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ANDHRA PRADESH GRAMEENA VIKAS BANK

HEAD OFFICE :: WARANGAL


(SPONSORED BY STATE BANK OF INDIA)

Cir. No. APGVB/Per&HRD/ 62 /2023-24 Date: 3rd November 2023

All the Retired Staff & Family Pensioners

GROUP FLOATER MEDICLAIM POLICY (CASHLESS AND REIMBURSEMENT)


FOR RETIRED STAFF INCLUDING SPOUSE AND FAMILY PENSIONERS
RENEWAL OF POLICY FROM 19-10-2023 TO 18-10-2024

Please refer to our earlier Circular No: Per & HRD/ 60 /2022-23 dated 19.11.2022 on the Group
Floater Mediclaim policy for a period of one year up to 18.10.2023. On expiry of the said policy,
the Bank has taken a new Group Health Insurance Policy, covering the retired staff including
spouse and family pensioners for a period of one year from 19.10.2023 to 18.10.2024 with M/s
Reliance General Insurance Company Ltd.

We have received consent letter and premium amount from 781 retired staff and
family pensioners for coverage under the policy.

2. We furnish below the salient features of the Group Floater Mediclaim Policy:
 The policy shall cover expenses of the retired staff and family pensioners in cases he/she
shall contract any disease or suffer from any illness or sustain any bodily injury through accident
and if such disease or injury shall require any member, upon the advice of a duly qualified
Physician / Medical Specialist / Medical practitioner or of a duly qualified Surgeon to incur
hospitalization / domiciliary hospitalization and domiciliary treatment expenses as defined in the
Scheme, for medical / surgical treatment at any Nursing Home / Hospital / Clinic (for domiciliary
treatment) / Day care Centre which are registered with the local bodies in India as herein defined
as an inpatient or otherwise as specified as per the scheme.

 Sum insured:

Total Sum Assured OPD Cover OPD Sub-limit Option


With OPD 40,000 Option - 1
4 Lakhs
Without OPD NIL Option - 2
With OPD 30,000 Option - 3
3 Lakhs
Without OPD NIL Option - 4
With OPD 20,000 Option - 5
2 Lakhs
Without OPD NIL Option - 6
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 Corporate Buffer: A Corporate Buffer of Rs.30.00 Lakh has been taken. Medical
expenditure / claims over and above limits per family, can be drawn from Corporate Buffer to the
extent of 100% of Basic Sum Insured on first come first serve basis, till total 30.00 lakhs gets
exhausted. A request for buffer along with estimated cost from hospital should be submitted by
the insured member to Head Office, seeking sanction of amount from Corporate Buffer. Based on
the availability of balance in the Corporate Buffer, Head Office will send specific instructions to
the Insurance Company / Broker for accessing Corporate Buffer.

 Insurance Coverage:
Treatment* to be taken for any illnesses or injuries under the following categories, are covered:
- Hospitalization
- Reimbursement facility
- Domiciliary treatment, OPD Cover and Domiciliary Hospitalization
*Treatment includes 162 Operations / surgeries under Day Care Procedures, Congenital
anomalies, Genetic Disorders, Stem cell Therapy, Organ Donor cover, AYUSH Cover.
There is no capping on expenses on Major surgeries / Illnesses. However, there are limits on
certain expenses and certain expenses are non-payable as per the policy wordings. Other
important features of Mediclaim Policy are furnished in Annexure – I.
The detailed Medical Insurance Scheme for retired staff and family pensioners of APGVB is
furnished in Annexure – II.

3. Claim Submission & Settlement:


a. Cashless Facility: If the patient is admitted for treatment in Network Hospitals of the insurer,
hospitalization expenditure will be arranged to the Hospital by the Insurance Company. Any
expenses in excess of entitlement or non-payable under the policy shall be borne by the Retired
staff only.

b. Reimbursement facility in case of treatment in non-network hospitals: Where there are


no network hospitals, reimbursement facility is available if the required documents are submitted
to Insurance Company. The claim form format is provided in the Annexure – III along with filled
sample claim form. The detailed procedure for submission of claim for reimbursement for
hospitalization and OPD / Domiciliary treatment is furnished in Annexure – IV.
The required documents for claiming reimbursement shall be submitted to the insurance
company within 90 days from the date of discharge in case of hospitalization and within 90 days
of purchase of medicines in case of OPD / Domiciliary treatment.
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[[

IMPORTANT
Intimation of claim to the insurance company: Claim intimation shall be made within 24
hours of hospitalization to the insurance company for both cashless or reimbursement and
obtain claim intimation number. Please note that incase of cashless facility, the insurance desk
of Network Hospital will arrange for claim intimation but in case of reimbursement facility the
claim intimation shall be made by the retired staff member and claim intimation number shall be
obtained invariably. Without claim intimation number reimbursement of claims can’t be
processed.
Claim intimation can be done in following 6 ways.
i) By calling customer care of insurer @Customer care: 022 4890 3009
ii) By sending an e-mail @ rgicl.rcarehealth@relianceada.com
iii) By WhatsApp to 7400422200
iv) By logging in to the Reliance Selfi Android or iOS Mobile Application
v) By logging in to www.reliancegeneral.co.in

Insured member shall provide basic details regarding the claim viz., Name of the patient, Name
of the intimator, e-mail ID, Contact number, Hospital Name, Hospital Phone No, Hospital
Address with Pincode, Reason for Admission, Date of Admission. In case of OPD / Domiciliary
date of Visit and reason for Visit shall be mentioned in place of Date of admission and reason for
admission.

4. The list of Retired staff including their spouse and Family pensioners covered under the current
policy is provided in Annexure – V. All the Retired staff and Family pensioners are advised to
verify the same. If, for any reason, the eligible dependent spouse is not covered in the list, it is
advised to bring it to the notice of this office through e-mail to pensioncell@apgvbank.in by
10.11.2023 so as to enable us to include the members.

5. Health Cards: Customer Identity Cards (R-Card) will be issued by the insurer, M/s. Reliance
General insurance Co. Ltd. The same can be downloaded by logging in to the website or URL :
reliancegeneral.co.in/insurance/self-help/online-R-Card.aspx

6. Policy Details:
Name of the Insured / Corporate Andhra Pradesh Grameena Vikas Bank
Name of the Insurer Reliance General Insurance Co. Ltd.
Policy Number 181232328120000001
Policy Duration 19.10.2023 to 18.10.2024
::4::

7. Escalation Matrix: For any help during the claim submission, the following escalation matrix
shall be followed.
Level-I: Help Desk of Star Health Insurance
Customer Care 022 4890 3009
Email rgicl.rcarehealth@relianceada.com
Representatives of Insurance Broker
Level-II: Mr. Venkateswarlu Vemula – Senior Manager
Mobile: 7337290690 Email: vanabaludumalladi@rathi.com
Level-III: Mr. Venkateswarlu Vemula – Deputy Manager
Mobile: 73374 83983 Email: venkateswarluvemula@rathi.com
Level-IV: Mr. Bandari Santhosh Kumar – Manager
Mobile: 8688704074 Email: santhoshbandari@rathi.com
Representative of Bank
Level-V: Ms. J. Thejaswini – Asst. Manager
Mobile: 94409 03915 Email : smhrms@apgvbank.in

8. Please bring the contents of the circular to the notice of all retired staff & family pensioners.

Sd/-
(B Dayakar)
General Manager – HR & Ops
Annexure – I

TAILOR MADE GMC FOR RETIRED STAFF OF APGVB


S.No INSURANCE COVERAGES
01 Pre-existing Diseases and Waiting Yes
period Waivers
02 Room Rent for normal Not exceeding Rs. 5,000/- Per day
03 Room Rent for ICU Not exceeding Rs. 7,500/- Per Day
04 Proportionate Deductions Waived off
Expenses on Major surgeries/ Illnesses
05 No capping
Waiver of Nine Months Waiting period
06 Waived off
07 Termination of Pregnancy Not applicable
08 Pre and Post Hospitalization 30 and 90 days
09 Domiciliary treatment and OPD Cover Yes, Max up to the limit of 10% of SI in the
Policy Year (As per Annexure II-A)
10 AYUSH Cover Yes (Mentioned in Annexure II)
Advanced Medical Treatment Yes (Mentioned in Annexure II)
11
Charges for Hiring a Nurse / attendant
Yes, if the patient is critical and
12 in
recommended by the Doctor
ICU/CCU & Neo Natal Nursing cases
Auto and taxi max up to Rs. 750/- pertrip.
13 Ambulance & Auto Charges Ambulance max up to Rs. 2,500/-
per trip.
Both External & Internal diseases/defect
14 Congenital anomalies cover
anomalies are covered
All Expenses related to Corona (COVID- 19)
and its variants with respect to PPEs, Masks,
15 CORONA COVER Gloves and any other expenses related to the
treatment shall be covered.
16 Day care Procedures to be Covered Yes (Annexure II-B attached)
17 Cataract Surgery Rs. 50,000/- per eye.
18 Taxes, Surcharges Payable Yes
Genetic, Psychiatric, Neurological,
Muscular Degenerative & Age related
19 Yes
Disorders
Yes, for the period specified by the
20 Physiotherapy treatment
recommended Doctor
21 Organ Donor cover Yes ( excluding organ cost)
Rental Charges for External and Only rental charges are payable. (Mentioned in
22
Durablemedical equipment Annexure II)
23 Ambulatory Devices Yes (Mentioned in Annexure II)
Within 90 days from the date of discharge in
case of hospitalization and within 90 days of
24 Submission of claim documents for purchase of medicines in case of domiciliary
reimbursement treatment If submitted beyond 90 Days, 10%
reduction in claims.
Annexure – II

Medical Scheme for Retired Staff & Family Pensioners of Andhra Pradesh Grameena
VikasBank & Policy Wordings which shall form part of the Policy

The scheme covers expenses of the retired officers / retired employees and spouse
in cases he/she shall contract any disease or suffer from any illness (hereinafter called
DISEASE) or sustain any bodily injury through accident (hereinafter called INJURY) and
if such disease or injury shall require any such insured Person, upon the advice of a duly
qualified Physician/ Medical Specialist/ Medical practitioner (hereinafter called MEDICAL
PRACTITIONER) or of a duly qualified Surgeon (hereinafter called SURGEON) to incur
hospitalization/ domiciliary hospitalization and domiciliary treatment expenses as defined
in the Scheme, for medical/ surgical treatment at any Nursing Home/ Hospital / Clinic
(for domiciliary treatment)/ Day care Centre which are registered with the local bodies, in
India as herein defined (hereinafter called HOSPITAL) as an inpatient or otherwise as
specified as per the scheme, to the extent of the sum insured + Corporate buffer.
1.1 The Scheme Covers

For Retired Employees: Retired Employee + Dependent Spouse or Widow Spouse

1.2.1 No midterm inclusion of any retired employee

1.2.2 Continuity benefits coverage to officers / employees on retirement and also to the
Retired Officers / employees, who are to be inducted in the Scheme.

1.3 SUM INSURED: Hospitalization and Domiciliary Treatment coverage as defined in


the scheme per annum
Rs.4,00,000.00
For all Pensioners and Family Rs.3,00,000.00
Pensioners
Rs.2,00,000.00

Domiciliary treatment and OPD Cover : Maximum allowed up to 10% of S. I


CORPORATE BUFFER : Rs. 30 Laks.
1.4 In the event of any claim becoming admissible under this scheme, the company will
pay through Third Party Administrator to the Hospital / Nursing Home or insured the
amount of such expenses as would fall under different heads mentioned below and
as are reasonably and medically necessary incurred thereof by or on behalf of such
insured but not exceeding the Sum Insured in aggregate mentioned in the schedule
hereto.
A. Room and Boarding expenses as provided by the Hospital/ Nursing Home not
exceeding Rs. 5000 per day or the actual amount whichever is less.
B. Intensive Care Unit (ICU) expenses not exceeding Rs. 7500 per day or actual
amount whichever is less.
C. Surgeon, team of surgeons, Assistant surgeon, Anesthetist, Medical
Practitioner, Consultants, Specialists Fees.
D. Nursing Charges , Service Charges, IV Administration Charges, Nebulization
Charges, RMO charges, Anaesthetic, Blood, Byeopmachine, Operation Theatre
Charges, surgical appliances, OT consumables, Medicines & Drugs, Dialysis,
Chemotherapy, Radiotherapy, Cost of Artificial Limbs, cost of prosthetic devices
implanted during surgical procedure like pacemaker, Defibrillator, Ventilator,
orthopaedic implants, Cochlear Implant, any other implant, Intra-Ocular Lenses,
infra cardiac valve replacements, vascular stents, any other valve replacement,
laboratory/diagnostic tests, X-ray CT Scan, MRI, any other scan, scopies and
such similar expenses that are medically necessary, or incurred during
hospitalization as per the advice of the attending doctor.
E. Hospitalization expenses (excluding cost of organ) incurred on donor in respect
of organ transplant to the insured also covered.

1.5 PRE AND POST HOSPITALISATION: Pre and Post Hospitalization expenses
payable in respect of each hospitalization shall be the actual expenses incurred
subject to 30 days prior to hospitalization and 90 days after discharge.

2 DEFINITIONS:
2.1 ACCIDENT: An accident is a sudden, unforeseen and involuntary event caused
resulting in injury –
2.2
A. “Acute condition” – Acute condition is a disease, illness or injury that is likely to
respond quickly to treatment which aims to return the person to his or her state of
health immediately before suffering the disease/illness/injury which leads to full
recovery.
B. “Chronic condition” – A chronic condition is defined as a disease, illness, or
injury that has one or more of the following characteristics –
i. It needs ongoing or long-term monitoring through consultations,
examinations, check-ups and/or tests.
ii. It needs ongoing or long-term control or relief of symptoms
iii. It requires rehabilitation or for to be specially trained to cope with it
iv. It continues indefinitely
v. It comes back or is likely to come back.

2.3 ALTERNATIVE TREATMENTS:


Alternative Treatments are forms of treatment other than treatment “Allopathy” or
“modern medicine and includes Ayurveda, unani, siddha, homeopathy and
Naturopathy in the Indian Context, for Hospitalisation only and Domiciliary for
treatment only under ailments mentioned under clause number 3.1 (Ref: 3.4
Alternative Therapy)

2.4 ANY ONE ILLNESS:


Any one illness will be deemed to mean continuous period of illness and it includes
relapse within 45 days from the date of last consultation with the Hospital / Nursing
Home where treatment has been taken. Occurrence of the same illness after a lapse
of 45 days as stated above will be considered as fresh illness for the purpose of this
policy.

2.5 CASHLESS FACILITY:


Cashless facility “means a facility extended by the insurer to the insured where the
payments, of the cost of treatment undergone by the employee and the dependent
family members of the insured in accordance with the policy terms and conditions,
or directly made to the network provider by the insurer to the extent pre-
authorization approved.

2.6 CONGENITAL ANOMALY:


Congenital Anomaly refers to a condition(s) which is present since birth, and which
is abnormal with reference to form, structure or position.

a. Internal Congenital Anomaly which is not in the visible and accessible parts
of the body
b. External Congenital Anomaly which is in the visible and accessible parts
of the body

2.7 CONDITION PRECEDENT:


Condition Precedent shall mean a policy term or condition upon which the Insurer’s
liability under the policy is conditional upon.

2.8 CONTRIBUTION:
The Officers / employees will not share the cost of an indemnity claim on a ratable
proportion from their personal Insurance Policies.
2.9 DAYCARE CENTRE:
A day care centre means any institution established for day care treatment of illness
and/ or injuries or a medical setup within a hospital and which has been registered
with the local authorities, wherever applicable, and is under the supervision of a
registered and qualified medical practitioner AND must comply with all minimum
criteria as under;-

- has qualified nursing staff under its employment


- has all qualified medical practitioner(s) in charge
- has a fully equipped operation theatre of its own where surgical procedures are
carried out.
- maintains daily records of patients and will make these accessible to the
insurance companies authorised personnel.

2.10 DAY CARE TREATMENT:


Day care Treatment refers to medical treatment and or surgical procedure which is

i. undertaken under general or local anesthesia in a hospital/day care Centre in


less than a day because of technological advancement, and
ii. Which would have otherwise required a hospitalisation of more than a day.

Treatment normally taken on an outpatient basis is not included in the scope of this
definition.

2.11 DOMICILIARY HOSPITALIZATION:


Domiciliary Hospitalization means medical treatment for an illness/disease/injury
which in the normal course would require care and treatment at a hospital but is
actually taken while confined at home under any of the following circumstances:

a) The condition of the patient is such that he/she is not in a condition to


be removed to a hospital or
b) The patient takes treatment at home on account of non-availability of room in
a hospital.

2.12 DOMICILIARY TREATMENT


Treatment taken for specified diseases which may or may not require
hospitalization as mentioned in the Scheme under clause Number 3.1

2.13 HOSPITAL / NURSING HOME:


A Hospital means any institution established for in-patient care and day care
treatment of illness and/or injuries and which has been registered as a Hospital with
the local authorities under the Clinical establishments (Registration and Regulation)
Act, 2010 or under the enactments specified under the Schedule of Section 56(1) of
the said Act OR complies with all minimum criteria as under
- Has qualified nursing staff under its employment round the clock.
- Has at least 10 in-patient beds in towns having a population of less than 10
lacs and at least 15 in-patient beds in all other places;
- Has qualified medical practitioner(s) in charge round the clock;
- Has a fully equipped Operation Theatre of its own where surgical procedures
are carried out;
- Maintains daily records of patients and makes these accessible to the
insurance company’s authorized personnel.

The term ‘Hospital / Nursing Home’ shall not include an establishment which is a
place of rest, a place for the aged, a place for drug-addicts or place for alcoholics, a
hotel or a similar place.

This clause will however be relaxed in areas where it is difficult to find such
hospitals.

2.14 HOSPITALIZATION:
Hospitalization means admission in a Hospital/Nursing Home for a minimum period
of 24 consecutive hours of inpatient care except for specified procedures/treatments,
where such admission could be for a period of less than a day, as mentioned in
clauses 2.9 and 2.10
2.15 ID CARD:
ID Card means the identity card issued to the insured person by the THIRD PARTY
ADMINISTRATOR to avail cashless facility in network hospitals.

2.16 ILLNESS:
Illness means a sickness or a disease or pathological condition leading to the
impairment of normal physiological function which manifests itself during the policy
period and requires medical treatment.

2.17 INJURY:
Injury means accidental physical bodily harm excluding illness or disease which is
verified and certified by a medical practitioner.

However all types of Hospitalization is covered under the Scheme.

2.18 IN PATIENT CARE:


In Patient Care means treatment for which the insured person has to stay in a
hospital for more than a day for a covered event.

2.19 INTENSIVE CARE UNIT:


Intensive Care Unit means an identified section, ward or wing of a Hospital which is
under the constant supervision of a dedicated medical practitioner(s) and which is
specially equipped for the continuous monitoring and treatment of patients who are
in a critical condition, or require life support facilities and where the level of care
and supervision is considerably more sophisticated and intensive than in the
ordinary and other wards.

2.20 MEDICAL ADVICE:


Any consultation or advice from a medical practitioner/doctor including the issue
of any prescription or repeat prescription.
2.21 MEDICAL EXPENSES:
Medical Expenses means those expenses that an insured person has necessarily
and actually incurred for medical treatment on account of illness or accident on the
advice of a medical practitioner, as long as these are no more than would have
been payable if the insured person had not been insured.

2.22 MEDICALLY NECESSARY:


Medically necessary treatment is defined as any treatment, test, medication or stay
in hospital or part of a stay in a hospital which

- is required for the medical management of the illness or injury suffered by


the insured;
- must not exceed the level of care necessary to provide safe, adequate
and appropriate medical care in scope, duration or intensity;
- must have been prescribed by a medical practitioner;
- must confirm to the professional standards widely accepted in
international medical practice or by the medical community in India.
2.24 MEDICAL PRACTITIONER:
Medical Practitioner is a person who holds a valid registration from the Medical
Council of any State or Medical Council of India or Council for Indian Medicine or
the homeopathy set up by the Government of India or a State Government and is
thereby entitled to practice medicine within its jurisdiction; and is acting within the
scope and jurisdiction of his license. The term medical practitioner would include
physician, specialist and surgeon.

(The Registered practitioner should not be the insured or close family members
such as parents, parents-in-law, spouse and children.)

2.25 NETWORK PROVIDER:


Network Provider means hospitals or health care providers enlisted by an insurer
or by a Third Party Administrator and insurer together to provide medical services
to an insured on payment by a cashless facility.

The list of network hospitals is maintained by and available with the THIRD PARTY
ADMINISTRATOR and the same is subject to amendment from time to time.
2.27 NON NETWORK:
Any hospital, day care Centre or other provider that is not part of the network.
2.28 NOTIFICATION OF CLAIM
Notification of claim is the process of notifying a claim to the Bank, insurer or Third
Party

Administrator as well as the address/telephone number to which it should be notified.


2.29 OPD TREATMENT:
OPD Treatment is one in which the insured visits a clinic/hospital or associated
facility like a consultation room for diagnosis and treatment based on the advice of
a medical practitioner. The insured is not admitted as a day care or in-patient.

2.30 PRE-EXISTING DISEASE:


Pre Existing Disease is any condition, ailment or injury or related condition(s) for
which he/ she had signs or symptoms, and/or were diagnosed, and/or received
medical advice/treatment, prior to the first policy issued by the insurer.

2.31 PRE – HOSPITALISATION MEDICAL EXPENSES:


Medical expenses incurred immediately 30 days before the insured person is
hospitalized will be considered as part of a claim as mentioned under Item 1.2
above provided that;

i. such medical expenses are incurred for the same condition for which the
insured person’s hospitalization was required and
ii. the inpatient hospitalization claim for such hospitalization is admissible by
the insurance company.
2.32 POST HOSPITALISATION MEDICAL EXPENSES:
Relevant medical expenses incurred immediately 90 days after the Insured person
is discharged from the hospital provided that;

a. Such Medical expenses are incurred for the same condition for which the
Insured Person’s Hospitalization was required; and
b. The In-patient Hospitalization claim for such Hospitalization is admissible by
the Insurance Company.
2.33 QUALIFIED NURSE:
Qualified Nurse is a person who holds a valid registration from the Nursing Council
of India or the Nursing Council of any state in India and/or who is employed on
recommendation of the attending medical practitioner.
2.34 REASONABLE AND CUSTOMARY CHARGES:
Reasonable Charges means the charges for services or supplies, which are the
standard charges for the specific provider and consistent with the prevailing
charges in the geographical area for identical or similar services, taking into
account the nature of the illness/injury involved.

