भारतीय प्रबंध संस्थान इंदौर

PRABANDH SHIKHAR, RAU-PITHAMPUR ROAD, INDORE – 453556

PHONE: +91-731-2439630-34; FAX: +91-731-2439800

Corrigendum-I

No.: IIMI/2017-18/05/ Corrigendum-1 June 07, 2017

The following amendments have been made in Tender No. IIMI/2017-18/05 dated 23-May-
2017 for Notice Inviting Tender for Group Health Insurance Policy for IIM Indore
PGP/IPM/FPM Participants.
Amendment No.1- In Page no. 01, 07, 10, 11, “Group Health Insurance Policy for IIM Indore
PGP/IPM/FPM Participants” may please be read as “Group Health Insurance Policy for IIM
Indore PGP/IPM/FPM/PGP Mumbai Participants”.
Amendment No.2- In Page no. 03 (Schedule of Requirement) and Page No. 13 (Technical
Bid), No. of participants/No. of lives may please be read as 1515 approx. instead of 1365
approx.
Amendment No.3- In Page no. 03 (Schedule of Requirement) and Page No. 13 (Technical
Bid), Claim ratio till 25-05-2017 is 145% has been added.
Amendment No.4- Appendix-1 has been inserted on Page No. 16 onwards.
Amendment No.5- In Page no. 03 (Schedule of Requirement) and Page No. 13 (Technical
Bid), Appendix-2 has been removed.
Amendment No.6- In page no. 03 (Schedule of Requirement) and Page No. 13 (Technical
Bid), “New participants shall be included in policy from date of joining; and pass out/ drop
out participants shall be deleted from the date of leaving”, may please be read as “New
participants shall be included in policy from date of joining; and pass out/ drop out
participants shall be deleted from the date of leaving on receipt of the communication from
the Institute or expiry of the policy, whichever is earlier”.
Revised critical dates of the tender:
S. No. Particulars Date Time

01 Bid Submission Close Date 20-06-2017 1500 Hrs.

Closing date & time for Submission of original
02 20-06-2017 1500 Hrs.
EMD
03 Opening of Technical Bids 21-06-2017 1500 Hrs.

Other terms and conditions remain unchanged.

All bidders are requested to submit the bid in the attached revised tender document
only.

Sd/-
Santosh Kumar Sahoo
Officer
 भारतीय प्रबंध संस्थान इंदौर
INDIAN INSTITUTE OF MANAGEMENT INDORE
प्रबंध शिखर, राऊ-पीथमपरु रोड, इंदौर – 453 556
PRABANDH SHIKHAR, RAU-PITHAMPUR ROAD, INDORE – 453 556
फोन PHONE: +91-731-2439630/2439631; फैक्स FAX: +91-731-2439800

ननविदा क्रमांक Tender No: IIMI/2017-18/05 ददनांक/ Date: May 23, 2017

आईआईएम इंदौर के पीजीपी/आईपीएम/एफपीएम/पीजीपी मब

ंु ई छात्रों के शिए समह
ू स्िास््य बीमा पॉशिसी के शिए
ननविदा आमंत्रण सच
ू ना
NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIM INDORE PGP/IPM/FPM/PGP MUMBAI
PARTICIPANTS

(E-PROCUREMENT MODE ONLY)

भारतीय प्रबंध संस्थान इंदौर (आईआईएम इंदौर) दो बोली प्रणाललयों में ननम्नललखित मदों के ललए आईआरडीए से
मान्यता प्राप्त बीमा कंपननयों ऑनिाइन बोिी (ई- टें डर) आमंत्रित करता है |
Indian Institute of Management Indore (IIM Indore) invites bids from IRDA accredited Insurance companies in
two bid systems.

ननविदा का संक्षिप्त वििरण Brief Details of Tender:

कायय का वििरण अग्रिम जमा EMD
Work Description (Rs.)

Group Health Insurance Policy For IIM Indore PGP/IPM/FPM/PGP Mumbai Participants 5,000/-

ननविदा दस्तािेज http://eprocure.gov.in/eprocure/app से डाउनिोड ककया जा सकता है और केिि इसी पोटय ि के माध्यम से जमा ककये
जाने की अंनतम नतग्रथ और समय तक प्रस्तत
ु ककया जाना चादहए |
The Tender Document can be downloaded from Central Public Procurement (CPP) Portal
http://eprocure.gov.in/eprocure/app and bid is to be submitted online only through the same portal up to the last
date and time of submission of tender.

ननविदा की महत्िपण
ू य नतग्रथयााँ Critical Dates of Tender:
क्रमांक वििरण Particulars ददनांक समय
S. No. Date Time
ननविदा के ऑनलाइन प्रकाशन / डाउनलोड की नतथथ एिं समय
01 23-05-2017 1730 Hrs.
Date & Time of Online Publication/Download of Tender
बोली जमा करने की प्रारं भ नतथथ एिं समय
02 23-05-2017 1730 Hrs.
Bid Submission Start Date & Time
बोली जमा करने की अंनतम नतथथ एिं समय
03 20-06-2017 1500 Hrs.
Bid Submission Close Date & Time
मूल अथिम जमा रालश को जमा करने की अंनतम नतथथ एिं समय
04 20-06-2017 1500 Hrs.
Closing date & time for Submission of Original EMD
तकनीकी बोललयों का िोला जाना
05 21-06-2017 1500 Hrs.
Opening of Technical Bids
Page 1
 विषय सच
ू ी
TABLE OF CONTENTS

S.No. Description Page no.

01 आईआईएम इंदौर के बारे में ABOUT IIM INDORE 3

02 तकनीकी विननदे श SCHEDULE OF REQUIREMENT 3

03 बयाना जमा वििरण EARNEST MONEY DEPOSIT DETAILS 4

04
अ. म. द. पािता मानदं ड एिं तकनीकी मानदं ड OID, ELIGIBILITY CRITERIA & 4-5
TECHNICAL CRITERIA
05 वित्तीय बोली वििरण FINANCIAL BID DETAILS 5

06 समय सारणी TIME SCHEDULE 5

07 ननविदा की उपलब्धता AVAILABILITY OF TENDER 5

08 बोली िैधता BID VALIDITY PERIOD 5

09 बोली प्रस्तत
ु करना BID SUBMISSION 5-7

10 बोली का िोला जाना BID OPENING 7

11 बोली का मल
ू यांकन BID EVALUATION 7

12 भग
ु तान की शतें PAYMENT TERMS 7

13 हजााना पररसमापन LIQUIDATED DAMAGES 7

14 अनब
ु ध
ं की अिथध CONTRACT PERIOD 7

15 वितरण कायाक्रम DELIVERY SCHEDULE 8

16 ननयम और शतें TERMS AND CONDITIONS 8-9

17 अनल
ु ग्नक-I ANNEXURE – I 10

18 अनल
ु ग्नक-II ANNEXURE – II 11

19 अनल
ु ग्नक-III ANNEXURE – III 12

20 अनल
ु ग्नक-IV ANNEXURE – IV 13

21 अनल
ु ग्नक-V ANNEXURE – V 14

22 अनल
ु ग्नक-VI ANNEXURE – VI 15

Page 2
1. ABOUT IIM INDORE
Indian Institute of Management Indore (IIM Indore) is an Autonomous Institute under Ministry of
Human Resource Development, Govt. of India.

2. SCHEDULE OF REQUIREMENT
Technical details Remarks
Group Name Indian Institute of Management Indore.
Location Indore A copy of existing insurance
Tentative 07-07-2017 Period One year policy document is attached
Commencement Date for reference (Appendix-1)
Claim Ratio Till 25-05-2017 145%
Insured Group Details
Estimated Participants Strength As on 23-05-2017
No. of Participants 1515 approx.
TOTAL NOS. OF LIVES 1515 approx.
Floater/Individual Floater
Sum Insured bands Rs. 1.00 Lakh per participants
Coverage & Benefits Details Remarks
Domiciliary Hospitalization Covered
Coverage of Pre Existing diseases Covered
Cashless facility Applicable
30 days waiting Period Waived
1st Year and 2 years exclusions Waived
30 Days Pre and 60 Days post Covered
hospitalization Expenses covered
Corporate Buffer Rs 10,00,000/- Limit up to Sum
Insured.
Co-Payment Not Applicable
Sub Limits For Disease / Room Applicable as per Remarks 1. Room-Rent –3% of the
Rent Capping / Ambulance Charges per sum assured (Max.)
Case 2. ICU – 5% of the sum
assured (Max.)
Other Conditions New participants shall be included in
policy from date of joining; and pass
out/ drop out participants shall be
deleted from the date of leaving on
receipt of the communication from
the Institute or expiry of the policy,
whichever is earlier
TPA TPA Services Involved (if any) and List of Network of Authorized
Name and contact details to be hospitals to be provided.
submitted.
Any Service Charges on Medical Should not be deducted from the
Bills individual Claim.

Page 3
3. EARNEST MONEY DEPOSIT DETAILS

a) EMD of Rs. 5,000/- (Rupees Five Thousand only) in the form of Demand Draft/Banker’s
Cheque from Nationalized/scheduled bank in favour of Indian Institute of Management
Indore, payable at Indore, should be submitted. The EMD should be valid for at least 90
days.

b) The firms registered with DGS&D / National Small Industries Corporation (NSIC) for all
these services only, are exempted from EMD. However, they have to enclose valid self-
attested registration certificate(s) alongwith the tender to this effect.

c) EMD of all unsuccessful bidders will be returned after finalization of the tender. EMD of the
successful bidder will be returned only after receipt of satisfactory service.

d) The amount of EMD is liable to be forfeited, if the tenderer withdraws from the offer after
submission of the tender or after the acceptance of the offer and fails to remit the
Performance Security Deposit.

e) No interest will be paid on the EMD.

f) The details pertaining to EMD are to be filled as per Annexure-I.

4. OID, ELIGIBILITY CRITERIA & TECHNICAL CRITERIA

4.1 OID (Other Important Documents)
OID viz. Firm Incorporation Certificate, PAN details, TIN/CST/ST etc. details are to be
provided.

4.2 Eligibility Criteria

a) The Bidder should give self-declaration certificate for acceptance of all terms & conditions
of tender documents. A duly completed certificate to this effect is to be submitted as per
the Annexure-II.

b) The firm should be neither blacklisted by any Government Dept., nor is any criminal case
registered / pending against the firm or its owner / partners anywhere in India. A duly
completed certificate to this effect is to be submitted as per Annexure-III.

c) The firm should have valid accreditation certificate with IRDA on the date of submission of
the tender. A duly sealed & signed valid certificate submitted to this effect.

d) Bidders should have experience in providing Group Health Insurance for last five years
from the date of submission of the tender. The details of the same along with supporting
document/copy of insurance policy are to be submitted

Page 4
4.3 Technical Criteria
Bidders required to sealed & signed of each page of technical bid and submit as per
Annexure-III. Unsigned technical bid or the bids not in prescribed format will be rejected
without assigning any reason.

5. FINANCIAL BID DETAILS

Financial bid given with tender to be submitted after filling all relevant information. The
priced bid should be submitted strictly as per the Annexure-V failing which the offer is liable
for rejection.

6. TIME SCHEDULE

S. No. Particulars Date Time

a. Date of Online Publication of Tender 23-05-17 1730 Hrs.
b. Bid Submission Start Date 23-05-17 1730 Hrs.
c. Bid Submission Close Date 20-06-17 1500 Hrs.
Closing date & time for Submission of
d. 20-06-17 1500 Hrs.
Samples, original EMD along with Annexure-I
e. Opening of Technical Bids 21-06-17 1500 Hrs.

7. AVAILABILITY OF TENDER
The tender document can be downloaded from http://eprocure.gov.in/eprocure/app and be
submitted only through the same website.

8. BID VALIDITY PERIOD

The bid will remain valid for 90 days from the date of opening as prescribed by IIM Indore.
A bid valid for a shorter period shall be rejected, being non-responsive.

9. BID SUBMISSION
9.1 Instruction to Bidder
Bidders are required to enrol on the e-Procurement module of the Central Public
Procurement Portal (URL: https://eprocure.gov.in/eprocure/app) by clicking on the link
"Online Bidder Enrolment" on the CPP Portal. The registration is completely free of
charge.

Possession of a valid Class II/III DSC in the form of smart card / e-token is a prerequisite
for registration and participating in the bid submission activities. DSCs can be obtained
from the authorised certifying agencies recognized by CCA India (e.g.
Sify/TCS/nCode/eMudhra etc).

Page 5
 Bidders are advised to register their valid email address and mobile numbers as part of the
registration process. These would be used for any communication from the CPP Portal.

Only one valid DSC should be registered by a bidder. Please note that the bidders are
responsible to ensure that they do not lend their DSCs to others which may lead to misuse.

The Bidders are required to log in to the site through the secured log-in by entering their
respective user ID / password and the password of the DSC.

The CPP portal also has user manuals with detailed guidelines on enrollment and
participation in the online bidding process. The user manuals can be downloaded for
reference.

Any queries related to process of online bid submission or queries related to CPP Portal in
general may be directed to the 24x7 CPP Portal Helpdesk. The Toll Free contact numbers
for the helpdesk are 1800 3070 2232, 7878007972 and 7878007973.

9.2 Online Bid Submission Procedure

OID: The file should be saved in a PDF version and should comprise of the following items:
1. Packet-1: Duly Completed Scanned PDF of PAN Card.
2. Packet-2: Duly Completed Scanned PDF of Registration Certificate Details.
3. Packet-3: Duly Completed Scanned PDF of Service Tax.

Cover-1: The file should be saved in a PDF version and should comprise of the following
items:
1. Packet-1: Duly Completed Scanned PDF copy of Annexure-I with copy of DD
or Banker’s Cheque for EMD.
2. Packet-2: Duly Completed Scanned PDF copy of Annexure-II.
3. Packet-3 : Duly Completed Scanned PDF copy of Annexure-III.
4. Packet-4: Duly Completed copy of IRDA Accreditation certificate.
5. Packet-5: Duly Completed copy of documents as per clause 4.1 (d).
6. Packet-6: The details of at least 4 major Hospitals located in Indore for Cashless
Treatment
7. Packet-7: The details of the TPA along with contact details of TPA, if any.
8. Packet-8: Duly completed sealed & signed Technical Bid as per Annexure-IV.
9. Packet-9: Duly Completed Copy of Statuary documents as per Annexure-V.

Cover-2: The BOQ should be downloaded from the website and should comprise of the
following items.
1. Packet-1: Financial Bid in PDF version Filled with all relevant information as per
Annexure-VI.

Page 6
 9.3 Offline Submission of EMD
It is also required to submit signed EMD along with duly completed Annexure-I in original in
a sealed envelope superscripted “Notice Inviting Tender for Group Health Insurance
Policy for IIM Indore PGP/IPM/FPM/PGP Mumbai Participants” at the following address
on or before 20/06/17 at 1500 hrs.

Stores & Purchase Office

First Floor, Administrative Block
Indian Institute of Management Indore
Prabandh Shikhar, Rau-Pithampur Road
Indore-453 556 (M.P), India
Phone: 0731-2439631-34
Email: stores@iimidr.ac.in

10. BID OPENING

a) Bids will be opened on 21-06-2017 at 1500 Hrs.

b) Bids should be summarily rejected, if all required documents (mentioned in clause 9) are
not submitted within stipulated date / time.
c) Financial bids of technically qualified parties shall be opened at a later date.

11. BID EVALUATION

The Technical Evaluation Committee of the Institute constituted for the purpose shall
assess the ability of the agencies to render the requisite services based on the company
profile, rating and on such other criteria as it may fix and the Financial Bids of only those
firms qualifying the technical evaluation will be considered.

12. PAYMENT TERMS

Payment to be made to the successful bidder along with the order.

13. LIQUIDATED DAMAGES

a) In case of any unsatisfactory service, suitable penalties as decided by the Competent
Authority shall be levied after issuing notice.
b) In case of failure in settlement of claims within the time frame, the penalty will be enforced
as per Institute norms.

14. CONTRACT PERIOD

The contract will be initially for a period of one year. Based on satisfactory performance, the
contract may be extended further on mutually agreed terms and conditions.

Page 7
15. DELIVERY SCHEDULE
The successful bidder has to commence the service on 08 July 2017.

16. TERMS AND CONDITIONS

16.1 General Terms & Conditions:
a) The bidder has to submit the relevant & readable files only as indicated in the tender
documents. In case of any irrelevant or non-readable files, the bid may be rejected.
b) IIM Indore reserves the right to accept or reject any or all the tenders in part or in full or
may cancel the tender, without assigning any reason thereof.
c) IIM Indore reserves the right to relax / amend / withdraw any of the terms and conditions
contained in the tender document without assigning any reason thereof. Any inquiry after
submission of the quotation will not be entertained.
d) IIM Indore reserves the right to modify/change/delete/add any further terms and conditions
prior to issue of purchase order.
e) Conditional tenders will not be considered in any case.
f) Tenders sent by fax & e-mail will not be accepted.
g) In case of differences arising in the terms and conditions of the tender documents with the
firm(s), the decision of IIM Indore shall prevail.
h) The Courts of Indore alone will have the jurisdiction to try any matter, dispute or reference
between the bidders and the Institute arising out of this service. It is specifically agreed that
no court outside and other than Court in Indore shall have jurisdiction in the matter.

i) Arbitration- All dispute and differences which may arise between the IIM Indore and the
Insurance Company shall be referred to Director, IIM Indore whose decision shall be
binding on all concerned.

j) Bids which are late/vague/conditional/incomplete/not confirming to the laid down procedure

in any respect will be rejected.

k) IIM Indore may issue corrigendum to tender documents before due date of Submission of
bid. The bidder is required to read the tender documents in conjunction with the
corrigendum, if any, issued by IIM Indore. The bidder is not supposed to modify the tender
document.

Page 8
16.2 Special Terms and Conditions:
a) Cashless facility should be provided in at least four major multi-speciality hospitals located
in Indore. Details of such Hospitals are to be provided. All transactions with these
hospitals should be totally cashless.

b) There should be a dedicated helpline (24 x 7) from the Insurance Company / TPA of
Insurance Company available and the contact details should be furnished in the tender.
Contact details of the TPA should be provided by the Insurance Company including the
name of the contact person, contact numbers and postal & email address.

c) Door-step reimbursement facility for cases of reimbursement to individual and

reimbursement amount can be made directly to the members only preferably within 15
days from the date of submission of required documents. The response time by the TPA at
the time of admission should be maximum of six hours.

d) Reports including the claims of individuals and the details of settlement are to be furnished
to the Institute on monthly basis or as and when required by the Institute.

e) Admission and discharge to and from the hospital preferably on 24x7 basis.

f) The successful Company shall at its own cost comply with the provision of orders and
notifications issued by IRDA and Government from time to time.

Page 9
ANNEXURE – I

To
The Stores & Purchase Officer
Indian Institute of Management
Prabandh Shikhar,
Rau – Pithampur Road
Indore

Sub: - EMD Details.

Ref : -Tender No. IIMI/2017-18/05 dated 23-05-2017
(Notice Inviting Tender for Group Health Insurance Policy for IIM Indore PGP/IPM/FPM/PGP Mumbai
Participants)

Dear Sir,

The following DD in favour of IIM Indore are enclosed herewith towards EMD

Detail of DD Amount DD No. & Date Bank Name

EMD Rs. 5,000/-

Thanking you

Yours faithfully,

(Authorized Signatory with Seal)

Page 10
ANNEXURE – II

To
The Officer (Stores & Purchase)
Indian Institute of Management
Prabandh Shikhar,
Rau – Pithampur Road
Indore

Sub: - Self Declaration Certificate

Ref : - Tender No. IIMI/2017-18/05 dated 23-05-2017

(Notice Inviting Tender for Group Health Insurance Policy for IIM Indore PGP/IPM/FPM/PGP Mumbai
Participants)

Dear Sir,
With reference to the above, I am/ We are offering our competitive bids for Notice Inviting
Tender for Group Health Insurance Policy for IIM Indore PGP/IPM/FPM/PGP Mumbai
Participants, I / We hereby reconfirm and declare that I / We have carefully read, understood &
complying the above referred tender document including instructions, terms & conditions,
specifications, schedule of quantities and all the contents stated therein and all subsequent
corrigendum published on Institute website.

