[{"command":"settings","settings":{"basePath":"\/","pathPrefix":"","ajaxPageState":{"theme":"cigna_ttk_2","theme_token":"kVPBO1mjYCaf6MVwciMfy3JS4zPqXFNk9skmw2j0fz8"},"fb_app_id":"272498012900602","skip_billdesk":false,"name":"Just bought a Cignattk Health Policy","caption":"#kyunkihealthhaitohlifehai","share_url":"https:\/\/healthinsurance.manipalcigna.com","image":"https:\/\/healthinsurance.manipalcigna.com\/sites\/default\/files\/logo.png","fb_description":"Protect your loved ones against medical uncertainties, Buy Cignattk Health Insurance.","baseulogin_path":"https:\/\/www.manipalcigna.com","CToolsModal":{"loadingText":"Loading...","closeText":"Close Window","closeImage":"\u003Cimg typeof=\u0022foaf:Image\u0022 src=\u0022https:\/\/www.manipalcigna.com\/sites\/all\/modules\/ctools\/images\/icon-close-window.png\u0022 alt=\u0022Close window\u0022 title=\u0022Close window\u0022 \/\u003E","throbber":"\u003Cimg typeof=\u0022foaf:Image\u0022 src=\u0022https:\/\/www.manipalcigna.com\/sites\/all\/modules\/ctools\/images\/throbber.gif\u0022 alt=\u0022Loading\u0022 title=\u0022Loading...\u0022 \/\u003E"},"prevent_js_alerts":{"module_path":"sites\/all\/modules\/prevent_js_alerts"},"ajax":{"edit-type":{"callback":"ajax_dependent_dropdown_callback","wrapper":"dropdown-second-replace","progress":{"type":"none"},"event":"change","url":"\/system\/ajax","submit":{"_triggering_element_name":"type"}},"edit-submit":{"callback":"service_request_form_submit","wrapper":"message2","method":"replaceWith","effect":"fade","progress":{"type":"none"},"event":"mousedown","keypress":true,"prevent":"click","url":"\/system\/ajax","submit":{"_triggering_element_name":"op","_triggering_element_value":"Send"}}},"urlIsAjaxTrusted":{"\/system\/ajax":true,"\/site_structure\/service_request\/nojs":true}},"merge":true},{"command":"modal_display","title":"SERVICE REQUEST","output":"\u003Cform class=\u0022detailsform\u0022 action=\u0022\/site_structure\/service_request\/nojs\u0022 method=\u0022post\u0022 id=\u0022service-request-form\u0022 accept-charset=\u0022UTF-8\u0022\u003E\u003Cdiv\u003E\u003Cdiv class=\u0022reveal-loading-premium\u0022 id=\u0022LoadingImage\u0022 style=\u0022display: none; cursor: pointer;\u0022\u003E\r\n \u003Cdiv class=\u0022loaderimages\u0022\u003E\u003Cimg src=\u0022https:\/\/www.manipalcigna.com\/sites\/all\/themes\/cigna_ttk_2\/images\/loader.gif\u0022 alt=\u0022Loader\u0022 \/\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cinput type=\u0022hidden\u0022 name=\u0022errinfo\u0022 value=\u0022\u0022 \/\u003E\n\u003Cdiv id=\u0022type_ajax_replacing\u0022\u003E\u003C\/div\u003E\u003Cinput type=\u0022hidden\u0022 name=\u0022form_build_id\u0022 value=\u0022form-h-d9OcxSKpmGugqjQvZKvUoT2BGFPegk653NI430h5M\u0022 \/\u003E\n\u003Cinput type=\u0022hidden\u0022 name=\u0022form_id\u0022 value=\u0022service_request_form\u0022 \/\u003E\n\u003Cdiv class=\u0022dataentery\u0022\u003E\u003Ch1\u003ESERVICE REQUEST\u003C\/h1\u003E\u003Cdiv id=\u0022edit-toptitle\u0022 class=\u0022form-item form-type-item\u0022\u003E\n \n\u003C\/div\u003E\n\u003Cdiv id=\u0022message2\u0022 class=\u0022inline-messages text_messages\u0022\u003E\u003C\/div\u003E\u003Cdiv class=\u0022formdata\u0022\u003E\u003Clabel\u003ENature of Request :\u003Cspan class=\u0022form-required\u0022 title=\u0022This field is required.