2.35 ROOM RENT:


Room Rent shall mean the amount charged by the hospital for the occupancy of a
bed on per day basis.

2.36 SUBROGATION:
Subrogation shall mean the right of the insurer to assume the rights of the insured
person to recover expenses paid out under the policy that may be recovered from
any other source. It shall exclude the medical / accident policies obtained by the
insured person separately.

2.37 SURGERY:
Surgery or surgical procedure means manual and/or operative procedure(s)
required for treatment of an illness or injury, correction of deformities and defects,
diagnosis and cure of diseases, relief of suffering or prolongation of life, performed
in a hospital or day care Centre by a medical practitioner.

2.38 THIRD PARTY ADMINISTRATIOR:


Third Party Administrator means a Third Party Administrator who holds a valid
License from Insurance Regulatory and Development Authority to act as a THIRD
PARTY ADMINISTRATOR and is engaged by the Company for the provision of
health services as specified in the agreement between the Company and Third
Party Administrator.

2.39 UNPROVEN/EXPERIMENTAL TREATMENT:


Unproven/Experimental treatment is treatment, including drug Experimental
therapy, which is not based on established medical practice in India.

3. COVERAGES:
3.1 DOMICILIARY HOSPITALISATION/ DOMICILIARY TREATMENT:
Medical expenses incurred in case of the following diseases which need
Domiciliary Hospitalization /domiciliary treatment as may be certified by the
attending medical practitioner and / or bank's ’medical officer shall be deemed as
hospitalization expenses and reimbursed to the extent of 100%

Cancer , Leukemia, Thalassemia, Tuberculosis, Paralysis, Cardiac Ailments ,


Pleurisy , Leprosy, Kidney Ailment , All Seizure disorders, Parkinson’s diseases,
Psychiatric disorder including schizophrenia and psychotherapy , Diabetes and its
complications, hypertension, Hepatitis –B , Hepatitis - C, Hemophilia, Myasthenia
gravis, Wilson’s disease, Ulcerative Colitis , Epidermolysisbullosa, Venous
Thrombosis(not caused by smoking) Aplastic Anaemia, Psoriasis, Third Degree
burns, Arthritis , Hypothyroidism , Hyperthyroidism expenses incurred on
radiotherapy and chemotherapy in the treatment of cancer and leukemia,
Glaucoma, Tumor, Diptheria, Malaria, Non-Alcoholic Cirrhosis of Liver, Purpura,
Typhoid, Accidents of Serious Nature , Cerebral Palsy, , Polio, All Strokes Leading
to Paralysis, Haemorrhages caused by accidents, All animal/reptile/insect bite or
sting , chronic pancreatitis, Immuno suppressants, multiple sclerosis / motorneuron
disease, status asthamaticus, sequalea of meningitis, osteoporosis, muscular
dystrophies, sleep apnea syndrome(not related to obesity), any organ related
(chronic) condition, sickle cell disease, systemic lupus erythematous (SLE), any
connective tissue disorder, varicose veins, thrombo embolism venous
thrombosis/venous thrombo embolism (VTE)], growth disorders, Graves’ disease,
Chronic obstructive Pulmonary Disease, Chronic Bronchitis, Asthma,
Physiotherapy and swine flu shall be considered for reimbursement under
domiciliary treatment.

The cost of Medicines, Investigations, and consultations, etc. in respect of


domiciliary treatment shall be reimbursed for the period stated by the specialist and
/ or the attending doctor and / or the bank’s medical officer, in Prescription. If no
period stated, the prescription for the purpose of reimbursement shall be valid for a
period not exceeding 90 days.

3.2 Expenses on Hospitalization for minimum period of a day are admissible.


However, this time limit is not applied to specific treatments, such as

1 Adenoidectomy 20 Haemo dialysis


2 Appendectomy 21 Fissurectomy / Fistulectomy
3 Ascitic / Plueral tapping 22 Mastoidectomy
4 Auroplasty not Cosmetic in nature 23 Hydrocele
5 Coronary angiography /Renal 24 Hysterectomy
6 Coronary angioplasty 25 Inguinal/ ventral/ umbilica/ femoral hernia
7 Dental surgery 26 Parenteral chemotherapy
8 D&C 27 Polypectomy
Excision of cyst/
9 28 Septoplasty
granuloma/lump/tumor
10 Eye surgery 29 Piles/ fistula
Fracture including hairline fracture
11 30 Prostate surgeries
/dislocation
12 Radiotherapy 31 Sinusitis surgeries
Chemotherapy including parental
13 32 Tonsillectomy
chemotherapy
14 Lithotripsy 33 Liver aspiration
15 Incision and drainage of abscess 34 Sclerotherapy
16 Varicocelectomy 35 Varicose Vein Ligation
17 Wound suturing 36 All scopies along with biopsies
18 FESS 37 Lumbar puncture
Operations/Micro surgical operations
on the nose, middle ear/internal ear,
tongue, mouth, face, tonsils &
19 adenoids, salivary glands & salivary
ducts, breast, skin & subcutaneous
tissues, digestive tract, female/male
sexual organs.

This condition will also not apply in case of stay in hospital of less than a day provided –

a. The treatment is undertaken under General or Local Anesthesia in a hospital /


day care Centre in less than a day because of technological advancement and
b. Which would have otherwise required hospitalization of more than a day.

3.3 ALTERNATIVE THERAPY:


Reimbursement of Expenses for hospitalization or domiciliary treatment (under
clause 3.1)under the recognized system of medicines, viz, Ayurvedic ,Unani,
Sidha, Homeopathy , Naturopathy , if such treatment is taken in a clinic /hospital
registered, by the central and state government .

3.4 MATERNITY EXPENSES BENEFIT EXTENSION

Not applicable
3.5 BABY DAY ONE YEAR

Not applicable

3.6 AMBULANCE CHARGES :


Ambulance charges are payable up to Rs 2500/- per trip to hospital and /or transfer
to another hospital or transfer from hospital to home if medically advised. Taxi and
Auto expenses in actual maximum up to Rs750/- per trip.

Ambulance charges actually incurred on transfer from one center to another center
due to Non availability of medical services/ medical complication shall be payable
in full.
3.7 PRE- EXISTING DISEASES/ AILMENTS:
Pre-existing diseases are covered under the scheme.

3.8 CONGENITAL ANOMOLIES:


Expenses for Treatment of Congenital Internal / External diseases, defects/
anomalies are covered under the policy

3.9 PSYCHIATRIC DISEAES:


Expenses for treatment of psychiatric and psychosomatic diseases be payable with
or without hospitalization.

3.10 ADVANCED MEDICAL TREATMENT:


All new kinds of approved advanced medical procedures for e.g. laser surgery,
stem cell therapy for treatment of a disease is payable on hospitalization /day care
surgery.

Treatment taken for Accidents can be payable even on OPD basis in Hospital up to
Sum Insured.

3.11 TAXES AND OTHER CHARGES:


All taxes , Surcharges , Service Charges , Registration charges , Admission
Charges Nursing , and Administration charges to be payable.

Charges for diapers and sanitary pads are payable if necessary as part of the
treatment.

Charges for Hiring a nurse / attendant during hospitalization will be payable only in
case of recommendation from the treating doctor in case ICU / CCU, Neo natal
nursing care or any other case where the patient is critical and requiring special
care.

3.12 GENETIC DISORDERS:


Treatment for Genetic Disorder and stem cell therapy is covered under the scheme.

3.13 DEGENRATIVE DISORDRS:


Treatment for Age related Macular Degeneration (ARMD), treatment such as
Rotational Field Quantum magnetic Resonance (RFQMR), Enhanced External
Counter Pulsation (EECP), etc. are covered under the scheme. Treatment for all
neurological/ macular degenerative disorders shall be covered under the scheme.
3.14 RENTAL CHARGES :
Rental Charges for External and or durable Medical equipment of any kind used for
diagnosis and or treatment including CPAP, CAPD, Bi-PAP, Infusion pump etc. will
be covered under the scheme. However purchase of the above equipment to be
subsequently used at home in exceptional cases on medical advice shall be
covered.

3.15 AMBULATORY DEVICES:


Ambulatory devices i.e., walker, crutches, Belts, Collars, Caps, Splints, Slings,
Braces, Stockings, elastocrepe bandages, external orthopaedic pads, sub
cutaneous insulin pump, Diabetic foot wear, Glucometer (including Glucose Test
Strips)/ Nebulizer/ prosthetic devise/ Thermometer, alpha / water bed and similar
related items etc., will be covered under the scheme.

3.16 PHYSIOTHERAPY TREATMENT:


Physiotherapy charges shall be covered for the period specified by the Medical
Practitioner even if taken at home.
All claims admitted in respect of any/all insured person/s during the period of
insurance shall not exceed the Sum Insured stated in the schedule and Corporate
Buffer if allocated.
3.18. All COVID related expenses inclusive of PPE, Gloves, masks and any other
protective devices/equipments shall be covered, including home treatment within
the overall limits of the basic sum insured.

4. EXCLUSIONS:
The company shall not be liable to make any payment under this policy in respect
of any expenses whatsoever incurred by any Insured Person in connection with or
in respect of:

4.1 Injury / disease directly or indirectly caused by or arising from or attributable to


War, invasion, Act of Foreign enemy, War like operations (whether war be declared
or not).
4.2
a. Circumcision unless necessary for treatment of a disease not excluded hereunder
or as may be necessitated due to an accident.
b. Vaccination or inoculation.
c. Change of life or cosmetic or aesthetic treatment of any description is not covered.
d. Plastic surgery other than as may be necessitated due to an accident or as part
of any illness.
4.3 Cost of spectacles and contact lenses, hearing aids. Other than Intra-Ocular
Lenses and Cochlear Implant.
4.4 Dental treatment or surgery of any kind which are done in a dental clinic and those
that are cosmetic in nature.

4.5 Convalescence, rest cure, Obesity treatment and its complications including morbid
obesity, , treatment relating disorders, Venereal disease, intentional self-injury and
use of intoxication drugs / alcohol.

4.6 All expenses arising out of any condition directly or indirectly caused to or
associated with Human T-Cell Lymphotropic Virus Type III (HTLB - III) or
lymphadinopathyAssociated Virus (LAV) or the Mutants Derivative or Variation
Deficiency Syndrome or any syndrome or condition of a similar kind commonly
referred to as AIDS.
4.7 Charges incurred at Hospital or Nursing Home primarily for diagnosis x-ray or
Laboratory examinations or other diagnostic studies not consistent with or
incidental to the diagnosis and treatment of positive existence of presence of any
ailment, sickness or injury, for which confinement is required at a Hospital / Nursing
Home, unless recommended by the attending doctor.

4.8 Expenses on vitamins and tonics unless forming part of treatment for injury or
diseases as certified by the attending physician

4.9 Injury or Disease directly or indirectly caused by or contributed to by nuclear weapon


/ materials.

4.10 All non-medical expenses including convenience items for personal comfort such
as charges for telephone, television, barber or beauty services, diet charges, baby
food, cosmetics, tissue paper, diapers, sanitary pads, toiletry items and similar
incidental expenses, unless and otherwise they are necessitated during the course
of treatment.
5. CONDITIONS:

5.1 Contract: the quotation form, declaration, and the policy issued shall constitute the
complete contract of insurance.

5.2 Every notice or communication regarding hospitalization or claim to be given or


made under this Policy shall be communicated to the office of the Bank, dealing
with Medical Claims, and/or the THIRD PARTY ADMINISTRATOR office as shown
in the Schedule. Other matters relating to the policy may be communicated to the
policy issuing office.

5.3 The premium payable under this Policy shall be paid in advance. No receipt for
Premium shall be valid except on the official form of the company signed by a duly
authorized official of the company. The due payment of premium and the
observance and fulfillment of the terms, provisions, conditions and endorsements
of this Policy by the Insured Person in so far as they relate to anything to be done
or complied with by the Insured Person shall be a condition precedent to any
liability of the Company to make any payment under this Policy. No waiver of any
terms, provisions, conditions and endorsements of this policy shall be valid unless
made in writing and signed by an authorised official of the Company.

5.4 Notice of Communication: Upon the happening of any event which may give rise to
a claim under this Policy notice with full particulars shall be sent to the Bank or
Regional Office or THIRD PARTY ADMINISTRATOR named in the schedule at the
earliest in case of emergency hospitalization within 7 days from the time of
Hospitalisation/Domiciliary Hospitalisation .

5.5 All supporting documents relating to the claim must be filed with the office of the
Bank dealing with the claims or THIRD PARTY ADMINISTRATOR within 30 days
from the date of discharge from the hospital. In case of post-hospitalisation,
treatment (limited to 90 days), (as mentioned in para 2.32) all claim documents
should be submitted within 30 days after completion of such treatment.
Note: Waiver of these Conditions 5.4 and 5.5 may be considered in extreme cases of
hardship where it is proved to the satisfaction of the Bank that under the
circumstances in which the insured was placed it was not possible for him or
any other person to give such notice or deliberate or file claim within the
prescribed time-limit. The same would be waived by the TPA without reference
to the Insurance Company.
The Insured Person shall obtain and furnish to the office of the Bank dealing with
the claims / THIRD PARTY ADMINISTRATOR with all original bills, receipts and
other documents upon which a claim is based and shall also give such additional

5.51 information and assistance as the Bank through the THIRD PARTY
ADMINISTRATOR/ Insurance Company may require in dealing with the claim.

5.52 Any medical practitioner authorised by the Bank / Third Party Administrator / shall
be allowed to examine the Insured Person in case of any alleged injury or disease
leading to Hospitalisation, if so required.

5.6 The Company shall not be liable to make any payment under this policy in respect
of any claim if such claim be in any manner fraudulent or supported by any
fraudulent means or device whether by the Insured Person or by any other person
acting on his behalf.
5.7 DISCLOSURE TO INFORMATION NORM
The claim shall be rejected in the event of misrepresentation, mis-description or
non- disclosure of any material fact.
5.8 Claims will be managed through the same Office of the Bank from where it is
managed at present. The Insurance Companies third party administrator will be
setting up a help desk at that office and supporting the bank in clearing all the
claims on real time basis.

5.9 In case of rejection of claims it would go through a Committee set up of the Bank,
Third Party Administrator and Insurance Company. Unless rejected by the
committee in real time the claim should not be rejected.
Annexure II-A

Domiciliary Hospitalization / Domiciliary Treatment


Sr. No. Treatments
1 Cancer
2 Leukemia
3 Thalassemia
4 Tuberculosis
5 Paralysis
6 Cardiac Ailments
7 Pleurisy
8 Leprosy
9 Kidney Ailment
10 All Seizure disorders
11 Parkinson’s diseases
12 Psychiatric disorder including schizophrenia and psychotherapy
13 Diabetes and its complications
14 Hypertension
15 Asthma
16 Hepatitis –B
17 Hepatitis – C
18 Hemophilia
19 Myasthenia gravis
20 Wilson’s disease
21 Ulcerative Colitis
22 Epidermolysisbullosa
23 Venous Thrombosis(not caused by smoking) Aplastic Anaemia
24 Psoriasis
25 Third Degree burns
26 Arthritis
27 Hypothyroidism
Hyperthyroidism expenses incurred on radiotherapy and chemotherapy in the
28
treatment of cancer and leukemia
29 Glaucoma
30 Tumor
31 Diptheria
32 Malaria
33 Non-Alcoholic Cirrhosis of Liver
Domiciliary Hospitalization / Domiciliary Treatment
Sr. No. Treatments
35 Typhoid
36 Accidents of Serious Nature
37 Cerebral Palsy
38 Polio
39 All Strokes Leading to Paralysis
40 Haemorrhages caused by accidents
41 All animal/reptile/insect bite or sting
42 Chronic pancreatitis
43 Immuno suppressants
44 Multiple sclerosis / motorneuron disease
45 Status asthamaticus
46 Sequalea of meningitis
47 Osteoporosis
48 Muscular dystrophies
49 Sleep apnea syndrome(not related to obesity)
50 Any organ related (chronic) condition
51 Sickle cell disease
52 Systemic lupus erythematous (SLE)
53 Any connective tissue disorder
54 Varicose veins
55 Thrombo embolism venous thrombosis/venous thrombo embolism (VTE)]
56 Growth disorders
57 Graves’ disease
58 Chronic Pulmonary Disease
59 Chronic Bronchitis
Physiotherapy and swine flu shall be considered for reimbursement under
60
domiciliary treatment.
Annexure II-B

Day care procedures

ENT: Operation of the ear


1 Stapedotomy or Stapedectomy
2 Myringoplasty (Type -I Tympanoplasty)
3 Tympanoplasty (closure of an eardrum perforation)
4 Reconstruction and other Procedures of the auditory ossicles
5 Myringotomy
6 Removal of a tympanic drain
7 Mastoidectomy
8 Reconstruction of the middle ear
9 Fenestration of the inner ear
10 Incision (opening) and destruction (elimination) of the inner ear
ENT: Procedures on the nose & the nasal sinuses
11 Excision and destruction of diseased tissue of the nose
12 Procedures on the turbinates (nasal concha)
13 Nasal sinus aspiration
ENT: Procedures on the tonsils & adenoids
14 Transoral incision and drainage of a pharyngeal abscess
15 Tonsillectomy and / or adenoidectomy
16 Excision and destruction of a lingual tonsil
17 Quinsy drainage
OPTHALMOLOGY: Procedures on the eyes
18 Incision of tear glands
19 Excision and destruction of diseased tissue of the eyelid
20 Procedures on the canthus and epicanthus
21 Corrective surgery for entropion and ectropion
22 Corrective surgery for blepharoptosis
23 Removal of a foreign body from the conjunctiva
24 Removal of a foreign body from the cornea
25 Incision of the cornea
26 Procedures for pterygium
27 Removal of a foreign body from the lens of the eye
28 Removal of a foreign body from the posterior chamber of the eye
29 Removal of a foreign body from the orbit and eyeball
30 Operation of cataract
31 Chalazion removal
32 Glaucoma Surgery
33 Surgery of Retinal Detachment
Procedures on the skin & subcutaneous tissues
34 Incision of a pilonidal sinus
35 Other incisions of the skin and subcutaneous tissues
36 Surgical wound toilet (wound debridement)
37 Local excision or destruction of diseased tissue of the skin and subcutanous tissues
38 Simple restoration of surface continuity of the skin and subcutanous tissues
39 Free skin transplantation, donor site
40 Free skin transplantation, recipient site
41 Revision of skin plasty
42 Restoration and reconstruction of the skin and subcutaneous tissues
43 Chemosurgery to the skin
44 Excision of Granuloma 17
45 Incision and drainage of abscess
Procedures on the tongue
46 Incision, excision and destruction of diseased tissue of the tongue
47 Partial glossectomy
48 Glossectomy
49 Reconstruction of the tongue
Procedures on the salivary glands & salivary ducts
50 Incision and lancing of a salivary gland and a salivary duct
51 Excision of diseased tissue of a salivary gland and a salivary duct
52 Resection of a salivary gland
53 Reconstruction of a salivary gland and a salivary duct
Procedures on the mouth & face
54 External incision and drainage in the region of the mouth, jaw and face
55 Incision of the hard and soft palate
56 Excision and destruction of diseased hard and soft palate
57 Incision, excision and destruction in the mouth
58 Plastic surgery to the floor of the mouth
59 Palatoplasty
Trauma surgery and orthopaedics
60 Incision on bone, septic and aseptic
61 Closed reduction on fracture, luxation or epiphyseolysis with osteosynthesis
62 Suture and other Procedures on tendons and tendon sheath
63 Reduction of dislocation under GA
64 Arthroscopic knee aspiration
65 Aspiration of hematoma
66 Excision of dupuytren's contracture
67 Carpal tunnel decompression
68 Surgery for ligament tear
69 Surgery for meniscus tear
70 Surgery for hemoarthrosis /pyoarthrosis
71 Removal of fracture pins/nails
72 Removal of metal wire
73 Joint Aspiration - Daignostic / therapeutic
Procedures on the breast
74 Incision of the breast
75 Procedures on the nipple
76 Excision of breast lump /Fibro adenoma
Procedures on the digestive tract
77 Incision and excision of tissue in the perianal region
78 Surgical treatment of anal fistulas
79 Surgical treatment of haemorrhoids
80 Division of the anal sphincter (sphincterotomy)
81 Ultrasound guided aspirations
82 Sclerotherapy
83 Therapeutic Ascitic Tapping
84 Endoscopic ligation /banding
85 Dilatation of digestive tract strictures
86 Endoscopic ultrasonography and biopsy
87 Replacement of Gastrostomy tube
88 Endoscopic decompression of colon
89 Therapeutic ERCP 18
90 Nissen fundoplication for Hiatus Hernia /Gastro esophageal reflux Disease
91 Endoscopic Gastrostomy
92 Laparoscopic procedures e.g. colecystectomy, appendicectomy etc.
93 Endoscopic Drainage of Pseudopancreatic cyst
94 Hernia Repair (Herniotomy / herniography / hernioplasty)
Procedures on the female sexual organs
95 Incision of the ovary
96 Insufflation of the Fallopian tubes
97 Dilatation of the cervical canal
98 Conisation of the uterine cervix
99 Incision of the uterus (hysterotomy)
100 Therapeutic curettage
101 Culdotomy
102 Local excision and destruction of diseased tissue of vagina and Pouch of Douglas
103 Procedures on Bartholin’s glands (cyst)
104 Endoscopic polypectomy
105 Myomectomy , hysterscopic or laparascopic biopsy or removal
Procedures on the prostate & seminal vesicles
106 Incision of the prostate
107 Transurethral excision and destruction of prostate tissue
108 Open surgical excision and destruction of prostate tissue
109 Radical prostatovesiculectomy
110 Incision and excision of periprostatic tissue
Procedures on the scrotum & tunica vaginalis testis
111 Incision of the scrotum and tunica vaginalis testis
112 Operation on a testicular hydrocele
113 Excision and destruction of diseased scrotal tissue
114 Plastic reconstruction of the scrotum and tunica vaginalis testis
Procedures on the testes
115 Incision of the testes
116 Excision and destruction of diseased tissue of the testes
117 Orchidectomy- Unilateral / Bilateral
118 Orchidopexy
119 Abdominal exploration in cryptorchidism
120 Surgical repositioning of an abdominal testis
121 Reconstruction of the testis
122 Implantation, exchange and removal of a testicular prosthesis
Procedures on the spermatic cord, epididymis and DuctusDeferans
123 Surgical treatment of a varicocele and hydrocele of spermatic cord
124 Excision in the area of the epididymis
125 Epididymectomy
126 Reconstruction of the spermatic cord
127 Reconstruction of the ductus deferens and epididymis
Procedures on the penis
128 Procedures on the foreskin
129 Local excision and destruction of diseased tissue of the penis
130 Amputation of the penis
131 Plastic reconstruction of the penis
Procedures on the urinary system
132 Cystoscopical removal of stones
133 Lithotripsy 19
134 Haemodialysis
135 PCNS (Percutaneous nephrostomy)
136 PCNL (PercutanousNephro-Lithotomy)
137 Tran urethral septate of bladder tumor
138 Suprapubiccytostomy
Procedures of Respiratory System
139 Brochoscopic treatment of bleeding lesion
140 Brochoscopic treatment of fistula /stenting
141 Bronchoalveolar lavage & biopsy
142 Direct Laryngoscopy with biopsy
143 Therapeutic Pleural Tapping
Procedures of Heart and Blood vessels
144 Coronary angiography (CAG)
145 Coronary Angioplasty (PTCA)
146 Insertion of filter in inferior vena cava
147 TIPS procedure for portal hypertension
148 Blood transfusion for recipient
149 Therapeutic Phlebotomy
150 Pericardiocentesis
151 Insertion of gel foam in artery or vein
152 Carotid angioplasty
153 Renal angioplasty
154 Varicose vein stripping or ligation
OTHER Procedures
155 Radiotherapy for Cancer
156 Cancer Chemotherapy
157 True cut Biopsy
158 Endoscopic Foreign Body Removal
159 Vaccination / Inoculation - Post Dog bite or Snake bite
160 Endoscopic placement/removal of stents
161 Tumorembolisation
162 Aspiration of an internal abscess under ultrasound guidance
APGVB Annexure - III

reliancegeneral.co.in
(Toll Free) 1800 3009
(022) 4890 3009 (Paid)
Health Claim form
(The issuance of this form is not be taken as an admission liability - Please give the following information correctly and completely)

Part A (To be filled by Insured) (To be filled in BLOCK LETTERS)

Pre Authorization obtained Yes / No


1. Type of Claim: Hospitalization Pre & Post Hospitalization Health Check up OPD

2. *Policy No. Policy Type: Individual Group

Group/Company Name (for Group Health Policies)

Is this a renewal policy Yes No If Yes, previous year's policy no

Agent/Sub Agent Name

Agent Mobile No. Agent Email ID

3. Details of the Insured Person in respect of whom the claim is made

*Name

Present completed age (in years) Gender: M F Relationship with the Policy Holder

*Card / UHID No. Sum Insured `

*Current Residential Address

City *PIN Code State

Change of the contact Details Yes, I wish to change my contact details There is no change in my contact details

Please update mentioned mobile number as primary contact details against my policy. I also hereby confirm to be contacted on the number
provided below for Claim Status /Policy Renewal.

