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Parents Health Insurance

This document is a premium receipt for Mr. E Thangapandian's health insurance policy with a total gross premium of Rs. 52,423. The policy provides a family floater plan with a base sum insured of Rs. 10,00,000, effective from July 14, 2024, to July 13, 2025. Tax benefits up to Rs. 52,423 are available under section 80D of the Income Tax Act, subject to applicable limits.

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Thanga Pandian
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20 views2 pages

Parents Health Insurance

This document is a premium receipt for Mr. E Thangapandian's health insurance policy with a total gross premium of Rs. 52,423. The policy provides a family floater plan with a base sum insured of Rs. 10,00,000, effective from July 14, 2024, to July 13, 2025. Tax benefits up to Rs. 52,423 are available under section 80D of the Income Tax Act, subject to applicable limits.

Uploaded by

Thanga Pandian
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. E THANGAPANDIAN


2/130 A PILLAIYAR KOVIL STREET
VIRUDHUNAGAR DISTRICT
RAJAPALAYAM
NALLAMANGALAM
TAMILNADU - 626111

We acknowledge the receipt of payment towards the premium of the following health insurance policy:

Policyholder Name Mr. E THANGAPANDIAN Policy Number 31652323802201

Product Name ReAssure Plan Opted Family Floater Base Sum Insured 10,00,000

Policy Commencement Date # 14/07/2024 Policy Expiry Date 13/07/2025

Premium Calculation:

(A) Premium (Rs.) - Base Product 44,000.00

(B) Premium (Rs.) - Personal Accident Cover 0.00

(C) Premium (Rs.) - Safeguard 0.00


(D) Premium (Rs.) - Hospital Cash 2,354.00

Underwriting Loading (Rs.) 0.00

Total Discount (Rs.) 1,928.00

Net Premium / Taxable value (Rs.) 44,426.00

Integrated Goods and Service Tax (18.00 %) 7,997.00

Central Goods and Service Tax (0.00 %) 0.00

State/UT Goods and Service Tax (0.00 %) 0.00

Gross Premium (Rs.) 52,423.00


#
Issuance of policy is subject to clearance of premium paid

Details of persons Insured:


Name of Person Insured Age Gender Relationship**

Mr. P ELANGO 57 Male Father

Mrs. R MARIYAMMAL 47 Female Mother

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 Act, 1961 and any amendments made
thereafter.

You may get tax benefits up to Rs. 52,423.00.subject to maximum permissible limits applicable under Income Tax Act 1961 as modified from
time to time. For more details, kindly consult your tax advisor. In the event of non-realization of premium, benefits cannot 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.
GSTI No.: 09AAFCM7916H1Z6 SAC Code / Type of Service : 997133 / General Insurance Services

Niva Bupa State Code: 9 Customer State Code / Customer GSTI No.: 37 /NA

Policy issuing office: 1st Floor, ATP Tower, 12/27, S S Colony, Madurai, Tamil Nadu 625010.

Location: Madurai Director - Operations & Customer Service


Date: 14/07/2024 For and on behalf of Niva Bupa Health Insurance Company Limited
(formerly known as Max Bupa Health Insurance Co. Ltd.)

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