Digitally signed by Reliance

General Insurance
Company Limited
Date: 2025.08.03 18:12:51
Trejhara IST

Reliance Inland Travel Care Policy

Certificate of Insurance
Policy Issuing Office: Policy Servicing Office Name & Address - CORPORATE
OFFICE(SERVICING)
Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, 6TH FLOOR, OBEROI COMMERZ, OBEROI GARDEN CITY, OFF. WESTERN
International Business Park,Oberoi Garden City, Off Western Express Highway, EXPRESS HIGHWAY, GOREGAON (EAST), MUMBAI, MUMBAI,
Goregaon (East), Mumbai � 400 063. MAHARASHTRA - 400063 Phone No. : 41732000
Branch Contact No. : 022-41732000
Certificate No. - 920292528341398449 Group Policy No. - 920292528340000060
Br. Code- 24BRG881-914374-92021 PSO No. - TXN-2335 Dept. - FB Intermediary Code - 24BRG881
Tax Invoice No & Date : Y080325297762 & 3-Aug-2025
Details of the Insured
Name of the Policy Holder BIZCOVR TECHNOLOGIES PRIVATE LIMITED(TRAVEL)
Address of the policy holder "13031, SOBHA DREAM ACRES, NO 77/10 TO 77/5,75/6, BALAGERE VILLAGE GUNJUR BANGALORE, BENGALURU,

Name of the Insured Person Date of Birth Identification No.* Gender Nominee Relationship of the Nominee ABHA ID or ABHA
Name with the Insured Person address
ANJALI TIWARI FEMALE LEGAL HEIR LEGAL HEIR
* The same Identification No. document should be provided at the time of Claim submission.
Communication Address & Place of Supply INDIRANAGAR, KARNATAKA
E mail id A****@COVRZY.COM
GSTIN / UIN Of Insured :NA
Landline Number Mobile Number 8860******
Geographical Coverage INDIA
State(s) of Visit DELHI City of Visit CENTRAL DELHI
Policy Period From 03-Aug-2025 to 04-Aug-2025 2 days
Name of the Plan opted FB INLAND TRAVEL PLAN
Any Pre existing disease/disability(Please specify) NO
POLICY COVERAGE Sum Insured ( in INR ) Deductible ( in INR )
Personal Accident (Accidental Death + Permanent Total
500000 Nil
Disability +Permanent Partial Disability)
Emergency Medical Expenses 100000 Nill
"50% or 100% per baggage or per article limit
Total Loss of Checked-In Baggage Nill
subject to maximum of Rs. 3,000"
Net Premium : Rs. 8.47
IGST : (18.00%) Rs. 1.52
Total Premium : Rs. 10.00
GSTIN : 27AABCR6747B1ZG SAC : 997142
Description of Services :Accident and Health Insurance Service As per
As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 31st October of the next financial year.
#WARRANTED THAT:

In witness whereof this policy has been signed at Mumbai on :03-Aug-2025

In case of a renewal, the benefits provided under the policy and/or terms and conditions of the policy including premium rate may be subject to change.

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company
Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off
Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No. RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private
Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.

Page 1 of 13
 Trejhara

Grievance Clause:-

For resolution of any query or grievance, Insured may contact the respective branch office of the Company or may call at 02248903009 or may write an email at
[email protected]. In case the insured is not satisfied with the response of the office, insured may contact the Nodal Grievance Officer of the Company at
[email protected]. In the event of unsatisfactory response from the Nodal Grievance Officer, insured may email to Head Grievance Officer at
[email protected]. In the event of unsatisfactory response from the Head Grievance Officer, he/she may, subject to vested jurisdiction, approach
the Insurance Ombudsman for the redressal of grievance. Details of the offices of the Insurance Ombudsman are available at IRDAI website www.irda.gov.in or on
company website www.reliancegeneral.co.in or on www.gbic.co.in. The insured may also contact the following office of the Insurance Ombudsman within whose
territorial jurisdiction the branch or office of the Company is located. Office of the Insurance Ombudsman,3rd Floor,Jeevan Seva Annexe,S. V. Road,Santacruz (W),
Mumbai - 400 054. Tel.: 022 - 26106552 / 26106960 Fax: 022 - 26106052 Email: [email protected]

For and on behalf of Reliance General Insurance Company Limited.

