Group Overseas Travel Guard
Certificate Of Insurance
Intermediary/Broker name: DIRECT - AFFINITY
Intermediary/Broker License Number: NA
Intermediary/Broker Contact No: 18002660597
Issuing Office : MUMBAI
Servicing Office : MUMBAI
Partner Application number : MTMSTDIS41523671349-1
Policyholder name & Correspondence Address: Policy Number: 0239788339
MakeMyTrip (India) PVT LTD
19TH FLOOR, BUILDING NO 5, EPITOME BUILDING, DLF
GURGAON-122002
GURGAON
HARYANA
Insured Person Name : DEBANJAN DEY Certificate Number : 10497080
19TH FLOOR, BUILDING NO 5, EPITOME BUILDING, DLF
GURGAON-122002
GURGAON
HARYANA
Insured Person E-mail id: ddaccount26@gmail.com Age : NA
Insured Person Date of Birth : 26-08-1994 Insured Person Passport Number : P0024469
Insured Person Contact No. : +918893541023
Purpose Of Trip: NA Nature of Trip: Single Trip
Number of Travel days: 8 Country(ies) Zone of visit: WW EX US-CAN
Policy Period Start Date From: 25-04-2024 Policy Period End Date To : 24-04-2025
Certificate Issue Date: 2024-05-25
Cover Period From : 2024-06-01 Cover Period To : 2024-06-08
Premium Details
Net Premium (Rs.) 439.52
IGST 18% (Rs.) 96.48
Gross Premium (Rs.) 536.00
Insured Person
SR NO. Name Of Insured Person GENDER DOB PASSPORT NOMINEE
1 DEBANJAN DEY M 26-08-1994 P0024469
Nominee Details
Relationship with
SR NO. Name Of NOMINEE GENDER DOB Address
Insured Person
1 Legal heir NA NA NA
Coverage Details: MMT- Base Plan 100K NON US
Aggreg Aggreg
Overseas Sum Sum Deduc Deduc
ate ate Condit
Sr No. Coverage Trip / Insure Insure tible tible Copay Sublimits
Limit Limit ions
Trip d INR d USD INR USD
INR USD
Base Cover-Medical Expenses - Oversea $100,000 0
1 0 $ 100
Accident and Illness s Trip
TATA AIG General Insurance Company Limited
Registered office : Peninsula Business Park, Tower A,15th Floor, G.K Marg,Lower Parel, Mumbai-400013, Maharashtra, India
24*7 Toll free Number : 1800 266 7780 Fax : 022 6693 8170 Email : customersupport@tataaig.com website : www.tataaig.com
IRDA of India Registration No : 108 CIN : U85110MH2000PLC128425 UIN : TATTGOP23085V022223
GROUP OVERSEAS TRAVEL GUARD
Page 1 of 3
Extension-Emergency Medical Oversea Included
2 0 0 0
Evacuation s Trip Medical
Expenses-
Accident &
Illness
Oversea 0
3 Extension-Repatriation of Mortal 0 0 Included
Remains s Trip Medical
Expenses-
Accident &
Illness
Nil
Base Cover-Accidental Death Oversea $ 25,000
4 0 0
(24Hours) s Trip
Nil
Extension-Permanent Total Disability Oversea $ 10,000
5 0 0
s Trip
Nil
Add on-Missed Connection Oversea $ 750
6 0 0
s Trip
Add on-Common Carrier Delay Oversea INR 8 Hours
7 0 0
s Trip 1000 Deductible
Nil
Add on-Trip Cancellation Oversea $ 500
8 0 0
s Trip
Nil
Add on-Trip Interruption Oversea $ 500
9 0 0
s Trip
Nil
Add on-Loss of Oversea $ 250
10 0 0
Passport s Trip
Add on-Delay of Checked-in baggage Oversea $ 50 12 Hours
11 0 0
s Trip Deductible
Nil
Add on-Loss of Oversea $ 1000
12 0 0
Checked-in Baggage s Trip
Overseas Assistance Oversea 0
13 0 0 Included
Services s Trip Medical
Expenses-
Accident &
Illness
14 Hospital Daily Cash Oversea $ 2500 0 0 24 Hours
Deductible
(USD s Trip
50/200/400/500 per
day) (Max upto 10
days
15 Personal Liability Oversea $ 50,000 0 0 Nil
s Trip
TATA AIG General Insurance Company Limited
Registered office : Peninsula Business Park, Tower A,15th Floor, G.K Marg,Lower Parel, Mumbai-400013, Maharashtra, India
24*7 Toll free Number : 1800 266 7780 Fax : 022 6693 8170 Email : customersupport@tataaig.com website : www.tataaig.com
IRDA of India Registration No : 108 CIN : U85110MH2000PLC128425 UIN : TATTGOP23085V022223
GROUP OVERSEAS TRAVEL GUARD
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16 Dental Cover Oversea $ 100 0 0 Nil
s Trip
17 Compassionate Visit Oversea $ 500 0 0 Nil
Stay s Trip
18 Compassionate Visit Oversea $ 500 0 0 Nil
Travel s Trip
19 Travel with pet Oversea $ 100 0 0 Nil
s Trip
20 Bail Bond Oversea $ 500 0 0 Nil
s Trip
21 Hole in one Oversea $ 250 0 0 Nil
s Trip
22 Home Content Oversea INR 0 0 Nil
Burglary s Trip 500000
23 Terrorism cover Oversea Included 0 0 Nil
s Trip
Conditions(if any):- NA
For complete set of benefits, terms & conditions, please refer to policy wordings:
https://tripmoneycmshtmlak.mmtcdn.com//undefined/MMT_Group_Overseas_Travel_Guard_Policy_Wording_TATTGOP_23085_V022223_e3463cb0ba.pdf
TATA AIG General Insurance Company Limited
Registered office : Peninsula Business Park, Tower A,15th Floor, G.K Marg,Lower Parel, Mumbai-400013, Maharashtra, India
24*7 Toll free Number : 1800 266 7780 Fax : 022 6693 8170 Email : customersupport@tataaig.com website : www.tataaig.com
IRDA of India Registration No : 108 CIN : U85110MH2000PLC128425 UIN : TATTGOP23085V022223
GROUP OVERSEAS TRAVEL GUARD
Page 3 of 3
