{"id":698,"title":"Health Connect Supra Policy - Claim form ( For policy issued on or before 20th Aug 2018 )","purpose":"claim","insurer":{"slug":"liberty-general-insurance","name":"Liberty General Insurance Limited"},"source_pdf":"https://www.libertyinsurance.in/Docx/HCS%20-%20Standard%20Claim%20Form%20-%2029%2003%2018%20-%20V2.pdf","sha256":"d0116d81a41d696d503d4f1d9a1ef1b0198674703a2c2e4bcfdf3002a530a1fc","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by policyholders to file a claim under the Health Connect Supra Policy issued on or before 20th August 2018.","notes":[],"title":"Health Connect Supra Policy - Claim form ( For policy issued on or before 20th Aug 2018 )","submit":{"to":"Liberty General Insurance Limited, Unit 1501 & 1502, 15th Floor, Tower 2, One International Center, Senapati Bapat Marg, Prabhadevi, Mumbai - 400 013.","how":"","address":"Unit 1501 & 1502, 15th Floor, Tower 2, One International Center, Senapati Bapat Marg, Prabhadevi, Mumbai - 400 013."},"purpose":"claim","sections":[],"deadlines":[],"applies_to":"Health Connect Supra Policy claims for policies issued on or before 20th August 2018","attachments":[],"declarations":[],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[],"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/liberty-general-insurance/698-health-connect-supra-policy-claim-form-for-policy-issued-on-or-before-20th-aug-2"}