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    BA0000135013 Intermediary Code Name Phone No E-Mail Id: 55 K. Madan Prakash K. Madan Prakash 4/51, Pesil Garden, Kovur

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    my9884583870
    This 3 sentence summary provides the key details of the MediClassic insurance policy document: The document outlines an individual health insurance policy for K. Madan Prakash with a sum insured of Rs. 2,000,000 for himself and Rs. 300,000 for his dependent parent A. Gowri. The policy has been renewed for a seventh year and covers hospitalization expenses from December 21, 2017 to December 20, 2018. The policy details premium amounts paid, taxes, and ensures coverage is subject to the conditions and exclusions outlined in the full policy document.

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    BA0000135013 Intermediary Code Name Phone No E-Mail Id: 55 K. Madan Prakash K. Madan Prakash 4/51, Pesil Garden, Kovur

    Uploaded by

    my9884583870
    105 views1 page
    This 3 sentence summary provides the key details of the MediClassic insurance policy document: The document outlines an individual health insurance policy for K. Madan Prakash with a sum insured of Rs. 2,000,000 for himself and Rs. 300,000 for his dependent parent A. Gowri. The policy has been renewed for a seventh year and covers hospitalization expenses from December 21, 2017 to December 20, 2018. The policy details premium amounts paid, taxes, and ensures coverage is subject to the conditions and exclusions outlined in the full policy document.

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    Madan_Medical_policy.pdf

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    This 3 sentence summary provides the key details of the MediClassic insurance policy document: The document outlines an individual health insurance policy for K. Madan Prakash with a sum insured of Rs. 2,000,000 for himself and Rs. 300,000 for his dependent parent A. Gowri. The policy has been renewed for a seventh year and covers hospitalization expenses from December 21, 2017 to December 20, 2018. The policy details premium amounts paid, taxes, and ensures coverage is subject to the conditions and exclusions outlined in the full policy document.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    105 views1 page

    BA0000135013 Intermediary Code Name Phone No E-Mail Id: 55 K. Madan Prakash K. Madan Prakash 4/51, Pesil Garden, Kovur

    Uploaded by

    my9884583870
    This 3 sentence summary provides the key details of the MediClassic insurance policy document: The document outlines an individual health insurance policy for K. Madan Prakash with a sum insured of Rs. 2,000,000 for himself and Rs. 300,000 for his dependent parent A. Gowri. The policy has been renewed for a seventh year and covers hospitalization expenses from December 21, 2017 to December 20, 2018. The policy details premium amounts paid, taxes, and ensures coverage is subject to the conditions and exclusions outlined in the full policy document.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    MEDICLASSIC INSURANCE POLICY (INDIVIDUAL)

    SCHEDULE
    Unique Identification No.IRDA/NL-HLT/SHAI/P-H/V.II/400/13-14

    Policy No. : P/111113/01/2018/018822 Previous Policy No. : P/111113/01/2017/010855


    Customer Code : AA0001022055 GSTIN : 33AAJCS4517L1Z5
    Customer Name K. SASI
    : V. MADAN PRAKASH
    KUMAR SAC Code : 997133/Accident and Health Insurance Services
    Proposer's Code : 1410494 Issuing Office Code : 111113
    Proposer's Name : K. MADAN PRAKASH
    A.VENKATESAN Issuing Office Name : Branch Office - T Nagar
    Address : 4/51,PESIL
    B1, PESILGREEN,
    GARDEN, Address : New No:55 Old No:27,2nd
    Irandamkattalai, Floor,Vijayaraghava Road
    Thandalam Post, Kovur, Chennai T-Nagar,Chennai 600 017
    KOVUR, CHENNAI- 600122.
    KORUR,
    Chennai,Kancheepuram,Tamil Phone No : 044-43624767
    Nadu-600122 E-mail Id : [email protected]
    Phone No : /9940211792/NIL Place of Supply : -
    E-mail Id : [email protected] Fulfiller Code : SH3316
    Proposer GSTIN : -
    Proposal date : 21-DEC-13 Intermediary Code : BA0000135013
    Date of Inception of first policy : 08/12/2010
    Name : Ms.R PRABA
    Renewal Year : Seventh Year
    Receipt No : 1006012759 Phone No : /9677113503
    Receipt Date : 19/12/2017
    31,115 /-
    Premium :Rs 11,115 /- E-mail Id : [email protected]
    CGST @9% :Rs 2,800
    1,000 /-
    /- SGST / UTGST @9% :Rs 2,800
    1,000 /-
    /-
    36,716/-/-
    Stamp Duty :Re 1 /- Total Premium :Rs 13115
    Total Premium In Words Rupees
    : Rupees Thirty Six
    Thirteen Thousand
    Thousand OneSeven Hundred
    Hundred and
    Fifteen Sixteen only
    Only
    PERIOD OF INSURANCE : 21/12/2017 00:00:00 TO : Midnight Of 20/12/2018

    Details of Insured Persons : No. of Persons Insured: 1

    Sl. Name Sex Date of Birth Age in Relationship Sum Insured Cumu.Bon Add On ID Card No Pre-existing Inception
    no. Yrs with Proposer (Rs.) us (Rs.) Covers Disease/s Date

    1 NR. KANAGARAJ
    A.GOWRI
    NVARADHARAJAN
    VA M
    F 30/8/1952
    04/03/1962 65
    55 DEPENDANT 2000000
    300000 60000 Nil 1410494-1 Nil, Renewal; 08/12/2010
    PARENT First Year
    Exclusions
    waived.
    Expenses relating to the hospitalisation will be in proportion to the room rent stated in the policy.
    THE INSURANCE UNDER THIS POLICY IS SUBJECT TO CONDITIONS, CLAUSES, WARRANTIES, EXCLUSIONS ETC. ATTACHED.
    IMPORTANT
    IN THE EVENT OF HOSPITALIZATION OF INSURED PERSON, INTIMATION SHOULD BE GIVEN TO THE COMPANY IMMEDIATELY,
    HOWEVER, WITHIN 24 HRS FROM THE TIME OF ADMISSION.
    Sector Classification :

    Urban
    Toll Free No : 1800 425 2255 / 1800 102 4477 Email: [email protected] Fax No: 1800 425 5522.
    "Consolidated Stamp duty paid vide G.O. Rt. No.238 dated 10.5.2017"

    Entered by : PREMIA For Star Health and Allied Insurance Company Ltd.

    This is an electronically generated


    document(Policy Schedule).
    Consolidated Stamp Duty paid vide Authorised Signatory
    certificate NO: Adj/CS/277/102437/10

    IRDAI Regn. No 129


    Corporate Identity Number U66010TN2005PLC056649 Please see overleaf 2 of 4

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