*Mobile Number

4. Profession/Occupation Business Profession Salary Agricultural Income Savings Others

5. Monthly Income Upto ` 20,000 ` 20,001 to ` 50,000 ` 50,001 to ` 1,00,000 ` 1,00,001 and above

6. PAN No.

7. Name of the Policy Holder (Self / Main Member)

*Email ID

*Member ID No. / Employee ID / Client ID

8. Does the claimant have health insurance policy with any other insurance company? : Yes / No (If yes, please provide the details)

Name of the Insurance Company

Policy No. Sum Insured `

Policy Start Date Policy End Date

Name of the Insured

9. Hospitalization Detail -

Date of Admission Date of Discharge

Diagnosis / Nature of disease / illness contracted / injury suffered

10. Date of injury sustained or disease / illness first detected

An ISO 9001:2015 Certified Company


RCare Health: Reliance General Insurance, No.1-89/3/B/40 to 42/ks/301, 3rd floor, Krishe Block, Krishe Sapphire, Madhapur, Hyderabad 500081.

IRDAI Registration No. 103. Reliance General Insurance Company Limited. Registered & Corporate Office: Reliance Centre, South Wing, 4th
Floor, Santacruz (East), Off. Western Express Highway, Mumbai 400055. Corporate Identity Number U66603MH2000PLC128300.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/COMMON-HEALTH CLAIM FORM/Ver. 1.8/170220.
11. Details of the Hospital / Nursing Home in which treatment was taken :

Name of the Hospital / Nursing Home

Address of the Hospital / Nursing Home

City PIN Code State

Telephone / Mobile Number Registration Number

12. Name of Treating Physician / Surgeon

Qualification Registration Number

Telephone / Mobile Number Email ID

13. Details of the amount claimed


Bill Heads Amount /(In `) Bill number Bill Date Bills attached (Yes/No.)
A Room Rent & Nursing Charges
B Doctors Consultation/Visit Charges
C Investigation Charges(Includes Radiology
and Pathology Reports)
D Surgeon and Asst. Surgeon Charges
E Anesthetist Charges
F Operation Theater Charges
G Medicine Charges(Includes Ward and
OT Medicines and Consumables)
H Taxes/Surcharges/Service Charge
I Miscellaneous/Other Charges
(like Admission, Registration, etc.)
J Pre Hospitalization Bills (If Any)
K Post Hospitalization Bills (If Any)
Total Claimed Amount (Sum of A to K)

In support of the above claim, I enclose following documents in original (Please indicate by ticking the Yes / No)
Claim form Duly Filled Yes / No Investigation Reports/Reports Name Yes / No

Authorization Form Yes / No Medicine/Pharmacy Bills with Doctors Prescription Yes / No

Discharge Summary Yes / No Implant Name and Invoice (If any) Yes / No

Hospital Bills Yes / No Indoor Case Papers (duplicate copy) Yes / No

Hospital Payment Receipt Yes / No Others Yes / No

Photo Identity Proof Yes / No

Total No. of Pages enclosed


As per the policy terms and conditions, the Company reserves its right to have the Insured examined by a doctor appointed by it for verification of diagnosis.
Please note: In case the Health Gain Policy under which the claims is being lodged has been taken on instalment basis then in the event of claim being
admissible , the company will deduct the balance instalments due if any, from the claim approved amount and pay the balance due to the Policyholder. In the
event of the claim assessed amount being lower than the Balance instalment due then the Policyholder is liable to pay the balance premium instalments due
immediately by cheque or DD, failing which the said Claim would be treated as inadmissible and the Policy shall stand cancelled immediately and no liability
shall be admissible under the Policy for any Claims liability in future or in period elapsed.

Any hospitalization from the notified Hospital will not be entertained. please refer the notified hospital list on our website: www.reliancegeneral.co.in

Policyholder Bank Details


14. Name of the Bank Account Holder Mr. Mrs. Ms.
15. Bank Account No.: 16. Account: Saving Current
17. Name of the Bank
18. Branch
19. MICR Code (9 digit MICR code number of the bank and branch appearing on the cheque issued by the bank)
20. IFSC Code (11 character code appearing on your cheque leaf)
I understand that any refund due on the premium payment / any payment / claims to be directly credited to my aforesaid Bank Account.*
*As per IRDAI, its mandatory that all payments made to the insured are only through electronic mode.
Note: Please attach original cancelled cheque and a copy of PAN card for verification of the particulars provided in this regard.
Payment Option by Aadhaar Card ( For Reimbursement claims)
Aadhaar Card No.: (Note: Self attested Aadhaar card copy to be submitted)
I wish to collect claim reimbursement directly in my Bank account linked with my aforementioned Aadhaar Card. I understand that the claim amount
shall be credited directly in my latest Bank account linked with my Aadhaar Card.

I/We hereby declare that the details given above are true and correct to the best of my belief and knowledge. In the event above information or any part
thereof is found incorrect, I agree that all right under the policy will be forefeited.I agree to provide additional information to the Company if required. I
will indemnify and hold harmless the Company due to any loss arising out of misstatement in this form and am willing if required, to make a statutory
Declaration before a Justice of the Peace of the truth of the whole of the foregoing statement or any other statement I may make in connection with this
claim.
I further agree and undertake not to receive from Reliance General Insurance Company Limited any rebate other than that mentioned in the published
prospectus in accordance with the provisions Section 41 of the Insurance Act, 1938 as amended by Insurance Laws (Amendment) Act, 2015.

Place:
Date: (Signature of Claimant)

Part B - To be filled by the Treating Doctor (This section is mandatory only if your health policy was not provided by your employer)

A) Date of First Consultation (Prior to Hospitalization)


B) With what complaints was the patient admitted for
C) Detail history of past illness with duration
D) Whether the present ailment is a compilations of Pre-Existing disease ? Date:
E) If, yes please specify the disease (OR) complication of any previous surgery done ?
F) Whether the disease / disorder is congenital in nature ?
G) If yes please specify the details
H) Nature of surgery / treatment given for present ailment
I) Number of in-patient beds in the hospital (including ICU)
(Doctor's Seal and Signature)

Terms and Conditions for Payments through RTGS/NEFT

1. The details provided by the Customers in the Mandate form shall be considered as final and Reliance General Insurance Company Ltd. Shall not be
responsible for cross verification of any of the details provided therein.

2. The RTGS/NEFT facility shall be effective for the respective customer(s) within 15 days of the receipt of the Mandate form by Reliance General
Insurance Company Ltd. and/or within such period as may be reasonably required by Reliance General Insurance Company Ltd. to activate the
RTGS/NEFT facility.

3. The Customer agrees that under the RTGS/NEFT facility, there may be a risk of non-payment in the account of customer on the day of the credit of
payments due to change in the applicable regulations pertaining to RTGS/NEFT facility or due to any other reasons without any fault/inaction/failure
on part of Reliance General Insurance Company Ltd or any factor beyond the control of Reliance General Insurance Company Ltd.

4. The customer agrees to indemnify, without delay or demur, Reliance General Insurance Company Ltd and its agents and keep Reliance General
Insurance Company Ltd and its agent indemnified harmless at all times from and against any and all claims, damages, losses, costs, and expenses
(including attorney's fees) which Reliance General Insurance Company Ltd may suffer or incur, directly or indirectly, arising from or in connection with,
amongst other things, either of the aforesaid reasons stated in above clauses.

5. The Customer May discontinue or terminate the use of RTGS/NEFT facility by giving a minimum of 15 days prior written notice to Reliance General
Insurance Company Ltd. The date of notice will be considered from the date of receipt of such notice by Reliance General Insurance Company Ltd.
The notice of, such termination should be given to Reliance General Insurance Company Ltd. only at its corporate address and be addressed at
Reliance General Insurance Company Limited, Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway, Santacruz (East), Mumbai -
400 055.

6. A Confirmation of the receipt of termination notice given by the customer will be acknowledge through a confirmation Letter by Reliance General
Insurance Company Ltd. In no case can be the customer construe his termination notice as effective unless a confirmation has been provided by
Reliance General Insurance to the customer stating the date of Receipt of such communication by the customer.

7. The Customer agrees that transaction(s) through RTGS/NEFT may attract inward RTGS/NEFT charges, which if levied by the customer's bank, shall
be borne by the customer.

8. Reliance General Insurance has the absolute discretion to amend or supplement any Terms and Condition stated herein at any time and will endeavor
to give prior notice of Ten days for such changes wherever feasible for the terms and conditions to be applicable. By using the new services, or at the
completion of such period, whichever is earlier, the Customer shall be deemed to have accepted the changed terms and conditions.

9. NEFT facility for group policy holder shall be done at the consent of HR.
10. Notices under these terms and conditions may be given in writing by delivering them by hand or e-mail or on Reliance General Insurance Company Ltd.
website www.reliancegeneral.co.in or by sending them by post to the last address of the Customer.

11. These terms and conditions will be governed by the laws of India and any legal action or proceedings arising out of these Terms and Conditions shall be
initiated in the courts or tribunals at Mumbai in India.

12. I/We further undertake to refund any excess amount whether demanded by Reliance General Insurance Company Limited or not, which has been
credited in excess to my account at any time due to any reason within 7 days of such receipt of such communication from Reliance General Insurance of
such excess credit or such information of excess credit coming to the knowledge of the customer through any other source.

13. I/We agree that my/our claim payment will be credited from the date Reliance General Insurance Company Ltd. gets confirmation from its bankers, this
facility will continue unless it is revoked by any party and any issuance of relevant credit instruction from Reliance General Insurance Company Ltd. to its
bankers will be valid till such instructions is complete irrespective of the fact that the notice period has expired provided such a credit request has been
made by Reliance General Insurance Company Ltd. before the expiry if the notice period of the customer.

14. As per IRDAI any claimed amount above 1 lac, Copy of PAN Card/Form 60 of the insured for corporate reimbursement claim/Proposer for retail
reimbursement claim is mandatory, and below 1lac Photo identity proof (for eg- Aadhar card, Driving license, Election card, Passport etc) is mandatory.

15. For NEFT settlements to insured/Proposer we require CTS 2010 cheque, CTS 2010 compliant cancelled cheque should have Name of the Account
holder, Account number and IFSC code of the bank to be printed on cheque is mandatory.

16. Incase of Non CTS 2010 compliant cheque photocopy of the passbook/bank statement with all the required details (Name of the Account holder,
Account number and IFSC code of the bank should be printed on passbook/bank statement) should be submitted.

(Signature of the account holder)

* Mandatory details to be filled

Please courier documents to the below address:


RCare Health: Reliance General Insurance, No.1-89/3/B/40 to 42/ks/301, 3rd floor, Krishe Block, Krishe Sapphire, Madhapur, Hyderabad 500081.
Email: rgicl.rcarehealth@relianceada.com.
This claim form shall be applicable for Reliance HealthWise Policy, Reliance HealthGain Policy and Group Mediclaim.
UIN of Reliance HealthGain Policy: UIN: RELHLIP13001V011213
UIN of Reliance HealthWise Policy : UNI: RELHLIP06001V010506. UIN of Group Mediclaim: UIN: RELHLGP02001V010102
Sample Claim Form

reliancegeneral.co.in
(Toll Free) 1800 3009
(022) 4890 3009 (Paid)
Health Claim form
(The issuance of this form is not be taken as an admission liability - Please give the following information correctly and completely)

Part A (To be filled by Insured) (To be filled in BLOCK LETTERS)

Pre Authorization obtained Yes / No


1. Type of Claim: Hospitalization Pre & Post Hospitalization Health Check up OPD

2. *Policy No.
1 8 1 2 3 2 3 2 8 1 2 0 0 0 0 0 0 1 Policy Type: Individual Group

Group/Company Name (for Group Health Policies) ANDHRA PRADESH GRAMEENA VIKAS BANK
Is this a renewal policy Yes No If Yes, previous year's policy no

Agent/Sub Agent Name -NA-


Agent Mobile No. -NA- Agent Email ID -NA-
3. Details of the Insured Person in respect of whom the claim is made

*Name
NAME OF THE PATIENT
Present completed age (in years) Gender: M F Relationship with the Policy Holder

*Card / UHID No. HEALTH CARD NO. Sum Insured `

*Current Residential Address ADDRESS


City *PIN Code State

Change of the contact Details Yes, I wish to change my contact details There is no change in my contact details

Please update mentioned mobile number as primary contact details against my policy. I also hereby confirm to be contacted on the number
provided below for Claim Status /Policy Renewal.

*Mobile Number
X X X X X X X X X X
4. Profession/Occupation Business Profession Salary Agricultural Income Savings Others

5. Monthly Income Upto ` 20,000 ` 20,001 to ` 50,000 ` 50,001 to ` 1,00,000 ` 1,00,001 and above

6. PAN No.
X X X X X X X X X X
7.
NAME OF THE PENSIONER
Name of the Policy Holder (Self / Main Member)

*Email ID
MAIL ID OF THE PENSIONER
P E N - X X X X
*Member ID No. / Employee ID / Client ID

8. Does the claimant have health insurance policy with any other insurance company? : Yes / No (If yes, please provide the details)

Name of the Insurance Company

Policy No. Sum Insured `

Policy Start Date Policy End Date

Name of the Insured

9. Hospitalization Detail - FILL IN ADMISSION DATE,


Date of Admission Date of Discharge DISCHARGE DATE & DIAGNOSIS
Diagnosis / Nature of disease / illness contracted / injury suffered

10. Date of injury sustained or disease / illness first detected

An ISO 9001:2015 Certified Company


RCare Health: Reliance General Insurance, No.1-89/3/B/40 to 42/ks/301, 3rd floor, Krishe Block, Krishe Sapphire, Madhapur, Hyderabad 500081.

IRDAI Registration No. 103. Reliance General Insurance Company Limited. Registered & Corporate Office: Reliance Centre, South Wing, 4th
Floor, Santacruz (East), Off. Western Express Highway, Mumbai 400055. Corporate Identity Number U66603MH2000PLC128300.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/COMMON-HEALTH CLAIM FORM/Ver. 1.8/170220.
11. Details of the Hospital / Nursing Home in which treatment was taken :

Name of the Hospital / Nursing Home HOSPITAL NAME


Address of the Hospital / Nursing Home HOSPITAL ADDRESS
City PIN Code State

Telephone / Mobile Number Registration Number

12. Name of Treating Physician / Surgeon

Qualification Registration Number

Telephone / Mobile Number Email ID

13. Details of the amount claimed


Bill Heads Amount /(In `) Bill number Bill Date Bills attached (Yes/No.)
A Room Rent & Nursing Charges
B Doctors Consultation/Visit Charges
C Investigation Charges(Includes Radiology
and Pathology Reports)
D Surgeon and Asst. Surgeon Charges
E Anesthetist Charges
F Operation Theater Charges ALL ORIGINAL BILLS TO BE ATTACHED
G Medicine Charges(Includes Ward and
OT Medicines and Consumables)
WITH THE CLAIM FORM
H Taxes/Surcharges/Service Charge
I Miscellaneous/Other Charges
(like Admission, Registration, etc.)
J Pre Hospitalization Bills (If Any)
K Post Hospitalization Bills (If Any)
Total Claimed Amount (Sum of A to K)

In support of the above claim, I enclose following documents in original (Please indicate by ticking the Yes / No)
Claim form Duly Filled Yes / No Investigation Reports/Reports Name Yes / No

Authorization Form Yes / No Medicine/Pharmacy Bills with Doctors Prescription Yes / No

Discharge Summary Yes / No Implant Name and Invoice (If any) Yes / No

Hospital Bills Yes / No Indoor Case Papers (duplicate copy) Yes / No

Hospital Payment Receipt Yes / No Others Yes / No

Photo Identity Proof Yes / No

Total No. of Pages enclosed


As per the policy terms and conditions, the Company reserves its right to have the Insured examined by a doctor appointed by it for verification of diagnosis.
Please note: In case the Health Gain Policy under which the claims is being lodged has been taken on instalment basis then in the event of claim being
admissible , the company will deduct the balance instalments due if any, from the claim approved amount and pay the balance due to the Policyholder. In the
event of the claim assessed amount being lower than the Balance instalment due then the Policyholder is liable to pay the balance premium instalments due
immediately by cheque or DD, failing which the said Claim would be treated as inadmissible and the Policy shall stand cancelled immediately and no liability
shall be admissible under the Policy for any Claims liability in future or in period elapsed.

Any hospitalization from the notified Hospital will not be entertained. please refer the notified hospital list on our website: www.reliancegeneral.co.in

Policyholder Bank Details


14. Name of the Bank Account Holder Mr. Mrs. Ms.
15. Bank Account No.: 16. Account: Saving Current
17. Name of the Bank A P G V B
18. Branch
19. MICR Code (9 digit MICR code number of the bank and branch appearing on the cheque issued by the bank)
20. IFSC Code (11 character code appearing on your cheque leaf) A P G V 0 0 0 X X X X
I understand that any refund due on the premium payment / any payment / claims to be directly credited to my aforesaid Bank Account.*
*As per IRDAI, its mandatory that all payments made to the insured are only through electronic mode.
Note: Please attach original cancelled cheque and a copy of PAN card for verification of the particulars provided in this regard.
SELF ATTESTED AADHAAR COPY TO BE ATTACHED
Payment Option by Aadhaar Card ( For Reimbursement claims)
Aadhaar Card No.: (Note: Self attested Aadhaar card copy to be submitted)
I wish to collect claim reimbursement directly in my Bank account linked with my aforementioned Aadhaar Card. I understand that the claim amount
shall be credited directly in my latest Bank account linked with my Aadhaar Card.

I/We hereby declare that the details given above are true and correct to the best of my belief and knowledge. In the event above information or any part
thereof is found incorrect, I agree that all right under the policy will be forefeited.I agree to provide additional information to the Company if required. I
will indemnify and hold harmless the Company due to any loss arising out of misstatement in this form and am willing if required, to make a statutory
Declaration before a Justice of the Peace of the truth of the whole of the foregoing statement or any other statement I may make in connection with this
claim.
I further agree and undertake not to receive from Reliance General Insurance Company Limited any rebate other than that mentioned in the published
prospectus in accordance with the provisions Section 41 of the Insurance Act, 1938 as amended by Insurance Laws (Amendment) Act, 2015.

Place: SIGNATURE OF PENSIONER


Date: (Signature of Claimant)

Part B - To be filled by the Treating Doctor (This section is mandatory only if your health policy was not provided by your employer)

A) Date of First Consultation (Prior to Hospitalization)


B) With what complaints was the patient admitted for
C) Detail history of past illness with duration
D) Whether the present ailment is a compilations of Pre-Existing disease ? Date:
E) If, yes please specify the disease (OR) complication of any previous surgery done ?
F) Whether the disease / disorder is congenital in nature ?
G) If yes please specify the details
DOCTOR'S SIGN & SEAL, IN CASE
OF CLAIM FOR REIMBURSEMENT
H) Nature of surgery / treatment given for present ailment OF HOSPITALIZATION EXPENSES
I) Number of in-patient beds in the hospital (including ICU)
(Doctor's Seal and Signature)

Terms and Conditions for Payments through RTGS/NEFT

1. The details provided by the Customers in the Mandate form shall be considered as final and Reliance General Insurance Company Ltd. Shall not be
responsible for cross verification of any of the details provided therein.

2. The RTGS/NEFT facility shall be effective for the respective customer(s) within 15 days of the receipt of the Mandate form by Reliance General
Insurance Company Ltd. and/or within such period as may be reasonably required by Reliance General Insurance Company Ltd. to activate the
RTGS/NEFT facility.

3. The Customer agrees that under the RTGS/NEFT facility, there may be a risk of non-payment in the account of customer on the day of the credit of
payments due to change in the applicable regulations pertaining to RTGS/NEFT facility or due to any other reasons without any fault/inaction/failure
on part of Reliance General Insurance Company Ltd or any factor beyond the control of Reliance General Insurance Company Ltd.

