{"id":2690,"title":"Saral Suraksha Bima - Care Health Insurance (Personal Accident Product) - 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/saral-suraksha-bima---care-health-insurance-(personal-accident-product)---proposal-form.pdf","sha256":"f5f61557242717e6b7ce78be15bd1ce3aeed374c25edc4b7cadcf0780e526d7b","pages":5,"collected":"2026-10-20","instructions":{"about":"This form is used by a proposer to apply for a personal accident insurance policy under Saral Suraksha Bima by Care Health Insurance Limited. The proposer fills the form with personal, nominee, insured persons, and policy details.","notes":["Fill the form in CAPITAL LETTERS only.","Attach original or valid documents for identity and address proof as specified.","Submit copy of cancelled cheque for NEFT details.","If paying premium by cash, do so only at nearest Care Health Insurance branch or authorized bank branch and obtain computerized receipt.","Claims without computerized receipt for cash payment will not be admitted.","Use separate sheet if space is insufficient.","Registered mobile number will be enrolled for WhatsApp notifications.","Total nominee percentage must not exceed 100%.","Optional covers and eIA account details are optional and must be selected or filled as applicable.","This form is not a guarantee of policy issuance; acceptance is at company’s sole discretion."],"title":"Saral Suraksha Bima - Care Health Insurance (Personal Accident Product) - Proposal Form","submit":{"to":"Care Health Insurance Limited","how":"post or in person at 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":"Full correspondence address","type":"text","label":"Correspondence Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Locality","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"6 digit postal code","type":"number","label":"Pin Code","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Nearest landmark to address","type":"text","label":"Landmark","options":[],"required":false,"pdf_field":""},{"help":"Tick if same as correspondence address","type":"text","label":"Permanent Address","options":[],"required":true,"pdf_field":""},{"help":"Include STD code if applicable","type":"phone","label":"Telephone","options":[],"required":false,"pdf_field":""},{"help":"Registered mobile number 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":"DD/MM/YYYY format","type":"date","label":"Date of Birth / Incorporation (in case Proposer is an entity)","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Others"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status","options":["Single","Married","Divorced","Widow(er)","Separated"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Mother’s Name","options":[],"required":false,"pdf_field":""},{"help":"Permanent Account Number","type":"text","label":"PAN Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Nationality","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Form 60 (only in case the customer does not have PAN no.)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Last 4 digits of Aadhaar number","type":"number","label":"Aadhaar Number(last 4 digits)","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 policy tenure","type":"choice","label":"Tenure","options":["1 Year"],"required":true,"pdf_field":""},{"help":"Select cover type","type":"choice","label":"Cover Type","options":["Individual"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Optional Cover 1- Temporary Total Disablement (TTD)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Optional Cover 2 - Hospitalization Expenses due to Accident","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"If Yes, provide details of children who shall avail this benefit","type":"yes-no","label":"Optional Cover 3 - Education Grant","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Would you like to opt for Electronic Policy Issuance through an e-Insurance Account (eIA) of an Insurance Repository?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details if you have an eIA","type":"text","label":"If you have an eIA, please provide following details: Name of Insurance Repository, eIA No, Name as appearing in eIA","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"If you do not have an eIA, would you like to open an account?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"If Yes, choose any one Insurance Repository","options":["NDML – NSDL Data Management Limited","CAMSRep- CAMS Repository Services Limited","Karvy Insurance Repository Limited","CIRL-Central Insurance Repository Limited (CDSL)"],"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","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Name of nominee","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date of birth","options":[],"required":true,"pdf_field":""},{"help":"Age of nominee","type":"number","label":"Age","options":[],"required":true,"pdf_field":""},{"help":"Relationship to proposer","type":"text","label":"Relationship with Proposer","options":[],"required":true,"pdf_field":""},{"help":"Total across nominees must not exceed 100%","type":"number","label":"Specify the percentage (%) of the claim amount payable to each nominee in the event of the policyholder’s death","options":[],"required":true,"pdf_field":""},{"help":"Tick if same as proposer","type":"text","label":"Correspondence Address (If same as Proposer please tick here)","options":[],"required":false,"pdf_field":""},{"help":"Tick if same as proposer","type":"text","label":"Permanent Address (If same as Proposer please tick here)","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E-mail ID","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Account No","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"IFSC/ MICR Code","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of the Account Holder","options":[],"required":false,"pdf_field":""},{"help":"Name, Relationship with Minor, Age, Mobile No., Email ID","type":"text","label":"Appointee Details (Only where the Nominee age is less than 18 years)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of the Proposed to be Insured Including Proposer","fields":[{"help":"Full name in capital letters","type":"text","label":"Name : Mr./Ms./Mrs.","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status","options":["Single","Married","Divorced","Widow(er)","Separated"],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Annual income in rupees","type":"amount","label":"Annual Income","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Others"],"required":true,"pdf_field":""},{"help":"Optional Aadhaar or PAN number","type":"text","label":"Aadhaar/PAN No. (Optional)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"City of Residence","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Relationship with Proposer","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Highest Educational Qualification","options":[],"required":false,"pdf_field":""},{"help":"Name and relationship of nominee for this insured","type":"text","label":"Nominee Name and Relationship","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Occupation","options":["Salaried","Self Employed"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have ABHA No.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Optional ABHA number","type":"text","label":"If Yes, please provide ABHA Number (Optional)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Please mention the name and relation of guardian if nominee is a minor","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Hazardous Activity and Health Questions","fields":[{"help":"","type":"yes-no","label":"Does your job require you to be involved with any hazardous activity, significant manual labor, operating heavy machinery, handling hazardous material, working at heights/underground /construction sites, oil rigging, high voltage, high temperature, working in aircrafts or sea-going vessels or adventure sports or armed forces?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you ever been diagnosed with or are you under treatment for any disability/deformity (impairment/infirmity/condition hampering vision, hearing or mobility) or any terminal illness or any illness or disease causing restriction to activities (E.g Epilepsy or Seizures)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you ever been entrusted with prominent public functions, for example, Heads of State or of Government, senior politicians, senior government, judicial or military officials, senior executives of state owned corporations or important political party officials?","options":["Yes","No"],"required":true,"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":"Name as per bank records","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":"Premium Payment Information","fields":[{"help":"Strike out whichever is not applicable","type":"choice","label":"Premium payment mode","options":["Cash","Cheque","Demand Draft","Card","ECS (NACH)","Reward Points","Wallet","Any other mode"],"required":true,"pdf_field":""},{"help":"Enter premium amount in rupees","type":"amount","label":"Premium Amount (`)","options":[],"required":true,"pdf_field":""},{"help":"If applicable","type":"text","label":"Cheque / Demand Draft No. / Authorization ID","options":[],"required":false,"pdf_field":""},{"help":"Date of payment","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"Bank name for payment","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration by Proposer","fields":[{"help":"Sign and date the form","type":"signature","label":"Signature of the Proposer/ Authorized Representative","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration for Agents","fields":[{"help":"Agent's full name","type":"text","label":"Full Name","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"License No. (Advisor/Corporate Agent/Broker/Relationship Officer)","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Sales person name","type":"text","label":"SP Name","options":[],"required":false,"pdf_field":""},{"help":"Sales person code","type":"text","label":"SP Code","options":[],"required":false,"pdf_field":""}],"filled_by":"agent"},{"title":"Addendum – Vernacular Declaration","fields":[{"help":"DD/MM/YYYY format","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"declarant"}],"deadlines":[],"applies_to":"Personal Accident Product under Saral Suraksha Bima","attachments":["Copy of cancelled cheque","Documents supporting Proof of Identity (POI)","Documents supporting Proof of Address (POA)","Additional sheet if space is insufficient"],"declarations":["Information provided is true and complete to the best of knowledge.","Policy comes into force only after full premium payment and acceptance by the company.","Notify company in writing of any change in occupation or health after proposal submission but before risk acceptance.","Consent to company seeking medical and other information for underwriting and claims.","Authorize company to share proposal and medical information with regulatory authorities and for claims settlement.","Agent declares having explained the proposal form contents and consequences of untrue statements or non-disclosure.","Declarant confirms having explained the proposal form in vernacular language to the proposer."],"dropped_labels":7},"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/2690-saral-suraksha-bima-care-health-insurance-personal-accident-product-proposal-for"}