ORIENTAL YOUTH ECO CARE POLICY

Insured Period Details
Start date *
End date *
Plan Details
Policy Type *
Plan Type *
Insured Details
Select your branch office
OICL Office State *
City/Town *
Branch/Office *
TPA/NON-TPA
Do you wish to opt for TPA services?
You get 5.5% discount , if you opt out of TPA sevice
Customer Information Sheet Click Here
Declaration
1. I hereby declare, on my behalf and on behalf of all persons proposed to be insured, that the above statements, answers and/or particulars given by me are true and complete in all respects to the best of my knowledge and that I am authorized to propose on behalf of these other persons.
2. I understand that the information provided by me will form the basis of the insurance policy, is subject to the Board approved underwriting policy of the insurance company and that the policy will come into force only after full receipt of the premium chargeable.
3. I further declare that I will notify in writing any change occurring in the occupation or general health of the life to be insured/proposer after the proposal has been submitted but before communication of the risk acceptance by the company.
4. I declare and consent to the company seeking medical information from any doctor or from a hospital who at any time has attended on the life to be insured/proposer or from any past or present employer concerning anything which affects the physical or mental health of the life to be assured/proposer and seeking information from any insurance company to which an application for insurance on the life to be assured/proposer has been made for the purpose of underwriting the proposal and/or claim settlement.
5. I authorize the company to share information pertaining to my proposal including the medical records for the sole purpose of proposal underwriting and/or claims settlement and with any Governmental and/or Regulatory authority.
6. I have read the details mentioned in Customer Information sheet and confirm having noted the details.
Pre Existing Diseases
Since you are suffering from Pre Existing Disease(PED), you are requested to contact the nearest OICL office for policy issuance.
Notification
Group 2 suminsured should be less than Group 1 suminsured
Notification
Dependent Child Age Should be between 0 to 18.
Notification
Age should be between 18 to 45 years.