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:04/09/2024 11:09:05
GROUP PERSONAL ACCIDENT INSURANCE Reference Number: Q3604092440089164
To,
TEAM WORKS SYSTEM PVT LTDP
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 TEAM WORKS SYSTEM PVT LTDP
Occupation / Business of the
Insured
Nature of Group Employer-Employee Industry Type Wholesale / Retail
Risk Details
Period of Insurance From: 04/09/2024 To: 03/09/2025
Total No of lives to be covered 29 Total Sum Insured(in Rs.) 29000000.00
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 admissible
(Inpatient) 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 Allowance The maximum amount payable for this cover shall be limited to 1% of 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.
Page 1
“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
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
Pre Lakh- Rate chart (GST extra): Rs .80
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.
Page 2
“SBI General Insurance Products are not a Product of SBI”
