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| Group Health Insurance Policy for Corporates/Organization |
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| 7(a)- Group Health Insurance of Named Person |
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| Source New India |
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| Group should fall clearly under the following categories: |
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- Employer-employee relationship including dependents of the employee.
- Preidentified segments/groups where the premium is to be paid by the State/Central Governments.
- Members of a registered co-operative society
- Members of registered service clubs
- Holders of credit card of Bank/Diners/Master/Visa
- holders of deposit certificates issued by Banks/NBFC's
- Shareholders of Banks/public limited companies
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Minimum Number of Person: 100
Age Limit, Basic premium, benefits and exclusions are same as per Individual Mediclaim Policy.
Three will be no family discounts, cumulative bonus and cost of health checkup. The policy should not be
no issued through intermediaries |
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| Maternity Benefits: |
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The maximum cover available up to Rs. 50000/- for maternity or the sum insured opted by the members
of group, whichever is lower.
This is an optional cover which can be obtained on payment 10% of the total Basic premium for all the
insured persons under the policy at inception only. Total basic premium means the total premium computed
before applying group discount and/or high claim leading low claim discount and special discount.
When the Maternity benefit is extended, Exclusion 11A of the policy stands deleted.
Option for this cover has to be exercised at the inception of the policy period and no refund is
available in case of insured cancels this option during currency of the policy.
A waiting period of 9 months is applicable for payment of any claim relating to normal delivery or ceasarian section or abdominal operation for extra uterine pregnancy. The waiting period may be relaxed only in the case of delivery, miscarriage of abortion induced by accident or other medical emergency.
Claim in respect of delivery for only first 2 children and/or operation associated therewith will be considered.
Voluntary termination of pregnancy during the first 12 weeks from the date of conception not covered.
Pre and post-natal expenses are not covered unless hospitalised. |
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| GROUP DISCOUNT: |
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| The final Group Discount increase/decrease will be adjusted on the policy period provided the policy is renewed for the next 12 months. |
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| No. of persons |
Discount% |
| 101-500 |
2.5 |
| 501-1,000 |
5 |
| 1,001-10,000 |
7.5 |
| 10,001-15,000 |
10 |
| 15,001-20,000 |
12.5 |
| 20,001-25,000 |
15 |
| 25,001-50,000 |
20 |
| Above-50,000 |
30 |
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