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“_LookFeel_PolicySchedule_GHI Page 16 of 21 | eosssesStontore EE ea ae GROUP HEALTH (FLOATER) INSURANCE Voss ety sua by tins and the |G) Anata, a8, Onomn, Operon Conpar wt onder fcrogera eg ‘eure Chuge Surge” Apparen 0 aire Seine Mcras ¢ ds, DapostcMaerae {A dain hve to bina 48 opto sre hap Bale choy, toepetfono win 20 have got son fedora, Cost Packer, Ae io 8 cae Ca oo sae inant emery for ome stoner Gatm cso: ror (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 - eee ee {chong fr or meuppar tac 1 Rte ote ear | |W "ty compl cm Yor none by the fauionaup ofthe posse win oe | + inure Poke: Ogre! bil, resem and dts | ute tame a cota nt Hoel 5 Ni and dose of he atong Maisl |g) Saga it tom Chis spp by | Praion en e Hoa oe + robes bomen toy be dan to Zo Crane mange et mp and thine inryontaeaon +o a (Te proce fo dg the Sa sal be os | gy, pemmenuacee na pen he happening of any wnt ging wary to | Modal actors rer ator svi ge iaatoa cam sd the pty 17" Tene sa mec ote retin | 8 Accu dt for Eton Fund Tr wg we coy |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: w | wo hhttp://10.24.153.25/Configurator/HTML ReportSource/zrhslbSSavnuuezy2hokfg4SUC Loo... 9/9/2016

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