Life Cover Insurance Application | Tata Consultancy Services

Super Top Up 50 Lakh Deductible 5 Laks

What is a Super Top-Up? It provides additional coverage once your base claim crosses a specific limit (the ₹5 Lakh deductible). If your base claim is 6 Lakhs, the Base policy pays 5 Lakhs, and this Super Top-Up pays the remaining 1 Lakh.

✔ Cashless Claim Integration: Single-window claim settlement at all network hospitals.

✔ Pre-existing Cover: Covered from Day 1 without standard waiting periods.

Application Enrollment Form

Please enter your exact details below to generate your coverage certificate.

1 Policy Selection

Select Policy Type

Individual Family Floater

Select Sum Insured

50 Lakh 1cr

Select Insured Please specify the individuals you would like to insure

Self

Spouse

Son

Daughter

2 Personal Information

Full Name

Date of Birth

Mobile Number

Upload Aadhar Card

Click or Drag Aadhar Card No file selected

Upload PAN Card

Click or Drag PAN Card No file selected

3 Health & Metrics

Height (in cm)

Weight (in kg)

Pre-existing Diseases Please declare any pre-existing health conditions (select all that apply)

Diabetes Hypertension Heart Disease Asthma Thyroid Disorder No Pre-existing Diseases

5 Nominee / Beneficiary Details

Nominee Full Name

Relationship

Nominee Date of Birth

Nominee Phone

Application Enrollment Form

Spouse Details

Father Details

Mother Details

Son(s) Details

Son 1 Details

Son 2 Details

Daughter(s) Details

Daughter 1 Details

Daughter 2 Details

Application Enrollment Form

Spouse Details

Father Details

Mother Details

Son(s) Details

Son 1 Details

Son 2 Details

Daughter(s) Details

Daughter 1 Details

Daughter 2 Details

Special Limited Offer!

Application Submitted!