Quotation - Star Health For Individual and Family

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Family Details: Relationship Gender Date of Birth (DD-MM- YYYY) Age Age Band Plan Type

1 PRAVEEN J Self MALE 2/20/1996 27 46-50 2A+2P


SUCHITHRA B M Wife FEMALE 4/4/2001 22 18-35 2A
JAVARE GOWDA Father MALE 1/1/1973 50
MANIYAMMA Mother FEMALE 1/1/1981 42

2 SACHIN B M Self MALE 1/13/1999 24 46-50 1A+2P


MAHESHA B G Father MALE 1/1/1976 47 18-35 1A
ANUSOOYA Mother FEMALE 1/1/1979 44

3 HEMANTH KUMAR G Self MALE 2/3/1988 35 18-35 2A


PALLAVI D Wife FEMALE 1/13/1991 32

4 PREAVEEN H P Self MALE 6/1/1981 41 66-70 2A+2C+1P


POOJASHREE J Wife FEMALE 1/29/1997 26 2A+2C
KRISHIL P Son MALE 4/3/2017 6 2A
MANHA Daughter FEMALE 2/7/2023 2m
MALLIGEMMA Mother FEMALE 1/1/1957 66

5 SANTHOSH C Self MALE 8/17/1999 23 36-45 1A+1P


POOJAMMA Mother FEMALE 1/1/1980 43 1A

SWETHA C Sister FEMALE 1/12/2001 22 18-35 1A


Product Name Sum Insured Sum Insured
1,000,000 500,000
Health Assure 42,601 31,819
Health Assure 18,027 12,930

Health Assure 34,998 26,564


Health Assure 10,424 7,675

Health Assure 18,027 12,930

Health Assure 64,620 50,788


Health Assure 29,319 22,110
Health Assure 20,947 15,303

Health Assure 21,448 15,919


Health Assure 10,424 7,675

Health Assure 10,424 7,675


Family Details: Relationship Gender Date of Birth (DD-MM- YYYY) Age Age Band Plan Type

1 PRAVEEN J Self MALE 2/20/1996 27 18-30 2A


SUCHITHRA Wife FEMALE 4/4/2001 22

2 SACHIN B M Self MALE 1/13/1999 34 31-35 1A

3 HEMANTH KUMAR G Self MALE 2/3/1988 35 18-35 2A


PALLAVI D Wife FEMALE 1/13/1991 32

4 PREAVEEN H P Self MALE 6/1/1981 41 2A+2C


POOJASHREE J Wife FEMALE 1/29/1997 26
KRISHIL P Son MALE 4/3/2017 6
MANHA Daughter FEMALE 2/7/2023 2m

5 SANTHOSH C Self MALE 8/17/1999 23 18-30 1A

SWETHA C Sister FEMALE 1/12/2001 22 18-30 1A


Product Name Sum Insured Sum Insured Premium (incl GST)
1,000,000 500,000
Young Star - GOLD 12,479 9,522

Young Star - GOLD 9,122 7,174

Young Star - GOLD 13,647 10,389

Not Available

Young Star - GOLD 8,390 6,632

Young Star - GOLD 8,390 6,632


Family Details: Relationship Gender Date of Birth (DD-MM- YYYY) Age Age Band Plan Type

1 PRAVEEN J Self MALE 2/20/1996 27 18-30 1A


2 SACHIN B M Self MALE 1/13/1999 34 31-35 1A
3 HEMANTH KUMAR G Self MALE 2/3/1988 35 18-35 1A
4 PREAVEEN H P Self MALE 6/1/1981 41 1A
5 SANTHOSH C Self MALE 8/17/1999 23 18-30 1A

1 PRAVEEN J Self MALE 2/20/1996 27 18-35 1A


2 SACHIN B M Self MALE 1/13/1999 34 18-35 1A
3 HEMANTH KUMAR G Self MALE 2/3/1988 35 18-35 1A
4 PREAVEEN H P Self MALE 6/1/1981 41 36-45 1A
5 SANTHOSH C Self MALE 8/17/1999 23 18-35 1A
Product Name Sum Insured Sum Insured
1,000,000 500,000
Young Star - GOLD 8,390 6,632
Young Star - GOLD 9,122 7,174
Young Star - GOLD 8,390 6,632
Not Available
Young Star - GOLD 8,390 6,632

Health Assure 10,424 7,675


Health Assure 10,424 7,675
Health Assure 10,424 7,675
Health Assure 12,248 9,160
Health Assure 10,424 7,675
Personal Accident Policy Sum Insured Only Death Death/Disability
10 lakhs 507 826
25 lakhs 1,269 2,065

Premium Incl of GST

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