COMPREHENSIVE TRAVEL PROTECTION
TRAVEL PROTECTION CARD
ASSIST NO.
NAME : MUTHURAMAN LAKSHMANAN 110030263573
ADDRESS : B5 BRINDAVAN APARTMENTS , NO 6, BRINDAVAN START DATE END DATE
ST MYLAPORE, CHENNAI TAMIL NADU-600004 20/04/2023 16/07/2023
SAVER
ASSIST FEES : 199( INCL GST @ 18% )
You can now enjoy exclusive travel assistance including insurance benefits on your trip.
Kindly ensure to carry this document for a pleasant travel experience.
Travel hassle-free with...
TRAVEL ASSISTANCE TRAVEL INSURANCE
24x7 Medical Lifestyle Domestic Roadside Arranged with an IRDAI authorised underwriter -
Assistance Assistance Assistance Aditya Birla Capital Health Insurance Co. Ltd.
Travel Support Services
Emergency Assistance Expert Intensive Care & Consultation 24/7 Customer Helpline
Ask for help
Note: Assistance provided by ASEGO TRAVEL LLP, Insurance
24x7 helpline: +91 22 67872 037 underwritten by Aditya Birla Capital Health Insurance Co.
Ltd.
Assistance: customercare@asego.in
Claims: claims@asego.in Customer will bear any cost or expenses arising from
availing the assistance ser vices through a third party
ser vice provider.
Whatsapp message only for claims: +91 86478 34444
travel.asego.in
Keep travelling, because the world is waiting for you and we are always by your side.
BON VOYAGE!
Click here or scan the QR code for detailed information about our assistance ser vices.
Aditya Birla Health Insurance Company Limited, 7th floor, C building, Modi Business Centre, Kasarvadavali, Mumbai, Thane West – 400615
IRDA Regn. No.153
Certificate Of Insurance
Customer Details:
Insured Name: Date of Birth: 19/12/1980 Passport Number: L7164857
MUTHURAMAN LAKSHMANAN
Address:
B5 BRINDAVAN APARTMENTS , NO 6, BRINDAVAN ST MYLAPORE, CHENNAI Chennai Tamil Nadu-600004
Group Active Travel Mobile no: 9840977505 Landline no: 9840977505
E Mail: abhishek.tiwari@yatra.com CR no:
Issue Date: 20/04/2023 Intermediary Code: 93 -21-00027-00-00
Certificate No: 30263573 Intermediary Name: Asego Insurance LLP
Overseas Travel Insurance
This Group Travel Insurance policy 93-21-00027-01-00 & 93-21-00028-01-00 dated 01-04-2023 has been issued at Mumbai by Aditya Birla Health
Insurance Company Ltd. to the master policy holder, ASEGO TRAVEL LLP and governed by the terms, conditions and exclusions therein contained or
otherwise expressed in the said policy, but not exceeding the Sum Insured as specified in the Schedule. This Certificate, represents the availability of
benefit to the above mentioned Insured Person. Through the master policy holder, Aditya Birla Health Insurance Co. Ltd. has received an amount of
Rs. 19.00 (Incl GST @ 18%) towards covering the risk benefits, on behalf of the above mentioned insured.
Insurance Details:
Commencement Date: From: 20/04/2023 End Date: 16/07/2023 No. of Days: 88
Plan Name: Geographical Coverage: Nominee Name: SIVAKAMI
AB MDV A- 7000 2 (90 - 30 single trip days) United Arab Emirates
Relation: Wife
Pre-existing diseases excluded are: Exclusions :
Coverages Sum Sum
Deductibles Coverages Deductibles
Insured Insured
In-patient Care for Illness and Injury with Day
USD 7000 USD 150 Medical Evacuation USD 5000 USD 150
Care Treatment
Personal Accident (AD,
Repatriation of Mortal Remains USD 5000 NA USD 5000 NA
PTD, PPD)
Emergency Assistance Details:
In case of a claim: EUROP ASSISTANCE INDIA PVT LTD, 7th Floor, Star Hub, Bldg No. 2, Near ITC Maratha Hotel, Sahar, Andheri East, Mumbai – 400 059,
INDIA. Contact No. - Toll Free phone number - 18332356787 (For USA), 80016122030004 (For Greece) or 80077773300 (For Rest of the world), +91 22
67872067 (Worldwide number (chargeable)) email id: adityabirla@europ-assistance.in
Stamp Duty:- The stamp duty of INR. 1/- paid vide MH003394929202122E dated 09/07/2021, 1, received from Stamp Duty Authorities vide Receipt
No./GRASS DEFACE NO 0001811011202122 dated 20/07/2021, , payment has been made vide Letter of Authorisation No. CSD/94/2021/2542 dated
26/07/2021 from Main Stamp Duty Office.