4. The customer agrees to indemnify, without delay or demur, Reliance General Insurance Company Ltd and its agents and keep Reliance General
Insurance Company Ltd and its agent indemnified harmless at all times from and against any and all claims, damages, losses, costs, and expenses
(including attorney's fees) which Reliance General Insurance Company Ltd may suffer or incur, directly or indirectly, arising from or in connection with,
amongst other things, either of the aforesaid reasons stated in above clauses.

5. The Customer May discontinue or terminate the use of RTGS/NEFT facility by giving a minimum of 15 days prior written notice to Reliance General
Insurance Company Ltd. The date of notice will be considered from the date of receipt of such notice by Reliance General Insurance Company Ltd.
The notice of, such termination should be given to Reliance General Insurance Company Ltd. only at its corporate address and be addressed at
Reliance General Insurance Company Limited, Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway, Santacruz (East), Mumbai -
400 055.

6. A Confirmation of the receipt of termination notice given by the customer will be acknowledge through a confirmation Letter by Reliance General
Insurance Company Ltd. In no case can be the customer construe his termination notice as effective unless a confirmation has been provided by
Reliance General Insurance to the customer stating the date of Receipt of such communication by the customer.

7. The Customer agrees that transaction(s) through RTGS/NEFT may attract inward RTGS/NEFT charges, which if levied by the customer's bank, shall
be borne by the customer.

8. Reliance General Insurance has the absolute discretion to amend or supplement any Terms and Condition stated herein at any time and will endeavor
to give prior notice of Ten days for such changes wherever feasible for the terms and conditions to be applicable. By using the new services, or at the
completion of such period, whichever is earlier, the Customer shall be deemed to have accepted the changed terms and conditions.

9. NEFT facility for group policy holder shall be done at the consent of HR.
10. Notices under these terms and conditions may be given in writing by delivering them by hand or e-mail or on Reliance General Insurance Company Ltd.
website www.reliancegeneral.co.in or by sending them by post to the last address of the Customer.

11. These terms and conditions will be governed by the laws of India and any legal action or proceedings arising out of these Terms and Conditions shall be
initiated in the courts or tribunals at Mumbai in India.

12. I/We further undertake to refund any excess amount whether demanded by Reliance General Insurance Company Limited or not, which has been
credited in excess to my account at any time due to any reason within 7 days of such receipt of such communication from Reliance General Insurance of
such excess credit or such information of excess credit coming to the knowledge of the customer through any other source.

13. I/We agree that my/our claim payment will be credited from the date Reliance General Insurance Company Ltd. gets confirmation from its bankers, this
facility will continue unless it is revoked by any party and any issuance of relevant credit instruction from Reliance General Insurance Company Ltd. to its
bankers will be valid till such instructions is complete irrespective of the fact that the notice period has expired provided such a credit request has been
made by Reliance General Insurance Company Ltd. before the expiry if the notice period of the customer.

14. As per IRDAI any claimed amount above 1 lac, Copy of PAN Card/Form 60 of the insured for corporate reimbursement claim/Proposer for retail
reimbursement claim is mandatory, and below 1lac Photo identity proof (for eg- Aadhar card, Driving license, Election card, Passport etc) is mandatory.

15. For NEFT settlements to insured/Proposer we require CTS 2010 cheque, CTS 2010 compliant cancelled cheque should have Name of the Account
holder, Account number and IFSC code of the bank to be printed on cheque is mandatory.

16. Incase of Non CTS 2010 compliant cheque photocopy of the passbook/bank statement with all the required details (Name of the Account holder,
Account number and IFSC code of the bank should be printed on passbook/bank statement) should be submitted.

SIGNATURE OF PENSIONER
(Signature of the account holder)

* Mandatory details to be filled

Please courier documents to the below address:


RCare Health: Reliance General Insurance, No.1-89/3/B/40 to 42/ks/301, 3rd floor, Krishe Block, Krishe Sapphire, Madhapur, Hyderabad 500081.
Email: rgicl.rcarehealth@relianceada.com.
This claim form shall be applicable for Reliance HealthWise Policy, Reliance HealthGain Policy and Group Mediclaim.
UIN of Reliance HealthGain Policy: UIN: RELHLIP13001V011213
UIN of Reliance HealthWise Policy : UNI: RELHLIP06001V010506. UIN of Group Mediclaim: UIN: RELHLGP02001V010102
Annexure - IV

