POLICY -Life Line - Medi Cash Plus TYPE OF POLICY - Health Insurance - Non Linked-Non Participating GENERAL OFFICE-MNYL Agency Distribution Pondicherry
POLICY NO : 810759373 PROPOSAL NO : 810759373
CLIENT ID : 1283871298 DATE OF PROPOSAL : 24-Jul-2010 POLICY HOLDER/ PROPOSER/ LIFE INSURED: SEX : Male MR. T LAKSHMI PRASANTH
ADDRESS : PAN NO. : AFDVHH2222
87 THANGAGIRI HOUSE POTHIGAI NAGAR PERUMALPURAM TIRUNELVELI 627007 TAMIL NADU DATE OF BIRTH : 09-Dec-1976
WHETHER AGE ADMITTED Yes
EFFECTIVE DATE OF COVERAGE : 09-Aug-2010
PREMIUM MODE : Annual NOMINEE (S) APPOINTEE(In case Nominee is a minor) MRS. SARITHA .
PREMIUM METHOD : METHOD BILLED DRAW DATE : 20-apr-2010
OF DATE EVENT /SCALE OF PREMIUM WHEN FLAT COVERAGES BENEFIT (`) PREMIUM EXTRA PAYABLE/ PREMIUM DATE WHEN LAST INSTALMENT OF PREMIUM DUE Life Line - Medi 09-AUG-20 Hospitalisation 2 4521.21 9th of Aug Every NA Cash Plus Year; 09-Aug-2019
TOTAL SERVICE TAX FOR ALL COVERAGES : `465.68
TOTAL MODAL PREMIUM FOR ALL COVERAGES UNDER POLICY : `4986.89
