Mr.
Beer Singh
C161 Sainik Nagar Uttam Nagar WEST DELHI DELHI -
110059
Mobile No: ******5087
Certificate of Insurance(COI) -Smart Health
How to reach us?
Website
[Link]
Online Renewal
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Customer Helpline No.
1860-500-8888
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Important Terms & Conditions (T&C)
a. Niva Bupa requests you to refer to the detailed Terms and Conditions (T&C) available with the Group Master Policyholder.
You may also refer the T&C on our website.
b. Free Look Provision: You can review the T&C within the number of days specified overleaf and request cancellation of the
Certificate of Insurance in case of objections to any T&C. We will refund the premium as specified in the T&C provided
that no claim has been registered under the cover.
c. Grievances Redressal In case of any query or complaint/grievance, you may approach our office at the below mentioned
address. In case you are not satisfied with our resolution, You ,may register a complaint in the Integrated grievance
Management System (IGMS) of IROAI or approach the Insurance Ombudsman. Details about the IGMS and Ombudsman
are available on our website.
Certificate of Insurance(COI) - Smart Health
Group Master Policy Number 50823900202400 Group Master PolicyHolder Name Apollo Health Co Limited
Group Master Policyholder Address Unit No 310-314, Third Floor, Good Group Master Policy Issue date 17/07/2024
& Pincode Earth Business Bay, Sector 58
GURGAON HARYANA 122011
Certificate Number 20820005214317 Proposer Name Mr. Beer Singh
Cover Inception Date and Time 22/04/2025 12:00 AM Proposer Address & Pincode C161 Sainik Nagar Uttam Nagar
WEST DELHI DELHI - 110059
Cover Expiry Date and Time 21/04/2026 11:59 PM Contact Number ******5087
Policy Tenure 12 Months
Insured details
Certificate No. Salutation Insured Name Date of Birth/ Age Gender Relationship with proposer Accidental Cover
20820005214317 Mr. Beer Singh 27/10/1987 M Self INR 1000000
Nominee details
Nominee Name Relationship Appointee Details(if nominee is minor)
Sheetal Spouse
Benefit Summary
Accidental Cover Sum Insured INR 1000000
Accidental Death (AD) 100% of Accidental Cover Sum Insured
Permanent Total Disability (PTD) (As Per Grid In Policy Wording) Up to 100% of Accidental Cover Sum Insured
Permanent Temporary Disability (PTD) (As Per Grid In Policy Wording) Up to 100% of Accidental Cover Sum Insured
Waiting Periods
Initial Waiting Period (Personal Accident) Waived
Specific Disease Waiting Period (Personal Accident) Waived
Pre-Existing Disease (PED) Waiting Period (Personal Accident) Waived
Free Look Period 30 days
Intermediary Details
Intermediary Name Intermediary Code Intermediary Contact No
Direct NA NA
GST Details:
GSTI No.: 09AAFCM7916H1Z6 SAC Code / Type of Service : 997133 / General Insurance Services
Niva Bupa State Code : 09 Customer State Code / Customer GSTI No. : 7 / NA
Premium Details
Net CGST(0.00%) SGST/UTGST(0.00%) IGST(18.00%) Gross Gross Premium(Rs.) (in words) Premium
Premium(Rs.) Premium(Rs.) frequency
399.00 0.00 0.00 71.85 471 Four Hundred Seventy One Only Single
Income tax benefit u/s 80D is available as per the existing Income Tax Laws. Please consult your tax advisor for more details.
This Policy is subject to the terms, conditions and exclusions mentioned in the Smart Health, UIN: NBHHLGP25038V012425
The contract will be cancelled ab intio in case; the consideration under the policy is not realized.
Policy issuing office : Delhi , Consolidated Stamp Duty deposited on the Master Policy.
Goods and Service Tax Registration No.: 09AAFCM7916H1Z6
The cover may be renewed on sole discretion of Niva Bupa Health Insurance Co Ltd subject to member being the part of the group at the time of
renewal also. In case You cease to be a member of the group, the cover will stand cancelled as per T& C of the policy. Where the proposal form is
not received, information obtained from insured, whether orally or otherwise, is captured in the policy document.
Discrepancies, if any, in the information contained in the policy document may be pointed out by an insured within 15 days from the policy issue
date after which information contained in the policy document shall be deemed to have been accepted as correct.
For registration of claims You may contact us at:
Claims Department, Niva Bupa Health Insurance Company Limited, 2nd Floor, Plot No D-5, Sector 59, Noida, Gautam Budhnagar – 201301 or email
us through our service platform [Link]
Location: Noida, Uttar Pradesh Director - Operations & Customer Service
Date: 22/04/2025 For and on behalf of Niva Bupa Health Insurance [Link].
(Formerly known as Max Bupa Health Insurance [Link].)
