Health Insurance Policy Renewal

As the services under Health Prime rider I have selected will be rendered by Bajaj Finserv Health Ltd. (eBH), I hereby authorise you to share my contact details and necessary information to eBH as per your IT and Data Privacy Policy. Please select declartion

Congratulations, you have a pre-approved offer for Sum Insured Enhancement

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As the services under Health Prime rider I have selected will be rendered by Bajaj Finserv Health Ltd. (eBH), I hereby authorise you to share my contact details and necessary information to eBH as per your IT and Data Privacy Policy. Please select declartion

Great! you have opted for SI enhancement

I hereby declare that I am in good health, free from any medical conditions, illnesses, or injuries that would affect my life expectancy, and I do not have any pre-existing medical condition that may be relevant to the insurance policy.

I don’t have any pre-existing disability

Complete your KYC details (Mandatory as per IRDAI guidelines)

Select Document Enter Number Please Enter Document Number Enter File Number Please Enter File Number CIBIL Score Please enter CIBIL Score Enter CASA/ Loan AC/ AAN No Please enter valid CASA/ Loan AC/ AAN No

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Plan 1
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To support our Go Green initiative, we will send the policy copy on your email. This is a digitally signed valid document. The hard copy of the policy would be sent on request only. Please confirm if you still want to receive the physical hard copy of your insurance policy.

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Details

Policy Details Insured name: John Existing Sum Insured: ₹ Existing cover for number for days: ₹ 95, 250 Policy start date: 09/01/2016 Policy expiry date: 09/01/2018 Personal Details Address: Flat no. 404, Green building, Opp shantinagar, Dadar West, Mumbai, Maharashtra. Pincode: 400005 Mobile no: +919678896655 Email ID: john.anderson@gmail.com

Congratulations!

You and your loved ones are now covered with our health insurance policy. John Anderson Sum insured : ₹ 28,000 Your Policy No. is : OG-18-9906-1801-001234 Start date : 29 May 2018 End date : 29 May 2018

PA Policy number:

12-9910-0001211286-00

Start date:

29 May 2018

End date:

29 May 2018 You can also save this policy to your DigiLocker

Dear Customer, Your proposal is under review. We will revert shortly with the update. Please keep your transaction number XXXXXX .

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‘E-Insurance Account' (EIA) is the portfolio of insurance policies of a proposer/policyholder held in an electronic form with an insurance repository.

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Premium Break up

Hospital Cash Renewal Insurance Premium ₹ 30,000 HPR Premium NME Premium Total Goods & Services Tax (GST) 18% Total Premium Amount ₹ 38,500

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Thank you for the interest shown in our cyber insurance plan and submitting the details. On the basis of the information provided, our executive will get in touch with you.

Thank you for the interest shown in our health insurance plan and submitting the details. On the basis of the information provided, the quote will get refered after making payment or our executive will get in touch with you if TSE assistance required.

For future correspondence, kindly use the Quote Reference ID: 11-8432-0000001546-00. You can also call on our toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.