Date : 28 July 2023

Mr Jitendra Shah
Kolkata
Kolkata:700020
West Bengal
Mobile No. : XXXXXX5892

Dear Mr Jitendra Shah,

Thank you for trusting us as your preferred Health Insurer.

At Care Health Insurance, it is our endeavor to make quality healthcare easily accessible for our customers as well as ensure a truly hassle-free claim servicing experience.

To help you understand our services better, please go through the 'Know your policy better' kit that accompanies this letter and constitutes the following:

Policy Certificate

Premium Acknowledgement

Key Policy Information

Claim Process

Policy Terms and Conditions- https://bit.ly/3rFY1Du and also available on Customer App

Also appended herewith for your convenience is your Care Health Card. This card should be presented at the time of an emergency or a planned hospitalization, to avail cashless treatment at
our network of over 16000+ cashless network pan-India.

To further simplify procedures, we're online as well. Visit our portal www.careinsurance.com; and view network hospitals across the country, cashless procedures and do much more. In case of
a query at any juncture, feel free to mail us at [email protected] or call us at 1800-102-4488.

For any assistance feel free to mail us at [email protected] or call 1800-102-4488. Once again, we thank you for this opportunity to serve you, and wish you and your loved
ones good health always

Once again, we thank you for this opportunity to serve you, and wish you and your loved ones good health always!

Team Care Health Insurance CUSTOMER APP

For Android For iOS

Policy Certificate
Mr Jitendra Shah Policy No. 40294607
Plan Name CARE
15D,Sarat Bose Road Add-on Policy Name Care Shield
Kolkata Cover type Individual
Policy Period - Start Date 00:00 hrs 28-July-2023
Kolkata 700020 Policy Period - End Date Midnight 28-July-2024
Nominee Name Mrs Sudha Shah
Nominee Relationship (Wife)
Premium Paid Rs. 53244

Premium Payment Mode Single Premium

Details of Insured
Relationship Date of Birth Pre-existing Insured with the *No Claim *No Claim
Name Client ID with the
Policyholder (DD-MM-YYYY) diseases (since) Company (since) Sum Insured Bonus Bonus-SUPER
10,00,000.
Jitendra Shah 85946536 Father 27-May-1959 NONE 18-Mar-2017 00 100,000.00 500,000.00

*The No Claim Bonus & No Claim Bonus-SUPER shown in the Policy Certificate is provisional. The No Claim Bonus & No Claim Bonus-SUPER calculated on the Expiry Date, shall only be considered as
final. However, in case of any change in provisional No Claim Bonus & No Claim Bonus-SUPER , the same shall be intimated to the Policyholder by the Company through a separate endorsement.

Contact details for Claims & Policy Servicing

Correspondence address Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park,*
Sector 39, Gurgaon -122001.(HARYANA)

Contact no. 1800-102-4488

E-mail ID for Claims [email protected]

E-mail ID for Policy servicing [email protected]

Website www.careinsurance.com

Intermediary Details
Name Code Contact Number

Nj Insurance Brokers Pvt

20002170 3985500
Ltd
Schedule of Benefits
S No. Particulars Basis of Offering
1 Hospitalization Expenses (In-patient Care and Day Care Treatment) Room Category = Single Private Room (upgradable to next level)

Pre-hospitalization up to 30 days before & Post-hospitalization up to

2 Pre-hospitalization & Post-hospitalization medical expenses 60 days after hospitalization

3 Ambulance Cover Up to Rs. 2,500 per Hospitalization

4 Organ Donor Cover Up to Rs. 2,00,000 per Policy Year

5 Domiciliary Hospitalization Up to 10% of the Sum Insured per Policy Year, with a deductible of
first 3 days

6 Automatic Recharge One re-instatement of up to Sum Insured per Policy Year

7 Second Opinion Once per Policy Year per Insured Person for each major

8 Alternative Treatments Up to Rs. 30,000 per Policy Year

9 No Claims Bonus 10% of Sum Insured for each Claim free year, maximum upto 50% of
Sum Insured; reduced by 10% of Sum Insured in case of claim

10 Annual Health Check-up One Health Check-up per Insured Person per Policy Year

11 No Claim Bonus - SUPER (Add-on Cover) 50% of Sum Insured for each Claim free year, maximum upto 100% of
Sum Insured; Reduced by 50% of Sum Insured in case of Claim

Optional Cover
S No. Particulars Details
1 No Claim Bonus - SUPER Applicable
Special Conditions
S No. Particulars
1 Co-payment (Applicable where age of member at entry is 61 years or above)

Add-on Policy Benefits

UIN No- RHIHLIA21168V012021
Schedule of Benefits
S No. Particular Description
1 Claim Shield Applicable
2 NCB Shield Applicable
3 Inflation Shield Applicable
For Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)

Authorized Signatory Date of Issue : 28-July-2023 Place of Issue : Gurgaon, Haryana

Service Branch : CHIL, Om Towers, Unit 509, 5th Floor, 32,Jawaharlal Nehru Road,Kolkata ,West Bengal-700071, Kolkata , West Bengal - 700071 Branch Contact No. : 1800-102-4488
Correspondence Address:
Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park,
Website : www.careinsurance.com Email : [email protected]
Consolidated Stamp Duty paid vide E-Challan GRN no. 87219405 dated 10 February 2022, RCM Applicability- N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State GSTIN No.: 19AADCR6281N1ZP IRDA Registration Number - 148 UIN : CHIHLIP22184V062122
Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503
Note:
Attached with this Policy Certificate are the Policy terms and conditions, Optional Covers (if opted) and Annexures. Please ensure that these documents have been received, ead and understood. If any of these
documents have not been received, please email at [email protected] or contact the Company at 1800-102-4488 / 1800-102-6655.
For waiting periods and exclusions under this Policy, please refer to Clause 4 of the Policy terms and conditions.
This Policy Certificate in original must be surrendered to the Company in case of cancellation of the Policy.
40294607

85946536 27-May-1959 Jitendra Shah

Signature Not
Verified
Digitally signed by
MANISH DODEJA
Date: 2022.03.28
17:23:27 IST
Reason: I'm the author
Location: India