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Date : 10 December 2020

Mr Babu Singh Yadav
R/O Mandi Teh Narnaul Vpo Mandi
Distt Mahendraharh
Narnaul 123001
Haryana
Policy No. : 19172243
Mobile No. : 9728540430

Dear Mr Babu Singh Yadav,

Welcome to a world where what matters, above all, is your Health....Hamesha!

Welcome to Care Health Insurance.

At Care, it's our mission to provide you access to the highest quality of healthcare and put you back on the road to a worry-free recovery, without a
care about medical bills and other related expenses.

Moreover, as a member of a group that is driven by innovation and constantly aims at creating value, you can expect an unmatched bouquet of
products and services.

To help you understand our services better, please go through the 'Know your policy better' kit that accompanies this letter and constitutes the
following details:

Certificate of Insurance
What’s more ! Our policy comes with a free-look period of 15 days from the date of receipt of this kit. Hence, after purchasing the policy, if you
find it unsuitable, you can cancel and return the policy to us.

Also enclosed for your convenience is your Care Health Card(s). This card should be presented at the time of an emergency or a planned
hospitalization, to access cashless treatment at our network of over 4,500+ hospitals pan-India.
To further simplify procedures, we're online at www.careinsurance.com; where you can view network hospitals across the country, cashless
procedures and do much more.

For any assistance feel free to mail us at customerfirst@careinsurance.com or call 1800-102-4488.

Once again, we thank you for this opportunity to serve you, and wish you and your loved ones good health always!
Team Care Health Insurance
 15,2 ,8
fo 18

Certificate of Insurance

Mr Babu Singh Yadav Group Policyholder Name PUNJAB NATIONAL BANK

Group Policy No.
Certificate of Insurance No.
R/O Mandi Teh Narnaul Vpo Mandi Plan Name
Cover Start Date
Distt Mahendraharh Cover End Date
Nominee Name (Relationship)
Narnaul 123001 Premium Paid
Haryana 06
Premium Payment Mode
Cover type
17499225
19172243
Group Care 360°(PNB-Platinum)
00:00 hrs 04-Dec-2020
Midnight 03-Dec-2021
Ms Maya Devi (Wife)
Rs. 18469
(Premium Rs 15652 + CGST Rs 1408.68 +
IGST Rs 0 + SGST Rs 1408.68 + UGST Rs 0)
Single Premium
Floater

Date Of
Applicant Client ID
Birth/Incorporation

Babu Singh Yadav 17-Jul-1944 82011462

1

Details of Insured
Insured with
Date Of Birth/
Name Client ID Incorporation Relationship the Company Pre-existing diseases Sum Insured
(since)
Babu Singh Yadav 82011462 17-Jul-1944 Member 04-Dec-2020 None 500000.00
Maya Devi 82135807 01-Jan-1948 Spouse 04-Dec-2020 None 500000.00

1
Intermediary Details
Name Code Contact Number
Punjab National Bank 20065383 01126183579

for Claims & Assistance: Call 1800-102-4488

23
2 Benefits

S No. Particulars Basis of Offering (On Annual Basis)

1 In - patient care Up to SI

2 Day Care Treatment Up to SI

3 Pre-hospitalization Medical expenses 30 days

4 Post-hospitalization Medical expenses 60 days

5 Domestic Road Ambulance Up to Rs. 2,000 per hospitalization

6 Donor Expenses Up to 2 Lac

7 Second Opinion Once per Major Illness / Injury per policy year

8 Alternative Treatments (IPD basis) Up to Rs 50,000

9 Health Check-up Two adult per policy year

Up to 10% of SI; if it continues for a period exceeding 3 consecutive

10 Domiciliary Hospitalization days

Up to Rs 1000 on actuals during policy period (For the proposer only,

11 Incidental Cost Reimbursement on basis of bills)

12 Discount Connect Covered

13 No Claim Bonus 10% of Sum Insured for every Claim Free year, Max up to 50% S.I.

14 Recharge of Sum Insured Up to 100% of Sum Insured

15 Modern Treatment Methods Cover Up to SI

16 Wait Period 30 Days,Yes (except for Injuries/Accident)

17 Named Ailment (as defined in Group Care Product) 12/24/36 months (as per current PNB product)

18 Pre-existing diseases 36 Months

19 On Room rent Standard Room - 1% of SI per day Up to 5,000

20 ICU charges 2% of SI per day Up to 10,000

21 Co-Payment 20% for Cancer and Cardiac Ailments

22 Double Sum Insured for Accidental Hospitalization Additional 100% Sum Insured

23 Double Sum Insured for Pandemic and epidemic Additional 100% Sum Insured

Previous Policy Details

Date of First Expiry Policy SI Rs.
Name Previous Insurer First Policy Number Expiry Policy Number Enrollment (Original SI+CB)
Babu Singh Yadav Group Retail Prev 35380034190400000 01-Nov-2018
Pol Insurer 353800341804 500000 + 0
025
Maya Devi Group Retail Prev 35380034190400000 01-Nov-2018
Pol Insurer 353800341804 500000 + 0
025

Sub Limit Capping

Dilatation and Curettage of uterus, Lithotripsy 10000
Surgery of hydrocele, Gastrectomy 15000
Tonsillectomy, Coronary Angiography 20000
Surgery of prostate gland, Urinary surgery 25000
Appendectomy, Kidney Stones 30000
Cataract(Per eye), ENT Surgery, Hysterectomy, Surgery of hernia 40000
Treatment of fracture / dislocation / knee surgery 100000

