Certificate of Insurance Group Policyholder Name KRAZYBEE SERVICES PRIVATE LIMITED
Ms Rashmi Nishad Group Policy No. 54436255
D/o Siyasharan Nishad, House N 184, Ward N 10, Gra Certificate of Insurance No 55616848
Ijayaraghavgarh. 483775 Plan Name GC360°(Krazybee-SPL)
Madhya Pradesh 23
Cover type Individual
Policy Period - Start Date 00:00 hrs 16/Jul/2025
Policy Period - End Date Midnight 15/Jul/2026
Premium Paid Rs. 41.00
Premium Rs 35 + CGST Rs 0.00 + IGST Rs 6.30
+ SGST / UGST Rs 0.00
Premium Payment Mode Single Premium
Details of Applicant
Policyholder Loan Account Number Date Of Birth Client ID
Ms Rashmi Nishad INS250715073226OKRUT 10-Oct-1990 F1319330
Details of Insured Person
Insured with the
Name Client ID Date of Birth Relationship Pre-existing diseases since
Company (since)
Rashmi Nishad F1319330 10-Oct-1990 MEMBER 16-Jul-2025 NONE
Contact details for Claims & Policy Servicing
Care Health Insurance Limited, Vipul Tech Square, Tower C, 3rd Floor, Golf Course Road, Sector-43,
Correspondence address
Gurugram-122009 (Haryana)
Website www.careinsurance.com
Intermediary Details
Name Code Contact Details
PULSECUE INSURANCE
BROKING PRIVATE 20851476 8653116878
LIMITED
Benefits
S No. Particulars Basis of Offering
1 Critical Illness-Sum Insured Rs. 7000
2 Critical Illness Benefit 100% of SI
3 Number of Critical Illness 15 CI
4 Initial Wait Period 90 Days
5 Survival Period 0 days
6 Pre-existing diseases Not Covered
7 Personal Accident Cover-Sum Insured Rs. 7000
8 Accidental Death 100% of SI
9 PPD Up to SI; As per PPD table of Group Care 360
10 PTD Up to SI: As per PTD table of Group Care 360
11 Convalescence Bnft Amount:- Rs. 1000
Convalescence Bnft:(provided only in case of Minimum hospitalization Duration- 6 days This
12
Comprehensive hospitalization Benefit will be allowed for maximum 1 times
Convalescence Bnft:(provided only in case of in cover year and maximum 3 payments per hospitalization
13
Comprehensive hospitalization Payment Periodicity -Once in 6 days
14 Wait Period-30 Days Not Applicable
15 Named Ailment (as defined in Group Care 360 Product) Not Applicable
16 Pre-existing diseases Not Applicable
17 Maternity Not Covered
18 Claims payout Re-imbursement Only
Key Exclusions
The company shall not be liable to make payment for any claim directly or indirectly caused by, based on, arising out of howsoever
attributable to any of the following except covered by way of an extension:
l Treatment taken from anyone who is not a Medical Practitioner or from a Medical Practitioner who is practicing outside the discipline
for which he is licensed or any kind of self-medication..
l Charges incurred (or Treatment undergone) in connection with routine eye examinations and ear examinations, dentures, artificial
teeth and all other similar external appliances and / or devices whether for diagnosis or treatment.
l Treatment of any external Congenital Anomaly or Illness or defects or anomalies or treatment relating to external birth defects.
l Cosmetic surgery or plastic surgery or related treatment of any description, including any complication arising from these treatments, other
than as may be necessitated due to an Injury, cancer or burns
l Any Illness or Injury directly or indirectly resulting or arising from or occurring during commission of any breach of any law by the Insured
Member with any criminal intent
l Act of self-destruction or self-inflicted Injury, attempted suicide or suicide while sane or insane or Illness or Injury attributable to consumption,
use, misuse or abuse of intoxicating drugs,alcohol,hallucinogens.
Note: This is an illustrative list of exclusions or not exhaustive.For the entire list of exclusions,please refer the Group Policy Terms and
Conditions issued to the Group Policyholder .
Portability/Renewability
S NO. Particulars
1. You can renew the policy only if Master Policy is renewed by Group Master Policyholder.
Care Health Insurance reserves the right to change premium/benefits of the Group Policy at the time of Renewal in consultation
2.
with Master Policy Holder.
You can migrate your existing Policy from this scheme to any Health Insurance retail product of Care Health Insurance. Policy
3.
