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+91 22 48903009
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Note: Please dispatch original documents to Health Claim Team
Reliance General Insurance
1-89/3/B/40 to 42/ks/301 3rd floor, Krishe Block, Krishe Sapphire, South Wing,
Survery No-88 Hi Tech City Main Road, Madhapur, Hyderabad Pincode: 500081

Customer Survey

1. Please rate your claim experience with Reliance on a scale of 1 to 5 (5 being best) ?

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2. How was the response time for giving cashless approval ?

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3. How was the support provided by relationship team ?

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4. Please suggest any fresh inclusions/improvements in policy benefits for next year.

5. Please suggest any areas of improvements in claims servicing.

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Declaration

DECLARATION BY THE INSURED - SUBMISSION OF CLAIM DOCUMENTS ON SOFT COPIES FOR MEDICLAIM

I, aged years, enrolled under the Group Mediclaim policy / Retail Health Insurance policy of Reliance General Insurance Co
limited bearing Policy # / Health Card ID # hereby accept the following
1. I/we herewith understand that Reliance General Insurance Co limited (RGICL) reserves the right to process the claim as per the policy terms and conditions of the policy.

2. RGICL reserves its right to settle the claim on soft copies and reserves it right to call for original documents if deemed necessary at any given point of time

3. I/we hereby declare that the information furnished is true and correct to the best of my knowledge and belief, In Addition to the above I/we also consent RGICL, to seek necessary medical information / documents from the hospital / Medical Practitioner who has attended on the person against whom this claim is made. I/we will not be making any claim with any other insurance company for any undue benefit.

In addition to the above I also declare that RGICL will reserve the rights to seek all the original documents in physical form for a period of one year from the date of claim submission and also will be refunding the entire claim amount to RGICL if any misrepresentation/concealment of facts are been noted in my respective hospitalization related to claim/ hospitalization.

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Thanks for Intimation, please dispatch original documents to Health Claim Team

Reliance General Insurance

1-89/3/B/40 to 42/ks/301 3rd floor, Krishe Block, Krishe Sapphire, South Wing,Survery NO-88 Hi Tech City Main Road, Madhapur, Hyderabad Pincode: 500081

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At Reliance General Insurance, providing you with a great experience is our top priority. Your feedback holds immense value for us as we strive for a continous improvement in our service. We request you to spare a moment to rate us.

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reliancegeneral.co.in | 022 4890 3009 (Paid) | 1800 3009 (Toll Free) | 74004 22200 (WhatsApp).

IRDAI Registration no. 103. Reliance General Insurance Company Limited.

Registered & Corporate Office: 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon (E), Mumbai - 400063. Corporate Identity Number: U66603MH2000PLC128300. Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/CO/MCOM/EQUITAS/HI-LAUNCH-1/VER.1.0/150621.
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Reliance General Insurance, a part of Reliance Capital, is one of the leading general insurance companies in India. The Company offers a well-rounded and comprehensive bouquet of products including Motor Insurance, Health Insurance, and Travel Insurance, and offers customised solutions to meet the protection needs of each customer.

reliancegeneral.co.in | +91 22 48903009 (paid) | IRDAI Registration No. 103. Reliance General Insurance Company Limited. Registered and Corporate Office: 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon (E), Mumbai- 400063. Corporate Identity Number: U66603MH2000PLC128300. Trade logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. *T&C apply.

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