Renewal Intimation

Date: 07/02/2019
Policy Number: 11-18-0000733-00
Proposer Name: GANESAN PALANI
Proposer’s Correspondence Address: 11,GOVINDARAJ ILLAM
ANNAMMAL STREET JAI BALAJI NAGAR,NESAPPAKKAM. CHENNAI
TAMIL NADU IN Chennai Chennai TAMIL NADU 600078
Proposer’s Contact No: 9962745389 Agent Code Agent Name Agent Contact No.
Branch Name: Chennai HDFC Bank -
Branch Address: G B Rain Tree Place, No-7, MC Nichols Road, Chetpet, 2100676 Telesales Classic 08061606161
on phone

Dear GANESAN PALANI,

Congratulations! You have completed one year of active living! We hope we were able to help you achieve your health and wellness goals.

Your health insurance policy 11-18-0000733-00 is due for renewal on 08/04/2019 and premium to be paid is 19914.

Existing Coverage details

Any Existing
Relationship with DRM expenses Existing Sum *Cumulative
Insured Name Date of Birth Chronic
Policy Holder claimed Insured Bonus
Condition
Mr. GANESAN PALANI 15/02/1970 Self 0
500000 100000 NIL
Mrs. VASANTHA P 08/07/1972 Spouse 0
*Cumulative bonus is calculated as on date of this notice. Any Claim registered after this date will be adjusted accordingly.

Next Steps
To make changes to your personal details, do visit our nearest branch or call us on 1800-270-7000 for further processing.
For addition of dependents or change of plan, kindly fill a fresh proposal form.

We hope to hear from you at the earliest.

Stay Active, Stay Healthy!

Authorized Signatory.

Points to note

*Renewal Premium is arrived considering:

- the present completed age of the insured persons.
- revised chronic plan & premium as per additional chronic condition identified during the expiring policy year basis health assessment/health
check-up or disclosed by customer.
• Any proposed change to existing Sum Insured, benefits or product is subject to acceptance as per the underwriting policy of Aditya Birla Health
Insurance Company Limited
• If any change proposed by you at the time of renewal including Sum Insured enhancement, member addition etc., is not accepted as per Underwriting
guidelines, then policy would be renewed as per the existing terms and conditions.
• You or any of the members have developed any new chronic condition i.e. asthma, hypertension, hyperlipidaemia and diabetes in last one year, then
you will have to inform us by calling or mailing us on the contact details mentioned in the letter
• Premium mentioned above is inclusive of GST and less adjustments (if any) which are subject to change as per the prevailing rate at the time of
issuance.
• Premium may undergo change in case of any change in applicable taxes.
• Tax Savings Benefit U/S 80D is subject to change in the Income Tax law.
Aditya Birla Health Insurance Co. Limited.
IRDAI Reg.153. CIN No. U66000MH2015PLC263677. Product Name: Activ Health, Product UIN: IRDAI/HLT/ABHI/P-H/V.1/32/16-17 Address:- 10th Floor, R-
Tech Park, Nirlon Compound, Next to HUB Mall, Off Western Express Highway, Goregaon East, Mumbai – 400 063.Website: adityabirlahealthinsurance.com,
Email: care.healthinsurance@adityabirlacapital.com, Telephone: 1800 270 7000, Fax: +91 22 6225 7700.For more details on risk factors, terms and conditions please
read terms and conditions carefully before concluding a sale. Trademark/Logo Aditya Birla Capital is owned by Aditya Birla Management Corporation Private Limited
and Trademark/logo HealthReturns, Healthy Heart Score and Active Dayz are owned by MMI Group Limited. These trademark/Logos are being used by Aditya Birla
Health Insurance Co. Limited under licensed user agreement(s).