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Certificate of Insurance

Group Policyholder Name IIFL FINANCE LIMITED

Mr Vipul Tyagi Group Policy No. 35831465
Certificate of Insurance No. 44262714
Plan Name Group Care 360°(IIFL-GL)-PA+CI
Dhimanpura Cover Start Date 00:00 hrs 10-Jul-2022
Cover End Date Midnight 09-Jul-2023
Shamli Shami Nominee Name (Relationship) Ms Hoyto Sharma (Wife)
Budhana 247776 Premium Paid Rs. 33
(Premium Rs 27.66 + CGST Rs 0 + IGST Rs
Uttar Pradesh 09 4.98 + SGST/UGST Rs 0)
Premium Payment Mode Single Premium

Details of Applicant
Applicant Date Of Birth Client ID
Vipul Tyagi 01-Feb-1992 42852037

Details of Insured
Insured with
Name Client ID Date of Birth Relationship the Company Pre-existing diseases
(since)
Vipul Tyagi 42852037 01-Feb-1992 Member 10-Jul-2022 None

Intermediary Details
Name Code Contact Number
Iifl Insurance Brokers
20024612 9819286666
Limited
90 Benefits
S No. Particulars Basis of Offering (On Annual Basis)
1 Sum Insured Rs. 40100

2 Accidental Death 100% of SI

3 PPD Up to SI; As per PPD table of Group Care 360

4 PTD Up to SI: As per PTD table of Group Care 360

5 Sum Insured Rs. 40100

6 Critical Illness Benefit 100% of SI

7 Number of Critical Illness 15 CI

8 Initial Wait Period 90 Days

9 Survival Period 0 days

Key Exclusions
The company shall not be liable to make payment for any claim directly or indirectly caused by, based on, arising out of howsoever attributable to any of
the following except covered by way of an extension:
• Treatment taken from anyone who is not a Medical Practitioner or from a Medical Practitioner who is practicing outside the discipline for which he is l
licensed or any kind of self-medication.
• Charges incurred (or Treatment undergone) in connection with routine eye examinations and ear examinations, dentures, artificial teeth and all other
similar external appliances and / or devices whether for diagnosis or treatment.
• Treatment of any external Congenital Anomaly or Illness or defects or anomalies or treatment relating to external birth defects.
• Cosmetic surgery or plastic surgery or related treatment of any description, including any complication arising from these treatments, other than as
may be necessitated due to an Injury, cancer or burns.
• Any Illness or Injury directly or indirectly resulting or arising from or occurring during commission of any breach of any law by the Insured Member with
any criminal intent.
• Act of self-destruction or self-inflicted Injury, attempted suicide or suicide while sane or insane or Illness or Injury attributable to consumption, use,
misuse or abuse of intoxicating drugs, alcohol or hallucinogens.
Note: This is an illustrative list of exclusions and not exhaustive. For the entire list of exclusions, please refer the Group Policy Terms and Conditions issued
to the Group Policyholder.

Portability/Renewability
S No. Particulars
1 Renewal under the scheme is subject to continuation of this scheme by Group Policyholder
2 You can port from this scheme to Insurer’s Health Insurance policy subject to Underwriting guidelines of such Health Insurance Policy under
following conditions:
a) Group Policyholder chooses not to continue this scheme
b) If you choose not to continue the enrollment under this scheme
The premium payable under this scheme shall be reviewed on annual basis and may subject to revision.
Grievance Redressal/Complaints
The Company has developed proper procedures and effective mechanism to address of complaints by the customers. The Company is committed to
comply with the Regulations, standards which have been set forth in the Regulations, Circulars issued by the Authority (IRDAI) from time to time in this
regard.
(a) If the Policyholder / Insured Person has a grievance that the Policyholder / Insured Person wishes the Company to redress, the Policyholder / Insured
Person may contact the Company with the details of the grievance through:;
Website: www.careinsurance.com
Email: customerfirst@careinsurance.com
Contact No.:1800-102-6655
Courier: Any of Company’s Branch Office or corporate office

The Policyholder/Insured Person may also approach the grievance cell at any of the Company’s branches with the details of his/her grievance during the
Company’s working hours from Monday to Friday.

