Date contact@lib.

lu
11 December 2020 +352 26 48 01 01
Effective date
14 December 2020
policyholder
DAS Anirban
client number
9160407
policy number
10/5738812-000
Name of intermediary
Luxembourg
Insurance Brokers
No intermediary
4641

Your OptiHome Privilège insurance policy

New business file number 10/5738812

Period of cover
Effective date of the policy 14 December 2020
Main maturity date 14 December
Duration of the policy 1 year with automatic renewal

Policyholder
Title Sir
First name and Surname DAS Anirban
Date of birth 16 April 1991
Address (street, no) 10, rue Robert Bruch
Postcode and Town L-1267 LUXEMBOURG
Country Luxembourg
Phone +352691164991
Email anir.das89@gmail.com

Home
Address (street, no) 10, rue Robert Bruch
Postcode and Town L-1267 LUXEMBOURG
Position of the Policyholder Tenant
Type of building Apartment
Second home No
Condition of the building In its current state
Energy performance Unknown
Type of cover Building and contents
Total surface area 90 m²
Insured property Building
Swimming pool No
3 or more bathrooms No
Ceiling height of the main No
rooms + 3m
Passive construction No
At least 2 façades in dressed No
stone
Contents including fitted 13,000.00 €
kitchen

AXA Assurances Luxembourg, Société Anonyme 1, place de l'Etoile L-1479 Luxembourg

B.P. 1661 L-1016 Luxembourg - R.C.S. Luxembourg B 84514 – Téléphone : (352) 44 24 24 1 Internet : www.axa.lu
1-4
 policy number date of this policy
OptiHome Privilège 10/5738812-000 11 December 2020

Home ...

Building cover Details

Fire and related risks Included
Water damage Included
Glass breakage Included
Emergency@Home Included

Contents cover Details

Fire and related risks Included
Storm and hail Included
Electrical damage Included
Water damage Included
Glass breakage Included
Theft Included

The policyholder states:

- that it has not suffered more than two thefts over the last 5 years;
- that it has not suffered more than two water damages over the last 5 years;

Persons and activities

Insured persons: Policyholder’s family

Civil Liability/Legal Protection

option
Civil Liability Private life Included
Legal Protection Included

Specific Terms and Conditions

Repeal of the proportional rule
Option “Sérénité +” has not
been chosen
The proportional rule of the amounts for the
building defined under article 2.17.1 of the Terms
and conditions of insurance does not apply to this
policy.
The policyholder chose not to sign up the cover
“Option Sérénité +”. This choice implies that the
insurer does not cover damages resulting from
earthquakes or inundations or consequential loss
as defined in the insurance conditions.

Premium payable (excluding charges and taxes)*

Biannual 113.19 €
a
The premium indicated includes:
- a 2% discount for biannual payment
a
*Charges and taxes : Charges: 5.00 € for the first premium and 2.50 € for the
following premiums.
Taxes: 4% applied to the premium and charges.
The consumer index is 876,86 and the construction index is 837,53

Terms and Conditions of Insurance

2-4
 policy number date of this policy
OptiHome Privilège 10/5738812-000 11 December 2020

Terms and Conditions of Insurance

Your policy comprises these Specific Conditions and the Insurance Conditions that Reference document
form an integral part of it.
CA_OptiHome_W06_17_En
The Insurance Conditions have been given to you before the conclusion of the policy disponibles sur
in the format of communication of your choice. https://www.axa.lu/en/cgv

You acknowledge that you have read them and have expressly accepted them.

Data Protection
Processing of personal data

The Company is responsible for the processing of personal data, including sensitive
personal data relating to the physical or mental health of the Insured, which are or
will be communicated to it in connection with the subscription or execution of this
Policy. All this data will be processed in accordance with the Luxembourg law of 2
August 2002 on the protection of persons with regard to the processing of personal
data, and in compliance with the applicable European regulations.

The Policyholder or the Insured acknowledges and accepts that the Company will
record and use such data, in particular to enable it to assess risks, prepare, draw
up, manage and execute the insurance policy, settle any claims, prevent fraud and,
more generally, comply with its legal obligations. Personal data will only be used for
commercial purposes if the Company has the express consent of the Policyholder
and/or the Insured.

The Policyholder or the Insured has the right to access his or her personal data, to
request its correction or under certain conditions its deletion, the limitation of its
processing as well as its portability. He or she may exercise these rights by sending
the Company, for the attention of the Data Protection Officer, a written, dated and
signed request accompanied by a two-sided copy of his or her valid identity card or
passport. In the event of a complaint concerning the processing of his or her
personal data, the Policyholder or the Insured may contact the National
Commission for Data Protection (CNPD), Complaints Department 1, avenue du
Rock'n'Roll L-4361 Esch-sur-Alzette.

Personal data shall be retained by the Company for as long as necessary to enable
it to comply with its legal obligations and more generally to assert, exercise or
defend its legal rights. The Company shall take the necessary measures to ensure
the security of the processing of personal data.

Transmission of personal data

For the purposes of the conclusion and management of the Policy, the Company
may transmit personal data to the Company's service providers and subcontractors
to the extent necessary to carry out the tasks entrusted to them, its insurance
intermediaries, other companies in its Group within the European Union, its
reinsurance company(ies) and its medical adviser, and more generally to any
person or authority (administrative, tax or judicial), subject to the conditions and
limits prescribed by the law on the insurance sector.

3-4
 policy number date of this policy
OptiHome Privilège 10/5738812-000 11 December 2020

Data Protection ...

In case of refusal of the Policyholder or the Insured to communicate to the
Company all the information and personal data requested, the file cannot be
processed nor the policy concluded.

By signing, you give your special and express consent to the processing and
recording by the Company of personal data concerning your health that may be
transmitted in connection with the subscription and/or execution of this policy, for
all the purposes described above. You are informed that any withdrawal of your
consent concerning the processing of personal data concerning your health could
lead to the cancellation of the guarantees subscribed or prevent the proper
execution of the Contract.

You further agree that the Company may make use of all means of communication
made available to it, including the use of electronic mail whenever it has your email
address and deems it appropriate for any subsequent communications, including
those which would concern or contain information or data relating to your health,
unless otherwise stated in writing by you.

Done in Luxembourg on 11 December 2020

AXA Assurances Luxembourg

Mirjam Bamberger The Policyholder (*)

CEO

(*) the Policyholder must sign the relevant box on the letter provided in duplicate
formalising the agreement of the parties. These Specific Terms and Conditions are
to be kept by the Policyholder.

4-4