PROCESS OF BUYING A POLICY WITH WEB PORTAL
Contents
1. The New India Assurance Co Ltd Page 5 c After click on Buy now self registration form will occur as follows Proposer Details Category Member TE TAO e S Please ensure that valid Membership Number is entered If at the time of claim the Membership Number is found to be incorrectinvalid the claim will get repudiated First Name fF Middle Name FO Last Name Gender Male Female Date of Bith DDIMMIYYYY Age Months MobileNo 917 aa EmalID itsts S PAN Number o Enter PAN in Capital Letters Postal Address Apt No Block No Street Name Locality Landmark 1 City Village Paco a cowmy m O Site Seet Distict Select Post Office Select lt HH Landline No Permanent Address proceed e Please fill the Data correctly and click on the proceed Button You will get the Authentication Message as pop up Click on ok button and fill authentication code in provided field The New India Assurance Co Ltd Page 6 Message The Authentication code has been mailed messaged to the specified eMail ID mukeshyaday inewindia coin Mobile Number 9000810000 respectively lick on Ok Button on Fill the auth Code recieved on Mail in auth code box now click on verity will n i Tt ri por t N e po oliCV schei equie on vour Me d Hot mal idt may Bounce the mail with eet SO please nicierably Sraide Gmail2. THE NEW INDIA ASSURANCE CO LTD Process OF BUYING A POLICY WITH WEB PORTAL REQUIRED DATA Category member employee student Membership Number enter your valid membership number employee number student ID Firstname Middle name 65 Last name 0 Gender Male female Date of Birth keep ready DOB of each member Mobile no Email id PAN no Postal Address Post office Landline no Permanent Address Post office Landline no Policy details Policy inception date date from which you want to start policy coverage Policy Expiry Date auto The New India Assurance Co Ltd Page 2 Floater Sum Insured select appropriate sum insured for you after this buying policy SI could not be increased Treatment Zone 1 Zone Anywhere in India including Mumbai 2 Zone Il Anywhere in India excluding Mumbai amp Greater Mumbai 3 Zone Ill Anywhere in India excluding Mumbai Greater Mumbai Delhi NCR bengluru Name of Assignee In the event of death of the insured person s due to an Insured peril all benefits payable in respect thereof under this insurance shall become payable to the assignee declared in the proposal and the receipt given by the said assignee shall be construed as full and final discharge to the Company in respect of all liability under the policy Relationship with assignee father mother
3. if you already have a mediclaim policy and there is no break of more than 30 days in these Then fill the previous policies detail as shown below follows Select continious Coverage as Yes if you have mediclaim coverage for mare than one year In past Are you having Lonunuaes overage Tlf Hng SIASE OV Ide Towing Geta for the preceding Wee years r Insurance Details ees Mama of insurer ORENTAL Poley No peggggsssaes Pee IE DS E a Ji F 7 i J i i W i l ym my Y T Ds A a Tr F 4 Fi J Fi i ad iE ikii or Sum ngarad 500000 ED 5 the insured suffenng from any iimeseqdeegse an Click on save details of previous Insurance Button only for completed years of policy After you press the Save Details of Previous Insurance Button you can confirm that details are added as shown following The New India Assurance Co Ltd Page 9 Details of added previous Insurance This conformes that details stored correctly ja Insurance Details Edit Delete Name ofinsurer Policy No From Date To Date Sum Ins Delete ORIENTAL 1222727227027 22032011 2020012 250000 From Date barry Tobe C Ewy Sam inpune Save Deas of Previous Insurance The New India Assurance Co Ltd Page 10 6 Details of CB in existing policy This field is shown only after you have entered details of at least one previous policy Edit Delete Name oflnsurer Policy No From Dat
4. spouse Total number of members to be covered including self specify the number of member you want to cover in this policy Including yourself parents spouse children Do you want to cover your parents Yes No Insured Details Please enter the Family Member details and click on Save Insured to add the member as an Insured under this Insurance Application Relationship relationship with proposer First Name Middle name Last name Gender photo upload DOB Occupation Are you having Continuous Coverage If yes please provide following details for the preceding three years yes no The New India Assurance Co Ltd Page 3 If yes then Enter your 3 preceding years policies details Are you suffering from any ilIness disease and or do you have any knowledge of any positive existence or presence of any ailment sickness injury which may require medical attention yes no If yes then specify all illnesses Has the insured had an accident in the past yes No If yes then Enter the details After saving one insured details one has to submit details for another person to be covered Insured details have to be provided for all insured s to be covered Apart from what has been declared above Are you at present covered under any Medical Health Insurance yes no Enter your current year s policy details Are there any additional facts affecting the proposed Insurance which shou
