Health Insurance- father 2023

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STAR HEALTH INSURANCE POLICY Unique

Identification No.IRDA/NL-HLT/SHAI/P-H/V.III/398/14-15
SCHEDULE
Policy No. Previous Policy No. : P/272228/01/2022/129640
: P/161117/01/2023/230751
Customer Code : AA0003056379 GSTIN : 06AAJCS4517L1Z2
Customer Name : MANPREET KAUR SAC Code : 997133/Accident and Health Insurance Services
Proposer's Code : 4755594 Issuing Office Code : 161117
Proposer's Name : MANPREET KAUR Issuing Office Name : Branch Office - Gurgaon
Address : U-42/7, 3rd Floor Address : 8th Floor, Palm Court
DLF Phase 3 Maharana Pratap Circle, Gurgaon
GURGAON - 122002 - 122001
Haryana

Phone No : NIL/96500159151/ Phone No : 0124-4797454, 55, 56


E-mail Id : [email protected] E-mail Id : [email protected]
Proposer GSTIN : - Place of Supply : -
Proposal date : 26/11/2015 Fulfiller Code : SH37071

Date of Inception of first policy : 07/12/2015 Intermediary Code : BA0000175668


Renewal Year : Eighth Year
Name : Mrs.MEENAKSHI
Receipt No : 4265318751
GANGAL
Receipt Date : 12/01/2023 Phone No : /9999595997
Premium :Rs 30,500 /-
IGST @18% : 5,490 /- E-mail Id : [email protected]
Stamp Duty :Re 1 /- Total Premium :Rs 35,991/-
Total Premium In Words : Rupees Thirty Five Thousand Five Nine Hundred Ninety One Only

Period of Insurance : FROM 07/02/2023 00:00:00 TO : Midnight Of 06/02/2024


Scheme Description (Family Size) : 1 ADULT Basic Floater Sum Insured : Rs. 1000000 /-
Bonus : Rs. 1000000 /-
Sum Insured Under Section 1 (Health) Rs. 1000000 /-
Capital Sum Insured Under Section 7 (For Accidental Death & Permanent Rs. 1000000 /-
Total Disablement) : For Mr / Ms. AJAIPAL SINGH Only.
The limit of liability of Under Section 1(D), 1(G), 2, 3, 4, 5 & 7 are given in the schedule of benefits in the following pages.

Details of Insured Persons :


Sl. Name of the Insured Sex Date of Birth Age in Relationship with ID Card No Co-Pay Pre-existing Disease/s Inception Date
no. Yrs Proposer
1 AJAIPAL SINGH M 10/01/1960 63 FATHER 4755594-1 0 NIL 07/12/2015

Entered by : PREMIA For Star Health and Allied Insurance Company Ltd.

IRDAI Regn. No 129


Corporate Identity Number U66010TN2005PLC056649
Email ID : [email protected]
Authorised Signatory

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