THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
THE NEW INDIA ASSURANCE CO. LTD.
REGISTERED & HEAD OFFICE: 87, MAHATMA GANDHI ROAD, MUMBAI 400001
Customer ID : H3129200
NEW INDIA SIXTY PLUS MEDICLAIM POLICY
SCHEDULE (UIN: NIAHLIP25049V032425 )
Insured's Details Issuing Office Details
Insured Name : MRS ANITA FERNANDEZ Office Code : CDU 311400 (311400)
Address : T-11, VENUS APPTTS,PLOT NO -43, Address : CDU 311400 2ND FLOOR, C-5 VISHAL
SEC.-9, ROHINI, ENCLAVE, RAJOURI GARDEN
,110027
NEW DELHI ,DELHI, 110085
Mobile No : 9310335524 Phone No : 01142133914 / 01142133916
Email Id : fernandezanita2014@[Link], E-mail : nia.311400@[Link]
PAN No / Aadhaar No. / : GST No : 07AAACN4165C1ZT
DL No.
GSTIN : NA
Policy Details
Business Source Code
Policy No : 31140034249700000013 [Link]./Broker/Direct/Web : SUBHASH ARORA (2D10673676)
Aggregator/CPSC User
Period of Insurance : From:12/02/2025 [Link] PM Name of the Agent / : Mr. GOPAL KRISHAN
To:11/02/2026 [Link] PM Intermediary / Specified (NIAAG00177919)
Person
Client Type : Non-Corporate E-mail id of Agent : gopalwalia@[Link]
Mobile No. of Agent : 9818530418
Insured Person Details
[Link]. Name of Insured Date of Birth Gend Occupation Relati Pre-existing Sum Cumulative Date of
er on Disease Insured Bonus Buffer issuance of
first policy
1 MRS ANITA 08/09/1956 (68) F Housewife SELF NA 500000 0 12/02/2025
FERNANDEZ(H3129200)
Voluntary Co-Pay Opted: No Co-Pay Percentage: 10%
Details Of TPA for New India Sixty Plus Mediclaim Policy(Notice or Communication to be given in respect of claim)
Name : MED SAVE HEALTH INSURANCE TPA Telephone : 01171221234
PVT. LIMITED
Address : F-701A, LADO SARAI, MEHRAULI, NEW Fax : 911129521067
DELHI - 110030,, Email :
NA Toll Free No :
Mobile No: :
Nominee Name : MS SANURA FERNANDEZ Relationship with : Daughter
the nominee
Policy No. : 31140034249700000013Document generated by AG_0179916 at 14/02/2025 [Link] Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
Previous Policy Details
Sr. No. Insurer company Name Previous Policy Previous Sum From Date To Date Pre-existing
No. Insured Disease
Sl. Name Of Insured Basic Premium Modern Treatment Discount for single woman senior citizen Total Premium
No. Rider Premium
1 MRS ANITA 26390 0 1319.5 27709.5
FERNANDEZ(H312
9200)
Total Premium(with Manual Loading and Discount if any) 25071
GST 4512
Total Amount 29583
*This Policy is subject to terms and conditions of New India Sixty Plus Mediclaim Policy.
Premium and GST Details
Rate of Tax Amount in INR
Premium `25071
SGST 9 2256
CGST 9 2256
IGST 0 0
Previous Year Policy Details
Sl. No. Previous Policy Name of Insured From Date To Date Sum Insured CB Amount Pre-existing
No Diseases
IN WITNESS WHEREOF, the undersigned being duly authorized has hereunto set his/her hand
at ______________ this _______________ day of _______________ 20
FOR AND ON BEHALF OF
THE NEW INDIA ASSURANCE [Link].,
DULY CONSTITUTED ATTORNEY(S)
Policy No. : 31140034249700000013Document generated by AG_0179916 at 14/02/2025 [Link] Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
Insurer Office Code : CDU 311400 (311400)
Address : CDU 311400 2ND FLOOR, C-5 VISHAL ENCLAVE,
RAJOURI GARDEN
,110027
Telephone : 01142133914 / 01142133916
Fax :
New India Sixty Plus Mediclaim
PREMIUM CERTIFICATE FOR THE PURPOSE OF DEDUCTION UNDER SECTION 80 D OF INCOME TAX ( AMENDMENT ) ACT 1986
This is to certify that Mr./Mrs. MRS ANITA FERNANDEZ has paid ` RUPEES TWENTY-NINE THOUSAND FIVE HUNDRED EIGHTY-
THREE ONLY (in words) towards premium for New India Sixty Plus Mediclaim for the period 12/02/2025 [Link] PM to
11/02/2026 [Link] PM
Policy no. : 31140034249700000013
Receipt no. & date : 10000089240200765779
12/02/2025
Date of Issue: 14/02/2025
(Mr. JOKHU SHARMA)
[DIVISIONAL MANAGER]
Authorized Signatory For and on behalf of
The New India Assurance Company
Limited
(Note: This certificate must be surrendered to the Insurance Company for issuance of fresh certificate in case of cancellation
of the policy or any alteration in the Insurance affecting the premium)
Policy No. : 31140034249700000013Document generated by AG_0179916 at 14/02/2025 [Link] Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
IMPORTANT
This policy is subject to the terms and conditions contained in the policy document (Clauses).
This policy is governed by Health Insurance Regulations 2024 issued by Insurance Regulatory
Development Authority of India on 20.03.2024.
This policy is also governed by IRDAI (Protection of Policyholders' Interest) Regulations, 2024 and Master
Circular on Health Insurance Business 2024 by IRDAI.
This Schedule comes attached with the policy document (Clauses). If not attached, please ask for the
same.
Health Insurance Regulation 2024, IRDAI (Protection of Policyholders' Interest) Regulations, 2024 and
Master Circular on Health Insurance Business 2024 are available on the website of IRDAI.
Beware of spurious calls offering alluring benefits. Never share any policy details with unknown callers.
Call 1800-209-1415 for any enquiry or contact the nearest operating office of New India Assurance Co Ltd.
QR code for PPN HOSPITAL QR CODE FOR TERMS AND CONDITIONS
List of PPN Hospitals In case of requirement of printed copy of terms and
conditions, please contact our business office
We hereby declare that though our aggregate turnover in any preceding financial year from
2017-18 onwards is more than the aggregate turnover notified under sub-rule (4) of rule 48,
we are not required to prepare an invoice in terms of the provisions of the said sub-rule.
Tax Invoice No : 31140024P0008058
Policy No. : 31140034249700000013Document generated by AG_0179916 at 14/02/2025 [Link] Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
IRDA Registration Number: 190
NIA PAN NUMBER: AAACN4165C
Policy No. : 31140034249700000013Document generated by AG_0179916 at 14/02/2025 [Link] Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
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