Issuance subject to Underwriting guidelines of company on the date of migration.
Once the Group Care Health Insurance policy is migrated to retail product of Care Health Insurance, customer will have to pay
4.
premium as per the New product underwriting guidelines.
Grievance Redressal/Complaints
In case of any grievance the Insured Person may contact the Company through
Website/link:https://www.careinsurance.com/contact-us.html
Mobile App : Care Health- Customer App
Toll free (WhatsApp Number): 8860402452
Courier: Any of Company's Branch Office or Corporate Office
Insured Person may also approach the grievance cell at any of the Company's branches with the details of grievance.
If Insured Person is not satisfied with the redressal of grievance through one of the above methods, Insured Person may contact the
grievance officer at Branch Office or corporate office.
For updated details of grievance officer, kindly refer the link- https://www.careinsurance.com/customer-grievance-redressal.html
If Insured Person is not satisfied with the redressal of grievance through above methods, the Insured Person may also approach the
office of Insurance Ombudsman of the respective area/region for redressal of grievance as per Insurance Ombudsman Rules 2017. The
details of insurance ombudsman offices may be referred in the annexure shared along with the Master policy document.
Grievance may also be lodged at IRDAI integrated Grievance Management System -https://bimabharosa.irdai.gov.in/
For Care Health Insurance Limited
Authorized Signatory
Date of Issue : 15/Jul/2025
Place of Issue : Gurgaon, Haryana
Service Branch : Vipul Tech Square TowerC3rd Floor Sector43Golf Course Road Branch Contact No. 0124-6141810
Gurgaon Haryana 122009Gurgaon,Haryana,122009 :
, RCM Applicability- N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State
GSTIN No.: 06AADCR6281N1ZW
UIN :CHIHLGP25038V022425
UIN: CHIHLGA24170V012324(Group Care 360 Plus)
CIN: U66000DL2007PLC161503
Note:
1- Validity of this certificate is subject to terms and conditions of Group Policy issued to the Group Policyholder.
2- In event of non-receipt of Premium, this certificate of insurance automatically stands cancelled from inception, irrespective of whether a
separate communication is sent or not. This policy is based on the information provided by the Insured to the Group Administrator. In case
you find any discrepancy in the same, please contact us immediately.
3- This Certificate of Insurance is governed by and is subject to the Terms and Conditions of the referred Group Policy.
Premium Acknowledgement
Policy No. 55616848
Client ID F1319330
Policyholder Ms Rashmi Nishad
D/o Siyasharan Nishad, House N 184, Ward N 10, Gra
Ijayaraghavgarh. 483775
Address Madhya Pradesh 23
Policy Period 16/Jul/2025 to 15/Jul/2026
Premium Details
Particulars Amount (in Rs.) S.no. Receipt Number Amount Mode of Payment
1 6776848 41.00 Fund Transfer
Gross Premium
Group Care 360° 35.00
Goods & Services Tax (GST) 6.30
Total 41.00
The Premium is rounded off to the nearest rupee.
Eligibility of Premium for Deduction u/s 80D of the Income Tax Act, 1961
The premium paid through any mode other than cash for this policy is eligible for Income tax benefits to the person making the payment
subject to the provisions of section 80D of the Income Tax Act, 1961 and amendments thereof. Effective from Assessment year 2019-20, in
cases where health insurance premium for multiple years is paid in one year, it will be eligible for proportionate deduction in the years in
which the health insurance continues to be effective.
Signature Not Verified
For Care Health Insurance Limited
Digitally signed by Manish Dodeja
Date: 20250715130241
Reason: I'm the author
Location: India
Authorized Signatory
Date of Issue : 15/Jul/2025
Place of Issue : Gurgaon, Haryana
Note:
1) In case of any discrepancy, the Policyholder is requested to contact the Company immediately.
2) Any amount paid in cash towards the premium would not qualify for tax benefits as mentioned above.
3) This document must be surrendered to the Company in case of Cancellation of the Policy or for the issuance of a fresh
certificate in the case of any alteration in the Policy.
4)This Policy is issued subject to realization of the premium amount. In case the instrument given towards the premium
amount is dishonored, then the cover provided under this Policy shall automatically get cancelled. In the given scenario, if
any amount has been paid by the Company in respect of a claim or due to any other reason than the amount so advanced
by the Company shall be refunded to the Company forthwith.
5) We may credit upto Rs. 1/- to your account for validation, before remitting any further payment.
