Reliance Proposal Form

Fill Travel Insurance Proposal form

Personal details
Traveler Name
E-mail id
Phone number
Date of Birth
  OR age      years
Travel details
Trip start date
Trip end date
Security Code
Security Image  (Not case sensitive)

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  • Product
  • Description
  • Price

  1. Pre existing diseases are covered in case of life threatening only for travelers below 70 years
  2. Covers pre-existing ailments in case of life threatening situations if declared (other than the critical illness)
  3. Some of the pre existing diseases which are not covered by Reliance travel insurance plan are Cancer / Leukemia / Malignant Tumor, Cardiac ailments, Chronic obstructive pulmonary disease (COPD), HIV /AIDS, Kidney Ailment, Liver Disease, Neurological Disorder / Stroke / Paralysis, Thalasemia, Insulin Dependent Diabetes
  4. Whether declared or not declared, 70+ Senior citizens are not covered for pre-existing diseases.

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