Personal details
Date of birth*
PAN number
Period of Insurance
Start date of policy
End date of policy
Select sum insured
Sum insured*
Name of the nominee*help
Click here for details
Relationship with the insured*
Previous diseases (if any) *help
Click here for details
Suffering since
Upload Photo
Upload a photograph of the person to be insured*
Please upload the passport size (preferred) photograph while proceeding to buy policy.
Uploading the photograph is not mandatory for calculating the premium
Do you wish to insure your spouse?
Do you wish to insure your dependent children?
Have you insured your entire family?
Tip: You get discount if your entire family is insured
Details of family physician
Name of family physician
Address of family physician
Do you wish to opt for TPA services?
Tip: You get 5% discount if you opt out of TPA service
Select your branch office
OICL Office State *
City/Town *
Branch/Office *
Medical checkup is mandatory. Kindly contact nearest OICL office.
The maximum age for Dependent male child is 25 years.
Please select a role to continue
Whether any agent is involved for this proposal?
* If 'NO' is selected, the policy will be issued under code of Development Officer without an Agent.