Rs.1252 transferred from A/c ...2167 to:CMS/BAJFINSERV/. For renewal your expert said my daughter is completed 25 year policy cannot renewal please stop the policy and repayment the amount which is deducted from accouGroup Activ Health - Certificate of Insurance
Policy Issuing Office Aditya Birla Health Insurance
Company Limited, 10th Floor, R-
Tech Park, Nirlon Compound,
Goregaon-East, Mumbai-400063
Policy Servicing
Office
Aditya Birla Health Insurance
Company Limited, Claims Dept.
5th floor, C building, Modi
Business Centre,
Kasarvadavali, Mumbai, Thane
West 400 615
Name of Insured
Person and
Residential Address
of Insured person
JYOTI RAMKISAN LATPATE
2/18 KAMADA SOC;CHINCHWAD;
PUNE MAHARASHTRA - 411033
Unique Identification
Number
IN5728668
Product Name Group Activ Health Member ID BF-[protected]-01
Certificate Number GHI-21-LR2-IN5728668
Period of Insurance
Inception Date 00:01 hrs on 08/05/2021
End Date 23:59 hrs on 07/05/2022
Individual/Family Floater Family Floater
This Cover shall be valid for the period of Insurance mentioned herein unless cancelled in accordance with the
Policy's Terms and Conditions.
Insured Person Detail
Insured Person Date of Birth Gender Nominee Relationship Sum Insured
Jyoti Ramkisan Latpate 08/10/1970 Female Ramkisan K Latpate Spouse 1, 000, 000.00
Child 1 Of Jyoti Ramkisan
Latpate
01/01/1998 Male
Child 2 Of Jyoti Ramkisan
Latpate
01/01/2001 Male
Benefit Description
Group Mediclaim Refer Coverage Details below
Policy Exclusions
Group Mediclaim As per Annexure 1
Group Activ Health, Product UIN: IRDAI/HLT/ABHI/P-H(G)/V.1/19/2016-17 your agent are not renewal birthday of sun and doughter is not correct please stop the policy and repayment my amount
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