Raksha Health Insurance TPA Pvt. Ltd.
(Pre Medical Health Checkup Service)
Proposal Cancellation
Service Branch :
<Select One>
Bangalore
Hyberabad
Delhi
Ajmer
Jaipur
Jodhpur
Udaipur
LUCKNOW
Aligarh
Chennai
Indore
Faizabad
Kochi
Insurer Name :
<Select One>
Life Insurance Corporation of India
SBI Life Insurance
Star Union Dai-ichi Life Insurance Company Limited
Raksha TPA No :
<Select One>
Cancellation Reason :
Client Not Willing
Test requested not Available
Customer Not Informed by IA/CIF
No CTC Number
Missing Appointments
Client gone Out of Station/Transferred
Invalid Contact No
Policy Cancelled/NTU
Others
Remark :
© Raksha TPA, All Rights Reserved.
15/5 Mathura Road Faridabad (India).
Phone: 91-0129-2250000
This Application requires JavaScript Enabled to Work Properly (Please Enable JavaScript in Your Browser).