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    Renewal Notice

    Uploaded by

    niel
    This document is a renewal reminder from Star Health and Allied Insurance Company for Mili Thakkar's family health insurance policy. The policy is due for renewal on December 30, 2022. The total renewal premium is Rs. 19,482 which includes Rs. 2,972 for GST. Higher sum insured options are also provided ranging from Rs. 20,892 to Rs. 37,972. Details of insured family members and their sums insured are listed. Payment is due by December 29, 2022 to ensure continuity of coverage. Bank details are requested for claims and refunds payment.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Renewal Notice

    Uploaded by

    niel
    74 views2 pages
    This document is a renewal reminder from Star Health and Allied Insurance Company for Mili Thakkar's family health insurance policy. The policy is due for renewal on December 30, 2022. The total renewal premium is Rs. 19,482 which includes Rs. 2,972 for GST. Higher sum insured options are also provided ranging from Rs. 20,892 to Rs. 37,972. Details of insured family members and their sums insured are listed. Payment is due by December 29, 2022 to ensure continuity of coverage. Bank details are requested for claims and refunds payment.

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    114632318_Renewal_Notice

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    This document is a renewal reminder from Star Health and Allied Insurance Company for Mili Thakkar's family health insurance policy. The policy is due for renewal on December 30, 2022. The total renewal premium is Rs. 19,482 which includes Rs. 2,972 for GST. Higher sum insured options are also provided ranging from Rs. 20,892 to Rs. 37,972. Details of insured family members and their sums insured are listed. Payment is due by December 29, 2022 to ensure continuity of coverage. Bank details are requested for claims and refunds payment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    74 views2 pages

    Renewal Notice

    Uploaded by

    niel
    This document is a renewal reminder from Star Health and Allied Insurance Company for Mili Thakkar's family health insurance policy. The policy is due for renewal on December 30, 2022. The total renewal premium is Rs. 19,482 which includes Rs. 2,972 for GST. Higher sum insured options are also provided ranging from Rs. 20,892 to Rs. 37,972. Details of insured family members and their sums insured are listed. Payment is due by December 29, 2022 to ensure continuity of coverage. Bank details are requested for claims and refunds payment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    RENEWAL REMINDER

    Policy No.P/171123/01/2022/005597 Date : 06/12/2022

    Branch Office Dadar II-171123


    MILI THAKKAR
    No.201, 2nd Floor, Laxmi Commercial Complex,
    FLAT NO-505,PARVATI APPT
    Near Flower Market,Dadar (W), Mumbai - 400028.
    OPPOSITE SAMSHAN BHUMI MUMBAI - 400028
    DIVAGAON AIROLI -400708 022 - 24371059
    Navi Mumbai,Thane,Maharashtra- 400708 DadarII.mumbai@starhealth.in
    80XXXXXX86 / - /unXXXXXXX@gmail.com

    Proposer/Customer Code : 5677834 / AA0003833780 Reference No : R/171123/01/2023/007403 - Direct Receipt


    Dear Customer,

    We value your relationship with us and thank you for the same. We wish to bring to your kind notice that your Family Health Optima Insurance Policy
    is due for renewal on 30/12/2022. The renewal premium, including GST, works out to Rs.19482/- as per details given below.
    Age as Relationship
    Date of Sum Insured Premium
    S. No Name of the Insured on with proposer
    Birth (Rs.) (Rs.)
    Renewal

