No. of Members    

MEMBER DETAILS
Member No Relationship Age
Member 1
PRODUCTS
NATIONAL MEDICLAIM POLICY
Member Sum Insured Premium
Member 1
Net Premium
Net Premium Payable after Co-Pay Discount
 
     
1st Installment:  Rs.  
Other Installment:  Rs. .
NEW NATIONAL PARIVAR MEDICLAIM POLICY
Opted Zone
Sum Insured
Member HTN DM Premium
Member 1
Net Premium Payable
NATIONAL YOUNG INDIA POLICY (INDIVIDUAL)
Opted Zone
Member Sum Insured HTN DM Covid Disc Premium
Member 1
Sub Total Premium
Net Premium Payable
Long Term Policy For 3 Years:  [Rs. ]
NATIONAL YOUNG INDIA POLICY (FLOATER)
Opted Zone
Sum Insured
Optional Covers
Base Premium
Net Premium Payable
Long Term Policy For 3 Years:  [Rs. ]
NEW NATIONAL SENIOR CITIZEN POLICY (INDIVIDUAL)
Policy Plan
Opted Zone
Member Sum Insured Premium
Member 1
Net Premium Payable
NEW NATIONAL SENIOR CITIZEN POLICY (FLOATER)
Policy Plan
Opted Zone
Sum Insured
Member 1
Net Premium Payable
NATIONAL SUPER TOP-UP POLICY (INDIVIDUAL)
Member Threshold Sum Insured Premium
Net Premium Payable
NATIONAL SUPER TOP-UP POLICY (FLOATER)
Threshold Sum Insured
Member 1
Net Premium Payable
NATIONAL MEDICLAIM PLUS POLICY
Member Sum Insured Premium
Member 1
Net Premium Payable
NATIONAL PARIVAR MEDICLAIM PLUS POLICY
Sum Insured
Opted Zone
Member HTN DM Year Premium
Member 1
Net Premium Payable
LONG TERM POLICIES
For 2 Years:  [Rs. ]    & For 3 Years:  [Rs. ]
NATIONAL YOUNG INDIA PLUS POLICY (INDIVIDUAL)
Opted Zone
Member Sum Insured HTN DM Premium
Member 1
Sub Total Premium
Net Premium Payable
LONG TERM COVERS
For 2 Years:  [Rs. ]
For 3 Years:  [Rs. ]
INSTALLMENT PREMIUM
Installment Type 1st Installment 2nd Installment
Half Yearly Rs. Rs.
Quarterly Rs. Rs.
NATIONAL YOUNG INDIA PLUS POLICY (FLOATER)
Opted Zone
Sum Insured
Optional Covers
Base Premium
Net Premium Payable
LONG TERM COVERS
For 2 Years:  [Rs. ]
For 3 Years:  [Rs. ]
INSTALLMENT PREMIUM
Installment Type 1st Installment 2nd Installment
Half Yearly Rs. Rs.
Quarterly Rs. Rs.