GROUP HEALTH (GMC) — CHOLAMANDALAM MS

CLIENT NAME *

Policy end date: — · one year term only.

Employees follow the Self column of the grid below. Enter the number of lives in each sum insured × age band cell.

Total lives 0 · employees 0 · dependants 0 · family factor 0 · construct — · average SI ₹0

Enter members individually and the grid above fills itself. Leave this empty to type the grid directly.