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Medical Insurance Premium Receipt Family

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raj barća
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20 views1 page

Medical Insurance Premium Receipt Family

Uploaded by

raj barća
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Premium Receipt

Dear Mr. Rajkumar K


No. 9/2, Bajanai koil main street,
Villivakkam,
Chennai, Tamilnadu - 600049
We acknowledge the receipt of payment towards the premium of the following health insurance policy:
Policy Holder's Name Mr. Rajkumar K Policy Number 21637918201200

Plan Opted for Family First Silver 10 lacs Sum Insured (Rs) 10,00,000

Commencement Date 15/03/2024 Expiry date 15/03/2025


Net Premium (Rs.) 25,897.00
Service Tax (Rs.) 1,108.00
Education Cess (Rs.) 0.00
Secondary & Higher Education Cess (Rs.) 0.00
Gross Premium (Rs.) 27,005.00
*Stamp Duty
*Insurance policy is subject to clearance of premium paid

Details at persons Insured:

Name of person Insured Age Gender Relationship to policy holder Individual Cover(Rs.)
(Only in case of family first)
Mr. Narayana Raju K 59 M Father 5,00,000
Mrs. Amara Kumari K 49 F Mother 5,00,000

Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this
policy are considered null and void. For the purpose of deduction under section 80D, the benefit
shall be as per the provisions of the Income Tax Ad, 1961 and any amendments made thereafter. In
the event of non-realization of premium, Tax benefits cannel be obtained against this premium
receipt.
For your eligibility and deductions please refer to provisions of Income Tax Act 1961 as
modified and consult your tax consultant.

Service tax Registration number. AAFCM791611ST001

For & On behalf of Max Bupa Health Insurance Co. Ltd.

Location : Chennai
Date: 16/12/2024
Ashish Mehrotra
Managing Director & Chief Executive Officer

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