Key Exclusions
The Company shall not be liable to make payment for any claim directly or indirectly caused by, based on, arising out of or howsoever attributable to any
of the following except covered by way of an extension:
 • Claim for any Medical Expenses incurred for treatment of any Illness during the first 30 days of the Cover Start Date shall not be admissible, except
those Medical Expenses incurred as a result of an Injury.
• Maternity expenses
• Genetic disorders, External Congenital Ailments, Dental Treatments(other than accidents), Infertility/Impotency treatments, HIV & Related
complications.
• Any condition directly or indirectly caused by or associated with any sexually transmitted disease.
• Out - Patient Treatment
Note: This is an indicative list of exclusions and not exhaustive. For the entire list of exclusions, please refer to Scheme Document

0 Portability/Renewability
S No. Particulars
1 Renewal under the scheme is subject to continuation of this scheme by Group Policyholder
2 You can port from this scheme to Insurer’s individual health policy, subject to underwriting guidelines of such individual health policy under
following conditions:
a) Group Policyholder chooses not to continue this scheme
b) If you choose not to continue the enrollment under this scheme
3 The premium payable under this scheme shall be reviewed on annual basis and may subject to revision
After enrolment under the scheme, if you find it unsuitable you can cancel and return the Certificate of Insurance to the Insurer within 15 days
4 from the date of receipt of Certificate of Insurance.

or send written complaint to:

Grievance Redressal/Complaints
The Company has developed proper procedures and effective mechanism to address of complaints by the customers. The Company is committed to
comply with the Regulations, standards which have been set forth in the Regulations, Circulars issued by the Authority (IRDAI) from time to time in this
regard.

(a) If the Policyholder / Insured Person has a grievance that the Policyholder / Insured Person wishes the Company to redress, the Policyholder / Insured
Person may contact the Company with the details of the grievance through:;
Website: www.careinsurance.com
Email: customerfirst@careinsurance.com
Contact No.:1800-102-6655
Courier: Any of Company’s Branch Office or corporate office

The Policyholder/Insured Person may also approach the grievance cell at any of the Company’s branches with the details of his/her grievance during the
Company’s working hours from Monday to Friday.

Exclusively for Senior Citizens, the Company has a separate extension on the Customer Service Toll Free Number. This separate customer service
channel prioritizes and routes any kind of request / grievance raised by Senior Citizens through various fast track internal escalations leading to lesser
Turn-Around-Time (TAT) for request / grievance addressal.

(b) If the Policyholder / Insured Person is not satisfied with the Company's redressal of the Policyholder's / Insured Person’s grievance through one of the
above methods, the Policyholder / Insured Person may contact the Company’s Head of Customer Service at:
Head – Customer Services,
Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector 39, Gurgaon -122001.(HARYANA)
For Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)

Authorized Signatory Date of Issue : 10-Dec-2020 Place of Issue : Gurgaon, Haryana

Service Branch : CHIL, SCO- 93, First Floor,Green Square Market, Hissar, Haryana - 125001 Branch Contact No. : 1800-102-4488
Correspondence Address:
10-De
Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park, Sector 39, Gurgaon -122001.(HARYANA) Contact No : 1800-102-4488
Website : www.careinsurance.com Email : customerfirst@careinsurance.com
Consolidated Stamp Duty paid vide E-Challan GRN no. 68134908 dated 08 Oct 2020, RCM Applicability- N/A
SAC: 997133 and Description of Service: Accident and Health Insurance Services State GSTIN No.: 06AADCR6281N1ZW IRDA Registration Number - 148 UIN : RHIHLGP20126V011920

Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503
Note:

1. Validity of this certificate is subject to terms and conditions of Group Policy issued to the Group Policyholder.
2. In event of non-receipt of Premium, this certificate of insurance automatically stands cancelled from inception, irrespective of whether a separate communication is sent or not. This policy is based
on the information provided by the Insured. In case you find any discrepancy in the same, please contact us immediately.
3. This Certificate of Insurance is governed by and is subject to the Terms and Conditions of the referred Group Policy.
19172243

82011462 17-Jul-1944 BABU SINGH YADAV

82135807 01-Jan-1948 MAYA DEVI
 V 18,

Premium Acknowledgement

Certificate of Insurance No. 19172243

Client ID 82011462
Applicant Mr Babu Singh Yadav
Address R/O Mandi Teh Narnaul Vpo Mandi
Distt Mahendraharh
Narnaul 123001, Haryana

Policy Period 04-Dec-2020 to 03-Dec-2021

Premium Details
Particulars Amount (in Rs.)

Gross Premium
Group Care 360° 15,652.00

Goods & Services Tax (GST) 2,817.36

Total 18,469.00

The Premium is rounded off to the nearest rupee.

Eligibility of Premium for Deduction u/s 80D of the Income Tax Act, 1961
The premium paid through any mode other than cash for this policy is eligible for Income tax benefits to the person making the
payment subject to the provisions of section 80D of the Income Tax Act, 1961 and amendments thereof.

For Care Health Insurance Limited

(Formerly known as Religare Health Insurance Company Limited)

Authorized Signatory Date of Issue: 10-Dec-2020 Place of Issue: Gurgaon, Haryana

This Mr fro 156 towa
IRDA Registration Number - 148
Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503

Note
1) In case of any discrepancy, you are requested to contact us immediately.
2) Any amount paid in cash towards the premium would not qualify for tax benefits as mentioned above.
3) This document must be surrendered to Us in case of Cancellation of the Certificate of Insurance or for the issuance of a fresh Certificate of Insurance in the case of any alteration. In event of
incorrect representation of this declaration this liability shall be upon the policy holder.

Signature Not
Verified
Digitally signed by
MANISH DODEJA
Date: 2020.12.11
08:43:45 IST
Reason: I'm the author
Location: India