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Insurance Proposal Form Template for India

A standardized form governed by Indian insurance laws and IRDAI regulations, used to collect essential information from potential policyholders seeking insurance coverage. The document serves as the basis for the insurance contract, capturing detailed information about the proposer, risk factors, coverage requirements, and necessary declarations. It must comply with the Insurance Act 1938, IRDAI regulations, and other relevant Indian legislation, ensuring proper risk assessment and disclosure of material facts for underwriting purposes.

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What is a Insurance Proposal Form?

The Insurance Proposal Form is a fundamental document in the Indian insurance industry, serving as the initial point of contact between the insurer and potential policyholder. This document is mandatory under IRDAI regulations and the Insurance Act 1938, forming the basis for the insurance contract. It must be completed before any insurance policy can be issued in India, collecting crucial information about the proposer, subject matter of insurance, and risk factors. The form includes various sections tailored to specific insurance types (life, health, property, etc.) and can accommodate both individual and corporate proposers. The information provided in this form is used for risk assessment, premium calculation, and policy issuance, making it a critical document in the insurance underwriting process.

What sections should be included in a Insurance Proposal Form?

1. Personal Information of Proposer: Basic details including name, address, contact information, date of birth, and identification details as per KYC norms

2. Insurance Requirements: Details of the type of insurance coverage sought, sum insured, policy period, and any specific requirements

3. Risk Details: Information about the subject matter to be insured and associated risks

4. Past Insurance History: Details of previous insurance policies, claims history, and any declination by other insurers

5. Payment Details: Premium payment method, frequency, and banking details

6. Medical/Health Declaration: Health-related questions and declarations relevant to the insurance type

7. Declarations and Authorization: Standard declarations regarding truth of information, fraud warnings, and authorization for information verification

8. Agent/Broker Details: Information about the insurance intermediary, if any

What sections are optional to include in a Insurance Proposal Form?

1. Corporate Details: For corporate proposers - includes business details, registration information, and authorized signatory details

2. Nominee Details: For life and personal insurance - details of nominees and beneficiaries

3. Lifestyle Information: For health/life insurance - details about occupation, habits, lifestyle factors

4. Family Medical History: For health/life insurance - medical history of family members

5. Property Details: For property insurance - detailed description of property, security measures, and valuations

6. Vehicle Details: For motor insurance - vehicle specifications, usage patterns, and security features

7. Travel Details: For travel insurance - journey details, destinations, and purpose of travel

What schedules should be included in a Insurance Proposal Form?

1. Schedule of Benefits: Detailed breakdown of coverage options and corresponding sum insured

2. Premium Calculation Sheet: Breakdown of premium components, taxes, and total premium payable

3. List of Excluded Items/Conditions: Detailed list of exclusions specific to the insurance type

4. Medical Examination Requirements: List of required medical tests based on age, sum assured, and other factors

5. Document Checklist: List of documents required for proposal processing

6. Terms and Conditions: Standard terms and conditions applicable to the proposal

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

India

Publisher

Ƶ

Document Type

Insurance Form

Sector

Insurance

Cost

Free to use

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