Insurer Name
*
Insurer Short Name
*
Insurer Type
>
PVT
>
PSU
Insurer Category
>
Life
>
General (Non Life)
Add one day to date of coverage when Addition/Dependent addition
>
Add one day to date of Deletion
>
Multievent Export
>
Insurer Logo
Allowed: JPG, JPEG, PNG. Size: 200KB.
" width="100" height="100" id="uploadPreview" class="avatar img-circle img-thumbnail" alt="avatar" />
Insurer Claim Form
Allowed: PDF, DOC, DOCX. Max size: 5MB. If no insurer form is uploaded, will be used.
Download Claim Form
Submit
Cancel
 && !empty($insurer['insurer_logo']) ? base_url() . )