Premium Booklet Zone 2 June15

ZONE 2A Healthier You STARTS NOW! INDEX About us .................................................................................... 1 Zone 2 (Bangalore, Hyderabad, Chennai, Chandigarh, Ludhiana, Kolkata, Gujarat) ProHealth Protect Plan Individual .................................................................................... 3 Family Floater 1 Adult + 1 Kid .................................................................................... 6 1 Adult + 2 Kids .................................................................................... 7 1 Adult + 3 Kids .................................................................................... 8 2 Adults .................................................................................... 9 2 Adults + 1 Kid .................................................................................... 10 2 Adults + 2 Kids .................................................................................... 11 2 Adults + 3 Kids .................................................................................... 12 ProHealth Plus Plan Individual .................................................................................... Family Floater 1 Adult + 1 Kid .................................................................................... 1 Adult + 2 Kids .................................................................................... 1 Adult + 3 Kids .................................................................................... 2 Adults .................................................................................... 2 Adults + 1 Kid .................................................................................... 2 Adults + 2 Kids .................................................................................... 2 Adults + 3 Kids .................................................................................... ProHealth Preferred & Premier Plans Individual .................................................................................... Family Floater 1 Adult + 1 Kid .................................................................................... 14 17 18 19 20 21 22 23 25 28 1 Adult + 2 Kids 1 Adult + 3 Kids 2 Adults 2 Adults + 1 Kid 2 Adults + 2 Kids 2 Adults + 3 Kids .................................................................................... .................................................................................... .................................................................................... .................................................................................... .................................................................................... .................................................................................... Deductible Plans ProHealth Protect Plan ............................................................... Individual / 1 Adult + 1 Kid / 1 Adult + 2 Kids / 1 Adult + 3 Kids 2 Adults / 2 Adults + 1 Kid / 2 Adults + 2 Kids / 2 Adults + 3 Kids ProHealth Plus Plan ............................................................... Individual / 1 Adult + 1 Kid / 1 Adult + 2 Kids / 1 Adult + 3 Kids 2 Adults / 2 Adults + 1 Kid / 2 Adults + 2 Kids / 2 Adults + 3 Kids 29 30 31 32 33 34 36 38 Reduction in Maternity Waiting Period (Optional) Individual / Family Floater (ProHealth Plus, Preferred & Premier Plan) Individual / Family Floater (Plus Plan with Deductible) ......................... 