| 8- National Insurance Co. Ltd : Family Floater Insurance |
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| Star National Swasthya Bima Policy |
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| Star National Swasthya Bima Policy |
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| 5. Premium Payable & |
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Floater Sum Insured (Rs.) Premium including Service Tax at 12.24% (Rs.)
50,000 930/-
1.0 lac 1,746/-
1.5 Lac 2,635/-
2.0 lacs 3,390/-
2.5 Lacs 4,059/-
3.0 lacs 4,729/-
4.0 lacs 5,899/-
5.0 lacs 7,071/- |
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| 6. Claims Procedure |
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Hospilisation Claims will be settled by the Third Party Administrators (TPA).
The details of the claims procedure for emergency/planned hospitalization and the contact phone nos. of TPA’s are given in the TPA Guidebook. Insured as well as the Family is eligible for both cashless treatment and reimbursement of claims. |
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Name of the Third Party Administrator:
(To be selected from the Approved list of TPAs) |
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| Documents to be submitted: |
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A)For Cashless Claim(If treatment is taken in the panel hospital of TPA):
“Pre Authorization Form” given in the TPA Guide Book.
B)Reimbursement (If treatment is taken in hospital not in panel of TPA) |
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1.Claim form
2.Discharge Summary
3.Prescription with bills
4.Test Reports
5.Any other documents required by NICL/TPA. |
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| NICL office will take decision on the basis of documents submitted and the terms, conditions, exceptions and exclusions of the policy. |
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| 7. General Instructions |
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- The Prospectus contains the details of the policy.
- The Proposal Form attached to this Prospectus should be duly filled and submitted to the Bank of India Branch, where the a/c. holder has an a/c.
- 2 stamp size photographs of insured and covered family members to be affixed/attached in the Proposal form for making ID cards by TPA.
- The premium will be deducted from the a/c.by the bank and paid to National Insurance Co. Ltd.,
- Effective date of cover will be from the date of receipt of premium by NICL DO/BO.
- A Receipt, Policy & IT Certificate will be issued by NICL.
- The TPA will send Guide Book & ID Cards to the insured.
- Details of the policy will be available with Bank of India, National Insurance Company Ltd., Third Party Administrators.
- Premium paid is eligible for IT benefit.
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