{"id":721,"title":"Fitness Rewards Claim Form – OneHealth (To be filled by the Insured)","purpose":"claim","insurer":{"slug":"magma-general-insurance","name":"Magma General Insurance Limited"},"source_pdf":"https://www.magmainsurance.com/documents/5553002/5571063/Fitness+Rewards+Claim+Form+%E2%80%93+OneHealth+%28To+be+filled+by+the+Insured%29.pdf/b77a9f1e-4f2f-7fb1-88d7-12fc8d161cdc?t=1789043063189","sha256":"70302bb4fb53ea2bcdeaab96a329f880fb67f7eeb97e5e62304f290a2f864d8b","pages":1,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured person to claim Fitness Reward Points for fitness activities undertaken during one policy year.","notes":["Fill a single form for all fitness activities undertaken in one policy year by an insured person.","Fill separate forms for each insured person wishing to earn Fitness Reward Points.","Attach original bills and copy of Certificate of Completion for fitness activity/event wherever applicable.","The issuance of this form is not to be taken as admission of liability."],"title":"Fitness Rewards Claim Form – OneHealth (To be filled by the Insured)","submit":{"to":"Family Health Plan Insurance TPA Limited","how":"post","address":"Srinilaya - cyber spazio suite, 101,102,Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Telangana 500034"},"purpose":"claim","sections":[{"title":"Policy Details","fields":[{"help":"","type":"text","label":"Policyholder's Name:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policyholder's Customer ID:","options":[],"required":false,"pdf_field":""},{"help":"(if available)","type":"text","label":"Policy Number:","options":[],"required":null,"pdf_field":""},{"help":"DD MM YYYY","type":"date","label":"Policy Start Date:","options":[],"required":null,"pdf_field":""},{"help":"DD MM YYYY","type":"date","label":"Policy End Date:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured person"},{"title":"Insured Person's Details","fields":[{"help":"","type":"text","label":"Name:","options":[],"required":null,"pdf_field":""},{"help":"DD MM YYYY","type":"date","label":"Date of Birth:","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Gender:","options":["Male","Female"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Relationship with Policyholder:","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Occupation:","options":["Service","Self employed","Homemaker","Student","Others (please specify)"],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Contact No:","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"E-mail ID:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address:","options":[],"required":null,"pdf_field":""}],"filled_by":"insured person"},{"title":"Details of the Bills","fields":[{"help":"List each fitness activity with corresponding bill number and bill date. Activities include: Availing our Health Check-up Benefit, Participation and completion of marathon run (at least 10 Km), Gym / Yoga / Zumba / Dancing or any other fitness centres' membership for at least one year, Participation and completion of any other professional sport event, Participation in any health programme sponsored by us.","type":"table","label":"Activity, Bill No., Bill Date","options":[],"required":null,"pdf_field":""}],"filled_by":"insured person"},{"title":"Declaration","fields":[{"help":"DD MM YYYY","type":"date","label":"Date:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Place:","options":[],"required":null,"pdf_field":""},{"help":"","type":"signature","label":"Signature","options":[],"required":null,"pdf_field":""}],"filled_by":"insured person"}],"deadlines":[],"applies_to":"","attachments":["original bills","copy of Certificate of Completion for fitness activity / event, wherever applicable"],"declarations":["The information furnished is true and correct to the best of the insured's knowledge and belief.","False or untrue statements or concealment of material facts will forfeit the right to claim.","All bills/receipts for the claim are included and no supplementary claim for the same insured person in the same policy year will be made.","Receipt of this form and documents does not constitute admission of liability by Magma General Insurance Limited or its TPA.","The company and/or its TPA reserve the right to require further/additional information regarding the claim."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"address","value":"Magma General Insurance Limited (Claims Hub), Srinilaya Cyber Spazio Suite 101, 102, Ground Floor, Road No. 2, Banjara Hills, Hyderabad, Telangana – 500034","label":"Claims Hub Address","level":null,"hours":null,"applies_to":"health","source_url":"https://www.magmainsurance.com/learn-about-claims","quote":"fe takes an unexpected turn. When that moment comes, a clear and dependable claims process makes all the difference. At Magma General Insurance, our aim is to make the process simple to understand, transparent to follow, and supportive at every step. This page explains how claims work across Health, Motor and Non‑Motor policies.\nClaim is easy at Magma General Insurance.\nRegister Claim\nHealth","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"customercare@magmainsurance.com","label":"Customer Care Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.magmainsurance.com/web/magmainsurance/claims","quote":"ma HDI General Insurance Company Limited) | All Rights Reserved\n| IRDAI Reg. No. 149 |\nwww.magmainsurance.com\n| E-mail:\ncustomercare@magmainsurance.com\n| Registered & Corporate Office: Equinox Business Park, Tower 3, Ambedkar Nagar, 2\nnd\nFloor, Unit Number 1B & 2B, LBS M","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 266 3202","label":"Claims Intimation Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.magmainsurance.com/web/magmainsurance/claims","quote":"surance Claims - Motor & Health Insurance Claim Process - Magma Insurance - Magma\nSkip to Content\nOne-Line-Hearder-Test\n1800 266 3202\nNavigation\nCustomer Service\nSenior Citizen Services\nRoad side Assistance\nAnnual Health Check-up\nPolicy Servicing assist","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/magma-general-insurance/721-fitness-rewards-claim-form-onehealth-to-be-filled-by-the-insured"}