Authorized Signatory

Note : The policy wording with detailed terms, conditions and exclusions are available on our website www.reliancegeneral.co.in
Please provide Immediate intimation of any claim while Insured Person travels out of his/her original place of residence in India to ensure that the Claim is not
prejudiced. Please contact us on (022)4890 3009 or e-mail us at [email protected].
This document shall be treated as a Tax Invoice as per Rule 46 of the Central Goods and Services Tax Rules 2017
The policy has been issued based on the information provided by you/your representative and the policy is not valid if any of the information provided is
Incorrect.In case of non receipt of the policy terms and conditions, please ensure to obtain the same from the Agent / Our nearest Office .

In case of non receipt of the policy term and condition, please ensure to obtain the same from Our nearest office / www.reliancegeneral.co.in
Consolidated Stamp duty Paid vide Letter of Authorization "NO.LOA/ENF-1/CSD/72/2025/(Validity Period Dt. 01/07/2025 to Dt. 01/12/2026)/2495 Date 24-06-2025" at
General Stamp Office, Mumbai. ** Not Applicable for the State of Jammu & Kashmir.
Intermediary Code/Name : / 24BRG881BIZCOVR INSURANCE BROKING PRIVATE LIMITED
Intermediary ContactNo : 9113******

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company
Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off
Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No. RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private
Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.

Page 2 of 13
Trejhara

Reliance Travel Care Insurance Policy - Online Proposal Form

Proposal Form No.: Y080325297762

Proposer Details
1.Name of the Proposer (Mr./Mrs./Ms.) ANJALI TIWARI
2.Address INDIRANAGAR, KARNATAKA
Residence Number
Gender FEMALE Passport No. Mobile No. 9113******
PAN No. UID Aadhar No.
Email Id A****@COVRZY.COM Nationality Indian DOB

Nominee Details
Name of Nominee DOB Relationship with Proposer
LEGAL HEIR LEGAL HEIR

Details of Pre-existing Condition

Pre-existing illness / Injury / Condition if any Suffering Since Under Medication
No

Trip Details
1. Master Policy No. - 920292528340000060
2. Name of Master Policy Holder BIZCOVR TECHNOLOGIES PRIVATE LIMITED(TRAVEL)
3. Sum Insured Opted 0 4. Geographical Scope INDIA
5. Name of the Plan opted FB INLAND TRAVEL PLAN
6. Date of Journey 03-Aug-2025 Date of Return 04-Aug-2025
7. Does the plan trip involve any kind of sporting
activity
8. Places that you are visiting in india CENTRAL DELHI
9. Trip Duration 2

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company
Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off
Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No. RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private
Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.

Page 3 of 13
 Trejhara

Please go through the details as furnished above and also as provided in the Policy Schedule and confirm that they are in order. Should you feel that there are any
discrepancies / variations, you are requested to write back to us immediately at [email protected] for necessary changes / rectification. In the absence
of any written communication from you within 7 days or commencement of Policy Period whichever is earlier , it is hereby agreed and understood that the above
statements, answers and particulars are complete, correct and true in all respects and are the basis on which this Policy is being granted and that if, after insurance is
effected, it is found that the above statements, answers or particulars are incorrect or untrue in any respect, the policy will be considered Null and Void-ab-initio and the
Company shall have no liability under the policy.

