EMEDLIFE INSURANCE BROKING SERVICES LIMITED

GROUP PERSONAL ACCIDENT POLICY

Proposer Details
Name of the Client TBS INDIA TELEMATIC AND BIOMEDICAL SERVICES PVT LTD
Policy Period 28-MAR-2020 To 27-MAR-2021
Present Insurer HDFC ERGO
Policy Details for 2020- 2021
LAST YEAR EMPLOYEES 220
Last 3 Years Claims History Nil Claims for last 3 Years
Sl. No. Coverages Expiring Terms & Conditions
1 SUM INSURED INR 500,000 PER EMPLOYEE

2 TOTAL NUMBER OF EMPLOYEES 211

3 AGE BAND 18 yrs - 65 yrs

4 ACCIDENTAL DEATH 100% of the Sum Insured

5 PERMANENT TOTAL DISABILITY ( PTD) 100% of the Sum Insured

6 PERMANENT PARTIAL DISABILITY (PPD) As per the schedule of the policy

7 TEMPORARY TOTAL DISABILITY 1% of the Sum Insured or INR 5,000/- or actual weekly salary
whichever is lower per week for 104 weeks

8 FUNERAL EXPENSES Covered upto INR 5,000

9 CHILD EDUCATION COVERED UPTO INR 10,000 FOR 2 CHILDREN

10 MEDICAL INSURANCE PREMIUM INDEMNITY COVERED UPTO INR 10,000

11 PARENTAL CARE COVERED UPTO INR 10,000

12 MEDICAL BENEFITS 10% of the SI or 40% of the admissible Claim or actuals whichever is
lower

13 TERRORISM CLAUSE Covered

LIMIT ON ANY ONE ACCIDENT / ANY ONE

14 Nil
YEAR ( AOA / AOY ) LIMITS
 EMEDLIFE INSURANCE BROKING SERVICES LIMITED
GROUP PERSONAL ACCIDENT POLICY

Proposer Details
Name of the Client ARCTERN CONSULTING PVT LTD
Policy Period 1-Apr-2018 To 31-Mar-2019
Present Insurer UNITED INDIA INSURANCE CO LTD
Policy Details for 2018- 2019
Present Number of Employees: 194
Last 3 Years Claims History Nil Claims for last 3 Years
Sl. No. Coverages Expiring Terms & Conditions ( EXPIRING ) Expiring Terms & Conditions ( PROPOSED ) RELIGARE HDFC TATA AIG APOLLO MUNICH ORIENTAL
1 SUM INSURED Varied Sum Insured as per the list Varied Sum Insured as per the list YES YES YES YES YES

2 AGE BAND 18 yrs - 65 yrs 18 yrs - 65 yrs YES YES YES YES YES

3 ACCIDENTAL DEATH 100% of the Sum Insured 100% of the Sum Insured YES YES YES YES YES

4 PERMANENT TOTAL DISABILITY ( PTD) 100% of the Sum Insured 150% of the Sum Insured YES YES YES YES YES

5 DISMEMBERMENT Not Covered 2 X DM YES YES YES NO NO

6 PERMANENT PARTIAL DISABILITY (PPD) As per the schedule of the policy As per the schedule of the policy YES YES YES YES YES

1% of the Sum Insured or INR 5,000/- or actual weekly salary 1% of the Sum Insured or INR 25,000/- or actual weekly salary INR 5,000 per week upto 100 INR 5,000 per week upto 100
7 TEMPORARY TOTAL DISABILITY whichever is lower per week for 100 weeks whichever is lower per week for 104 weeks YES YES YES Weeks Weeks

10% of SI or 40% of Admissable

10% of Sum Insured or 40% of Admissable claim or Actuals whichever
8 MEDICAL BENEFITS Covered upto INR 25,000 YES YES YES Claim or INR 200,000 which ever is YES
is lesser
less