I / We also confirm that the rates quoted by me / us are inclusive of all taxes, duties etc.,
applicable as on date.

Date: Authorized Signatory

Seal Name:

Place:
Designation:

Contact No.:

Email ID:

Page 11
ANNEXURE – III

CERTIFICATE
(to be provided on letter head of the firm)

I hereby certify that the above firm neither blacklisted by any Central/State Government/Public
Undertaking/Institute nor is any criminal case registered / pending against the firm or its owner /
partners anywhere in India.

I also certify that the above information is true and correct in any every respect and in any case
at a later date it is found that any details provided above are incorrect, any contract given to the
above firm may be summarily terminated and the firm blacklisted.

Date: Authorized Signatory

Name:

Place:
Designation:

Contact No.:

Page 12
 ANNEXURE – IV
TECHNICAL BID
Technical details Remarks
Group Name Indian Institute of Management Indore.
Location Indore A copy of existing insurance
Tentative 07-07-2017 Period One year policy document is attached
Commencement for reference (Appendix-1)
Date
Claim Ratio Till 25-05-2017 145%
Insured Group Details
Estimated Participants Strength As on 23-05-2017
No. of Participants 1515 approx.
TOTAL NOS. OF LIVES 1515 approx.
Floater/Individual Floater
Sum Insured bands Rs. 1.00 Lakh per participants
Coverage & Benefits Details Remarks
Domiciliary Hospitalization Covered
Coverage of Pre Existing diseases Covered
Cashless facility Applicable
30 days waiting Period Waived
1st Year and 2 years exclusions Waived
30 Days Pre and 60 Days post Covered
hospitalization Expenses covered
Corporate Buffer Rs 10,00,000/- Limit up to Sum
Insured.
Co-Payment Not Applicable
Sub Limits For Disease / Room Applicable as per Remarks 1. Room-Rent –3% of the
Rent Capping / Ambulance Charges sum assured (Max.)
per Case 2. ICU – 5% of the sum
assured (Max.)
Other Conditions New participants shall be included
in policy from date of joining; and
pass out/ drop out participants shall
be deleted from the date of leaving
on receipt of the communication
from the Institute or expiry of the
policy, whichever is earlier
TPA TPA Services Involved (if any) and List of Network of Authorized
Name and contact details to be hospitals to be provided.
submitted.
Any Service Charges on Medical Should not be deducted from the
Bills individual Claim.

Name and Signature of Authorized Person

Seal
Page 13
ANNEXURE –V

Statutory Documents ( Copies of documents to be enclosed)

Name of the Party

Date of Incorporation / Supporting

Establishment documents
are to be
PAN Number attached
along with
Sales Tax Registration
the
Number
Annexure-IV
(TIN / VAT / CST)

Registered Office Address

Name
Designation
Authorized Signatory Details
Email
Phone

Name
Details of Contact other than Designation
Authorized Signatory Email
Phone

Signature and Seal of the Tenderer:

Name in Block Letter:

Designation:

Contact no.

Full Address:

Page 14
 ANNEXURE – VI

FINANCIAL BID
/2016

S/N Particulars Total Premium per participant

01 Premium for coverage of Rs.1,00,000/- per
participant for a period of one year
Details as per Annexure-IV

Taxes (if any)

Total in figures

Total in words

Note:
 All terms & conditions as stated in the Tender Document.
 Conditional bids are not acceptable.
 Bids submitted in the above format is only acceptable

Date: Authorized Signatory:

Seal
Place: Name:

Designation:

Contact No.:

Page 15
 Appendix-1

IFFCO TOKIO GENERAL INSURANCE COMPANY

LIMITED

Group Medishield Insurance Policy

For

INDIAN INSTITUTE OF MANAGEMENT

Period of Insurance: 08/07/2016 To 07/07/2017

Policy No: 52654505

Page 16
Welcome to the world of ITGI

We would like to take this opportunity to thank you for patronizing ITGI for Group Medishield Policy. At
IFFCO TOKIO General Insurance Company Limited (ITGI), we are fully committed to provide insurance
products and services to you in a convenient and satisfying manner.

Our policies and different Add-on coverage have been designed to provide you with more than just a
healing touch in those unfortunate, yet unavoidable, circumstances of life. We have made every effort to
make our products and procedures simple, transparent and customer friendly. Our product range will serve
almost all your insurance needs.

This booklet contains the Policy Schedule with add on covers, List of employees covered, Third Party
Administrator details (for claims assistance) along with policy wordings of "Group Medishield Policy
Coverage". We have taken adequate measures to issue the policy document as per your requirements. In
case of any discrepancy please inform policy issuing office immediately.

It would be our privilege to assist you for your insurance requirements or feedback anytime. You may
contact our SBU or Toll Free number available on Policy Schedule.

With ITGI, your future is in safe hands. "Muskurate Raho".

 Issuing Office SBU 22
IFFCO-TOKIO General Insurance Company Limited
Regd. Office: IFFCO SADAN,C1 Distt Centre ,Saket,New Delhi-110017 IFFCO TOKIO GEN INS CO LTD
Corporate Identification Number (CIN) U74899DL2000PLC107621, IRDA Reg. No. 106 2nd Floor, Opp. Talwarkars GYM
Vishala Paradise,
Near Rishi Nagar Petrol Punp
Group Medishield Insurance Policy Schedule UJJAIN MADHYA PRA
456001
INDIA

Insured INDIAN INSTITUTE OF MANAGEMENT Policy No 52654505

Address PRABANDH SHIKHAR Covernote No
RAU PITHAMPUR ROAD Date Of Declaration
INDORE MADHYA PRA INDIA Period of Insurance
Phone # Pin Code 452001 from 00.00 hours on 08/07/2016
Agent Code 22001327
22000001 To Mid Night on 07/07/2017
Total Members Covered 1326
Co-insurance Details
Iffco Tokio General Insurance Company LTD 100 %

Premium Details
Gross Premium (INR) 398598 Swatch Bharat Cess 1992.99
Service Tax (INR) 55801.02 Net Premium Payable (INR) 458387
Krishi kalyan Cess 1992.99 Third Party Administrator VIPULMEDCORP TPA PRIVATE
LIMITED
Policy Conditions/Extensions/endorsements
Plan 1
Family Composition

*Family Composition : Employees only on individual Sum insured basis for all.

Sum Insured Rs.1 Lac per participant

Day Care Surgeries is covered under the policy. (As per annexure attached).

Per lives premium including service tax Rs.345.69

Pre Existing Disease

*Pre - Existing Diseases Nothwithstanding anything stated to contrary it is hereby declared and agreed that Clause 1 of 'what is not
covered' under 'Coverage' clause (clause 40) of the Policy stands deleted.

First 30 Days Exclusion

*First 30 Days Exclusion (the clause no. 2 under "What is not covered" ) Waived.

First 1 Year Exclusion

*First year Exclusion (the clause no.3 under " What is not covered")Waived.

Maternity Benefit Cover

*Maternity Benefit not Covered under the policy.

Room Rent Condition

 *Maximum Room rent (inclusive of boarding and nursing expenses) per day: 3% of SI for Normal room and 5% of SI for Intensive Care
unit (ICU)

Room Rent Proportion

*All benefits as an inpatient in a hospital attached to room will be restricted to the room which falls within the room rent limits allowed. The
enhanced difference in expenses due to opting rooms with higher room rent than what has been allowed will be borne by the insured
only. Wherever the room rent based tariff for the other expenses is not available, the payment would be done in the same proportion as
per the entitlement of room rent under the policy excluding medicines,consumables and implants medically prescribed by the treating
doctor under the policy.

*In case of package treatment where individual bifurcation of room rent, medicines, operation theatre expenses, doctor's consultation
charges etc are not available, then the package charges shall be proportionately linked to the entitled room rent of the insured person
under the Policy.

Domiciliary Hospitalisation

*Domiciliary Hospitalisation is covered under the policy.

Day One Cover for New Joinees

*Day One Cover for New Joinees subject to receipt of premium / sufficient CD balance as on effective date of cover & also intimation by
15th day of every succeeding month.

Declaration Period

*Refund of premium on account of Mid -term Deletion of Members is allowed from the date of separation subject to receipt of intimation
by 15th day of every succeeding month failing which refund will be calculated from the date of submission of intimation to ITGI. No refund
is allowed in case of claim preferred on ITGI for self and /or dependents. (in case of Family Floater).

Corporate Floater

*Corporate Buffer Rs.2,00,000/-Limit up to sum insured.

Pre Hospitalization

*Pre-Hospitalisation Relevant medical expenses incurred up to 30 days prior to hospitalisation on disease/illness/injury sustained will be
part of Hospitalisation Expenses claim.

Post Hospitalization

*Post Hospitalisation Relevant medical expenses incurred during period up to 60 days after Hospitalisation on disease/illness/injury
sustained will be part of Hospitalisation Expenses claim.
 Other Coverages

*Nursing charges and registration charges are covered.

Other charges mentioned under the expiring policy are not covered.

* Service charges are covered under the policy.

Claim Intimation

*Intimation of claims : As per the Standard ITGI GMC policy (Claim to be intimated within 7th day from date of hospitalization ). Non
compliance will result in 10% Co-pay.

Submission Of Claim Documents

*Submission of Claim Documents : All Claim documents for reimbursement should be submitted within 30 days from the date of
discharge in case of claim for Pre-hospitalisation and Hospitalisation expenses. For Post Hospitalisation expenses, all claim documents
should be submitted within 15 days of the completion of Post hospitalisation treatment or Post hospitalisation days limit stated in the
Policy whichever is earlier. Non compliance will result in 10% Co-pay.

Note : As per Government of India guidelines, a new levy-Krishi Kalyan Cess is made effective from 01.06.2016, resulting in effective rate of service tax to 15%.Service Tax-
14%,Swachh Bharat Cess-.50%,Krishi Kalyan Cess-.50%.In case you are paying premium after 1st June, 2016. Please pay service tax @ of 15%.

The coverage is as per policy wordings / endorsements / clauses attached. Please go through the Group Medishield Insurance Policy and in case of any discrepancy, please
inform us.
Policy is cancelled ab-initio in case of Cheque Dishonor.
1)"Policy Issuing Office: Delhi".
2) " Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi"
Toll Free: 1800-103-5499 (24 hours all days) or SMS "CLAIMS" to 56161. For IFFCO-TOKIO General Insurance Co. Ltd
Service Tax No : AAACI7573HST001
Contact Details
IFFCO TOKIO General Insurance Company Limited

Name of Co-ordinator SOURABH JAISWAL

Contact No 8120000482
email ID sourabh.jaiswal@itgi.co.in

Third Party Administrator VIPULMEDCORP TPA PRIVATE LIMITED

Toll Free (24 hours) 1800 102 7477

Email Id
Address Gurgaon GURGAON HARYANA 122001 INDIA

Details of Intermediary/ Agent

Name NA
NEW QUEST INSURANCE BROKING SE
Contact No NA
email ID

Settlement Type Cash Less

Non-Photo Id
Health ID Cards

Claim payment to be made to Employer

 Group MediShield Policy Wording

This POLICY is evidence of the contract between YOU and US. The proposal along with any written statement(s),
declaration(s) of YOURS for purpose of this POLICY forms part of this contract.

This POLICY witnessed that in consideration of YOUR having paid the premium for the period stated in the schedule
or for any further period for which WE may accept the payment for renewal of this policy, WE will insure the Insured
Person(s) and accordingly. WE will pay to YOU or to insured person(s) or their legal representatives, as the case may
be in respect of events occurring during the period of insurance in the manner and to the extent set-forth in the policy
including endorsements provided that all the terms, conditions, provisions, and exceptions of this policy in so far as
they relate to anything to be done or complied with by YOU and/or Insured Person(s) have been met.

The Schedule shall form part of this POLICY and the term 'POLICY' whenever used shall be read as including the
Schedule.

Any word or expression to which a specific meaning has been attached in any part of this POLICY or of Schedule
shall bear such meaning whenever it may appear.

THE POLICY is based on information which have been given to US about Insured Person(s) pertaining to risk insured
under the policy and the truth of this information shall be condition precedent to YOUR or the Insured Person(s) right
to recover under this POLICY.

Definition of Words

1. Any One illness It means continuous period of illness and it includes relapse within 45 days from the date of
last consultation with the Hospital/Nursing Home where treatment may have been taken.

2. Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs o f
treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to
the network provider by the insurer to the extent pre-authorization approved.

3. Condition Precedent shall mean a policy term or condition upon which the Insurer's liability under the policy
is conditional upon.

4. Congenital Anomaly-- Congenital Anomaly refers to a condition(s) which is present since birth, and which is
abnormal with reference to form, structure or position.
a. Internal Congenital Anomaly: Anomaly which is not in the visible and accessible parts of the body
b. External Congenital Anomaly: Anomaly which is in the visible and accessible parts of the body

5. Contribution is essentially the right of an insurer to call upon other insurers, liable to the same insured, to
share the cost of an indemnity claim on a ratable proportion of the Sum Insured.

6. Domiciliary Hospitalization means Medical treatment for an illness/ disease/ injury which in the normal
course would require care and treatment at a hospital, but is actually taken while confined at home under any
of the following circumstances:
a) Condition of the patient is such that he/she is not in a condition to be removed to a hospital or
b) The patient takes treatment at home on account of non availability of room in hospital.

7. Emergency Care means management for a severe illness or injury which results in symptoms which occur
suddenly and unexpectedly, and requires immediate care by a medical practitioner to prevent death or serious
long term impairment of the insured person's health.
8. Grace Period means the specified period of time immediately following the premium due date during which a
payment can be made to renew or continue a policy in force without loss of continuity benefits such as waiting
periods and coverage of Pre- existing diseases. Coverage is not available for the period for which no premium
is received.
9. Hospital means any institution established for in-patient care and day care treatment of illness and/or injuries
and which has been registered as a hospital with the local authorities under the Clinical Establishments
(Registration and Regulation) Act, 2010 or under the enactments specified under the Schedule of Section
56(1) of the said Act OR complies with all minimum criteria as under:
--has qualified nursing staff under its employment round the clock;
--has at least 10 in-patient beds in towns having a population of less than 10,00,000 and at least
15 in- patient beds in all other places;
--has qualified medical practitioner(s) in charge round the clock;
--has a fully equipped operation theatre of its own where surgical procedures are carried out;
--maintains daily records of patients and makes these accessible to the insurance company's
authorized personnel.
*Following are the enactments specified under the Schedule of section 56 of clinical
Establishments (Registration and Regulation) Act, 2010 as of October 2013. Please refer to the act
for amendments, if any.
1. The Andhra Pradesh Private Medical Care Establishments (Registration and Regulation) Act,
2002.
2. The Bombay Nursing Homes Registration Act, 1949.
3. The Delhi Nursing Homes Registration Act, 1953.
4. The Madhya Pradesh Upcharya Griha Tatha Rujopchar Sanbabdu Sthapamaue
(Ragistrikaran TathaAnugyapan) Adhiniyam, 1973.
5. The Manipur Homes and Clinics Registration Act, 1992.
6. The Nagaland Health Care Establishments Act, 1997.
7. The Orissa Clinical Establishments (Control and Regulation) Act, 1990.
8. The Punjab State Nursing Home Registration Act, 1991.
9. The West Bengal Clinical Establishments Act, 1950.

10. Hospitalization means admission in a Hospital for a minimum period of 24 hours Inpatient Care consecutive
hours except for specified procedures/ treatments, where such admission could be for a period of less than 24
consecutive hours.

11. Illness means a sickness or pathological condition leading to the impairment of normal physiological function
which manifests itself during the Policy Period and requires medical treatment.

12. Injury means accidental physical bodily harm excluding illness or disease solely and directly caused by
external, violent and visible and evident means which is verified and certified by a Medical Practitioner.

13. Inpatient Care means treatment for which the insured person has to stay in a hospital for more than 24 hours
for a covered event.

14. Insured Person: The person named as insured person(s) in the schedule lodged with US by YOU.

15. Intensive Care Unit means an identified section, ward or wing of a hospital which is under the constant
supervision of a dedicated medical practitioner(s), and which is specially equipped for the continuous
monitoring and treatment of patients who are in a critical condition, or require life support facilities and where
the level of care and supervision is considerably more sophisticated and intensive than in the ordinary and
other wards.

16. Maternity Expenses shall include

(a) medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean
sections incurred during hospitalization.

(b) expenses towards lawful medical termination of pregnancy during the Policy period.

17. Medical Advise Any consultation or advice from a Medical Practitioner including the issue of any prescription
or repeat prescription.

18. Medical Practitioner is a person who holds valid registration from the Medical Council of any State or
 Medical Council of India or Council of Indian Medicine or for Homeopathy set up by the Government of India
or a State Government and is thereby entitled to practice medicine within its jurisdiction; and is acting within
the scope and jurisdiction of license. The registered Medical Practitioner should not be the Insured or close
family member.

19. Network Provider means hospitals or health care providers enlisted by an insurer or by a TPA and insurer
together to provide medical services to an insured on payment by a cashless facility.

20. Non- Network means any hospital, day care centre or other provider that is not part of the network.

21. Notification of Claim is the process of notifying a claim to the Insurer or TPA by specifying the timelines as
well as the address / telephone number to which it should be notified.

22. Period of Insurance: It means the duration of this policy as shown in the Schedule.

23. Policy It means the policy booklet, the Schedule and any applicable endorsement or memoranda. The policy
contains details of the extent of cover available to Insured person (s), what is excluded from the cover and the
conditions on which the policy is issued.

24. Portability-- Portability means transfer by an individual health insurance policy holder (including family cover)
of the credit gained by the insured for pre-existing conditions and time bound exclusions if he/she chooses to
switch from one insurer to another.

25. Post Hospitalization Medical Expenses means medical expenses incurred immediately after the Insured
Person is discharged, provided that
a. Such Medical Expenses are incurred for the same condition for which the Insured Person's
Hospitalization was required, and
b. The In-patient Hospitalization claim for such Hospitalization is admissible by the Insurance
Company.

26. Pre-existing Disease Any condition, ailment or injury ,or related condition (s) for which you had signs or
symptoms, and / or were diagnosed, and / or received medical advice / treatment within 48 months to prior to
the first policy issued by the insurer.

27. Pre-Hospitalization Medical Expenses means medical expenses incurred immediately before the Insured
Person is Hospitalized, provided that
a. Such Medical Expenses are incurred for the same condition for which the Insured Person's Hospitalization
was required, and
b. The In-patient Hospitalization claim for such Hospitalization is admissible by Us

28. Proposal It means any signed proposal by filing up the questionnaires and declarations, written statements
and any information in addition thereto supplied to US by YOU.

29. Qualified Nurse is a person who holds a valid registration from the Nursing Council of India or the Nursing
Council of any state in India.

30. Reasonable and Customary Charges means the charges for services or supplies, which are the standard
charges for the specific provider and consistent with the prevailing charges in the geographical area for
identical or similar services, taking into account the nature of the illness / injury involved.

31. Renewal defines the terms on which the contract of insurance can be renewed on mutual consent with a
provision of grace period for treating the renewal continuous for the purpose of all waiting periods.

32. Schedule It means latest Schedule issued by US as part of the policy. It provides details of the policy of
 Insured person(s) which are in force and the level of cover Insured Person(s) have.

33. Subrogation shall mean the right o f the insurer to assume the rights o f the insured person to recover
expenses paid out under the policy that may be recovered from any other source.

34. Sum Insured It means the monetary amount shown against Insured Person.

35. Surgery/Surgical Procedure It means manual and/or operative procedure(s) required for treatment of an
illness or injury, correction of deformities and defects, diagnosis and cure of diseases, relief of suffering or
prolongation of life, performed in a hospital or day care centre by a medical practitioner.

