Star Health And Allied Insurance Company Limited
RENEWAL NOTICE
Policy No: 11240549147701
Date :17-Nov-2024
SANTOSH KUMAR SINGH Branch Office-Janakpuri BOIII-161140
Village Pipra, Tola-Anandipattipanch-Pipra
Block - Pipra Distict Supaul C-2, Third Floor,
New Krishna Park, Vikas Puri, Near Janakpuri West Metro Station
Pipra - Supaul,Bihar-852218 Janakpuri,
96XXXXXX48 s_XXXXXXXXX@yahoo.co.in Rajouri Garden Delhi 110018
Ph : 011-46743314
Email ID : Janakpuri3.bo@starhealth.in
Proposer/CustomerCode:31984038/31984038 Reference No : 612567412197 - Direct Receipt
Dear Customer,
We value your relationship with us and thank you for the same. We wish to bring to your kind notice that your Family Health Optima Insurance Plan is due for
renewal on 05-Dec-2024. The renewal premium, including Tax, works out to Rs. 18,114/- as per details given below.
Age as on Relationship with
S. No Name of the Insured DOB Sum Insured(Rs.) Premium (Rs.)
renewal proposer
1 SANTOSH KUMAR SINGH 05-Feb-1979 45 Self
2 RUHI SINGH 09-Jun-1981 43 Spouse
3 AASHUTOSH PRATAP SINGH 02-Oct-2011 13 Son 5,00,000 15,351
4 SHRMYA SINGH 17-Jul-2017 7 Daughter
GST @ 18% 2,763
Total Renewal Premium 18,114
You can cover yourself with more Suminsured Coverages
SANTOSH KUMAR SINGH SI 10,00,000 SI 15,00,000 SI 20,00,000 SI 25,00,000
Rs. 21,737/- Rs. 24,997/- Rs. 27,997/- Rs. 30,797/-
**Excess if any shall be refunded to proposer
If there is any change in the list of insured persons to be covered and/ or you desire any changes in the sum insured etc., please inform us
immediately so that we can work out the revised renewal premium and advise you. Otherwise, please arrange to remit the renewal premium of Rs.
18,114/- on or before 05-Dec-2024. Please note that the payment of premium by any mode other than by cash will be eligible for benefit under Sec. 80 D of the
Income Tax Act. If you pay by Cheque or DD, please make payment in favour of ''Star Health and Allied Insurance Company Limited.''
We request you to renew the policy before the renewal date to ensure continuity of cover and benefits.
''Please furnish your mobile number and email id in the space provided below to enable our company to communicate with you as our valued customer, whenever
required''.
Mobile Number : Email id :
You can also update your Address / Mobile No / E Mail ID, online by visiting our website www.starhealth.in
Please note that this policy can be renewed online or using your mobile. Kindly log on to our website www.starhealth.in to know the details.
Kindly share your 14 digit ABHA (Ayushman Bharat Health Account) number at the time of renewal. If not registered yet,
please visit our webpage starhealth.in/abha to get registered and to share your ABHA number.
Always at your service.
For Star Health and Allied Insurance Company Limited Intermediary Name/Code : Mr.UDAY DAS / BA0000284526
Phone No : 9716379409/9716379409
Fulfiller Name/Code : Ms.MONIKA DAS / SH45249
Authorised Signatory
Phone No 9667868549
This is an example of Promotional Message.
IRDA Regn.No.129 Corporate Identity Number L66010TN2005PLC056649 Email ID: info@starhealth.in
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 : L66010TN2005PLC056649 Email
:support@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129
Star Health And Allied Insurance Company Limited
Sheet attached to and forming part of the Renewal notice
( for Health/Personal Accident)
Name of the Proposer : SANTOSH KUMAR SINGH
Policy Number : 11240549147701
As per the Regulatory requirements ,we can effect payment of refund / claims only through Electronic Clearing System (ECS) / National Electronic Funds Transfer
(NEFT) / Real Time Gross Settlement (RTGS) / Interbank Mobile Payment Service (IMPS).
For this purpose please submit the following details
Name of the proposer
Name of the Bank & Branch
Type of Account SB Account / Current Account / Others (please specify)
Account Number
IFSC Code of Bank
Please attach a photo copy of a cheque leaf of the above Bank Account.
Date
:
Place
: Signature of the Proposer
IRDAI Regn.No.129
Corporate Identity Number L66010TN2005PLC056649 Email ID: info@starhealth.in
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 : L66010TN2005PLC056649 Email :support@starhealth.in Website :www.starhealth.in IRDAI Regn.no: 129
Star Health and Allied Insurance Co.Ltd
Spot Acknowledgement
Acknowledged hereby receipt of Cash / Cheque / DD No. Dt for Rs.
drawn on from Mr./Mrs/Ms. towards premium for the renewal of Policy No.
. A system generated "Advance Premium Receipt" for this payment will follow from our office, which is subject to
realization of the cheque.
Name & Code of the Authorised Person Signature of Authorised Person
Place:
Date:
