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| Date | 2024-10-07 |
|---|---|
| Type | Commercial Circular |
| Topic | claims |
| Currency | Currency not verified |
rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule conflict between the CIS and the policy document, the terms and conditions mentioned in the policy shall prevail.
FAMILY MEDICARE POLICY UIN. UIIHLIP24090V052324 POLICY NO.: 0722002824P110010723 Office Copy UNITED INDIA INSURANCE COMPANY LIMITED SKANDA ARCADE, NO 533, 1ST FLOOR, 60 FT ROAD, F BLOCK, SAHAKAR NAGAR, BANGALORE 560092 BANGALORE 560092 KARNATAKA PH: (80) 23345560 FAX: EMAIL: PERIOD OF INSURANCE FROM 00:00 Hrs on 26/10/2024 To MIDNIGHT on 25/10/2025 Policyholder MR G.BALAJI NO 132, IIIB MAIN, IV B CROSS, SOMESHWARANAGAR, GKVK POST, CHIKKABOMMASANDRA, BEHIND YELAHANKA NEW TOWN DIST BANGALORE, KARNATAKA 560065 BANGALORE KARNATAKA IMPORTANT NOTICE: KINDLY UPDATE YOUR AADHAAR NO. AND PAN/FORM 60. PLEASE IGNORE IF ALREADY UPDATED. Agent Name : K KUMAR . Agent Code : AGN1029328 Mobile/Landline Number/Email : 9448014910 dum@dummy.com The genuineness of the policy can be verified through "Verify Your Policy" link at www.uiic.co.in. For any Information, Service Requests and Grievances please write to 072200@uiic.co.in For ID Cards & Claim Intimations Please contact the TPA mentioned in the Policy document. Download Customer App(www.uiic.co.in). REGD. & HEAD OFFICE, 24, WHITES ROAD, CHENNAI - 600014. Website: http://www.uiic.co.in Printed By : CUSTOMER @ 07/10/2024 11:08:38 AM 1 / 12 POLICY NO.:0722002824P110010723 UIN. UIIHLIP24090V052324 FAMILY MEDICARE POLICY Policy Number 0722002824P110010723 Previous Policy No. 0722002823P108133503 Insured Detail Name/ID of Policyholder MR G.BALAJI /1331449758 Tel.(O) Tel.(R) Fax EMail gbalaji65@gmail.com Mobile 9242918191 Business/Occupation Supervisor Period Of Insurance From 00:00hrs of 26/10/2024 To Midnight on 25/10/2025 Policy Type Family Floater Basis Family Floater SI( ) 500,000.00 Coinsurance UIIC 072200 : 100% Insured Details Sl no Insured Name DOB & Age/Gender ABHA ID Relation Occupation Pre-Existing Disease /Condition declared Inception Date of first policy Nominee Name Nominee Relation Base Cover Premium( ) 1 G.BALAJI 27/10/1965 & 58/M Self Salaried None 26/10/2009 Y.S.LATHA Spouse 25,280.00 2 Y.S.LATHA 27/05/1969 & 55/F Spouse Housewife None 26/10/2009 G.BALAJI Spouse 17,605.00 3 B.DEEPIKA 12/10/1999 & 25/F Daughter - Unmarried Student None 26/10/2009 G.BALAJI Father 5,144.00 Optional Cover & Premium Details Hospital Daily Cash Limit (Per Day)( ) Not Opted Hospital Daily Cash Limit (Per Policy)( ) Not Opted Restore SI Opted Yes Pre-Existing Disease/ condition loading No Maternity & New Born Baby Cover Opted No Total Basic Premium( ) 48,029.00 Add Hospital Daily Cash Premium( ) 0.00 Add Maternity Expenses/ New Born Baby Cover Premium( ) 0.00 Add Restoration of SI Premium( ) 0.00 Add PED Loading( ) 0.00 Less Family Discount( ) 0.00 Less Direct Channel Discount( ) 0.00 Less No Claim Discount( ) 0.00 Less Family Floater Discount( ) 12,007.25 Less Online Discount( ) 0.00 Premium: 36,022.00 CGST(9%) 3,242.00 SGST(9%) 3,242.00 Stamp Duty: 1.00 Total: 42,506.00 Receipt Number : 10107220024111496782 Receipt Date: 07/10/2024 Agent Name K KUMAR . Agent/Broker Code AGN1029328 BDIS Name SIVA PRASAD T BDIS Code BD31540 2 / 12 POLICY NO.:0722002824P110010723 UIN. UIIHLIP24090V052324 Customer GST/UIN No.: Office GST No.: 29AAACU5552C1ZF SAC Code: 997133 Invoice No. & Date: 2824I110010723 & 07/10/2024 Amount Subject to Reverse Charges-NIL We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule. Anti Money Laundering Clause:-In the event of a claim under the policy exceeding 1 lakh or a claim for refund of premium exceeding 1 lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as well as Company's web site. LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in. Da
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