36. Terrorism / Terrorist Incident Means any actual or threatened use of force or violence directed at or causing
damage, injury, harm or disruption, or the commission of an act dangerous to human life or property, against
any individual, property or government, with the stated or unstated objective of pursuing economic, ethnic,
nationalistic, political, racial or religious interests, whether such interests are declared or not. Robberies or
other criminal acts, primarily committed for personal gain and acts arising primarily from prior personal
relationships between perpetrator(s) and victim(s) shall not be considered terrorist activity.
Terrorism shall also include any act, which is verified or recognized by the relevant Government as an act of
terrorism".

37. Third Party Administrator means any person who is licensed under the IRDA (Third Party Administrators -
Health Services) Regulations,2001 by the Authority, and is engaged, for a fee or remuneration by an
insurance company, for the purposes of providing health services.

38. WE/OUR/US: It means IFFCO-TOKIO GENERAL INSURANCE COMPANY LIMITED.

39. YOU/YOUR: It means the person(s)/the company/the entity named as Insured in the Schedule.
 40. Coverage
WHAT IS COVERED
If the Insured Person sustains injury or
contracts any disease and upon advice of
Medical Practitioner, he/she has to incur
Hospitalization Expenses then WE will pay
for the following in Hospitalization
Expenses:
1. Room, Boarding Expenses as provided
by the Hospital/Nursing Home.
2. Nursing Expense.
3. Medical Practitioner/Anesthetist,
Consultant fees
4. Expense on Anesthesia, Blood, Oxygen,
operation Theatre charges, Surgical
Appliances, Medicines and Drugs,
Diagnostic Materials and X-ray, Dialysis,
Chemotherapy, Radiotherapy, Cost of
pacemaker, Artificial Limbs, Cost of organs
and similar expenses.
5 Expenses on Vitamins and Tonics
forming part of treatment as certified by the
attending Medical Practitioner.
6. WE will also pay for those of above
relevant expenses in Domiciliary
Hospitalization.
7. Pre-Hospitalization and Post
Hospitalization expenses for 30 and 60
days respectively as defined under the
Policy will also be reimbursed along with
the aforesaid Hospitalization expenses
subject to the overall Sum Insured limit of
the Insured Person.
WHAT IS NOT COVERED
WE will not pay for
1.Any expense incurred for treatment of any pre-existing condition.
2. Any Expense on Hospitalization /Domiciliary Hospitalization for any
diseases other than those stated in Clause 3. Of "What is not covered"
during first 30 days of commencement of this Insurance cover. This
exclusion shall not however apply if in the opinion of Panel of Medical
Practitioners constituted by US, the Insured Person could not have
known of the existence of the Disease or any symptoms or complaints
thereof at the time of making the proposal for Insurance to US. This
exclusion shall not, however, apply in case of the Insured Person
having been covered under this Scheme or Group Insurance Scheme
with any of Indian Insurance Companies for a continuous period of
preceding 12 months without any break.
3. In the first year of operation of Insurance Cover on treatment of
disease such as:
· Cataract, Benign, Prostatic Hyperthropy, Hysterectomy for
Mennorrahagia or Fibromyoma
· Hernia, Hydrocele, Congenital Internal Disease.
· Fistula in anus, Piles, Sinusitis and related disorders.
If the above mentioned diseases are pre-existing at the time of
proposal, they will not be covered even during subsequent period of
renewal too.
4. Circumcision except for disease not excluded here or Injury,
Vaccination or Inoculation or change of life or cosmetic or aesthetic
treatment of any description, plastic surgery except for relating to
treatment of injury or illness.
5. Cost of Spectacles and contact lens, hearing aids.
6. Convalescence, General Debility, Run down condition or rest cure,
congenital External Disease or defects or anomalies, sterility, venereal
disease, intentional self injury and use of Intoxicating drugs /alcohols.
7. Any Expense of any treatment related to Human T.Cell
Lymphotropic viruses Types III (11TLB-III) or Lymphadinspathy
Associated viruses (LAV) or the Mutant derivatives or Variations
Deficiency Syndrome or any syndrome or a Condition of a similar kind
referred to as AIDS.
8. Expenses on Diagnostic, X-Ray, or Laboratory examinations unless
related to the treatment of sickness or injury falling within ambit of
Hospitalization or Domiciliary Hospitalization.
9. (a)Expenses on treatment as a consequence of pregnancy
childbirth including caesarean section. (This exclusion will stand
deleted where policy is extended to cover Maternity Benefits).
(b) Voluntary Medical termination of pregnancy during the first 12
(twelve) weeks from the date of conception
10. Any Expenses on treatment of Insured person as outpatient in the
Hospital.
11. Any Expenses on Naturopathy
12. Any Expenses under Domiciliary Hospitalization for
· Pre and Post Hospitalization treatment
· Treatment of following diseases:
I. Asthma
 II. Bronchitis
III. Chronic Nephritis and Nephritic Syndrome
IV. Diarrhoea and all type of Dysenteries including Gastro-enteritis
V. Diabetes Mellitus and Insipidus
VI. Epilepsy
VII. Hypertension
VIII. Influenza, Cough and Cold
IX. All types of Psychiatric or Psychosomatic Disorders
X. Pyrexia of unknown Origin for less than 20 days
XI. Tonsillitis and Upper Respiratory Tract infection including Laryngitis
and Pharingitis
XII. Arthritis, Gout and Rheumatism
XIII. Dental Treatment or Surgery

13. Terrorism / Terrorist Incident of whatsoever nature directly or

indirectly caused by, resulting from or in connection with any act of
terrorism regardless of any other cause or event contributing
concurrently or in any other sequence to the loss.

General Conditions

1. Conditions Precedent- Where this Policy requires You/your family member(s) named in the Schedule to do or not
to do something, then the complete satisfaction of that requirement by You or someone claiming on Your behalf is a
precondition to any obligation We have under this Policy. If You or someone claiming on Your behalf fails to
completely satisfy that requirement, then We may refuse to consider Your claim. You/your family member(s) named in
the schedule will cooperate with Us at all times

2. Reasonable Precautions YOU/Insured Person shall take all reasonable precautions to prevent injury, illness,
disease in order to minimize claims.

3. Notice YOU/Insured Person will give every notice and communication in writing to our office through which this
insurance is affected.

4. Disclosure to information norm: The Policy shall be void and all premium paid hereon shall be forfeited to the
Company in the event of misrepresentation, non-description or non-disclosure of any material fact.
5. Changes in Circumstances YOU must inform US, as soon as reasonably possible of any change in information
YOU have provided to US about Insured person(s) which may affect the Insurance cover provided e.g. duty, business,
occupation.

6. Claim Procedure and Requirements

Notification of Claim: An event which might become a claim under the policy must be reported to US as soon as
possible, but not later than 7 days from the date of Hospitalization. A written statement of the claim will be required
and a claim form will be provided and the claim must be filed within 30 days from the date of discharge from the
Hospital except for in extreme cases of hardship where it is proved to our satisfaction that under the circumstances, in
which YOU, the Insured Person or his/her personal representative were placed, it was not possible for any one of
YOU to give notice or file claim within the prescribed time limit.
The Insured Person must give all bills, receipts, certificates, information and evidences from a Medical Attendant or
otherwise required by US in the manner and form as WE may prescribe. In such claims our representative shall be
allowed to carry out examination and obtain information in case of alleged injury or disease requiring Hospitalization if
and when WE may reasonably require.

7. Fraud: If a claim is fraudulent in any respect or supported by any fraudulent statement or device with or without
YOUR knowledge or that of Insured Person, all benefit(s) under this Policy shall be forfeited.

8. Contribution is essentially the right of an insurer to call upon other insurers, liable to the same insured, to share
the cost of an indemnity claim on a ratable proportion.

9. Renewal The renewal defines the terms on which the contract o f insurance can be renewed on mutual consent
with a provision of grace period for treating the renewal continuous for the purpose of all waiting periods

10. Cancellation WE may cancel this policy by sending 30(Thirty) days notice by registered post to YOUR last known
address. YOU will then be entitled to a pro-rata refund of premium for unexpired period of this policy in respect of such
insured person(s) in respect whom no claim has arisen.

YOU may cancel the policy by sending written notice to US under Regd. Post WE will then allow a refund on following
scale, except for those Insured Person(s) where claim has been preferred on US under the current policy:

Period of Cover up to Refund of Annual Premium rate (%)

1 Month 75%
3 Month 50%
6 Month 25%
Exceeding Six Months NIL

11. WE will not be bound to take notice or be affected by any notice of any trust, charge, lien, assignment or other
dealings with or relating to this policy. YOUR receipt or receipt of Insured Person shall in all cases be an effective
discharge to US.
12. Arbitration Should any dispute arise between US and YOU on quantum of Amount payable (liability being
admitted by US), such dispute will be referred to Arbitrator to be appointed in accordance with statutory provisions of
the country in force at that time. Further, if when any dispute is referable or referred to arbitration, the making of an
award by arbitration, shall be a condition precedent to any right of action by YOU against US.

13. Disclaimer Clause If WE shall disclaim our liability in any claim and such claim shall not have been made subject
matter of suit in a court of law within 12(twelve) months from date of disclaimer, then the claim shall for all purpose be
deemed to have been abandoned and shall not thereafter be recoverable under this Policy.

14. No sum payable under this policy shall carry any interest/ penalty.

15. The geographical scope of this policy will be India.

16. Maternity Expenses Benefit (Wherever applicable) This is an optional cover, which can be obtained on payment
of additional premium for all the Insured Persons under the Policy.

a. Option for Maternity Benefits has to be exercised at the inception of the policy period and no refund is allowable in
case of Insured's cancellation of this option during currency of the policy.

b. The maximum benefit allowable under this clause will be up to Rs.50,000/- or 20% of the Sum Insured opted by the
member of the group whichever is lower.

c. Special conditions applicable to Maternity Expenses Benefit Extension

1. These benefits are admissible only if the expenses are incurred in Hospital/Nursing Home as in-patients in India.

2. A waiting period of 9 months is applicable for payment of any claim relating to normal delivery or caesarean section
or abdominal operation for extra uterine Pregnancy. The waiting period may be relaxed only in case of delivery,
miscarriage or abortion induced by accident or other medical emergency.

3. Claim in respect of only first two children and/or operations associated therewith will be considered in respect of any
one Insured Person covered under the Policy or any renewal thereof. Those Insured Persons who are already having
two or more living children will not be eligible for this benefit.

4. Pre-natal and post-natal expenses are not covered unless admitted in Hospital/Nursing Home and treatment is
taken there.

17. Free Look Period: The free look period shall be applicable at the inception of the policy and
i. The insured will be allowed a period of at least 15 days from the date of receipt of the Policy to review the
terms and conditions of the Policy and to return the same if not acceptable;

ii. If the insured has not made any claim during the free look period, the insured shall be entitled to-

a. A refund of the premium paid less any expenses incurred by the insurer on medical examination of the
insured persons and the stamp duty charges or;
b. Where the risk has already commenced and the option of return of the policy is exercised by the
policyholder, a deduction towards the proportionate risk premium for period on cover or
c. Where only a part of the risk has commenced, such proportionate risk premium commensurate with the
risk covered during such period.

18. Alteration of Policy Conditions: The policy terms and conditions may undergo alteration as per the IRDA Health
Regulation. However the same shall be duly notified to you at least three months prior to the date when such
alteration or revision comes into effect by registered post at your last declared correspondence address. The
timeliness for revision in terms and rates shall be as per the IRDA Health Regulation.
19. Withdrawal of Policy: This product may be withdrawn with the prior approval of the Authority and information of
withdrawal shall be given to you in advance as per the IRDA guidelines with details of options provided by us. If we
do not receive your response on the intimation of withdrawal, the existing product shall be withdrawn on the
renewal date and you shall have to take a new policy available with us, subject to portability conditions.
20. Portability
a. Portability shall be granted only to the Insured Person/s who is/are presently covered and were continuously
covered without any lapses under any other similar health insurance plan with equivalent Deductible with an Indian
Non life/Health insurer in the past.
b. In case portability is granted by us the proviso's regarding the waiting periods specified under Exclusion Nos 1,2
and 3 of the Policy stand modified as under in respect of such insured persons granted with portability.
i. The waiting periods shall be reduced by the number of continuous preceding years of coverage of the
Insured Person under the previous health insurance policy/Policies; AND
ii. If the proposed Sum Insured for a proposed Insured Person is more than the Sum Insured applicable under
the previous health insurance policy, then the reduced waiting period shall apply only to the extent of the Sum
Insured under the previous health insurance policy.
iii. The reduction in the waiting period specified above shall be only if We have received the database and
claim history from the previous Indian insurance company;
iv. We shall consider only completed years of coverage for waiver of waiting periods. Policy extensions if any
sought during or for the purpose of porting insurance policy shall not be considered for waiting period waiver
 List Of Insured Families and Person

UID Employee Code Name Date of Birth Gender Relationship Sum Insured
1-14712798691 2011IPM021 Devashish Verma 02/23/1993 Male Self 100000

1-14712798763 2011IPM030 Gaurav Jharwal 02/04/1992 Male Self 100000

1-14712798723 2011IPM055 Navneet Naveen 01/30/1994 Male Self 100000

1-14712798699 2011IPM088 Saharsh Gupta 02/11/1993 Male Self 100000

1-14712798711 2011IPM098 Shashank Jain 10/03/1993 Male Self 100000

1-14712798737 2012IPM001 Abhal P. Ram 06/16/1994 Male Self 100000

1-14712798700 2012IPM002 Abhijeet Mishra 12/25/1994 Male Self 100000

1-14712798752 2012IPM003 Abhinav Tyagi 12/25/1993 Male Self 100000

1-14712798726 2012IPM004 Abhishek Anand 08/05/1993 Male Self 100000

1-14712798751 2012IPM005 Aditya Behera 09/05/1993 Male Self 100000

1-14712798749 2012IPM006 Aditya Kumar 08/01/1993 Male Self 100000

1-14712798756 2012IPM007 Aditya Tomar 03/20/1994 Male Self 100000

1-14712798740 2012IPM008 Aishwarya Mangla 08/10/1993 Female Self 100000

1-14712798696 2012IPM009 Akanksha Singh 06/27/1993 Female Self 100000

1-14712798760 2012IPM010 Akshay Bhargava 10/22/1993 Male Self 100000

1-14712798733 2012IPM011 Akshay Munim 01/10/1995 Male Self 100000

1-14712798788 2012IPM012 Ambika Ratnoo 12/28/1995 Female Self 100000

1-14712798713 2012IPM013 Ankit 03/16/1994 Male Self 100000

1-14712798727 2012IPM014 Anshik Yadav 03/22/1995 Male Self 100000

1-14712798813 2012IPM015 Anshika Verma 06/10/1994 Female Self 100000

1-14712798697 2012IPM017 Anupama Chinta 08/05/1994 Female Self 100000

1-14712798759 2012IPM018 Apoorv Mittal 03/05/1994 Male Self 100000

1-14712798800 2012IPM019 Aprajita Kesar 01/02/1995 Female Self 100000

1-14712798754 2012IPM020 Archit Kothari 08/25/1992 Male Self 100000

1-14712798805 2012IPM022 Arushi Mishra 11/11/1994 Female Self 100000

1-14712798712 2012IPM023 Ashwini Joshi 08/16/1994 Male Self 100000

1-14712798789 2012IPM024 Ayushi Agrawal 11/14/1993 Female Self 100000

1-14712798793 2012IPM025 Bhavna Manchanda 02/07/1994 Female Self 100000

1-14712798630 2012IPM026 Chinta Nikhil 05/21/1992 Male Self 100000

1-14712798803 2012IPM027 Daksha Verma 03/12/1994 Female Self 100000

1-14712798628 2012IPM028 Dandu Supreeth 05/14/1994 Male Self 100000

1-14712798731 2012IPM030 Dhananjay Kashyap 12/07/1993 Male Self 100000

1-14712798732 2012IPM031 Dhiraj Yadav 10/30/1993 Male Self 100000

1-14712798748 2012IPM032 Dishant Kulwal 12/23/1994 Male Self 100000

1-14712798796 2012IPM033 Ekta Tembhekar 08/28/1994 Female Self 100000

1-14712798746 2012IPM034 Eva Ipsita 05/27/1994 Female Self 100000

1-14712798782 2012IPM035 Farkande Soham Rajesh 08/11/1994 Male Self 100000

1-14712798715 2012IPM036 G.Shankar Vaidyanathan 01/04/1994 Male Self 100000

1-14712798785 2012IPM037 Gargi Pandey 10/07/1994 Female Self 100000

1-14712798769 2012IPM038 Gaurav Chaturvedi 09/21/1994 Male Self 100000

1-14712798729 2012IPM039 Gaurav Deep 03/16/1994 Male Self 100000

1-14712798692 2012IPM040 Gautami Priyanka B.V. 08/31/1994 Female Self 100000

1-14712798791 2012IPM041 Gavand Angaee Ajit 07/21/1993 Female Self 100000

1-14712798773 2012IPM042 Govinda Bhadada 03/11/1995 Male Self 100000

1-14712798797 2012IPM043 Harika G H V V N 01/26/1994 Female Self 100000

1-14712798777 2012IPM044 Harshit Kumar 01/09/1994 Male Self 100000

1-14712798775 2012IPM045 Harshvardhan Singh Sachdev 09/18/1993 Male Self 100000

1-14712798694 2012IPM046 Hemant Kumar 12/13/1992 Male Self 100000

1-14712798776 2012IPM047 Indroneel Das 11/22/1993 Male Self 100000

1-14712798741 2012IPM048 Indu Mehta 11/17/1993 Female Self 100000

1-14712798743 2012IPM049 Ira Singh 03/13/1994 Female Self 100000

1-14712798812 2012IPM050 Jabeen Shaikh 04/16/1993 Female Self 100000

1-14712798808 2012IPM051 Jyotika Thawani 07/23/1994 Female Self 100000

1-14712798802 2012IPM052 K.Nivedita Raju 01/26/1995 Female Self 100000

1-14712798693 2012IPM054 K.S.Shibani Shankar Ray 08/28/1994 Male Self 100000

1-14712798734 2012IPM055 Karpaga S Vignesh 05/31/1995 Male Self 100000

1-14712798774 2012IPM056 Kartik Lilani 06/11/1995 Male Self 100000

1-14712798745 2012IPM057 Kavya Annapareddy 05/31/1995 Female Self 100000

1-14712798787 2012IPM058 Komal Prem Chandani 11/13/1993 Female Self 100000

1-14712798750 2012IPM059 Lakshman Verma 02/17/1994 Male Self 100000

1-14712798742 2012IPM060 Mani Choudhary 02/18/1994 Female Self 100000

UID Employee Code Name Date of Birth Gender Relationship Sum Insured
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1-14712798718 2012IPM062 Muddada Kishore 07/01/1995 Male Self 100000

