2 00000
0
200000
Date : 30 November 2020
Mr Gaurav Garg
5C Arjun Apartment
Block-F Vikaspuri Near Oxford School
New Delhi
New Delhi 110018
Delhi
Policy No. : 10843118
Mobile No. : 9899999620
Subject : Renewal of Policy No. 10843118
Dear Mr Gaurav Garg,
We take this opportunity to thank you once again for entrusting us with your health; and assure you of our commitment to keep you
worry-free….hamesha.
We are pleased to confirm renewal of your policy; and enclosed are the following documents with regard to the same :
Policy Certificate
Premium Acknowledgement (including tax certificate)
To enjoy seamless services offered by your policy, please note the following :
- Health Cards and all other documents issued along with your first policy shall continue to be valid.
- To enable quicker processing, we request you to mention your Member Card Number / Policy Number in all future correspondence with us.
- To further simplify procedures, we’re online at www.careinsurance.com; where you can view network hospitals across the country, cashless
procedures and do much more.
For any clarifications, please feel free to mail us at [email protected] or call us at 1800-102-4488.
Wishing you Health….Hamesha!
5
Policy Certificate
Mr Gaurav Garg Policy No. 10843118
Plan Name CARE
5C Arjun Apartment
Cover type Individual
Block-F Vikaspuri Near Oxford School Policy Period - Start Date 00:00 hrs 02-Dec-2020
Policy Period - End Date Midnight 01-Dec-2021
New Delhi Premium Paid Rs. 19386
(Premium Rs 16428.75 + CGST Rs 0 + IGST Rs 2957.17 + SGST
Rs 0 + UGST Rs 0)
New Delhi 110018
Premium Payment Mode Single Premium
Delhi 07
1
1
Policyholder Date Of Birth Client ID
Gaurav Garg 23-Aug-1979 54634281
Details of Insured
Insured with the *No Claim
Name Client ID Date of Birth Relationship Company Pre-existing diseases Sum Insured Bonus
(since)
Suresh Chand Garg 54662326 08-Jul-1963 FATHER 30-Nov-2016 NONE 5,00,000.00 200,000.00
*The No Claim Bonus shown in the Policy Certificate is provisional. The No Claim Bonus calculated on the Expiry Date, shall only be considered as final. However, in case of any change in provisional No
Claim Bonus, the same shall be intimated to the Policyholder by the Company through a separate endorsement.
1
Contact details for Claims & Policy Servicing
Correspondence address Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector 39, Gurgaon -122001.(HARYANA)
Contact no. 1800-102-4488
Fax no. 1800-200-6677
Website www.careinsurance.com
Intermediary Details
Name Code Contact Number
Sulabh Saxena 20042011 8423580820
for Claims & Assistance: Call 1800-102-4488
10
Schedule of Benefits
S No. Particulars Basis of Offering
Pre-hospitalization up to 30 days before & Post-hospitalization up to
1 Pre-hospitalization & Post-hospitalization medical Expenses 60 days after hospitalization
10
2 Ambulance Cover Up to Rs. 2,000 per Hospitalization
3 Organ Donor Cover Up to Rs. 1,00,000 per Policy Year
Up to 10% of the Sum Insured per Policy Year, with a deductible of
4 Domiciliary Hospitalization first 3 days
5 Automatic Recharge One re-instatement of up to Sum Insured per Policy Year
6 Second Opinion Once per Policy Year per Insured Person for each major illness/injury
7 Alternative Treatments Up to Rs. 20,000 per Policy Year
10% of Sum Insured for each Claim free year, maximum upto 50% of
8 No Claims Bonus Sum Insured; reduced by 10% of Sum Insured in case of claim
9 Annual Health Check-up One Health Check-up per Insured Person per Policy Year
10 Hospitalization Expenses (In-patient Care and Day Care Treatment) Room Category = Single Private Room
Portability Details of the Insured
Previous Insurer : Icici Lombard General Ins. Co.
Date of First Expiry Policy SI Rs.
Name First Policy Number Expiry Policy Number Enrollment (Original SI+CB)
Suresh Chand Garg 4128i/HPR/84470586/ 30-Nov-2011
4128i/HPR586 300000 + 0.0
02/000
*SI = Sum Insured, CB = Cumulative Bonus
Special Conditions
S No. Particulars
1 Co-payment (Applicable where age of member at entry is 61 years or above)
For Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Authorized Signatory Date of Issue : 30-Nov-2020 Place of Issue : Gurgaon, Haryana
Service Branch : CHIL, Vipul Tech Square, Tower-C, 3Rd Floor, Golf Course Road, Gurgaon , Haryana - 122009 Branch Contact No. : 1800-102-4488
Correspondence Address:
Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector 39, Gurgaon -122001.(HARYANA) Contact No : 1800-102-4488
Website : www.careinsurance.com Email :
[email protected] Consolidated Stamp Duty paid vide E-Challan GRN no. 68134908 dated 08 Oct 2020, RCM Applicability- N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State GSTIN No.: 06AADCR6281N1ZW IRDA Registration Number - 148 UIN : RHIHLIP20091V041920
Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503
Note:
Attached with this Policy Certificate are the Policy terms and conditions, Optional Covers (if opted) and Annexures. Please ensure that these documents have been received, ead and understood. If any of these
documents have not been received, please email at
[email protected] or contact the Company at 1800-102-4488 / 1800-102-6655.
For waiting periods and exclusions under this Policy, please refer to Clause 4 of the Policy terms and conditions.
This Policy Certificate in original must be surrendered to the Company in case of cancellation of the Policy.
10843118
54662326 08-Jul-1963 SURESH CHAND GARG
REN
1
Premium Acknowledgement
Policy No. 10843118
Client ID 54634281
Policyholder Mr Gaurav Garg
Address 5C Arjun Apartment
Block-F Vikaspuri Near Oxford School
New Delhi
New Delhi 110018, Delhi
Policy Period 02-Dec-2020 to 01-Dec-2021
Premium Details
Particulars Amount (in Rs.) S.no. Receipt Number Amount Mode of Payment
1 32396699 19386 INTERNET PAYMENT GATEWAY (IPG)
Gross Premium
Care 16,428.75
Goods & Services Tax (GST) 2,957.17
Total 19,386.00
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.
For Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Authorized Signatory Date of Issue: 30-Nov-2020 Place of Issue: Gurgaon, Haryana
IRDA Registration Number - 148
Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503
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.
Signature Not
Verified
Digitally signed by
MANISH DODEJA
Date: 2020.12.02
06:48:12 IST
Reason: I'm the author
Location: India