REPATRIATION OF REMAINS / CARRIAGE OF DEAD

9 BODY Not Covered Covered upto INR 5,000/- per claim YES YES YES NO YES

10 MODIFICATION BENEFIT(HOME/VEHICLE) Not Covered Covered upto INR 25,000 YES YES YES YES NO

Compesated with Broken Bone

11 EMERGENCY FAMILY TRAVEL Not Covered Covered upto INR 25,000 YES YES YES NO
Benefit

12 EDUCATION BENEFIT Not Covered Covered upto INR 100,000 per child upto 2 Children YES YES YES YES YES

13 TERRORISM CLAUSE Covered Covered YES YES YES YES YES

LIMIT ON ANY ONE ACCIDENT / ANY ONE

14 Nil Nil YES YES YES YES YES
YEAR ( AOA / AOY ) LIMITS

TOTAL SUM INSURED 360,963,206 360,963,206 360,963,206 360,963,206 360,963,206

PREMIUM EXCL SERVICE TAX 126,337 137,166 147,995 155,214 180,482

EXPIRING TERMS GST @ 18% 22,741 24,690 26,639 27,939 32,487

PREMIUM INCL SERVICE TAX 149,078 161,856 174,634 183,153 212,968

PER MILLE PREMIUM EXCL SERVICE TAX 0.35 0.38 0.41 0.43 0.5

TOTAL SUM INSURED 360,963,206 360,963,206 360,963,206 360,963,206 360,963,206

PREMIUM EXCL SERVICE TAX 144,385 155,214 176,872 184,091 202,139

PROPOSED TERMS GST @ 18% 25,989 27,939 31,837 33,136 36,385

PREMIUM INCL SERVICE TAX 170,375 183,153 208,709 217,228 238,524

PER MILLE PREMIUM EXCL SERVICE TAX 0.4 0.43 0.49 0.51 0.56

112500000
51044
0.453724444444444
 EMEDLIFE INSURANCE BROKING SERVICES LIMITED
GROUP PERSONAL ACCIDENT POLICY

Proposer Details
Name of the Client ARCTERN CONSULTING PVT LTD
Policy Period 1-Apr-2018 To 31-Mar-2019
Present Insurer UNITED INDIA INSURANCE CO LTD
Policy Details for 2018- 2019

Present Number of Employees: 194

Last 3 Years Claims History Nil Claims for last 3 Years

Sl. No. Coverages Expiring Terms & Conditions ( EXPIRING ) ORIENTAL RELIGARE HDFC TATA AIG APOLLO MUNICH

1 SUM INSURED Varied Sum Insured as per the list YES YES YES YES YES

2 AGE BAND 18 yrs - 65 yrs YES YES YES YES YES

3 ACCIDENTAL DEATH 100% of the Sum Insured YES YES YES YES YES

4 PERMANENT TOTAL DISABILITY ( PTD) 100% of the Sum Insured YES YES YES YES YES

5 DISMEMBERMENT Not Covered NO YES YES YES NO

6 PERMANENT PARTIAL DISABILITY (PPD) As per the schedule of the policy YES YES YES YES YES

1% of the Sum Insured or INR 5,000/- or actual weekly salary INR 5,000 per week upto 104 INR 5,000 per week upto 100
7 TEMPORARY TOTAL DISABILITY whichever is lower per week for 100 weeks Weeks YES YES YES Weeks

10% of SI or 40% of
10% of Sum Insured or 40% of Admissable claim or Actuals whichever
8 MEDICAL BENEFITS is lesser YES YES YES YES Admissable Claim or INR
200,000 which ever is less

9 TERRORISM CLAUSE Covered YES YES YES YES YES

LIMIT ON ANY ONE ACCIDENT / ANY ONE

10 Nil YES YES YES YES YES
YEAR ( AOA / AOY ) LIMITS

TOTAL SUM INSURED 360,963,206 360,963,206 360,963,206 360,963,206 360,963,206

PREMIUM EXCL GST 126,337 126,337 137,166 147,995 155,214

TOTAL PREMIUM PAYABLE GST @ 18% 22,741 22,741 24,690 26,639 27,939

PREMIUM INCL GST 149,078 149,078 161,856 174,634 183,153

PER MILLE PREMIUM EXCL GST 0.35 0.35 0.38 0.41 0.43
 EMEDLIFE INSURANCE BROKING SERVICES LIMITED

GROUP PERSONAL ACCIDENT POLICY

Proposer Details
Name of the Client ARCTERN CONSULTING PVT LTD

Policy Period 1-Apr-2018 To 31-Mar-2019

Present Insurer UNITED INDIA INSURANCE CO LTD

Policy Details for 2018- 2019

Present Number of Employees: 194

Sl. No. Coverages Expiring Terms & Conditions ( EXPIRING ) ORIENTAL

1 SUM INSURED Varied Sum Insured as per the list YES

2 AGE BAND 18 yrs - 65 yrs YES

3 ACCIDENTAL DEATH 100% of the Sum Insured YES

4 PERMANENT TOTAL DISABILITY ( PTD) 100% of the Sum Insured YES

5 PERMANENT PARTIAL DISABILITY (PPD) As per the schedule of the policy YES

1% of the Sum Insured or INR 5,000/- or actual weekly salary INR 5,000 per week upto 104
6 TEMPORARY TOTAL DISABILITY
whichever is lower per week for 100 weeks Weeks

