Tata AIG Medicare Premier Quotation

Quote Reference No.:QTP/24/7000342477

Date:10/04/2024 00:00 hrs
Offer stands valid for today only
Proposed Insured Details
Name Avinash Ligam
Email Address lic010415@gmail.com

Contact No. 9987592344

Product Name Medicare Premier
Pin Code 400020
Zone A
Intermediary Name JITENDRA ASHOK BHAI SHAH
Policy Tenure opted 1 Year
Cover Start Date 10/04/2024 00:00 hrs

Business Type New Business

Plan Type Floater

Proposed Insured Details

Relationship Age Sum Insured( )
Self 27
2000000
Spouse 35

Premium in (inclusive of 18% GST):

Premium Details In

Pre-tax rates 22193.6

18% GST 3994.85

Post-tax rates 26188

Disclaimer: Quote & premium is liable to change with any change in information. Insurance is a subject matter of
solicitation. For more details on benefits, exclusions please refer policy wording/brochure before concluding sale.
Annexure to Customer Information Sheet (CIS) - Benefit Illustration in respect of policies offered on Individual and
Family Floater basis
Coverage opted on
Age of individual basis Coverage opted on individual basis covering
Coverage opted on family floater basis with
the covering each member multiple members of the family under a single
overall Sum Insured(only one sum insured
Member of the family policy(Sum insured available for each member of
available for entire family)
Insured separately(at a single the family)
point of time)

Premium( ) Sum Premium( ) Discount Premium Sum Premium or Floater Premium Sum
Insured( ) if any after Insured( ) consolidated discount after Insured( )
Discount( ) premium for if any discount( )
all members
of the
family( )

27 13871 0% 13871 20,00,000 13871 0.2% 11096.8

20,00,000
35 13871 0% 13871 20,00,000 13871 0.2% 11096.8

Total Premium for all Total Premium for all members of the family is Total Premium when policy is opted on floater basis is
members of the family is 27742.00 when they are covered under a single policy 22193.60
when each member is
covered separately

Sum Insured available for Sum Insured available for each family member is as per Sum Insured of 20,00,000 is available for the entire
each individual is above table family

Note: Premium rates specified in the above illustration shall be standard premium rates without considering any
loading. Also, the premium rates shall be exclusive of taxes applicable.