Professional Documents
Culture Documents
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
EIA Number :
Policy Number :2864/00151797/000/00
Name of the Proposer :ARUN KUMAR
Address : JAIPUR ‐ BRANCH
Mobile Number.: 9414043481 | Landline No.: | Mail: tarunjangid44@gmail.com
Aadhar No.: ‐ | PAN No.: ‐ | GSTIN.:
Period of Insurance :
Customer ID : 1009978174860001
From : 00:01:01 hrs on 19‐Feb‐2020 To : Midnight o n 18‐Feb‐2021
Coverage Details
Plan Name: Value Healthline Individual/Floater Coverage: Floater
(In case of floater coverage, Sum insured and Cumulative bonus Mentioned will represent our maximum liability for any and all claims made by any and all Insured persons during the policy period)
Details of Insured Person: *Date of commencement of coverage for first time
Sum Insured Ported Sum Insured Cumulative Bonus
Name Date of Birth Age Gender Relationship DOC* Co-Pay %
(Rs.) (Rs.) (Rs.)
ARUN KUMAR 14/12/1979 40 M Self 19/02/2020 0 500000 0
TARA DEVI 01/01/1982 38 F Spouse 19/02/2020 0
PALAK JANGID 25/07/2003 16 F Child 1 19/02/2020 0
PAYAL JANGID 14/09/2002 17 F Child 2 19/02/2020 0
HARSHIT JANGID 02/03/2007 12 M Child 3 19/02/2020 0
Additional Conditions or Exclusions, if any*:
*Pre‐existing diseases and exclusions given on the policy are not applicable after 48 months of continuous cover with Chola MS General Insurance Company Ltd.
**Nominee Details:
Nominee Name: tara devi Nominee Relationship: Spouse
**Nominee mentioned above is for the proposer. For other members covered under policy, proposer is deemed to be the nominee.
Premium Summary (Rs.)
Total Premium 13262.00 Service Tax 1790.4
Discount 1326.20 Primary Education Cess 0
Loading 0.00 Secondary Education Cess 0
Location Discount Gross Premium 14084.00
Net Premium 11936.00
Consolidated Stamp Duty Paid Vide G.O. Rt No. RT.No.244 , Commercial Taxes and Registration (j1) Department, Tamil Nadu dated 12/08/2014.
Payment Details Intermediary Details
Payment ID : Intermediary Code : 200181441169
Payment Date : Intermediary Name : IBLBANKRAJA PARK CLUSTERCHAURA RASTA JAIPUR
Payment Reference No.: Contact Number : 9199991999
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Note: The Certificate of Insurance / Policy Schedule is an important document issued based on your declaration. We request you to verify the details and ensure that everything is in order. In case of any
discrepancies, please contact us within 15 days from the date of issuance of policy.
Any difference in premium and amount collected will be refunded on submission of document for NEFT
For CHOLAMANDALAM MS GENERAL INSURANCE COMPANY LIMITED.
@CholaSign1
Signature Not Verified
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Tax Exemption Certificate
This is to certify that a sum of Rs.14084.00 (Rupees FOURTEEN THOUSAND EIGHTY‐FOUR) (Net Premium Rs.11936.00 and Service Tax Rs.2148.00) has been collected from
Mr/Mrs. ARUN KUMAR , via Cheque number written towards Health Insurance policy number 2864/00151797/000/00 for the duration of 00:00:01 hrs on 19 Feb 2020 to Midnight on 18
Feb 2021. This certificate is issued for the purpose of Income Tax under section 80D of the Income Tax Act.
For CHOLAMANDALAM MS GENERAL INSURANCE COMPANY LIMITED.
Signed at :Chennai @CholaSign1
Signature Not Verified
Digitally signed by Harish K S
Date: 2020.02.19 17:16:14
IST
Reason: Approved
Location: Chennai
Whether tax is payable under reverse charge basis - No. Authorised Signatory
Regd.&Head Office:Dare House, 2nd Floor, No.2, N.S.C Bose Road, Chennai-600 001, India
CIN: U66030TN2001PLC047977 | IRDAI Reg. No. 123
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Please verify the list of network hospitals before admission since treatment undergone in delisted hospitals will not be admissible for claim,if any.For details & clarification,please
visit website or call toll free number.