5. do not refresh the browser while the transaction is in processing till policy number is not displayed 3 Please do not close the browser _window tab while the transaction is in processing till policy number is not displayed 4 Please do not close Internet while the transaction is in processing till policy number is not displayed 5 If policy number is not generated and amount is debited from your account please contact us Feel free to contact us on nia 113000 newindia co in Thanks amp Regards Web Portal Office 113000 New India Assurance Co Ltd The New India Assurance Co Ltd Page 18 The New India Assurance Co Lrd MRO I Mumbai Aw Iwniviarive for Q Health Insurance Scheme for Members amp Students of ICAI pajen Coverage under the Health Insurance Scheme For Members amp Students of ICAI Family would comprise of self spouse and two dependant children with Sum Insured on Floater basis for the entire family Dependant Parents can be covered by paying additional premium and for a separate Sum Insured on Floater basis for both parents Additional dependant children may be covered by paying 10 loading on family premium for each child For Students only self is covered and the family members and parents are not covered The coverage for the students is restricted to Rs 1 lakh amp 2 lakh rupees Member would be given an one time option for selecting his family dependants Unmarried members can se
6. e To Date sum ORIENTAL TEER 22032011 22032012 SO Name of Insurer oOo OS Policy No FromDate Ehme Tobe Ehr Please Fillthe CB details of the existing policy in this field CB must be entered in percent form if CB is given in amount form then calculate your CB as follaws CA CB amount sum insured 100 7 Apart from what has been declared above Are you at present covered under any Medical Health Insurance Select this respectively UPLOADING PHOTOS OF A MEMBER 1 Please click on the Browse button located near to photo upload field before pressing the Save Insured button The New India Assurance Co Ltd Page 11 ate 30 0N2012 ODA Policy Expiry Date 2oV0 W013 red 1000000 00 w onship Gender Mae O Female t Name Middle Name ku mar st Name Fioto Upload if Birth i Zone Select signee 5e w OE Assignee Relationship Setect us Coverage If yes please provide folowing detai for the preceding three years F Yez O P Click on Browse button to Upload the photo of respective Member eg Mukeshji Image must be in Jpeg Format 2 Select locate your photo image file on your computer woes Choose file KJE to Look in 6 Grad 4 f pe Eg SC 00g HDA N ick On the open button after locating voL photo on your computer Drive ta j upload DD ww prove eae Files of type al Fil
7. e or illness wh family MENDES piyonu wi cers ren i uy ontract should the insurance be effected If after the inguranc we ld Dlesse check that Base premium iS that the statements answers or particulars stated in jthatching with the premium shown in fe incorrect or untrue in any respect the Insurance Company a Payton w n Click on this button to pay by the Crediti Ne card or internet banking before his make sure that all member are added and shown Insurance is a subject matter of So under this policy Payment Details ee Base Premium Amou ms ooo Amount d b Net Payable Amou Welcome Key Benefits Carry Over Credit Claim Process FAQ Premium Calculator Terms amp Conditions Buy No After this you will be redirected to payment gate way shown as follows The New India Assurance Co Ltd Page 17 BillDesk Payment Gateway Select Any one mode by which you want ta pay and click on the submit button Choose a payment option You have chosen to pay an amount of Rs 7881 Please select your payment option and submit Order Number POOWMOO0209 Total value of transaction Fao 4 foe _ Payment Option Credit Cards Debit Cards Internet Banking SUBMIT v After payment you will receive the policy schedule on your mail id as an attachment Precautions 1 Members Parents can be added only at the time _of form filling and before pay now 2 Please