Declaration & Warranty by the Proposer

i. Policy has been issued basis Insured Person(s)

1) Is/are not travelling against advice of medical practitioner

2) Is/are not on waiting list for any medical treatment
3) Is/are not travelling for the purpose of obtaining medical treatment
4) Have not received a terminal prognosis for a medical condition before journey
5) Being in India before taking cover & commencement of trip.
6) Being resident Indian.
ii. Declared of any Pre existing Condition, using words / terms which mean any disease/illness which are same or similar to - Cancer / Leukemia / Malignant
Tumor,Cardiac ailments, COPD, HIV /AIDS, Insulin Dependent Diabetes, Kidney Ailment, Liver Disease, Neurological Disorder / Stroke / Paralysis,
Thalasemia will render this policy null and Void-ab-initio and the Company shall have no liability under the policy (Applicable if declared PED).
iii. Purpose of visit either Leisure or Business
iv. I have read and understood the brochure, prospectus, sales literature & Policy wordings and confirm to abide by the same.
v. I understand that the information provided by me will form the basis of the insurance policy, is subject to the Board approved underwriting policy of the insurance
company and that the policy will come into force only after full receipt of the premium chargeable.
vi. I/We further declare that I/We will notify in writing any change occurring in the occupation or general health of the life to be insured / proposer after the proposal
has been submitted but before communication of the risk acceptance by the Company.
vii. I/We declare and consent to the Company seeking medical information from any Doctor or from a hospital who at anytime has attended on the life to be insured
/proposer or from any past or present employer concerning anything which affects the physical or mental health of the life to be assured / proposer and seeking
information from any insurance company to which an application for insurance on the life to be assured / proposer has been made for the purpose of underwriting
the proposal and / or claim settlement.

viii. I/We authorize the company to share information pertaining to my proposal including the medical records for the sole purpose of proposal underwriting and/or
claims settlement and with any Governmental and / or Regulatory Authority.
ix. Receipt of the Proposal form by the Company shall not be construed as acceptance of proposal. I hereby agree that the insurance coverage shall commence
only on realization of full premium and on receipt of complete medical reports (wherever applicable) and subject to individual underwriting by the Company. The
Company at its sole discretion reserves the right to accept or reject or load any proposal without assigning any reason thereof.
x. I understand that the Policy shall become void at the Company's option, in the event of any untrue or incorrect statement, misrepresentation, non-description or
nondisclosure of any material fact in the Proposal form/personal statement, declaration and connected documents or any material information having been
withheld by me or anyone acting on my behalf.
xi. I hereby declare that the person(s) proposed to be insured would submit to medical examinations, before the nominated doctors of the Company, or undergo
diagnostic or other medical tests, as suggested by the Company for its underwriting.
xii. I consent to provide a valid age proof and identity proof at the time of claims or any other time when required by the Company.
xiii. I/We consent to receive information from the Company through physical, electronic or telecommunication means from time to time.
xiv I hereby declare on my behalf & on behalf of all persons proposed to be insured that the above statements, answers and/or particulars given by me in this
proposal form are true and complete in all respects to the best of my knowledge and that I/We am/are authorized to propose on behalf of these other persons.
xv I/We here by state that the above mentioned address shall be taken as address on record for the purpose of GST.
xvi I/We hereby confirm that the contents of the proposal form and connected documents have been fully explained to me/us and I/We have fully understood the
significance of the proposed contact.

Place CORPORATE OFFICE(SERVICING) Date: 3-Aug-2025 Signature

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company
Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off
Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No. RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private
Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.

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 Trejhara

AML Guidelines
I/We hereby confirm that all premiums have been/will be paid from bonafide sources and no premiums have been /will be paid out of proceeds of crimerelated to
1.
any of the offense listed in Prevention of Money Laundering Act,2002.
2. I Understand that the Company has the right to call for document to established sources of funds
The Insurance Company has right to cancel the insurance contract in case I am/have been found guilty by competent court of law under any of thestatutes,
3.
directly or indirectly governing the prevention of money laundering in India.

Signature Date 3-Aug-2025 Place CORPORATE OFFICE(SERVICING)

Vernacular Declaration stating that the contents of this proposal form have been read over & fully explained to me in _ _ _ _ _ _ _ _ _ _language. I further
confirm & declare that contents read over & explained to me have been understood by me.