41 41 Critical Illness Add on Cover Individual .................................................................................... Family Floater .................................................................................... 42 42 Useful Information Discounts ............................................................................................ Co-pay ............................................................................................ Steps to calculate premium ................................................................... 44 44 47 ABOUT US When Cigna, a global health services major with over 200 years of experience and more than 80 million customers, shakes hands with the TTK Group, an organisation with an 85 year old legacy and valuable expertise in healthcare, we get an association that makes it just a little easier for the world to live a richer, healthier life. Cigna TTK a name that can be trusted to fall back on at all times. Especially when you need it the most. NOTES 1. The ProHealth premium is including service tax and excluding any discount or loading (if applicable).Wherever discount or loading is applicable, the Service Tax element (14%) must be excluded before applying the discount and/or loading. Arrived premium after applying the discount/loading to be added with Service Tax to calculate the final premium. 2. For premium calculation, age of eldest member would be considered, in case of floater. 3. For floater, at least 1 member of age 18 years or above is mandatory. 4. Polices with term of 2 year, discount of 7.5% will be applicable on total premium. 5. Any revision in the above rates shall be made only post approval by the IRDA. 1 Protect Plan Zone 2 (Bangalore, Hyderabad, Chennai, Chandigarh, Ludhiana, Kolkata, Gujarat) Note - All Premiums are with Service Tax 50.685 4.599 3.172 3.104 3.055 2.979 3.021 3.238 2.181 4.542 3.716 3.896 3.329 13 3.617 3.602 3.500 4.295 4.443 4.462 3.785 3.808 3.747 3.329 4.602 20 3.298 3.964 2.656 3.010 3.705 3.770 3.557 19 3.523 3.785 3.500 2.853 3.010 4 2.580 3.INDIVIDUAL Age 3 Protect-2.602 3.078 3.839 3.568 2.295 4.112 2.933 3.229 3.454 2.000 Male Female Protect-3.671 3.480 3.089 2.694 3.918 1 2.739 3.443 16 3.713 3.093 3.804 3.907 3.340 2.523 18 3.112 3.386 4.397 2.374 2.306 2.549 3.485 3.146 8 3.713 3.127 3.998 2.488 2.861 3.941 2 2.215 4.272 2.979 3.275 3.146 4.181 2.172 3.363 14 3.226 2.477 17 3.679 3.853 24 3.036 3.819 3.146 2.910 3.215 2.930 3.568 4.671 3.941 3.782 3.975 3 2.044 3.873 3.922 25 3.819 3.690 3.751 3.412 3.865 3.637 3.466 3.249 4.013 3.135 3.112 7 3.386 2.751 3.964 3.519 3.576 3.078 3.032 2.659 21 3.352 4.000 Protect-4.987 3.207 3.751 4.865 3.181 9 3.352 2.181 4.990 26 3.058 .192 2.941 2.523 3.431 2.078 6 3.000 Male Female Male Female <1 2.047 3.839 3.907 2.747 3.728 22 3.816 3.637 3.317 2.637 3.884 2.694 4.50.260 11 3.238 4.215 10 3.796 23 3.420 2.899 3.534 2.625 4.283 2.044 5 3.409 15 3.295 12 3.975 3.557 3.409 4.343 3.260 2.622 3.50. 