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Health Policy

This document is a premium receipt for Mr. Pramod Kumar Chaudhary's health insurance policy, ReAssure 2.0, with a base sum insured of ₹7,50,000. The total gross premium paid is ₹9,412.00, which includes applicable taxes and discounts, and the policy is effective from November 5, 2024, to November 4, 2025.

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Pramod Yadav
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9 views1 page

Health Policy

This document is a premium receipt for Mr. Pramod Kumar Chaudhary's health insurance policy, ReAssure 2.0, with a base sum insured of ₹7,50,000. The total gross premium paid is ₹9,412.00, which includes applicable taxes and discounts, and the policy is effective from November 5, 2024, to November 4, 2025.

Uploaded by

Pramod Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Premium Receipt - ReAssure 2.

0
Dear MR. PRAMOD KUMAR CHAUDHARY
HOUSE NO - 09- 50-2 SECOND CROSS CHIKKANNA LAYOUT,
MAHESHWARI NAGAR MAHADEV PURA,
BENGALURU
KARNATAKA - 560048

We acknowledge the receipt of payment towards the premium of the following health insurance policy:

Policyholder Name Mr. Pramod Kumar Chaudhary Policy Number 32808653202401

Product Name ReAssure 2.0 Plan Opted Individual Base Sum Insured 7,50,000

Policy Commencement Date # 05/11/2024 Policy Expiry Date 04/11/2025

Premium Calculation:

Premium (Rs.) - Base Product 8,396.00

Underwriting Loading (Rs.) 0.00

Digital Discount 420.00

Net Premium / Taxable value (Rs.) 7,976.00

Integrated Goods and Service Tax (18.00 %) 1,435.68

Central Goods and Service Tax (0.00 %) 0.00

State/UT Goods and Service Tax (0.00 %) 0.00

Gross Premium (Rs.) 9,412.00


#
Issuance of policy is subject to clearance of premium paid

Details of persons Insured:


Name of Person Insured Age Gender Relationship**

Mr. Pramod Kumar Chaudhary 33 Male Applicant

For the purpose of deduction under section 80D, the benefit shall be as per the provisions of the Income Tax Act,1961 and any amendments made
thereafter. For your eligibility and deductions, please refer to provisions of Income Tax Act 1961 as modified and consult your tax consultant. In the
event of non-realization of premium, tax benefits cannot be obtained against this premium receipt.

Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy are considered null and void.

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

Niva Bupa State Code: 9 Customer State Code / Customer GSTI No.: 29 /NA

Policy issuing office: Delhi, Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi.

Location: New Delhi Director - Operations & Customer Service


Date: 04/11/2024 For and on behalf of Niva Bupa Health Insurance Company Limited
(formerly known as Max Bupa Health Insurance Co. Ltd.)

Product Name: ReAssure 2.0 | Product UIN: NBHHLIP23169V012223

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