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Who do you want to be
Covered Under the SHIELD?

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Who do you want to be covered under the shield?(Required)
Plans(Required)

Annual Coverage

Annual Coverage

Annual Coverage

Annual Coverage

Annual Coverage

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Click on the desired COVERAGE you need

Salamati Plan

Annual Plan Coverage

PKR 350,000

For each family member

Emergency Evacuation

Accidental Emergency Expense

Daily Room and Board

Maternity Coverage

Monthly Premium

PKR 30,000

For 4 family member
The insurance amount for each family member is PKR 6,256 per month

Tahafuz Plan

Annual Plan Coverage

PKR 60,000

For each family member

Emergency Evacuation

Accidental Emergency Expense

Daily Room and Board

Maternity Coverage

Monthly Premium

PKR 30,000

For 4 family member
The insurance amount for each family member is PKR 6,256 per month

Rahat Plan

Annual Plan Coverage

PKR 100,000

For each family member

Emergency Evacuation

Accidental Emergency Expense

Daily Room and Board

Maternity Coverage

Monthly Premium

PKR 30,000

For 4 family member
The insurance amount for each family member is PKR 6,256 per month

Aafiyat Plan

Annual Plan Coverage

PKR 200,000

For each family member

Emergency Evacuation

Accidental Emergency Expense

Daily Room and Board

Maternity Coverage

Monthly Premium

PKR 30,000

For 4 family member
The insurance amount for each family member is PKR 6,256 per month

Rahat Plan

Aaram Plan Coverage

PKR 500,000

For each family member

Emergency Evacuation

Accidental Emergency Expense

Daily Room and Board

Maternity Coverage

Monthly Premium

PKR 30,000

For 4 family member
The insurance amount for each family member is PKR 6,256 per month

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Select Hospital checkbox(Required)
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Select Hospital(Required)
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Maternity Coverage(Required)
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Maternity Coverage for family(Required)
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I don’t want to contribute(Required)

PKR

350,000

FOR

1 years

FOR

1 Individual

PKR

60,000

FOR

1 years

FOR

1 Individual

PKR

100,000

FOR

1 years

FOR

1 Individual

PKR

200,000

FOR

1 years

FOR

1 Individual

PKR

500,000

FOR

1 years

FOR

1 Individual

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Please enter a number from 0 to 4.
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Please enter a number from 0 to 6.
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Please enter a number from 0 to 6.
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Have you or any members of your family presently in good health?

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Self(Required)
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Husband(Required)
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First Wife(Required)
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Second Wife(Required)
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Third Wife(Required)
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Fourth Wife(Required)
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First Son(Required)
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Second Son(Required)
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Third Son(Required)
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Fourth Son(Required)
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Fifth Son(Required)
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Sixth Son(Required)
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First Daughter(Required)
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Second Daughter(Required)
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Third Daughter(Required)
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Fourth Daughter(Required)
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Fifth Daughter(Required)
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Sixth Daughter(Required)

Have you or any members of your family presently taking any medication, therapy/treatment?

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Self(Required)
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Husband(Required)
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First Wife(Required)
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Second Wife(Required)
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Third Wife(Required)
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Fourth Wife(Required)
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First Son(Required)
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Second Son(Required)
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Third Son(Required)
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Fourth Son(Required)
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Fifth Son(Required)
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Sixth Son(Required)
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First Daughter(Required)
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Second Daughter(Required)
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Third Daughter(Required)
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Fourth Daughter(Required)
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Fifth Daughter(Required)
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Sixth Daughter(Required)
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Have you or any members of your family ever suffered from any physical or mental illness/ medical ailment (Pre-existing condition) or any deformities?

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Self(Required)
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Husband(Required)
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First Wife(Required)
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Second Wife(Required)
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Third Wife(Required)
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Fourth Wife(Required)
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First Son(Required)
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Second Son(Required)
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Third Son(Required)
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Fourth Son(Required)
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Fifth Son(Required)
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Sixth Son(Required)
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First Daughter(Required)
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Second Daughter(Required)
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Third Daughter(Required)
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Fourth Daughter(Required)
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Fifth Daughter(Required)
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Sixth Daughter(Required)
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Do you or your spouse smoke or consume alcohol?

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Self(Required)
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Husband(Required)
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First Wife(Required)
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Second Wife(Required)
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Third Wife(Required)
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Fourth Wife(Required)
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Have you or your spouse been engaged in any legal, religious, or political activities in the past or present? Have either of you been involved in civil or criminal litigation or had any interactions with the police?

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Self(Required)
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Husband(Required)
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First Wife(Required)
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Second Wife(Required)
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Third Wife(Required)
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Fourth Wife(Required)
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Does you or your spouse job involve any hazardous activity(ies)?

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Self(Required)
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Husband(Required)
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First Wife(Required)
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Second Wife(Required)
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Third Wife(Required)
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Fourth Wife(Required)
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Are you or your spouse domestic/foreign “Politically Exposed Person” (PEP) or a family member/close associate of a domestic/foreign “Politically Exposed Person” (PEP)?

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Self(Required)
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Husband(Required)
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Wife(Required)
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Second Wife(Required)
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Third Wife(Required)
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Fourth Wife(Required)
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Are you pregnant?

Your wife is pregnant?

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Self(Required)
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First Wife(Required)
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Second Wife(Required)
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Third Wife(Required)
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Fourth Wife(Required)
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We sincerely appreciate your participation in the questionnaire!

You now have the option to swiftly navigate to the Health Declaration form or continue onward with Insurity.




Great Job!

Words cannot express how grateful we are for your
willingness to volunteer

Thank you!

You now have the option to swiftly navigate to the Health Declaration
form or continue onward with Inshu Charity.