8. ent Tona Sect ighted thet shows thet details of one person is or added Succesfully please confirm before going Nameof Assignee Sel we to pay now Are you having Continuous Coverage 7 If yes please provide following details for the preceding three years ve ls the insured suffering from any finesse cigease O Ye Has the insured had an accident in the past Ove Co you have any knowledge or any positive Existence or presence of any ailments 1 hiihich may require medical stenten Ove O ance Apart from what has been declared above Are you af present covered uncer any Ves a ve The New India Assurance Co Ltd Page 14 STEP 3 ADDING EXTRA MEMBERS PARENTS SPOUSE DEPENDENT CHILD Please make sure that parents soouse dependent child s whom you want to cover under the policy must be added in the same policy and you could not take separate policy for parents amp child under this policy Process of adding the parents amp Spouse is described as follows 1 After saving details of self form becomes empty shown as follows Please select the relationship with he member whom you want add in Appicabon Number 1130003011 NH010011 Sum Insured 100000 hal at Insured Details Edit Delete InsuredName 0B Age Relationship Poelateonghip First Name Last NATE ate of Beth Tianme
9. es Cancel present covered under any Medical Heath Insurance q Yes r es e OOOO O EB ate THe bse owwa e C Places A re ez S La b Internet 100 The New India Assurance Co Ltd Page 12 onship Self Gender Male Female Name Midde Hame Ik st Name yaca hoto Upload f Birth 15 08 1984 DDMMA YYY signee 5e fo OS Assignee Relationship Sefect us Coverage If yes please provide folowing details for the preceding three years O Yes QO H rom any illnezsidigeaze Yez O H After pressing Open Button Photo Upload field become green that means photo i uploaded gt Please note that photo upload field is not a mandatory field photos are required to issue the TPA card The New India Assurance Co Ltd Page 13 8 Now press the Save Inured Button to save the details of one person And conform that details are saved shown as follows Policy Inception Date 2202 2012 Eawyryvy Policy Expiry Date 21032003 Sum Ingured 100000000 Insured Name DOB Age Relationship TreatmentZone ograpt CA Mukesh kadav PRC a cry Self Zone 1 Any where in india Relationship Select Gender Mais Fae Last Name Finoto Upload Browse NES ST After filing up the details of One person and On Deorah Burry eaa hae sate high Treatm
10. g three years Edit Delete Name of Insurer Policy No From Date To Date Sum Insured NEWINDIAASSURANCE 1130003411130710000006 o7 Dg2010 06 09 2011 500000 NEWINDIAASSURANCE 113000341113010000006 o7ogr2o14 06 09 2012 500000 NEWINDIAASSURANCE 113000341113010000006 av ogr2009 o7e2012 500000 Name of Insurer Policy No From Date E po mamvyvy ToDate E pomamrvyvv Sum Insured o l save Details of Previous Insurante Please enter the Cumulative Bonus for the previous Insurance Policy if any of Sum Insured Are you suffering from any ilinessidisesse and or do you have any knowledge of any positive existence or presence of any ailment sickness injury which may require medical attention 7 Has the insured had an accident in the past Ee ancel The New India Assurance Co Ltd Page 8 Please fill the details as following Instruction 1 Policy Inception Date This the date from which you want to start coverage No back dating is allowed 2 Sum Insured select the appropriate S As your requirements 3 Treatment Zone Select zone as follows i Zonel All India Including Mumbai li Zonell All India including Delhi Bengluru excluding Mumbai iii Zone lil All India excluding Mumbai Delhi Bengluru 4 Assignee Name assignee is a person who can receive the claim amount other then you in your absence 5 Continuous Coverage Question select continuous coverage question as Yes
11. ld be disclosed to insurers yes no The New India Assurance Co Ltd Page 4 STEP 1 REGISTER YOUR DEATILS Log on to the web portal at _ hitp icai newindia co in Please Use The Internet Explorer Web Browser a You are requested to Keep ready following details before filling proposal form 1 Previous years policies detail including policy no period of insurance cumulative bonus etc 2 DOB of all members 3 PAN number 4 Photograph of all member in JPEG image File b Please click on Buy Now Hyper link find in th right bottom corner of welcome page Biel Keef Meir Dei TTO DnS Ani GAVENE Gare uly ETE MENG Tee UNE ih SOT PIRSSE mate AJI the DEAETE G Ipen ce y disgned M ihe Members ES feo Chartered Acoountants of india kay ma g yabi embers hop No Empok he is Peg ben Ne i mmy bme dunna Gurney oT pokey Ji any unauthorized persons mot elgibie under the scheme has availed insurance from this portal claims any benefits under thes poby i lable tote Ea mba ki jeet pim md jmpa E ma mim mil sia mm m m fee Boe UILE Pease SDE tiai CUE OT chiriei AU o Imig E noian mEnE a a E r no W al pe BATES ag nul and vad gi mite E p we catenins T E hath gn tie mF m npurange i a obiecti matter of Solicitation efas Carry Over Credit Claim Frosess FAQ Premium Calculator Terms Conditions Buy hi DUF Insure da co in Application frmHeathindividualpplication aspx i Internet