Signature/Thumb Impression of the Proposer

Identified by Name & Signature :

Date: 3-Aug-2025 Place CORPORATE OFFICE(SERVICING)

Prohibition of Rebates - Section 41 of the Insurance Act, 1938 as amended by Insurance Laws (Amendment) Act,
2015.
1. No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance inrespect of any
kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premiumshown on the policy, nor
shall any person taking out or renewing or continuing a policy accept any rebate, except such rebate as may be allowed inaccordance with the published
prospectuses or tables of the insurer.
2. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.

Note :- The Policy copy and all related documents shall be sent to the email ID provided above. If you wish to receive the Policy copy and related
documents in physical form to the aforesaid communication address, please drop us an email at [email protected]

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company
Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off
Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No. RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private
Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.

Page 5 of 13
 Trejhara

CUSTOMER INFORMATION SHEET/KNOW YOUR POLICY

THIS DOCUMENT PROVIDES KEY INFORMATION ABOUT YOUR POLICY. YOU ARE ALSO ADVISED TO
GO THROUGH YOUR POLICY DOCUMENT.

DESCRIPTION (PLEASE REFER TO POLICY

SI
TITLE APPLICABLE POLICY CLAUSE NUMBER IN CLAUSE
NO
NEXT COLUMN) NUMBER
1 Name of Insurance Product/Policy Reliance Inland Travel Care Policy
2 Policy number 920292528341398449
Payment on Indemnity and Benefit Basis
3 Type of Insurance Product/Policy
(As per plan coverage opted)
Sum Insured (Basis) (Along with
4 Individual - INR
amount)
Policy Coverage (What the policy Section 4
5 covers?) • POLICY COVERAGE
(Policy clause Number/s)
• Personal Accident (Accidental Death +
Permanent Total Disability +Permanent
Partial Disability)
• Emergency Medical Expenses
• Total Loss of Checked-In Baggage
6 Exclusions (What the policy does Warranties & Conditions:- 1. This policy is Section 5
not covers) applicable only to registered Customers
who have successfully booked a bus trip
through the official webiste/App of FlixBus
India Private Limited only 2. Insured
person age to be beyond 91 days and less
than 70 years. Policy will be invalid for
beyond the specified age group. 3.
Warranted that policy to be issued to the
customers who is the citizen of republic of
India, having permanent place of residence
in India. 4. Warranted that policy will not be
valid for any foreign nationals (irrespective
of residence) and Indian nationals residing
outside India. 6. Warranted that insured
was within the territory of India at the time of
issuance of the certificate and before the
commencement of the trip. The policy

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.

Page 6 of 13
 destination and departure should be within
India only. 7. Warranted that Purpose of
visit will be either leisure or personal
business only. 8. Medical
Expenses/Outpatient expenses due to
illness will not be covered. 9. Warranted
that Loss of hand luggage, or any baggage
which was not checked-in at the time of
loss will not be covered under the policy.
10. In case of Claim payment under
Accidental Death (AD) or Permanent Total
Disabilities (PTD) there will be no further
claim accepted either for AD or PTD. If in
case of Claim payment under Permanent
Partial Disability (PPD), the balance Sum
Insured if any will be available. 11.In the
event of payment to a claimant under
Permanent Total Disabilities (PTD), which
is thereafter followed by a claim for
Accidental Death (AD), only the difference of
the balance of the Sum Insured between
AD and PTD shall be available to the
claimant. 12. Warranted that in case of
valid and admissible Death claim
compensation will be paid to Customer's
Nominee/legal heir. 13. For any Claim
under the policy , FIR would be mandatory
for accident related claims and booking
/travel details would be mandatory for all
claims udner the policy . 14. Warranted
that coverage limit for *Total Loss of
checked-in baggage shall be restricted to
50% for more than one checked-in
baggage and 100% in case of one
checked-in baggage subject to a maximum
sum insured specified in the policy
schedule against the respective coverage.
15. The Company�s maximum liability
arising out of a Road Traffic Accident during
the trip duration and resulting in an