RCare HEALTH SOLUTIONS


Claim process – Cashless
List of Documents – Cashless









Claim process – Reimbursement
List of Documents - Reimbursement













Claim Assistance


Claim Assistance- Self I










Claim Assistance- BroBot














Claim Assistance- Website









Claim Assistance- WhatsApp












Claim Assistance- Call Centre







Claim Assistance- Webmail






Document Submission



Annexure – V
List of staff covered under the policy

DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1 PEN-0001 OSMANUDDIN AHMED 03-10-1958 300000 Yes
2 PEN-0001 UBEDA BEGUM 15-08-1963
3 PEN-0002 PRAKASH BABU VODDEPALLY 02-10-1958 300000 Yes
4 PEN-0002 V RAJAMANI DEVI 05-12-1968
5 PEN-0003 BHASKAR RAO P V N 02-10-1958 400000 Yes
6 PEN-0003 SREE LAKSHMI 01-12-1961
7 PEN-0004 SURESH KUMAR T D 04-10-1958 300000 No
8 PEN-0004 RAJASHREE 01-01-1964
9 PEN-0005 PURNACHANDRA RAO P 10-10-1958 400000 Yes
10 PEN-0005 P LAXMI 17-07-1970
11 PEN-0006 RAMA SWAMY K 19-10-1958 200000 No
12 PEN-0006 K LALITHA 01-01-1960
13 PEN-0007 RAM REDDY B 23-10-1958 300000 Yes
14 PEN-0007 B SARALA REDDY 02-11-1963
15 PEN-0008 MURTHY V S N 07-11-1958 400000 Yes
VENKATA NARASIMHA RAO
16 PEN-0010 VISSAPRAGADA 17-06-1953 400000 No
17 PEN-0010 SITA SAVITHRI 14-12-1957
18 PEN-0011 J R P SREEDHAR 19-06-1952 300000 Yes
19 PEN-0011 P RANGA SITA 27-05-1960
20 PEN-0012 T DAYAKARA RAO 14-08-1950 400000 Yes
21 PEN-0012 P VIJAYALAXMI 30-08-1959
22 PEN-0015 VIJAYA SARADHI P 30-05-1954 300000 Yes
23 PEN-0015 STG KOUSALYA 10-10-1955
24 PEN-0016 M JAIHIND REDDY 02-09-1950 400000 Yes
25 PEN-0016 NARUNA 01-02-1955
26 PEN-0017 T K SRIRAGHAVA 28-01-1952 300000 No
27 PEN-0017 KAMALA 10-07-1953
28 PEN-0018 A NARSI REDDY 15-07-1950 400000 Yes
29 PEN-0018 NIRMALA 15-06-1956
30 PEN-0019 K SAMBASIVA RAO 01-01-1952 400000 No
31 PEN-0019 SARADHA 04-07-1962
32 PEN-0020 YADAGIRI P 15-04-1954 400000 Yes
33 PEN-0020 ANURADHA 14-12-1961
34 PEN-0021 P CHAKRAPANI 15-07-1950 300000 Yes
35 PEN-0021 YADAMMA 01-07-1957
36 PEN-0022 PADMAKAR RAO K 03-12-1952 300000 Yes
37 PEN-0022 SUGUNA 16-01-1956
38 PEN-0023 SARMA V V S N 29-11-1953 400000 Yes
39 PEN-0023 V VIMALADAVI 01-01-1961
40 PEN-0025 B KRISHNA RAO 15-10-1949 400000 Yes
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
41 PEN-0025 PADMAJA 22-03-1961
42 PEN-0026 N LAXMINARAYANA 05-02-1951 300000 No
43 PEN-0026 SHOBHARANI 01-04-1959
44 PEN-0027 S JANARDHAN 05-03-1951 400000 Yes
45 PEN-0027 S JAYALAKSHMI 07-02-1960
46 PEN-0028 A BRAHMA CHARY 13-10-1951 300000 Yes
47 PEN-0028 RAJESHWARI 13-06-1958
48 PEN-0030 G JANARDHAN RAO 02-02-1949 300000 Yes
49 PEN-0030 LAXMI 03-05-1957
50 PEN-0031 V SRINIVASA RAO 03-10-1950 400000 No
51 PEN-0031 V VARALAXMI 19-07-1958
52 PEN-0032 V PRAKASH REDDY 15-11-1950 300000 Yes
53 PEN-0032 V SAROJA 12-08-1956
54 PEN-0033 JANARDHANA RAO M 05-03-1953 300000 Yes
55 PEN-0033 M VIJAYA LAXMI 03-04-1958
56 PEN-0034 NAGESWAR RAO KONATHAM 03-12-1952 300000 Yes
57 PEN-0034 NAGAMANI 01-05-1959
58 PEN-0035 K SRINIVASA RAO 02-04-1950 300000 Yes
59 PEN-0035 MADHURAM 03-07-1951
60 PEN-0036 AVR NARASIMHARAO 14-06-1951 400000 Yes
61 PEN-0036 SULOCHANA RANI 01-01-1961
62 PEN-0037 T G V N ACHARYULU 04-10-1949 300000 No
63 PEN-0037 K S K MANI 15-06-1954
64 PEN-0038 G DHANUNJAYA NAIDU 05-08-1950 400000 Yes
65 PEN-0038 MANOHARAMMA 02-04-1953
66 PEN-0039 NARASIMHA RAO D 03-03-1955 300000 Yes
67 PEN-0039 D UMA DEVI 21-07-1962
68 PEN-0040 B PRABHAKAR 20-11-1948 300000 Yes
69 PEN-0040 CHANDRAKALA 21-01-1959
70 PEN-0042 VENKATA REDDY SOORAM 10-08-1955 400000 Yes
71 PEN-0042 VANAJA 22-04-1964
72 PEN-0045 D VENKATA REDDY 16-06-1952 300000 Yes
73 PEN-0045 A VENKAYAMMA 12-06-1953
74 PEN-0046 G SRINIVASA REDDY 05-08-1948 400000 No
75 PEN-0046 G SUMATHI 04-04-1956
76 PEN-0050 V MAHESWARAM 15-08-1950 300000 Yes
77 PEN-0050 V PUSHPA 01-01-1963
78 PEN-0051 G BIXMAIAH 06-04-1950 300000 No
79 PEN-0051 JHANSI RANI 14-01-1963
80 PEN-0052 D RAJAREDDY 06-06-1951 300000 No
81 PEN-0053 MURTHY G V S 10-11-1953 400000 No
82 PEN-0054 A SATYAPAL REDDY 20-07-1948 400000 No
83 PEN-0055 SARMA M V R B 16-07-1954 200000 No
84 PEN-0055 KANAKA DURGA 25-05-1956
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
85 PEN-0056 RAM PRASAD V V 29-07-1954 300000 Yes
86 PEN-0056 V SUGUNA 12-08-1958
87 PEN-0058 M DAMODER 10-04-1951 400000 Yes
88 PEN-0058 KAMALA 01-01-1960
89 PEN-0059 MD JOHN SAHEB 15-01-1952 300000 Yes
90 PEN-0059 ZAMINA BEGUM 29-03-1959
91 PEN-0060 RAJU P V V 13-04-1956 300000 No
92 PEN-0060 LAXMI 15-06-1964
93 PEN-0061 MONANGI SIMHACHALAM 10-05-1949 400000 No
94 PEN-0061 USHACHALAM 30-06-1956
95 PEN-0062 P KRISHNA RAO 12-11-1949 300000 No
96 PEN-0062 PADMAVATI 25-09-1958
97 PEN-0063 L SHANMUKHA RAO 14-05-1950 300000 Yes
98 PEN-0064 SUJATHA DEVI P 02-04-1953 400000 No
99 PEN-0067 D BHASKARA RAO 29-07-1951 300000 Yes
100 PEN-0067 PADMAJA 13-07-1961
101 PEN-0070 SARMA D M K 06-07-1957 300000 Yes
102 PEN-0070 PADMA 10-08-1959
103 PEN-0072 R S SANYASI RAO 01-08-1950 400000 Yes
104 PEN-0072 HEMALATHA 08-12-1954
105 PEN-0073 WKSN MURTHY 03-03-1951 400000 Yes
106 PEN-0073 VIJAYALAXMI 10-12-1961
107 PEN-0074 MOHAN DAS M 25-07-1953 400000 No
108 PEN-0074 CHINNAMMADU 15-10-1962
109 PEN-0075 V NAGARAJA RAO 01-06-1951 400000 Yes
110 PEN-0075 SYAMALA 10-07-1953
111 PEN-0077 MALLAIAH P B 20263 200000 No
112 PEN-0077 YADAMMA 01-06-1966
113 PEN-0078 V VENKATA REDDY 10-06-1950 400000 Yes
114 PEN-0078 SUJATHA 04-06-1958
115 PEN-0079 SOMAIAH REDDEPAKA 05-10-1954 300000 Yes
116 PEN-0079 CHANDRAKALA 06-08-1960
117 PEN-0081 LINGAIAH VEMULA 08-08-1957 400000 No
118 PEN-0081 SUJATHA 24-06-1964
119 PEN-0082 M VEERAIAH 10-10-1951 300000 Yes
120 PEN-0082 UMAVATHI 28-06-1954
121 PEN-0083 DASTAGIRI SK 01-03-1953 400000 Yes
122 PEN-0085 CHANDRA SEKHAR R 23-07-1955 300000 Yes
123 PEN-0090 R VENKATA RAMA RAO 02-01-1949 400000 Yes
124 PEN-0090 RAMADEVI 10-12-1955
125 PEN-0091 CH V SATYANARAYANA 01-07-1951 300000 Yes
126 PEN-0091 LALITHA 16-07-1961
127 PEN-0092 V MADHAVA RAO 16-06-1952 400000 Yes
128 PEN-0092 RAMADEVI 01-01-1960
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
129 PEN-0093 PARAMAHAMSA T 17-12-1954 400000 Yes
130 PEN-0093 LAXMI TULASI 02-05-1963
131 PEN-0095 KANTHA RAO GARA 12-02-1953 300000 Yes
132 PEN-0095 PADMAVATI 09-06-1964
133 PEN-0096 MALLESWAR RAO G 20-03-1957 400000 No
134 PEN-0096 JHANSI RANI 02-06-1962
135 PEN-0097 SURYANARAYANA SAHU 01-07-1957 400000 Yes
136 PEN-0097 KABITA KUMARI 01-01-1966
137 PEN-0101 NAGESWARA RAO P 18-12-1958 300000 Yes
138 PEN-0101 RATNA KUMARI 05-05-1967
139 PEN-0102 UMA MAHESH CHINTAPATLA 01-05-1958 300000 Yes
140 PEN-0102 RAJARAJESWARI 29-06-1961
141 PEN-0106 RAJARAMA RAO V 12-04-1957 300000 Yes
142 PEN-0109 BALAMURALI KRISHNA K 19-06-1958 400000 Yes
143 PEN-0109 SHYAMALA 10-05-1960
144 PEN-0113 SRINIVAS RAO H 10-03-1955 300000 Yes
145 PEN-0113 SHAKUNTALA 11-01-1963
146 PEN-0116 SURENDER ADLURI 25-11-1954 400000 Yes
147 PEN-0117 BHADRAIAH P 16-12-1954 400000 Yes
148 PEN-0117 SARASWATI 15-01-1965
149 PEN-0122 RAMGOPAL RAO N 02-04-1955 200000 Yes
150 PEN-0122 JAYASREE 06-04-1960
151 PEN-0124 SUDHAKAR C 06-08-1957 300000 No
152 PEN-0124 CHANDRAPRABHA 09-09-1969
153 PEN-0126 JAGANNADAM GUDE 08-07-1955 200000 Yes
154 PEN-0126 SRILATHA 18-08-1966
155 PEN-0128 PADMANABHAM 10-10-1956 400000 No
156 PEN-0128 SAVITHRI 01-01-1964
157 PEN-0133 SURYA PRASKASH J 15-12-1957 400000 No
158 PEN-0133 ARUNA 02-06-1964
159 PEN-0134 CHANDER TALLAPALLY 20-04-1957 400000 Yes
160 PEN-0134 SHARADA 06-03-1968
161 PEN-0135 LAXMINARAYANA D 27-09-1954 300000 Yes
162 PEN-0136 SADANANDAM GADAM 02-07-1955 300000 Yes
163 PEN-0136 SAROJA 30-08-1961
164 PEN-0137 VEERASWAMY UDUGULA 11-10-1955 300000 Yes
165 PEN-0137 VIJAYA 15-11-1963
166 PEN-0138 RAMCHANDER GODDETI 15-05-1955 400000 No
167 PEN-0138 G RENUKA 01-04-1964
168 PEN-0140 VENKATA KRISHNA PRASAD LANKA 28-06-1956 400000 Yes
169 PEN-0140 VIDYA RANI 22-10-1965
170 PEN-0143 SUDHEER REDDY RAVULA 01-05-1955 300000 No
171 PEN-0143 VIJAYASRI 25-03-1961
172 PEN-0144 NAGESWAR RAO N 08-06-1953 300000 Yes
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
173 PEN-0144 NUNE BHANUMATHI 28-01-1959
174 PEN-0145 SRINIVASA CHARYULU P 01-07-1957 400000 Yes
175 PEN-0145 PRASANTHI 09-05-1964
176 PEN-0146 KRISHNA REDDY ALLU 10-01-1956 300000 Yes
177 PEN-0146 SUGUNA 16-12-1963
178 PEN-0148 JAYACHANDRAIAH 09-04-1956 300000 Yes
179 PEN-0148 BHAGAVATI 02-10-1964
180 PEN-0149 RAMA SWAMY B 15-06-1956 400000 Yes
181 PEN-0149 VIJAYA LAXMI 01-01-1958
182 PEN-0151 JAGATHAIAH K 05-02-1957 300000 Yes
183 PEN-0151 LAXMIDEVAMMA 15-02-1962
184 PEN-0152 SESHI REDDY CH 01-05-1957 400000 No
185 PEN-0152 SHARADA 01-01-1963
186 PEN-0158 JITHENDER REDDY N 05-03-1958 400000 Yes
187 PEN-0158 PRASUNA RANI 25-04-1965
188 PEN-0159 SHYAMSUNDER REDDY G 10-06-1957 300000 No
189 PEN-0159 SUNANDA 20-04-1964
190 PEN-0161 BHASKER K 06-03-1958 400000 No
191 PEN-0161 SHOBHALATHA 28-12-1965
192 PEN-0162 NAGRAJ G 04-12-1957 400000 Yes
193 PEN-0162 SUJATHA 16-08-1963
194 PEN-0165 NARASIMHA REDDY J 15-10-1957 400000 No
195 PEN-0165 SRILAXMI 09-06-1969
196 PEN-0167 KISTAIAH A 07-10-1953 400000 No
197 PEN-0167 RATHAMMA 26-06-1966
198 PEN-0168 RAMESH RAO A 15-08-1955 300000 No
199 PEN-0168 BRAHMARAMBA 19-01-1961
200 PEN-0169 B LAXMINARAYANA 03-02-1951 300000 Yes
201 PEN-0169 MANEMMA 01-07-1954
202 PEN-0170 GNANARATNAM E 04-11-1955 300000 No
203 PEN-0170 KRISHNA KUMARI 01-07-1959
204 PEN-0171 NARAYANA E 04-02-1953 300000 Yes
205 PEN-0171 LAXMI 05-06-1959
206 PEN-0172 RAJA RATNAM J 02-10-1954 300000 Yes
207 PEN-0172 LALITHA 01-01-1958
208 PEN-0175 NIVEDITHA TURUMELLA 11-12-1958 200000 No
209 PEN-0178 B BHIKSHAMAIAH 06-08-1951 400000 Yes
210 PEN-0178 MANOHARAMMA 03-01-1962
211 PEN-0180 PRASADA RAO G 15-07-1952 300000 Yes
212 PEN-0180 SUNANDA 16-07-1956
213 PEN-0184 S RAMESH 10-06-1952 300000 Yes
214 PEN-0184 CHANDRAVATHI 28-07-1959
215 PEN-0185 M KOTESWARA RAO 10-04-1951 200000 No
216 PEN-0185 PADMAVAHI 18-04-1967
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
217 PEN-0187 KUMBHAM VENKAT REDDY 11-03-1949 300000 Yes
218 PEN-0187 BHAGAVATI 02-10-1956
219 PEN-0189 K NARAYANA RAO 15-06-1952 300000 Yes
220 PEN-0190 V ANGARAKA RAO 01-06-1951 400000 Yes
221 PEN-0190 ANURADHA 31-07-1961
222 PEN-0191 JANAKI RAO G 05-10-1953 300000 Yes
223 PEN-0191 USHA RANI 02-06-1962
224 PEN-0192 VENKAT REDDY J 23-07-1952 300000 Yes
225 PEN-0192 ARUNA 15-08-1959
226 PEN-0195 RADHA KRISHNA RAJU Y 30-07-1957 300000 Yes
227 PEN-0195 BHARATHI 15-12-1962
228 PEN-0200 PANDARINATH 08-05-1957 300000 Yes
229 PEN-0200 SHARADA 01-01-1967
230 PEN-0201 VENKATRAMULU M 19-09-1953 400000 No
231 PEN-0201 PADMAMMA 01-07-1950
232 PEN-0204 ANANDA RAO G 01-07-1955 200000 No
233 PEN-0214 ISMAIL MD 01-09-1955 300000 Yes
234 PEN-0214 SHAREEFA BEGUM 01-01-1960
235 PEN-0216 A TIRUPATI RAO 04-05-1950 200000 No
236 PEN-0217 JAGANMOHAN RAO P 08-04-1953 400000 No
237 PEN-0217 ANILA KUMARI 23-05-1959
238 PEN-0218 MURTY J R K 16-04-1953 400000 Yes
239 PEN-0218 MEENAKUMARI 28-01-1956
240 PEN-0219 PRASAD RAO K 07-12-1952 400000 No
241 PEN-0219 GOWRI 20-11-1958
242 PEN-0220 DHARMA RAO P 01-06-1953 200000 No
243 PEN-0220 KALESWARI 13-09-1960
244 PEN-0222 SANKARA RAO B 02-06-1953 400000 No
245 PEN-0222 VENKATA LAXMI 10-10-1962
246 PEN-0224 ANJAIAH REKALA 04-01-1954 300000 Yes
247 PEN-0224 ARUNDHATI 04-06-1966
248 PEN-0225 SURYAPRAKASH REDDY MUPPIDI 15-05-1955 400000 No
249 PEN-0225 VIJAYA LAXMI 04-07-1961
250 PEN-0226 M V BHADRAIAH 10-12-1950 400000 Yes
251 PEN-0226 USHARANI 18-06-1954
252 PEN-0227 K SIMHACHALAM 05-03-1952 300000 Yes
253 PEN-0227 KAMESWARI 05-02-1963
254 PEN-0228 SRINIVASA REDDY DANDA 01-01-1955 300000 No
255 PEN-0233 VEERASWAMY PODUGU 13-01-1959 300000 Yes
256 PEN-0233 LAXMI 13-01-1969
257 PEN-0238 SANYASI NAIDU RONGALI 01-06-1953 400000 Yes
258 PEN-0238 SATYA HARI RATNAM 01-06-1960
259 PEN-0242 KRISHNA REDDY V 01-10-1954 300000 Yes
260 PEN-0242 JAYALAXMI 22-08-1960
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
261 PEN-0244 LAIMAN N 01-08-1952 300000 Yes
262 PEN-0244 PERCY HELEENA 10-07-1963
263 PEN-0246 V VENKATA RAO 15-06-1948 400000 No
264 PEN-0247 GOLLAYYA K 31-08-1954 400000 Yes
265 PEN-0247 ADILAXMI 10-06-1968
266 PEN-0248 VEERA SWAMY K 02-01-1957 400000 Yes
267 PEN-0248 BHAGYA LAXMI 05-09-1965
268 PEN-0251 V VENKATA RAO 13-06-1950 300000 Yes
269 PEN-0251 USHABALA 31-12-1956
270 PEN-0259 PREMNATH B 13-01-1957 200000 No
271 PEN-0259 SUJATHA 01-01-1968
272 PEN-0262 NAGARAJU K 06-09-1957 300000 No
273 PEN-0262 ESTHERAMMA 15-06-1964
274 PEN-0270 Y YADAGIRI REDDY 02-05-1938 300000 Yes
275 PEN-0270 MALLESWARI 12-08-1945
276 PEN-0271 VIJAYA KUMAR G 19-11-1952 400000 No
277 PEN-0271 PRASANNA KUMARI 18-01-1956
278 PEN-0272 M SOMI REDDY 06-04-1952 300000 Yes
279 PEN-0272 VIJAYA 11-03-1976
280 PEN-0273 ANANDA RAO V 14-12-1952 400000 Yes
281 PEN-0273 DURGA 24-01-1958
282 PEN-0275 S SATHAIAH 15-02-1952 400000 Yes
283 PEN-0278 RAVISHANKAR BELLALMKONDA 05-02-1956 300000 Yes
284 PEN-0278 HYMAVATHI 30-06-1960
285 PEN-0279 VENKATESHAM M 15-12-1952 300000 Yes
286 PEN-0279 SUGUNA 10-05-1963
287 PEN-0280 SAIKUMAR H 08-08-1955 300000 Yes
288 PEN-0280 LATHA 29-05-1966
289 PEN-0281 RAMESH CH 06-06-1954 300000 Yes
290 PEN-0281 CHANDRAKALA 01-02-1966
291 PEN-0284 SIVANAND A 11-09-1954 300000 Yes
292 PEN-0284 KRISHNA KUMARI 09-07-1964
293 PEN-0286 N VENKATESWARULU 08-01-1952 400000 No
294 PEN-0288 SREE RAMA MURTHY CH 15-06-1954 300000 Yes
295 PEN-0288 VENKATASATYAVENI 07-08-1964
296 PEN-0291 VEERACHARY S P 21-01-1955 300000 No
297 PEN-0291 VENKATA RAMA NARASAMMA 01-01-1960
298 PEN-0292 ROSIREDDY G 09-10-1956 300000 Yes
299 PEN-0292 RAJESWARI 01-02-1961
300 PEN-0294 BHASHYAKARYULU P V S R 19-07-1952 300000 No
301 PEN-0294 RAJYALAXMI 01-02-1958
302 PEN-0296 SRINIVASA CHARYULU K 29-07-1953 300000 Yes
303 PEN-0296 PIRATTI 03-11-1961
304 PEN-0297 RAMULU V 12-05-1955 300000 No
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
305 PEN-0297 RAMBAI 10-01-1961
306 PEN-0298 SOMAIAH P 15-12-1954 300000 Yes
307 PEN-0298 POOLAMMA 02-08-1962
308 PEN-0299 M SAMUEL 18-05-1952 300000 No
309 PEN-0299 ARUNA 01-01-1961
310 PEN-0300 S MALLA REDDY 12-10-1951 300000 Yes
311 PEN-0300 DHANALAXMI 10-09-1956
312 PEN-0301 SATYANARAYANA G 22-09-1954 400000 Yes
313 PEN-0301 PREMALATHA 30-04-1958
314 PEN-0302 BASAVAIAH CH 01-05-1954 300000 Yes
315 PEN-0302 CH JAMUNA 01-07-1960
316 PEN-0303 SURYANARAYANA MULAGANDLA 26-12-1953 300000 Yes
317 PEN-0303 KRISHNA KUMARI 11-05-1962
318 PEN-0305 RADHA B 05-03-1953 300000 Yes
319 PEN-0305 KRISHNA RAO 07-03-1953
320 PEN-0306 LAXMINARAYANA CHINNAMSETTI 10-08-1955 300000 Yes
321 PEN-0306 SWARNAKUMARI 15-01-1957
322 PEN-0307 SATYAM Y 05-08-1952 300000 Yes
323 PEN-0307 MANIKYAM 05-04-1959
324 PEN-0308 RADHA KRISHNA MURTHY BOJJA 28-05-1955 300000 Yes
325 PEN-0308 LEELA 31-05-1964
326 PEN-0309 V VENKATESWARLU 10-02-1952 300000 Yes
327 PEN-0309 PADMAVATHI 02-02-1964
328 PEN-0310 SREENIVASA RAO MAINEEDI 03-09-1958 300000 Yes
329 PEN-0310 SARADA DEVI 10-06-1968
330 PEN-0311 KANYA KUMARI N 02-01-1957 200000 No
331 PEN-0313 L V PRASADA REDDY 02-08-1950 400000 Yes
332 PEN-0313 SHASHIKALA 09-09-1956
333 PEN-0314 SESHAGIRI RAO N 15-08-1953 200000 No
334 PEN-0314 B TRIVENI DEVI 01-04-1958
335 PEN-0315 RAMACHANDRA RAO M B 20-05-1954 200000 No
336 PEN-0319 JANARDHANA RAO B 01-09-1955 200000 No
337 PEN-0319 JANAKI 01-07-1966
338 PEN-0320 RAMA MOHAN B 10-07-1953 200000 No
339 PEN-0325 SURENDER REDDY A 24-06-1956 300000 Yes
340 PEN-0326 ISMAIL MD 12-04-1958 300000 Yes
341 PEN-0326 GOUSIA BEGUM 01-01-1977
342 PEN-0331 GOURISHANKAR RAO Y 11-10-1957 300000 Yes
343 PEN-0331 ANASUYA 23-11-1965
344 PEN-0333 A VENKATESWARLU 05-04-1950 300000 Yes
345 PEN-0333 SITA 09-02-1960
346 PEN-0335 M RAJA RAO 15-06-1951 400000 Yes
347 PEN-0335 MEDUKONDURU USHA 14-11-1952
348 PEN-0337 C VENKAT REDDY 23-05-1951 300000 Yes
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
349 PEN-0337 BHARATI 04-10-1954
350 PEN-0340 PRASAD S V D 05-10-1954 400000 Yes
351 PEN-0340 PADMA 05-10-1959
352 PEN-0341 VIJAYANAND P 10-06-1954 400000 Yes
353 PEN-0341 SULOCHANA RAJI 24-07-1955
354 PEN-0342 KRISHNAIAH N 10-05-1955 300000 Yes
355 PEN-0342 ANJAMMA 08-06-1962
356 PEN-0346 KRISHNA MURTY M 12-08-1955 300000 Yes
357 PEN-0346 KAMAKSHAMMA 10-04-1965
358 PEN-0349 GOPALA RAO K 15-08-1955 300000 Yes
359 PEN-0349 LAXMI PRASANNA 02-07-1961
360 PEN-0350 KASIVISWANADH B 10-02-1955 300000 Yes
361 PEN-0350 LAXMI 01-01-1960
362 PEN-0351 ANJAIAH CH 03-02-1954 300000 Yes
363 PEN-0351 SUSHEELA 02-01-1964
364 PEN-0352 RAVINDER REDDY P 04-07-1956 300000 Yes
365 PEN-0352 CHANDRAKALA 04-02-1961
