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    Medical Insurance Mother - Cleaned.cleaned

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    Adil Khan
    Ms. Srinivas received a premium receipt for her health insurance policy with Niva Bupa Health Insurance Company. The policy provides coverage of 15 lakhs for Ms. Srinivas and lists her mother, Ms. Pandiammal, as an insured person. The receipt details the policy number, dates, plan and premium amounts paid, including taxes. Issuance of the policy is subject to clearance of the paid premium.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Medical Insurance Mother - Cleaned.cleaned

    Uploaded by

    Adil Khan
    23 views1 page
    Ms. Srinivas received a premium receipt for her health insurance policy with Niva Bupa Health Insurance Company. The policy provides coverage of 15 lakhs for Ms. Srinivas and lists her mother, Ms. Pandiammal, as an insured person. The receipt details the policy number, dates, plan and premium amounts paid, including taxes. Issuance of the policy is subject to clearance of the paid premium.

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    Medical Insurance Mother.cleaned.cleaned

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    Ms. Srinivas received a premium receipt for her health insurance policy with Niva Bupa Health Insurance Company. The policy provides coverage of 15 lakhs for Ms. Srinivas and lists her mother, Ms. Pandiammal, as an insured person. The receipt details the policy number, dates, plan and premium amounts paid, including taxes. Issuance of the policy is subject to clearance of the paid premium.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views1 page

    Medical Insurance Mother - Cleaned.cleaned

    Uploaded by

    Adil Khan
    Ms. Srinivas received a premium receipt for her health insurance policy with Niva Bupa Health Insurance Company. The policy provides coverage of 15 lakhs for Ms. Srinivas and lists her mother, Ms. Pandiammal, as an insured person. The receipt details the policy number, dates, plan and premium amounts paid, including taxes. Issuance of the policy is subject to clearance of the paid premium.

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    Premium Receipt

    Dear MS. SRINIVAS


    S/O MANI RAJ H NO-16-11-310
    15/1 SALEEM NAGAR COLONY
    MALAKPET
    HYDERABAD
    TELANGANA - 500036

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

    Policy Holder's Name Ms. Srinivas Policy Number 30737110202204

    Commencement Date # 30/01/2024 Expiry Date 29/01/2025

    Plan Opted for HC VARIANT 3 15L NAT 1A

    Net Premium/Taxable Value (Rs.) 72060.00

    Integrated Goods and Service Tax (18.00 %) 0.00

    Central Goods and Service Tax (9.00 %) 6485.40

    State/Union Territory Goods and Service Tax (9.00 %) 6485.40

    Loading(Rs.) 0.00

    Gross Premium (Rs.) 85031.00


    #
    Issuance of policy is subject to clearance of premium paid

    Details of persons Insured:


    Name of Person Insured Age Gender Relationship to policy holder

    Ms. Pandiammal 64 Female Mother

    Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy are considered null and void. For the
    purpose of deduction under section 80D of the income Tax Act, 1961, please consult your tax advisor for more details. The benefit shall be as
    per the provisions of the Income Tax Act, 1961 and any amendments made thereafter.

    In the event of non-realization of premium, Tax benefits cannot be obtained against this premium receipt

    GSTI No.: 36AAFCM7916H2Z8 SAC Code / Type of Service : 997133 / General Insurance Services

    Niva Bupa State Code: 36 Customer State Code / Customer GSTI No.: 36 /NA

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

    Location: New Director - Operations & Customer Service


    Delhi Date: For and on behalf of Niva Bupa Health Insurance Company Limited
    27/01/2024 (formerly known as Max Bupa Health Insurance Co. Ltd.)

    Product Name: Health Companion, Safeguard, Rider UIN No.: MAXHLIA21576V012021, Product UIN No.: MAXHLIP21509V042021

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