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Tel: 407-258-8346 * 408-850-2154 * 201-458-0260 * Fax: 407-479-3289
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*****INDIA NETWORK HEALTH
INSURANCE ONLINE FORMS**** 1. Membership Form - $10.00 per year - Required to take Health Insurance. Membership provides several benefits: Accidental Death and Dismemberment ($10,000); Medical Evacuation ($50,000); Repatriation ($25,000); and many other benefits. 2. Insurance Form (18-69) * Insurance Form (70+ Age) Complete the above form in its entirety (4 steps). The last step of the process will produce ID card on the fly. If the above forms do not work due to office restrictions on scripts, please use the html insurance form instead: Insurance Form (18-69) * Insurance Form (70Plus)3. Insurance Renewal Form (18-69) * Renewal Form (70+ Aged) Us the above forms to renew from 1 day (min) to 12 months (max). If the php script forms give trouble, please use the html forms ==> Renewal Form for 18-69 * Renewal Form 70 Plus aged 4. Add new Visitors (current members only) 5. Address Change Form (current members only) 6. Claim Form pdf form (Print and Mail) 7 . CLAIM STATUS QUERY FORM - To know the status of your claim filed with AIG Claims office.Fax/Mail Forms - use the link for print forms |
