Note - the forms below use php script and if you have trouble completing them, please use the html forms at our secure server https://sec.kvrao.net

1. India Network Membership Form  (required)

2.Health Insurance Form

3. Renewal Form (15 days to 12 months)

4. Renewal Form (1 to 12 days)

Instructions: The insurance forms automatically compute premiums, process credit card and issue Health Insurance ID Card. The first step involve completing carefully all required information and press submit once. The second step will display the details of your selections. If you are satisfied with displayed information, click CONTINUE to proceed or browse back to change the information and press submit again. Your credit card will be processed and if successful, you will see Transaction ID number. Click CONTINUE to complete the process and to Print the Health Insurance ID cards.

The above 4 forms use scripting and process in real time. Sometimes, address verification or cvv code errors or other technical problems may stop you submitting the forms. In such case, you may use good old html forms at our secure server. These forms will not produce ID cards or process credit cards in real time and hence we do not expect problems.

5. Add new Visitors    (current members only)

6. Address Change Form

7. CLAIM STATUS QUERY FORM -  submit this Form to know the status of your claim.

Fax/Mail Forms - use the link for print forms