You have made a wise choice

Here's your Accident Insurance

Group Safeguard Insurance

Policy Certificate Number: COI2008221006323980000597

Powered by

ICICI Lombard General Insurance Company Limited

(A company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of
India (IRDAI) vide Regd.No.115)
Master Policy Number : 4005/M/200397585/00/000 MISC Code : 148 UIN : ICIPAGP18102V011718 CIN : L67200MH2000PLC129408

Group Manager |
A quick look at your
Accident Insurance
On receipt of full premium,policy number COI2008221006323980000597 has been issued on 22/08/2020 at Mumbai,by ICICI
Lombard General Insurance Company Limited to the below mentioned Insured as specified in the Policy.

The policy is issued to the customers of Phonepe Pvt Ltd, which bears the master Policy No.4005/M/200397585/00/000 by an
authorised signatory of ICICI Lombard GIC Ltd, and offers the Benefits mentioned under the policy - not exceeding the sum
insured. Relevant terms, conditions and exclusions as stated in this policy apply.

Valid in Number of members

India 1

Policy Certificate Number Coverage start date Coverage end date

COI2008221006323980000597 22/08/2020 00:00 21/08/2021 23:59

Who's covered

K VIJAY SHEKAR REDDY

43 year(s)

Insured Relationship with

SELF Sum Insured Rs. 100000
buyer

Date of Birth 23-Aug-1976 Nominee K TENDULKAR (SON)

Premium

Net Premium Rs. 20.34

SGST (9%) Rs. 0.00
CGST (9%) Rs. 0.00
IGST (18%) Rs. 3.66

Gross Premium Rs. 24.00

Comprehensive coverage details
An extensive list of all benefits and their cover value in your policy

Cover for death resulting from accident

Cover: Rs.1,00,000
In case of death of the insured, due to an injury caused by an accident - nominee or legal heir will receive the cover amount.

The accident needs to have occurred during the policy period. The resulting death should be within 12 months of the accident.

There is no waiting period and cover starts on the date of purchase.

Cover for permanent total disablement resulting from accident

Cover: Rs.1,00,000
In case of total and irrecoverable losses to one or more body functions (permanent total disablement), due to an injury caused by accident - the
Insured receives the cover amount.

The accident needs to have occurred during the policy period. The resulting disablement should be within 12 months from the accident.

There is no waiting period and cover starts on the date of purchase.

Important Notes and Major Exclusions

Liability to make payment for any claim under this policy with respect to an Insured Person, is subject to the following

1. High-risk activities and Self induced injuries

High-risk activities and self injured injuries not covered. Hospitalisation due to self inflicted injuries, attempted suicide, unlawful activities, dangerous
professions are not covered.

Kindly refer to the policy wordings for exclusions and Terms/Conditions.

Assistance
For claims, endorsements/modifications and cancellations, reach out to ICICI Lombard General Insurance Company Limited
through any of the following channels

National Toll Free Number

For 24*7 assistance,reach the insurer at

1800-2666

Email address
For emails,reach the insurer at

customersupport@icicilombard.com

Postal Address
To contact insurer by postal mail,reach at

IL Health Care, ICICI Lombard Healthcare ICICI Bank Tower,Plot No.12,Financial District,Nankaram Guda,Gachibowli,
Hyderabad, Andhra Pradesh PIN Code:500032
 Declaration
I, on behalf of all the insured [as stated by me], understand that this policy has been issued, purely based on the
information vis-à-vis declaration, as provided by me to PhonePe. I, further understand that the policy shall not be valid from
its inception [void ab initio], if any of such information provided by me, stands incorrect. I fully understand that this policy
shall not cover any pre-existing medical condition(s)/injury(ies)/illness(es)/deformity(ies), complication(s) and likewise,
arising from them, whether declared or undeclared.

This is an electronically generated document and does not require a signature.

Stamp duty as applicable has been paid against this policy in cash or by demand draft or by pay order

Intermediary name : PhonePe Pvt Ltd, IMD Code - 820958, Phone - 0124 678 9345