“_LookFeel_PolicySchedule_GHI
Page 16 of 21
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GROUP HEALTH (FLOATER) INSURANCE
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(ii) The insured shall give notice to the TPA by calling LL Aeon aaamaea
the toll free number as specified in the Policy _ expenses, wherever applicable.
provided to the insured and also in writing at the & Claim documents:
Sompeny earth pcre The red hal be reqd 10 faeh the
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1 Rte ote ear | |W "ty compl cm Yor none by the
fauionaup ofthe posse win oe | + inure
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pen he happening of any wnt ging wary to | Modal actors rer ator svi
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|b} The Insured shail doliver to the Company, within | bal oa . re eee
| 30 days from the date of completion of treatment, parece vai ool eee
| foe ance C eter ro oneans obi
| form together with bills, vouchers and any othe Peers
‘material particular, relevant to the making of such | R SAEEEaiee of Cite - The eottnert of
= Same ost don yt caany wat 5
a ee ee eee tectonic Fund anata mode
Free ackoos pp Torte 8 oy oo manoned a Pat of
Basie of assessment of the claim shall be as
under
The benefit payabie shall be such expenses
reasonably and necessariy incurred by of on
behalf ofthe Insured Person under the follwing
categories but nat exceeding the Sum Insured in
respect of such Insured person as specfed in Part
Tot the Patiey
the Poley) would belted to facilitate the flow of
information between the insured and. the
Company.
ena interest provision shal be as per Regulation
916) of (Protection “of Polcyholders' Interests)
Regulations, 2002,
LUMITATION PERIOD
Heads of compensation payable:
(Room and Boarding Expenses as incurred at
‘the Hospital Nursing Home;
Nursing Expenses;
Foo paid to Medical Practitioner, Surgeon,
Anaesthetics, Consultants and Specialist
——_
Inno case whatsoever shall the Company be Hable for
any claim under the Poe, the requirement of Clause
V(b) it) above are not complied with, unis the
Claim isthe subject of panaing action oF arbietion:
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