Family Health Insurance · Proposal Form
Protect Your Entire Family
with One Smart Plan
Add up to 5 family members. Takes about 5 minutes. Our advisor will reach out within 24 hours with the best plan for your family.
1
Proposer Details
Person paying the premium & claiming tax benefit
💡 The Proposer is the person who will pay the premium and get tax benefits under Section 80D. This is usually the earning member of the family.
Professional Details
2
Insured Members
Add up to 5 family members to be covered
Maximum 5 members · Self, Spouse, Children, Parents
3
Lifestyle Details
For each insured member — affects premium calculation
4
Health Conditions
Current health status of each member
5
Medical History
Past surgeries & family health background
6
Existing Policy & Nominee
Current coverage and beneficiary details
Nominee Details
7
Health Documents & Consent
Photo, income proof & your agreement
🔒
KYC Note
Your Aadhaar and PAN will be collected directly by your NIVESQOO advisor through a secure, compliant channel — not stored on this form. This keeps your sensitive documents fully protected as per UIDAI guidelines and the DPDP Act 2023.
Tap to upload passport photo
JPG or PNG only · Max 5MB
Salary Slip / ITR / Form 16
JPG, PNG or PDF · Max 5MB
8
Review & Submit
Almost done — confirm and send
🔒 Privacy Promise: Your data is stored securely on encrypted servers. It will only be used by your NIVESQOO advisor to build your personalised health plan. We never share your data with third parties.
Proposal Submitted!
Thank you for trusting NIVESQOO with your family's health. Your advisor will review and reach out within 24 hours with the best plan for your family.
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Families across India have used NIVESQOO to finally get their finances right.
★★★★★
"I never thought about investing seriously until NIVESQOO built my Tulip plan. Simple, clear, and actually suits my salary."
★★★★★
"Got both my investment and health cover sorted in one go. Never had proper health insurance before this."
★★★★★
"Finally have a mutual fund plan that matches my goals. No jargon, no confusion — just a clear path forward."
★★★★★
"As a doctor I value clarity. NIVESQOO gave me a Tulip investment plan that actually makes sense for my income."