366 PEN-0353 YOUSUF ALI MD 13-06-1953 200000 No
367 PEN-0354 JANGAIAH M 10-07-1952 300000 Yes
368 PEN-0354 SATHYAMMA 01-01-1959
369 PEN-0356 B PRABHAKAR RAO 10-06-1952 300000 Yes
370 PEN-0356 JAYAPRADA 06-01-1958
371 PEN-0357 ABDUL HAQ MD 17-07-1953 300000 No
372 PEN-0357 WAHEDA BEGUM 02-06-1960
373 PEN-0358 NARASAIH GUPTA 12-07-1954 300000 Yes
374 PEN-0358 ANURADHA 10-08-1964
375 PEN-0360 RAMASWAMY GILLA 01-11-1956 300000 Yes
376 PEN-0360 VIJAYA 13-02-1960
377 PEN-0362 RAO M S 15-07-1953 400000 Yes
378 PEN-0362 VIJAYA LAXMI 15-03-1958
379 PEN-0363 NARASIMHA RAO C 04-04-1955 300000 Yes
380 PEN-0363 BALA TRIPURA SUNDARI 25-10-1961
381 PEN-0364 UMA MAHESWARA RAO I 27-07-1958 300000 Yes
382 PEN-0364 JAYALAXMI 12-07-1967
383 PEN-0365 KRISHNA RAO PURRU 08-03-1954 300000 Yes
384 PEN-0365 NGARATNAM 08-05-1959
385 PEN-0366 RAVINDER REDDY V 20-05-1957 400000 Yes
386 PEN-0366 VASANTHA LAXMI 05-07-1961
387 PEN-0367 GOWRI DEVI M S R 14-02-1958 300000 Yes
388 PEN-0369 RAJAVARDHAN REDDY K 14-06-1957 300000 Yes
389 PEN-0369 VIJAYA 10-10-1962
390 PEN-0370 KANAKAIAH B 15-09-1954 300000 Yes
391 PEN-0370 GOPAMMA 01-01-1957
392 PEN-0371 MALLA REDDY N 13-03-1957 400000 No
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
393 PEN-0371 RENUKA 04-05-1966
394 PEN-0373 JOSEPH ANTHONY GOTTAM 18-12-1958 400000 No
395 PEN-0373 ELIZABETH MARY 21-08-1961
396 PEN-0378 P BALAIAH 02-04-1950 300000 Yes
397 PEN-0378 BRAMARAMBA 09-03-1959
398 PEN-0379 M SANJEEVA REDDY 25-06-1952 300000 No
399 PEN-0380 RAVINDER REDDY MUSKU 06-04-1953 400000 No
400 PEN-0380 SAVITHRI 01-07-1960
401 PEN-0381 AYYAVARAPPA SETTY M 20-02-1955 400000 Yes
402 PEN-0381 DHANAMMA 20-06-1959
403 PEN-0388 L DAMODHAR 03-03-1952 400000 No
404 PEN-0388 SAMYUKTA 26-05-1957
405 PEN-0389 VENKATA REDDY G 16-07-1953 400000 Yes
406 PEN-0389 SHASHIREKHA 01-01-1951
407 PEN-0391 CHANDRA MOULI K 25-11-1953 300000 No
408 PEN-0391 JAYAMMA 10-08-1955
409 PEN-0392 LINGAIAH M 04-03-1955 300000 Yes
410 PEN-0392 LAXMI 29-12-1960
411 PEN-0393 MADHAVA REDDY M 08-03-1953 300000 Yes
412 PEN-0393 LALITHA 16-03-1961
413 PEN-0394 SHANKARAIAH K 16-06-1953 400000 Yes
414 PEN-0394 JANAKAMMA 25-07-1960
415 PEN-0395 SUBBA RAO KOLIPAKA 01-08-1954 300000 Yes
416 PEN-0395 RAMADEVI 27-04-1962
417 PEN-0396 KAMESWAR RAO Y 20-05-1957 400000 Yes
418 PEN-0396 SAI LAXMI DEVI 23-04-1961
419 PEN-0403 B VENKATA REDDY 08-09-1950 400000 Yes
420 PEN-0403 SUSHEELA 08-10-1958
421 PEN-0405 CH RAM REDDY 03-01-1949 300000 Yes
422 PEN-0405 JAMUNA 05-07-1955
423 PEN-0406 RANGA RAO T R 29-04-1956 300000 No
424 PEN-0407 VENKATESHWAR RAO V 04-02-1959 300000 Yes
425 PEN-0407 RADHA 01-07-1964
426 PEN-0408 KALI DAS ALAVILLI 01-12-1958 200000 No
427 PEN-0408 SUMATHI 01-06-1969
428 PEN-0412 N GOPAL REDDY 22-10-1947 400000 Yes
429 PEN-0412 RMADEVI 04-07-1958
430 PEN-0413 PRASAD M S 15-10-1955 300000 No
431 PEN-0413 MVD SURYA PRABHA 23-01-1963
432 PEN-0414 K AMRUTHA REDDY 12-12-1947 300000 Yes
433 PEN-0414 SWARNALATHA 04-04-1951
434 PEN-0418 RAMA RAO D 20-05-1954 300000 No
435 PEN-0418 PADMA PRAVEENA 09-08-1960
436 PEN-0423 GIRIJA SHANKAR K 01-06-1956 300000 No
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
437 PEN-0423 VIJAYANIRMALA 10-08-1969
438 PEN-0431 RAVINDRA BRAHMA 01-01-1955 300000 No
439 PEN-0431 SUJATHA BRAHMA 23-03-1965
440 PEN-0432 SATYANATH B 21-02-1958 300000 Yes
441 PEN-0432 ARUNA KUMARI 01-07-1958
442 PEN-0433 M VASUDEV 01-07-1952 400000 Yes
443 PEN-0433 KRISHNA KUMARI 23-11-1960
444 PEN-0434 HARA PRASAD RAVIPALLI 01-06-1956 400000 Yes
445 PEN-0434 RATNA SHOBHA 14-10-1958
446 PEN-0436 KRISHNA RAO D M 23-03-1954 400000 No
447 PEN-0436 RAJYALAXMI 15-07-1960
448 PEN-0443 YELLAYYA P 10-07-1956 300000 No
449 PEN-0444 SURESH K 01-07-1958 200000 No
450 PEN-0444 HYMAVATI 14-04-1969
451 PEN-0451 SATYAM M V 01-03-1958 300000 No
452 PEN-0451 VARALAXMI 25-12-1968
453 PEN-0452 LAXMI G 20-03-1957 200000 No
454 PEN-0458 GV RAMANA PRASAD 16-08-1951 300000 Yes
455 PEN-0458 AMARA 30-06-1959
456 PEN-0459 M CHAKRI KUMAR 02-07-1951 300000 No
457 PEN-0459 DAKSHAYINI DEVI 28-04-1958
458 PEN-0460 DEVAIAH S 25-04-1954 300000 Yes
459 PEN-0463 B SEETHAIAH 01-07-1950 300000 No
460 PEN-0463 JAYAKUMARI 24-05-1965
461 PEN-0465 KS CHALAM NAIDU 01-03-1951 400000 No
462 PEN-0465 SOBHA 01-05-1965
463 PEN-0469 SUBBA RAO N 15-07-1953 400000 Yes
464 PEN-0469 VEERA RAGHAVA 28-09-1969
465 PEN-0470 LAXMU GARBHAPU 01-01-1954 300000 Yes
466 PEN-0470 VASANTHA KUMARI 12-06-1966
467 PEN-0471 SRIRAMULU N 12-05-1954 300000 Yes
468 PEN-0471 VIJAYALAXMI 01-01-1965
469 PEN-0472 JAYA RAMULU 13-03-1955 300000 Yes
470 PEN-0472 KAVITHA 17-01-1962
471 PEN-0474 SANKARA RAO A 08-02-1959 300000 Yes
472 PEN-0474 SASIKALA 30-05-1970
473 PEN-0475 APPA RAO B D K 13-09-1956 400000 No
474 PEN-0475 UMAMAHESWARI 01-10-1960
475 PEN-0476 RAMESH K 23-01-1959 300000 No
476 PEN-0476 RATHNAMMA 01-01-1964
477 PEN-0477 LENIN BABU G 05-11-1955 300000 Yes
478 PEN-0477 SATYALAXMI 24-09-1967
479 PEN-0480 VARALAXMI J 05-08-1956 300000 Yes
480 PEN-0480 YADAGIRI 15-02-1950
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
481 PEN-0485 MD AFZAL KHAN 05-10-1951 400000 Yes
482 PEN-0485 SHAHAZADI BEGUM 20-04-1956
483 PEN-0486 K JAYAPRAKASH 05-06-1952 300000 No
484 PEN-0486 DROUPATHI 21-03-1960
485 PEN-0487 K V REDDY 10-02-1951 300000 No
486 PEN-0487 PARVATHI 03-07-1953
487 PEN-0488 P KRISHNA MURTHY 07-04-1951 300000 Yes
488 PEN-0488 PADMAVATI 08-07-1964
489 PEN-0490 PRASAD R S M 15-08-1952 300000 Yes
490 PEN-0490 SUJATHA 15-08-1957
491 PEN-0491 SAMBASIVA RAO N 14-08-1955 400000 Yes
492 PEN-0491 NAGA VIJAYA LAXMI 10-07-1965
493 PEN-0495 J JWALAIAH 08-08-1950 400000 Yes
494 PEN-0496 V SIVA RAM 01-06-1951 400000 Yes
495 PEN-0496 PADMAVATI 30-08-1961
496 PEN-0497 CH NAGESWARA RAO 04-05-1951 300000 Yes
497 PEN-0497 JHANSI 06-08-1961
498 PEN-0499 D S R MURTY 01-07-1951 400000 No
499 PEN-0500 APPA RAO K 01-10-1953 400000 Yes
500 PEN-0500 PRABHAVATI 01-07-1954
501 PEN-0501 Y SAI VARA PRASAD 19-05-1949 400000 Yes
502 PEN-0501 VARALAXMI 16-03-1962
503 PEN-0502 B SURYA RAO 01-04-1952 400000 Yes
504 PEN-0502 CH V KUMARI 29-06-1963
505 PEN-0503 N SHYAMKUMAR 01-09-1951 400000 Yes
506 PEN-0503 UMADEVI 18-03-1961
507 PEN-0504 BABJI CH V M 13-09-1955 400000 Yes
508 PEN-0504 PRASANNA 20-08-1970
509 PEN-0506 LAVOORI KEERYA 12-03-1952 300000 Yes
510 PEN-0506 AMALI 01-01-1962
511 PEN-0507 SUBBA LAXMI A 03-02-1953 400000 Yes
512 PEN-0507 SOMAIAH 19-06-1955
513 PEN-0508 NAGESWARA RAO A 04-05-1954 300000 No
514 PEN-0508 PAPAMMA 10-06-1966
515 PEN-0509 SOMA RAMULU K 04-01-1954 400000 Yes
516 PEN-0509 VARALAXMI 12-08-1955
517 PEN-0510 B GAMAIAH 06-05-1951 300000 Yes
518 PEN-0510 MATTAMMA 01-01-1962
519 PEN-0512 PURNACHANDAR RAO K 14-08-1954 300000 Yes
520 PEN-0512 RUKMINI DEVI 10-04-1962
521 PEN-0514 SUDHAKAR B 16-05-1953 400000 No
522 PEN-0514 JAYALAXMI 20-08-1961
523 PEN-0515 RAMA RAO KOTHA 24-05-1955 300000 Yes
524 PEN-0515 DHANALAXMI 03-06-1963
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
525 PEN-0516 YAGNANARAYANA BATHULA 04-03-1956 300000 No
526 PEN-0516 SARADA 06-10-1961
527 PEN-0520 SARADA CH 04-08-1952 200000 No
528 PEN-0526 KRISHNAMURTHY KOTTE 02-09-1956 200000 Yes
529 PEN-0526 MUNIRATNAM 01-01-1961
530 PEN-0527 KAMESHWARA RAO A 01-07-1953 200000 No
531 PEN-0527 UMA 15-08-1959
532 PEN-0528 KRISHNA RAO D R R 01-11-1954 200000 No
533 PEN-0528 LAXMI PRATIBHA 13-09-1967
534 PEN-0529 JAGANNATHAM GOUD A 20-05-1954 400000 No
535 PEN-0529 ANASUYA 04-05-1961
536 PEN-0530 RAMA RAO N 14-03-1953 300000 Yes
537 PEN-0530 RAMADEVI 07-04-1960
538 PEN-0531 SATYANARAYANA REDDY G 05-07-1957 300000 Yes
539 PEN-0531 INDIRA 14-02-1965
540 PEN-0533 CHANDRASEKHAR S 14-01-1958 300000 No
541 PEN-0533 ALIVELAMMA 06-07-1966
542 PEN-0536 KESAVACHARYULU ROMPICHERLA 10-07-1958 400000 No
543 PEN-0536 PADMAJA 21-07-1966
544 PEN-0537 RAMACHANDRAREDDY B 15-09-1952 400000 No
545 PEN-0537 LAXMI 08-08-1961
546 PEN-0538 M S N SESHU 15-08-1948 400000 Yes
547 PEN-0538 RAJYALAXMI 10-01-1951
548 PEN-0539 N VENKULU 06-11-1947 300000 Yes
549 PEN-0540 D V BHASKARA RAO 30-05-1950 400000 Yes
550 PEN-0541 V SATYANARAYAN REDDY 10-08-1950 200000 No
551 PEN-0541 MANJULA 04-04-1954
552 PEN-0542 ROOPAVATHI P 15-07-1958 300000 No
553 PEN-0545 BRAMHANANDAM VINUKONDA 23-02-1959 300000 Yes
554 PEN-0545 NAGAMANI 18-02-1961
555 PEN-0547 NEERAJA RAO DIKKALA 21-04-1957 300000 Yes
556 PEN-0547 SUDHARANI 30-04-1965
557 PEN-0550 KURMACHARI M 15-06-1953 200000 No
558 PEN-0550 LAXMI 26-05-1962
559 PEN-0551 SARMA N S 20-07-1958 300000 Yes
560 PEN-0551 MAHALAXMI 01-06-1964
561 PEN-0552 SURYANARAYANA POLA 01-01-1959 300000 Yes
562 PEN-0552 VIJAYA LAXMI 01-01-1965
563 PEN-0555 APPA RAO K 01-07-1954 400000 Yes
564 PEN-0555 JAYALAXMI 01-01-1964
565 PEN-0571 T RAVINDER REDDY 10-12-1950 300000 No
566 PEN-0571 SUGNANI 10-10-1960
567 PEN-0576 PUM RAO 11-12-1950 400000 No
568 PEN-0576 KRISHNA KUMARI 10-10-1959
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
569 PEN-0578 RAMALINGESWARA RAO KOLLUR 01-08-1954 300000 Yes
570 PEN-0578 NAGARAMAM 02-02-1956
571 PEN-0580 M SUKUMAR RAO 09-01-1958 300000 Yes
572 PEN-0580 VIJAYALAXMI 11-05-1962
573 PEN-0581 B SURYANARAYANA MURTY 13-08-1949 400000 No
574 PEN-0581 INDIRA DEVI 03-12-1956
575 PEN-0588 LAKSHMISESHU VADDADI 24-02-1957 300000 Yes
576 PEN-0594 U RAMBABU 21-06-1950 200000 No
577 PEN-0594 MADHAVI 03-04-1956
578 PEN-0595 K SUDHAKARA RAO 15-05-1949 400000 No
579 PEN-0595 SARAT KUMARI 01-06-1960
580 PEN-0598 S SURYANARAYANA 15-06-1949 300000 Yes
581 PEN-0598 MEENAKSHI 28-03-1956
582 PEN-0599 MANGATHAI V 28-02-1959 400000 No
583 PEN-0599 RAVINDRANATH 20-05-1956
584 PEN-0602 P VENKATA SATYANARAYANA 15-08-1948 300000 Yes
585 PEN-0602 VANAJA 01-04-1954
586 PEN-0606 YADAIAH BABBURY 04-02-1959 200000 No
587 PEN-0606 RAJITHA 01-01-1971
588 PEN-0607 PADMAKAR THOTA 01-06-1957 300000 No
589 PEN-0607 ARUNA KUMARI 13-12-1960
590 PEN-0611 RAJA MOHAN VELIGETI 01-09-1958 300000 Yes
591 PEN-0611 VASANTHA KUMARI 01-03-1967
592 PEN-0613 LAZAR K 10-06-1958 300000 Yes
593 PEN-0613 ELIZABETH 01-01-1963
594 PEN-0617 MOHAN REDDY G 12-02-1959 300000 Yes
595 PEN-0617 VIJAYA LAXMI 24-07-1970
596 PEN-0623 U KRISHNA MURTHY 11-08-1951 400000 No
597 PEN-0623 SAKUNTALA 25-12-1951
598 PEN-0625 S KOTESWARA RAO 20-03-1952 300000 Yes
599 PEN-0625 SIVA NAGESWARI 24-08-1958
600 PEN-0627 GUPTA G N 25-06-1953 400000 No
601 PEN-0627 RATNA KUMARI 17-12-1959
602 PEN-0631 VENKANNA T 15-05-1953 400000 Yes
603 PEN-0631 T VIJAYA LAXMI 03-12-1955
604 PEN-0639 BHAGAVAN MANCHALA 26-09-1958 300000 Yes
605 PEN-0639 ARUNA 16-05-1964
606 PEN-0640 SASTRY MD 05-03-1958 300000 No
607 PEN-0640 SASHI KALA 15-10-1968
608 PEN-0641 KOUNDINYA O R 03-02-1957 300000 No
609 PEN-0641 ANNAPURNA 01-05-1965
610 PEN-0642 ASHOK KUMAR MEESALA 07-02-1959 400000 Yes
611 PEN-0642 NAGAMANI 01-07-1966
612 PEN-0644 A PULLAIYA 09-04-1950 300000 Yes
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
613 PEN-0644 ARUNA 13-03-1952
614 PEN-0646 PRABHAKAR RAO M 09-12-1952 300000 Yes
615 PEN-0646 SATYAVATHY 01-04-1955
616 PEN-0647 SOUNDARYARAJAN PALLERALAMUDI 07-11-1956 400000 Yes
617 PEN-0647 A Y R THAYARU 15-06-1945
618 PEN-0648 PRASAD D V S 03-06-1958 400000 Yes
619 PEN-0648 ANURADHA 26-07-1963
620 PEN-0649 HANUMANTHA RAO D 23-06-1956 400000 Yes
621 PEN-0649 MAHESWARI 14-03-1965
622 PEN-0650 TULASI RAO T 25-12-1952 300000 Yes
623 PEN-0650 VIJAYA LAXMI 31-05-1960
624 PEN-0653 VITAL B P R 19-10-1952 300000 Yes
625 PEN-0653 SAILAJA DEVI 15-12-1962
626 PEN-0657 VENKATESWAR RAO D 10-10-1952 300000 Yes
627 PEN-0657 LAXMI 10-04-1962
628 PEN-0658 SAMBI REDDY I 07-06-1955 300000 No
629 PEN-0658 SIVA NAGESWARI 01-03-1986
630 PEN-0659 VASUDEVA RAO K 05-12-1955 300000 Yes
631 PEN-0659 ADILAXMI 15-05-1957
632 PEN-0660 MADHAVARAO R 17-12-1955 200000 No
633 PEN-0660 LEELAVATHI 05-07-1962
634 PEN-0662 S VENKATESWARLU 10-06-1952 400000 Yes
635 PEN-0662 SREEDEVI 25-05-1954
636 PEN-0664 SANKARA RAO B U 16-01-1953 300000 Yes
637 PEN-0664 SUSHMA SARASWATI 23-01-1954
638 PEN-0665 JANAKI RAM MANCHIKANTI 05-10-1952 400000 Yes
639 PEN-0665 BHAVANI 01-06-1960
640 PEN-0669 P RAVIKUMAR 15-02-1949 200000 No
641 PEN-0669 GNANAVALLI 06-05-1958
642 PEN-0670 A VENKATA RAGHAVA CHARYULU 24-03-1953 300000 Yes
643 PEN-0670 RAGHUBALA 07-04-1960
644 PEN-0671 RAMA RAO R 26-06-1953 400000 Yes
645 PEN-0671 SWARNA RAVI 10-03-1959
646 PEN-0676 V SUNDARA RAMAM 30-07-1951 300000 Yes
647 PEN-0676 V ANNAPURNA VISALAKSHII 01-06-1954
648 PEN-0678 R VENKATESWARA RAO 03-07-1951 300000 Yes
649 PEN-0678 ANURADHA 01-05-1956
650 PEN-0681 V CHAKRADHARA RAO 02-06-1952 300000 Yes
651 PEN-0681 DHANALAXMI 05-06-1958
652 PEN-0683 P BOSE 02-01-1950 300000 Yes
653 PEN-0683 VIJAYA LAXMI 06-03-1958
654 PEN-0684 LAKSHMINARAYANA CHAVA 08-02-1955 300000 Yes
655 PEN-0684 PADMAVATI 16-07-1959
656 PEN-0687 SANYASI RAO A 07-10-1954 300000 Yes
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
657 PEN-0688 SATYANARAYANA MEDURI 02-06-1956 200000 No
658 PEN-0688 RADHIKA 23-04-1965
659 PEN-0690 G BAPI RAJU 15-01-1952 300000 Yes
660 PEN-0690 VARALAXMI 15-06-1959
661 PEN-0696 SURENDER KONDAMEEDI 15-04-1958 300000 No
662 PEN-0696 UMA RANI 25-05-1955
663 PEN-0698 UMAPATHI S 03-11-1954 300000 Yes
664 PEN-0698 S SHARADA 15-11-1963
665 PEN-0699 BOSE N S CH 05-08-1954 200000 Yes
666 PEN-0699 DHANALAXMI 11-08-1960
667 PEN-0701 APPALA NAIDU A 01-07-1953 200000 No
668 PEN-0704 PRASADA RAO G V 02-07-1954 400000 Yes
669 PEN-0705 G PHANI BUSHAN 25-05-1955 300000 Yes
670 PEN-0705 PADMA 07-08-1961
VENKATA SUBHRAMANYESWARA RAO
671 PEN-0709 KAZA 09-12-1957 300000 No
672 PEN-0713 SATISH KUMAR K 03-07-1954 400000 Yes
673 PEN-0713 RAMADEVI 15-06-1954
674 PEN-0714 RAM MOHAN G 01-06-1954 200000 No
675 PEN-0714 PADMAVATHI 08-05-1965
676 PEN-0716 GANGARAJU G V R L 25-06-1956 300000 Yes
677 PEN-0716 KARUNA SRI 15-08-1963
678 PEN-0718 PRASAD D S R 27-12-1957 200000 No
679 PEN-0718 RUPA DEVI 01-11-1964
680 PEN-0719 N LAKSHMINARAYANA 06-07-1950 300000 Yes
681 PEN-0719 LAXMI 26-11-1960
682 PEN-0721 G SITARAMAYYA 24-09-1951 400000 Yes
683 PEN-0721 SUBHADRA 25-04-1960
684 PEN-0722 KAMESWARA RAO M 24-09-1953 400000 No
685 PEN-0722 HUNUMAYA 15-08-1959
686 PEN-0728 RAMAM S V 12-12-1952 400000 Yes
687 PEN-0728 LAXMI 09-08-1957
688 PEN-0731 APPALA NAIDU SANKARAPU 01-01-1954 400000 No
689 PEN-0731 RAMANAMMA 01-01-1963
690 PEN-0733 K VENKAT RAO 05-05-1952 400000 No
691 PEN-0733 INDUMATI DEVI 05-09-1953
692 PEN-0734 KRISHNA REDDY P V 01-02-1955 400000 Yes
693 PEN-0734 SWARJYA LAXMI 25-04-1958
694 PEN-0737 NAGABUSHAN RAO M 01-10-1957 300000 No
695 PEN-0737 SUGUNA MANI 18-04-1962
696 PEN-0739 K VYAGRESWAR RAO 04-02-1950 400000 No
697 PEN-0739 SATYAVANI 01-01-1952
698 PEN-0742 KRISHNA MURTHY RAJU CH 04-02-1954 300000 No
699 PEN-0742 RAMA 15-02-1959
700 PEN-0743 SASTRY J V V 20-03-1954 400000 No
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
701 PEN-0743 ADI LAXMI 13-03-1962
702 PEN-0744 VISWANATH B N 04-05-1954 400000 Yes
703 PEN-0744 LILA 04-02-1959
704 PEN-0747 JAGANNADHA RAO CH 14-06-1953 400000 Yes
705 PEN-0747 RAJYA LAXMI 09-09-1965
706 PEN-0748 GANESWARA RAO K 26-07-1954 400000 Yes
707 PEN-0748 AMMAJI 08-08-1959
708 PEN-0749 RAMANA MURTHY A V 01-08-1955 400000 Yes
709 PEN-0749 PADMAVATI 11-08-1962
710 PEN-0750 MOHAN RAO G 04-09-1954 400000 Yes
711 PEN-0750 LAXMI 21-09-1960
712 PEN-0751 PATNAIK V S 28-03-1955 400000 No
713 PEN-0751 RAMALAXMI PATNAIK 10-06-1964
714 PEN-0753 JOGESWARA DUTT BHOMMIDIPATI 03-03-1955 300000 Yes
715 PEN-0753 ANNAPURNA 18-11-1958
716 PEN-0757 RAJASEKHARAN S R 28-05-1958 400000 Yes
717 PEN-0757 REVATHI 02-02-1960
718 PEN-0758 MOHAN RAO A 10-10-1954 400000 Yes
719 PEN-0758 GURULAXMI 22-08-1963
720 PEN-0759 VENKATARAMANA CHARY G 10-02-1955 300000 No
721 PEN-0759 SUNEETHA 01-09-1987
722 PEN-0764 VENUGOPAL REDDY B 04-07-1958 400000 No
723 PEN-0764 ANURADHA 07-07-1960
724 PEN-0765 SURENDRA NAIDU P V 06-03-1959 300000 Yes
725 PEN-0765 VIJAYALAXMI 30-08-1966
726 PEN-0766 DEVA SIKHA MANI TALLURI 20-05-1957 300000 Yes
727 PEN-0766 NIRMALA 15-07-1963
728 PEN-0769 K PANDURANGAIAH 03-03-1952 300000 Yes
729 PEN-0770 Y KRISHNAMURTY 10-05-1949 300000 Yes
730 PEN-0770 YELLORE RAMADEVI 15-07-1963
731 PEN-0771 M JANARDHANA RAO 06-06-1949 300000 Yes
732 PEN-0771 M SUJATHA 10-09-1960
733 PEN-0772 C NARASIMHA REDDY 10-06-1949 300000 Yes
734 PEN-0772 SUMITRA 16-09-1959
735 PEN-0776 A VEERABHADRAIAH 12-04-1950 300000 Yes
736 PEN-0776 RAMA LAXMI 06-06-1959
737 PEN-0780 P SUBBA RAO 15-01-1950 400000 Yes
738 PEN-0780 PALIVELA VIJAYA LAXMI 01-10-1958
739 PEN-0781 P S PRASAD 10-04-1950 300000 Yes
740 PEN-0781 P ANASURYA 15-05-1952
741 PEN-0784 A NAGESWARA RAO 20-12-1949 300000 Yes