1-14712798724 2012IPM064 N. Shriram Karthic 08/05/1993 Male Self 100000

1-14712798767 2012IPM067 Nikhil Joseph 06/03/1994 Male Self 100000

1-14712798770 2012IPM068 Nikhil Kapoor 06/22/1994 Male Self 100000

1-14712798780 2012IPM069 Niloy Jain 06/01/1994 Male Self 100000

1-14712798728 2012IPM070 Niswarth Sinha 06/20/1993 Male Self 100000

1-14712798792 2012IPM071 Ojasvi A Jain 01/31/1994 Female Self 100000

1-14712798739 2012IPM072 Oshin Goel 09/05/1993 Female Self 100000

1-14712798757 2012IPM073 Pallav Grover 01/07/1994 Male Self 100000

1-14712798786 2012IPM074 Pankhuri Soni 06/04/1994 Female Self 100000

1-14712798795 2012IPM075 Pindiga Monika 12/28/1994 Female Self 100000

1-14712798768 2012IPM076 Piyush Kumar 03/03/1994 Male Self 100000

1-14712798629 2012IPM077 Poomulli Hrishikesh N. 01/06/1994 Male Self 100000

1-14712798735 2012IPM078 Pulkit Agarwal 02/23/1994 Male Self 100000

1-14712798790 2012IPM079 Puloma Singh Raghav 02/27/1994 Female Self 100000

1-14712798762 2012IPM080 Raghav Kinra 05/05/1994 Male Self 100000

1-14712798755 2012IPM081 Raghav Palriwala 10/07/1994 Male Self 100000

1-14712798736 2012IPM082 Rahul Juneja 07/16/1994 Male Self 100000

1-14712798779 2012IPM083 Rajat Kandere 11/30/1994 Male Self 100000

1-14712798738 2012IPM086 Revant Sindhu 09/20/1993 Female Self 100000

1-14712798766 2012IPM087 Rishi Raj 08/04/1993 Male Self 100000

1-14712798794 2012IPM088 Rosemary Jose 02/18/1994 Female Self 100000

1-14712798720 2012IPM089 S Vignesh 08/21/1994 Male Self 100000

1-14712798761 2012IPM090 S. Pranav Kumar 03/08/1995 Male Self 100000

1-14712798807 2012IPM091 Sakshi Rai 12/10/1994 Female Self 100000

1-14712798695 2012IPM093 Sania Bertila Lokho 10/20/1994 Female Self 100000

1-14712798806 2012IPM094 Sanjana Rao Yarram 02/20/1994 Female Self 100000

1-14712798765 2012IPM096 Shaarang Singh 05/31/1994 Male Self 100000

1-14712798778 2012IPM097 Sharad Agarwal 10/07/1993 Male Self 100000

1-14712798716 2012IPM098 Sheshadri Bhattacharya 10/02/1992 Male Self 100000

1-14712798758 2012IPM099 Shivang Batra 08/11/1994 Male Self 100000

1-14712798722 2012IPM100 Shivraj Kumar Gaurav 08/11/1992 Male Self 100000

1-14712798764 2012IPM101 Shivraj Singh 09/13/1994 Male Self 100000

1-14712798772 2012IPM102 Shrey Trivedi 08/28/1994 Male Self 100000

1-14712798747 2012IPM103 Shreya Kesarwani 12/21/1993 Female Self 100000

1-14712798744 2012IPM104 Shruti Garodia 01/21/1994 Female Self 100000

1-14712798798 2012IPM105 Shubhangi Nagar 06/07/1995 Female Self 100000

1-14712798753 2012IPM106 Siddharth Garg 11/12/1993 Male Self 100000

1-14712798799 2012IPM107 Sindhuri Vankina 11/15/1993 Female Self 100000

1-14712798730 2012IPM108 Soham Bal 05/02/1994 Male Self 100000

1-14712798771 2012IPM109 Sourabh Karmakar 08/06/1994 Male Self 100000

1-14712798714 2012IPM110 Sumit Kumar 01/14/1995 Male Self 100000

1-14712798725 2012IPM111 Suraj Satyarthi 12/04/1994 Male Self 100000

1-14712798698 2012IPM112 Swagatika Sahu 10/06/1994 Female Self 100000

1-14712798801 2012IPM114 Tanu Kumawat 08/12/1995 Female Self 100000

1-14712798783 2012IPM115 Utkarsh Upadhyaya 12/01/1994 Male Self 100000

1-14712798627 2012IPM116 Varun Sachan 10/02/1994 Male Self 100000

1-14712798721 2012IPM117 Varun Sharma 12/14/1993 Male Self 100000

1-14712798781 2012IPM118 Vatan Patel 09/15/1994 Male Self 100000

1-14712798717 2012IPM119 Vipin Kumar Yadav 11/11/1993 Male Self 100000

1-14712798784 2012IPM120 Vishal Saini 08/14/1993 Male Self 100000

1-14712798719 2012IPM121 Vivek Kumar 01/06/1995 Male Self 100000

1-14712798826 2013IPM002 Aashish Yadav 01/28/1994 Male Self 100000

1-14712798861 2013IPM004 Abhilasha Jas 12/15/1995 Female Self 100000

1-14712798911 2013IPM005 Abhinav Priyadarshi 06/15/1994 Male Self 100000

1-14712798888 2013IPM006 Adesh Saikia 11/22/1995 Male Self 100000

1-14712798876 2013IPM007 Aditi 09/06/1995 Female Self 100000

1-14712798890 2013IPM008 Agrim Gupta 06/16/1995 Male Self 100000

1-14712798880 2013IPM009 Aishwary Kumar Yadav 10/12/1995 Male Self 100000

1-14712798914 2013IPM010 Akash Deep 02/15/1995 Male Self 100000

1-14712798906 2013IPM011 Akash Prakash 03/10/1995 Male Self 100000

1-14712798875 2013IPM012 Akriti Kunchal 06/28/1995 Female Self 100000

1-14712798860 2013IPM013 Amal Ashraf 08/01/1995 Female Self 100000

1-14712798844 2013IPM014 Amishi Garodia 12/19/1994 Female Self 100000

1-14712798836 2013IPM015 Amrita Sarna 10/09/1995 Female Self 100000

1-14712798883 2013IPM016 Aniket Basudeo 08/17/1994 Male Self 100000

UID Employee Code Name Date of Birth Gender Relationship Sum Insured
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1-14712798835 2013IPM018 Ankita Gupta 02/04/1996 Female Self 100000

1-14712798904 2013IPM019 Anshuman Singh 09/22/1994 Male Self 100000

1-14712798845 2013IPM020 Antara Dutta 10/22/1994 Female Self 100000

1-14712798849 2013IPM021 Apekshya Lade 04/01/1993 Female Self 100000

1-14712798893 2013IPM022 Arjun Bansal 11/23/1994 Male Self 100000

1-14712798842 2013IPM023 Arunika Priyadarshini 11/12/1995 Female Self 100000

1-14712798821 2013IPM024 Ashish Kumar Singh 02/17/1994 Male Self 100000

1-14712798896 2013IPM025 Avik Gugalia 11/14/1995 Male Self 100000

1-14712798837 2013IPM026 Ayushi Agrawal 12/25/1994 Female Self 100000

1-14712798877 2013IPM027 Ayushi Agrawal 02/13/1995 Female Self 100000

1-14712798851 2013IPM028 Ayushi Jaiswal 03/11/1995 Female Self 100000

1-14712798913 2013IPM029 Bellap J Sai Kiran 06/28/2013 Male Self 100000

1-14712798832 2013IPM030 Bhumika Ray 09/11/1994 Female Self 100000

1-14712798822 2013IPM031 Bijoy Roychowdhury 05/23/1995 Male Self 100000

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1-14712798898 2013IPM034 Dhruv Kansal 04/16/1995 Male Self 100000

1-14712798815 2013IPM035 Dhruv Kapuria 03/24/1995 Male Self 100000

1-14712798879 2013IPM036 Divyansh Kumar Sahu 06/15/1996 Male Self 100000

1-14712798912 2013IPM038 Gaurav 01/26/1995 Male Self 100000

1-14712798918 2013IPM039 Gaurav Aggarwal 05/20/1995 Male Self 100000

1-14712798920 2013IPM041 Gowtham Chakravarthy Bedumpet 08/05/1995 Male Self 100000

1-14712798917 2013IPM042 Hardik Gupta 04/27/1996 Male Self 100000

1-14712798856 2013IPM043 Hiral Arora 06/07/1995 Female Self 100000

1-14712798819 2013IPM044 Ishaan Ajay 09/21/1995 Male Self 100000

1-14712798847 2013IPM046 Jasmine Kaur 10/22/1995 Female Self 100000

1-14712798909 2013IPM047 K.Susheel Barath 01/27/1996 Male Self 100000

1-14712798872 2013IPM048 Kamala Priya Mukkamala 04/07/1995 Female Self 100000

1-14712798850 2013IPM049 Kaniganti Srihitha 08/13/1995 Female Self 100000

1-14712798870 2013IPM051 Komal Nagdavne 07/07/1995 Female Self 100000

1-14712798840 2013IPM052 Maitri Nabiyal 11/17/1995 Female Self 100000

1-14712798902 2013IPM053 Manjot Singh Bhatia 11/18/1994 Male Self 100000

1-14712798823 2013IPM054 Manpreet Singh 11/07/1995 Male Self 100000

1-14712798895 2013IPM055 Naman Ahir 02/14/1996 Male Self 100000

1-14712798866 2013IPM056 Onchumwi Basumatary 12/03/1995 Female Self 100000

1-14712798874 2013IPM057 Palak Agrawal 01/18/1995 Female Self 100000

1-14712798818 2013IPM058 Parneet Singh Alag 02/19/1996 Male Self 100000

1-14712798816 2013IPM059 Philip George 09/24/1994 Male Self 100000

1-14712798865 2013IPM060 Potdar Akanksha Kishor 06/11/1996 Female Self 100000

1-14712798892 2013IPM061 Pradyumna Choudhary 08/06/1995 Male Self 100000

1-14712798903 2013IPM062 Prashant Saini 03/17/1995 Male Self 100000

1-14712798873 2013IPM063 Priya Jaiswal 09/22/1995 Female Self 100000

1-14712798886 2013IPM064 R. Harish 04/21/1995 Male Self 100000

1-14712798869 2013IPM065 Ranita Mandal 09/30/1994 Female Self 100000

1-14712798809 2013IPM066 Ranjit Khara 12/20/1994 Male Self 100000

1-14712798863 2013IPM068 Richa Meena 04/25/1994 Female Self 100000

1-14712798901 2013IPM069 Rishabh Saini 11/21/1995 Male Self 100000

1-14712798908 2013IPM070 Rohan Basudeo 02/12/1995 Male Self 100000

1-14712798907 2013IPM073 S. Ram Narayanan 04/13/1996 Male Self 100000

1-14712798833 2013IPM074 S. Vishnu Priya 03/24/1996 Female Self 100000

1-14712798814 2013IPM075 Sahil Puri 03/01/1995 Male Self 100000

1-14712798827 2013IPM076 Samisht Sehgal 03/10/1996 Male Self 100000

1-14712798834 2013IPM077 Sanchita Goel 03/18/1996 Female Self 100000

1-14712798871 2013IPM079 Satchi Sahay 08/14/2013 Female Self 100000

1-14712798915 2013IPM080 Saurav Kumar 07/05/1995 Male Self 100000

1-14712798824 2013IPM081 Sawakar Kunal Nitin 01/16/1995 Male Self 100000

1-14712798828 2013IPM082 Shantanu Rajpal 08/09/1995 Male Self 100000

1-14712798843 2013IPM083 Sharath Madhulika 09/25/1995 Female Self 100000

1-14712798831 2013IPM084 Shashank Gupta 07/23/2013 Male Self 100000

1-14712798858 2013IPM085 Shilpika Ganeriwala 11/14/1995 Female Self 100000

1-14712798839 2013IPM087 Shivangi Malviya 02/28/1995 Female Self 100000

1-14712798887 2013IPM088 Shobhit Jain 02/25/1995 Male Self 100000

1-14712798857 2013IPM089 Shreya Singh 03/02/1995 Female Self 100000

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1-14712798891 2013IPM091 Shubham Prasad 10/01/1994 Male Self 100000

1-14712798905 2013IPM092 Sidhant Sidana 09/14/1994 Male Self 100000

1-14712798859 2013IPM093 Snehal Lade 04/29/1995 Female Self 100000

UID Employee Code Name Date of Birth Gender Relationship Sum Insured
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1-14712798848 2013IPM095 Srishti Vinamra 12/05/1996 Female Self 100000

1-14712798830 2013IPM096 Sudi Hemanth 02/03/1996 Male Self 100000

1-14712798884 2013IPM097 Sumeet Sahoo 12/19/1994 Male Self 100000

1-14712798882 2013IPM099 Suryansh Singal 03/23/1995 Male Self 100000

1-14712798853 2013IPM100 Suryawanshi Priyanka 09/24/1995 Female Self 100000

1-14712798868 2013IPM101 Tanya Mihirkumar Shah 08/01/1995 Female Self 100000

1-14712798825 2013IPM103 Tirtham Ray 12/07/1994 Male Self 100000

1-14712798867 2013IPM105 Vaishali Gautam 06/10/1995 Female Self 100000

1-14712798864 2013IPM106 Vanshika Chaudhary 11/14/1995 Female Self 100000

1-14712798810 2013IPM109 Yashi Yadav 08/08/2005 Female Self 100000

1-14712798897 2013IPM110 Lalit Mohan Deo 07/31/1995 Male Self 100000

1-14712798838 2013IPM112 Nikita Makhija 09/02/1995 Female Self 100000

1-14712798829 2013IPM113 Arindam 11/07/1995 Male Self 100000

1-14712798916 2013IPM115 Ayan Das 12/26/1992 Male Self 100000

1-14712798820 2013IPM116 Akshay Utkarsh 12/06/1993 Male Self 100000

1-14712798919 2013IPM117 Supreet Singh 03/29/1995 Male Self 100000

1-14712798910 2013IPM118 Anish Saha 07/22/1995 Male Self 100000

1-14712798846 2013IPM119 Rhea Nair 03/27/1994 Female Self 100000

1-14712798862 2013IPM120 Vidhi Choudhary 05/03/2013 Female Self 100000

1-14712798889 2013IPM122 Shivam Kumar Arya 04/17/1994 Male Self 100000

1-14712798885 2013IPM123 Ayush Pandey 03/04/1996 Male Self 100000

1-14712798855 2013IPM124 Sanya Singh Thakur 02/15/1994 Female Self 100000

1-14712798899 2013IPM126 Shubham Krishna Kushwaha 11/20/1994 Male Self 100000

1-14712798811 2013IPM127 Nikhil Kumar 03/01/1995 Male Self 100000

1-14712798817 2013IPM128 Preetam Kumar Agrawal 06/28/1994 Male Self 100000

1-14712798852 2013IPM129 Vanam Siri Lahari 08/25/1995 Female Self 100000

1-14712798854 2013IPM130 Chinmayee Sahoo 08/07/1996 Female Self 100000

1-14712798900 2013IPM131 Aakash Raisinghani 07/13/1994 Male Self 100000

1-14712799026 2014IPM002 Aashish Ranjan 02/22/1996 Male Self 100000

1-14712799029 2014IPM003 Abhinav Aakash 06/21/1996 Male Self 100000

1-14712799025 2014IPM004 Abhinav Deshwal 11/16/1996 Male Self 100000

1-14712799007 2014IPM005 Abhishek Shridhar 10/23/1996 Male Self 100000

1-14712798951 2014IPM006 Aditi Bajaj 09/29/1995 Female Self 100000

1-14712798945 2014IPM007 Aditi Rao 12/24/1996 Female Self 100000

1-14712799018 2014IPM008 Aditya Agarwal 08/29/1996 Male Self 100000

1-14712798998 2014IPM009 Aditya Anil Jain 08/15/1995 Male Self 100000

1-14712798994 2014IPM012 Akhil Yadav 08/15/1997 Male Self 100000

1-14712798995 2014IPM014 Amogh Jawa 12/06/1995 Male Self 100000

1-14712798923 2014IPM016 Anju 01/17/1996 Female Self 100000

1-14712799032 2014IPM017 Ankit Choudhery 02/14/1997 Male Self 100000

1-14712799041 2014IPM018 Ankit Yadav 01/24/1996 Male Self 100000

1-14712799042 2014IPM019 Anmol Madan 02/16/1997 Male Self 100000

1-14712798996 2014IPM020 Anurag Sinha 11/23/1995 Male Self 100000

1-14712799034 2014IPM021 Apoorv Boudh 06/28/1996 Male Self 100000

1-14712799027 2014IPM023 Aswanth L.B. 01/06/1995 Male Self 100000

1-14712799015 2014IPM024 Avinash Mishra 09/21/1996 Male Self 100000

1-14712798984 2014IPM026 Bajla Shafha 10/02/1995 Female Self 100000

1-14712799030 2014IPM027 Budumuru Venkata Durga Prasad 10/07/1996 Male Self 100000

1-14712799028 2014IPM028 Chandan 02/21/1997 Male Self 100000

1-14712798947 2014IPM029 Charvie Punia 03/17/1997 Female Self 100000

1-14712799019 2014IPM030 Devansh Gupta 05/16/1995 Male Self 100000

1-14712799043 2014IPM031 Dhruv Raj Chaudhary 09/10/1996 Male Self 100000

1-14712799044 2014IPM032 Digvijay Malviya 11/20/1996 Male Self 100000

1-14712799037 2014IPM033 Divij Ravi Advani 01/12/1996 Male Self 100000

1-14712799036 2014IPM034 Divyansh Bhatt 03/10/1997 Male Self 100000

1-14712799006 2014IPM036 Gautham A 07/21/2014 Male Self 100000

1-14712799005 2014IPM037 Harsh Chandra 11/28/1996 Male Self 100000

1-14712799013 2014IPM038 Hemant Kumar 08/12/1996 Male Self 100000

1-14712799035 2014IPM040 Ishan Gulati 05/05/1996 Male Self 100000

1-14712799021 2014IPM041 Jaihit Soni 04/23/1995 Male Self 100000

1-14712799022 2014IPM042 Kabir Jain 08/16/1996 Male Self 100000

1-14712798948 2014IPM043 Kokila Chopra 02/25/1997 Female Self 100000

1-14712799023 2014IPM044 Mahimn Paras Bhatt 04/11/1996 Male Self 100000

1-14712799038 2014IPM045 Malhar Mahesh Maheshwari 06/19/1996 Male Self 100000

1-14712799039 2014IPM046 Manan Kataria 10/30/1995 Male Self 100000

1-14712799040 2014IPM047 Masoom Suchdeo 08/15/1996 Male Self 100000

UID Employee Code Name Date of Birth Gender Relationship Sum Insured
1-14712798928 2014IPM049 Mehak Mendiratta 06/12/1997 Female Self 100000

