Reliance Travel Care Policy - Corporate Short Term
Policy Issuing Office : Policy Servicing Office Name & Address CORPORATE OFFICE
- (SERVICING)
Reliance Centre, South Wing, 4th Floor, Off. Western Express Reliance center,South wing, 4th Floor, Off. Westren express highway,
Highway , Santacruz (East), Mumbai - 400 055. Santacruz East, MUMBAI, MUMBAI, MAHARASHTRA - 400055 Phone
Branch Contact No. : 022-33031000 No. : 022-33031000
Certificate No. - 920291928221031847 Master Policy No. 920291928220000084
-
Br. Code- 997414-9202 PSO No. - NN701544520857 Dept. - MMT TRAVEL Intermediary Code - Direct
4
Tax Invoice No & Date : Y090919012693 & 09-Sep-2019
Details of the Insured
Name of the Policy Holder MAKEMYTRIP (INDIA) PRIVATE LIMITED
Address of the policy holder 19TH, TOWER A B & C, EPITOME, BUILDING NUMBER 5, DLF CYBER CITY, PHASE 2,GURUGRAM 122002
Details of the Insured Person
Name of the Insured Person Passport No. Gender Nominee Relationship of the Nominee with the Insured
Name Person
ANURAG SINGH T1189787 MALE MONIKA SISTER
SINGH
Communication Address & Place of Supply 22 C KRISHNA NAGAR, LUCKNOW, UP. PIN- 226023, UTTAR PRADESH
E mail id AS26ANURAG@GMAIL.COM
Telephone Number 0884015637
GSTIN / UIN Of Insured :
Geographical Coverage EXCLUDING USA / CANADA
Country Visiting SWEDEN
Policy Period From 09-Oct-2019 to 15-Oct-2019 7 Days
Name of the Plan opted MMT EUROPE AND AUSTRALIA PLAN 2
Any Pre existing disease NO
POLICY COVERAGE Sum Insured ( in USD ) Deductible ( in USD )
Emergency Medical Expenses 2,50,000 USD 50
Emergency Medical Evacuation 5000 USD
Repatriation of Mortal Remains 7,500 USD
Dental Treatment Expenses 300 USD 50
Personal Accident 25000 USD
Total Loss of Checked in Baggage 500 USD
Delay of Checked in baggage 500 USD 12 hours
Loss of Passport and documents 200 USD 25
Trip Cancellation and/or Interruption 2,500 USD
Trip Delay 50 USD 6 hours
Hijack Distress Allowance 250 USD 12 hour
Visa Cancellation 3,000 USD USD100*
Any one illness 15000 USD
Any one accident 30000 USD
Consolidated Stamp duty Paid vide Receipt No. CSD/46/2019/2389 dated : 29.05.19 ** Not applicable for Jammu and Kashmir State.
#Warranted that:
1) Warranted that insured is a citizen of India and has a permanent place of residence in India and is not a NRI or OCI or foreign national and was within the
territory of India at the time of issuance of the certificate and before the commencement of the trip.
2) ) Warranted that Purpose of visit will be for leisure or personal business purpose only
3) Warranted that the Insured / Insured Person(s) has no past history of any illness / hospitalization
4) If Point No. 3 is "Yes" Warranted that Declaration of any Pre existing Condition, using words / terms which mean any disease/illness which are same or
similar to - Cancer / Leukemia / Malignant Tumor, Cardiac ailments, COPD, HIV /AIDS, Insulin Dependent Diabetes, Kidney Ailment, Liver Disease,
Neurological Disorder / Stroke /Paralysis, Thalasemia will render this policy null and Void-ab-initio and the Company shall have no liability under the policy
clean health history
5)Any expenses related to pre existing illness/ disability/diseases and its related complications/ consequences are not payable under the certificate.
6) Warranted that maximum amount payable per checked-in baggage in case more than one bag has been checked in, is 50% (100% for only one checked-
in baggage) of applicable Sum Insured and per item in baggage max 10%.
7) Repatriation of Mortal remains USD 7,500
8)In case of Financial emergency occuring in Asian countries the maximum Sum Insured applicable would be USD 300
9) Any claim arising out of sporting activities in so far as they involve the training or participation in competitions of professional or semiprofessional sports
persons is excluded.
10) Kindly refer policy wordings for complete details of coverages and deductibles.
11) For details on coverage, exclusion, terms and conditions the certificate should be read with master policy issued to << >> vide policy no.
_________________
Net Premium: Rs. 510.16
IGST : (18.00% ) Rs.91.83
Total Premium: Rs.602.00
In witness whereof this policy has been signed at Mumbai on : 09-Sep-2019
Subject to the terms, conditions and exclusions of the Reliance Travel Care Insurance Policy issued vide Master Policy indicated above.
