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    Policy Name Policy No. Date of Expiry: My:health Koti Suraksha Section 2 Personal Accident - Schedule of Coverage

    Uploaded by

    Raju Gb
    This document is a renewal notice from HDFC ERGO General Insurance Company for a my:health Koti Suraksha insurance policy. The notice informs the customer that the policy number 3317202579265901000 is due for renewal on December 30, 2022 and has a premium amount of 5,762 payable by that date to maintain continuity of coverage. The policy provides personal accident insurance for the insured customer and up to 3 family members.

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

    Policy Name Policy No. Date of Expiry: My:health Koti Suraksha Section 2 Personal Accident - Schedule of Coverage

    Uploaded by

    Raju Gb
    55 views2 pages
    This document is a renewal notice from HDFC ERGO General Insurance Company for a my:health Koti Suraksha insurance policy. The notice informs the customer that the policy number 3317202579265901000 is due for renewal on December 30, 2022 and has a premium amount of 5,762 payable by that date to maintain continuity of coverage. The policy provides personal accident insurance for the insured customer and up to 3 family members.

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    3317202579265901

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    This document is a renewal notice from HDFC ERGO General Insurance Company for a my:health Koti Suraksha insurance policy. The notice informs the customer that the policy number 3317202579265901000 is due for renewal on December 30, 2022 and has a premium amount of 5,762 payable by that date to maintain continuity of coverage. The policy provides personal accident insurance for the insured customer and up to 3 family members.

    Copyright:

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

    Policy Name Policy No. Date of Expiry: My:health Koti Suraksha Section 2 Personal Accident - Schedule of Coverage

    Uploaded by

    Raju Gb
    This document is a renewal notice from HDFC ERGO General Insurance Company for a my:health Koti Suraksha insurance policy. The notice informs the customer that the policy number 3317202579265901000 is due for renewal on December 30, 2022 and has a premium amount of 5,762 payable by that date to maintain continuity of coverage. The policy provides personal accident insurance for the insured customer and up to 3 family members.

    Copyright:

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

    HDFC ERGO General Insurance Company Limited

    Renewal Notice - my:health Koti Suraksha


    Policy No:3317202579265901000

    Premium Payable: 5,762 Due Date: 30/12/2022

    Dear Customer,
    You are our valued customer and we thank you for choosing HDFC ERGO as your preferred insurance partner. We would like to remind you that your my:health
    Koti SurakshaPolicy is due for renewal on 30/12/2022 We request you to kindly renew your policy before expiry date for continuity of benefits of your existing
    policy.
    Policy Name Policy No. Date of Expiry Premium Amount (`)*
    my:health Koti Suraksha 3317202579265901000 30/12/2022 5,762
    * Inclusive of Taxes (Tax is subject to amendment in Tax Laws from time to time.)
    Insured Name Relationship Date of Birth Age(Yrs) Total Sum Insured (`)
    BANGAR RAJU G Self 10/08/1985 37 As mentioned below

    my:health Koti Suraksha Section 2 Personal Accident - schedule of coverage


    Member 1
    Member 2 Member 3 Member 4
    Covers Self
    Base Sum Insured
    Accidental Death 2500000
    Disappearance 2500000
    Comatose Benefit 1250000
    Permanent Disablement (Table D) 2500000
    Hospital Cash - Accident Only 1000 per day for 30 days
    Last Rites 40000
    Dependent Child Education Benefit 250000
    Note :
    Sum Insured mentioned for children is the Sum Insured applicable to each child, Individually
    What’s New?
    • Accidental Death cover additionally provides disappearance benefit . Hospital Cash -Accident Only
    What’s changed?-
    Mentioned covers / features that are not available now
    • Broken Bones , Burns Benefit , Emergency Medical Expenses / In patient Hospitalization Expenses /Ambulance Charges , Cumulative bonus
    In Floater policy, the cover wise Sum Insured mentioned against each member in policy Schedule is the maximum sum insured available under each cover
    Online Courier QR CODE

    Visit "Instant Renewal" on hdfcergo.com. Send duly filled renewal slip with
    Fill details & make payment premium cheque to customer service address

    Terms & Conditions apply


    Customer Service Address : D-301, 3rd Floor, Eastern Business District ( Magnet Mall), LBS Marg, Bhandup (West).MUMBAI - 400078. Maharashtra.
    Visit Nearest Branch : 2ND FL, POTLURI CASTLE, DWARKANAGAR, VSP - 16 530016 ANDHRA PRADESH
    Please Note:
    Coverage will be effective on realisation of the premium. The renewal premium may change on actual renewal date if there is any change in the information
    captured herein.Please pay the premium to renew policy before 30/12/2022. For complete description of coverage / extent thereof and exclusions, please refer to
    the policy wording.

    Renewal Slip
    my:health Koti Suraksha Policy No. 3317202579265901000. Your Premium Amount is 5762 for Sum Insured of 2500000 Kindly issue Cheque/DD in favour of
    "HDFC ERGO General Insurance Company Ltd." Please mention your policy number on the reverse.
    Cheque No. Cheque Date Cheque Amount Name of Bank & Branch

    In case of any change in your correspondence address / contact details,please update & help us serve you better.
    Address
    City State Pin Code
    Phone Mobile Email

    Customer Signature:_______________________

    HDFC ERGO General Insurance Company Limited. IRDAI Reg. No. 146. CIN: U66030MtH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay
    Reclamation, H. T. Parekh Marg, Churchgate, Mumbai – 400 020.Trade Logo displayed above belongs to HDFC Ltdand ERGO International AG and used by the Company under
    license
    To,
    BANGAR RAJU G
    D NO 1-9 VELLANKI POST 3317202579265901000
    ANANDHAPURAM MANDAL
    NEAR BY NH 5
    VISAKHAPATNAM
    ANDHRA PRADESH
    Pin Code : 531163

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