12. lect their parents instead of spouse Inclusion of additional dependants would be allowed only in case of marriage of a member employee or birth ofa child For members amp Students without any previous continuous insurance the coverage for pre existing disease would be subject to the following 1 year Eligibility of 25 of Sum Insured 2 year Eligibility of 50 of Sum Insured 3 year Eligibility of 75 of Sum Insured 4 year and thereafter Eligibility of 100 of Sum Insured For members students with existing Mediclaim Insurance and Cumulative Bonus a discount in premium in lieu of CB will be allowed as under Cumulative Bonus of upto 10 5 discount in premium Cumulative Bonus of 10 30 10 discount in premium Cumulative Bonus of above 30 15 discount in premium In case of family members having an existing Mediclaim policy with different CB for different persons the average of the CB for all family members would be considered for the entire family A Hospital Cash Allowance amounting to 0 10 of Sum Insured would be payable on hospitalization of the insured member for a maximum of 10 days Cashless services to be provided in all hospitals and not restricted to PPN The New India Assurance Co Ltd Page 19
13. n om Corersge 7 lf yes pesse provide folowing details for the preceding tree years he policy as Spouse Fathert Entered in MF Insune on Pokey inception Date z panos Ea Mother dependent Child TreatmentZone Photograpt fone Any where in india Gender Viodic Kame Fhoto Upload Age jn m ly iy Fobsy Expery Date 2002201 jai a Save insured button te lo Save ie detals member The New India Assurance Co Ltd After Saving the details of first person one row is added and form becomes empty Fil Ihe detail of second member as explained tor frist member Page 15 gt For each member you want to add please do follow the procedure explained for the self After you press the save insured button details are shown as follows Policy Details a i m m oe F z fen Pa i pm ee bs an i Jh a FMP gre i aa Babay jaapan Maat AL TETEE Pabe Expry Dg he ARAA s ur e r P i Erry i ai i i J ai w A Fr bee _ Pi j KE J E bii i l 5 qha E B d a Fg a JARA daraya k dit Delete InsuredName DOB Age Relationship TreatmentZone Phovogra Firat gene Lat Note Phara aiaga Browse i Details of second Added member The Second row i shown by arrow confirms that the second member s E oT on a E a Tar afie a i ian a yoe avise Continuous Coverage 7 lyes rECOrd is saved successfully 0 pene gered buffering from ay ranean BA AE Ru
14. nie AAA JA pooent A the coat Please make sure that before proceeding to payment 1 Details of parents are added saved successfully if you want to cover them because It is not possible to issue the separate policy for the parents 2 Please check the above added detail for all members you want to cover in the policy and then only proceed to the payment 3 Please check that your base premium is matching with the premium shown in premium calculator for appropriate family composition The New India Assurance Co Ltd Page 16 STEP 4 PAYMENT a Before proceeding to payment please make sure the all members you want to add are added and details visible in saved form After Payment it is difficult to correct the policy details b Please read and check click select on check box for declaration the declaration c Click on Pay Now button to pay your premium by Credit debit card or internet banking as shown below Sum Insured 500000 Cumm Bonus 4 OoOo 4 ire there any additional facts affecting the proposed Insurance which should be disclosed to insurers Declaration he Same are acceptable to me further declare that have given explicit information in the above columns has been soug atements in respect of myself and my family members are true and complete consent and authorize the i information fror ho has at any time attended me or my family members or may attend concerning any diseas
15. yahoo account kaa ma w i u V ww h q eww FF V j Now you will find a new form in front of you as shown below The New India Assurance Co Ltd Page 7 Policy Details Application Number 7730003012NIHO005610 Entered in MF Insure on 07 09 2012 Policy Inception Date fO7 09 2012 E oomme Policy Expiry Date 06 09 2013 Floater Sum Insured 1000000 00 Treatment Zone Zone 1 Any where in India Name of Assignee VWAYTHAKUR o Assignee Relationship Father sw Total Number of members to be ez 8 Sti lt iCS T TC CC Do you want to cover your ves No covered including self parents Parents Floater Sum Insured Parent s Treatment Zone Zone 2 Any where in India except Mumbai and Greater Mumbai 80D Certificate will be separately generated for Parents Insured Details Please enter the Family Member details and click on Save Insured to add the member as an Insured under this Insurance Application Insured Name DOB Age Relationship Treatment Zone Photograph View i Delete CA Shrutika Thakur 01 02 1990 22 Self Zone 1 Any where in India View Image Relationship Father oe First Name Piy oo Middle Name a Last Name hakr oo Gender Male Female Photo Upload j upload Date of Birth 2970571956 DOMMAAT YY Age 56 Months Occupation None em Are you having Continuous Coverage If yes please provide following details for the precedin
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