1-14712799009 2014IPM050 Murli Nahar 09/23/1995 Male Self 100000

1-14712799008 2014IPM051 Naveen Damodar J 10/14/1996 Male Self 100000

1-14712798946 2014IPM053 Neharika Jindal 04/09/1996 Female Self 100000

1-14712799010 2014IPM054 Nikheel Champawat 09/29/1996 Male Self 100000

1-14712799046 2014IPM055 Nikhil Kumar 01/30/1996 Male Self 100000

1-14712798944 2014IPM056 Nishkriti Singla 03/29/1996 Female Self 100000

1-14712798929 2014IPM057 Nishtha Agrawal 07/26/1996 Female Self 100000

1-14712798930 2014IPM059 Pawar Ankita Sanjay 04/12/1996 Female Self 100000

1-14712799014 2014IPM060 Peeyush Aurobindo Handa 04/15/1996 Male Self 100000

1-14712799001 2014IPM061 Ponangi Samyak 12/05/1996 Male Self 100000

1-14712798931 2014IPM062 Pooja Babu 01/22/1996 Female Self 100000

1-14712799000 2014IPM063 Pradyun Rame Mehrotra 02/04/1997 Male Self 100000

1-14712798999 2014IPM064 Pranzal Tiwari 07/02/1995 Male Self 100000

1-14712798943 2014IPM065 Radhika Khandelwal 12/18/1996 Female Self 100000

1-14712799017 2014IPM066 Raghav Gandhi 05/30/1996 Male Self 100000

1-14712799016 2014IPM067 Rahul S Thadani 02/10/1996 Male Self 100000

1-14712798924 2014IPM069 Ratnal Gupta 03/19/1996 Female Self 100000

1-14712798925 2014IPM070 Ritika Kohli 12/21/1995 Female Self 100000

1-14712799011 2014IPM071 Ronak Singhania 10/23/1995 Male Self 100000

1-14712799012 2014IPM072 Ronish Satija 12/04/1997 Male Self 100000

1-14712798926 2014IPM073 Roshani 11/13/1995 Female Self 100000

1-14712798922 2014IPM076 Sabhyata Yadav 02/18/1996 Female Self 100000

1-14712798949 2014IPM078 Saloni Verma 04/13/1995 Female Self 100000

1-14712798941 2014IPM079 Sanjna Sanjiv 11/27/1996 Female Self 100000

1-14712798932 2014IPM080 Selva Sundari R 08/13/1996 Female Self 100000

1-14712798927 2014IPM081 Shaivi Naulakha 10/07/1996 Female Self 100000

1-14712799033 2014IPM082 Shashwat Prasad 10/22/1995 Male Self 100000

1-14712798940 2014IPM083 Shaurya Saxena 06/07/1996 Female Self 100000

1-14712798950 2014IPM087 Shivani Nath 01/09/1996 Female Self 100000

1-14712799024 2014IPM088 Shovan Gupta 05/14/1996 Male Self 100000

1-14712798937 2014IPM089 Shreya Narsaria 09/20/1996 Female Self 100000

1-14712799020 2014IPM091 Shubham Bhawsar 03/05/1996 Male Self 100000

1-14712798921 2014IPM093 Sreelakshmi M 10/20/1996 Female Self 100000

1-14712799031 2014IPM094 Sreeram Maganti 12/22/1996 Male Self 100000

1-14712798938 2014IPM096 Sujata Govind 03/23/1995 Female Self 100000

1-14712799045 2014IPM097 Surjo Sankar Sarkar 11/22/1995 Male Self 100000

1-14712798990 2014IPM098 Suyash Swaroop 04/20/1996 Male Self 100000

1-14712798939 2014IPM099 Taanya Dayal 11/14/1996 Female Self 100000

1-14712798997 2014IPM100 Tanmay Garg 11/18/1996 Male Self 100000

1-14712798936 2014IPM101 Tanvi Gupta 06/26/1996 Female Self 100000

1-14712798933 2014IPM102 Tanya Jakhar 01/07/1997 Female Self 100000

1-14712798988 2014IPM103 Thakre Vaibhav Ashok 01/10/1996 Male Self 100000

1-14712798989 2014IPM104 Utkarsh Utsedh 01/10/1996 Male Self 100000

1-14712799002 2014IPM105 Utsav Thapliyal 11/25/1995 Male Self 100000

1-14712799003 2014IPM106 Utsav Vadgama 08/20/1995 Male Self 100000

1-14712799004 2014IPM107 Vaibhav Benjamin Toppo 05/17/1996 Male Self 100000

1-14712798991 2014IPM108 Vaibhav Singh 05/07/1996 Male Self 100000

1-14712798935 2014IPM109 Virginia Miriam Kamala.S 02/27/1997 Female Self 100000

1-14712798993 2014IPM110 Vishal Joshi 04/10/1996 Male Self 100000

1-14712798992 2014IPM111 Vivek S 01/27/1997 Male Self 100000

1-14712798934 2014IPM113 Yavanika Verma 09/19/1996 Female Self 100000

1-14712256810 2014PGP105 Devendra Singh 01/01/1991 Male Self 100000

1-14712256830 2014PGP118 Gariki Durga Ajay Kumar 04/23/1992 Male Self 100000

1-14712256853 2014PGP132 Hashim C M 08/01/1993 Male Self 100000

1-14712798158 2014PGP429 Waghmode Subodh Vyankat 09/23/1991 Male Self 100000

1-14712799047 2015IPM001 Aadil Narang 09/08/1996 Male Self 100000

1-14712799056 2015IPM002 Abhijith Menon 07/04/1996 Male Self 100000

1-14712799048 2015IPM004 Advik Gupta 03/01/1998 Male Self 100000

1-14712798952 2015IPM005 Advitya 08/24/1997 Female Self 100000

1-14712798960 2015IPM006 Adya Prabha 02/21/1997 Female Self 100000

1-14712799050 2015IPM008 Akash Anand 09/14/1996 Male Self 100000

1-14712799051 2015IPM010 Aman Kumar Kashyap 09/08/1997 Male Self 100000

1-14712798961 2015IPM011 Shreya Surana 11/28/1997 Female Self 100000

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1-14712256789 2015PGP083 Chandra Kumar M 12/14/1989 Male Self 100000

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1-14712256791 2015PGP085 Chandrikapure Nikhil Shivnath 07/11/1991 Male Self 100000

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1-14712256798 2015PGP092 Chetan Mohansing Rajput 08/28/1991 Male Self 100000

1-14712256799 2015PGP093 Chetan Nand Kumar Jagtap 12/12/1991 Male Self 100000

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1-14712256801 2015PGP095 Chirag Jain 09/06/1993 Male Self 100000

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1-14712256805 2015PGP099 Deepa Yadav 11/07/1993 Female Self 100000

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1-14712256813 2015PGP107 Dharini B 11/02/1992 Female Self 100000

1-14712256814 2015PGP108 Dhegavath Krishna Prasad 11/06/1990 Male Self 100000

1-14712256815 2015PGP109 Dhritiman Roy 01/12/1993 Male Self 100000

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1-14712256817 2015PGP111 Dibyasobhan Roy 03/26/1992 Male Self 100000

1-14712256818 2015PGP112 Dipankar Dhariwal 10/16/1990 Male Self 100000

1-14712256819 2015PGP113 Diponjit Saikia 12/31/1986 Male Self 100000

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1-14712256822 2015PGP116 Disha Gupta 12/11/1991 Female Self 100000

1-14712256823 2015PGP117 Dishant Mahajan 04/12/1992 Male Self 100000

1-14712256824 2015PGP118 Divyanshu 07/30/1992 Male Self 100000

1-14712256825 2015PGP119 Dongala S Saran Sri Krishna Teja 05/07/1991 Male Self 100000

1-14712256826 2015PGP120 Dyapa Yeshwanth Sagar 01/03/1994 Male Self 100000

1-14712256827 2015PGP121 Eleanor Abigail Dennis Furtado 06/16/1994 Female Self 100000

1-14712256828 2015PGP122 Fawas Mudar 12/21/1990 Male Self 100000

1-14712256829 2015PGP123 Gardas Anilkumar 03/13/1990 Male Self 100000

1-14712256831 2015PGP124 Garima Sachdeva 12/28/1992 Female Self 100000

1-14712256832 2015PGP125 Garima Shrivastava 09/18/1991 Female Self 100000

1-14712256833 2015PGP126 Gaurav Mandan 05/20/1990 Male Self 100000

1-14712256834 2015PGP127 Gaurav Munshi 07/08/1991 Male Self 100000

1-14712256835 2015PGP128 Gaurav Panda 03/11/1992 Male Self 100000

1-14712256836 2015PGP129 Gaurav Tomar 01/27/1990 Male Self 100000

1-14712256837 2015PGP130 Gaurika Gupta 04/16/1993 Female Self 100000

1-14712256838 2015PGP131 Gautami V G 01/07/1992 Female Self 100000

1-14712256839 2015PGP132 Gedam Akshay Mahadeo 11/06/1991 Male Self 100000

1-14712256840 2015PGP133 Ghodke Nikhil Shrikant 09/30/1992 Male Self 100000

1-14712256841 2015PGP134 Gollu Srija 10/06/1991 Female Self 100000

1-14712256842 2015PGP135 Gopika Jhunjhunwala 11/01/1992 Female Self 100000

1-14712256843 2015PGP136 Gundrajukuppam Abhilash 10/06/1990 Male Self 100000

1-14712256844 2015PGP137 Gurleen Kaur 05/27/1992 Female Self 100000

1-14712256845 2015PGP138 Hambir Abhijeet Rajesh 08/23/1992 Male Self 100000

1-14712256846 2015PGP139 Harbani Lamba 11/26/1993 Female Self 100000

1-14712256847 2015PGP140 Hari Kannan P 05/11/1993 Male Self 100000

1-14712256848 2015PGP141 Harjot Kaur 03/01/1992 Female Self 100000

1-14712256849 2015PGP142 Harsh Parmar 03/12/1993 Male Self 100000

1-14712256850 2015PGP143 Harshil Singhal 07/11/1993 Male Self 100000

1-14712256851 2015PGP144 Harshul Jain 03/09/1994 Female Self 100000

1-14712256852 2015PGP145 Harsimrat Kaur 08/25/1990 Female Self 100000

1-14712256854 2015PGP146 Henielene West Pariat 05/17/1992 Female Self 100000

1-14712256855 2015PGP147 Himanshu Koli 03/15/1992 Male Self 100000

1-14712256856 2015PGP148 Himanshu Singh 09/14/1994 Male Self 100000

1-14712256857 2015PGP149 Indurkar Himanshu Anil 03/13/1993 Male Self 100000

1-14712256858 2015PGP150 Ipsita Mohapatra 12/15/1992 Female Self 100000

1-14712256859 2015PGP151 Itisha Gupta 06/08/1992 Female Self 100000

1-14712256860 2015PGP153 Janapareddy Santhosh Kumar Nai 07/02/1993 Male Self 100000

1-14712256861 2015PGP154 Janhavi V 10/06/1991 Female Self 100000

1-14712256862 2015PGP155 Jashid Hameed 01/10/1991 Male Self 100000

1-14712256863 2015PGP156 Jatin Gupta 04/03/1992 Male Self 100000

1-14712256864 2015PGP157 Jay Kumar Megotia 10/11/1992 Male Self 100000

1-14712256865 2015PGP158 Jithin John 05/31/1993 Male Self 100000

1-14712256866 2015PGP159 Jolly Mondal 05/22/1991 Female Self 100000

1-14712256867 2015PGP160 Joshi Siddharth Rajendra 01/11/1993 Male Self 100000

1-14712256868 2015PGP161 Joy Chandra Minj 06/09/1990 Male Self 100000

1-14712256869 2015PGP162 Jyoti Gurah 06/01/1992 Female Self 100000

1-14712256870 2015PGP163 K Laxman 02/27/1993 Male Self 100000

1-14712256871 2015PGP164 K Naga Deepika 07/04/1991 Female Self 100000

1-14712256872 2015PGP166 Kanish Aggarwal 08/30/1992 Male Self 100000

1-14712256873 2015PGP167 Kanksha Gupta 11/11/1990 Female Self 100000

1-14712256874 2015PGP168 Kanupriya Kajaria 01/11/1993 Female Self 100000

1-14712256875 2015PGP169 Kapil Yadav 03/11/1991 Male Self 100000

1-14712256876 2015PGP170 Karamveer 08/25/1992 Male Self 100000

1-14712256877 2015PGP171 Karkhanis Rucha Umesh 05/09/1992 Female Self 100000

1-14712256879 2015PGP172 Keerthiraj M 06/20/1992 Male Self 100000

1-14712256880 2015PGP173 Khyati Rao 12/26/1992 Female Self 100000

1-14712256881 2015PGP174 Kirti Meena 01/10/1991 Female Self 100000

1-14712256882 2015PGP175 Komal Kadam 06/05/1992 Female Self 100000

1-14712256883 2015PGP176 Kothari Rishabh Milind 08/28/1992 Male Self 100000

1-14712256884 2015PGP177 Krishnendu Babu 03/26/1992 Female Self 100000

1-14712256885 2015PGP178 Kriyanshi Aggarwal 06/02/1990 Female Self 100000

1-14712256886 2015PGP179 Kulkarni Nikhil Kedarnath 06/11/1993 Male Self 100000

1-14712256887 2015PGP180 Kumar Prashant 10/23/1993 Male Self 100000

1-14712256888 2015PGP181 Kunal Goel 04/13/1994 Male Self 100000

1-14712256890 2015PGP182 Kunal Sinha 04/21/1991 Male Self 100000

UID Employee Code Name Date of Birth Gender Relationship Sum Insured
1-14712256891 2015PGP183 Lipi Aron 08/28/1992 Female Self 100000

1-14712256892 2015PGP184 Lohith 02/03/1990 Male Self 100000

1-14712256893 2015PGP185 M Ashwini 07/09/1993 Female Self 100000

1-14712256894 2015PGP186 M Neha 11/06/1991 Female Self 100000

1-14712256895 2015PGP187 Madhuri Gautam 09/11/1990 Female Self 100000

1-14712256896 2015PGP188 Magesh 12/03/1991 Male Self 100000

1-14712256897 2015PGP189 Mahajan Ajinkya Arun 10/31/1993 Male Self 100000

1-14712256898 2015PGP190 Mahant Shri Dharm Murti Mishra 12/11/1990 Male Self 100000

1-14712256899 2015PGP191 Mahendra Mohan Das 05/28/1993 Male Self 100000

1-14712256900 2015PGP192 Mahendra Singh Taragi 01/22/1992 Male Self 100000

1-14712256901 2015PGP193 Maheshwari Ruchika Rajiv 09/19/1992 Female Self 100000

1-14712256902 2015PGP194 Mandeep Kaur 12/16/1992 Female Self 100000

1-14712256903 2015PGP195 Manikandan D 07/02/1991 Male Self 100000

1-14712256904 2015PGP196 Manjula Vadde 12/01/1994 Female Self 100000

1-14712256905 2015PGP197 Manosh Protim Majumder 07/18/1991 Male Self 100000

1-14712256906 2015PGP198 Marshall Goldsmith 11/18/1990 Male Self 100000

1-14712256907 2015PGP199 Midhun Parithosh 01/17/1993 Male Self 100000

1-14712256908 2015PGP200 Modi Nisarg Kirit 09/01/1994 Male Self 100000

1-14712256909 2015PGP201 Mohit 05/16/1991 Male Self 100000

1-14712256910 2015PGP202 Mohit Aggarwal 05/09/1994 Male Self 100000

1-14712256911 2015PGP203 Mohit Kumar Modi 10/31/1992 Male Self 100000

1-14712256912 2015PGP204 Monica 12/21/1992 Female Self 100000

1-14712256913 2015PGP205 Monica Dua 08/11/1991 Female Self 100000

1-14712256914 2015PGP206 Monika 10/13/1991 Female Self 100000

1-14712256915 2015PGP207 Mosab Cheriya Arakkal 12/11/1991 Male Self 100000

1-14712256916 2015PGP208 Moumita Nath 09/13/1990 Female Self 100000

1-14712256917 2015PGP209 Mridusmita Saikia 01/02/1991 Female Self 100000

1-14712256918 2015PGP210 Mriganka Sekhar Borah 03/18/1992 Male Self 100000

1-14712256919 2015PGP211 Mrinal Chandra Debnath 11/21/1989 Male Self 100000

1-14712256920 2015PGP212 Mugdha Kabra 12/28/1992 Female Self 100000

1-14712256931 2015PGP213 Muskan 03/21/1993 Female Self 100000

1-14712256932 2015PGP214 N Gautham Eshwar 02/07/1992 Male Self 100000

1-14712256933 2015PGP215 Nallamala Hemanth 06/19/1994 Male Self 100000

1-14712256934 2015PGP216 Naman Jain 09/22/1993 Male Self 100000

1-14712256935 2015PGP217 Namisha Misra 04/21/1992 Female Self 100000

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1-14712256946 2015PGP228 Nikhil T M 07/25/1991 Male Self 100000

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1-14712798185 2016PGP019 Aditya Jalan 05/26/1995 Male Self 100000

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1-14712798187 2016PGP021 Afreen Mohammed Ashraf 03/08/1995 Male Self 100000

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1-14712798189 2016PGP023 Aishani Verma 04/12/1994 Female Self 100000

1-14712798190 2016PGP024 Aishwary Rajput 01/12/1995 Male Self 100000

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1-14712798192 2016PGP026 Ajay Singh M 05/28/1992 Male Self 100000

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1-14712798203 2016PGP037 Akhil Mohammed C P 03/21/1992 Male Self 100000

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1-14712798206 2016PGP040 Akriti Virmani 02/16/1993 Female Self 100000

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1-14712798223 2016PGP056 Anish Nath 03/23/1992 Male Self 100000

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1-14712798266 2016PGP098 C Abhishek 06/23/1991 Male Self 100000

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1-14712798268 2016PGP100 Chatla Prasanth Kumar 11/08/1991 Male Self 100000

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UID Employee Code Name Date of Birth Gender Relationship Sum Insured
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1-14712798460 2016PGP289 Priyanka Shaw 10/02/1993 Female Self 100000

1-14712798461 2016PGP290 Priyanka Singh 01/14/1994 Female Self 100000

1-14712798462 2016PGP291 Rachna Murarka 04/23/1993 Female Self 100000

1-14712798463 2016PGP292 Radhika Gupta 03/02/1994 Female Self 100000

1-14712798464 2016PGP293 Raghorte Sagar Baburao 01/03/1995 Male Self 100000

1-14712798465 2016PGP294 Rahul Kumar Singh 01/19/1995 Male Self 100000

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1-14712798468 2016PGP297 Rahul Vijay Rokde 11/14/1994 Male Self 100000

1-14712798469 2016PGP298 Raj Jayantrao Gharpure 09/29/1993 Male Self 100000

1-14712798470 2016PGP299 Raj Jaymeen Bipin 07/23/1994 Male Self 100000

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1-14712798472 2016PGP301 Rajat Mallick 01/15/1995 Male Self 100000

1-14712798473 2016PGP302 Rajat Sharma 02/15/1992 Male Self 100000

1-14712798474 2016PGP303 Rakesh Kumar R 04/17/1992 Male Self 100000

1-14712798475 2016PGP304 Ramchandar R 03/28/1994 Male Self 100000

1-14712798476 2016PGP305 Ramya Pabbisetti 05/25/1993 Female Self 100000

1-14712798477 2016PGP306 Rana Hardikkumar Yashvantlal 11/27/1991 Male Self 100000

1-14712798478 2016PGP307 Ransoth Nikhil Raj 03/13/1993 Male Self 100000

1-14712798479 2016PGP308 Rashi Chaturvedi 12/08/1991 Female Self 100000

1-14712798480 2016PGP309 Rewa 10/17/1992 Female Self 100000

1-14712798481 2016PGP310 Rhea Nakwal 11/29/1994 Female Self 100000

1-14712798482 2016PGP311 Richa Khaklari 12/04/1991 Female Self 100000

1-14712798483 2016PGP312 Ringkhang Brahma 02/07/1991 Male Self 100000

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1-14712798485 2016PGP314 Rishi Baijal 02/21/1994 Male Self 100000

1-14712798486 2016PGP315 Rishi Raj Behera 09/05/1992 Male Self 100000

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1-14712798488 2016PGP317 Rohan Ashok Bansode 04/22/1993 Male Self 100000

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1-14712798492 2016PGP321 Roshani Shetty 09/06/1991 Female Self 100000

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1-14712798494 2016PGP323 Ruminder Kaur 01/26/1994 Female Self 100000

1-14712798495 2016PGP324 Rupendra Singh Athia 08/12/1994 Male Self 100000

1-14712798496 2016PGP325 S Vishwanath 10/19/1992 Male Self 100000

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1-14712798498 2016PGP327 S Arok Priyadarshan 09/06/1993 Male Self 100000

1-14712798499 2016PGP328 Sabuj Sinha 12/20/1994 Male Self 100000

1-14712798500 2016PGP329 Sadhana P 09/10/1993 Female Self 100000

1-14712798501 2016PGP330 Sagnik Mukherjee 06/18/1993 Male Self 100000

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1-14712798504 2016PGP332 Sanapala Venkata Sri Harsha 10/27/1991 Male Self 100000

