Sainik Ardhyasainik Seva Sangathan (SASS)
GROUP MEDICLAIM INSURANCE POLICY PROPOSAL

GROUP MEDICLAIM POLICY FOR (2025–26)

TO SERVE BEYOND SERVICE

IMPORTANT FORM FILLING INSTRUCTIONS

Please read carefully before proceeding:

1. Information Submission
  • Information should be provided for:
    • Primary Member (Related Service Member's Details)
    • Associate Member & their Spouse
    • Up to 2 children of Associate Member (unmarried and below 25 years)
  • The Primary Member need not register for membership for Associate Member to register, and avail SASS benefits
  • For a handicapped child:
    • No age limit applies
    • A valid handicap certificate must be approved by the insurer
    • Certificate must be submitted along with this form
    • Certificate should be processed in advance for inclusion in this form
2. Information Usage
  • Define your Membership Type
  • Generate your Membership Number
  • Calculate the premium payable (based on the age of the eldest family member)
  • Ensure the Associate Member submits only one form with a unique email ID:
    • Member must register using their own email ID
  • Record nomination details (if any)
3. Submission Requirements
  • Only one enclosure is required for the Associate Member as per "Types of Membership for SASS Documentation 23SEP2025 – shared on SASS website"
  • File size restriction: 50 KB
  • Acceptable documents (any one):
    • Copy of primary member's document and any Govt ID / school / college / board document showing relationship with Primary member or Related Service Member (Parent only)
    • Examples: PAN card, Passport, Ration card
  • Additional requirements:
    • Any special approvals (e.g., for a handicapped child) must also be included
    • All documents should be scanned and merged into a single PDF file (maximum size: 50 KB)
4. Name Verification

Name as per in relationship document with Primary Member will be used for verification of Associate Member

5. Name for e-Card

Name of Associate Member as per AADHAAR will be used for issuance of the e-card by TPA

Policy Document

Please review the complete policy document below

Registration form for Linked Associate Member

Details of Primary Member (PM)

Note: Link LASM to SASS membership number of PM for the purpose of membership and payment of mediclaim plan. Admin should be allowed to delink LAM from PM.

Details of Linked Associate Sponsored Member (LASM)

Note: The LASM is linked to the Primary Member and can pay the policy premium only if the Primary Member has opted for the policy, and the risk cover does not exceed that of the Primary Member.
Note: Only children under 25 years and unmarried will be considered part of the family. In case of a married child or child over 25 years, please ask them to apply for Associate Membership. No age limit for a disabled child. A valid disability certificate must be submitted with the application for the insurer's approval and declared in this form. Member, family, and nominee details shall be shared by members at the time of premium payment.

Nominee Details (as per Nominee's Aadhaar as applicable)





Please upload required documents in PDF format (max 50KB)

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