Group Medical Insurance

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What type of coverage are you looking for?*

Basic

Enhanced

Pravasi Protection Plan

Name of your Organization*

Business Activity (as per trade license)*

No. of Years in Business operation

Do you have existing employee health insurance?*

Yes

Number of employees requiring Group Health Insurance?

Number of Dependents

Urgency of Insurance

Name of Contact Person*

Designation in Organization

Official E-mail ID*

Mobile Number*

*By submitting this form, I authorize Gargash Insurance to contact me by Phone /SMS / WhatsApp /E-mail for any insurance-related communications or promotions and I agree that I can be contacted even if my number is registered with Do Not Call Registry (DNCR).