1-14712798505 2016PGP333 Sanghavi Viraj Umesh 04/07/1992 Male Self 100000

1-14712798506 2016PGP334 Saniya Jain 09/09/1994 Female Self 100000

1-14712798507 2016PGP335 Sanjana Sen 10/16/1993 Female Self 100000

1-14712798508 2016PGP337 Sankar Das 02/28/1992 Male Self 100000

1-14712798509 2016PGP338 Sankhadeeep Saha 08/06/1992 Male Self 100000

1-14712798510 2016PGP339 Sarika Bishnoi 11/24/1992 Female Self 100000

1-14712798511 2016PGP340 Sarkar Deboshruto Debashis 12/16/1993 Male Self 100000

1-14712798512 2016PGP341 Sashwati Behera 08/17/1992 Female Self 100000

1-14712798513 2016PGP342 Sasikumar S 07/25/1995 Male Self 100000

1-14712798514 2016PGP343 Saumya Garg 02/03/1993 Female Self 100000

1-14712798515 2016PGP344 Saurabh Arora 01/02/1996 Male Self 100000

1-14712798516 2016PGP345 Saurabh Bhide 07/15/1993 Male Self 100000

1-14712798517 2016PGP346 Saurabh Taneja 10/06/1994 Male Self 100000

1-14712798519 2016PGP347 Sauradipta Mishra 01/12/1993 Male Self 100000

1-14712798520 2016PGP348 Saurav Chandra 12/16/1991 Male Self 100000

1-14712798521 2016PGP349 Saylee Ghag 12/18/1993 Female Self 100000

1-14712798522 2016PGP350 Shagun Gupta 11/16/1992 Female Self 100000

1-14712798523 2016PGP351 Shailendra Kumar Tiwari 08/31/1992 Male Self 100000

1-14712798524 2016PGP352 Shaily Agrawal 10/14/1994 Female Self 100000

1-14712798525 2016PGP353 Shalu Singh 02/18/1995 Female Self 100000

1-14712798526 2016PGP354 Shashank V Bagare 02/12/1991 Male Self 100000

1-14712798527 2016PGP355 Sheryl Grover 10/08/1995 Female Self 100000

1-14712798528 2016PGP356 Shetty Kshama Balachandra 02/24/1992 Female Self 100000

1-14712798529 2016PGP357 Shibani Rath 07/10/1992 Female Self 100000

1-14712798530 2016PGP358 Shinkar Ajinkya Madhukar 03/11/1992 Male Self 100000

1-14712798531 2016PGP359 Shivang Aggarwal 08/14/1995 Male Self 100000

1-14712798532 2016PGP360 Shivani 09/19/1993 Female Self 100000

1-14712798533 2016PGP361 Shivani Gual 10/30/1993 Female Self 100000

1-14712798534 2016PGP362 Shreya Babbar 10/31/1992 Female Self 100000

1-14712798535 2016PGP363 Shreya Ganguli 02/08/1995 Female Self 100000

1-14712798536 2016PGP364 Shreya Sikaria 02/02/1993 Female Self 100000

1-14712798537 2016PGP365 Shriram K 09/30/1993 Male Self 100000

1-14712798538 2016PGP366 Shruti Aran 11/17/1993 Female Self 100000

1-14712798539 2016PGP367 Shruti Sharma 06/18/1992 Female Self 100000

1-14712798540 2016PGP368 Shruti Sundaram 09/19/1994 Female Self 100000

1-14712798541 2016PGP369 Shubham Jain 11/12/1994 Male Self 100000

1-14712798542 2016PGP370 Shubham Khaitan 11/19/1991 Male Self 100000

1-14712798543 2016PGP371 Shuchita Jaiswal 06/11/1992 Female Self 100000

1-14712798544 2016PGP372 Shweta Eliza Aind 09/02/1990 Female Self 100000

1-14712798545 2016PGP373 Shweta Mehra 04/01/1994 Female Self 100000

1-14712798546 2016PGP374 Shyamsundar R 11/09/1992 Male Self 100000

1-14712798547 2016PGP375 Siddharth Pandharipande 10/09/1992 Male Self 100000

1-14712798548 2016PGP376 Siddharth R 09/15/1994 Male Self 100000

1-14712798549 2016PGP377 Siddhartha Jain 04/09/1991 Male Self 100000

1-14712798550 2016PGP378 Sindhuja Gantayet 06/07/1991 Female Self 100000

1-14712798552 2016PGP379 Sonakshi Garg 12/30/1994 Female Self 100000

1-14712798553 2016PGP380 Soni Sandesh Suresh 11/30/1993 Male Self 100000

1-14712798554 2016PGP381 Soumya Chopra 10/10/1994 Female Self 100000

1-14712798555 2016PGP382 Sounak Kasyapi 11/08/1991 Male Self 100000

1-14712798556 2016PGP383 Sri Pujita Rongala 05/29/1992 Female Self 100000

1-14712798557 2016PGP384 Subanta Neogi 10/21/1989 Male Self 100000

1-14712798558 2016PGP385 Subhash Kumar 01/01/1990 Male Self 100000

1-14712798559 2016PGP386 Subhradeep Dhal 12/16/1993 Male Self 100000

1-14712798560 2016PGP387 Sudarshan S Nayak 10/23/1994 Male Self 100000

1-14712798561 2016PGP388 Suhitha Raj Palaparthi 07/04/1993 Female Self 100000

1-14712798562 2016PGP389 Sukrati Gupta 01/15/1993 Female Self 100000

1-14712798563 2016PGP390 Suman Patra 01/22/1994 Male Self 100000

1-14712798564 2016PGP391 Sunankit Uttamrao Mane Sandesha 05/09/1993 Male Self 100000

1-14712798565 2016PGP392 Sundaram Pandey 01/16/1994 Male Self 100000

1-14712798566 2016PGP393 Sundeep Yadav 11/16/1991 Male Self 100000

UID Employee Code Name Date of Birth Gender Relationship Sum Insured
1-14712798567 2016PGP394 Supreeta Ray 11/05/1992 Female Self 100000

1-14712798568 2016PGP395 Suprito Biswas 11/24/1992 Male Self 100000

1-14712798569 2016PGP396 Supriya Karan 12/22/1991 Female Self 100000

1-14712798570 2016PGP397 Surabhi 03/17/1991 Female Self 100000

1-14712798571 2016PGP398 Surabhi Goswami 10/23/1991 Female Self 100000

1-14712798572 2016PGP399 Suraj Kumar Azad 09/26/1991 Male Self 100000

1-14712798573 2016PGP400 Sushant Abhishek Barla 06/22/1990 Male Self 100000

1-14712798574 2016PGP401 Suviegya Sinha 08/28/1995 Female Self 100000

1-14712798575 2016PGP402 Suvinava Basak 07/26/1993 Male Self 100000

1-14712798576 2016PGP403 Swasti Mehta 11/14/1992 Female Self 100000

1-14712798577 2016PGP404 Swathika S 07/18/1992 Female Self 100000

1-14712798578 2016PGP405 Tanay Shankar 09/25/1993 Male Self 100000

1-14712798579 2016PGP406 Tanvi Chandna 03/23/1994 Female Self 100000

1-14712798580 2016PGP407 Tanvi Lamba 08/17/1993 Female Self 100000

1-14712798581 2016PGP408 Tanvi Maheshwari 07/13/1994 Female Self 100000

1-14712798582 2016PGP409 Tigiripalli Hemanth Raj 07/27/1995 Male Self 100000

1-14712798583 2016PGP410 Tony Fernandez 11/25/1991 Male Self 100000

1-14712798584 2016PGP411 Tushar Gupta 06/20/1994 Male Self 100000

1-14712798586 2016PGP412 Utsav Mahto 09/17/1991 Male Self 100000

1-14712798587 2016PGP413 Uzma Ansari 11/13/1992 Female Self 100000

1-14712798588 2016PGP414 Vaibhav Bandi 12/31/1991 Male Self 100000

1-14712798589 2016PGP415 Vaibhav Gupta 12/16/1995 Male Self 100000

1-14712798590 2016PGP416 Vaibhav Solanki 09/18/1991 Male Self 100000

1-14712798591 2016PGP417 Vandan Vamsi K 07/18/1994 Male Self 100000

1-14712798592 2016PGP418 Vani Malik 06/13/1995 Female Self 100000

1-14712798593 2016PGP419 Vankudoth Ramesh 12/30/1993 Male Self 100000

1-14712798595 2016PGP420 Vartak Omkar Sanjay 11/29/1993 Male Self 100000

1-14712798596 2016PGP421 Vartika Agarwal 08/17/1995 Female Self 100000

1-14712798597 2016PGP422 Vasa Suprad Reddy 11/05/1994 Male Self 100000

1-14712798598 2016PGP423 Vasantada Srikanth 03/22/1992 Male Self 100000

1-14712798599 2016PGP424 Vasudha R 06/24/1993 Female Self 100000

1-14712798600 2016PGP425 Venkatesh J 12/22/1990 Male Self 100000

1-14712798601 2016PGP426 Vidhi Goel 04/20/1995 Female Self 100000

1-14712798602 2016PGP427 Vinaikatariya P 10/12/1994 Male Self 100000

1-14712798603 2016PGP428 Vinayagavel 08/23/1994 Male Self 100000

1-14712798604 2016PGP429 Vishakha Gupta 10/19/1993 Female Self 100000

1-14712798605 2016PGP430 Vishal Verma 03/07/1993 Male Self 100000

1-14712798606 2016PGP431 Vishesh Nagpal 02/04/1992 Male Self 100000

1-14712798607 2016PGP432 Vishnu S 09/06/1992 Male Self 100000

1-14712798608 2016PGP433 Vivek Kumar 10/20/1993 Male Self 100000

1-14712798609 2016PGP434 Vrinda Tambi 11/01/1995 Female Self 100000

1-14712798610 2016PGP435 Wandile Nikhil Manoj 03/01/1994 Male Self 100000

1-14712798621 2016PGP436 Yadala Raveena 08/16/1995 Female Self 100000

1-14712798622 2016PGP437 Yajan Maindiratta 04/19/1995 Male Self 100000

1-14712798623 2016PGP438 Yash Sanjay Asutkar 10/11/1993 Male Self 100000

1-14712798624 2016PGP439 Yogesh S 07/24/1991 Male Self 100000

1-14712798625 2016PGP440 Yuvarani S 05/18/1992 Female Self 100000

1-14712798626 2016PGP441 Zaeem Abdul Hameed 09/18/1990 Male Self 100000

1-14712798261 2016PGP443 Bhavini Jha 09/24/1992 Female Self 100000

1-14712798307 2016PGP444 Harshit Wadhwa 02/03/1996 Male Self 100000

1-14712798318 2016PGP445 Janbade Purvesh Atul 05/03/1993 Male Self 100000

1-14712798333 2016PGP446 Kanakamedala Sahithi 07/16/1994 Female Self 100000

1-14712798342 2016PGP447 Khairkar Sharad Bhojraj 02/05/1992 Male Self 100000

1-14712798402 2016PGP448 Nihar Ranjan Sethi 03/25/1991 Male Self 100000

1-14712798585 2016PGP449 Ushleen Kaur 07/16/1995 Female Self 100000

1-14712798428 2016PGP450 Paramjot Singh 09/17/1991 Male Self 100000

1-14712798503 2016PGP451 Sakshi Mina 05/11/1995 Female Self 100000

1-14712798518 2016PGP452 Saurabh Vats 03/06/1994 Male Self 100000

1-14712798551 2016PGP453 Sneha Rajasekaran 02/22/1996 Female Self 100000

 DAY CARE PROCEDURES
ENT: Operation of the ear
1 Stapedotomy or Stapedectomy
2 Myringoplasty (Type -I
Tympanoplasty)
3 Tympanoplasty (closure of an
eardrum perforation)
4 Reconstruction and other
Procedures of the auditory ossicles
5 Myringotomy
6 Removal of a tympanic drain
7 Mastoidectomy
8 Reconstruction of the middle ear
9 Fenestration of the inner ear
10 Incision (opening) and destruction
(elimination) of the inner ear
ENT: Procedures on the nose & the nasal
sinuses
11 Excision and destruction of diseased
tissue of the nose
12 Procedures on the turbinates (nasal
concha)
13 Nasal sinus aspiration
ENT: Procedures on the tonsils & adenoids
14 Transoral incision and drainage of a
pharyngeal abscess
15 Tonsillectomy and / or
adenoidectomy
16 Excision and destruction of a lingual
tonsil
17 Quinsy drainage
OPTHALMOLOGY: Procedures on the eyes
18 Incision of tear glands
19 Excision and destruction of diseased
tissue of the eyelid
20 Procedures on the canthus and
epicanthus
21 Corrective surgery for entropion and
ectropion
22 Corrective surgery for
blepharoptosis
23 Removal of a foreign body from the
conjunctiva
24 Removal of a foreign body from the
cornea
25 Incision of the cornea
26 Procedures for pterygium
27 Removal of a foreign body from the
lens of the eye
28 Removal of a foreign body from the
posterior chamber of the eye
29 Removal of a foreign body from the
orbit and eyeball
30 Operation of cataract
31 Chalazion removal
32 Glaucoma Surgery
33 Surgery for Retinal detachment
Procedures on the skin & subcutaneous
tissues
34 Incision of a pilonidal sinus
35 Other incisions of the skin and
subcutaneous tissues
36 Surgical wound toilet (wound
debridement)
37 Local excision or destruction of
diseased tissue of the skin and
subcutanous tissues
38 Simple restoration of surface
continuity of the skin and
subcutanous tissues
39 Free skin transplantation, donor
site
40 Free skin transplantation, recipient
site
41 Revision of skin plasty
42 Restoration and reconstruction of
the skin and subcutanous tissues
43 Chemosurgery to the skin
44 Excision of Granuloma
45 Incision and drainage of abscess
Procedures on the tongue
46 Incision, excision and destruction of
diseased tissue of the tongue
47 Partial glossectomy
48 Glossectomy
49 Reconstruction of the tongue
Procedures on the salivary glands &
salivary ducts
50 Incision and lancing of a salivary
salivary gland and a salivary duct
52 Resection of a salivary gland
53 Reconstruction of a salivary gland
and a salivary duct
Procedures on the mouth & face
54 External incision and drainage in the
region of the mouth, jaw and face
55 Incision of the hard and soft palate
56 Excision and destruction of diseased
hard and soft palate
57 Incision, excision and destruction in
the mouth
58 Plastic surgery to the floor of the
mouth
59 Palatoplasty
Trauma surgery and orthopaedics
60 Incision on bone, septic and aseptic
61 Closed reduction on fracture,
luxation or epiphyseolysis with
osteosynthesis
62 Suture and other Procedures on
tendons and tendon sheath
63 Reduction of dislocation under GA
64 Arthroscopic knee aspiration
65 Aspiration of hematoma
66 Excision of dupuytren's contracture
67 Carpal tunnel decompression
68 Surgery for ligament tear
69 Surgery for meniscus tear
70 Surgery for hemoarthrosis/
pyoarthrosis
71 Removal of fracture pins/nails
72 Removal of metal wire
73 Joint Aspiration - Daignostic /
therapeutic
Procedures on the breast
74 Incision of the breast
75 Procedures on the nipple
76 Excision of breast lump /Fibro
adenoma
Procedures on the digestive tract
77 Incision and excision of tissue in the
perianal region
78 Surgical treatment of anal fistulas
79 Surgical treatment of haemorrhoids
80 Division of the anal sphincter
(sphincterotomy)
81 Ultrasound guided aspirations
Procedures on the digestive tract
82 Sclerotherapy
83 Therapeutic Ascitic Tapping
84 Endoscopic ligation /banding
85 Dilatation of digestive tract
strictures
86 Endoscopic ultrasonography and
biopsy
Replacement of Gastrostomy tube
87 Endoscopic decompression of colon
88 Therapeutic ERCP
89 Nissen fundoplication for Hiatus
Hernia /Gastro esophageal reflux Disease
90 Endoscopic Gastrostomy
91 Laparoscopic procedures e.g.
colecystectomy, appendicectomy
etc.
92 Endoscopic Drainage of
Pseudopancreatic cyst
93 Hernia Repair (Herniotomy /
hernioraphhy / hernioplasty)
Procedures on the female sexual organs
94 Incision of the ovary
95 Insufflation of the Fallopian tubes
96 Dilatation of the cervical canal
97 Conisation of the uterine cervix
98 Incision of the uterus (hysterotomy)
99 Therapeutic curettage
100 Culdotomy
101 Local excision and destruction of
diseased tissue of vagina and Pouch
of Douglas
102 Procedures on Bartholin's glands
(cyst)
103 Endoscopic polypectomy
104 Myomectomy , hysterscopic or
laparascopic biopsy or removal
Procedures on the prostate & seminal vesicles
105 Incision of the prostate
106 Transurethral excision and
destruction of prostate tissue
107 Open surgical excision and
destruction of prostate tissue
108 Radical prostatovesiculectomy
109 Incision and excision of
periprostatic tissue
Procedures on the scrotum & tunica
vaginalis testis
110 Incision of the scrotum and tunica
vaginalis testis
111 Operation on a testicular hydrocele
112 Excision and destruction of diseased
scrotal tissue
113 Plastic reconstruction of the
scrotum and tunica vaginalis testis
Procedures on the testes
114 Incision of the testes
115 Excision and destruction of diseased
tissue of the testes
116 Orchidectomy- Unilateral / Bilateral
117 Orchidopexy
118 Abdominal exploration in
cryptorchidism
119 Surgical repositioning of an
abdominal testis
120 Reconstruction of the testis
121 Implantation, exchange and
removal of a testicular prosthesis
Procedures on the spermatic cord,
epididymis and Ductus Deferans
122 Surgical treatment of a varicocele
and hydrocele of spermatic cord
123 Excision in the area of the epididymis
124 Epididymectomy
125 Reconstruction of the spermatic
cord
126 Reconstruction of the ductus
deferens and epididymis
Procedures on the penis
127 Procedures on the foreskin
128 Local excision and destruction of
diseased tissue of the penis
129 Amputation of the penis
130 Plastic reconstruction of the penis
Procedures on the urinary system
131 Cystoscopical removal of stones
132 Lithotripsy
133 Haemodialysis
134 PCNS (Percutaneous nephrostomy)
135 PCNL (Percutanous Nephro-
Lithotomy)
136 Tran urethral resection of bladder
tumor
137 Suprapubic cytostomy
Procedures of Respiratory System
138 Brochoscopic treatment of bleeding
lesion
139 Brochoscopic treatment of fistula /
stenting
140 Bronchoalveolar lavage & biopsy
141 Direct Laryngoscopy with biopsy
142 Therapeutic Pleural Tapping
Procedures of Heart and Blood vessels
143 Coronary angiography (CAG)
144 Coronary Angioplasty (PTCA)
145 Insertion of filter in inferior vena
cava
146 TIPS procedure for portal
hypertension
147 Blood transfusion for recipient
148 Therapeutic Phlebotomy
149 Pericardiocentesis
150 Insertion of gel foam in artery or vein
151 Carotid angioplasty
152 Renal angioplasty
153 Varicose vein stripping or ligation
OTHER Procedures
154 Radiotherapy for Cancer
155 Cancer Chemotherapy
156 True cut Biopsy
157 Endoscopic Foreign Body Removal
158 Vaccination / Inoculation - Post Dog
bite or Snake bite
159 Endoscopic placement/removal of
stents
160 Tumor embolisation
161 Aspiration of an internal abscess
under ultrasound guidance
 LIST OF NON PAYABLE ITEMS

TOILETRIES/COSMETICS/ PERSONAL COMFORT OR CONVENIENCE ITEMS

1 HAIR REMOVAL CREAM 41 GUEST SERVICES

2 BABY CHARGES (UNLESS SPECIFIED/INDICATED) 42 BED PAN
3 BABY FOOD 43 BED UNDER PAD CHARGES
4 BABY UTILITES CHARGES 44 CAMERA COVER
5 BABY SET 45 CLINIPLAST
6 BABY BOTTLES 46 CREPE BANDAGE
7 BRUSH 47 CURAPORE
8 COSY TOWEL / TOWEL 48 DIAPER OF ANY TYPE
9 HAND WASH 49 DVD, CD CHARGES
10 M01STUR1SER PASTE BRUSH 50 EYELET COLLAR
11 POWDER 51 FACE MASK
12 RAZOR 52 FLEXI MASK
13 SHOE COVER 53 GAUSE SOFT
14 BEAUTY SERVICES 54 GAUZE
15 BELTS/ BRACES 55 HAND HOLDER
16 BUDS 56 HANSAPLAST/ADHESIVE BANDAGES
17 BARBER CHARGES 57 INFANT FOOD
18 CAPS 58 SLINGS
19 COLD PACK/HOT PACK ITEMS SPECIFIC ALL Y EXCLUDED IN THE POLICIES
20 CARRY BAGS 59 WEIGHT CONTROL PROGRAMS/ SUPPLIES/ SERVICES
21 CRADLE CHARGES 60 COST OF SPECTACLES/ CONTACT LENSES/ HEARING AIDS ETC