Exclusively for Senior Citizens, the Company has a separate extension on the Customer Service Toll Free Number. This separate customer service channel
prioritizes and routes any kind of request / grievance raised by Senior Citizens through various fast track internal escalations leading to lesser
Turn-Around-Time (TAT) for request / grievance addressal.
(b) If the Policyholder / Insured Person is not satisfied with the Company's redressal of the Policyholder's / Insured Person’s grievance through one of the
above methods, the Policyholder / Insured Person may contact the Company’s Head of Customer Service at:
Head – Customer Services,
Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park,
Sector 39, Gurgaon -122001.(HARYANA)

for Claims & Assistance: Call 1800-102-4488

For Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)

Authorized Signatory Date of Issue : 12-Jul-2022 Place of Issue :Gurgaon, Haryana

Service Branch : CHIL, “Synergy Business Park” Office no 702 & 703 7th Floor,Off Aarey Road, Goregaon (East) ,Mumbai,Maharashtra-400063, Mumbai, Maharashtra - 400063 Branch Contact No. :
Tota
1800-102-4488
Correspondence Address:
Care Health Insurance Limited
(Formerly known as Religare Health Insurance Company Limited)
Website : www.careinsurance.com Email : customerfirst@careinsurance.com
Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park,
SAC: 997133 and Description of Service: Accident and Health Insurance Services State GSTIN No.: 27AADCR6281N1ZS IRDA Registration Number - 148 UIN : RHIHLGP20126V011920

Consolidated Stamp Duty paid vide E-Challan GRN no. 89495132 dated 18 April 2022, RCM Applicability- N/A
Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503

Note:
1. Validity of this certificate is subject to terms and conditions of Group Policy issued to the Group Policyholder.
2. In event of non-receipt of Premium, this certificate of insurance automatically stands cancelled from inception, irrespective of whether a separate communication is sent or not. This policy is based on
the information provided by the Insured to the Group Administrator. In case you find any discrepancy in the same, please contact us immediately.
3. This Certificate of Insurance is governed by and is subject to the Terms and Conditions of the referred Group Policy.
0 NB

Premium Acknowledgement

Policy No. 44262714

Client ID 42852037
Policyholder Mr Vipul Tyagi
Address Dhimanpura
Shamli Shami
Budhana 247776, Uttar Pradesh

Policy Period 10-Jul-2022 to 09-Jul-2023

Premium Details
Particulars Amount (in Rs.) 27.

Gross Premium
Group Care 360 27.66

V
Goods & Services Tax (GST) 4.98

Total 33.00

The Premium is rounded off to the nearest rupee.

Eligibility of Premium for Deduction u/s 80D of the Income Tax Act, 1961

This is to certify that Care Health Insurance Ltd. (Formerly known as Religare Health Insurance Company Limited) has received an amount of Rs. 33.00/-
from Mr Vipul Tyagi towards Payment of Health insurance premium as per the details mentioned above. The premium paid for this policy is eligible for
applicable tax benefits u/s 80D of the Income Tax Act, 1961 and amendments thereof.

For Care Health Insurance Limited

(Formerly known as Religare Health Insurance Company Limited)

Authorized Signatory Date of Issue: 10-Jul-2022 Place of Issue: Gurgaon, Haryana

Care Mr fro 27. towa
Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503

Note
1) In case of any discrepancy, the Policyholder is requested to contact the Company immediately.
2) Any amount paid in cash towards the premium would not qualify for tax benefits as mentioned above.
3) This document must be surrendered to Us in case of Cancellation of the Certificate of Insurance or for the issuance of a fresh Certificate of Insurance in the case of any alteration. In event of
incorrect representation of this declaration this liability shall be upon the policy holder.
4) We may credit upto Rs. 1/- to your account for validation, before remitting any further payment.

Signature Not
Verified
Digitally signed by
MANISH DODEJA
Date: 2022.07.14
10:16:51 IST
Reason: I'm the author
Location: India