the Representative","options":[],"required":false,"pdf_field":""},{"help":"Signature of insurance representative","type":"signature","label":"Signature of the Representative","options":[],"required":false,"pdf_field":""},{"help":"Authorized signatory on behalf of all proposed insured","type":"signature","label":"Signature of the Authorized Signatory","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer or representative"},{"title":"Declarations and Consents","fields":[{"help":"Date of declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":false,"pdf_field":""},{"help":"Agree to declaration","type":"checkbox","label":"I hereby declare, on my behalf and on behalf of all persons proposed to be insured, that the above statements, answers and/or particulars given by me are true and complete to the best of my knowledge and that I am authorized to propose on behalf of these other persons.","options":[],"required":true,"pdf_field":""},{"help":"Agree to consent","type":"checkbox","label":"I consent to the company seeking medical information from any doctor or hospital who has attended the person to be insured or from any insurer for underwriting or claims settlement.","options":[],"required":true,"pdf_field":""},{"help":"Agree to consent","type":"checkbox","label":"I authorize the company to share information pertaining to my proposal including medical records for underwriting and claims settlement and with government/regulatory authorities.","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer or authorized signatory"},{"title":"Addendum - Vernacular Declaration","fields":[{"help":"Place of declaration","type":"text","label":"Place","options":[],"required":false,"pdf_field":""},{"help":"Date of declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Declarant must sign here","type":"signature","label":"Signature of the Declarant","options":[],"required":true,"pdf_field":""}],"filled_by":"declarant"}],"deadlines":[],"applies_to":"Group Arogya Sanjeevani health insurance policies","attachments":["KYC documents as per Appendix 1","Medical reports where applicable","Certificate of Incorporation / Registration and related documents as per entity type"],"declarations":["The information provided is true and complete to the best of the proposer's knowledge.","The policy will be effective only after full premium payment and underwriting acceptance.","The proposer consents to medical and insurer information being shared for underwriting and claims.","The proposer will notify any change in occupation or health before risk acceptance.","The proposer consents to receiving communications from Central CKYC Registry.","The declarant confirms the proposal form contents were explained in a language understood by the proposer."],"dropped_labels":16},"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/2689-proposal-form-group-arogya-sanjeevani-policy-care-health-insurance"}