SBI General Insurance Company Ltd
9th Floor, A & B Wing, Fulcrum
Business Centre, Sahar Road, Ashok
Nagar, Andheri (East), Mumbai - 400
099
User ID:
Intermediary Name & Code:
Date and Time:14/11/2024 16:09:05
GROUP PERSONAL ACCIDENT INSURANCE Reference Number: Q3604092440089164
To,
In2 Computing
GROUP PERSONAL ACCIDENT INSURANCE Premium Schedule
Dear Sir / Madam,
We hereby extend our gratitude of having given us an opportunity to participate in quoting for the
captioned risk. Appended hereunder is a brief summation of the pricing / Terms we propose:-
Customer Details
Insured Name In2 Computing
Occupation / Business of the
Insured
Nature of Group Employer-Employee Industry Type Wholesale / Retail
Risk Details
Period of Insurance From: 14/11/2024 To: 13/11/2025
Total No of lives to be 27 Total Sum Insured(in Rs.) 27000000.00
covered
Basis of Policy Named Basis Average Sum Insured(in Rs.) 1000000.00
Coverage Details
Insured Details Only permanent employees of the organization are covered
Operative Time 24 hours Territory Restriction No
Territory
Restriction
Terrorism (Excluding NCB) Covered for all.
AD Covered for all (Sum Insured as per annexure)
PPD Covered for all (Sum Insured as per annexure)
PTD Covered for all (Sum Insured as per annexure)
TTD • Actual weekly salary or 1% of Accidental death benefit SI,
whichever is lesser subject to a maximum up to Rs. 5000/- per week
and up to maximum for 104 weeks.
• Deductible- 1 week for each claim.
Accident Medical Extension • Covered up to 10% of Accidental death benefit SI, 40% of
(Inpatient) admissible disability claim or actual, whichever is lesser subject to
maximum of Rs. 200,000/- per policy period.
• Deductible of Rs 500 applicable for each claim.
Add on Covers
Children Education The maximum amount payable for this cover shall be limited to 1% of
Allowance Accidental Death’s Sum Insured or Rs. 50,000/-, whichever is lesser.
This benefit is payable per year till the 21st birthday of the Child or four
continuous years or till the time child ceases to be enrolled in any
regular education programme, whichever is earlier. The benefit is
available only for first two Children.
“SBI General Insurance Products are not a Product of SBI”
SBI General Insurance Company Ltd
9th Floor, A & B Wing, Fulcrum
Business Centre, Sahar Road, Ashok
Nagar, Andheri (East), Mumbai - 400
099
Page 1
Premium: -
Base Premium: Rs .23167.00
GST @ 18%: Rs .4170.00
Total Premium Payable (Including commission and Rs .27337.00
GST):
Total Premium Payable (Rounded-Off): Rs .27337
Other Terms & Conditions: -
* Quote is subject to condition that policy holder has no past insurance history
* This quote is subject to information provided as above. If information changes, the quote needs to
be re-worked.
* Minimum and maximum age at entry is restricted to 18 years and 65 years respectively
*For detailed coverage and exclusions, please refer policy wordings and add on wordings
* The quotes stand invalid if the group covered under this policy would be covering any of the
following:
• Persons working as miners, manufacturing or Trade of Explosives, weapons, hazardous
materials (e.g. fertilizers, asbestos fiber, toxic gases, pesticides etc.
• Media/Film stars/Film Associations.
• Persons who engage in hazardous sports like rafting, mountaineering, underwater diving,
deep sea diving, rafting, canoeing, bungee jumping, parachuting, sky diving or any other
dangerous sport or activity
• Insured’s with existing disability.
• Lawyers/Advocates, Aviation crew and pilots on non-schedule flights, - Law enforcement
agencies (including police, paramilitary, military), Politicians, Multi-Level Marketing Companies,
Security Guards, Pathology Labs.
Please note that the above premium schedule is valid for 30 days from issue date 09/04/2024
11:30:49 subject to NIL Claim Reported and No Material Changes in Risk from date of issue of the
above schedule till the payment of Premium.
Hope you find our submission competitive enough and give us an opportunity of underwriting this
business. Should you at any time require any assistance, please do feel free to contact your
relationship manager/intermediary or write to us, customer.care@sbigeneral.in.
Assuring you of our best services at all times.
“SBI General Insurance Products are not a Product of SBI”
SBI General Insurance Company Ltd
9th Floor, A & B Wing, Fulcrum
Business Centre, Sahar Road, Ashok
Nagar, Andheri (East), Mumbai - 400
099
Page 2
“SBI General Insurance Products are not a Product of SBI”