22 COMB 61 DENTAL TREATMENT EXPENSES THAT DO NOT REQUIRE

HOSPITALISATION

23 DISPOSABLES RAZORS CHARGES ( for site 62 HORMONE REPLACEMENT THERAPY

preparations)
24 EAU-DE-COLOGNE / ROOM FRESHNERS 63 HOME VISIT CHARGES
25 EYE PAD 64 INFERTILITY/ SUBFERTILITY/ ASSISTED CONCEPTION PROCEDURE

26 EYE SHEILD 65 OBESITY (INCLUDING MORBID OBESITY) TREATMENT IF EXCLUDED IN

POLICY
27 EMAIL / INTERNET CHARGES 66 PSYCHIATRIC & PSYCHOSOMATIC DISORDERS Exclusion in policy unless

28 FOOD CHARGES (OTHER THAN PATIENT'S DIET 67 CORRECTIVE SURGERY FOR REFRACTIVE ERROR
PROVIDED
BY HOSPITAL) 68 TREATMENT OF SEXUALLY TRANSMITTED DISEASES
69 DONOR SCREENING CHARGES
29 FOOT COVER 70 ADMISSION/REGISTRATION CHARGES
30 GOWN 71 HOSPITALISATION FOR EVALUATION/ DIAGNOSTIC PURPOSE
72 EXPENSES FOR INVESTIGATION/ TREATMENT IRRELEVANT TO THE
31 LEGGINGS DISEASE FOR
WHICH ADMITTED OR DIAGNOSED

73 ANY EXPENSES WHEN THE PATIENT IS DIAGNOSED WITH RETRO VIRUS +

32 LAUNDRY CHARGES OR
SUFFERING FROM /HIV/ AIDS ETC IS DETECTED/ DIRECTLY OR INDIRECTLY
33 MINERAL WATER 74 STEM CELL IMPLANTATION/ SURGERY and storage
ITEMS WHICH FORM PART OF HOSPITAL SERVICES WHERE SEPARATE
34 OIL CHARGES CONSUMABLES ARE NOT PA YABLE BUT THE SER VICE IS
35 SANITARY PAD 75 WARD AND THEATRE BOOKING CHARGES
36 SLIPPERS 76 ARTHROSCOPY & ENDOSCOPY INSTRUMENTS
37 TELEPHONE CHARGES 77 MICROSCOPE COVER
38 TISSUE PAPER 78 SURGICAL BLADES,HARMONIC SCALPEL,SHAVER
39 TOOTH PASTE 79 SURGICAL DRILL
40 TOOTH BRUSH 80 EYE KIT
81 EYE DRAPE 121 MEDICAL CERTIFICATE
82 X-RAY FILM 122 MAINTENANCE CHARGES
83 SPUTUM CUP 123 MEDICAL RECORDS
84 BOYLES APPARATUS CHARGES 124 PREPARATION CHARGES
85 BLOOD GROUPING AND CROSS MATCHING OF
DONORS 125 PHOTOCOPIES CHARGES
SAMPLES
86 Antiseptic or disinfectant lotions Not Payable 126 PATIENT IDENTIFICATION BAND / NAME TAG
87 BAND AIDS, BANDAGES, STERLILE INJECTIONS,
NEEDLES, 127 WASHING CHARGES
SYRINGES
88 COTTON 128 MEDICINE BOX
89 COTTON BANDAGE 129 MORTUARY CHARGES
90 MICROPORE/ SURGICAL TAPE 130 MEDICO LEGAL CASE CHARGES (MLC CHARGES)
91 BLADE EXTERNAL DURABLE DEVICES
92 APRON 131 WALKING AIDS CHARGES
93 TORNIQUET 132 BIPAP MACHINE
94 ORTHOBUNDLE, GYNAEC BUNDLE 133 COMMODE
95 URINE CONTAINER 134 CPAP/ CAPD EQUIPMENTS
ELEMENTS OF ROOM CHARGE 135 INFUSION PUMP
96 LUXURY TAX 136 OXYGEN CYLINDER (FOR USAGE OUTSIDE THE HOSPITAL)
97 HVAC P a rt o f room cha rge not 137 PULSEOXYMETER CHARGES
98 HOUSE KEEPING CHARGES 138 SPACER
99 SERVICE CHARGES WHERE NURSING CHARGE
ALSO 139 SPIROMETRE
CHARGED
100 TELEVISION & AIR CONDITIONER CHARGES 140 SP02 PROBE
101 SURCHARGES 141 NEBULIZER KIT
102 ATTENDANT CHARGES 142 STEAM INHALER
103 IM IV INJECTION CHARGES 143 ARMSLING
104 CLEAN SHEET 144 THERMOMETER
105 EXTRA DIET OF PATIENT 145 CERVICAL COLLAR
106 BLANKET/WARMER BLANKET 146 SPLINT
ADMINISTRATIVE OR NON-MEDICAL CHARGES 147 DIABETIC FOOT WEAR
107 ADMISSION KIT 148 KNEE BRACES ( LONG/ SHORT/ HINGED)
108 BIRTH CERTIFICATE 149 KNEE IMMOBILIZER/SHOULDER IMMOBILIZER
109 BLOOD RESERVATION CHARGES AND ANTE
NATAL 150 LUMBOSACRAL BELT
BOOKING CHARGES
110 CERTIFICATE CHARGES 151 NIMBUS BED OR WATER OR AIR BED CHARGES
111 COURIER CHARGES 152 AMBULANCE COLLAR
112 CONVENYANCE CHARGES 153 AMBULANCE EQUIPMENT
113 DIABETIC CHART CHARGES 154 MICROSHEILD

114 DOCUMENTATION CHARGES / ADMINISTRATIVE 155 ABDOMINAL BINDER

EXPENSES
115 DISCHARGE PROCEDURE CHARGES ITEMS PAYABLE IF SUPPORTED BY A PRESCRIPTION
116 DAILY CHART CHARGES 156 BETADINE \ HYDROGEN PEROXIDE\SPIRIT\\ \DISINFECTANTS ETC
117 ENTRANCE PASS / VISITORS PASS CHARGES 157 PRIVATE NURSES CHARGES- SPECIAL NURSING CHARGES

118 EXPENSES RELATED TO PRESCRIPTION ON 158 NUTRITION PLANNING CHARGES

DISCHARGE
119 FILE OPENING CHARGES 159 SUGAR FREE Tablets Payable -S u g a r free

120 INCIDENTAL EXPENSES / MISC. CHARGES (NOT 160 CREAMS POWDERS LOTIONS
EXPLAINED)
180 ANY KIT WITH NO DETAILS MENTIONED [DELIVERY KIT, ORTHOKIT,
161 Digestion gels RECOVERY
KIT, ETC]
162 ECG ELECTRODES 181 EXAMINATION GLOVES
163 GLOVES Sterilized Gloves 182 KIDNEY TRAY
164 HIV KIT 183 MASK
165 LISTERINE/ ANTISEPTIC MOUTHWASH 184 OUNCE GLASS
166 LOZENGES 185 OUTSTATION CONSULTANT'S/ SURGEON'S FEES
167 MOUTH PAINT 186 OXYGEN MASK
168 NEBULISATION KIT If used d u rin g 187 PAPER GLOVES
169 NOVARAPID 188 PELVIC TRACTION BELT
170 VOLINI GEL/ ANALGESIC GEL 189 REFERAL DOCTOR'S FEES
171 ZYTEE GEL 190 ACCU CHECK ( Glucometery/ Strips)
172 VACCINATION CHARGES Routine Vaccination not 191 PAN CAN
PART OF HOSPITAL'S OWN COSTS AND NOT PA YA 192 SOFNET
BLE
173 AHD 193 TROLLY COVER
174 ALCOHOL SWABES 194 UROMETER, URINE JUG
175 SCRUB SOLUTION/STERILLIUM 195 AMBULANCE
OTHERS 196 TEGADERM / VASOFIX SAFETY Payable - maximum o f 3
176 VACCINE CHARGES FOR BABY 197 URINE BAG
177 AESTHETIC TREATMENT / SURGERY 198 SOFTOVAC
178 TPA CHARGES 199 STOCKINGS Essential for case like
179 VISCO BELT CHARGES CABG etc. where it should be paid
 LIST OF EXCLUDED HOSPITALS

List Of Excluded Hospitals

Excluded Hospitals / Medical Practitioners: The policy does not pay for Cost of treatment (both cashless and reimbursement) pertaining to
any procedure or treatment
undertaken by Insured Person(s) in any of the Hospital(s) or from any of the Medical practitioner(s) specified in the list attached to this
Policy. The list of such excluded
hospitals / Medical Practitioner(s) is attached below for ready reference, as this list is dynamic and may change from time to time. Hence
we suggest you to please check
our website
Hospital Name Hospital Address City State With
Effect
From
Anupama Hospital 16-31/494 And 495, 6Th Phase, Kphb Colony, Hyderabad Andhra Pradesh 1-May-15
Jntu Road,
Kuketpally
Happy Children'S Hospital Plot No. 387 , Church Road , Huda Colony , Hyderabad Andhra Pradesh 1-May-15
Chanda
Nagar ,
Paramitha Childrens Hospital P. Ltd. H.No:3-112,Hanuman Nagar, Chaithanyapuri, Hyderabad Andhra Pradesh 1-May-15
Dilsukhnagar,
Pranaam Hospital 1-58/6/40841, Madinaguda, Miyapur Hyderabad Andhra Pradesh 1-May-15
Prasad Hospital Mig-204 , 1St Road , K.P.H.B. Colony Hyderabad Andhra Pradesh 1-May-15
Premier Hospital 12-2-710, Gudimalkapur Road,Nanal Nagar Hyderabad Andhra Pradesh 1-May-15
Mehdipatnam
Shadow Hospitals Opp Police Station, Hayathnagar Hyderabad Andhra Pradesh 1-May-15
Shree Bala Ji Hospital Uppal Hyderabad Andhra Pradesh 1-May-15
Sun Rise Hospital H.# : 4-9-321, Plot 4 and 7, Hayathnagar, R.R. Dist Hyderabad Andhra Pradesh 1-May-15
Xenia Hospital Plot No.43,Ecil X Road,Hyderabad-500062 Hyderabad Andhra Pradesh 1-Apr-14
Cure Emergency Hospital 11-9-91/A , Balaji Nagar Khammam Andhra Pradesh 1-Apr-14
Sri Pooja Hospital Behind Vinodha Theatre , Beside Overbridge , Khammam Andhra Pradesh 1-Apr-14
Mayuri
Centre ,
Aphila Hospital # 29-9-65, G.R. Naidu Street, Nakkala Road, Vijayawada Andhra Pradesh 1-Apr-14
Suryaraopet,
Vijayawada-520002
Chikitsa Hospitals Payakapuram, Nunna Road Vijayawada Andhra Pradesh 29-Feb-16
Aakash Eye And General Hospital A-116, Arjun Park (Near Nangli Dairy, Aakash Delhi Delhi 1-Jul-15
Public
School)
AASHIRWAD HOSPITAL 5 AND 6 KRISHNA MARKET, JHILMIL Delhi Delhi 29-Feb-16
COLONY, MAIN
ROAD, VIVEK VIHAR, PHASE 2
Aashirwad Nursing Home Heart A-29/3, Lions Enclave, Marbla Block, Opp. Dda Delhi Delhi 1-Jul-15
Park,
Vikas Nagar, Uttam Nagar
Ameda Hospital Rz-1/3, Main Road, Palam Colony (Opp. Delhi Delhi 1-Jul-15
Flyover Pillar No.
40)
Balaji Hospital Main Gurgaon Rd, Goyla More, Deenpur, Delhi Delhi 1-Apr-14
Nazafgarh
Bansal Hospital 51, Tyagi Colony, Rajendra Park, Near Nangloi Delhi Delhi 1-May-15
Metro
Station, Main Rohtak Road, Nangloi,
Bhagat Hospital Plot No.2, D, Block, Janakpuri Delhi Delhi 1-Apr-14
Delhi Medicare Hospital Plot No. -2, Main Goyala More, Deenpur, Delhi Delhi 1-May-15
Najafgarh
Dr Badhwar Fracture And MTP Centre B-25, Main Najafgarh Road, Near Uttam Nagar Delhi Delhi 29-Feb-16
Terminal,
Opp. Metro Pillar No.: 654, Near Uttam Nagar
East Metro
Station
Durga Hospital (P) Ltd 711, Dr. Mukherjee Nagar , (Opp.Batra Cinema) Delhi Delhi 1-Apr-14
East Delhi Medical Centre 1/550, G T Road, Mansarovar Park, Shahdara Delhi Delhi 1-Apr-14
EDEN HOSPITAL PVT LTD B-162, Eden Hospital, East of Kailash Delhi Delhi 29-Feb-16
Hardik Hospital 29C Budh Bazar Vikas Nagar (Uttam Nagar) Delhi Delhi 1-Jul-15
Krishna Hospital J-21 , Main Road , 4Th Pusta , Kartar Nagar Delhi Delhi 1-Apr-14
Mehar Nursing Home Plot No. B-35, Gali No. 1, 33 Foota Road, Delhi Delhi 1-Jul-15
Bhagirathi Vihar-
1st
Metro Care Hospital C-3, 4, Maharani Enclave, Hastsal, Uttam Delhi Delhi 1-May-15
Nagar
Metro Life Line Hospital 85, Old Roashanpura, Nazafgarh Delhi Delhi 1-Apr-14
Navjeevan Hospital A-12 , Pushpanjali Enclave , Opp. Jaipur Delhi Delhi 1-Apr-14
Golden Red
Light, Outer Ring Road, Pitampura
New Family Hospital B114 Vijay vihar phase 1 rohini Delhi Delhi 29-Feb-16
New Heera Hospital 156, Pkt, 00, Sector-1, Avantika, Rohini, Delhi Delhi 1-Apr-14
New Manthan Hospital Veer Bazar Road, Vats Enclave, Prem Nagar- Delhi Delhi 29-Feb-16
Iird, New
Delhi-110086
NEW ROHINI HOSPITAL 156, Pkt, 00, Sector-1, Avantika, Rohini, Delhi Delhi 29-Feb-16
O.P. Memorial Hospital Shoping Centre-5, Avantika, (Opposite Pole Delhi Delhi 1-May-15
Star School),
Sector-1, Rohini,
Parth Hospital 84, Sewark Park, Dwarka More, Near Metro Delhi Delhi 1-Jul-15
Station, Opp.
Pillar No. 781
R R Hospital Plot No-5, Main Road Deenpur Delhi Delhi 1-Jul-15

Savitri Hospital 142/91 Extended Lal Dora, Kanjhawala Road Delhi Delhi 29-Feb-16

Shakuntla Nursing Home Rz-1-81A , West Sagarpur Delhi Delhi 1-May-15

Shambhavi Medical Centre Kh No. 18/20, Plot No. 24, Badli Main Road, Delhi Delhi 1-Apr-14
Opp. Health
Centre, Sec-19, Rohini
Shree Ram Hospital Plot No. 19A, Raj Hansh Vihar, Cornal Bhatia Delhi Delhi 1-Jul-15
Road, Opp.
DDA Park, Vikas Nagar
Shubh Nursing Home A-57, Hastsal Village, New Delhi Delhi Delhi 29-Feb-16

Sunrise Hospital Plot No. - 1, Pocket 8-B, Sector -15, Rohini Delhi Delhi 29-Feb-16

Suraksha Nursing Home Main Road, Bijwasan Delhi Delhi 1-Jul-15

Triveni Hospital H. No.-57, Shiv Puri, Main Gurgaon Road Delhi Delhi 1-Jul-15
Dinpur Near
Goyala More, Najafgard
Sanjivani Hospital A-1, Ff, Sidhheshwar Complex, Manmohan Ahmedabad Gujarat 1-May-15
Char Rasta,
Nikol-Odhav Road
Shashwat Hospital And Research Centre D2 Block, Shantiniketan Apartment, Opp. H.B. Ahmedabad Gujarat 1-May-15
Kapadia
School, Gurukul Road, Memnagar
Shiv Jyoti Hospital Patidar Jin, Near Vamdot School, Gandhi Road, Bardoli Gujarat 1-Apr-14
Bardoli.
Amrit Dhara Hospital Near Railway Crossing Nava Gaon Bindoli/ Surat Gujarat 29-Feb-16
3/4/5,
Dwarkeshnagar, Nr. Rly. Crossing, Dindoli
Road, Udhna
Astitva Orthopaedic And Medical Hospital 3-4, Mahavir Nagar, Opp. Rupali Cinema, Surat Gujarat 1-May-15
Palanpur Patia,
Rander Rd
Ayush I.C.U. & Multispeciality Hospital, 5 Follr, Ayush Doctor House, Station Laldarwaja Surat Gujarat 1-Apr-14
Road,
Surat
Ayushya Children Hospital 201, 2Nd Floor, Shri Kuberji Point, Opp. Vijay Surat Gujarat 1-May-15
Dairy,
Palanpur Patiya, Rander Rd
Dharamjivan General Hospital and Trauma Karmyogi -1 , Plot No. 20/21 , Near Piyush Surat Gujarat 29-Feb-16
Centre Point Circle ,
Pandesara Road
Girish Group Of Hospital 2B/1957 Abc , G-Tower , Shankheswar Surat Gujarat 1-May-15
Complex , Majura
Gate
Italiya Hospital Shayona Building, 2nd Floor on Dairycon Ice Surat Gujarat 29-Feb-16
Cream, Opp.
Sargam Doctor House, Jayganeswer Socitey,
Varacha
Laser E.N.T. Hospital 225 Maghani Tower, Cinema Rd, Near Delhi Surat Gujarat 1-Apr-14
Gate
Malavia medical Hospiatl & I C C U;Surat 1st Floor, Sandhya Darshan Apt., Opp. Bhulka Surat Gujarat 29-Feb-16
Bhavan
School, Adajan Rd
Me And Mummy Hospital And Ivf Centre Jalnidhi Complex, Iiird Floor, Opp Bahumali Surat Gujarat 1-Apr-14
Building,
Nanpura
Metas Adventist Hospital P O Box No 24, Athwalines Surat Gujarat 1-May-15

Park Nursing Home & Diagnostic Clinic (P) Krishna Complex , (Near Elbee Cinema) , Surat Gujarat 1-May-15
Ltd. Bhattar Road
Pratham Hospital Divyam Complex 16, Hans Society, Near Surat Gujarat 1-Apr-14
Labheshwer Polic
Radha Hospital And Maternity Home 239-40-41, Bhagunagar Soc., Opp. Hans Soc., Surat Gujarat 1-May-15
L.H. Road,
Varachha
Sai Anjali Ent-Head And Neck Clinic, 601-602, Kashi Plaza , Mujura Gate, Surat Surat Gujarat 1-Apr-14

Swastham Hospital F-1 To 4, 2Nd Floor, Silver Point, Nana Surat Gujarat 1-Apr-14
Varachha, Surat
Aman Nursing Home And Iccu 1St Floor, Krishna Complex, Harinagar Char Vadodara Gujarat 1-May-15
Rasta, Near
Gotri Water Tank, Gotri Road, -390021
Dr. Thakorbhai Patel Eye Institute Vinoba Bhave Road , Salatvada Vadodara Gujarat 1-Jul-15

Dwarkesh Hospital 10-11, Shivali Society, Near Land T Circle, VIP Vadodara Gujarat 29-Feb-16
Road,
Karelibaug
Ganga Jamna Hospital Opp. Golden Silver Apts., Subhanpura, Vadodara Gujarat 1-May-15
Subhanpura
Kalavati Hospital D-187-189, Dajinagar, Harni-Warashiya Ring Vadodara Gujarat 1-May-15
Road
Navrang Hospital Near Hdfc Bank, Vip Road, Karelibaug, Vadodara Gujarat 1-May-15

Oza Surgical Hospital Manusmruti Polyclinic Hospital, Near Sitaram Vadodara Gujarat 1-Jul-15
Apartment,
Behind Ellora Park
Sanjivani Hospital Opp GEB Office Savli Vadodara Gujarat 29-Feb-16

Shreeji Hospital And Trauma Care Centre Near Ramakaka Mandir, N.H. No. 8, Chhani Vadodara Gujarat 1-May-15

