How To Reach Us?: Mr. Mahavir Parshad

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MR.

MAHAVIR PARSHAD
S O MURARI LAL AGHIAR 53 MAHENDERGARH NR.
GOVT SCHOOL MAHENDRAGARH HARYANA -
123034
Mobile No: ******4024

Certificate of Insurance(COI) - Everyday Health

How to reach us?


Online Renewal
Website
It takes a few minutes to renew your policy Log on to
www.nivabupa.com
www.nivabupa.com/renew

Customer Helpline No.


Like us on Facebook
1860-500-8888

Customer Services
Follow us on twitter
Insta Assist

Important Terms & Conditions (T&C)


a. Niva Bupa requests you to refer to the detailed Terms and Conditions (T&C) available with the Group Master Policyholder.
You may also refer the T&C on our website.
b. Free Look Provision: You can review the T&C within the number of days specified overleaf and request cancellation of the
Certificate of Insurance in case of objections to any T&C. We will refund the premium as specified in the T&C provided that
no claim has been registered under the cover.
c. Grievances Redressal In case of any query or complaint/grievance, you may approach our office at the below mentioned
address. In case you are not satisfied with our resolution, You ,may register a complaint in the Integrated grievance
Management System (IGMS) of IROAI or approach the Insurance Ombudsman. Details about the IGMS and Ombudsman
are available on our website.
Certificate of Insurance(COI) - Everyday Health

Group Master Policy Number 50792900202400 Group Master PolicyHolder Name HDFC BANK LTD.

Group Master Policyholder Address HDFC BANK HOUSE C.S NO Group Master Policy Issue date 15/06/2024
& Pincode 6/242,SENAPATI BAPAT MARG
Lower Parel LATUR
MAHARASHTRA 400013

Certificate Number 200241693601 Proposer Name MR. MAHAVIR PARSHAD

Cover Inception Date and Time 24/06/2024 12:00 AM Proposer Address & Pincode S O MURARI LAL AGHIAR 53
MAHENDERGARH NR. GOVT
SCHOOL MAHENDRAGARH
HARYANA - 123034

Cover Expiry Date and Time 23/06/2029 11:59 PM Contact Number ******4024

Policy Tenure 60 Months AUTHAGR 153387294

Insured details

Certificate No. Salutation Insured Name Date of Birth/ Age Gender Relationship with proposer GSTno. Sum Insured

200241693601 MR. MAHAVIR PARSHAD 15/08/1986 M Self NA


5000.00

Nominee details
Nominee Name Relationship Appointee Details(if nominee is minor)

SUHAN SPOUSE

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Benefit Summary

Teleconsultation (general practitioner and Specialist) Unlimited

Doctor Consultation GP (Cashless) INR 2,000

Preventive health checkup Silver 1 voucher

Diagnostics INR 5,000

Waiting Period

Initial Waiting Period 30 Days

Waiting Period for Disease Specific Exclusions Waived

Pre-Existing Diseases (PED) waiting period Waived

Free Look Provision 30 Days

Intermediary Details

Intermediary Name Intermediary Code Intermediary Contact No

HDFC BANK LTD. BNK0090001 02261606161

GST Details:

GSTI No.: 09AAFCM7916H1Z6 SAC Code / Type of Service : 997133 / General Insurance Services

Niva Bupa State Code : 09 Customer State Code / Customer GSTI No. : 6 / NA

Premium Details
Net CGST(0.00%) SGST/UTGST(0.00%) IGST(18.00%) Gross Gross Premium(Rs.) (in words) Premium
Premium(Rs.) Premium(Rs.) frequency

177.97 0.00 0.00 32.03 210 Two Hundred Ten Only Single

Income tax benefit u/s 80D is available as per the existing Income Tax Laws.Please consult your tax advisor for more details.
This Policy is subject to the terms, conditions and exclusions mentioned in the Everyday Health, Product UIN: NBHHLGP24173V012324
The contract will be cancelled ab intio in case; the consideration under the policy is not realized.
Policy issuing office : Delhi , Consolidated Stamp Duty deposited on the Master Policy.
Goods and Service Tax Registration No.: 09AAFCM7916H1Z6
The cover may be renewed on sole discretion of Niva Bupa Health Insurance Co Ltd subject to member being the part of the group at the time of
renewal also. In case You cease to be a member of the group, the cover will stand cancelled as per T& C of the policy
Where the proposal form is not received, information obtained from insured, whether orally or otherwise, is captured in the policy
document.Discrepancies, if any, in the information contained in the policy document may be pointed out by an insured within 15 days from the policy
issue date after which information contained in the policy document shall be deemed to have been accepted as correct.
For registration of claims You may contact us at:
Claims Department, Niva Bupa Health Insurance Company Limited, 2nd Floor, Plot No D-5, Sector 59, Noida, Gautam Budhnagar – 201301 Or email
Us through our service platform https://rules.nivabupa.com/customer-service/

Location: Noida, Uttar Pradesh


Director - Operations & Customer Service
Date: 01/07/2024
For and on behalf of Niva Bupa Health Insurance Co.Ltd.
(Formerly known as Max Bupa Health Insur ance Co.Ltd.)

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