Scribd Logo
Upload

Welcome to Scribd!

  • 62 views

    OL0000000001 Intermediary Code Name Phone No E-Mail Id: R Margabandhu

    Uploaded by

    sriharikosa
    This document is a certificate of insurance from Star Health and Allied Insurance Co. Ltd. providing details of the Corona Kavach policy issued to Srihari kosaraju and family. The policy provides Rs. 500,000 of floater sum insured for 5 members for a period between September 10, 2020 to June 22, 2021. It lists the personal details of each insured family member including their relationship to the proposer, Srihari kosaraju.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    OL0000000001 Intermediary Code Name Phone No E-Mail Id: R Margabandhu

    Uploaded by

    sriharikosa
    62 views2 pages
    This document is a certificate of insurance from Star Health and Allied Insurance Co. Ltd. providing details of the Corona Kavach policy issued to Srihari kosaraju and family. The policy provides Rs. 500,000 of floater sum insured for 5 members for a period between September 10, 2020 to June 22, 2021. It lists the personal details of each insured family member including their relationship to the proposer, Srihari kosaraju.

    Original Title

    71454981_POLICY_DOC

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a certificate of insurance from Star Health and Allied Insurance Co. Ltd. providing details of the Corona Kavach policy issued to Srihari kosaraju and family. The policy provides Rs. 500,000 of floater sum insured for 5 members for a period between September 10, 2020 to June 22, 2021. It lists the personal details of each insured family member including their relationship to the proposer, Srihari kosaraju.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    62 views2 pages

    OL0000000001 Intermediary Code Name Phone No E-Mail Id: R Margabandhu

    Uploaded by

    sriharikosa
    This document is a certificate of insurance from Star Health and Allied Insurance Co. Ltd. providing details of the Corona Kavach policy issued to Srihari kosaraju and family. The policy provides Rs. 500,000 of floater sum insured for 5 members for a period between September 10, 2020 to June 22, 2021. It lists the personal details of each insured family member including their relationship to the proposer, Srihari kosaraju.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    Corona Kavach Policy,Star Health and Allied Insurance Co.

    Ltd
    Unique Identification No. SHAHLIP21066V012021
    Certificate of Insurance

    Certificate no : P/700002/01/2021/045184 Previous Certificate :


    no
    Customer Code : AA0014696616 GSTIN : 27AAJCS4517L1ZY
    Customer Name : Srihari kosaraju SAC Code : 997133/Accident and Health Insurance Services
    Proposer's Code : 17643611 Issuing Office Code : 700002
    Proposer's Name : Srihari kosaraju Issuing Office Name : Online Business
    Address : Godrej Summit, Flat no D306, Address : 349 Business Point, Unit No.204 /
    Surat nagar phase 1 1 205,2nd Floor, Near Sai Service,
    sector 104, near dwarka Western Express Highway,
    expressway Andheri (E), Mumbai -400069
    Phone No : 1800-425-2255
    Gurgaon,Gurgaon,Haryana- E-mail Id : online@starhealth.in
    122006
    Place of Supply : -
    Phone No : /9999254263/
    Fulfiller Code : SO700002
    E-mail Id : srihari.kosaraju9@gmail.com
    Proposer GSTIN : - Intermediary Code : OL0000000001
    Proposal date : 10/09/2020
    Name : Direct
    Date of Inception of first policy : 10-SEP-2020
    Renewal Year : NEW Phone No : /
    Collection Number : 1272046514
    : 10/09/2020 E-mail Id :
    Collection Date
    Premium :Rs 7,415 /- Healthcare Worker discount :Rs 0 /-
    IGST @18% :Rs 1,335 /-
    Stamp Duty :Rs 1 /- Total Premium :Rs 8750 /-
    Total Premium In Words : Rupees Eight Thousand Seven Hundred Fifty Only

    PERIOD OF INSURANCE : 10/09/2020 01:23 TO : Midnight Of 22/06/2021 No. of Days : 285


    Floater Sum Insured Rs. 500000 /-
    Total Sum Insured In Words : Rupees Five Lakhs Only
    No. of Members Covered : 5
    Details of Insured Persons : No. of Persons Insured: 5

    Sl.n Name of the Insured Sex Date of Birth Age in Relationship with Optional Cover ID Card No Pre Existing Inception Date
    o. Yrs Proposer Opted Y/N Disease

    1 Srihari kosaraju M 09/03/1990 30 SELF No 17643611-1 NONE 10/09/2020

    2 Chandana Sudunagunta F 07/08/1992 28 SPOUSE No 17643611-2 NONE 10/09/2020

    3 Kushith Sai Kosaraju M 26/08/2019 1 DEPENDANT CHILD No 17643611-3 NONE 10/09/2020

    4 Kosaraju Hanumantharao M 01/01/1961 59 DEPENDANT PARENT No 17643611-4 NONE 10/09/2020

    5 Kosaraju Arunakumari F 15/02/1976 44 DEPENDANT PARENT No 17643611-5 NONE 10/09/2020

    Entered by : STAR_PORTAL For Star Health and Allied Insurance Company Ltd.

    Approved by : PORTAL

    Authorised Signatory
    IRDAI Regn. No 129
    Corporate Identity Number U66010TN2005PLC056649 CN=R Margabandhu,

    R Margabandhu
    SERIALNUMBER=00f82dcf76fdf6537e3331f8479ef45e7b4f3861b154
    75488cdf3b2c3c26c3c9, ST=TAMIL NADU, OID.2.5.4.17=600034,
    OID.2.5.4.20=513b7b33f2ce960f23148ea208744690e09638750806c

    Email ID : info@starhealth.in a65f89e15179f5fe50a, OU=UNDERWRITING - Chief Risk Officer,


    Please see overleaf
    O=STAR HEALTH AND ALLIED INSURANCE COMPANY, C=IN.
    Date :Thu Sep 10 01:23:48 IST 2020 1 of 2

    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No: 1800-425-5522 Toll Free
    No:1800-425-2255 / 1800-102-4477,CIN :U66010TN2005PLC056649 Email :support@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129
    For detailed coverage, terms & Conditions and exclusions, kindly visit website : www.starhealth.in

    Important:
    In the event of hospitalization of insured person, intimation should be given to the Company immediately, however, within 24 hrs from the time of
    admission
    Toll Free No : 1800 425 2255 Email: support@starhealth.in, Fax No: 1800 425 5522.

    In witness whereof the undersigned being authorized by and on behalf of the company has set his hand at Chennai on 10th Day of September 2020.

    Entered by : STAR_PORTAL For Star Health and Allied Insurance Company Ltd.

    Approved by : PORTAL

    Authorised Signatory

    Please see overleaf 2 of 2

    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No: 1800-425-5522 Toll Free
    No:1800-425-2255 / 1800-102-4477,CIN :U66010TN2005PLC056649 Email :support@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy