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MPOK00817128017-Dipak Bagade

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Gro up Administrator :

Maybright Ventures Private Limited


Ack o Gro up He alth (“mPokket”)
Ins urance Po licy
PS Srijan Corporate Park, Tower-1, 12th Floor, Unit
1204 Street No 25, GP Block, Sector V, Kolkata,
Kolkata, West Bengal, 700091

Master Policy No. GMC042100100MPOKKET

Acko Group Health Insurance Policy


Your insurance policy starts on 12 Mar, 2023 and ends on 12
Jun, 2023.

INS URED DET AILS PREMIUM BREAKUP

NAME Dipak Bagade


Quarterly Premium ₹ 5.09
PHONE 7517534073
GST @ 18% + ₹ 0.91
NOMINEE Not Known
NOMINEE RELATIONSHIP Not Known
AGE 23
Total Premium ₹ 6.0
GENDER Male

What’s Included
A snapshot of all the coverages in this policy.

Accide ntal De ath/ PTD/PPD In-patie nt Ho s pitalizatio n Fixe d Be ne fit


Rs . 10 ,0 0 0 /- Rs . 3 ,0 0 0 /-

*Please go to www.acko .co m and login with your registered mobile number & add Nominee details.
In case nominee details are not available, accidental death claim will be paid to the legal heir.

For further details about the cover and policy refer to the Terms & Conditions document.

ACKO GENERAL INSURANCE LT D.


3 6/5 , Hus tle hub One Eas t, So mas andrapalya, 2 7 th Main Rd, Se cto r 2 , HSR Layo ut, Be ngaluru, 5 60 10 2
Email: mpo k k e tcare @ ack o .co m | To ll Fre e : 18 0 0 2 66 2 2 5 6 | www.ack o .co m
Pro duct Name : Ack o Gro up He alth Ins urance Po licy | CIN: U660 0 0 KA2 0 16PLC13 8 2 8 8 | IRDAI Re g No . 15 7 Fo r ACKO Ge ne ral Ins urance Ltd.
GSTIN: 2 7 AAOCA90 5 5 C1ZJ | UIN: ACKHLGP2 14 69V0 2 2 0 2 1 Duly Co ns titute d Atto rne y
Thi s ce r ti fi cate i s i s s ue d by Acko Ge ne r al Ins ur ance Li mi te d for the me nti one d Ins ur e d(s ) unde r the Acko Gr oup He al th Ins ur ance Pol i cy. IN WITNES S WHEREOF, thi s Ce r ti fi cate of Ins ur ance has be e n s i gne d
on 12 Mar , 2023.
Ack o Gro up He alth
Ins urance Po licy

What’s covered?
Acko Group Health Insurance provides extensive coverage for the insured person against unfortunate
incidents during your policy coverage period. The following benefits will be applicable when the policy
is active:

Accidental Death/ PTD/PPD


In case you met with an accident during the coverage period, which results
in your Death or Permanent Total/Partial disability, we will pay the applicable
lump sum benefit of INR 10,000

In-patient Hospitalization
Benefit is payable in case of hospitalization due to Accident or illness

Note:
Minimum 10 days of continuous hospitalization is required to claim under the
benefit

You have declared the following:


I hereby agree to buy Acko Group Health Insurance Policy and authorize the loan provider to
disburse the premium toAcko General Insurance Limited towards policy issuance and provide my
express consent to the terms and conditions includingassignment of claim payment in favour of
the loan provider
I hereby declare that I am in good health and do not suffer from any Pre-Existing medical
conditions covered under the policy
I, hereby assign and authorize Acko General Insurance Ltd. to pay any claim made by me under
Acko Group Health Insurance Policy in favour of the loan provider, for and up to the extent of the
loan amount outstanding. I confirm that the aforesaid shall be construed as complete discharge of
liability of Acko and I shall not have any right to such amount from Acko.
Ack o Gro up He alth
Ins urance Po licy

How To Claim
Claiming with Acko is as easy as buying a policy. You can go online and file a claim in a few steps.

On Acko.com:
Go to www.acko.com and Login with your mobile number registered on
1
mpokket and enter the OT P you receive.

2 Select your particular policy from ‘My Policies’ section.

3 Click on the ‘Make a Claim’ button below the Policy details section.

Select the claim type, follow the next steps and upload the required
4
documents.

5 Your claim has been submitted; Our claims team will get back to you!

For further details about the cover and policy refer to the Terms & Conditions document.

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