Your full name
Please enter a valid name
Mobile Number
Please enter valid number
OTP
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Invalid OTP. Enter valid 6 digit OTP
Please enter valid email address
City
Please select a valid city
Family details
Adult {{userInputs.adultCount}} Children {{userInputs.childCount}}
Family combination not applicable.
Adult
-
{{userInputs.adultCount}}
+
Children
-
{{userInputs.childCount}}
+
DOB of eldest
Please enter a valid date
Age should be the range of {{(userInputs.selectedProductId == 'HealthCompanion_102' || userInputs.selectedProductId == '16') && userInputs.planType == 'Family' ? '21' : properties.minAge}} - {{properties.maxAge}}
Choose your cover
{{getAmountInWords(userInputs.selectedSI)}}
{{getAmountInWords(si)}}
{{getAmountInWords(si)}}
Co pay
{{userInputs.copayment}}
{{copayment}}%
Deductible
{{userInputs.deductible}}
{{deductible}}
{{deductible}}
All India Coverage
{{properties.allIndiaCoverage[userInputs.allIndiaCoverageZone - 1]}}
{{coverage}}
AccidentCare SumInsured
{{getAmountInWords(userInputs.personalAccidentSumInsured)}}
{{getAmountInWords(si)}}
CritiCare SumInsured
{{getAmountInWords(userInputs.criticalIllnessSumInsured)}}
{{getAmountInWords(si)}}
Gross Annual Income
This field is required
SI is not applicable for income entered
Employment Information
{{userInputs.employmentType}}
Salaried
Self Employed
Employment Type
{{userInputs.occupation}}
{{occupation.occupation}}
Occupation selected is not eligible for this product
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