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    CN & Slip Irawan, Ita Oq Pt. Pratama Plast Mandri

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    Ayu Puspita Sari
    - PT Asuransi Jasatania is providing a credit note for a facultative reinsurance placement with PT Asuransi Eka Llyod Jaya for fire/property coverage of a private warehouse. - The reinsurance covers 15% of the cedant's share, which is IDR 2,722,500,000 of the total IDR 18,150,000,000 sum insured. - The gross reinsurance premium is IDR 7,486,875 and after a 30% commission deduction of IDR 2,246,062.50, the balance due to PT Asuransi Jasatania is IDR 5,240,812.50.

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    CN & Slip Irawan, Ita Oq Pt. Pratama Plast Mandri

    Uploaded by

    Ayu Puspita Sari
    55 views3 pages
    - PT Asuransi Jasatania is providing a credit note for a facultative reinsurance placement with PT Asuransi Eka Llyod Jaya for fire/property coverage of a private warehouse. - The reinsurance covers 15% of the cedant's share, which is IDR 2,722,500,000 of the total IDR 18,150,000,000 sum insured. - The gross reinsurance premium is IDR 7,486,875 and after a 30% commission deduction of IDR 2,246,062.50, the balance due to PT Asuransi Jasatania is IDR 5,240,812.50.

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    Cn & Slip Irawan, Ita Oq Pt. Pratama Plast Mandri

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    - PT Asuransi Jasatania is providing a credit note for a facultative reinsurance placement with PT Asuransi Eka Llyod Jaya for fire/property coverage of a private warehouse. - The reinsurance covers 15% of the cedant's share, which is IDR 2,722,500,000 of the total IDR 18,150,000,000 sum insured. - The gross reinsurance premium is IDR 7,486,875 and after a 30% commission deduction of IDR 2,246,062.50, the balance due to PT Asuransi Jasatania is IDR 5,240,812.50.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views3 pages

    CN & Slip Irawan, Ita Oq Pt. Pratama Plast Mandri

    Uploaded by

    Ayu Puspita Sari
    - PT Asuransi Jasatania is providing a credit note for a facultative reinsurance placement with PT Asuransi Eka Llyod Jaya for fire/property coverage of a private warehouse. - The reinsurance covers 15% of the cedant's share, which is IDR 2,722,500,000 of the total IDR 18,150,000,000 sum insured. - The gross reinsurance premium is IDR 7,486,875 and after a 30% commission deduction of IDR 2,246,062.50, the balance due to PT Asuransi Jasatania is IDR 5,240,812.50.

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    FACULTATIVE REINSURANCE PREMIUM CLOSING

    ( CREDIT NOTE ) 30 SEPT 2022

    PT ASURANSI JASATANIA

    JL TEUKU CIK DITIRO NO 14 MENTENG


    JAKARTA PUSAT
    INDONESIA

    Dear Sirs

    We forward herewith our Premium Closing of the following facultative reinsurance placement for/with you:

    COVER NOTE NUMBER : 21101625


    FACULTATIVE CODE : 2022001525
    CEDANT : PT. ASURANSI EKA LLOYD JAYA
    CLASS : FIRE / PROPERTY
    CEDANT'S POLICY NO : CM01012122000024
    CEDANT'S REF. NO :
    ORIGINAL INSURED : IRAWAN, ITA QQ PT. PRATAMA PLAST MANDIRI

    DESCRIPTION :
    RISK DETAILS :
    R/I PERIOD : 26 JUL 2022 - 26 JUL 2023
    CURRENCY : IDR
    TOTAL SUM INSURED :
    18,150,000,000.00
    CEDANT SHARE OF SI :
    YOUR SHARE OF SI :
    2,722,500,000.00
    GROSS PREMIUM :
    49,912,500.00 (FOR TSI/CEDANT'S SHARE)
    YOUR SIGNED SHARE % :
    15.000000 PART OF TSI/CEDANT'S SHARE
    PREMIUM : 7,486,875.00
    TOTAL DEDUCTIONS : -2,246,062.50

    BALANCE : 5,240,812.50

    BALANCE DUE BY/TO(-) YOU : -5,240,812.50

    Kindly check this document carefully and in case of any error, please contact us immediately. Thanking you.

    Yours faithfully
    PT. JBBODA VIVA INDONESIA REINSURANCE BROKERS

    MAHARANI SEBA / JUNARI

    S.E. & O.
    OUTWARD FACULTATIVE REINSURANCE SLIP

    THE CEDING COMPANY

    Ceding COY : PT Asuransi Eka Llyod Jaya


    Type of Insurance : Polis Standard Asuransi Kebakaran Indonesia
    Cession No. : 01012122000042
    Policy No. : CM01012122000024
    Period of Cover : July 26, 2022 to July 26, 2023
    The Insured : IRAWAN, ITA OQ PT. PRATAMA PLAST MANDRI
    Risk Insured :

    Interest Insured :

    Occupacy : PRIVATE WAREHOUSE / OFFICE


    Risk Location : PERGUDANGAN PANTA INDAH DADAP BLOK R No .31, 32, 33 & 35 JL. RAYA
    PRANCIS - TANGERANG
    Org. Sum Insured : IDR 18,150,000,000.00
    Ceding Share : IDR 4,537,500,000.00

    THE REINSURER
    Name : PT ASURANSI JASATANIA
    Period of Reins. : July 26, 2022 to July 26, 2023
    Percentage Reins. : 15.00 % of TSI
    Sum Reins. : IDR 2,722,500,000.00
    Facultative Rate :

    R/I Com : 30.00%


    WPC RE : 75 Days
    Due Date : October 09, 2022

    Deductible :

    P a g e 1|2
    Clause :

    PREMIUM : Gross Premium :


    CALCULATION IDR 18,150,000,000.00 X 0.1059% X 15.00% = 2,883,127.50
    IDR 18,150,000,000.00 X 0.1691% X 15.00% = 4,603,747.50

    R/I Commission : IDR 7,486,875.00 X 30.00 % = 2,246,062.50


    Due to you : IDR 5,240,812.50

    SIGNED FOR AND ON BEHALF OF THE COMPANY


    PT JBBODA Viva Indonesia Reinsurance Broker The Reinsurer

    Signed at Jakarta on September 30, 2022

    P a g e 2|2

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