316 8.000 Male Female Male Female 27 3.902 4.255 6.865 4.354 9.195 29 4.892 7.969 6.172 9.457 5.643 4.000 Protect-4.264 5.922 3.231 10.353 12.731 5.000 Male Female Protect-3.732 11.856 4.846 7.974 5.171 6.819 4.444 6.348 49 8.982 4.949 7.726 5.571 4.537 34 4.107 39 5.532 11.275 5.545 51 9.651 4.278 4.990 3.609 4.485 8.540 4.369 4.210 4.694 4.376 45 6.466 4.366 3.526 4.382 8.319 9.822 10.751 4.172 3.944 4.788 37 4.229 3.INDIVIDUAL Age Protect-2.435 3.382 8.110 5.435 5.808 4.022 9.469 33 4.804 12.039 4.578 43 6.104 3.754 4.187 4.674 5.483 4.908 8.907 8.50.925 4.436 7.358 4.223 12.952 8.332 5.848 7.845 53 10.822 4.877 6.517 11.768 11.050 10.820 46 7.415 7.335 40 5.682 9.658 5.929 50 8.606 35 4.658 8.047 3.801 48 7.425 7.532 8.013 5.278 4.127 28 3.523 4.001 4.825 5.050 4.114 6.298 3.524 6.268 12.685 36 4.700 7.560 5.580 4.936 6.637 4.834 4.980 7.366 3.794 5.540 7.558 6.001 14.127 5.130 4.721 11.345 7.133 5.304 5.389 32 4.224 42 5.563 4 .763 10.153 6.452 5.477 9.034 6.385 13.195 5.882 41 5.421 9.640 4.820 10.50.503 3.321 31 4.965 44 6.777 4.254 11.50.288 47 7.902 6.179 7.933 4.027 4.925 38 4.423 3.876 4.996 7.066 8.252 30 4.708 4.138 5.556 9.172 52 9.848 5.070 5. 989 24.553 53.465 31.403 10.956 25.219 Female 11.763 20.646 50.334 16.989 22.593 71 27.983 58 13.037 57 13.299 36.938 .769 64 20.821 35.543 18.317 14.817 40.335 41.338 27.058 60 15.598 70 25.423 38.930 24.007 17.887 23.263 76 35.638 51.302 20.283 45.154 14.186 25.581 44.818 15.279 79 38.630 29.891 20.127 63 19.580 25.235 37.425 34.336 43.610 37.882 77 36.292 17.403 33.919 12.931 34.476 33.708 26.662 13.358 16.728 48.698 20.949 75 33.736 72 28.144 11.739 39.135 36.406 26.081 9.154 36.812 21.068 12.641 13.947 16.005 31.774 19.631 40.909 15.577 26.000 Protect-4.940 23.760 74 32.919 18.313 30.794 18.915 30.328 21.50.823 13.159 56 12.678 21.999 34.518 27.118 26.206 15.855 23.911 13.175 16.50.281 17.338 55 11.332 32.INDIVIDUAL Age 54 5 Protect-2.818 32.747 13.630 23.404 26.728 19.093 28.092 38.611 62 17.697 73 30.557 19.270 11.719 10.404 20.704 21.101 31.640 32.444 35.092 55.000 Male Female Protect-3.567 44.536 65 18.564 66 20.601 28.998 47.571 15.266 23.938 23.870 46.485 24.646 41.899 28.626 29.263 49.643 50.171 28.103 22.543 18.924 16.110 17.986 59 14.609 33.717 69 24.080 80+ 40.767 46.146 15.413 43.000 Male Female Male 15.971 38.546 78 37.688 57.792 23.921 14.735 14.028 20.149 24.961 68 22.792 14.267 48.308 67 21.428 30.353 28.071 51.910 25.216 41.831 19.266 16.869 43.209 61 16.50.752 13.430 43.069 44. 