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\u003Cdiv class=\u0022form-item form-type-select form-item-type\u0022\u003E\n \u003Cselect id=\u0022edit-type\u0022 name=\u0022type\u0022 class=\u0022form-select required\u0022\u003E\u003Coption value=\u00220\u0022 selected=\u0022selected\u0022\u003EType\u003C\/option\u003E\u003Coption value=\u00221057\u0022\u003EClaims\u003C\/option\u003E\u003Coption value=\u00221062\u0022\u003EChange in Policy Information\u003C\/option\u003E\u003Coption value=\u00221074\u0022\u003EGrievances \/ Complaints\u003C\/option\u003E\u003Coption value=\u00221078\u0022\u003EProfile Information\u003C\/option\u003E\u003Coption value=\u00221076\u0022\u003EPolicy Related\u003C\/option\u003E\u003Coption value=\u00221087\u0022\u003EBilling Related\u003C\/option\u003E\u003Coption value=\u00221090\u0022\u003ERenewal\u003C\/option\u003E\u003Coption value=\u00221091\u0022\u003ERequest Documents\u003C\/option\u003E\u003Coption value=\u00221094\u0022\u003EOthers\u003C\/option\u003E\u003C\/select\u003E\n\u003C\/div\u003E\n\u003Cdiv id=\u0022dropdown-second-replace\u0022 class=\u0022dropdownsecondreplace\u0022\u003E\u003Cdiv class=\u0022form-item form-type-select form-item-sub-type form-disabled\u0022\u003E\n \u003Cselect disabled=\u0022disabled\u0022 id=\u0022edit-sub-type\u0022 name=\u0022sub_type\u0022 class=\u0022form-select required\u0022\u003E\u003Coption value=\u00220\u0022\u003ESub Type\u003C\/option\u003E\u003C\/select\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022formdata\u0022\u003E\u003Clabel style=\u0022width: 226px;\u0022\u003E Service request for your Policy Number: \u003Cspan class=\u0022form-required\u0022 title=\u0022This field is required.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\u003Cdiv class=\u0022form-item form-type-select form-item-policydrop\u0022\u003E\n \u003Cselect id=\u0022pol_dropdown\u0022 onchange=\u0022displayPolicyNo();\u0022 name=\u0022policydrop\u0022 class=\u0022form-select required\u0022\u003E\u003Coption value=\u0022select\u0022\u003ESelect Policy\u003C\/option\u003E\u003C\/select\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cdiv class=\u0022formdata\u0022\u003E\u003Clabel style=\u0022width: 145px;\u0022\u003EService Request Details :\u003Cspan class=\u0022form-required\u0022 title=\u0022This field is required.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\u003Cdiv class=\u0022form-item form-type-textarea form-item-sr-details\u0022\u003E\n \u003Cdiv class=\u0022form-textarea-wrapper resizable\u0022\u003E\u003Ctextarea id=\u0022sr_details\u0022 name=\u0022sr_details\u0022 cols=\u002260\u0022 rows=\u00224\u0022 class=\u0022form-textarea\u0022\u003E\u003C\/textarea\u003E\u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cinput id=\u0022pno\u0022 type=\u0022hidden\u0022 name=\u0022policy_no\u0022 value=\u0022\u0022 \/\u003E\n\u003Cdiv id=\u0022replace_body\u0022\u003E\u003Cdiv id=\u0022edit-body\u0022 class=\u0022form-item form-type-item\u0022\u003E\n \u003Cdiv class=\u0022customername\u0022\u003E From : \u003Cb\u003E\u003C\/b\u003E\u003C\/div\u003E\r\n \u003Cdiv class=\u0022description\u0022\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cdiv id=\u0022dropdown_selected\u0022\u003EPolicy Number : \u003Cdiv id=\u0022edit-selected-replace\u0022 class=\u0022form-item form-type-item\u0022\u003E\n \n\u003C\/div\u003E\n\u003C\/div\u003E\u003Clabel\u003E\u003Cbr\/\u003EFor any queries email us at \u003Ca href=\u0022mailto:customercare@cignattk.in\u0022\u003Ecustomercare@cignattk.in\u003C\/a\u003E and for any policy alterations email us at \u003Ca href=\u0022mailto:mychangerequest@cignattk.in\u0022\u003Emychangerequest@cignattk.in\u003C\/a\u003E\u003C\/label\u003E\u003Cdiv id=\u0022edit-body2\u0022 class=\u0022form-item form-type-item\u0022\u003E\n \u003C\/div\u003E\n\u003C\/div\u003E\n\u003Cinput type=\u0022submit\u0022 id=\u0022edit-submit\u0022 name=\u0022op\u0022 value=\u0022Send\u0022 class=\u0022form-submit\u0022 \/\u003E\u003C\/div\u003E\u003C\/form\u003E"}]