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UIIC Group Health Insurance Policy

This document is an insurance policy schedule that provides coverage from March 3rd, 2023 to March 2nd, 2024 for M/s Archetype Agency Pvt Ltd. It covers 211 employees, 132 dependents, and 343 people total with a sum insured of Rs. 78,500,000 on a family floater basis. The base covers included in the policy are in-patient hospitalization expenses, day care treatment, pre and post-hospitalization expenses, road ambulance cover, and donor expenses cover.

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126 views1 page

UIIC Group Health Insurance Policy

This document is an insurance policy schedule that provides coverage from March 3rd, 2023 to March 2nd, 2024 for M/s Archetype Agency Pvt Ltd. It covers 211 employees, 132 dependents, and 343 people total with a sum insured of Rs. 78,500,000 on a family floater basis. The base covers included in the policy are in-patient hospitalization expenses, day care treatment, pre and post-hospitalization expenses, road ambulance cover, and donor expenses cover.

Uploaded by

ali asad
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
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POLICY NO.

:2219042822P114047182
UIN NO. UIIHLGP20043V011920

UNI GROUP HEALTH INSURANCE POLICY


SCHEDULE

Policy No. 2219042822P114047182 Previous Policy No.


Name/ID M/s ARCHETYPE AGENCY PVT LTD/23206110507
Tel. (O) Tel.(R) Fax
Insured Detail
EMail
Business/Occupation None
Period of Insurance From 00:00 Hours of 03/03/2023 To Midnight of 02/03/2024

Coinsurance UIIC 221904 : 100%

Risk Coverage Details:-

No. of Employees/Members covered 211


No. of Dependents Covered 132
Total No. of Persons covered 343
Sum Insured Slab/s( ) 300000/700000

Total Sum Insured( ) 78,500,000.00


Total Sum Insured (in words) Seven crores eighty five lakhs rupees only
Cover type basis Family Floater Basis
Family Definition Self,Employee/Member's legal spouse,Children

Base Covers:-

In-patient Hospitalisation Expenses Cover


Room, Boarding and Nursing expenses(per day limit)- 2% of Sum Insured or Actual Expenses Incurred, whichever is less
ICU/ICCU/HDU(per day limit)- 4 % of Sum Insured or Actual Expenses Incurred, whichever is less
Proportionate Clause-Applicable
Mental Illness Cover Limit for Named Illnesses- Not Opted
Day Care Treatment Cover
Actual Expenses Incurred
Pre-hospitalisation Medical Expenses Cover
Actual Expenses Incurred
Number of days-30
Post-hospitalisation Medical Expenses Cover
Actual Expenses Incurred
Number of days-60
Road Ambulance Cover
Actual Expenses Incurred
Domiciliary Hospitalisation Cover
5,000.00 or Actual Expenses Incurred, whichever is less
Donor Expenses Cover
Actual Expenses Incurred

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