742 PEN-0784 VARALAXMI DEVI 13-08-1953
743 PEN-0788 K MALLIKAHRJUNA RAO 15-07-1949 300000 Yes
744 PEN-0788 KANAKADURGA 15-02-1955
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
745 PEN-0790 SV ESWARA RAO 01-07-1951 300000 Yes
746 PEN-0790 S S LAXMI 10-08-1959
747 PEN-0792 Y GOPALAKRISHNA 12-08-1951 400000 No
748 PEN-0792 SRIMATHI 26-09-1959
749 PEN-0793 A B SUBRAHMANYAM 01-01-1951 400000 Yes
750 PEN-0793 NAGALAXMI 26-09-1959
751 PEN-0795 T S MURTHY 24-06-1951 400000 No
752 PEN-0795 T S R MANI 08-09-1955
753 PEN-0798 SUBBA RAO KETHINENI 03-01-1952 400000 Yes
754 PEN-0798 SWARUPA RANI 25-09-1958
755 PEN-0799 M SHESHAGIRI RAO 18-06-1951 400000 No
756 PEN-0799 UMARANI 18-08-1954
757 PEN-0800 Y SYAM PRASAD 15-08-1951 400000 Yes
758 PEN-0800 NAGAMANI 15-05-1955
759 PEN-0801 P APPA RAO 16-11-1951 300000 Yes
760 PEN-0801 SAMPURNA 10-01-1953
761 PEN-0805 RSR MURTHY 15-10-1951 300000 Yes
762 PEN-0805 SAVITHRI 04-06-1956
763 PEN-0808 K KAMESWARA RAO 19-02-1950 400000 Yes
764 PEN-0808 JAGADESWARI 05-01-1960
765 PEN-0809 JT MURTY 05-12-1951 300000 Yes
766 PEN-0809 LALITHAMBA 18-12-1950
767 PEN-0814 SATYANARAYANA R 07-06-1954 400000 Yes
768 PEN-0814 RAYI KUMARI 01-01-1959
769 PEN-0818 RAJA REDDY N 12-08-1954 300000 Yes
770 PEN-0818 KALAVATHI 15-08-1957
771 PEN-0821 MOHAN RAO D 15-03-1955 300000 Yes
772 PEN-0821 D RANGANAYAKAMMA 01-01-1961
773 PEN-0825 SAIBABA G 04-12-1956 400000 Yes
774 PEN-0825 KARUNA 30-10-1959
775 PEN-0827 KUMAR E N 10-07-1958 400000 No
776 PEN-0827 NAGALAXMI 01-08-1962
777 PEN-0828 UMESH KAMALAKAR RAO T 30-08-1958 400000 No
778 PEN-0828 HEMALATHA 14-07-1966
779 PEN-0829 JOHN SUNDARA RAO GADAMALA 06-09-1958 200000 Yes
780 PEN-0829 SUNITHA 01-01-1968
781 PEN-0831 SATYANARAYANA D V 07-08-1958 400000 No
782 PEN-0831 SRIDEVI 01-03-1963
783 PEN-0832 SAMAVEDAM RAGHAVA CHARY 25-10-1951 400000 No
784 PEN-0832 AVANIJA 01-05-1962
785 PEN-0833 RAJU K U B 06-08-1954 400000 Yes
786 PEN-0833 K UMADEVI 05-10-1962
787 PEN-0835 HANUMANTHA RAO YARLAGADDA 12-06-1954 400000 No
788 PEN-0835 SUDHA RANI 27-08-1958
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
789 PEN-0837 RAJU B S N 12-07-1955 400000 No
790 PEN-0837 BANGARU LAKSHMI 01-07-1958
791 PEN-0842 ESWARA RAO A 24-01-1956 400000 No
792 PEN-0842 SARADA 15-06-1963
793 PEN-0843 MD FAIZUDDIN 23-07-1955 400000 Yes
794 PEN-0843 SABIHA TALATH 15-07-1964
795 PEN-0844 VENUGOPAL RAO MEDAVARAM 10-06-1955 400000 No
796 PEN-0844 VANI 28-07-1966
797 PEN-0851 SAMBASIVA RAO CH 06-06-1954 300000 Yes
798 PEN-0851 PURNIMA 10-06-1966
799 PEN-0852 KRISHNA RAO VINNAKOTA 01-10-1955 300000 Yes
800 PEN-0852 SWARAJYA LAKSHMI 15-08-1967
801 PEN-0853 PRABHAKAR REDDY CH 04-03-1955 300000 No
802 PEN-0853 KRISHNAVENI 19-12-1964
803 PEN-0854 SATYANARAYANA B 22-06-1958 300000 Yes
804 PEN-0854 PRAMEELA 10-08-1966
805 PEN-0855 BHASKAR RAO G 03-04-1958 300000 No
806 PEN-0855 LAXMI 15-06-1968
807 PEN-0856 TIRUPATHI GEDELA 10-07-1955 300000 Yes
808 PEN-0856 SATHYAVATHI 06-06-1966
809 PEN-0861 R VISWESWARA SARMA 24-01-1949 400000 Yes
810 PEN-0861 VENKATA RAMANAMMA 06-06-1953
811 PEN-0866 G VISWANADHAM 03-03-1952 300000 Yes
812 PEN-0866 VARALAXMI 17-08-1961
813 PEN-0867 KRISHNA CH B S 15-12-1957 300000 Yes
814 PEN-0867 CHANDRAMANI 13-10-1965
815 PEN-0869 GADDALA PRABHAKAR 18-10-1944 300000 Yes
816 PEN-0869 GANGUBAI 02-05-1949
817 PEN-0870 V RATNA RAO 21-01-1948 300000 Yes
818 PEN-0870 SUSEELA 01-06-1953
819 PEN-0874 AHMADULLAH KHAN 16-08-1950 300000 Yes
820 PEN-0874 ASIMA BEGUM 18-09-1952
821 PEN-0884 KASIREDDI RAMA RAO 01-07-1952 300000 No
822 PEN-0884 HEMALATHA 10-10-1957
823 PEN-0888 RAVINDER PARVATAM 30-11-1957 400000 No
824 PEN-0888 SUDHA 12-04-1963
825 PEN-0892 PRAKASH Y N 13-09-1958 400000 No
826 PEN-0892 RAMADEVI 13-02-1973
827 PEN-0895 P PRASADA RAJU 14-08-1951 300000 Yes
828 PEN-0895 SATYAVATI 12-08-1961
829 PEN-0896 T CHANDRA MOHAN 01-07-1952 400000 Yes
830 PEN-0896 THOLU GOWRISHWARI 10-08-1960
831 PEN-0897 SWAMY Y 15-06-1953 400000 Yes
832 PEN-0897 USHARANI 05-07-1958
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
833 PEN-0898 PARIPURNACHARY R 15-08-1955 400000 No
834 PEN-0898 PRAKRUTAMBA 07-07-1966
835 PEN-0908 CHANDRAMOULI P 28-02-1953 400000 Yes
836 PEN-0908 MAHISESHA VARDHANI 02-08-1955
837 PEN-0913 PRAKASA RAO THOLAPU 16-02-1954 300000 Yes
838 PEN-0913 REVATI 09-05-1966
839 PEN-0916 MOHAN RAO G 04-06-1955 400000 Yes
840 PEN-0916 URMILADEVI 04-11-1967
841 PEN-0918 SAIDULU T 12-08-1954 300000 No
842 PEN-0918 JAYASRI 21-12-1959
843 PEN-0919 JAYARAO CH V M 28-08-1957 300000 Yes
844 PEN-0919 VIJAYA KUMARI 24-06-1966
845 PEN-0923 AHAMMAD ALI 17-12-1955 400000 No
846 PEN-0923 MAHBUBUNNISA BEGUM 25-04-1971
847 PEN-0928 RAMANA RAO K P V 05-03-1955 400000 No
848 PEN-0928 SAI KUMARI 21-09-1957
849 PEN-0930 RAJASEKHAR A 06-10-1957 400000 Yes
850 PEN-0930 NASEEMA 01-01-1958
851 PEN-0936 ARAVINDABABU P 24-07-1952 400000 Yes
852 PEN-0936 PASALA TULASIDEVI 27-04-1961
853 PEN-0939 ADAIAH K 06-06-1955 300000 Yes
854 PEN-0939 SEETHA KUMARI 15-01-1966
855 PEN-0940 CH SESHAIAH 07-03-1952 300000 Yes
856 PEN-0940 ANASURYA 01-07-1960
857 PEN-0943 RAJU D R B 06-07-1954 300000 Yes
858 PEN-0943 RADHA 20-08-1957
859 PEN-0948 K D S V PRASAD 29-11-1957 300000 No
860 PEN-0948 RAMAMANI 10-08-1959
861 PEN-0949 SARMA V R S 01-08-1954 400000 No
862 PEN-0949 SUBBALAXMI 27-03-1957
863 PEN-0950 KRISHNA SASTRY C 10-08-1955 400000 No
864 PEN-0951 SIMHACHALAM K 17-02-1954 300000 Yes
865 PEN-0951 UDYASRI 06-01-1968
866 PEN-0954 SHIVAIAH P 14-08-1957 300000 No
867 PEN-0954 NIRMALA 04-04-1961
868 PEN-0955 RAMA RAO P 04-08-1957 300000 No
869 PEN-0955 SYAMALA 01-09-1963
870 PEN-0958 KUBHAM KRISHNA MURTHY 07-01-1951 400000 Yes
871 PEN-0958 SREEVANI 01-01-1959
TALLAPRAGADA SUNDARA
872 PEN-0959 SIVARAMAKRISHNA GANDHI 01-06-1947 400000 Yes
873 PEN-0959 SURYA RATNAM 06-09-1956
874 PEN-0960 UMAMAHESWARA RAO D 15-02-1953 400000 No
875 PEN-0960 JOGULAMMA 20-09-1956
876 PEN-0962 NAGARAJU C S R 09-07-1957 300000 No
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
877 PEN-0962 URMILA 21-06-1960
878 PEN-0966 LAXMANACHARYULU V 30-11-1952 400000 Yes
879 PEN-0966 RAMDEVI 15-08-1960
MURALI MOHANA RAO
880 PEN-0967 DURGUMAHANTI 30-03-1959 300000 No
881 PEN-0967 VIJAYALAXMI 09-10-1965
882 PEN-0969 ALEX REDDY 05-05-1945 300000 No
883 PEN-0972 MANIBHUSHANA RAO LAKHANAPURAM 22-03-1959 300000 No
884 PEN-0972 USHA RANI 12-07-1969
885 PEN-0974 RAJAIAH NALLATHIGALA 02-03-1959 300000 Yes
886 PEN-0974 VARALAXMI 13-01-1961
887 PEN-0976 A PARAMESHWAR RAO 02-08-1951 300000 Yes
888 PEN-0976 PADMAVATHI 21-05-1964
889 PEN-0977 D KRISHNA MOHAN RAO 23-04-1947 300000 Yes
890 PEN-0977 LAXMI 06-02-1956
891 PEN-0978 CHARY BANDAPALLI R K 01-01-1959 200000 Yes
892 PEN-0978 BALAKUMARI 06-04-1966
893 PEN-0980 PEKETI RAMANA MURTHY 03-06-1950 300000 Yes
894 PEN-0980 MALLESWARI 17-08-1962
895 PEN-0981 SASTRY P V S 26-05-1955 400000 No
896 PEN-0981 SARADA DEVI 05-06-1958
897 PEN-0983 B SUNDARI 15-07-1950 300000 No
898 PEN-0984 KAMALA KUMAR K 15-10-1953 400000 Yes
899 PEN-0984 RADHA 04-07-1958
900 PEN-0988 RAMESH E 20-06-1958 300000 No
901 PEN-0988 SHANTA KUMARI 01-07-1958
902 PEN-0989 SATHEESH REDDY P 27-09-1958 300000 Yes
903 PEN-0989 VASUDHA 10-02-1969
904 PEN-1002 HANMANTH REDDY TEELETI 11-07-1958 300000 Yes
905 PEN-1002 PADMA 07-07-1967
906 PEN-1004 SITARAMAIAH R 17-11-1957 300000 No
907 PEN-1004 MOHINI 15-11-1968
908 PEN-1008 P VIJAYABHUPAL 19-02-1951 300000 Yes
909 PEN-1008 NAGESWARI 20-04-1956
910 PEN-1011 SASTRY J V J 30-11-1957 300000 Yes
911 PEN-1011 GOURI KUMARI 12-08-1959
912 PEN-1015 JOHNRATNAM M 04-10-1953 400000 No
913 PEN-1015 BHARATHI 17-03-1966
914 PEN-1016 RATNAKAR D G V 10-12-1953 300000 No
915 PEN-1016 JAYALAXMI 19-10-1958
916 PEN-1024 RAMANA GV 17-10-1957 300000 No
917 PEN-1024 SATYAVANI 25-08-1963
918 PEN-1026 C V RAO 06-03-1951 300000 Yes
919 PEN-1026 VIJAYA 21-05-1959
920 PEN-1027 AYYAPA RAO N 27-10-1955 400000 No
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
921 PEN-1027 LAKSHMI 16-06-1961
922 PEN-1028 C V RAMANA 01-07-1952 400000 Yes
923 PEN-1028 REDDY KUMARI 01-01-1962
924 PEN-1029 D J DEVADANAM 16-02-1952 400000 Yes
925 PEN-1029 VAZRAM 06-02-1956
926 PEN-1041 UMA RANI PARISA 26-03-1959 400000 Yes
927 PEN-1041 RAMA KRISHNA RAO 10-04-1957
928 PEN-1050 KRISHNA RAO K V V 17-02-1955 400000 Yes
929 PEN-1050 JAYALAXMI 20-02-1969
930 PEN-1061 M SAMBASIVA RAO 01-05-1951 300000 No
931 PEN-1061 LAXMIBHAVANI 01-06-1959
932 PEN-1063 LAXMA REDDY AKIDI 04-08-1955 400000 No
933 PEN-1063 BHARATI 04-08-1962
934 PEN-1064 RAMA CHANDRA REDDY K 20-12-1955 400000 No
935 PEN-1064 ANASUYA 16-05-1962
936 PEN-1065 BASANTH REDDY V 29-03-1959 400000 No
937 PEN-1065 SHARADA 02-10-1966
938 PEN-1066 KURMA RAO VAPPANGI 19-04-1959 400000 Yes
939 PEN-1066 RAMADEVI 17-09-1966
940 PEN-1067 GOPAL REDDY N 08-03-1959 300000 Yes
941 PEN-1067 AJITHA 30-08-1968
942 PEN-1072 SUDHAKAR DAS G 03-07-1952 300000 Yes
943 PEN-1072 RANGAMMA 01-01-1960
944 PEN-1073 SUDHAKAR RAO A 10-04-1957 300000 Yes
945 PEN-1073 CHENNA KUMARI 06-06-1966
946 PEN-1075 MOHD SAFDAR HUSSAIN KHAN 05-09-1956 300000 Yes
947 PEN-1075 ABEDA BEGUM 17-04-1972
948 PEN-1078 SHESHADRI M V S A R 02-09-1952 200000 Yes
949 PEN-1078 M A L SATYAVATI DEVI 13-05-1954
950 PEN-1092 SRINIVAS V 03-03-1965 300000 No
951 PEN-1092 LAXMI 16-04-1970
952 PEN-1094 K CHANDRA KUMAR 05-05-1951 300000 Yes
953 PEN-1098 SHESHAVATARM GATTU 14-06-1957 300000 Yes
954 PEN-1098 ANDALU 01-01-1971
955 PEN-1100 B SUDARSHAN 10-07-1951 300000 Yes
956 PEN-1100 SANDYARANI 11-09-1959
957 PEN-1102 M KISTAIAH 04-05-1952 400000 No
958 PEN-1102 CHANDRAKALA 06-12-1963
959 PEN-1103 NARSIMHA MURTY I 01-07-1958 300000 Yes
960 PEN-1103 LAXMI SATYAVATHI 15-01-1967
961 PEN-1111 UMAKANTH VEMULA 01-05-1960 200000 No
962 PEN-1111 UMADEVI 03-04-1966
963 PEN-1115 MOINUDDIN MD 26-02-1954 300000 Yes
964 PEN-1115 ISMAIL BEE 04-01-1957
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
965 PEN-1116 M SRIRAMULU 01-01-1952 300000 Yes
966 PEN-1116 INDRAVATI 01-06-1961
967 PEN-1134 KOTHA TELUGU LAXMAIAH 06-06-1956 400000 Yes
968 PEN-1134 VENKATAMMA 01-01-1966
969 PEN-1138 KAMA RAJU V A 15-08-1953 300000 Yes
970 PEN-1138 VIJAYA LAXMI 01-10-1959
971 PEN-1139 YAKUB SD 05-12-1955 300000 Yes
972 PEN-1139 NASEEMA 02-03-1989
973 PEN-1145 R ATCHUTA RAO 10-04-1951 400000 No
974 PEN-1148 SEETHA RAMA RAJU D 01-07-1953 300000 No
975 PEN-1148 SAKUNTALA 05-08-1959
976 PEN-1162 VENKATESHWARLU R 15-04-1959 300000 Yes
977 PEN-1162 SARALA KUMARI 06-10-1965
978 PEN-1169 PRABHAKAR RAO YELLAPRAGADA 15-05-1959 400000 Yes
979 PEN-1169 SREELAXMI 24-01-1969
980 PEN-1170 VAGULAGADDA ASHIREDDY 05-05-1959 300000 No
981 PEN-1170 SUJATHA 29-12-1967
982 PEN-1171 MURALIDHAR GANTI 23-05-1959 300000 Yes
983 PEN-1171 NAGAMANI 16-02-1967
984 PEN-1172 THAVUDU G 15-05-1959 300000 Yes
985 PEN-1172 ARUNA KUMARI 19-12-1969
986 PEN-1173 SRINIVAS REDDY CHIMMULA 01-06-1959 400000 No
987 PEN-1173 PADMAJA 22-09-1966
988 PEN-1174 PRABHU N 10-05-1959 400000 No
989 PEN-1175 KOTESWARA RAO KACHHA 15-05-1959 400000 Yes
990 PEN-1175 VIJAYALAXMI 08-03-1969
991 PEN-1176 GOWRI SHANKARJI M 01-06-1959 300000 Yes
992 PEN-1176 SURYAKANTHAM 28-08-1966
993 PEN-1178 HAYAGRIVA RAO D 20-05-1959 400000 No
994 PEN-1178 VISHNUPRIYA 13-09-1966
995 PEN-1181 BASWANTH REDDY G 04-05-1959 300000 No
996 PEN-1181 ARUNA DEVI 13-01-1971
997 PEN-1187 NAGESHWAR RAO MIRYALA 10-06-1959 200000 No
998 PEN-1187 NEERAJA 06-08-1962
999 PEN-1188 SREEPATHI K V 15-06-1959 400000 No
1000 PEN-1188 RAMANI 26-10-1968
1001 PEN-1189 NAGESWARA RAO KODUKULA 01-07-1959 300000 Yes
1002 PEN-1189 PUSHPALATHA 01-07-1965
1003 PEN-1190 VISWA PRASAD YANDRAPU 01-07-1959 300000 Yes
1004 PEN-1190 RADHA RANI 31-12-1962
1005 PEN-1192 DASUNAIK AZMEERA 10-06-1959 400000 Yes
1006 PEN-1192 RUKMINI 10-06-1972
1007 PEN-1194 VIJAYAPAL REDDY CHINTHIREDDY 01-06-1959 300000 Yes
1008 PEN-1194 USHARANI 12-06-1969
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1009 PEN-1195 RAMESH KUMAR REDDY POLU 05-05-1959 300000 Yes
1010 PEN-1195 NIRMALA 27-06-1963
1011 PEN-1196 SANYASAYYA V 15-06-1959 200000 Yes
1012 PEN-1196 CHINNAYYAMMA 20-02-1965
1013 PEN-1202 KRISHNA REDDY VENUMUDDALA 08-06-1959 300000 No
1014 PEN-1202 JYOTHI 26-10-1961
1015 PEN-1204 DAYAKAR PULIPATI 24-07-1959 300000 Yes
1016 PEN-1204 SRIDEVI 23-05-1968
1017 PEN-1207 VIJAYA LAKSHMI P 20-07-1959 400000 No
1018 PEN-1208 SURYANARAYANA P 10-07-1959 300000 Yes
1019 PEN-1208 ANURADHA 01-10-1963
1020 PEN-1211 S SURYANARAYANA REDDY 13-07-1959 300000 No
1021 PEN-1211 GEETHAMADHURI 05-06-1965
1022 PEN-1212 RAMANA MURTHY CH V 01-07-1960 300000 No
1023 PEN-1213 VENKATESHWAR RAO P V N 12-07-1959 300000 No
1024 PEN-1213 P N V DUGABHAVANI 13-02-1967
1025 PEN-1214 GANESH BANDARU 05-07-1959 400000 No
1026 PEN-1214 SASIKALA 12-06-1964
1027 PEN-1219 PENTAIAH GUMMADAVALLY 18-03-1960 400000 Yes
1028 PEN-1219 ANDALU 01-01-1968
1029 PEN-1220 SRINIVASULU SANGA 15-02-1959 200000 No
1030 PEN-1220 NIRMALA DEVI 15-06-1970
1031 PEN-1222 NAGESHWARA RAO THIPIRESHETTY 06-08-1959 300000 Yes
1032 PEN-1222 VARIJA 05-07-1961
1033 PEN-1223 RAJENDRA KUMAR P V V 03-08-1959 300000 Yes
1034 PEN-1223 PADMAJA 31-01-1963
1035 PEN-1224 SUDHAKAR SWAMY VINJAMURY 10-07-1960 300000 Yes
1036 PEN-1224 SRIDEVI 20-10-1965
1037 PEN-1225 RAMANA YV 01-07-1967 300000 No
1038 PEN-1225 Y N RANI 10-08-1967
1039 PEN-1227 VISWANADHAM P 11-08-1959 300000 No
1040 PEN-1227 SUSEELA 06-06-1966
1041 PEN-1229 SADANANDAM P 16-08-1959 400000 Yes
1042 PEN-1229 LAXMI 01-04-1969
1043 PEN-1230 DEVADAS A 02-08-1959 300000 Yes
1044 PEN-1230 RAMALAXMI 01-06-1965
1045 PEN-1231 KANAKAIAH MALLAMULA 10-08-1959 400000 Yes
1046 PEN-1231 BHAGYALAXMI 10-01-1967
1047 PEN-1237 RAVI KUMAR K 17-07-1961 300000 No
1048 PEN-1237 RAJESWARI 05-07-1970
1049 PEN-1238 DHARMA REDDY T 03-08-1959 200000 No
1050 PEN-1238 PRATHIBHA 10-02-1966
1051 PEN-1245 SUMATHI D 14-11-1962 400000 No
1052 PEN-1245 RAMACHANDER RAO 01-05-1959
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1053 PEN-1247 PRABHAKAR A 08-12-1959 200000 No
1054 PEN-1247 SRIDEVI 12-01-1970
1055 PEN-1249 SATTAIAH K 09-06-1959 300000 No
1056 PEN-1249 RUKMINI 01-01-1969
1057 PEN-1257 MADHUSUDHAN REDDY MALLAREDDY 22-10-1959 300000 No
1058 PEN-1257 VIJAYA LAXMI 01-02-1964
1059 PEN-1258 RANGARAO POTLA 15-10-1959 300000 Yes
1060 PEN-1258 SWARNA KUMARI 01-01-1971
1061 PEN-1260 SESHA GIRI A 10-10-1959 300000 Yes
1062 PEN-1262 RAJU K A N 26-10-1959 300000 No
1063 PEN-1263 BABU RAO M 01-11-1959 200000 Yes
1064 PEN-1263 NEELAVENI 01-07-1968
1065 PEN-1265 VISHNU VARDHAN REDDY M 08-10-1959 300000 Yes
1066 PEN-1265 VIJAYA BHARATHI 22-05-1965
1067 PEN-1266 DAWOOD SK 20-10-1959 300000 Yes
1068 PEN-1266 SARDARI BEGUM 21-07-1969
1069 PEN-1269 RAMULU CH 18-11-1959 300000 Yes
1070 PEN-1269 VIJAYALAXMI 16-11-1970
1071 PEN-1271 RAMGOPAL REDDY S 14-11-1959 400000 Yes
1072 PEN-1271 VIJINA 19-05-1967
1073 PEN-1273 RAJU P B S S B K 01-12-1959 400000 No
1074 PEN-1273 PBS SOUDHAMANI DEVI 24-05-1963
1075 PEN-1276 RAVINDHAR GOTOOR 10-11-1959 300000 Yes
1076 PEN-1278 SARALA DEVI V 02-11-1959 200000 No
1077 PEN-1280 VENKATA RAMANA RAO ATHALURI 20-11-1959 300000 No
1078 PEN-1280 RENUKA 17-05-1964
1079 PEN-1282 SUDHEER REDDY L 07-12-1959 400000 No
1080 PEN-1282 JALAJA 26-01-1962
1081 PEN-1284 NAGENDER Y 01-01-1960 400000 No
1082 PEN-1284 LAXMI 01-01-1965
1083 PEN-1285 NARAYAN REDDY M 01-01-1960 300000 Yes
1084 PEN-1285 UMA RANI 25-05-1965
1085 PEN-1287 RAVINDERREDDY T 14-12-1959 300000 Yes
1086 PEN-1287 SUNITHA 03-03-1965
1087 PEN-1291 CHANDRASEKHAR S 22-01-1960 200000 No
1088 PEN-1291 SUNITHA 22-03-1968
1089 PEN-1293 KRISHNA MURTHY P 08-01-1960 400000 No
1090 PEN-1293 SEETHA 09-07-1975
1091 PEN-1297 SHIVA PRASAD MAROJU 03-02-1964 400000 No
1092 PEN-1297 SWARNALATHA 31-07-1970
1093 PEN-1301 SRINIVAS REDDY G 10-06-1961 400000 No
1094 PEN-1301 VIJAYA 15-06-1965
1095 PEN-1303 SIMHACHALAM MUNJETI 15-02-1960 300000 No
1096 PEN-1303 CHITTAMMA 01-01-1966
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1097 PEN-1304 MALHARI DEVI CH 01-03-1960 400000 No
1098 PEN-1304 RAMA RAO 15-07-1957
1099 PEN-1305 SHARMA D V K 27-02-1960 400000 Yes
1100 PEN-1305 PADMAJA 21-01-1965
1101 PEN-1308 PRABHAKAR RAO I 10-03-1960 300000 No
1102 PEN-1308 VANAJA 04-12-1960
1103 PEN-1312 RATNA KUMARI TENNETI 14-03-1960 200000 Yes
1104 PEN-1317 RAMANUJAM V 19-04-1960 400000 No
1105 PEN-1317 INDIRA 01-01-1965
1106 PEN-1323 AMARENDER REDDY K 20-09-1961 300000 Yes
1107 PEN-1323 ARUNDHATHI 15-06-1966
1108 PEN-1328 VIBHISHAN REDDY P 19-01-1963 200000 No
1109 PEN-1328 ANITHA 20-08-1970
1110 PEN-1329 PRABHAKAR T V V 21-05-1960 400000 Yes
