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    PremiumRept MDS - Ramesh

    Uploaded by

    navengg521
    Mr. Pitta Ramesh Kumar received a premium receipt for a family floater health insurance policy with Max Bupa. The 5 lakh base sum insured policy was issued on April 8, 2022 for one year. The receipt details a premium of Rs. 23,865 for the base product and Rs. 4,295.70 in GST, for a total premium of Rs. 28,161. It also lists Mr. Kumar as the applicant and insured person along with policy and GST details.

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

    PremiumRept MDS - Ramesh

    Uploaded by

    navengg521
    779 views2 pages
    Mr. Pitta Ramesh Kumar received a premium receipt for a family floater health insurance policy with Max Bupa. The 5 lakh base sum insured policy was issued on April 8, 2022 for one year. The receipt details a premium of Rs. 23,865 for the base product and Rs. 4,295.70 in GST, for a total premium of Rs. 28,161. It also lists Mr. Kumar as the applicant and insured person along with policy and GST details.

    Original Title

    31507464202100_PremiumRept MDS_Ramesh

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    Mr. Pitta Ramesh Kumar received a premium receipt for a family floater health insurance policy with Max Bupa. The 5 lakh base sum insured policy was issued on April 8, 2022 for one year. The receipt details a premium of Rs. 23,865 for the base product and Rs. 4,295.70 in GST, for a total premium of Rs. 28,161. It also lists Mr. Kumar as the applicant and insured person along with policy and GST details.

    Copyright:

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

    PremiumRept MDS - Ramesh

    Uploaded by

    navengg521
    Mr. Pitta Ramesh Kumar received a premium receipt for a family floater health insurance policy with Max Bupa. The 5 lakh base sum insured policy was issued on April 8, 2022 for one year. The receipt details a premium of Rs. 23,865 for the base product and Rs. 4,295.70 in GST, for a total premium of Rs. 28,161. It also lists Mr. Kumar as the applicant and insured person along with policy and GST details.

    Copyright:

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

    Premium Receipt

    Dear MR. Pitta Ramesh Kumar


    4-125/3 RAMALAYAM STREET,
    PALURU,ATTILI MANDAL,
    WEST GODAVARI
    ANDHRA PRADESH -534134

    We acknowledge the receipt of payment towards the premium of the following health insurance policy:

    Policyholder Name Mr. Pitta Ramesh Kumar Policy Number 31507464202100

    Product Name ReAssure Plan Opted Family Floater Base Sum Insured 5,00,000

    Policy Commencement Date # 08/04/2022 Policy Expiry Date 07/04/2023

    Premium Calculation:

    (A) Premium (Rs.) – Base Product 23,865.00

    (B) Premium (Rs.) – Personal Accident Cover 0.00

    (C) Premium (Rs.) – Safeguard 0.00

    (D) Premium (Rs.) – Hospital Cash 0.00

    Underwriting Loading (Rs.) 0.00

    Total Discount (Rs.) 0.00

    Net Premium / Taxable value (Rs.) 23,865.00

    Integrated Goods and Service Tax (18.00 %) 4,295.70

    Central Goods and Service Tax (0.00 %) 0.00

    State/UT Goods and Service Tax (0.00 %) 0.00

    Gross Premium (Rs.) 28,161.00


    #
    Issuance of policy is subject to clearance of premium paid

    Details of persons Insured:


    Name of Person Insured Age Gender Relationship

    Mr. Pitta Ramesh Kumar 30 Male Applicant

    Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy are considered null and void. For the
    purpose of deduction under section 80D The benefit shall be as per the provisions of the Income Tax Act, 1961 and any amendments made
    thereafter.

    You may get tax benefits up to Rs. 28,161.00. subject to maximum permissible limits applicable under Income Tax Act 1961 as modified
    from time to time. For more details, kindly consult your tax advisor. In the event of non-realization of premium, benefits cannot be obtained
    against this premium receipt.

    For your eligibility and deductions, please refer to provisions of Income Tax Act 1961 as modified and consult your tax consultant.

    Product Name: ReAssure | Product UIN: MAXHLIP21060V012021


    GSTI No.: 07AAFCM7916H1ZA SAC Code / Type of Service : 997133 / General Insurance Services

    Max Bupa State Code: 7 Customer State Code / Customer GSTI No.: 37 /NA

    Policy issuing office: Delhi, Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi.

    Location: New Delhi Director - Operations & Customer Service


    Date: 08/04/2022 For and on behalf of Max BupaHealth Insurance Company Limited

    Product Name: ReAssure | Product UIN: MAXHLIP21060V012021

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