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HDFC ERGO General Insurance Company Limited Group Personal Accident Insurance Proposal Form (Accident Only) SECTION I Name of Corporate Designation Key Contact Person Mailing AddressCityPincodeTel.
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How to fill out group personal accident-proposal form
How to fill out group personal accident-proposal form
01
Start by obtaining a copy of the group personal accident-proposal form from your insurance provider.
02
Fill in the name and contact details of the insured organization at the top of the form.
03
Provide information about the group, such as the number of members covered and their demographics.
04
Specify the coverage details, including the sum insured and any additional benefits required.
05
Fill out the section for pre-existing medical conditions, if applicable, by providing the necessary details.
06
Provide information on the premium payment method and frequency.
07
Review the completed form to ensure all sections are filled correctly and no information is missing.
08
Sign and date the form, and include any required supporting documents as stated by the insurance provider.
09
Submit the filled-out form to your insurance provider either in person or through online channels.
10
Keep a copy of the completed form for your records.
Who needs group personal accident-proposal form?
01
Group personal accident-proposal form is needed by organizations or companies that wish to provide accident insurance coverage to a group of individuals under a single policy.
02
This form is commonly used by employers, associations, clubs, or any other group that wants to protect its members against accidents that may occur during the course of their activities.
03
By filling out this form, the organization ensures that its members have financial support in case of accidental injury or death.
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