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SmartTraveller Insurance Policy (Individuals and Families) Date : 20/Feb/2017 - 09:47 hrs Name of Policy Holderyou may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General Insurance Council: www.gicouncil.in o r on the company website www.bharti-axagi.co.in Bharti AXA GENERAL INSURANCE COMPANY LTD. 1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in " id="pdf-obj-0-2" src="pdf-obj-0-2.jpg">

SmartTraveller Insurance Policy (Individuals and Families)

Date :

20/Feb/2017 - 09:47 hrs

Name of Policy Holder Communication Address :

:

MISS.JYOTI RANI FLAT 604,DREAMS APARTMENT

Policy No

:

S9818023

 

SECTOR 22 ,DWARKA NEW DELHI,

 

Policy Type

:

Smart Traveller Insurance Policy (Individuals and

110075

 

Families) - Gold Plan

Contact No. :

+995599891340

Email ID :

tasood.jyoti08@gmail.com

Travel Start Date :

 

21/Feb/2017

Intermediary Details :

Geographical Coverage : Europe

Travel End Date :

20/Feb/2018

Name

:

Contact No. :

Bharti AXA Direct Travel

080-40260100

World-wide excluding USA and Canada but including Japan

Total No. of days :

364 days

Code

:

00001120

Branch Code

:

10

 

TRAVELLER DETAILS

Insured

Insured Name

DOB

Passport No.

Nominee

1

MISS JYOTI RANI

08/may/1993

Z2488606

Tara chand

SmartTraveller Insurance Policy (Individuals and Families) Date : 20/Feb/2017 - 09:47 hrs Name of Policy Holderyou may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General Insurance Council: www.gicouncil.in o r on the company website www.bharti-axagi.co.in Bharti AXA GENERAL INSURANCE COMPANY LTD. 1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in " id="pdf-obj-0-151" src="pdf-obj-0-151.jpg">
 

YOUR BENEFIT & PREMIUM DETAILS

 

Cover

Sum Insured

Deductible

 

Cover

Sum Insured

Deductible

Medical Expenses(incl. repatriation & Emergency Medical Evacuation)

US$ 500000

US$ 50

Personal Liability

US$ 300000

Nil

Dental Treatment Expenses

US$ 1000

US$ 50

Home Fire Insurance - Contents

Rs. 500000

Nil

Personal Accident

US$ 40000

Nil

Home Burglary Insurance - Contents

Rs. 500000

Nil

Accidental Death & Dismemberment (Common Carrier)

US$ 5000

Nil

Financial Emergency Assistance

US$ 750

Nil

Compassionate visit

Compassionate

Nil

Missed Connection

US$ 750

Nil

Visit Covered

Insurance is the subject matter of solicitation. For more details on risk factors, terms and conditions please read sales brochure of products carefully before concluding a sale. For redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General Insurance Council: www.gicouncil.in or on the company website www.bharti-axagi.co.in Bharti AXA GENERAL INSURANCE COMPANY LTD. 1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in

Cover Sum Insured Deductible Cover Sum Insured Deductible Loss of Passport and documents US$ 350 US$you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General Insurance Council: www.gicouncil.in o r on the company website www.bharti-axagi.co.in Bharti AXA GENERAL INSURANCE COMPANY LTD. 1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in " id="pdf-obj-1-2" src="pdf-obj-1-2.jpg">

Cover

Sum Insured

Deductible

 

Cover

Sum Insured

Deductible

Loss of Passport and documents

US$ 350

US$ 25

Deposit/Cancellation Loss - Hotel & Airline

US$ 1000

Nil

Total loss of checked baggage

US$ 2000

 

Nil

Overbooked Flight

US$ 1000

Nil

Delay of checked baggage

US$ 150

6

hours

Bail Bond

US$ 5000

Nil

Trip Delay

US$ 75

6

hours

Legal expenses

US$ 400

Nil

Hijack Distress Allowance

US$ 200

12 hours

Pet Care

US$ 400

Nil

Daily Allowance

US$ 50/day for 10 days

First 2 days

Emergency accommodation

US$ 1000

Nil

Trip Cancellation and Interruption

US$ 1000

 

Nil

 

Gross Premium (Rs.)

1,415.00

Service Tax @ 14%(Rs.)

198.10

Swachh Bharat Cess @ 0.5%

7.08

Krishi Kalyan Cess @ 0.5%

7.08

Total Premium (Rs.)

