{"id":2694,"title":"Proposal Form - ‘Group Saral Suraksha Bima - 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-saral-suraksha-bima---care-health-insurance-(personal-accident-product)---proposal-form.pdf","sha256":"e0f67867223d79c0715dd910a489e0d3480da44b8230b60e09f64c051417467b","pages":5,"collected":"2026-10-20","instructions":{"about":"This form is used by a proposer (policyholder or corporate/group entity) to apply for the Group Saral Suraksha Bima - Care Health Insurance Personal Accident product.","notes":["Fill the form in CAPITAL LETTERS only.","Use additional sheets if space is insufficient.","Attach all required documents as part of the proposal form.","Payment instrument should be drawn in favour of 'Care Health Insurance Ltd.'","This form is not valid against cash payment.","The company is not liable for any claim between receipt of proposal amount and policy start date.","Use original and valid KYC documents as per Appendix 1.","Optional covers are available only under specified conditions.","Incomplete or discrepant proposals may be rejected with premium refunded."],"title":"Proposal Form - ‘Group Saral Suraksha Bima - Care Health Insurance’","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"Provide Permanent Account Number as per KYC documents","type":"text","label":"P.A.N. ( Mandatory )","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Do all the members proposed to be insured form part of one Group or Corporate body?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide a valid email address","type":"email","label":"E-mail ID","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Is the scheme contributory","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide identification or bank account number","type":"text","label":"Identification No. / Bank Account No. / any other","options":[],"required":null,"pdf_field":""},{"help":"Enter full legal name","type":"text","label":"Full name of the Proposer/Entity","options":[],"required":null,"pdf_field":""},{"help":"Provide contact details","type":"text","label":"Contact details of Key Contact person","options":[],"required":null,"pdf_field":""},{"help":"Name of key contact person","type":"text","label":"Key person name","options":[],"required":null,"pdf_field":""},{"help":"Format DD/MM/YYYY","type":"date","label":"Date of Incorporation/Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"Locality of correspondence address","type":"text","label":"Address - Locality","options":[],"required":null,"pdf_field":""},{"help":"City of correspondence address","type":"text","label":"City","options":[],"required":null,"pdf_field":""},{"help":"Postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"State of correspondence address","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Tick if permanent address is same as correspondence","type":"checkbox","label":"Permanent: If same as above please tick here","options":[],"required":null,"pdf_field":""},{"help":"Residential landline with STD code","type":"phone","label":"Contact Details - Land line (R)","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Alternate contact number","type":"phone","label":"Alternate No.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Condition(s) applicable to your health insurance policy","fields":[{"help":"Indicate if any conditions apply","type":"yes-no","label":"Condition(s) applicable to your health insurance policy Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Name of insurer if conditions apply","type":"text","label":"Name of Insurance Company","options":[],"required":false,"pdf_field":""},{"help":"Address of insurer","type":"text","label":"Address","options":[],"required":false,"pdf_field":""},{"help":"Describe any applicable conditions","type":"text","label":"Please provide details on the following condition(s)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of the Proposed to be Insured","fields":[{"help":"Attach Annexure 1 with enrollment data for all proposed insured members","type":"attachment","label":"Please provide complete details of Proposed to be Insured as per Annexure 1","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Policy Details","fields":[{"help":"Select coverage type","type":"choice","label":"Coverage Type","options":["Individual"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Lifestyle Related Information","fields":[{"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":null,"pdf_field":""},{"help":"Select the category that best describes your occupation","type":"choice","label":"Under which of the following categories does your occupation fall?","options":["Category 1: Persons engaged primarily in administrative functions","Category 2: Persons engaged in manual work other than Category 3.","Category 3: Persons working in explosives industry, mine and/or Magazine workers, high tension electric supply, horse racing including jockeys, athletes and occupations of similar hazard"],"required":null,"pdf_field":""},{"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":null,"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":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you participate in Adventure/ extreme sports?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe your occupation if none of the categories apply","type":"text","label":"Please specify occupation if not in the above categories","options":[],"required":false,"pdf_field":""},{"help":"If yes, provide details","type":"yes-no","label":"Has any company ever declined to issue/renew a Personal Accident policy for any proposed? If yes, please provide details","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Dependent Child Details and Optional Covers","fields":[{"help":"Provide details of dependent children and education course if applicable","type":"table","label":"Dependent Child Name, Age & DOB, Pursuing an Educational Course (Y/N), Details of Education course","options":[],"required":false,"pdf_field":""},{"help":"Select if you want this optional cover","type":"yes-no","label":"Optional Cover1 – Temporary Total Disablement (TTD)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if you want this optional cover","type":"yes-no","label":"Optional Cover2 - Hospitalization Expenses due to Accident","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details of children for hospitalization expenses cover","type":"text","label":"If Yes, please provide details of children who shall avail this benefit","options":[],"required":false,"pdf_field":""},{"help":"Select if you want this optional cover","type":"yes-no","label":"Optional Cover3 – Education Grant","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Payment Information","fields":[{"help":"Strike out modes not applicable","type":"choice","label":"Payment By","options":["Cheque","Demand Draft","Card","ECS (NACH)","Reward Points","Wallet","Any Other Mode"],"required":null,"pdf_field":""},{"help":"Provide cheque or draft number or authorization ID","type":"text","label":"Cheque / Demand Draft No. / Authorization ID","options":[],"required":null,"pdf_field":""},{"help":"Name of bank for payment","type":"text","label":"Bank Name","options":[],"required":null,"pdf_field":""},{"help":"Amount of premium paid","type":"amount","label":"Premium Amount","options":[],"required":null,"pdf_field":""},{"help":"Tick applicable payment frequency","type":"choice","label":"Premium payment mode","options":["Single","Monthly","Quaterly","Half-yearly"],"required":null,"pdf_field":""},{"help":"Date of payment","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Amount paid in Indian Rupees","type":"amount","label":"Payment Amount (INR)","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Signatures","fields":[{"help":"Authorized signatory must sign here","type":"signature","label":"Signature of the Authorized Signatory","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Signature of insurance representative","type":"signature","label":"Signature of the Representative","options":[],"required":null,"pdf_field":""},{"help":"Name of insurance representative","type":"text","label":"Name of the Representative","options":[],"required":null,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Group Saral Suraksha Bima - Care Health Insurance (Personal Accident Product)","attachments":["Annexure 1 with enrollment data for all proposed insured members","KYC documents as per Appendix 1"],"declarations":["The information provided is true and complete to the best of the proposer's knowledge and the proposer is authorized to propose on behalf of all persons to be insured.","The proposer will notify in writing any change in occupation or health after submission but before risk acceptance.","The company may seek medical and other information from doctors, hospitals, employers, and insurers for underwriting and claims settlement.","The proposer consents to receiving information from Central CKYC Registry via SMS/Email.","The policy will come into force only after full payment of premium and acceptance by the company."],"dropped_labels":13},"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/2694-proposal-form-group-saral-suraksha-bima-care-health-insurance"}