MAY I

HELP YOU ?

Call Toll Free

1800 2666

OR

x
imgs

Complete Health Insurance Renewal

Name of the applicant :

Policy number :

Discounts

Renewal Premium Payable (Inclusive of service tax *)

Select coverage period

For 2 years : (`)
For 1 year : (`)

Insured Contact Details

Update my profile with the below address

Address line 1*

Please enter address 1

Address line 2

Please enter address2

City & State*

Please enter city & state

Pincode*

Please enter pincode

Landmark

Please enter landmark

Email address*

Please enter landmark
We will email policy to this ID

Mobile number*

Please enter landmark

Declaration

I/We have read and understood the terms and conditions of the Policy and confirm to abide by the same.

I/We hereby agree that the insurance coverage under the Policy will commence only on realization of full premium, receipt of complete medical reports (wherever applicable) and subject to medical underwriting approval by the Company. Receipt of proposal form by the Company shall not be construed as acceptance of proposal. Company in its sole discretion reserves the right to accept or reject any proposal without assigning any reasons thereof.

I accept the declaration and agree with the Terms and Conditions
Date: Insurance is the subject matter of solicitation. Misc 129

(*Inclusive of 0.5% Swachh Bharat & 0.5% Krishi Kalyan Cess)

ICICI Lombard General Insurance Company Ltd. is one of the largest private sector general insurance companies in India. We offer insurance coverage for motor, health, travel, home and others. Customers can buy or renew policies online with instant policy issuance.
Trade logo displayed above belongs to ICICI Bank Ltd. and Northbridge Financial Corporation and is used by ICICI Lombard GIC Ltd. under license. The advertisement contains only an indication of cover offered. For more details on risk factors, terms, conditions and exclusions, please read the sales brochure carefully before concluding a sale. ICICI Lombard General Insurance Company Limited, ICICI Lombard House, 414, Veer Savarkar Marg, Near Siddhi Vinayak Temple, Prabhadevi, Mumbai - 400025. Reg. No.115. Fax no - 022 61961323. CIN: U67200MH2000PLC129408.
This website is best viewed in Google Chrome browser