Date of release 22-Aug-19

Quote No

QUOTE SHEET FOR GROUP HEALTH INSURANCE POLICY

Name of the Firm: Aron Universal Pvt Ltd Total no of

471
Insured
Location and Address (Corporate Office) Bangalore Total Sum
87,75,000
Insured
Name of the Intermediary: sbi jayanagar sme 6959 Nature of Employer-Employee
Group
Name of the TPA Paramount Health Services & Insurance TPA Pvt. Ltd. Policy Type Family Floater
Industry
Vertical SME Chemicals, Fertilizers, Pigments, Explosives Business Type Fresh
Type
OTC Yes
Dear Sir/ Madam
We hereby extend our gratitude of having given us an oppurtunity to participate in quoting for the captioned risk.
Appended hereunder is the brief summation of the terms we propose

Period of Insurance 1-Apr-19 To 31-Mar-20

Scope of Cover: As Per our Standard Group Health Insurance policy

Coverages Remark Limits
Pre-existing Diseases Yes Pre-Existing Diseases Covered
First Year waiting period Yes Waived Off
First 30 days waiting period Yes Waived Off
Domicilary Hospitalization Yes 20% of SI to a maximum of Rs. 20000
Pre & Post Hospitalization Yes Pre/Post Hospitalisation of 30/60 days respectively.
Minimum and Maximum age at entry for Employee is 18 years and 65 years respectively. Dependent
Employee + Spouse + 2
children covered upto 23 years of age (unmarried and financially dependent only) for all employees.
Family Definition children + 2 dependent
Dependent parents covered upto 80 years of age for all employees. Cross Combination of Parents/
parents/in-laws
Parents in laws not allowed

NA
Maternity Benefit Not Covered
NA

9 months waiting period on

NA NA
Maternity
Baby cover from Day 1 No Covered only after 90 Days of birth
Congenital internal disease
No Not covered
cover
Ambulance charges No Not Covered

Co – Pay for Spouse & Children No No Copay Applicable

Co-pay for Parents Yes Copay of 0% applicable for parents on all claims. Copay is not applicable on capped illness

Corporate Buffer No Not Available

Ayurvedic Cover No Not Covered

Homeopathic Medicine &

No Not Covered
Unani Treatment Cover
Outpatient Treatment (OPD)
No Not covered. Only covered in case of Accidental cases on IPD basis.
Cover
Dental Expenses Cover No Not covered. Only covered in case of Accidental cases on IPD basis.
3% of SI /- for Non-ICU & 4% of SI /- for ICU whichever is less. In an event of hospitalization into ICU or
Non ICU room at rates exceeding the aforesaid limits, the reimbursement/payment of all other expenses
Room Rent Capping incurred at the Hospital, with the exception of cost of medicines and implants, shall be made in the
same proportion as the admissible room rate per day bears to the actual room rate per day (including
but not limited to boarding and nursing expenses).

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Quote No

Demographic Details
SI 50,000 75,000 1,00,000 1,50,000 2,00,000 2,50,000 3,00,000 3,50,000 4,00,000 4,50,000 5,00,000 5,50,000 6,00,000 6,50,000 7,00,000 7,50,000 TOTAL
0.25 - 1 2 2
2.0 - 18 79 79
19 - 25 62 62
26 - 30 28 28
31 - 35 23 23
36 - 40 37 37
41 - 45 52 52
46 - 50 49 49
51 - 55 43 43
56 - 60 34 34
61 - 65 16 16
66-70 16 16
70+ 30 30

No of Self 117 No of Children 104

No of Spouse 85 No of Parents/ In Law 165

Base Premium: Rs. 6,30,948

Goods & Service Tax @18% 1,13,571
Total Premium Payable (Including Tax) : Rs. 7,44,519

Other Terms & conditions:

No individual can be covered more than once in the policy – specifically if an employee and spouse are working for the same organization both cannot cover each
other and cannot cover the same set of parents. In case at the time of claim it is found that the member is covered more than once, a deletion endorsement
(without any refund) of such member will be effected to ensure he/she is covered only once.
Mid term increase in SI is not allowed.
Administration/ Registration/ Service Charges & Misc. Charges are not payable
For all admissible claims where treatment is taken at hospitals/nursing homes which are not in the list of network hospitals empanelled by the
Company/Administrator, insured person shall bear 10% of the eligible admissible claim.
This Quote is tentative based on the details provided by you. Change in insured member (Employees / Dependents) data will attract additional premium.
Quote is subject to the condition that client is taking GHI policy for the first time.
Employees shall be covered from DOJ subject to availability of sufficient CD balance being maintained with insurer.

Addition/deletion shall be done on prorata basis once in a month only subject to data being provided to us by 15th of succeeding month.
The policy excludes treatment with or coverage of Inj. Bevacizumab (e.g Avastin) , Inj. Ranibizumab (e.g Lucentis), Injection Remicade, Oral Chemotherapy, Cyber
Knife treatment, Stem cell therapy, Cochlear Implant Procedure, Femtolaser, Robotic surgery, Retrograde intra renal surgery, Lasik treatment for refractive error,
Quantum magnetic resonance therapy, Toric Lens covered upto 30,000/- per eye, KT Laser Prostate, Holter monitoring unless otherwise specifically covered as per
Policy Schedule.

Mid term inclusion of Spouse & children shall only be allowed only in case of marriage, child birth and legal adoption. The same is to be intimated to us within 30
days from date of marriage/child birth/adoption.
Mid term inclusion of parents/parents- in-law allowed only for new joinee employees. Existing employees would be able to cover their parents within 30 days of
the policy inception subject to payment of appropriate additional premium. If the parents are not covered this year, they will not be allowed to cover on renewal
as well.
Out of parents/ parents-in-laws, only one set of relation shall be covered. Selection is not permitted.

Quote valid Till 31-Mar-19

We would like to participate in the proposal with 100% Share.

Hope you find our submission competetive enough and give us an oppurtunity of underwriting this business. Should you at anytime require assistance , please do

Assuring you of our best services at all times

Yours Sincerely

Authorized Signatory Page 2 of 2