No.

of Members Insured Plan Type Sum Insured Age Policy Term Base Premium
Individual Silver 5L 42 1 14,649

Total Premium (before discount) 19,013

Co-Pay Discount -
Long Term Discount 0.0%
Employee Discount 0
Family Discount 0
Final Discount 0.0%
Total Discount -
Total Premium (before GST) 19,013
GST 3,422
Total Premium (after GST) 22,435
Critical illnessRestoration Recharge Premium Befor
Health 241 P Co-Pay Discou Premium
- 561 - 15,210 3,803 0% 19,013
- - -
- - -
- - -
- - -
- - -
- - -
- - -
Health Insurance Premium Calculator

0
POLICY DETAILS:
Proposal Type Floater
Number of Members to be insured 4
Plan type Silver
Floater type 2A + 2C
Sum insured 5L
DoB (DD/MM/YYYY) 5/1/1977
Age 42
Policy term (years) 1
Voluntary co-pay option 0%
Employee discount No

PREMIUM RATE:
Base rate 14,649
CI add-on 0
Restoration add-on 561
Recharge add-on 0
Health 241 3,803
Total Premium (before discount) 19,013
Discount 0
Total Premium (before GST) 19,013
GST 3,422
Total Premium (after GST) 22,435
ADD-ONS:
Critical illness No
Restoration Yes
Recharge No
Health 241 Yes

Agent Name: Amit Tripathy

Health Insurance Premium Calculator

0
POLICY DETAILS:
Plan type Silver
Floater type 1A
Sum insured 3L
DoB (DD/MM/YYYY) 1/1/2000
Age 19
Policy term (years) 1
Voluntary co-pay option 0%

PREMIUM RATE:
Base rate 2,499
CI add-on 0
Restoration add-on 0
Recharge add-on 0
Total Premium (before discount) 2,499
ADD-ONS:
Critical illness No
Restoration No
Recharge No

Agent Name: Amit Tripathy

Health Insurance Premium Calculator

0
POLICY DETAILS:
Plan type Silver
Floater type 1A
Sum insured 3L
DoB (DD/MM/YYYY) 1/1/2000
Age 19
Policy term (years) 1
Voluntary co-pay option 0%

PREMIUM RATE:
Base rate 2,499
CI add-on 0
Restoration add-on 0
Recharge add-on 0
Total Premium (before discount) 2,499
ADD-ONS:
Critical illness No
Restoration No
Recharge No

Agent Name: Amit Tripathy

Health Insurance Premium Calculator

0
POLICY DETAILS:
Plan type Silver
Floater type 1A
Sum insured 3L
DoB (DD/MM/YYYY) 1/1/2000
Age 19
Policy term (years) 1
Voluntary co-pay option 0%

PREMIUM RATE:
Base rate 2,499
CI add-on 0
Restoration add-on 0
Recharge add-on 0
Total Premium (before discount) 2,499
ADD-ONS:
Critical illness No
Restoration No
Recharge No

Agent Name: Amit Tripathy

Health Insurance Premium Calculator

0
POLICY DETAILS:
Plan type Silver
Floater type 1A
Sum insured 3L
DoB (DD/MM/YYYY) 1/1/2000
Age 19
Policy term (years) 1
Voluntary co-pay option 0%

PREMIUM RATE:
Base rate 2,499
CI add-on 0
Restoration add-on 0
Recharge add-on 0
Total Premium (before discount) 2,499
ADD-ONS:
Critical illness No
Restoration No
Recharge No

Agent Name: Amit Tripathy

Health Insurance Premium Calculator

0
POLICY DETAILS:
Plan type Silver
Floater type 1A
Sum insured 3L
DoB (DD/MM/YYYY) 1/1/2000
Age 19
Policy term (years) 1
Voluntary co-pay option 0%

PREMIUM RATE:
Base rate 2,499
CI add-on 0
Restoration add-on 0
Recharge add-on 0
Total Premium (before discount) 2,499
ADD-ONS:
Critical illness No
Restoration No
Recharge No

Agent Name: Amit Tripathy

Health Insurance Premium Calculator

0
POLICY DETAILS:
Plan type Silver
Floater type 1A
Sum insured 3L
DoB (DD/MM/YYYY) 1/1/2000
Age 19
Policy term (years) 1
Voluntary co-pay option 0%

PREMIUM RATE:
Base rate 2,499
CI add-on 0
Restoration add-on 0
Recharge add-on 0
Total Premium (before discount) 2,499
ADD-ONS:
Critical illness No
Restoration No
Recharge No

Agent Name: Amit Tripathy

Health Insurance Premium Calculator

0
POLICY DETAILS:
Plan type Gold
Floater type 1A
Sum insured 5L
DoB (DD/MM/YYYY) 1/1/2000
Age 19
Policy term (years) 1
Voluntary co-pay option 0%

PREMIUM RATE:
Base rate 4,299
CI add-on 0
Restoration add-on 0
Recharge add-on 0
Total Premium (before discount) 4,299
 ADD-ONS:
Critical illness No
Restoration No
Recharge No

CI and Restoration benefit is in-built

Agent Name: Amit Tripathy