Star Health and Allied Insurance Company Limited

No.1, New Tank Street, Valluvar Kottam High Road,Nungambakkam, Chennai - 600034.
Phone : 044-28288800, Telefax : 044-28260062,
Website : www.starhealth.in and Email:[email protected]
IRDA Regn.No.129
Corporate Identity Number : U66010TN2005PLC056649

Quote for Group Health Insurance

Quote no : SME-22-07-2024-2387 Approved Date : 22-07-2024

S.no. Particulars
Insured Details
1 Name of the Branch/Area/Zonal Office Branch Office - Mira Road I
caistorpvtltd
2 Name and Address of the Insured lower parel, 400013
[email protected]
3 Total No. of Employees 30
Spouse 0
Children 0
Parents 0
4 Total No. of Dependents
In-laws 0
Dep Total 0
Grand Total 30
Premium Details
5 Sum Insured Per Family (Rs.) 3 Lakhs
6 Corporate buffer(rs.)
Individual (Employee)
Waiver of 30 days Waiting Period
7 Extensions Waiver of First Year Exclusions
Waiver of First Two Years Exclusions
Cover for Pre Existing Diseases
8 Previous claims experience
Premium 110968
9 Total Premium (Rs.) Add: GST at 18% 19975
Total 130943
10 Conditions
Family Definition:
Individual Sum Insured - Employee Only

RoomRent limits includingBoarding, Nursing Charges:

Restricted to 2% of Sum Insured subject to a maximum of Rs.5,000/- and ICU at Actuals
If the Insured occupies a room/ICU with a room rent limit other than his eligibility as per the insurance policy, then all the other
charges shall be limited to the charges applicable for the eligible room rentor actuals, whichever is lower.
 Star Health and Allied Insurance Company Limited
No.1, New Tank Street, Valluvar Kottam High Road,Nungambakkam, Chennai - 600034.
Phone : 044-28288800, Telefax : 044-28260062,
Website : www.starhealth.in and Email:[email protected]
IRDA Regn.No.129
Corporate Identity Number : U66010TN2005PLC056649

Pre and Post Natal Expenses Limit - Rs. 5000/- (within mentioned maternity limits).
- Pre Hospitalization - 30 Days
- Post Hospitalization - 60 Days.
- Pre hospitalisation expenses incurred prior to inception of policy with the Company is inadmissible.
Ambulance Expenses limits :
Rs.1,000/- per hospitalisation and Rs.2,000/- per policy period

Sub Limits :
Sub limits only for cataract
For sum Insured of Rs.3,00,000/- and above : Rs.30,000/- per eye.
Addition of Employees :
After the inception of the Policy, NO midterm inclusion of any employee unless he is a new joinee and such inclusion is also
subject to payment of additional premium on pro rata basis. For newly joined employees, the Insured shall provide
the date of joining.

Deletion of Employees on resignation :

The coverage under the policy in respect of the insured persons will cease once they cease to be an employee/ member of the
Insured or on the expiry of the policy, whichever is earlier. In respect of deletions, refund will be effected on prorata basis from
the date of deletion of the employee under the policy - subject to NO claim for the employee or the family members, for which
the Insured shall provide date of relieving of the employee
Claim Settlement :
Claims will be settled through Inhouse claims team.

Treatment in network hospital only :

- Treatment in our network hospitals only, However in the case of Medical Emergencies treatment can be taken in other Hospitals.
In all cases immediate intimation shall be given to our Call Center within 24 hours of Hospitalisation
Day Care Procedure :
- All Day Care Procedures covered.

ID Card :
- We shall issue photo ID cards in respect of all the covered persons and we require the passport size /stamp size photo for the same.

Increase / Decrease in Group size :

- The quote is given for the above mentioned specific population. In case of any increase or decrease in the population, the premium will vary.

11 All other terms and conditions as per SGHI Policy Clause.

 Star Health and Allied Insurance Company Limited
No.1, New Tank Street, Valluvar Kottam High Road,Nungambakkam, Chennai - 600034.
Phone : 044-28288800, Telefax : 044-28260062,
Website : www.starhealth.in and Email:[email protected]
IRDA Regn.No.129
Corporate Identity Number : U66010TN2005PLC056649

Sum insured wise Employees and dependant details:

Sum Insured Employee Spouse Child E+S+C Parents & In-laws Total Others

3 Lakhs 30 0 0 30 0 30 0

Total 30 0 0 30 0 30 0

Validity of the quote the above quote is valid for a period of 30 Days