Annexure to customer information sheet (CIS) benefit illustration in respect of polices offered on

individual and family floater basis.

Age of Coverage opted on Coverage opted on individual basis covering Coverage opted on family floater basis with overall
the individual basis multiple member of family under a single sum insured(only one sum insured available for
members covering each member policy(Sum insured available for each member of entire family)
selected of family separately(at the family)
single point of time)
Premium(₹) Sum Premium(₹) Discount(%) Premium Sum Premium or Floater Premium Sum
Insured(₹) if any after Insured(₹) consolidated discount(%) after Insured(₹)
discount(₹) premium for if any discount(₹)
all members
of family(₹)
28 41102.00 5000000 NA NA NA NA NA NA NA NA
Total Premium for all Total Premium for all members of the family is ₹ Total Premium when policy is opted on floater
members of the family ___________ when they are covered under a single basis is ₹ ___________
is ₹ 41102.00 when policy
each member is
covered separately
Sum Insured available Sum Insured available for each family member is ₹ Sum Insured of ₹ ___________ is available for the
for each individual is ___________ entire family
₹ 5000000

Note: Premium rates specified in the above illustration shall be standard premium rates without considering any loading. Also, the premium
rates shall be exclusive of taxes applicable.

Tata AIG General Insurance Company Limited

Registered Office: Peninsula Business Park, Tower A, 15th Floor, G. K. Marg, Lower Parel, Mumbai - 400 013
24X7 Toll Free No: 1800 266 7780 or 1800 22 9966 (For Senior Citizens) Fax: 022-6693 8170 Email: customersupport@tataaig.com
Website: www.tataaig.com IRDA of India Registration No.: 108 CIN: U85110MH2000PLC128425
Tata AIG MediCare Premier UIN: TATHLIP21257V022021