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Thu Jan 09 16 - 30 - 29 GMT+05 - 30 2025 - 33720976202400 - Tax - Receipt

This document is a premium receipt for Mr. Prashant S Thorat's health insurance policy 'ReAssure 2.0' with a base sum insured of ₹10,00,000. The gross premium paid is ₹24,393.00, covering the policy period from 23/01/2024 to 22/01/2025, and includes details of the insured family members and tax deduction eligibility under section 80D of the Income Tax Act, 1961.

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24 views1 page

Thu Jan 09 16 - 30 - 29 GMT+05 - 30 2025 - 33720976202400 - Tax - Receipt

This document is a premium receipt for Mr. Prashant S Thorat's health insurance policy 'ReAssure 2.0' with a base sum insured of ₹10,00,000. The gross premium paid is ₹24,393.00, covering the policy period from 23/01/2024 to 22/01/2025, and includes details of the insured family members and tax deduction eligibility under section 80D of the Income Tax Act, 1961.

Uploaded by

vaarya336699
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Premium Receipt - ReAssure 2.

0
Dear MR. PRASHANT S THORAT
205 SANJIVANI SOCIETY, NEAR MANGESHI HALL
THANE
MAHARASHTRA - 421301

We acknowledge the receipt of payment towards the premium of the following health insurance policy:

Policyholder Name Mr. Prashant S Thorat Policy Number 33720976202400

Product Name ReAssure 2.0 Plan Opted Family Floater Base Sum Insured 10,00,000

Policy Commencement Date # 23/01/2024 Policy Expiry Date 22/01/2025

Premium Calculation:

Premium (Rs.) - Base Product 21,760.00

Underwriting Loading (Rs.) 0.00

Digital Discount 1,088.00

Net Premium / Taxable value (Rs.) 20,672.00

Integrated Goods and Service Tax (18.00 %) 3,720.96

Central Goods and Service Tax (0.00 %) 0.00

State/UT Goods and Service Tax (0.00 %) 0.00

Gross Premium (Rs.) 24,393.00


#
Issuance of policy is subject to clearance of premium paid

Details of persons Insured:


Name of Person Insured Age Gender Relationship**

Mr. Prashant S Thorat 39 Male Applicant

Ms. Ashwini Thorat 36 Female Spouse

Mr. Vivansh Thorat 4 Male Son

Ms. Aarya Thorat 10 Female Daughter

For the purpose of deduction under section 80D, the benefit shall be as per the provisions of the Income Tax Act,1961 and any amendments made
thereafter. For your eligibility and deductions, please refer to provisions of Income Tax Act 1961 as modified and consult your tax consultant. In the
event of non-realization of premium, tax benefits cannot be obtained against this premium receipt.

Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy are considered null and void.

GSTI No.: 07AAFCM7916H1ZA SAC Code / Type of Service : 997133 / General Insurance Services

Niva Bupa State Code: 7 Customer State Code / Customer GSTI No.: 27 /NA

Policy issuing office: Delhi, Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi.

Location: New Delhi Director - Operations & Customer Service


Date: 23/01/2024 For and on behalf of Niva Bupa Health Insurance Company Limited
(formerly known as Max Bupa Health Insurance Co. Ltd.)

Product Name: ReAssure 2.0 | Product UIN: NBHHLIP23169V012223

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