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.
Page 7 of 13
 exceed the sum insured as mentioned in
the respective sections. 17. In case
the Trip has been initiated by FlixBus India
Private Limited for onward journey or there
is claim under the policy ,there will be no
refund of premium. 18. Emergency
Evacuation of Rs. 10,000 18. Customer is
covered only for the duration in which
he/she is travelling in the FlixBus India
Private Limited. Therefore, any accident
injuring the passenger during the stay
(overnight/ day), halts or pit stops is not
covered under this policy. 19. Any claim
arising out of sporting activities in so far as
they involve the training or participation in
competitions of professional or
semiprofessional sports persons is
excluded. 20. Onus of proof lies on the
Policyholder i.e FlixBus India Private
Limited to prove that the deceased person
was on board at time of the accident. 21.
Subject to the terms, conditions and
exclusions of the Reliance inland Travel
Care Policy. Exclusions:- Lives involved in
the below mentioned activities/occupation
shall be outside the scope of the policy:-
1. Any claim relating to events occurring
before the commencement of the cover or
otherwise outside of the period of
insurance. 2. Any claim relating to
expenses incurred for the treatment of
pre-existing disease / conditions / illness /
injury. 3. Payment of benefits shall not be
available in respect of death, injury or
disablement directly or indirectly arising out
of or contributed to by or traceable to any
disability existing on the date of issue of the
policy. 4.Changes in plans by the
Insured/Insured Person or an immediate
Family Member for any reason. 5. Any

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.
Page 8 of 13
 Compulsory quarantine ,epidemic or
prevention of travel by the Government. 7.
Any claim that the Insured/Insured Person
knew, at the time of purchasing this
insurance, about any reason that could
cause a claim under this section. 8.On
account of a felonious assault, where the
Insured/Insured Person or any Family
Member of the Insured/Insured Person has
been a principal or accessory in the assault
committed. 9. Radioactivity, Nuclear risks,
ionizing radiation. 10. Suicide, attempt to
Suicide or intentionally self- inflicted injury.
11. Sexually transmitted conditions, anxiety,
stress or depression. Being under
influence of drugs, alcohol, or other
intoxication or hallucinogens 12.
Participation in actual or attempted felony,
riot, civil commotion, 13. Crime
misdemeanour Committing any breach of
law of land with criminal intent. 14.Death
or disablement resulting from Pregnancy or
childbirth. 15Any failure of the vehicle to
operate as a result of problems with
respect to mechanical and electrical
failures. "Rest terms /Conditions and
exclusions as per RGICL Inland Travel
Policy "

7 Waiting period

Time period during which

specified diseases/treatments Not Applicable
are not covered
It is counted from the beginning
of the policy coverage.

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.
Page 9 of 13
 i.Financial limits of coverage

I Sub-limit (It is a pre-defined limit • POLICY COVERAGE - Sum Insured ( in

8
and the insurance company will INR )
not pay any amount in excess of
this limit)
• Personal Accident (Accidental Death +
Permanent Total Disability +Permanent
Partial Disability) - 500000
• Emergency Medical Expenses - 100000
• Total Loss of Checked-In Baggage - "50%
or 100% per baggage or per article limit
subject to maximum of Rs. 3,000"
ii Co-payment (It is a specified
amount/percentage of the
Not Applicable
admissible claim amount to be
paid by policyholder/insured).
iii Deductible (It is a specified
amount:
-up to which an insurance
company will not pay any claim,
• POLICY COVERAGE - Deductible
and
-which will be deducted from total
claim amount (if claim amount is
more than the specified amount)
• Emergency Medical Expenses - Nill
• Total Loss of Checked-In Baggage - Nill
iv. Any other limit (as applicable) Not Applicable
9 Claims/Claims Details of procedure to be followed for
Procedure cashless service as well as for
reimbursement of claim including pre and
post hospitalization.
Turn Around Time (TAT) for claims
settlements
i. TAT for preauthorization of cashless
facility – 6 hours from receipt of complete Section 6.11
documents.
ii. TAT for cashless final bill authorization –
1 hour from receipt of complete documents
iii. For reimbursement claims - The

