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Name
Mobile
WhatsApp Number
Vehicle Number
Referral Code (optional)
When is the policy expiring?
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Expired-90 Days Ago
Expired-Within 90 Days
Expiring Soon (Within 30 days)
Expiring In Future
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Which Policy are you looking to buy?
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Zero Depreciation Policy
Comprehensive Policy (OD+TP)
Stand Alone Third Party (TP Only)
Stand Alone First Party (OD Only)
What was your Last Policy Type?
– None –
Zero Depreciation Policy
Comprehensive Policy (OD+TP)
Stand Alone Third Party (TP Only)
Claimed in Previous Policy Term?
– None –
Yes
No
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Previous Policy NCB Discount?
– None –
0%
20%
35%
45%
50%
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Preferred payment mode?
– None –
Credit
Prepaid
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Know More About Group Insurance
What Is Group Insurance?
Group insurance provides coverage to a group of people under a single policy, typically offered by employers to employees.
What Does It Cover?
It usually covers hospitalization, surgeries, and other medical expenses. Some plans include life or accident coverage.
Who Is Eligible?
Employees of an organization, members of a society, or group members are eligible. Dependents may also be covered.
Can It Be Converted to Individual Insurance?
Yes, many insurers allow conversion to an individual policy if you leave the organization, though terms may vary.