Other Terms & Conditions :
This policy covers Emergency Medical Expenses incurred due to sudden and unexpected injury or any acute Sickness including
COVID-19, arising when insured is outside the 'Republic of India' up to the limits as mentioned in the policy schedule.
● This Travel Insurance policy is only limited to customers of ASEGO TRAVEL LLP.
● Certificate is only valid to the customers who are travelling from India.
This policy covers the insured if travelling to any Schengen & its associate countries to a minimum of Euro 30000 minus deductibles
(if any).
● This policy consist of following coverage's which will be treated as benefit covers i.e. Personal Accident- Accidental Death
Permanent Total Disability (PTD) Permanent Partial Disability (PPD), Accidental Death-Common Carrier, Permanent Total Disability -
Common ,Permanent Partial Disability - Common carrier, Daily Allowance in case of Hospitalization, and Hijack Distress Allowance
subject to policy terms and conditions applicable to these sections.
Pre-existing condition(s) are excluded from the policy including but not limited to unforeseen emergency measures to save the
Insured/Insured person’s life. This exclusion will apply to the following sections: In-patient care for Illness and Injury with Day Care
Treatment, Medical Evacuation, Dental Expenses, Permanent Total Disability (PTD), Permanent Partial Disability (PPD).This exclusion
has been waived to the extent of USD 1000 per policy & Limited to applicable section for the age upto 80 Years.
● This policy does not cover any claim arising out of sporting activities in so far as they involve the training or participation in
competitions of professional or semi-professional sports persons, Adventure Sports unless declared beforehand and necessary
additional premium paid and mentioned in the policy schedule.
The certificate 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, subject otherwise to the Terms, Conditions and Exclusions mentioned in the policy
Grievance Redressal :
In case of a grievance, the Insured Person/ Policyholder can contact Us with the details through our website: www.adityabirlacapital.com,
Email:care.healthinsurance@adityabirlacapital.com or Toll Free: 1800 270 7000. Address: Any of Our Branch office or Corporate office. For senior
citizens, please contact respective branch office of the Company or call at 1800 270 7000 or write an e- mail at
seniorcitizen.healthinsurance@adityabirlacapital.com. The Insured Person can also walk-in and approach the grievance cell at any of Our branches. If
in case the Insured Person is not satisfied with the response, then they can contact Our Head of Customer Service at the following email
carehead.healthinsurance@adityabirlacapital.com. If the Insured Person is still not satisfied with Our redressal, he/she may approach the nearest
Insurance Ombudsman. The contact details of the Ombudsman offices are provided on Our website and in the Policy.
Important –
1. Insurance cover is subject to the terms and conditions mentioned in the Policy wordings provided to you with this Certificate of Insurance. For
complete set of benefits, terms, conditions & exclusions please refer policy wordings.
2. The assignment of Benefits under the Policy shall be allowed subject to applicable law.
• Below Sublimit is applicable for the age above 60 Years upto the age of 80 years for Emergency Medical Expenses.
Sublimit A pplica ble- A bove 6 0 Yea rs- 8 0 Yea rs
Room Rent in clu d in g B oa rd in g lod g in g $ 1 5 0 0 /d ay u p to 3 0 d ays
I nten sive C a re u n it $ 2 0 0 0 /d ay u p to 7 d ays
Op erat ion Th eat re ch a rges (I n clu sive su rgeon ch a rges)” Maxim u m Up to USD 7 5 0 0
An est h et ist ser vices Up to 2 5 % of Su rg ica l Treat m ent
Physicia n V isit Max $ 7 5 /d ay u p to 1 0 visit s
Dia g n ost ic a n d Ra d iolog y ser vices Max u p to USD 5 0 0
Am b u la n ce Ser vices Max u p to $ 3 0 0
Hosp ita l Miscella n eou s Exp en ses Maxim u m of USD 1 0 0 0
• Sublimit applicable for age group 81- 85 years is limited to Emergency Medical Expenses is restricted to USD 5000 per illness &
Injury.
• These sublimit are waived if Waiver of Restriction/ Sub-Limit On Medical Expenses Rider is specifically opted for by the Insured &
is mentioned on the certificate.
Scan the code to
authenticate policy
For Detailed Terms & Conditions of your Travel Insurance Policy Kindly Click here or paste the link https://asego.co/new/GroupTravelProtect.pdf on
your browser.
Website: www.adityabirlacapital.com; IRDA Reg. No: 153, Email: care.healthinsurance@adityabirlacapital.com
Aditya Birla Health Insurance Company Limited, 7th floor, C building, Modi Business Centre, Kasarvadavali, Mumbai, Thane West – 400615
UIN: ADITGBP19020V011819 & ADITGBP23002V012223. CIN: U66000MH2015PLC263677
*This is a computer generated statement doesn't need any signature
