Date: 23rd May 2020

To,
The Provider Team,
ManipalCigna Health Insurance Company Limited
(Formerly known as CignaTTK Health Insurance Company Limited),.
401/402, Raheja Titanium,
Western Express Highway, Goregaon (East),
Mumbai – 400 063

Subject: Commercial arrangement between Enter Hospital Name

(Service Provider) and ManipalCigna Health Insurance Company Limited (Formerly
known as CignaTTK Health Insurance Company Limited).
Dear Sir,

This is in respect to above mention subject we hereby agreed to offer you following
Discount on our services.

 Rates will be applicable for a period 3 years for MCHI Card Holders.
 15% Discount excluding PPN Package

This discount would be applicable for all the customers of ManipalCigna Health Insurance
Company Limited availing the above services in the hospital.

For……………………………………………………
(AUTHORIZED SIGNATORY)
NAME:
DESIGNATION:
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