PREMIUM COMPUTATION SHEET

Department

: MISCELLANEOUS

Insured's Name

: RAJDEEP PAWAR

Document No

: R/252100/48/2016/7147

Document Date

: 01/10/2016

Policy Start Date

: 18/01/2017

Policy End Date

: 17/01/2018

Product Description : HAPPY FAMILY FLOATER-2015

Document Type

: Proposal

Policy Type

: HAPPY FAMILY FLOATER-2015

SCHEDULE OF PREMIUM

Cover Description
Basic Cover
LESS :Portal Discount
TOTAL PREMIUM
ADD :Swachh Bharat Cess
ADD :Krishi Kalyan Cess
ADD :SERVICE TAX
STAMP DUTY
TOTAL AMOUNT

Sum Insured

Premium

7,00,000.00
0.00

37,770.00
1,889.00
35,881.00
179.00
179.00
5,023.00
0.50
41,262.00

RISK DETAILS
Happy Family Floater-2015
Section :
Individual : RAJDEEP PAWAR / 700000 / 1
Cover Name

Sum Insured

Basic Cover

7,00,000.00

Rate

Premium
37,770.00
37,770.00

Total
Insured Person : 1 / RAJDEEP PAWAR /
Cover Name
GROUP MEDICLAIM - BUILT IN - AGE

Sum Insured

Rate

Premium

7,00,000.00

7906/1

7,906.00
7,906.00

Total
Insured Person : 2 / APARNA /
Cover Name
GROUP MEDICLAIM - BUILT IN - AGE

Sum Insured

Rate

Premium

7,00,000.00

5765/1

2,883.00
2,883.00

Total
Insured Person : 3 / MAHESH CHAND PAWAR /
Cover Name
GROUP MEDICLAIM - BUILT IN - AGE
Total
Insured Person : 4 / AARADHYA PAWAR /

Sum Insured

Rate

Premium

7,00,000.00

25089/1

25,089.00
25,089.00

-2Cover Name
GROUP MEDICLAIM - BUILT IN - AGE
Total

Sum Insured

Rate

Premium

7,00,000.00

4729/1

1,892.00
1,892.00