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    National Insurance Company Limited

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    ラジャゴバラン サンカラナラヤナン
    This document is a certificate for a tailormade hospitalization benefit policy for the dependents of an Infosys employee. The policy covers the employee's father, aged 85, and mother, aged 65, under a floater sum insured of Rs. 2,00,000. The annual premium is Rs. 22,300 with total discounts of Rs. 2,230 bringing the net payable premium to Rs. 20,070. The policy period is from August 1, 2015 to July 31, 2016. Medi Assist India Pvt Ltd is listed as the third party administrator.

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    © All Rights Reserved
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    National Insurance Company Limited

    Uploaded by

    ラジャゴバラン サンカラナラヤナン
    439 views2 pages
    This document is a certificate for a tailormade hospitalization benefit policy for the dependents of an Infosys employee. The policy covers the employee's father, aged 85, and mother, aged 65, under a floater sum insured of Rs. 2,00,000. The annual premium is Rs. 22,300 with total discounts of Rs. 2,230 bringing the net payable premium to Rs. 20,070. The policy period is from August 1, 2015 to July 31, 2016. Medi Assist India Pvt Ltd is listed as the third party administrator.

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    national insurance details

    Original Title

    National Insurance Company Limited (3)

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    This document is a certificate for a tailormade hospitalization benefit policy for the dependents of an Infosys employee. The policy covers the employee's father, aged 85, and mother, aged 65, under a floater sum insured of Rs. 2,00,000. The annual premium is Rs. 22,300 with total discounts of Rs. 2,230 bringing the net payable premium to Rs. 20,070. The policy period is from August 1, 2015 to July 31, 2016. Medi Assist India Pvt Ltd is listed as the third party administrator.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    439 views2 pages

    National Insurance Company Limited

    Uploaded by

    ラジャゴバラン サンカラナラヤナン
    This document is a certificate for a tailormade hospitalization benefit policy for the dependents of an Infosys employee. The policy covers the employee's father, aged 85, and mother, aged 65, under a floater sum insured of Rs. 2,00,000. The annual premium is Rs. 22,300 with total discounts of Rs. 2,230 bringing the net payable premium to Rs. 20,070. The policy period is from August 1, 2015 to July 31, 2016. Medi Assist India Pvt Ltd is listed as the third party administrator.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    /w EPDw ULLTE4N

    OWY4NmQw ODE

    National Insurance Company Limited


    Divisional Office III, Shri Lakshmi Complex,
    St. Marks Road, Bangalore 560001.
    Tel: 080-2558 7443; 2558 6433. Fax: 080-2558 6336..

    TailormadeHospitalisation Benefit Policy for the Dependents of Infosys Employees


    Certificate No. ITL-157602
    Policy
    Period

    From

    Attached to and forming part of Policy No. 602200/46/15/8500000163

    01 Aug 2015

    Name of the Proposer :


    Address:

    To

    31 Jul 2016

    Infosys Employee ID 157602


    Location
    CHENNAI

    Rajagobalan Sankaranarayanan
    Flat No G1, Plot No 5A Bharathi Cross Street New Perungalathur
    CHENNAI
    TAMIL NADU
    India
    *All amount in INR

    Name

    Gender Relation Date Of Birth Age Plan type Sum Insured Premium

    Sankaranarayanan Narayanan

    Father

    04 Jul 1930

    85

    Krishnammal Sankaranarayanan F

    Mother

    12 Dec 1950

    65

    Proposal & Declaration Date:

    30 Jul 2015

    Name of the TPA:


    Medi Assist India Pvt Ltd
    Sri Krishna Arcade
    47/1, 9th Cross, 1st Main Road,

    Floater

    Total Premium :
    Loyalty Discount:
    No-Claim Discount:
    Group Discount:
    Total Discount:
    Net Premium Payable:

    For and on behalf of


    National Insurance Co Ltd.

    2,00,000

    22,300

    22,300
    2,230
    0
    0
    2,230
    20,070

    Sarakki Industrial Layout, 3rd Phase, J.P.Nagar,


    Bangalore 560078
    Toll Free: 1-800-425-9596.
    Toll Free Fax: 1-800-425-9559/1-800-102-5254.
    Email: [email protected]

    Sd/Authorised Signatory

    Note:
    1.

    This is an electronically generated document and does not require any signature.

    2.

    Premium paid for natural parents only is eligible for deduction u/s 80D of Income Tax Act.

    3.

    *All amount are in INR

    4.

    Actual coverage starts from the date of Nomination or 1st August 2015 whichever is later

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