Our Partner Hospitals
S.No Hospital Name City Pincode Contact Number
1 A S P N EYE HOSPITAL BHILWARA 311001 1573007
2 ABHISHEK HOSPITAL JAIPUR 302004 2625110
3 ADARSH HOSPITAL JAIPUR 302012 2240550
4 ADINATH ENT & GENERAL HOSPITAL JAIPUR 302004 4025444
5 ADITYA HOSPITAL JAIPUR 302015 2741459
6 ADVANCE AMCURE HOSPITALS PVT.LTD JAIPUR 302029 3110367
7 ADVANCED NEUROLOGY & SUPER SPECIALITY HOSPITAL JAIPUR 302017 2724258
8 AGARWAL HOSPITAL JAIPUR 302017 27508181
9 AGRASEN MEDICAL RELIEF & RESEARCH SOCIETY JAIPUR 302023 2335325
10 AGRAWAL HOSPITAL TONK 304001 253903
11 AJMER HOSPITAL AJMER 305001 2622907
12 AKANSHA ORTHOPEDIC CENTRE KOTA 324005 2421369
13 ALLERGY ASTHMA & CHEST HOSPITAL JAIPUR 302018 2550883
14 AMAR ASHISH HOSPITAL UDAIPUR 313001 2429044
15 AMAR MEDICAL & RESEARCH CENTRE JAIPUR 302020 2391892
16 ANAND HOSPITAL & EYE CENTRE JAIPUR 302001 2371104
17 ANAND MULTISPECIALITY HOSPITAL & RESEARCH CENTRE AJMER 305901 225000
18 ANITA EYE HOSPITAL AND RETINAL CENTRE KOTA 324007 2390605
19 ANMOL EYE HOSPITAL GANGANAGAR 335001 2463909
20 ANUPAM EYE HOSPITAL AND RESEARCH CENTRE PVT LTD JAIPUR 302015 2744010
21 ANURAG NURSING HOME (THE MULTISPECIALITY HOSPITAL) BUNDI 323001 2443660
22 APEX HOSPITAL JAIPUR 302020 4109999
23 APEX HOSPITAL (P) LTD JAIPUR 302017 2751871
24 APEX SURATGARH MULTISPECIALITY HOSPITAL GANGANAGAR 335804 225511
25 APOLLO ENT HOSPITAL BARMER 344001 225641
26 ARAVALI HOSPITAL UDAIPUR 313003 2430222
27 ARIHANT HOSPITAL SIKAR 332001 255002
28 ARIHANT HOSPITAL - KOTA KOTA 324001 51353640
29 ARORA HOSPITAL (P) LTD BHARATPUR 321001 224667
30 ASG EYE HOSPITALS - BIKANER BIKANER 334001 3240300
31 ASG EYE HOSPITALS - JAIPUR JAIPUR 302001 2200581
32 ASG EYE HOSPITALS - MANSAROVAR JAIPUR 302001 2398577
33 ASG EYE HOSPITALS - NAGAUR NAGAUR 341001 246500
34 ASG EYE HOSPITALS - PALI PALI 306401 325301
35 ASG EYE HOSPITALS - PAOTA JODHPUR 342001 2002333
36 ASG EYE HOSPITALS - S.NAGAR JODHPUR 342001 5020425
37 ASG EYE HOSPITALS - UDAIPUR UDAIPUR 313001 2423428
38 ASG EYE HOSPITALS - VAISHALINAGAR JAIPUR 302001 7133952
39 ASG HOSPITAL PVT. LTD - PAL LINK ROAD JODHPUR 342003 2638824
40 ASHIRVAD HOSPITAL JAIPUR 302033 3554755
41 ASHISH HOSPITAL TONK 304001 243112
42 ASIAN SUPERSPECIALITY HOSPITAL JAIPUR 302016 9333333
43 ASOPA HOSPTIAL JAIPUR 302024 2246161
44 AYUSH HOSPITAL JAIPUR 302019 4033146
45 Apollo Specialty Hospitals Private Limited - JAIPUR JAIPUR 302001 2370209
46 B.LAL CHILDREN HOSPITAL ALWAR 301001 2940153
47 BABYLON HOSPITAL PVT LTD JAIPUR 302004 2611858
48 BAGARIA UROLOGY & GYNAEC HOSPITAL SIKAR 332001 60103499
49 BAHL HOSPITAL & MEDICAL RESEARCH CENTRE GANGANAGAR 335001 2463280
50 BALAJI HOSPITAL JODHPUR 342008 2713000
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Regd. Office: Dare House, 2, N.S.C Bose Road, Chennai ‐ 600 001. India.
T: +91‐44‐3044 5400 F: +91‐44‐3044 5550 E: customercare@cholams.murugappa.com
CIN No.: U66030TN2001PLC047977 | IRDA Regn. No.: 123
Chola Healthline Policy Schedule
[UIN: IRDAI/HLT/CMSGI/P‐H/V.II/51/2016‐17] [UIN: CHOHLGP14001V011314]
Refer website for policy wordings and detailed Terms & Conditions, Exclusions and the Ombudsman list.
Call Toll Free: 1800 208 5544 | SMS CHOLA to 56677 | Visit www.cholainsurance.com | Email customercare@cholams.murugappa.com
Disclaimer: The company may contact you for matters related to your policy or to provide details of products & services offered. To opt out from the facility, please register
under Do Not Call section on our website.