Questionnaire

Published on February 2017 | Categories: Documents | Downloads: 66 | Comments: 0 | Views: 512
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TERM QUESTIONNAIRE
Name of the Organization:
_________________________________________________________
Type of Group:
Type of Industry:
Service

 Formal

 Informal

 Software

 IT

 Manufacturing  BPO 

Others please specify
_______________________________________
Name of the Contact Person:
______________________________________________________
Designation:
Head

 HR Manager  Finance Manager  Insurance

Contact Number:
Direct: ___________________
Mob:____________________________
Email ID:

___________________________________________________________

Number of employees in the organization:
__________________________________________
Do you have Group Term Life Insurance policy:

 Yes

 No

If yes, name of the current Insurer:
________________________________________________
How many years has the scheme been in force?
or more

 1 year 2 years  3 years

Renewal month of the GTL policy:
_______________________________________________
Sum assured:

Graded

Multiple of Salary

Premium size:
___________________________________________________________
Premium rate per 1000 Sum assured (Ex ST):
_______________________________________
Is broker involved?

Yes No

Flat cover

If yes, then name of the Insurance broker:
__________________________________________
Are you happy with the service of the current insurer with respect to claim
settlement?  Yes  No

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