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ICICI LOMBARD CORPORATE SME Employee Health & Benefit for Accident
MANIPAL CIGNA Health Group PGIP
Your Designation
HRM of Company
Accountant of Company
Other
Name of the City of location of Your office where most employees are working?
Are all employees working in a single & same location of office?
Yes
No
Type of insurance you Require for Your Employees Wellness
Health Mediclaim Indemnity Plans
Personal Accident insurance Benefit plans
Critical illness indemnity plans.
Super top up Health insurance plans
Out Patient Care insurance plans
Term Life insurance plans
Key Man insurance plan
Vector borne diseases Benefit plans
Overseas Travel or Global Emergency Critical Health plans
Combo plans with Life & Health insurance
Term insurance without Return of Premiums
Term insurance with Return of Premiums
Whole Life insurance plans
Endowment Assurance Plans
Money Back Plans
Unit Linked Insurance Plans
Child Savings Plans
Annuity Plans
Retirement plans
Guaranteed Return Plans
Insurance companies you would like to Choose
Manipal Cigna Health insurance co.
Star Health and Allied insurance co.
Care Health insurance co.
Niva Bupa Health insurance co.
Adithya Birla Health insurance co.
HDFC Ergo General insurance co.
ICICI Lombard General insurance co.
Kotak General insurance co.
TATA AIG General insurance co.
Royal Sundaram General insurance co.
Reliance General insurance co.
IFFCO TOKIO General insurance co.
SBI General insurance co.
Future Generali insurance co.
Bajaj Allianz General insurance co.
Acko General insurance co.
Go Digit General insurance co.
Chola MS General insurance co.
New India Assurance co.
United India insurance co.
Oriental insurance co.
National insurance co.
Zuno General insurance co.
Any Other General / Life insurance company
Max Life
TATA AIA Life
HDFC Life
Bajaj Allianz
Adiyhya Birla sun Life
SBI Life
LIC
Kotak Life
ICICI Prudential Life
Bharti Axa Life
Required Sum insured of insurance coverage per Member ( Life / Health / Personal Accident )
5Lakhs
6-10Lakhs
10-15Lakhs
15-20Lakhs
20-25Lakhs
25-50Lakhs
50Lakhs-100Lakhs
1Crore-2Crores
2Crores-5Crores
>5Crores
Your affordable Premiums per person, or cost of Health insurance for your employess?
₹1000-₹5000
₹75000-₹100000
₹5000-₹10000
₹10000-₹25000
₹25000-₹50000
₹100000-₹200000
₹200000-₹300000
₹300000-₹400000
₹400000-₹500000
₹500000-₹1000000
₹1000000-₹1500000
₹1500000-₹2500000
₹2500000-₹5000000
₹5000001-₹10000000
>₹10000000
ADDITIONAL REMARKS ON YOUR REQUIREMENTS
Employee (E)
Employee+Spouse (ES)
Employee+Spouse+Children (ESC)
Employee+Spouse+Children+Parents (ESCP)
Nos. of Employee Members to be covered under Group insurance
Nos. of Employees whose Spouse to be covered under Group Mediclaim insurance
Total Nos. of Dependent Children to be covered under Group Mediclaim insurance
Total Nos. of Parents to be covered under Group Mediclaim insurance
Select Recommended Coverage Required
Maternity (always sub-limited only) cover from Day1
Sub-Limited/Unlimited Newborne cover from Day1
Pre existing Diseases coverage from Day1
Cataract coverage without capping
None of the above required
Select Specialised coverage Required
AYUSH Treatment coverage
Bariatric surgery coverage
Modern Treatments coverage without sub-limits
Worldwide Emergency cover including Pre existing Diseases
Worldwide Emergency cover excluding Pre existing Diseases
Air Ambulance coverage
Sub-Limited infertility treatment cover
None of the above required
Select Add-on coverage Required
Health Check Tests & Consultations (upto sublimits only)
Out-Patient Expenses coverage (OP Cashless) (upto sublimits only)
Dental Treatment (upto sublimits only)
Eye Power Error correction (upto sublimits only)
Other Wellness services (upto sublimits only)
None of the above required
Select Enhancing coverage Required
Corporate Buffer - for any illness
Corporate Buffer - for only critical illness
Restoration for any or only diseases
Unlimited Restoration
Cumulative Bonus - NonReducing- irrespective of claims
Cumulative Bonus - NonReducing
Cumulative Bonus - Reducing
None of the above required
Fixed Additional Benefits Required?
Critical illness Benefit
Personal Accident Benefit - Death
Personal Accident Benefit - Disability
Hospital Daily cash benefit
None of the above required
Would you like to reduce the premium by opting?
No
Yes, by Co-payment
Yes, by annual aggregate Deductible
Yes, by per claim Deductible
Yes, by sublimits on common surgeries
Yes, by Capping of Room Rent & ICU
Yes, by Treatment in only a specified Hospitals listed and approved by insurer
Yes, by treatment only in the tier 2 or tier 3 cities
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MANIPAL CIGNA Health Group_PGIP
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ICICI LOMBARD CORPORATE SME Employees Health _ Benefit for Accident
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