187 38.974 6.449 45.644 17.966 26.544 6.768 13.013 37.361 6.304 6.953 22.552 24.941 10.263 19.575 5.276 15.073 5.699 28.620 5.019 6.862 14.837 5.666 5.734 5.529 5.309 11.603 15.372 13.793 10.278 5.886 6.661 7.284 22.345 41.000 4.993 5.665 13.446 30.325 9.429 14.680 6.202 6.820 8.830 11.635 6.441 6.928 5.110 6.293 6.054 25.799 12.524 7.50.919 6 .068 7.789 9.50.068 40.193 7.848 13.803 5.759 28.293 6.724 10.000 4.461 5.146 10.995 9.567 18.247 13.691 29.537 30.642 20.794 22.571 19.728 22.382 9.763 8.000 3.857 24.376 26.301 12.156 6.958 19.369 5.951 6.288 27.649 12.350 6.50.259 6.539 27.164 5.000 9.538 23.250 7.395 39.994 16.871 5.602 37.479 33.509 6.654 5.324 5.376 7.342 7.154 PROTECT 3.122 6.706 15.693 6.119 5.208 15.276 8.066 18.637 29.236 6.222 24.447 8.076 6.529 5.233 5.076 6.095 Age 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 2.927 20.931 6.530 9.395 6.560 12.903 16.271 25.288 8.607 8.532 6.079 7.045 14.374 10.965 14.851 7.960 9.749 6.058 11.000 4.110 21.195 30.431 18.995 35.031 6.000 5.484 31.758 17.50.757 5.059 23.988 7.128 8.524 7.039 5.630 8.609 5.147 29.969 8.883 25.305 18.331 23.183 11.483 5.685 12.163 20.50.FLOATER-1 ADULT+1 KID PROTECT Age 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 2.467 11.700 5.591 11.308 17.475 6.262 33.209 12.036 20.780 32.504 16.50.936 4.891 4.226 10.749 6.289 39.453 32.046 18.035 44.370 17.415 5.692 6.790 34.512 15.988 7.829 6.342 26.667 43.509 21.884 36.826 32.578 6. 918 10.214 25.547 13.039 24.995 9.056 21.967 7.280 9.667 9.459 8.161 37.384 39.778 8.089 17.301 31.969 8.462 9.208 8.50.960 24.684 7.639 19.226 10.255 38.995 9.516 8.576 9.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 6.353 7.50.745 8.689 31.161 11.414 27.934 8.262 7.947 12.375 Age 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 2.989 44.478 7.726 6.558 7.284 40.675 8.273 14.956 22.208 8.989 18.691 .001 11.710 8.365 19.857 16.943 6.724 17.299 15.264 23.266 12.832 7.379 8.034 7.767 8.387 7.153 31.527 16.091 26.467 15.479 19.178 21.416 21.315 13.311 34.277 20.467 7.391 27.677 39.828 14.121 21.323 45.019 13.437 20.462 17.983 9.741 7.345 8.000 3.513 7.031 24.101 36.154 9.454 10.380 12.50.288 8.299 8.941 10.645 28.50.774 15.836 13.573 8.400 11.147 28.FLOATER-1 ADULT+2 KIDS PROTECT 7 PROTECT Age 2.291 9.142 16.026 8.521 6.623 6.075 35.578 6.000 4.786 7.954 14.185 8.634 28.339 17.413 8.254 8.604 7.707 34.989 25.625 11.314 9.773 18.573 8.111 25.713 42.584 16.271 10.125 7.083 8.000 11.235 13.50.592 7.822 12.475 13.216 7.243 20.922 30.945 15.171 7.934 23.224 21.041 28.851 6.579 10.544 6.199 16.569 14.889 7.748 14.010 21.364 7.981 27.897 6.967 29.343 11.396 32.732 8.690 36.149 37.548 11.601 32.692 6.128 8.618 8.468 26.425 8.938 8.811 30.000 3.181 22.945 23.765 12.000 4.014 15.062 24.185 8.597 13.187 12.658 6.481 41.761 18.806 6.217 26.50.824 25.881 8.760 33.963 17.796 11.574 18.775 7.622 9.895 10.988 7.967 30.696 19.040 9.433 7. 696 19.105 8.516 34.FLOATER-1 ADULT+3 KIDS PROTECT PROTECT Age 2.581 33.162 23.328 17.281 13.625 37.50.087 13.769 17.222 16.224 20.353 14.848 14.408 10.649 22.679 29.379 15.327 39.418 46.421 14.157 25.482 34.188 9.078 10.827 28.659 10.848 31.503 11.081 11.109 9.000 13.713 42.753 11.