Venus Super Speciality Hospital 7A, 7B, Shrrathji Park Soc Opp. Akota Ward Vadodara Gujarat 1-May-15
Office No. 6,
Off Old Padra Road
Yogeshwar Hospital 2, Suniketan Park, Behind Samta Flats, Vadodara Gujarat 29-Feb-16
Subhanpura
Bhavya Kalyani Hospital Mohana Road, Near Anand Bakery Ballabgarh Haryana 29-Feb-16

Akash Hospital Sec 56, Faridabad Ballabhgarh Haryana 1-Apr-14

Shanti Hospital And Maternity Home Charkhi Gate,Near Yadav Bhiwani Haryana 1-Apr-14
Dharramshala,Charkhi
Dadri,Bhiwani,Haryana-127306
Apurva Hospital & Maternity Home 2N/74, B.P. Near 2-3, Gole Chakkar, Nit Faridabad Haryana 1-Apr-14
Faridabad
Bhatia Nursing Home 3825A , Block -A , Main Bandh Road , S.G.M. Faridabad Haryana 1-Apr-14
Nagar ,
N.I.T.
Dr Narender Aggarwal Nursing Home And Sector-23, NIT Faridabad Haryana 29-Feb-16
Maternity
Centre
Janak Hospital Indira Complex, Gali No. 3, Nehar Par, Kheri Faridabad Haryana 29-Feb-16
Road, Old
Faridabad
Navchetna Hospital 4047-48, Sec 23-24, Main Road, Sanjay Colony Faridabad Haryana 1-Jul-15

R. Global Dheeraj Nagar Extn. Naharpar, Atmadpur, Near Faridabad Haryana 1-Jul-15
Bbl Public
School
Sagar Hospital Mohna Road, Ballabhgarh Faridabad Haryana 1-May-15

Samvedna Hospital Agwanpur Road, Nr Molarband School, Om Faridabad Haryana 1-Apr-14

Enclave
Zenith Hospital Mohana Road, Near Punjabi Dhramshala, Faridabad Haryana 1-Jul-15
Ballabhgarh
Advance Trauma Centre And Hospital Khandsa Chowk, Near Bikaner Restaurant, Gurgaon Haryana 29-Feb-16
Opp. Sector-
10A
Akash Hospital Near Subros, Opp Magneti Mareli, At Aliyar, Gurgaon Haryana 1-May-15
Sec-8, Imt
Manesar
Amrawati Hospital Sarswati Enclave, Near Power House Opp Sec Gurgaon Haryana 1-Apr-14
10-A
Ashtha Hospital Near Syndicate Bank, Bilaspur Chowk Gurgaon Haryana 29-Feb-16

Ayushman Hospital And Trauma Cente Nh-8, Near Hero Honda Chowk Gurgaon Haryana 1-Apr-14

Balaji Hospital Village Rampura NH-8 Gurgaon Haryana 29-Feb-16

Bio Health Care SCO-98, Sec-10A Gurgaon Haryana 1-Jul-15

East West Medical Centre 711, Sector-14, (Near Main Market) Gurgaon Haryana 1-Jul-15

Jeevan Jyoti Hospital Bus Stand Road, Near Gufawala Shiv Mandir, Gurgaon Haryana 1-Jul-15
Rajiv Nagar
K.V.S Hospital And Trauma Centre Vill Baskushala, Near Anantraj Building, Sec-7, Gurgaon Haryana 1-May-15
Imt
Manesar,
Kartik Hospital Vill-Bass Hariya,Post-Bass Lambi,Dist. Gurgaon Gurgaon Haryana 1-Apr-14

Life Line Healthcare Plot No-140, Huda Market, Sec-15 Ii, Gurgaon Gurgaon Haryana 1-Apr-14

MKD Memorial Multi Speciality Hospital And Main Sohna Road, Raipur, Sohna Gurgaon Haryana 29-Feb-16
TC
Nice Care Medical Centre Multi Speciality Main Bassi Road Opp. Raghu Gas Godown Gurgaon Haryana 1-Jul-15
Hospital
Paras Medical Center Nr Central Bank Kasan Road Maneser Gurgaon Haryana 1-Apr-14

Pranav Hospital Basai Enclave, Part-2 Gurgaon Haryana 1-Jul-15

Raj Hospital 108, Palam-Gurgaon Road, Dundahera, Opp. Gurgaon Haryana 1-Jul-15
Vishal Mega
Mart Mall
Rathore IMT Hospital Near Anant Raj Chowk, Vill.Bas Kusla,Sec-8 Gurgaon Haryana 1-Jul-15
IMT Manesar
S.R.S. Hospital And Critical Care Unit Opp. Haldiram, Nh-8, Gurgaon-122001 Gurgaon Haryana 1-Apr-14

Sai Hospital Main Road, Bhora Kalan Gurgaon Haryana 1-Apr-14

Sanjeevani Health Care & Tauma Centre Vill- Naharpur, Imt Manesar, Sec-6, Gurgaon- Gurgaon Haryana 1-Apr-14
122050
Sapna Hospital Opp. Plot No-405, Sec-8, IMT Manesar Gurgaon Haryana 29-Feb-16

Shivam Hospital H. No. 2, Shakti Park, Gali No. 1, Anaj Mandi Gurgaon Haryana 29-Feb-16
Chowk,
Khandsa Road, Sector-10A
Shree Krishna Hospital Devi Lal Colony, Near Sec -9 Gurgaon Haryana 1-Apr-14

Shri Balaji Hospital And Trauma Centre Near Govt. School, Gadoli, Pataudi Road Gurgaon Haryana 1-Apr-14

Star Hospital Plot No-16,Village Dharampur, Daultabad Road, Gurgaon Haryana 29-Feb-16
Gurgaon
Swastik Clinic And Trauma Centre Sco 81 Khansa Road, Sector-10A, Gurgaon Gurgaon Haryana 1-Apr-14

Tirupati Medical Center Plot No-3, Road No-1, Opposite Mother Diary, Gurgaon Haryana 1-Jul-15
South City-
1 Market
Vision Hospital H.No.-3, Opp Mother Dairy, South City-1, Gurgaon Haryana 1-May-15
Market,
Yashlok Medical Centre 1/355,Sec.1,Imt Manesar,Gurgaon-122051 Gurgaon Haryana 1-Apr-14

Pulse Multispeciality Hospital & Diagnostic Anaj Mandi, Near S.D.M. Residence Mahendraga Haryana 1-Jul-15
Centre rh
Upkar Hospital Kasan Road, Near Syndicate bank Manesar Haryana 29-Feb-16

Palwal Hospital New Sohna Rd, Old Gate Rd Palwal Haryana 1-Apr-14

Raj Medical Center Near D A V School Delhi Mathura Road Palwal Haryana 29-Feb-16

Geetanjali Hospital Gurgaon Pataudi Road , Pataudi , Near Sumit Pataudi Haryana 1-Jul-15
Cinema
Shree Vinayak Hospital Sahlawas Road, Kosli Rewari Haryana 1-Jul-15

Channan Devi Memorial Hospital Plot No. 952 , Ward No. 23 , Lal Chand Colony Rohtak Haryana 1-Apr-14
Chwok ,
Near Durga Mandir
City Hospital 1533/21 , Chunnipura , Saini School Road Rohtak Haryana 1-Apr-14

Dayal Maternity & Nursing Home 982/23, D.L.F. Colony Chowk, Rohtak - 124001 Rohtak Haryana 1-Apr-14

Shanti Maternity & Nursing Home Jind Bye pass chowk, Jind Road Rohtak Haryana 29-Feb-16

Rama Hospital Sonepat Road, Bahalgarh, Sonepat, Haryana Sonepat Haryana 1-Apr-14
131039
Ananya Hospital No. 389/44 19Th Main 1St Block, Rajajinagar Bangalore Karnataka 1-May-15

Gurushree Hi-Tec Multi Speciality Hospital # 1558,Opp-Chandra Lay Out Bus Stand, Vijaya Bangalore Karnataka 1-May-15
Nagar
Koshys Hospital Ramamurthy Nagar Extn, Raghavendra Nagar, Bangalore Karnataka 1-May-15
Tambuchetty Palya Main Road
Lakshmi Nursing Home No. 567, Chokkasandra, T. Dasarahalli Bangalore Karnataka 1-May-15

Neha Prakash Hospital # 8 , 6th Main Road , 5th Phase , Yelahanka Bangalore Karnataka 1-May-15
New Town
Vijayashree Hospitals #3, Gottigere,Bannerghatta Main Road, - Bangalore Karnataka 1-May-15
560083
Yashomati Hospitals 2371/3 Hal,Varthur Main Road, Munne Bangalore Karnataka 1-May-15
Kolalu,Maratalli-
560037
Ayush Hospital & Research Centre Plot No. 11, Old Ashoka Garden Behind Bhopal Madhya Pradesh 29-Feb-16
Prabhat Petrol
Pump , Raisen Road
Getwell Hospital Bhopal F2-8/9, Mayur Vihar Colony, 80 Fit Road, Opp. Bhopal Madhya Pradesh 29-Feb-16
Punjab
National Bank ATM, Ashoka Garden,
Gomati Multispeciality Hospital F-2/8-9 Mayur Vihar Colony, Near Ashoka Bhopal Madhya Pradesh 29-Feb-16
Garden police
Thana
Mahesh Multispeciality Hospital & Trauma 80, Feet Main Road, Ashoka Garden Bhopal Madhya Pradesh 1-Apr-14
Centre
Venus Hospital And Medical Research H. No. 2, Pipal Chouraha, Karond Bhopal Madhya Pradesh 1-Apr-14
Centre
ARIHANT HOSPITAL AND RESEARCH 283-A, Gumasta Nagar Indore Madhya Pradesh 29-Feb-16
CENTER;Indore
SUYASH HOSPITAL;Indore 5/1 , Residency Area ,Opp. M.G.M. Medical Indore Madhya Pradesh 29-Feb-16
College ,A,B,
Road
Global Hospital 673/101 Kusum Apt First Floor Near Bhandari Bhiwandi Maharashtra 29-Feb-16
Rikshaw
Stand Bhandari Compound
MONSAI HOSPITAL 28, Visanji Nagar, Jalgaon Maharashtra 29-Feb-16

Kumar Hospital And Polyclinic S.N. Dubey Road , Rawal Pada , Dahisar (E) Mumbai Maharashtra 1-Apr-14
Ratika Hospital And Research Centre Laxmi Niwas , Plot No. 4 , Borivali (E) Mumbai Maharashtra 1-Jul-15

Sai Kripa Children Hospital Bhayander Mumbai Maharashtra 1-Apr-14

1-Apr-14
1-May-15

1-Apr-14

1-Apr-14

1-Apr-14

1-Apr-14
1-May-15

1-May-15
Saraswati Hospital Plot No. 8/K/2 & 3, Road No. 8. Opp. Vittal Mumbai Maharashtra
Rakhumani Man
Suchak Hospital A-Sunlit Height Building, Opp. Dahisar New Mumbai Maharashtra
Police Station,
S.V. Road, Dahisar (E)
Ghuge Hospital Krantiveer Vasantrao Naik Housing Nashik Maharashtra
Society,Hanuman
Nagar,Amrutdham,Panchvati,Nashik-422003
Gurukrupa Hospital Sarvadnya Sankul, 1, Floor, Peth Naka, Pan- Nashik Maharashtra
Chavati,
Nashik, Maharashtra 422004
Mauli Nursing Home Om Ishan Appartment, Canal Road, Datta Nashik Maharashtra
Nagar, Peth
Road, Panchavati
Shri Niwas Multi Speciality Ner Rani Nagar Nashik Sidco Nashik Maharashtra

Gandhi Hospital Sholapur Road, Hadapsar,Bhosale Garden, Pune Maharashtra

Hadapsar,-
411028
Sant Dnyaneshwar Hospital Hira Plaza,Pune-Nasik Highway,Bhosri-411039 Pune Maharashtra

Swami Vivekanand Hospital Narayangaon Pune Maharashtra 29-Feb-16

Asian Multispeciality Hospital 1412/A, Prince Apartment, Bhandari Thane Maharashtra 29-Feb-16
Compound, Riksha
Stand, Narpoli,Bhiwandi
Shiva Hospital RIICO Ind. Area-Khushkhera Alwar Rajasthan 29-Feb-16

Sunshine Hospital And Trauma Centre Near Pwd Rest House, N.H. 8, Shahjahanpur Alwar Rajasthan 1-Jul-15

Sparsh Malhotra Hospital;Agra 5 , Khandari Quarters , Master Plan Road Agra Uttar Pradesh 29-Feb-16

Jeevan Jyoti Hospital 162 , Bai Ka Bagh , Lowther Road Allahabad Uttar Pradesh 1-Apr-14

Shakuntala Multispeciality Hospital Near Trivenipuram Gate, Trivenipuram, Jhunshi Allahabad Uttar Pradesh 29-Feb-16

Vatsalya Maternity And Surgical Center Pvt 6/8, Elgin Road, Civil Lines, Allahabad Uttar Pradesh 1-Apr-14
Ltd 1-Apr-14
Rawal Hospital Railway Road, Dadri (G.B. Nagar) Dadri Uttar Pradesh

Pragyan Hospital Baradari Ke pas, Koda, Jahanabad Fatehpur Uttar Pradesh 29-Feb-16

Aditi Hospital 4/117, Vaishali Ghaziabad Uttar Pradesh 1-Jul-15

1-Jul-15

1-Apr-14

1-May-15

1-Apr-14
1-Apr-14
Gayatri Nawal Hospital Plot No. 765, Niti Khand-I, Opp. ATS Advantage Ghaziabad Uttar Pradesh
Housing
Society, Indrapuram
Getwell Multi Speciality Hospital S-19, Shalimar Garden Extn,-1, Near Dayanand Ghaziabad Uttar Pradesh
Park
 Sahibabad

Getwell Soon Multi Speciality Institure Pvt. S-19, Shalimar Garden Extn,-1, Near Dayanand Ghaziabad Uttar Pradesh
Ltd. Park
Sahibabad
Indra Nursing Home And Maternity Centre Shanti Nagar , Loni Road , Ghaziabad Uttar Pradesh

Jeevan Jyoti Nursing Home Jawahar Nagar, Loni Ghaziabad Uttar Pradesh

Kamla Devi Hospital And Trauma Centre 216/1, Giri Market, Near Shhid Vinod, Yadav Ghaziabad Uttar Pradesh 29-Feb-16
Gate, Loni
Medimax Hospital K-112, Sector-12, Pratap Vihar Ghaziabad Uttar Pradesh 1-Jul-15

Narayan Hospital J-2, Sec-12, Leelawati Chowk, Pratap Vihar Ghaziabad Uttar Pradesh 29-Feb-16

Raj Mahendra Hospital Nh-B, G-Block, Sector-11, Pratap Vihar Ghaziabad Uttar Pradesh 1-May-15
1-Jul-15
1-Apr-14
1-Apr-14
Shri Tilak Hospital And Trauma Center 183, Sarvodaya Nagar, Vijay Nagar By Pass Ghaziabad Uttar Pradesh
Chowk
Roshan Hospital Nh - 15, Gamma - Ii, Dist. - Gautam Budh Greater Uttar Pradesh
Nagar Noida
Yatharth Wellness Hospital & Trauma 32, Omega -1, Near Senior Citizen, Greater Greater Uttar Pradesh
Centre Noida Noida
Asha Hospital Near Jalalganj Railway Crossing, Jalalpur Jaunpur Uttar Pradesh 29-Feb-16

Laxmi Health Care Centre & Kuttupur,Akbar Khanpur Jaunpur , Shahganj JAUNPUR Uttar Pradesh 29-Feb-16
Hospital;JAUNPUR Road
Balaji Hospital Opposite Gate No.2,Medical College, Kanpur Jhansi Uttar Pradesh 29-Feb-16
Road
Family Hospital & Research Centre A-9 , Awas Vikas , Hanspuram Hamirpur Road , Kanpur Uttar Pradesh 1-Apr-14
Naubasta
G A V Hospital 127/595, Vasant Vihar, Near Kesco Sub Station Kanpur Uttar Pradesh 29-Feb-16

Kanpur Infectious Disease Hospital Plot No. 8, Meerut Cold Store Near NSI, Kanpur Uttar Pradesh 29-Feb-16
Kalyanpur
Maa Durga Hospital And Research Centre Near Samudayik Health Centre, Shivali Road, Kanpur Uttar Pradesh 29-Feb-16
Kalyanpur
Rama Shiv Super Speciality Hospital 7/200 Swaroop Nagar, Opp. Hallet Hospital Kanpur Uttar Pradesh 29-Feb-16

SIS Memorial Nursing Home H-96, Double Road, Satyam Vihar Awas Vikas Kanpur Uttar Pradesh 29-Feb-16
No-1, Opp.
Sant Kuti Vihar, Kalyanpur
Utkarsh Hospital And Maternity Home 14 A(II)-C, Baba Nagar, Naubasta Near Kanpur Uttar Pradesh 29-Feb-16
Chaturvedi
Building
Lucknow Metro Hospital & Trauma Centre 1/25, Vijay Khand, Gomti Nagar Lucknow Uttar Pradesh 29-Feb-16

Manjula Hospital And Trauma Centre 1, Maruti Puram, (Opp. Lekhraj Khazana), Indira Lucknow Uttar Pradesh 1-Apr-14
Nagar,
Faizabad Road 1-Apr-14
Rajdhani Hopital And Maternity Center Adjascent Pakka Pull (E), Khadra, Sitapur Road Lucknow Uttar Pradesh

C B Memorial Nursing Home K-67, Phase-2, Palhera Chopla, Pallavpuram Meerut Uttar Pradesh 29-Feb-16

K L Nursing Home Milan Vivah Mandap Shiv Chowk Kanker Khera Meerut Uttar Pradesh 29-Feb-16
Meerut
Cantt
Shree Sitaram Nursing Home 202, New Prabhat Nagar, Kila Road Meerut Uttar Pradesh 1-May-15

Ayush Health Care Chakiya Road Mughalsarai Uttar Pradesh 29-Feb-16

Bhardwaj Hospital Nh-1, Sec-29 Noida Uttar Pradesh 1-Apr-14

1-May-15
1-May-15
1-May-15
1-May-15
Family Medicare M-15, Sector - 66 Noida Uttar Pradesh

Jagdamba Super Speciality Hospital M-43, Mamura, Sector-66 Noida Uttar Pradesh
Khushi Medilife Centre Pvt Ltd Vill. Bishanpura, Sector-58 Noida Uttar Pradesh

Life Care Hospital E-1, Sector-61, Near Sai Mandir Noida Uttar Pradesh

Pawani Hospital Main Garhi Road, Near Gati Office, Sector-68 Noida Uttar Pradesh 29-Feb-16

Shree Om Life Line Hospital Near Citizen Co-Bank, Barola, Sector-49, Noida Uttar Pradesh 1-Apr-14
Noida, G.B.
Nagar 1-May-15
Shri Om Kashyap Lifeline Hospital Pvt Ltd 452, Barola, Sector - 49 Noida Uttar Pradesh

Dhanvantari Multispeciality Hospital Shahjahanpur Shahjahanp Uttar Pradesh 29-Feb-16

ur
Kulwanti Hospital Bhogaweer, Lanka, 32/54, Bhogaweer, Behind Varanasi Uttar Pradesh 29-Feb-16
Sankat
Mochan Mandir, Lanka
Malti Hospital And Maternity Center Akhari Bypass-Upasana Nagar-Chitaipur Road Varanasi Uttar Pradesh 29-Feb-16

Max Hospital;Varanasi DLW, Newada Road (Infornt of Bangal Sweets) Varanasi Uttar Pradesh 29-Feb-16
Near
Police Chauki
K.G.N. Hospital Idgah Road, Jwalapur Haridwar Uttarakhand 1-Apr-14
1-May-15
Good Samaritan Hospital 6, Dr. Biresh Guha Street, Near Park Circus 4 Kolkata West Bengal
No. Bridge,