4,

Date : 22 June 2021

Mr Yashwant K Katre
Jindal Steell Power Ltd 13 Km Stone Ge Rnh 6 Raipur Mand
Ir Hasoud 492015
Banarsi 492015
Chhattisgarh
Policy No. : 31756723
Mobile No. : 9340400784

Dear Mr Yashwant K Katre ,

Welcome to a world where what matters, above all, is your Health….Hamesha!

Welcome to Care Health Insurance.

At Care, it's our mission to provide you access to the highest quality of healthcare and put you back on the road to a worry-free
recovery, without a care about medical bills and other related expenses.

Moreover, as a member of a group that is driven by innovation and constantly aims at creating value, you can expect an
unmatched bouquet of products and services.

To help you understand our benefits & services better, please find the following details:
Certificate of Insurance
What’s more ! Our policy comes with a free-look period of 15 days from the date of receipt. Hence, after purchasing the policy,
if you find it unsuitable, you can cancel and return the policy to us.

To further simplify procedures, we're online at www.careinsurance.com; where you can view network hospitals across the
country, cashless procedures and do much more.

For any assistance feel free to mail us at customerfirst@careinsurance.com or call 1800-102-4488.

Once again, we thank you for this opportunity to serve you, and wish you and your loved ones good health always!

Team Care Health Insurance

 Group Policyholder:

Underwritten By:
6110
fo 18

Certificate of Insurance

Group Policyholder Name RBL Bank Ltd.

Mr Yashwant K Katre Group Policy No. 11020146
Certificate of Insurance No. 31756723
Plan Name Group Secure(RBL)
Jindal Steell Power Ltd 13 Km Stone Ge Rnh 6 Raipur Mand Cover Start Date 00:00 hrs 22-Jun-2021
Cover End Date Midnight 21-Jun-2022
Ir Hasoud 492015 Premium Paid Rs. 720
Banarsi 492015 (Premium Rs 610 + CGST Rs 0 + IGST Rs
109.8 + SGST Rs 0 + UGST Rs 0)
Chhattisgarh 22 Premium Payment Mode Single Premium

Details of Applicant
Applicant Date Of Birth Client ID
Yashwant K Katre 01-Jun-1980 89014297
1
1

Details of Insured
Insured with
Name Client ID Date of Birth Relationship the Company Pre-existing diseases
(since)
Yashwant K Katre 89014297 01-Jun-1980 Member 22-Jun-2021 None

Details of Cover
S No. Particulars Details
1 Sum Insured Rs. 12,00,000

Intermediary Details
Name Code Contact Number
Rbl Bank Limited 20051425 2243020600

for Claims & Assistance: Call 1800-102-4488

20
Benefits
S No. Particulars Basis of Offering (On Annual Basis)
1 Accidental Death 100% of Sum Insured

2 Permanent Total Disablement Up to 100% of Sum Insured, depending on severity

Key Exclusions
• Any existing disability/injury prior to the inception of this Certificate
• Claims arising out of sickness/illness (Natural Death)
• Death Caused due to:
• - Intentional self-injury, suicide or attempted suicide
• - Whilst under the influence of alcohol or drugs
• - Committing any breach of law with criminal intent
• - Child birth, pregnancy or related ailments
• - A complication of infection with Human Immune Deficiency Virus (HIV) or any variance including Acquired Immune Deficiency Syndrome (AIDS)
and AIDS Related Complex (ARC) or venereal disease
• - Insured Member engaged in any Hazardous Activities
• - Resulting due to any disease or infection except where such condition arises directly as a consequence of an accident during the Cover period.
Note: This is an indicative list of exclusions and not exhaustive. For the entire list of exclusions, please refer to the Group Policy Terms and Conditions
issued to the Group Policyholder.

Portability/Renewability
S No. Particulars
1 Renewal under the scheme is subject to continuation of this scheme by Group Policyholder
2 You can port from this scheme to Insurer’s individual personal accident policy, subject to underwriting guidelines of such individual personal
accident policy under following conditions:
a) Group Policyholder chooses not to continue this scheme
b) If you choose not to continue the enrollment under this scheme
3 The premium payable under this scheme shall be reviewed on annual basis and may be subject to revision.
Grievance Redressal/Complaints
The Company has developed proper procedures and effective mechanism to address of complaints by the customers. The Company is committed to
comply with the Regulations, standards which have been set forth in the Regulations, Circulars issued by the Authority (IRDAI) from time to time in this
regard.

(a) If the Policyholder / Insured Person has a grievance that the Policyholder / Insured Person wishes the Company to redress, the Policyholder / Insured
Person may contact the Company with the details of the grievance through:;
Website: www.careinsurance.com
Email: customerfirst@careinsurance.com
Contact No.:1800-102-6655
Courier: Any of Company’s Branch Office or corporate office

The Policyholder/Insured Person may also approach the grievance cell at any of the Company’s branches with the details of his/her grievance during the
Company’s working hours from Monday to Friday.

Exclusively for Senior Citizens, the Company has a separate extension on the Customer Service Toll Free Number. This separate customer service channel
prioritizes and routes any kind of request / grievance raised by Senior Citizens through various fast track internal escalations leading to lesser
Turn-Around-Time (TAT) for request / grievance addressal.

(b) If the Policyholder / Insured Person is not satisfied with the Company's redressal of the Policyholder's / Insured Person’s grievance through one of the
above methods, the Policyholder / Insured Person may contact the Company’s Head of Customer Service at:
Head – Customer Services,
Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector 39, Gurgaon -122001.(HARYANA)
For Care Health Insurance Limited (Formerly known as Religare Health Insurance Company Limited)
22-Jun

Authorized Signatory Date of Issue : 22-Jun-2021 Place of Issue :Gurgaon, Haryana

Service Branch : CHIL, Vipul Tech Square, Tower-C, 3Rd Floor, Golf Course Road, Gurgaon , Haryana - 122009 Branch Contact No. : 1800-102-4488
Correspondence Address:
Care Health Insurance Limited (Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector 39, Gurgaon -122001.(HARYANA) Contact No : 1800-102-4488
Website : www.careinsurance.com Email : customerfirst@careinsurance.com
Consolidated Stamp Duty paid vide E-Challan GRN no. 77150994 dated 17 May 2021, RCM Applicability- N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State GSTIN No.: 06AADCR6281N1ZW IRDA Registration Number - 148 UIN :
IRDA/NL-HLT/RHI/P-P/V.I/255/13-14
Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503

Note:
1. Validity of this certificate is subject to terms and conditions of Group Policy issued to the Group Policyholder.
2. In event of non-receipt of Premium, this certificate of insurance automatically stands cancelled from inception, irrespective of whether a separate communication is sent or not. This policy is based on
the information provided by the Insured to the Group Administrator. In case you find any discrepancy in the same, please contact us immediately.
 3. This Certificate of Insurance is governed by and is subject to the Terms and Conditions of the referred Group Policy.
Declaration:
Dear Sir/Ma'am, You have confirmed that –
- None of the insured member is suffering from any pre-existing condition or has been hospitalized in the past 4 years nor has been under any prolonged treatment for any illness/injury or has
undergone surgery other than for minor injuries or infections like common cold.
- None of the insured is a habitual smoker or consumer of alcohol, or chewing tobacco or user of any recreational drugs.
- Your job doesn’t require significant manual labour/ /handling hazardous material/working at significant heights or with high voltage nor do you suffer from any disability or deformity.

Signature Not
Verified
Digitally signed by
MANISH DODEJA
Date: 2021.06.23
03:34:30 IST
Reason: I'm the author
Location: India