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 8.688 13.591 10.50.138 11.251 33.562 20.044 21.812 16.000 3.710 8.769 18.774 15.758 17.789 23.268 9.267 24.954 14.203 10.706 15.043 10.844 26.509 40.080 26.227 22.869 8.560 11.399 23.267 38.294 17.819 10.864 11.577 13.219 15.848 13.428 15.306 10.472 12.852 18.254 8.363 10.250 14.445 19.126 11.516 8.211 16.377 18.703 32.236 25.983 9.447 8.197 8.390 8.951 25.773 11.50.317 10.824 8.443 29.581 34.891 31.841 18.042 32.758 9.435 23.573 8.372 21.898 11.132 21.224 13.135 10.421 40.553 9.312 12.071 41.746 24.622 9.522 10.761 25.900 16.000 4.394 9.850 10.698 16.024 27.463 21.081 11.280 9.223 9.263 11.129 27.251 26.778 8.428 9.740 48.014 8.337 28.063 35.690 9.724 17.505 20.630 8.048 8.509 13.954 14.151 8.068 9.622 9.686 16.450 10.944 18.337 9.838 9.157 10.659 10.000 4.173 15.760 14.278 12.756 20.028 30.50.660 29.246 28.731 12.039 38.888 22.425 27.249 10.252 37.411 11.165 24.727 10.899 30.958 19.123 10.662 Age 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 2.328 17.095 12.813 27.850 36.50.120 9.299 8.307 20.941 9.108 8 .084 19.000 3.454 10.141 45.202 32.550 41.908 21.898 44.697 31.024 11.279 16.50.993 12.400 11.485 9.986 10.890 12.063 9.477 10. 641 50.901 27.418 6.881 9.190 6.122 6.216 7.107 5.392 13.521 6.440 29.158 36.601 6.851 6.312 5.952 36.291 9.571 19.50.151 60.876 11.185 16.859 6.570 7.441 6.064 21.193 7.974 6.FLOATER-2 ADULTS PROTECT 9 PROTECT Age 2.944 15.491 12.156 6.218 31.600 14.190 6.931 7.529 5.578 6.160 24.166 35.476 44.039 5.494 20.173 23.499 13.830 45.951 6.975 17.307 7.060 8.511 11.348 9.233 5.825 5.521 6.450 17.000 3.408 18.927 28.583 31.000 4.151 35.045 7.306 10.820 23.860 5.364 7.828 40.202 6.723 5.838 10.092 11.327 33.550 16.50.114 34.631 20.738 41.677 5.334 27.684 8.695 Age 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 2.124 47.281 6.791 29.704 52.175 39.470 8.351 10.744 9.189 54.692 6.843 8.895 44.063 16.057 52.096 24.045 7.695 7.105 49.783 7.604 7.758 10.176 5.110 6.443 34.731 12.894 5.039 32.581 40.50.833 38.738 58.898 5.418 14.632 30.874 .000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 4.045 7.670 26.954 7.426 47.377 70.333 8.315 40.381 5.759 37.783 6.50.791 5.612 6.449 5.50.000 11.874 14.037 8.422 19.299 8.167 47.125 7.270 6.387 7.073 12.607 42.643 5.755 16.760 6.766 42.297 26.110 13.623 21.000 4.257 9.031 6.644 17.960 68.579 18.227 22.350 6.923 15.597 5.780 25.993 5.430 6.746 5.575 25.758 10.998 28.364 15.424 56.324 58.903 9.944 18.000 3.969 8.648 63.863 6.293 6.458 23.862 22.970 20.660 30.361 6.149 38.722 13.777 49.50.440 55.453 25.680 6.111 33.152 12.342 7.042 6.801 60.174 34.247 65.266 46.468 12.478 7.147 14.597 5. 708 12.283 10.50.694 30.873 29.759 21.000 3.686 16.151 42.335 32.50.701 44.081 38.592 7.888 23.535 15.732 49.744 8.296 7.930 35.134 58.219 8.675 8.391 20.000 4.779 20.524 7.661 7.546 22.774 29.439 9.916 40.052 9.966 26.245 50.458 16.585 20.884 62.871 32.000 3.416 17.466 49.528 60.121 13.385 25.349 21.946 8.674 30.758 24.518 24.938 9.897 6.989 18.105 67.299 8.531 21.918 10.470 8.843 7.245 9.666 17.912 25.50.254 8.000 13.610 9.959 12.308 34.330 14.887 45.783 6.618 23.943 7.946 27.281 72.333 41.741 7.602 18.740 8.166 9.094 8.511 11.228 7.832 7.027 12.000 4.015 46.401 23.114 7.842 56.280 28.861 10.169 10.866 34.096 24.302 9.900 7.983 16.885 14.482 8.493 8.814 13.991 15.573 8.362 51.502 27.744 9.242 15.094 8.049 15.364 7.641 8.692 25.026 8.237 10.737 6.50.557 62.714 14.006 9.591 37.171 7.