1,627.00

Insurance is the subject matter of solicitation. For more details on risk factors, terms and conditions please read sales brochure of products carefully before concluding a sale. For redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General Insurance Council: www.gicouncil.in or on the company website www.bharti-axagi.co.in Bharti AXA GENERAL INSURANCE COMPANY LTD. 1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in

In case of a claim, you may reach us at 844-691-8883 (For Canada), 844-691-8885 (For USA)e world) or email us at claims@bharti-axagi.co.in. We thank you for the patronage and confidence you have placed in us. We look forward to serve you again. SANCTIONS LIMITATION AND EXCLUSION CLAUSE No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide any benefit hereunder to the extent that the provision of such cover, payment or such claim or provision of such benefit would expose that (re)insurer to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic sanction, laws or regulations of the European Union, United Kingdom or United States of America. Excluding from/to and/or countries/places prohibited by GOI & also Specifically Excluding Iran / North Korea / Sudan / Syria / Belarus / Cuba / Democratic Republic of Congo / Somalia / South Sudan / Zimbabwe / Russia / Crimea / Eastern Ukraine / Nepal / Bangladesh / Iraq / Afghanistan / Angola / Ethiopia / Lebanon / Liberia / Libya / Nicaragua / Nigeria / Rwanda / Sierra Leone / Uganda / Myanmar / Yemen / Columbia / Bhutan. Best Regards, Rohit Kohli Vice President - Operations 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. Subject otherwise to the Terms, Conditions and Exclusions mentioned in the policy. Actual departure date should not be more than 7 days from the date specified above. Returning date is midnight or date of return of insured to India, whichever is earlier. Policy Wordings Insurance is the subject matter of solicitation. For more details on risk factors, terms and conditions please read sales brochure of products carefully before concluding a sale. For redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General Insurance Council: www.gicouncil.in o r on the company website www.bharti-axagi.co.in Bharti AXA GENERAL INSURANCE COMPANY LTD. 1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in " id="pdf-obj-2-2" src="pdf-obj-2-2.jpg">

In case of a claim, you may reach us at 844-691-8883 (For Canada), 844-691-8885 (For USA) or +91 120 4593503 (For other parts of the world) or email us at claims@bharti-axagi.co.in. We thank you for the patronage and confidence you have placed in us. We look forward to serve you again.

SANCTIONS LIMITATION AND EXCLUSION CLAUSE

No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide any benefit hereunder to the extent that the provision of such cover, payment or such claim or provision of such benefit would expose that (re)insurer to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic sanction, laws or regulations of the European Union, United Kingdom or United States of America. Excluding from/to and/or countries/places prohibited by GOI & also Specifically Excluding Iran / North Korea / Sudan / Syria / Belarus / Cuba / Democratic Republic of Congo / Somalia / South Sudan / Zimbabwe / Russia / Crimea / Eastern Ukraine / Nepal / Bangladesh / Iraq / Afghanistan / Angola / Ethiopia / Lebanon / Liberia / Libya / Nicaragua / Nigeria / Rwanda / Sierra Leone / Uganda / Myanmar / Yemen / Columbia / Bhutan.

Best Regards,

In case of a claim, you may reach us at 844-691-8883 (For Canada), 844-691-8885 (For USA)e world) or email us at claims@bharti-axagi.co.in. We thank you for the patronage and confidence you have placed in us. We look forward to serve you again. SANCTIONS LIMITATION AND EXCLUSION CLAUSE No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide any benefit hereunder to the extent that the provision of such cover, payment or such claim or provision of such benefit would expose that (re)insurer to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic sanction, laws or regulations of the European Union, United Kingdom or United States of America. Excluding from/to and/or countries/places prohibited by GOI & also Specifically Excluding Iran / North Korea / Sudan / Syria / Belarus / Cuba / Democratic Republic of Congo / Somalia / South Sudan / Zimbabwe / Russia / Crimea / Eastern Ukraine / Nepal / Bangladesh / Iraq / Afghanistan / Angola / Ethiopia / Lebanon / Liberia / Libya / Nicaragua / Nigeria / Rwanda / Sierra Leone / Uganda / Myanmar / Yemen / Columbia / Bhutan. Best Regards, Rohit Kohli Vice President - Operations 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. Subject otherwise to the Terms, Conditions and Exclusions mentioned in the policy. Actual departure date should not be more than 7 days from the date specified above. Returning date is midnight or date of return of insured to India, whichever is earlier. Policy Wordings Insurance is the subject matter of solicitation. For more details on risk factors, terms and conditions please read sales brochure of products carefully before concluding a sale. For redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General Insurance Council: www.gicouncil.in o r on the company website www.bharti-axagi.co.in Bharti AXA GENERAL INSURANCE COMPANY LTD. 1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in " id="pdf-obj-2-14" src="pdf-obj-2-14.jpg">

Rohit Kohli Vice President - Operations

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. Subject otherwise to the Terms, Conditions and Exclusions mentioned in the policy. Actual departure date should not be more than 7 days from the date specified above. Returning date is midnight or date of return of insured to India, whichever is earlier.

Insurance is the subject matter of solicitation. For more details on risk factors, terms and conditions please read sales brochure of products carefully before concluding a sale. For redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General Insurance Council: www.gicouncil.in or on the company website www.bharti-axagi.co.in Bharti AXA GENERAL INSURANCE COMPANY LTD. 1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in