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Voucher

Name: Rahul Kalra

Address: House no. 302, Street No. 8 Old bishan nagar, Patiala Patiala

Pincode: 147001 District: PATIALA State: Punjab

Sr. Valid from Valid till Amount in


Description Qty Coupon Code
No. Date Date Rs.

NIVA BUPA - 400000, Livlong 365 - 7


1 1 SDOC-6001929 22-11-2023 21-11-2024 6675.00
Consultation

Total: 6675.00
You have made a wise choice
Here is your insurance cover for Health Insurance
NIVA BUPA HEALTH PLUS POLICY - Product UIN : NBHHLGP22157V032122

Cover Details

Cover Confirmation 200003479903 IIFL Group Master


50331000202200
Number Policy Number

Rahul Kalra
Your Name and Payment Collection
House no. 302, Street No. 8 Old bishan 20-11-2023
Address Date
nagar, Patiala Patiala

PATIALA, Period of Cover 00:01


City/Location From 22-11-2023
Punjab Midnight

Mobile No. and 8968781966, 00:01


To 21-11-2024
Email id Rahulkalra807@gmail.com Midnight

Partner Code and LIVLONG INSURANCE BROKERS LIMITED Partner Contact and 9819286666
Name (BR01790001) Email-id cs.insurance@iifl.com

Details of Member Covered:


Member Name Date of Birth/Age Gender Relation Policy Nominee/App Insured’s
Relationship with
ship with Type(Individual/ ointee Name Nominee/Appointee
Proposer Floater) Name

Rahul Kalra 01-05-1994 Male Self Floater Legal Heir Legal Heir

Navpreet kaur 07-12-1989 Female spouse Floater Legal Heir Legal Heir

Aarav kalra 01-07-2019 Male child Floater Legal Heir Legal Heir

Coverage Details:
Sum Insured
Coverage Details Limits Waiting periods
(INR)

1 Year & Indemnity cover upto


Policy Tenure & Options INR 400000
Sum Insured

Listed day care treatments


Day Care Procedures **Inbuilt
Covered up to Sum Insured
Initial Waiting period- 30 days.
Pre-Hospitalization Expenses **Inbuilt Up to 30 days
PED Waiting period- 48 months
Post-Hospitalization Expenses **Inbuilt Up to 60 days
Specific illness /Joint replacement
Road Ambulance **Inbuilt INR 2000
waiting period- 24 months
Domiciliary Hospitalization **Inbuilt Covered up to Sum Insured

Covered up to Sum Insured,


Modern Treatments **Inbuilt
T&C Applicable

Organ Donor **Inbuilt NA


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

Niva Bupa State Code:09 Customer State code:/Customer CGST No::

**Inbuilt– Sum Insured for these Benefits are not separately available but are a part of Section 1. B. Accidental & Illness Hospitalization Cover Sum Insured
Important Notice
1. Income tax benefit u/s 80D is available as per the existing Income Tax Laws. Please consult your tax advisor for more
details.
2. This Policy is subject to the terms, conditions and exclusions mentioned in the HEALTH PLUS, UIN :
NBHHLGP22157V032122
3. The contract will be cancelled ab intio in case; the consideration under the policy is not realized.
4. Policy issuing office : Delhi , Consolidated Stamp Duty deposited on the Master Policy. Goods and Service Tax
Registration No.: 09AAFCM7916H1Z6
5. Pursuant to Notification no 13/2020– Central Tax and Notification no 14/2020– Central Tax both dated 21st March 2020
read with rule 54 (2) of CGST Rules 2017, the provisions of E Invoicing & QR code are not applicable to an Insurance
company, hence E Invoice number and QR code has not been printed on this document. GST under RCM: NIL
6. The cover may be renewed on sole discretion of Niva Bupa Health Insurance Co Ltd subject to member being the part of
the group at the time of renewal also. In case You cease to be a member of the group, the cover will stand cancelled as
per T& C of the policyWhere the proposal form is not received, information obtained from insured, whether orally or
otherwise, is captured in the policy document. Discrepancies, if any, in the information contained in the policy document
may be pointed out by an insured within 15 days from the policy issue date after which information contained in the
policy document shall be deemed to have been accepted as correct.
7. For registration of claims, You may contact us at:Claims Department, Niva Bupa Health Insurance Company Limited,
2nd Floor, Plot No D-5, Sector 59, Noida, Gautam Budhnagar – 201301 Fax No.: 011-3090-2010 Or reach Us on
customercare @nivabupa.com

Powered By:

Niva Bupa Health Insurance Co. Ltd.


(formerly known as Max Bupa Health Insurance Co. Ltd.)
Niva Bupa Health Insurance Co. Ltd. 14th Floor,
Capital Cyberscape, Golf Course Extension Road,
Sector-59, Gurugram-122011(Haryana)

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