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 6.491 11.743 10 .824 8.056 14.053 40.946 8.721 8.50.348 9.180 17.729 7.685 19.418 14.109 28.000 7.211 16.244 12.074 9.223 36.789 8.875 59.118 39.561 8.368 27.FLOATER-2 ADULTS+1 KID PROTECT PROTECT Age 2.949 36.433 7.234 42.713 9.653 53.525 12.032 10.910 70.120 9.379 8.805 47.226 43.786 7.172 35.151 8.529 32.258 13.856 19.970 45.469 31.045 7.330 41.602 11.997 17.352 22.869 8.080 33.819 56.851 6.077 51.447 8.618 8.563 7.947 53.693 11.394 9.830 37.361 30.206 11.479 19.770 10.769 Age 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 2.069 11.960 9.519 9.438 65.672 7.047 11.615 7.688 13.553 9.50.830 18.486 48. 876 10.056 41.815 9.481 49.577 21.390 16.951 58.742 12.892 8.927 28.964 10.514 45.169 10.249 10.781 10.711 20.547 19.702 17.458 30.074 9.578 25.510 18.50.232 12.408 10.408 10.124 29.724 17.115 11.871 32.214 70.815 10.830 .006 35.799 11.802 20.822 31.035 11.081 11.687 8.50.328 10.646 47.371 9.041 47.423 11.420 62.944 11.714 21.579 10.095 27.679 9.992 53.000 4.744 8.206 19.283 10.492 23.228 34.085 16.882 39.50.000 3.639 11.670 11.470 8.511 10.868 37.529 13.50.015 52.473 9.276 8.354 11.549 23.289 12.50.408 18.995 9.557 55.416 9.740 41.786 15.208 8.534 10.507 24.763 15.340 10.000 4.712 17.623 14.942 48.FLOATER-2 ADULTS+2 KIDS PROTECT 11 PROTECT Age 2.411 11.487 32.043 10.258 13.578 25.396 51.561 8.768 39.816 36.325 9.170 14.563 13.454 10.332 11.472 31.005 64.876 11.547 67.757 40.094 42.546 22.311 32.252 11.625 10.747 9.099 13.174 8.824 8.090 55.390 16.923 15.993 12.603 22.338 37.379 74.622 27.628 45.063 16.245 9.845 12.693 10.462 9.884 9.130 12.735 58.329 29.399 53.127 38.739 10.890 45.126 18.038 Age 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 2.618 8.499 43.513 34.622 9.530 9.493 16.212 28.007 72.503 11.821 34.992 19.229 18.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 8.000 14.806 26.257 36.328 10.995 62.322 8.768 13.707 26.629 50.353 9.000 3.50.418 33.645 21.268 43.807 10.110 13.598 24.783 14.696 26.425 8.819 30.489 22.587 9.055 10.045 14.143 9.901 19.438 64.827 43.368 8.555 14.291 9.870 28.026 60.469 23.393 50.910 37.882 20.541 24.442 18.024 11.040 16.211 9. 354 26.923 41.954 14.975 22.024 11.153 24.147 54.742 19.807 35.399 53.306 37.389 11.321 23.722 12.437 20.000 3.187 12.020 58.416 50.997 32.317 37.530 24.984 28.094 15.315 21.682 10.548 19.003 27.905 13.075 28.987 21.877 15.823 50.076 39.981 46.477 10.000 4.184 38.542 43.688 13.860 64.379 41.201 20.030 13.899 22.823 20.651 11.050 38.775 26.272 29.470 16.973 13.203 10.732 75.423 11.112 10.281 46.346 12.587 17.009 10.415 12.274 18.295 47.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 10.186 60.734 12.748 21.383 28.741 67.349 13.423 30.875 45.820 Age 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 2.372 13.674 30.774 15.537 11.920 41.530 11.420 10.006 16.939 72.000 17.864 18.50.859 12.754 23.045 47.913 19.647 25.283 69.833 11.045 14.110 13.277 12.753 46.366 11.613 51.789 49.069 18.079 21.113 48.000 3.742 64.401 15.092 77.251 33.335 12.602 10.862 13.698 16.677 12.306 10.650 33.158 55.455 14.931 14.405 36.027 