Star Health And Allied Insurance Company Limited
RENEWAL NOTICE
Policy No: 11240290578206
Date :03-Mar-2025
SEEMA SEN Branch Office - Behala-191117
GUMO PARA, STATION PALLY, DAKSHIN MAHESHTALA, 24 2nd Floor, 738/2,
PGS(SOUTH), KOLKATA, PIN - 700140 Diamond Harbour Road,
. .
. Kolkata West Bengal 700008
Bishnupur - II,West Bengal-700140 Ph : 033-48499655/033-48499656
82XXXXXX11
[email protected] Email ID :
[email protected]Proposer/CustomerCode:9309652/9309652 Reference No : 612672210331 - Direct Receipt
Dear Customer,
We value your relationship with us and thank you for the same. We wish to bring to your kind attention that Medi Classic Insurance Policy (Individual) is due for
renewal on 20-May-2025. The renewal premium including GST works out to Rs. 12,900/- as per details given below.
S. No Name of the Insured Date of Birth Age as on renewal Plan type Sum Insured (Rs.) Premium (Rs.)
1 SEEMA SEN 14-Jun-1974 50 BASIC 3,00,000 10,932
Sub Total 10,932
GST @ 18% 1,968
Total Renewal Premium 12,900
You can cover yourself with more Suminsured Coverages
SEEMA SEN SI 4,00,000 SI 5,00,000 SI 10,00,000 SI 15,00,000
Rs. 15,673/- Rs. 17,240/- Rs. 22,413/- Rs. 26,895/-
However, we require below mentioned additional information from you:-
Mobile Number and Package Amount has been added in the Product
We are happy to inform you that Mediclassic Insurance Policy has been revised with additional/ modified coverages / exclusions and consequent changes in premium
also. The above premium works out as per the Standard Plan type of the revised product.
Highlights of the revised product is given below:
The revised product has two variants Standard & Gold, higher Sum insured options of Rs.20 lakhs & Rs.25 lakhs have been introduced in Gold Plan, all Day care
procedures are covered and Psychiatric & Psychosomatic Disorder covered.
Wider benefits of Gold plan: Cumulative Bonus: Up-to a maximum of 100%, Cost of Health Check-up: once after every claim-free year, Ambulance charges:
up-to Rs. 2,000/- per hospitalization, Post-hospitalization: up-to 60 days from the date of discharge and Room Rent: For Sum Insured options of Rs. 3,00,000/-
and Rs. 4,00,000/-, the limit is Rs.5,000/- per day and for the sum insured options of Rs.5,00,000/- and above is eligible for private single A/C room.
Benefits available only in Gold plan are as below:
Super Restoration, Domiciliary hospitalization, Organ Donor Expenses, Additional Basic Sum Insured for Road Traffic Accident (RTA) and Hospitalization expenses for
treatment of New Born Baby.
To know more about terms, conditions & other details, kindly refer policy clause / contact our Agent / Sales Manager/ Branch Office / visit our
website.
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. Please note
that the payment of premium by any mode other than by cash will be eligible for benefit under Income tax 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 benefits. If you wish to incorporate any change in the renewal policy
relating to your address, mobile no., email id etc., please furnish us the same at the time of payment. If you have not provided the mobile number please provide the
same.
Mobile Number : E mail ID :
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. Assuring you of our best
services,
Kindly share your 14 digit ABHA (Ayushman Bharat Health Account) number at the time of renewal. If not registered yet,
please visit our webpage starhealth.in/abha to get registered and to share your ABHA number.
Always at your service. Intermediary Name/Code : Mr.SURAJ AUDDY / BA0000195812
For Star Health and Allied Insurance Company Limited
Phone No : 9831250154
Fulfiller Name/Code : TANMOY ROY CHOUDHURY / SH7824
Authorised Signatory Phone No : 033-24475051/033-24475052/033-
24475053/9903434420
IRDAI Regn.No.129 Corporate Identity Number L66010TN2005PLC056649 Email ID: [email protected]
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
:
[email protected] Website :www.starhealth.in IRDAI Regn.no: 129
Star Health And Allied Insurance Company Limited
Sheet attached to and forming part of the Renewal notice
( for Health/Personal Accident)
Name of the Proposer : SEEMA SEN
Policy Number : 11240290578206
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
IRDAI Regn.No.129 Corporate Identity Number L66010TN2005PLC056649 Email ID: [email protected]
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 :
[email protected] Website :www.starhealth.in IRDAI Regn.no: 129
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:
