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Premium Certificate

This document is a Premium Certificate for Mr. Roobosh Natesan, certifying a health insurance premium payment of ₹13,610.09 for the policy term from 31/08/2023 to 30/08/2024. It outlines eligibility for tax deductions under section 80D of the Income Tax Act, 1961, and provides a detailed breakdown of the premium paid. Important notes regarding eligibility, payment methods, and policy cancellation are also included.

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10 views2 pages

Premium Certificate

This document is a Premium Certificate for Mr. Roobosh Natesan, certifying a health insurance premium payment of ₹13,610.09 for the policy term from 31/08/2023 to 30/08/2024. It outlines eligibility for tax deductions under section 80D of the Income Tax Act, 1961, and provides a detailed breakdown of the premium paid. Important notes regarding eligibility, payment methods, and policy cancellation are also included.

Uploaded by

thegspotcreation
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Premium Certificate

For the purpose of deduction under section 80D of Income Tax Act, 1961 and any amendments made thereafter*.

This is to certify that MR. Roobosh Natesan has paid the premium of

₹13,610.09 (in words) Thirteen Thousand Six Hundred and Ten and Nine paise only for the period

31/08/2023 to 30/08/2024 towards Premium for Health Insurance policy for term of One Year policy.

Policy
Number PROPRM050053026

Receipt Receipt Payment


R002873539 Date 31/08/2023 13,610.10 DEBITCARD
Number Amount Mode

Refer annexure-1 for the detailed breakup of the insurance premium paid & eligibility under section 80D.

* Note:
1. For your eligibility and deductions please refer to provisions of Income Tax Act, 1961 as modified and/or consult your tax
consultant.
2. Any amount paid in cash towards premium will not qualify for tax benefits.
3. In case of dishonour of premium instrument, the policy will be deemed cancelled ab initio.
4. Deduction under section 80D shall not be allowed if the premium is paid by third party (other than proposed/insured) under
this policy.
5. This certificate must be surrendered to us in case of cancellation of Policy or for issuance of fresh certificate in case of any
alteration in the insurance affecting the premium.

Yours Sincerely,
ManipalCigna Health Insurance Company Limited

(Formerly known as CignaTTK Health Insurance Company Limited)


‘This is a system generated communication and does not require signature’.

Date: 02/09/2023
Location: Mumbai

ManipalCigna ProHealth Prime MCIHLIP22224V012122 PROPRM050053026


Premium Certificate

Annexure-1

Detailed breakup of the insurance premium paid for One Year policy.

Sr. Name of the Age Relationship with Premium paid Premium eligible
No. insured person the policyholder (inclusive of GST) u/s 80D (*)
1. Premium paid for self & family
Mr. Roobosh Natesan 30 Self- Primary Member 13,610.09
Total ( A ) 13,610.09 13,610.09
Total premium paid (A+B+C) 13,610.09 13,610.09

Note:
Tax deduction on health insurance premium paid can be claimed under section 80D is as follows:

Description Self,spouse and Parents Total deduction


dependent childeren
No one has attained the age of 60 years Rs.25,000 Rs.25,000 Rs.50,000
Assessee and his/her family is less than 60 years and
parents are 60 years of age or more Rs.25,000 Rs.50,000 Rs.75,000

Assessee and his/her parents have attained the age of


Rs.50,000 Rs.50,000 Rs.100,000
60

ManipalCigna ProHealth Prime MCIHLIP22224V012122 PROPRM050053026

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