1111 PEN-1329 JAYALAKSHMI 02-09-1965
1112 PEN-1333 VENKATA RAO A 01-06-1960 400000 Yes
1113 PEN-1333 SURYAKALA 28-02-1966
1114 PEN-1337 KESHAVULU SAMY 03-05-1960 300000 No
1115 PEN-1337 SARITHA 01-01-1971
1116 PEN-1341 GNANESHWAR P 05-01-1963 300000 Yes
1117 PEN-1341 RUKMINI 03-02-1972
1118 PEN-1344 VENKATESHWARLU PRABALA 08-06-1960 400000 No
1119 PEN-1344 PADMASRI 30-08-1969
1120 PEN-1346 RAJ A J P 26-05-1960 300000 Yes
1121 PEN-1346 MADHAVI 11-10-1970
1122 PEN-1347 SATYANARAYANA V 01-06-1960 400000 No
1123 PEN-1347 VIJAYA LAXMI 20-10-1971
1124 PEN-1349 KAMARTAPU NAGESWARA RAO 13-06-1960 300000 Yes
1125 PEN-1349 JAYAMMA 17-06-1964
1126 PEN-1351 SWAMULU M 01-05-1960 300000 Yes
1127 PEN-1351 M ESWARAMMA 01-05-1970
1128 PEN-1353 SOMAIAH SAKINALA 04-06-1960 200000 No
1129 PEN-1353 SHOBHA 10-02-1969
1130 PEN-1354 VEERANJANEYULU B 15-06-1960 400000 Yes
1131 PEN-1354 PADMA 04-05-1965
1132 PEN-1355 SIVA REDDY B V 01-07-1960 300000 Yes
1133 PEN-1355 VIDYAWATHI 10-07-1968
1134 PEN-1356 RAMA RAO DEVAMBATLA 30-06-1960 400000 No
1135 PEN-1356 RADHADEVI 28-06-1966
1136 PEN-1357 SANKARA RAO P B G 01-07-1960 400000 Yes
1137 PEN-1357 NAGESWARI 12-12-1962
1138 PEN-1358 VENKATA RAO PENKI 10-06-1960 200000 No
1139 PEN-1358 VENKATA SUBBA LAKSHMI 27-03-1963
1140 PEN-1362 VINOD REDDY K 10-06-1960 300000 Yes
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1141 PEN-1362 NEERAJA 21-11-1963
1142 PEN-1368 LAXMI NARSIMHA RAO E 30-07-1960 400000 No
1143 PEN-1368 SREELATHA 27-02-1968
1144 PEN-1370 ANJI REDDY KONYALA 15-07-1960 400000 No
1145 PEN-1370 SUVARNA 15-05-1965
1146 PEN-1371 JITENDER M 03-07-1960 300000 Yes
1147 PEN-1371 AMARALEELA 07-02-1966
1148 PEN-1374 AKBER MD 20-07-1960 300000 Yes
1149 PEN-1374 AKTAR BEGUM 01-01-1966
1150 PEN-1376 SRINIVAS K S 01-08-1960 400000 No
1151 PEN-1376 SRILAKSHMI 06-10-1966
1152 PEN-1377 RAJESHWAR RAO DURGANALA 08-07-1960 200000 No
1153 PEN-1377 UMADEVI 01-01-1967
1154 PEN-1380 RAO B CH V S S K 15-08-1960 300000 Yes
1155 PEN-1380 PUSHPALATHA 20-08-1963
1156 PEN-1381 LAXMANA RAO K 14-08-1960 400000 Yes
1157 PEN-1381 ARUNA KUMARI 23-12-1965
1158 PEN-1382 YESURATNAM KUKKALA 03-08-1960 300000 Yes
1159 PEN-1382 BHAGYALAXMI 08-06-1965
1160 PEN-1385 RAMESH GUPTA V 10-08-1960 300000 Yes
1161 PEN-1385 PADMAVATHI 04-08-1963
1162 PEN-1387 VENKAT REDDY P 09-08-1960 200000 No
1163 PEN-1387 P MALLIKA 01-07-1968
1164 PEN-1388 RAMDAS M 25-08-1960 400000 No
1165 PEN-1388 SUBHASHINI 31-07-1970
1166 PEN-1389 VITTAL REDDY ELLANKI 05-08-1960 300000 Yes
1167 PEN-1389 SHAILAJA 27-11-1967
1168 PEN-1392 RAMGOPAL REDDY M 14-03-1962 300000 Yes
1169 PEN-1392 M PUSHPALATHA 02-10-1972
1170 PEN-1393 MALLESHAM R 12-07-1966 300000 Yes
1171 PEN-1393 RAMADEVI 01-10-1965
1172 PEN-1394 PRAKASH B 02-10-1960 400000 Yes
1173 PEN-1394 JAYASREE 02-02-1963
1174 PEN-1395 BABAYYA K 01-07-1960 300000 No
1175 PEN-1398 SUBBARAO KVV 23-06-1962 300000 Yes
1176 PEN-1398 UMA RANI 06-05-1968
1177 PEN-1399 RAVINDERREDDY GADDAM 10-09-1960 300000 Yes
1178 PEN-1399 SWARUPA RANI 12-04-1961
1179 PEN-1404 BALATHIMMA REDDY MALIPEDDI 08-07-1961 300000 No
1180 PEN-1404 MALIPEDDI VANAJA REDDY 01-07-1964
1181 PEN-1405 VIJENDER B 05-10-1963 300000 Yes
1182 PEN-1405 PRABHAVATHI 03-06-1964
1183 PEN-1407 MALLESWARA RAO KINTHALI 14-10-1960 200000 No
1184 PEN-1407 KINTHALI JAYA SREE 05-06-1969
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1185 PEN-1411 VENKAIAH D 17-10-1960 300000 Yes
1186 PEN-1411 DASARI NAGAMANI 01-01-1962
1187 PEN-1412 NUTAN Y 01-07-1964 300000 No
1188 PEN-1414 RAMESH LEBURI 20-11-1960 400000 No
1189 PEN-1414 LEBURI RAMADEVI 12-03-1968
1190 PEN-1415 RAMANA KUMAR RAMAGIRI 10-06-1960 400000 No
1191 PEN-1415 R UMA 01-06-1968
1192 PEN-1417 KRISHNA REDDY P 12-11-1960 300000 Yes
1193 PEN-1417 SWAROOPA 15-02-1974
1194 PEN-1419 NAGESWARA RAO MAMINDI 11-11-1960 200000 Yes
1195 PEN-1419 GURUNADHA KUMARI 01-08-1970
1196 PEN-1422 YADAIAH V 30-12-1960 400000 No
1197 PEN-1422 VANAJA LATHA 10-08-1969
1198 PEN-1423 ISHTAIQ AHMAD 10-12-1960 400000 Yes
1199 PEN-1423 RAZIA BEGUM 10-07-1968
1200 PEN-1426 KAVITHA TELAKAPALLY 17-01-1962 300000 Yes
1201 PEN-1426 JAYA RAMULU 13-03-1955
1202 PEN-1427 BASWARAJ K 20-07-1963 300000 No
1203 PEN-1427 ARUNA KUMARI 28-02-1965
1204 PEN-1434 SYDA H 01-06-1963 300000 Yes
1205 PEN-1434 H PENTAMMA 01-01-1965
1206 PEN-1437 RAJI REDDY AALA 11-11-1960 400000 Yes
1207 PEN-1437 A ANITHA 25-08-1965
1208 PEN-1442 SRIHARI 09-02-1961 300000 No
1209 PEN-1442 S SHOBHA RANI 01-01-1975
1210 PEN-1443 VENKATESH J 09-02-1961 300000 No
1211 PEN-1443 J UMADEVI 13-02-1972
1212 PEN-1444 RAVINDER RAO N 06-02-1961 400000 No
1213 PEN-1444 VAIDEHI 12-06-1969
1214 PEN-1446 ANJI REDDY S 10-12-1963 200000 No
1215 PEN-1446 S JYOTHI 23-04-1969
1216 PEN-1447 NIRMALA JYOTHI V 01-08-1963 300000 Yes
1217 PEN-1447 SREEPATHI ABRAHAM 21-07-1962
1218 PEN-1449 RAM REDDY K 04-12-1961 300000 No
1219 PEN-1449 K MALATHI 23-08-1966
1220 PEN-1451 RAVI MALLEMPATI 01-04-1961 400000 Yes
1221 PEN-1451 VIJAYA KALPANA 18-01-1967
1222 PEN-1452 VENKAT RAMANAIAH P 15-03-1961 300000 Yes
1223 PEN-1454 KRISHNA M 15-03-1961 300000 Yes
1224 PEN-1454 LEELA 01-07-1969
1225 PEN-1457 GAFFAR S A 06-02-1964 300000 No
1226 PEN-1457 SYEDA SHAMEEM SULTANA 01-12-1967
1227 PEN-1459 VENU GOPAL KOWTHA 22-01-1963 300000 No
1228 PEN-1461 GUPTA N S K 20-02-1961 300000 Yes
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1229 PEN-1461 DHANALAXMI 10-06-1960
1230 PEN-1462 RAMAKOTAIAH V 06-03-1961 400000 No
1231 PEN-1462 VENKATAMMA 01-01-1965
1232 PEN-1463 HEERAMAN SINGH T 25-03-1961 400000 No
1233 PEN-1463 SANGEETHA 23-07-1969
1234 PEN-1465 SATYANARAYANA E 28-04-1961 300000 Yes
1235 PEN-1465 SRILATHA 14-09-1970
1236 PEN-1466 RAMANA MURTHY K V 01-05-1961 300000 Yes
1237 PEN-1466 VANI 24-06-1963
1238 PEN-1467 VENKATESHWAR REDDY S 07-04-1961 400000 No
1239 PEN-1467 KRISHNA VENI 12-12-1966
1240 PEN-1469 ALWAL REDDY Y 25-04-1961 400000 No
1241 PEN-1469 NIRMALA DEVI 22-06-1969
1242 PEN-1470 PRABHAKAR RAO M 20-04-1961 300000 No
1243 PEN-1470 VIJAYA 08-09-1964
1244 PEN-1471 RAGHUNATH D 01-05-1961 300000 No
1245 PEN-1471 SUVARNALATHA 12-06-1964
1246 PEN-1472 SHANTHA KUMAR A 22-04-1961 300000 No
1247 PEN-1472 PRAMEELA 14-01-1963
1248 PEN-1473 SANJEEVA REDDY S 03-04-1961 400000 No
1249 PEN-1473 SHARADA 31-05-1960
1250 PEN-1475 MALLAPPA R 08-04-1961 300000 Yes
1251 PEN-1475 SHIVAMMA 10-08-1963
1252 PEN-1479 SRINIVASU D 07-03-1961 400000 No
1253 PEN-1479 LAKSHMI 22-07-1966
1254 PEN-1481 RAVINDER G 08-05-1961 300000 Yes
1255 PEN-1481 ARUNA DEVI 01-01-1969
1256 PEN-1482 LAKSHMI K V V 01-06-1961 300000 Yes
1257 PEN-1482 G DHANA RAJU 01-09-1957
1258 PEN-1483 ESARAPU SATYANARAYANA GOUD 14-05-1961 300000 No
1259 PEN-1483 SUKANYA 21-06-1971
1260 PEN-1487 ASHAIAH K 01-05-1961 400000 Yes
1261 PEN-1487 VIJAYA LAKSHMI 05-12-1962
1262 PEN-1490 IBRAHIM T 03-06-1961 200000 Yes
1263 PEN-1490 SHOBHA RANI 28-08-1966
1264 PEN-1491 SUDARSHAN REDDY A 01-07-1961 300000 No
1265 PEN-1492 SUBRAMANYA SARMA A 15-06-1961 300000 No
1266 PEN-1492 HARI PRIYA 07-10-1968
1267 PEN-1495 SRINIVAS RAO S 19-06-1961 300000 Yes
1268 PEN-1495 PADMA 30-05-1969
1269 PEN-1510 RAVI KUMAR GOLLAPUDI 20-06-1962 400000 No
1270 PEN-1510 KRISHNAVENI BAJI 15-08-1964
1271 PEN-1511 MURALI KRISHNA REKABU 10-09-1962 200000 Yes
1272 PEN-1511 SUMALATHA 31-03-1968
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1273 PEN-1513 SHESHAGIRI RAO Y 03-08-1961 300000 No
1274 PEN-1513 VASANTHA 12-12-1964
1275 PEN-1514 SATYA PRASAD I 10-08-1961 300000 Yes
1276 PEN-1514 VASUNDARA 21-08-1968
1277 PEN-1515 TIRUPATHI GUGULOTH 15-06-1966 400000 Yes
1278 PEN-1515 SAVITHRI 22-05-1977
1279 PEN-1517 NAGESWARA RAO P V S 16-06-1962 300000 No
1280 PEN-1517 BABY KUMARI 01-07-1965
1281 PEN-1522 ESWAR RAO POTNURU 23-10-1961 300000 No
1282 PEN-1522 P JAGADEESHWARI 10-06-1966
1283 PEN-1523 MOHAN RAO P S 04-07-1963 300000 Yes
1284 PEN-1523 RAMA GOPI 20-03-1970
1285 PEN-1524 LAKSHMI K 27-03-1964 300000 Yes
1286 PEN-1524 KISHORE 01-01-1989
1287 PEN-1526 VARALAXMI A 05-07-1963 300000 No
1288 PEN-1530 VENUGOPALA RAO D 02-11-1961 300000 Yes
1289 PEN-1530 D SUMATI 01-01-1973
1290 PEN-1531 ANANDA RAO K 30-11-1961 300000 Yes
1291 PEN-1531 RAJESWARI 30-12-1969
1292 PEN-1537 MANOJ KUMAR B R V 01-01-1962 300000 Yes
1293 PEN-1537 PARIMALA 22-11-1967
1294 PEN-1545 N RAM CHANDRA REDDY 05-01-1962 400000 No
1295 PEN-1545 N UMA 19-07-1970
1296 PEN-1546 ANJANEYULU A 22-01-1962 300000 Yes
1297 PEN-1546 A BHARATHI 22-11-1966
1298 PEN-1549 CHANDRA SEKHAR K 05-01-1962 400000 No
1299 PEN-1549 KOTAM PADMA 05-05-1970
1300 PEN-1550 PRABHAKAR RAO P 10-05-1962 400000 Yes
1301 PEN-1550 P RAMA 02-10-1966
1302 PEN-1551 VENKATA BHARATHI PURUMU 12-06-1965 400000 Yes
1303 PEN-1551 MAADAM BALARAM 01-02-1958
1304 PEN-1554 SATYANARAYANA R 03-02-1962 300000 Yes
1305 PEN-1554 R LALITHA 18-08-1969
1306 PEN-1555 RAJKUMAR RAO M 17-02-1962 300000 Yes
1307 PEN-1555 M VENKATAJAYASREE 22-02-1966
1308 PEN-1558 NAGESHWAR A 04-02-1962 300000 Yes
1309 PEN-1558 SHAILAJA 10-08-1968
1310 PEN-1562 RAMESH BABU YALAMANCHILI 02-03-1962 300000 Yes
1311 PEN-1562 Y SRI DEVI 30-10-1971
1312 PEN-1563 DEVADAS T 05-03-1962 200000 No
1313 PEN-1563 T SUVARNA 10-06-1967
1314 PEN-1565 OSMAN MD 01-07-1963 300000 No
1315 PEN-1568 KOTAIAH Y Y 05-03-1962 300000 No
1316 PEN-1568 Y NAGAVALLI 30-11-1963
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1317 PEN-1569 ANANTHA RAO E 05-04-1962 300000 Yes
1318 PEN-1569 E NAGARATNAM 15-06-1967
1319 PEN-1572 RAVENDER PATEL 24-04-1962 300000 No
1320 PEN-1572 P SHAILAJA KUMARI 15-07-1964
1321 PEN-1573 SHEKHAR MUTHINENI 08-04-1962 300000 Yes
1322 PEN-1577 VEKATARAMANA B 06-05-1962 300000 Yes
1323 PEN-1577 B VIMALA HARI 23-06-1969
1324 PEN-1580 NAGAIAH E 03-05-1962 400000 Yes
1325 PEN-1580 E SANTHOSHA 05-06-1970
1326 PEN-1582 PRASAD RAO B D 01-06-1962 200000 No
1327 PEN-1582 B SAROJA 01-01-1967
1328 PEN-1583 JANAKI P 12-05-1962 200000 No
1329 PEN-1584 SHIVANNA C 04-08-1964 400000 Yes
1330 PEN-1584 CH VIJAYA LAXMI 08-04-1970
1331 PEN-1585 KRISHNA VADLANAPU 28-06-1962 300000 Yes
1332 PEN-1585 NAGAMANI 01-01-1966
1333 PEN-1590 VENU GONTI 01-07-1962 300000 No
1334 PEN-1590 R VINODINI KUMARI 01-07-1965
1335 PEN-1592 RAJU P 25-06-1962 200000 Yes
1336 PEN-1592 P CHANDRA KALA 01-01-1972
1337 PEN-1593 LAXMAN S 23-06-1962 300000 Yes
1338 PEN-1593 S LALITHA 08-08-1970
1339 PEN-1595 NAGESHWAR T G S 16-06-1962 300000 No
1340 PEN-1595 R BASANTHI 17-09-1964
1341 PEN-1596 VENKATESHWARULU B 02-06-1962 300000 No
1342 PEN-1596 B RENUKA 10-08-1967
1343 PEN-1597 DIWAKAR GOUD B 25-06-1962 300000 No
1344 PEN-1597 B INDIRA 15-12-1967
1345 PEN-1599 APPA RAO G 01-07-1962 300000 Yes
1346 PEN-1599 G JAYALAKSHMI 01-01-1966
1347 PEN-1600 TRIMURTY J 01-07-1962 200000 No
1348 PEN-1600 J RAMANAMMA 01-01-1966
1349 PEN-1603 SHAILENDRA P 22-11-1963 300000 No
1350 PEN-1603 K SRIDEVI 01-01-1971
1351 PEN-1605 SIVANNA S 07-07-1962 300000 Yes
1352 PEN-1605 S JAYA 15-06-1970
1353 PEN-1606 SAMUEL D 15-07-1962 300000 No
1354 PEN-1606 D MADANA RANI 12-08-1971
1355 PEN-1607 VENKATRAM G 15-07-1962 300000 No
1356 PEN-1607 G MEENA 30-11-1970
1357 PEN-1608 FATHIMUNNISA BEGUM PATAN 03-07-1962 300000 Yes
1358 PEN-1611 SRINIVASA RAO B T 16-08-1962 300000 Yes
1359 PEN-1611 B T ARUNA 25-04-1973
1360 PEN-1612 RAMULU JARUPULA 20-08-1962 300000 Yes
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1361 PEN-1612 J PADMA 14-08-1974
1362 PEN-1613 PRABHAKAR K 14-08-1962 300000 Yes
1363 PEN-1613 VASUMATHI 06-12-1967
1364 PEN-1614 RAVI T 10-08-1962 300000 Yes
1365 PEN-1614 BHATTIPROLU SUBHA 28-10-1966
1366 PEN-1615 VENKATESHWAR RAO K 15-08-1962 300000 Yes
1367 PEN-1615 K ANNAPURNA 15-07-1968
1368 PEN-1616 VENKATA RAMANAMURTHY VELPURI 02-08-1962 200000 No
1369 PEN-1616 V KRISHNA KUMARI 25-11-1965
1370 PEN-1617 NAGARJUNA RAO BUNGA 06-08-1962 200000 No
1371 PEN-1619 NARSIMHA RAO V V 09-08-1962 300000 Yes
1372 PEN-1619 V PADMA 12-04-1964
1373 PEN-1626 RAJAIAH THATISHETTI 10-10-1962 300000 Yes
1374 PEN-1626 RENUKA 10-04-1971
1375 PEN-1628 KISHAN RAO KOTI 02-10-1962 300000 No
1376 PEN-1628 MOLGARA SHAILAJA 21-03-1967
1377 PEN-1630 NARAYANA KUKKUNOORI 05-11-1962 200000 No
1378 PEN-1630 VEERAMMA 21-04-1971
1379 PEN-1631 BHOODAIAH D 12-11-1962 300000 No
1380 PEN-1631 D VARALAXMI 20-06-1973
1381 PEN-1633 BALAKRISHNA REDDY B 10-11-1962 300000 No
1382 PEN-1633 RAMADEVI 11-07-1965
1383 PEN-1637 NARSIMULU B 20-03-1964 300000 No
1384 PEN-1637 B ANUSUYA 05-02-1972
1385 PEN-1638 RAVINDER A 10-03-1969 300000 No
1386 PEN-1638 PADMA 03-05-1974
1387 PEN-1639 VENKATESWAR RAO P 01-01-1963 200000 Yes
1388 PEN-1639 P PADMAVATHI 21-09-1969
1389 PEN-1643 SURESH BABU BASANI 20-01-1963 300000 No
1390 PEN-1643 B MADHAVI 11-07-1973
1391 PEN-1645 CHANDRAIAH D V 20-02-1963 200000 Yes
1392 PEN-1645 Dharmapuri Seetha 01-01-1969
1393 PEN-1646 ANANTHA RAMULU HARI 12-02-1963 400000 No
1394 PEN-1646 SESHA KUMARI 27-01-1970
1395 PEN-1647 KISHAN SINGH S 15-02-1963 300000 Yes
1396 PEN-1647 S. SUSHEELA 13-03-1969
1397 PEN-1648 YELLAPPA M 17-03-1963 300000 Yes
1398 PEN-1648 M.SUGUNA 25-06-1968
1399 PEN-1650 SAILU M 15-03-1963 300000 No
1400 PEN-1650 M.SUSHEELA 01-01-1968
1401 PEN-1654 SUDARSHAN REDDY D 05-04-1963 300000 No
1402 PEN-1654 DUMBALA RAMA 01-01-1970
1403 PEN-1657 KRISHNAIAH M 03-04-1963 300000 Yes
1404 PEN-1657 M LAVANYA 01-01-1976
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1405 PEN-1658 SURESH K 17-04-1963 400000 Yes
1406 PEN-1658 KOKKALLA PUSHPALATHA 27-08-1963
1407 PEN-1666 N VENKATA SRINIVASA RAO 15-05-1963 300000 Yes
1408 PEN-1666 N.ARAVINDA 10-06-1970
1409 PEN-1667 VINODKUMARDAS KANAPURI 04-05-1963 300000 Yes
1410 PEN-1667 NALINI 21-03-1972
1411 PEN-1670 YADAGIRI P 02-05-1966 300000 No
1412 PEN-1670 VASANTHA RANI 24-11-1978
1413 PEN-1673 GOVIND REDDY P 06-06-1963 400000 Yes
1414 PEN-1673 Y RAMA DEVI 07-08-1965
1415 PEN-1674 BUCHANNA A 17-06-1963 300000 Yes
1416 PEN-1674 A PADMA 12-07-1970
1417 PEN-1675 SREERAMULU J 20-06-1963 300000 Yes
1418 PEN-1675 LAKSHMEE DEVI 15-08-1973
1419 PEN-1676 RANGARAO T S 11-06-1963 300000 Yes
1420 PEN-1676 M GAYATHRI 03-07-1968
1421 PEN-1678 VENKATESHWARA RAO B 18-06-1963 300000 Yes
1422 PEN-1678 MYLAMALA JAYANTHI 02-04-1961
1423 PEN-1681 PADMA LAXMI K 01-07-1963 300000 Yes
1424 PEN-1684 PRASADA RAO K C S M 31-07-1963 300000 Yes
1425 PEN-1684 K JYOTHI KUMARI 06-06-1974
1426 PEN-1687 TATAYYA A 10-07-1963 200000 No
1427 PEN-1687 ARJI VENKATALAKSHMI 14-08-1968
1428 PEN-1692 SRINIVASA RAO B 15-08-1963 300000 Yes
1429 PEN-1692 B SARADA 01-09-1966
1430 PEN-1694 RAVINDER G 23-08-1963 300000 No
1431 PEN-1694 GAINI REKHA 15-01-1971
1432 PEN-1695 SRINIVASULU PENDYALA 14-09-1963 400000 Yes
1433 PEN-1695 PENDYALA SHAKUNTHALA 01-04-1968
1434 PEN-1696 Matta Jeevan Babu 04-09-1963 300000 Yes
1435 PEN-1696 MATTA VASANTHA KUMARI 15-04-1968
1436 PEN-1698 URUKONDAIAH D 04-09-1963 200000 No
1437 PEN-1698 VEERAMMA 02-06-1967
1438 PEN-1700 BODI ANIL KRUPADANAM 17-07-1963 200000 Yes
1439 PEN-1700 S M V KUMARI 08-06-1962
1440 PEN-F0010 GANTI JAYALAKSHMI 23-03-1962 300000 No
1441 PEN-F0015 BEESA DURGAVVA 01-01-1972 200000 No
1442 PEN-F0035 SANKARAVAMSAM SURYAKUMARI 02-07-1962 300000 Yes
1443 PEN-F0047 NUTI UMA 28-06-1949 300000 Yes
1444 PEN-F0050 VUYYURU SITARAVAMMA 23-07-1957 300000 Yes
1445 PEN-F0062 PADALA SYAMALA 14-11-1944 300000 Yes
1446 PEN-F0068 BHIMIREDDY KARUNA 19-07-1956 300000 Yes
1447 PEN-F0070 ARANGI VIJAYAKUMARI 22-07-1966 300000 Yes
1448 PEN-F0074 CHILAKALAPALLY JAYA 02-07-1959 300000 No
DOB
S.No Emp. No. Member Name Sum Insured OPD Cover
(DD/MM/YYYY)
1449 PEN-F0129 TADAKA VENKATA LAXMI 07-10-1960 300000 No
1450 PEN-F0136 INGUVA VANI 06-11-1958 300000 No
1451 PEN-F0138 KANUGULA LAXMI 05-09-1967 300000 Yes
1452 PEN-F0259 SATHENAPALLY VIJAYA JOSEPHEEN 20-05-1952 300000 Yes
1453 PEN-F0326 VUDUDALA SRIDEVI 02-05-1968 300000 Yes
1454 PEN-F0327 JANGA SUGUNA 19-07-1966 300000 Yes
1455 PEN-F0342 ENABOTHULA VIJAYA 14-02-1960 300000 No
1456 PEN-F0363 BOLLAM BHARATHI 08-08-1956 400000 Yes
1457 PEN-F0393 KANAKALA VARALAKSHMI 06-03-1960 200000 No
1458 PEN-F0405 JALLU CHANDRAVADANA 24-09-1963 300000 No
1459 PEN-F0413 THOMMANDRU RATHNA KUMARI 01-01-1968 200000 No
1460 PEN-F0414 BOJJA VASANTHA 02-10-1967 200000 No
1461 PEN-F0419 KANMANTHA REDDY VEENA REDDY 15-04-1960 300000 No
1462 PEN-F0423 YARAMALA UMAMAHESWARI 01-06-1962 300000 Yes
1463 PEN-F0424 CHAPA SARASWATHI 20-05-1962 400000 Yes
1464 PEN-F0438 TUMULA LAKSHMI 01-06-1957 300000 Yes
1465 PEN-F0439 NAGABATHULA SYMALA 02-05-1949 400000 No
1466 PEN-F0441 BOBBA ARUNDHATHI 08-08-1958 400000 No
1467 PEN-F0442 DOBBALI SUJATHA 14-06-1964 300000 Yes

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