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.
Page 10 of 13
 Company shall settle the claim within 30
days from the date of receipt of last
necessary document. However, where the
circumstances of a claim warrant an
investigation, Company shall settle the
claim within 45 days from the date of receipt

i. Network Hospital details-

https://www.reliancegeneral.co.in/Insurance
/Self-Help/Cashless-Garages-and-Hospital
s.aspx?network=Hospitals
ii. Helpline number- 022-4890 3009
iii. Hospitals which are blacklisted or from
where no claims will be accepted by
insurer-
www.reliancegeneral.co.in
iv. Downloading/getting claim form-
www.reliancegeneral.co.in
10 Policy Servicing Any issues related with respect to policy,
kindly E-mail us at rgicl.
[email protected] and for
correspondence contact us Reliance
General Insurance Company Limited
Correspondence Address – Reliance
General Insurance., Winway Building 2nd &
3rd Floor, 11/12 Block No-4, Old no-67,
South Tukoganj, Indore (M.P) - 452001
Contact No.- 022- 41112600
11 Grievances/Complaints a. Details of Grievance redressal officer Section 7.28
refer the link
(https://www.reliancegeneral.co.in/
Insurance/About-Us/Grievance-Redressal.a
spx
b. IRDAI Integrated Grievance Management
System-https://igms.irda.gov.in/
c. Insurance Ombudsman - The contact
details of the Insurance Ombudsman
offices have been provided as Annexure-B
of Policy document.

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.
Page 11 of 13
 12 Things to remember Free Look cancellation: You may cancel the
insurance policy if you do not want it, within
15 days from the beginning of the policy.
The Company shall refund premium for the
unexpired policy period as defined in the
policy wording.
Policy renewal: The policy shall ordinarily
be renewable except on grounds of fraud,
moral hazard, misrepresentation by the
insured person. Renewal shall not be
denied on the ground that the insured had
made a claim or claims in the preceding
policy years.
Migration and Portability: When your policy
is due for renewal, you may migrate to
another policy with us or port your policy to
another insurer. (if applicable as per the
policy wording)
Change in Sum Insured: change or
alteration with respect to increase/
decrease of the Sum Insured shall be
permissible only at the time of renewal of
the Policy subject to underwriting decision
of the Company.
Moratorium Period: After completion of
eight continuous years under the policy no
look back to be applied. This period of eight
years is called as moratorium period. The
moratorium would be applicable for the
sums insured of the first policy and
subsequently completion of eight
continuous years would be applicable from
date of enhancement of sums insured only
on the enhanced limits. After the expiry of
Moratorium Period no health insurance
policy shall be contestable except for
proven fraud and permanent exclusions
specified in the policy contract.

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.
Page 12 of 13
 13 Your Obligations Please disclose all pre-existing disease/s Section 7.1
or condition/s before buying a
policy.Non-disclosure may affect the claim
settlement.

The policy shall be void and all premium

paid thereon shall be forfeited to the
Company in the event of misrepresentation,
mis description or non-disclosure of any
material fact by the policyholder
"material facts" for the purpose of this policy
shall mean all relevant information sought
by the Company in the proposal form and
other connected documents to enable it to
take informed decision in the context of
underwriting the risk

The enclosed Customer Information Sheet bearing reference number CIS /920292528341398449 is
an essential part of your policy schedule, please acknowledge that you have read and understood
the CIS on the communication sent on your registered mobile number/e-mail ID.
Disclaimer : The information must be read in conjunction with the policy document. In case of any
conflict between the CIS and the policy document, the terms and conditions mentioned in the
policy document shall prevail.

Declaration by the Policy Holder:

I have read and understood the benifits and details of the product as mentioned in this sheet.

Place :
Date : 3-Aug-2025 (Signature of the Policyholder)

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIDP07001V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2834/PS/1.0/250118.
Page 13 of 13