    1 MILI THAKKAR 13/12/1976 46 SELF 400000 16510


    2 NIEL 04/09/2000 22 DEPENDANT CHILD
    3 DURVAKSHI 31/01/2009 13 DEPENDANT CHILD
    GST@ 18% 2972
    Total Renewal Premium 19482
    To match escalation of medical costs, you can also opt for higher Sum Insured. The higher sum insured options and the respective premium
    (including Tax) are given below
    SI 500000 Rs.20892/- SI 1000000 Rs.26119/- SI 1500000 Rs.30822/- SI 2000000 Rs.34521/- SI 2500000 Rs.37972/-
    If there is any change in the list of insured persons to be covered and/ or you desire any changes in the sum insured etc., please inform us
    immediately so that we can work out the revised renewal premium and advise you. Otherwise, please arrange to remit the renewal premium of
    Rs.19482/- on or before 29/12/2022. Please note that the payment of premium by any mode other than by cash will be eligible for benefit under Sec.
    80 D of the Income Tax Act. If you pay by Cheque or DD, please make payment in favour of Star Health and Allied Insurance Company Limited.,

    We request you to renew the policy before the renewal date to ensure continuity of cover and renewal benefits.

    ''Please furnish your mobile number and email id in the space provided below to enable our company to communicate with you as our valued
    customer, whenever required''.
    Mobile Number : Email id :

    You can also update your Address / Mobile No / E Mail ID, online by visiting our website www.starhealth.in.
    Please note that this policy can be renewed online or using your mobile. Kindly log on to our website www.starhealth.in to know the details.
    Always at your service. Intermediary Name/Code: Mr.JAISWAL VINAY/BA0000251038

    For Star Health and Allied Insurance Company Limited Phone No : 8299182966
    Fulfiller Name/Code : 171123 SO CODE/SO171123
    Authorised Signatory Phone No :

    IRDA Regn. No 129 Corporate Identity Number L66010TN2005PLC056649 Email ID : info@starhealth.in

    Star Health and Allied Insurance Co.Ltd


    Spot Acknowledgement
    Acknowledged hereby receipt of Cash / Cheque / DD No.____________________ Dt _____________ for Rs. __________/- drawn on
    _____________ from Mr./Mrs/Ms._____________________________ towards premium for the renewal of Policy No. _________________________.
    A system generated "Advance Premium Receipt" for this payment will follow from our office, which is subject to realization of the cheque.
    _________________________________ ____________________________
    Name & Code of the Authorised Person Signature of Authorised Person
    Place:
    Date:
    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No: 1800-425-5522 Toll Free No:1800-425-2255 /
    1800-102-4477,CIN : L66010TN2005PLC056649 Email :support@starhealth.in Website :www.starhealth.in IRDAI Regn.no: 129
    Sheet attached to and forming part of the Renewal Reminder
    ( for Health/Personal Accident)

    Name of the Proposer : MILI THAKKAR


    Policy Number : P/171123/01/2022/005597

    As per the Regulatory requirements ,we can effect payment of refund / claims only through Electronic Clearing
    System (ECS) / National Electronic Funds Transfer (NEFT) / Real Time Gross Settlement (RTGS) / Interbank Mobile
    Payment Service (IMPS).

    For this purpose please submit the following details

    Name of the proposer

    Name of the Bank & Branch

    Type of Account SB Account / Current Account / Others (please specify)

    Account Number

    IFSC Code of Bank

    Please attach a photo copy of a cheque leaf of the above Bank Account.

    Date :

    Place : Signature of the Proposer

    IRDA Regn. No 129 Corporate Identity Number L66010TN2005PLC056649 Email ID : info@starhealth.in

    Star Health and Allied Insurance Co.Ltd


    Spot Acknowledgement
    Acknowledged hereby receipt of Cash / Cheque / DD No.____________________ Dt _____________ for Rs. __________/- drawn on
    _____________ from Mr./Mrs/Ms._____________________________ towards premium for the renewal of Policy No. _________________________.
    A system generated "Advance Premium Receipt" for this payment will follow from our office, which is subject to realization of the cheque.
    _________________________________ ____________________________
    Name & Code of the Authorised Person Signature of Authorised Person
    Place:
    Date:
    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No: 1800-425-5522 Toll Free No:1800-425-2255 /
    1800-102-4477,CIN : L66010TN2005PLC056649 Email :support@starhealth.in Website :www.starhealth.in IRDAI Regn.no: 129

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