For and on behalf of Reliance General Insurance Company Limited.
GSTIN : 27AABCR6747B1ZG SAC : 997136 Description of Services :Freight insurance services & Travel insurance
services
Reliance General Insurance Company Limited. IRDAI Registration No. 103 Certified for Excellence - ISO 9001:2015
Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710.
Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055.
Corporate Identity No.U66603MH2000PLC128300. UIN No.: IRDA/NL-HLT/RGI/P-T/V.I/321/13-14. Page 1 of 2
RGI/UW/CO/2822/PS/1.0/010218.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under
License
“In case of a renewal, the benefits provided under the policy and/or terms and conditions of the policy including premium rate may be
subject to change”.
Grievance Clause:-
For resolution of any query or grievance, Insured may contact the respective branch office of the Company or may call at 1800 3009 or
may write an email at rgicl.services@relianceada.com. In case the insured is not satisfied with the response of the office, insured may
contact the Nodal Grievance Officer of the Company at rgicl.grievances@relianceada.com. In the event of unsatisfactory response from
the Nodal Grievance Officer, insured may email to Head Grievance Officer at rgicl.headgrievances@relianceada.com. In the event of
unsatisfactory response from the Head Grievance Officer, he/she may, subject to vested jurisdiction, approach the Insurance
Ombudsman for the redressal of grievance. Details of the offices of the Insurance Ombudsman are available at IRDAI website
www.irda.gov.in or on company website www.reliancegeneral.co.in or on www.gbic.co.in. The insured may also contact the following
office of the Insurance Ombudsman within whose territorial jurisdiction the branch or office of the Company is located. Office of the
Insurance Ombudsman,3rd Floor,Jeevan Seva Annexe,S. V. Road,Santacruz (W), Mumbai - 400 054. Tel.: 022 - 26106552 / 26106960
Fax: 022 - 26106052 Email: bimalokpal.mumbai@gbic.co.in | Shri. A. K. Sahoo Office of the Insurance Ombudsman,Jeevan Darshan
Bldg.,3rd Floor,C.T.S. No.s. 195 to 198,N.C. Kelkar Road,Narayan Peth, Pune – 411 030. Tel.: 020-41312555 Email:
bimalokpal.pune@gbic.co.in
Category-General Insurance Business Service 00440005
Authorized Signatory
The policy has been issued based on the information provided by you/your representative and the policy is not valid if any of the information provided is
Incorrect.In case of non receipt of the policy terms and conditions, please ensure to obtain the same from the Agent / Our nearest Office / from our Website
http://www.reliancegeneral.co.in
Medical Assistance & Emergency Services are provided by our Service Provider, Europ Assistance who are at your Service 24*7 during trip
duration.
Europ Assistance India Pvt Ltd.
7th Floor, Star Hub, Bldg No. 2,Near ITC Maratha Hotel,Sahar, Andheri East, Mumbai – 400 059.
Please provide Immediate intimation of any claim / requirement for emergency assistance while abroad to ensure that
the Claim is not prejudiced. Please contact the International Toll Free Helpline numbers given below.
In case of any requirement for emergency assistance whilst abroad, please contact the toll free helpline numbers given below:
Note : The policy wording with detailed terms, conditions and exclusions are available on our website www.reliancegeneral.co.in
Singapore and Thailand — 001-80099441111, Hong Kong — 001-80099441111 and 006-80099441111, USA — 18337426673, Canada -011-80099441111 , Australia —0011-
80099441111, Japan — 001-010-80099441111 and 010-80099441111, Israel — 00-80099441111 and 014-80099441111, Greece —86002038017, Argentina, Austria, Belgium, China,
Czech Republic, Denmark, France, Germany, Hungary, Italy, Malaysia, Netherlands, New
Zealand, Norway, Philippines, Poland, Portugal, South Africa, Spain, Sweden, Switzerland, Taiwan & United Kingdom — 00-80099441111
Dedicated National Toll Free Help Line : 1800 209 5522 Land Line : +91 22 67347843 & +91 22 67347844 Fax Number: +91 22
67347888
Email : reliance@europ-assistance.in Website: www.europ-assistance.com
Intermediary Code/Name : Direct
Reliance General Insurance Company Limited. IRDAI Registration No. 103 Certified for Excellence - ISO 9001:2015
Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710.
Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055.
Corporate Identity No.U66603MH2000PLC128300. UIN No.: IRDA/NL-HLT/RGI/P-T/V.I/321/13-14. Page 2 of 2
RGI/UW/CO/2822/PS/1.0/010218.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under
License