10% of Sum Insured or 40% of Admissable claim or Actuals whichever

7 MEDICAL BENEFITS YES
is lesser

8 TERRORISM CLAUSE Covered YES

LIMIT ON ANY ONE ACCIDENT / ANY ONE

9 Nil YES
YEAR ( AOA / AOY ) LIMITS

TOTAL SUM INSURED 360,963,206

TOTAL PREMIUM PAYABLE PREMIUM EXCL GST 126,337

PER MILLE RATE 0.35

 EMEDLIFE INSURANCE BROKING SERVICES LIMITED
GROUP PERSONAL ACCIDENT POLICY

Proposer Details
Name of the Client SOLUTIONS INFINI TECCHNOLOGIES PVT LTD
Policy Period 17-DEC-2018 To 16-DEC-2019
Present Insurer MANIPAL CIGNA
Policy Details for 2019- 2020
Present Number of Employees: 127
Last 3 Years Claims History Nil Claims for last 3 Years
Sl. No. Coverages Expiring Terms & Conditions ORIENTAL RELIGARE TATA AIG RELIANCE

1 SUM INSURED INR 1,000,000 and for Directors INR 1,500,000 YES YES YES YES

2 TOTAL NUMBER OF EMPLOYEES 127 YES YES YES YES

3 AGE BAND 18 yrs - 65 yrs YES YES YES YES

4 ACCIDENTAL DEATH 100% of the Sum Insured YES YES YES YES

5 PERMANENT TOTAL DISABILITY ( PTD) 100% of the Sum Insured YES YES YES YES

6 PERMANENT PARTIAL DISABILITY (PPD) As per the schedule of the policy YES YES YES YES

7 TEMPORARY TOTAL DISABILITY 1% of the Sum Insured or INR 5,000/- or actual weekly salary YES YES YES YES
whichever is lower per week for 104 weeks

8 FUNERAL EXPENSES Covered Upto INR 2,500 YES YES YES YES

9 AMBULANCE CHARGES INR 1,000 YES YES YES YES

10% of the SI or 40% of the admissible Claim or actuals

10 MEDICAL BENEFITS YES YES YES YES
whichever is lower

11 TERRORISM CLAUSE Covered YES YES YES YES

12 LIMIT ON ANY ONE ACCIDENT / ANY ONE Nil YES YES YES YES
YEAR ( AOA / AOY ) LIMITS

TOTAL SUM INSURED 129,500,000 129,500,000 129,500,000 129,500,000

PREMIUM EXCL GST 45,325 45,325 49,210 53,095
TOTAL PREMIUM PAYABLE GST @ 18% 8,159 8,159 8,858 9,557
PREMIUM INCL GST 53,484 53,484 58,068 62,652
PER MILLE PREMIUM EXCL GST 0.35 0.35 0.38 0.41
 EMEDLIFE INSURANCE BROKING SERVICES LIMITED

GROUP PERSONAL ACCIDENT POLICY

Proposer Details
Name of the Client NAPIER HEALTH CARE SOLUTIONS INDIA LTD
Policy Period 04-FEB-2020 To 03-FEB-2021
Present Insurer BHARTI AXA
Policy Details for 2020- 2021
LAST YEAR EMPLOYEES 167
Last 3 Years Claims History Nil Claims for last 3 Years
Sl. No. Coverages Expiring Terms & Conditions RELIGARE TATA AIG MAGMA HDI
1 SUM INSURED INR 500,000 PER EMPLOYEE YES YES YES

2 TOTAL NUMBER OF EMPLOYEES 159 YES YES YES

3 AGE BAND 18 yrs - 65 yrs YES YES YES

4 ACCIDENTAL DEATH 100% of the Sum Insured YES YES YES

5 PERMANENT TOTAL DISABILITY ( PTD) 100% of the Sum Insured YES YES YES

6 PERMANENT PARTIAL DISABILITY (PPD) As per the schedule of the policy YES YES YES

1% of the Sum Insured or INR 5,000/- or actual weekly salary

7 TEMPORARY TOTAL DISABILITY whichever is lower per week for 104 weeks YES YES YES

8 FUNERAL EXPENSES 1% of the Sum Insured or INR 5,000/- whichever is lower per YES YES YES

9 CHILD EDUCATION COVERED UPTO INR 10,000 FOR 2 CHILDREN YES YES YES

10 TRANSPORTATION OF MORTAL REMAINS 1% of the Sum Insured or INR 2,500/- whichever is lower per YES YES YES

10% of the SI or 40% of the admissible Claim or actuals whichever is

11 MEDICAL BENEFITS lower YES YES YES

12 TERRORISM CLAUSE Covered YES YES YES

LIMIT ON ANY ONE ACCIDENT / ANY ONE

13 YEAR ( AOA / AOY ) LIMITS Nil YES YES YES

TOTAL SUM INSURED 79,500,000 79,500,000 79,500,000

PREMIUM EXCL GST 19,875 20,670 22,260
TOTAL PREMIUM PAYABLE GST @ 18% 3,578 3,721 4,007
PREMIUM INCL GST 23,453 24,391 26,267
PER MILLE PREMIUM EXCL GST 0.25 0.26 0.28