Member Information Document

SUD Life Group Term Insurance Plus (UIN: 142N046V03)

Non Linked Non Participating Group Term Insurance Plan
Star Union Dai-ichi Life Insurance Company is pleased to acknowledge that the Group Member designated below, has joined “SUD Life Group
Term Insurance Plus” of the Master Policy mentioned below, under which the insured member is provided insurance cover, subject to the terms
and conditions contained in the Master Policy issued to the Master Policyholder

Master Policy Holder Details

Master Policy Number GT001422

Master Policy Holder Name Reserve Bank of India

Address of the Master Policy Holder 21st Floor HRMD, Central Office Building, Shahid Bhagat Singh
Marg, 400001

Relationship with Group Member Group Member

Insured Member Details
Name MR Rohan Mahadeo Gund

Member Insurance No. GT001422-0050600

Member Id. 211338

Address ,,,,

Date Of Birth 14-05-1995

Age at Entry 28

Gender Male

Cover Start Date* 01-02-2024

Cover End Date 31-01-2025

Sum Assured 2500000.00

Installment Premium : Exclusive of GST 2152.50

Installment Premium : Inclusive of GST** 2539.95

Mode Annual
Nominee Details
Name of the Nominee(s) Rohit Mahadeo Gund

Nominee’s Date of Birth 07-02-1993

Relationship with the Insured Member Brother

If Nominee minor then name of the

Appointee

Appointee’s relationship with the nominee

** Goods and Services Tax are applicable at prevailing rates and subject to changes from time to time.
1. COVER CONDITIONS
i.Reserve Bank of India The Master Policy Holder has proposed for one-year renewable group term insurance policy (GTI) on the life of its
members and the same has been agreed and accepted by the insurer i.e. Star Union Dai-ichi Life Insurance Co. Ltd.
ii. The Master Policy contract of this scheme is available with the Master Policyholder and at Corporate Office of Star Union Dai-ichi Life
Insurance Co.Ltd. at the address mentioned below.
iii. The Sum Assured under the assurance granted is payable only in the event of death of the Life Assured provided the Master Policy is in full
force by virtue of payment of required premiums in accordance with the provisions of Section 64 VB (2) of the Insurance Act-1938 as amended
from time to time.
iv. The coverage would get terminated on happening any of the following event
a)Termination of the master policy
b)On expiry of the date of the insurance cover term for the member.
c)On intimation/settlement of claim on the death of the Member
d)On expiry of the revival period and the coverage is not revived by payment of due premiums
e)Upon intimation of exit of the member by the Master Policyholder.

2. Death Benefit:
i.In the event of death of a member whilst cover is in force for such member, the Death Benefit as stated in Sum Assured, shall become payable
provided that the provisions of this document are complied with.

3. CLAIM PROCESS
i. Claims may be intimated by the beneficiary/ legal heir to Reserve Bank of India the Master Policy holder who in turn will intimate the same
to Star Union Dai-ichi Life Insurance Company Limited.
ii. Claims have to be intimated in writing in the format supplied by the Star Union Dai-ichi Life Insurance Company Limited preferably within
180 days from the death, briefly stating the circumstances resulting in the death.
iii.The following documents are required to be submitted by the nominee for the processing of the claim is as given below.
a)Claimant Statement with complete details
b)Original Member Information Document.
c)Copy of death certificate of the member certified by competent authority.
d)Medical cause of death certificate from doctor last attending in hospital in which the death occurred.
e)Original / Attested copy of the postmortem report, FIR, Police Inquest Report in case of accidental death.
f)Any other relevant documents or information as may be required by the insurer for the processing of the claim depending upon the cause of
the death.
iv.The claimant can even download the forms form our website www.sudlife.in or can obtain the same from any of our branches and offices.
All Claim amounts due under this Master Policy are payable in Indian Currency at the office of the Company situated at Navi Mumbai, but the
Company at its absolute discretion may fix an alternative place of payment for the claim at any time before or after the claim arises.

4. Grievance Redressal :
Any grievance/complaint pertaining to this Plan may be addressed to the Master Policyholder who shall in turn write to us.

5. NOTICE :
Any notice, information or instruction to the Company must be in writing. The Company may change the address stated above and intimate the
Master Policyholder of such change by suitable means.
Signed for and behalf of the Star Union Dai-ichi Life Insurance Company Limited

Authorised Signatory
IRDA Regn. No.-142