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TATA AIG Group MediPrime Insurance Details

This document provides a certificate of insurance for Abhishek Sharma and his family under the Group MediPrime health insurance plan. It lists the insured members, Vishnulal Sharma and Kavita Sharma, and outlines the key coverage details including a floater sum insured of INR 500,000 for basic health cover including hospitalization, day care procedures, domiciliary treatment, and other benefits. The basic plan premium is INR 52,000 with applicable discounts and taxes, for a gross premium of INR 55,195.

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Abhishek Sharma
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900 views1 page

TATA AIG Group MediPrime Insurance Details

This document provides a certificate of insurance for Abhishek Sharma and his family under the Group MediPrime health insurance plan. It lists the insured members, Vishnulal Sharma and Kavita Sharma, and outlines the key coverage details including a floater sum insured of INR 500,000 for basic health cover including hospitalization, day care procedures, domiciliary treatment, and other benefits. The basic plan premium is INR 52,000 with applicable discounts and taxes, for a gross premium of INR 55,195.

Uploaded by

Abhishek Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Certificate of Insurance

Group MediPrime

Certificate of Insurance

ABHISHEK SHARMA Intermediary Code: 0015455000


13/1, B-LANE, Intermediary Name: Axis Bank Limited
ROY BAGAN Intermediary Contact Number: 1800 209 2001
P.O-TALPUKUR Branch Code: Tata AIG, HO
24 PARGANAS (NORTH) Master Policy Number: 2700001636
KOLKATA – 700123 Certificate Number: 7
WEST BENGAL Application no. 918010102604796
MOBILE – 9573204214 Issuing Office: Tata AIG, HO
BANK A/C – 50100245302441

Master Policy Period: From 13/05/2021 00:00 AM (Commencement Date) To 12/05/2022 23:59 PM (Expiry Date)
Name of the insured Member ID Gender Date of Birth Age (years) Date of Joining
member
Vishnulal Sharma 2700001636/918010102604796/01 M 01/01/1956 65 12/05/2021
Kavita Sharma 2700001636/918010102604796/02 F 01/02/1971 53 12/05/2021

*FLOATER SUM INSURED - INR 5,00,000


Coverage details:
Basic Health Cover
Coverage (Basic Cover) Sum Insured (INR)
Impatient Treatment Upto Sum insured limit
Pre/Post Hospitalization (30/60 Days) Upto Sum insured limit
Day care procedures Upto Sum insured limit
Domiciliary Treatment Upto Sum insured limit
Emergency Ambulance Maximum INR 2000 per Hospitalization
Organ Donor Upto Sum insured limit
Nursing Allowance Covered, INR 100 per day up to a maximum of 15 days with
a deductible of 2 days
Family Transportation Upto INR 5000

Additional conditions /exclusions (if any)


Basic Plan (Rs.): 52,000
Discounts (Rs.) :--
Tax as applicable (Rs.): 3,195
Gross Premium (Rs.): 55,195
Gross Premium amount (in words): Fifty five Thousand One Hundred Ninety-Five

Insurance is the subject matter of the solicitation. For more details on risk factors, terms and conditions, please read sales brochure carefully, before concluding a sale. TATA AIG General Insurance Company Ltd. Registered
office: Peninsula Business Park, Tower 15A, 15 th Floor, G.K. Marg, Lower Parel, Mumbai – 400013. Toll Free No. – 1800 266 7780. For more info visit us at www.tataaig.com. Email us at [email protected]

IRDA of India Registration No. : 108 CIN: U85110MH20000PLC12825 PAN : AABCT3518Q

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