12.FLOATER-2 ADULTS+3 KIDS PROTECT PROTECT Age 2.849 58.452 13.574 12.664 35.494 12.545 10.50.466 62.926 35.678 24.215 29.111 17.944 11.528 53.691 13.491 11.895 43.826 32.489 29.292 13.916 12.917 32.783 13.597 20.664 34.681 18.364 40.890 11.165 16.550 42.543 12 .50.959 12.224 13.157 10.802 12.260 10.800 29.50.949 16.319 33.455 56.156 13.678 17.000 26.453 18.594 11.345 27.092 11.876 10.229 11.708 11.107 12.054 25.50.571 11.203 17.877 66.855 53.113 14.543 13.710 61.911 15.500 22.000 4.486 13.131 40.776 12.043 10.512 14.697 23.419 25.027 12.312 39.401 30.030 20.064 13.634 14.750 10.387 14.296 14.50. Plus Plan Zone 2 (Bangalore. Gujarat) Note .All Premiums are with Service Tax . Ludhiana. Hyderabad. Chandigarh. Kolkata. Chennai. 475 6.390 8.404 4.720 6.019 5.951 10 5.027 6.575 6.663 5.558 7.156 6.586 4.373 17 5.50.809 7.327 5.581 7.584 26 6.364 6.221 4.369 6.392 4.472 4.107 6.456 7.974 5.594 5.307 7.205 7.620 4 5.547 19 5.643 5.934 22 6.190 14 5.50.948 6.373 5.780 7 5.560 5.894 9 5.290 4.780 7.273 6.255 4.316 16 5.632 4.324 6.666 4.452 6.672 7.083 8.638 20 6.000 Male Female Plus-5.065 12 5.532 6.008 11 5.825 7.233 6.083 23 6.464 6.768 5.532 5.692 7.563 4.837 5.977 7.402 25 6.837 8 5.518 6.247 6.913 6.369 6.039 5.723 7.726 6.882 7.171 6.233 6.939 7.754 6.270 5.130 5.490 7.566 7.176 4.977 6.449 4.529 4.164 6.680 7.845 5.000 Male Female Plus-10.373 6.777 5.860 5.210 6.350 6.042 6.441 18 5.159 7.133 13 5.167 5.421 6.224 5.920 7.806 5.369 4.731 5.946 8.456 7.065 5.988 6.925 5.060 8.319 7.775 21 6.799 6.219 8.635 5.361 6.475 5.803 5.304 6.521 5.483 4.806 5.000 Male Female Plus-7.628 5.578 5.817 7.527 8.506 4.141 6.034 7.242 24 6.145 6.247 15 5.851 6.863 5.472 6.711 5.928 5.153 6.239 6.464 6.578 5.697 5.868 6.866 8.084 5.278 6.772 7.741 8.430 5.000 Male Female <1 5.00.045 6.INDIVIDUAL Age Plus-4.749 5.931 5.347 4.019 5.757 5.464 5.50.882 5.689 5.426 4.635 5.894 6.646 7.811 5.005 5.114 6.889 8.723 5.247 6.692 5.834 6.620 6.456 7.102 7.136 6.601 6.974 5.110 6.814 5.122 5.609 4.692 5.335 4.187 6.296 6.874 5.589 7.993 6.079 7.749 5.065 5.182 7.552 4.278 6.908 7.931 7.677 5 5.073 6.939 6.592 7.563 3 5.518 2 5.744 14 .418 5.741 8.461 1 5.891 5.959 5.996 7.685 5.198 6.677 7.324 6.330 7.426 6.208 8.723 6 5. 356 8.657 15.399 7.416 20.812 9.826 15.075 18.898 16.706 8.413 8.520 16.664 9.030 14.915 9.809 7.653 8.806 7.139 14.931 16.131 9.105 19.711 25.470 13.581 7.302 14.793 33 7.969 7.835 9.846 20.835 20.121 13.290 30.188 9.063 29 7.855 8.841 37 8.607 18.444 18.824 9.718 8.307 7.920 7.027 12.171 7.493 8.045 7.335 40 9.670 22.404 26.949 9.558 8.128 8.997 51 19.268 15.INDIVIDUAL Age 15 Plus-4.245 18.708 11.944 47 15.001 10.280 9.080 16.273 7.219 19.599 32 7.656 9.565 10.454 10.838 9.460 13.664 8.812 8.50.428 10.345 9.418 12.051 20.076 14.174 8.257 9.744 9.000 Male Female Plus-7.012 20.286 11.003 8.038 17.169 10.515 44 12.773 23.075 52 20.529 12.649 7.149 38 8.877 8.223 30 7.457 11.740 43 12.905 13.525 12.071 17.987 18.584 9.905 15.843 8.828 27.159 7.963 15.639 39 9.579 36 8.579 10.494 13.580 19.151 8.928 12.981 22.071 8.761 15.656 10.109 9.100 19.000 Male Female Plus-10.209 23.872 10.375 13.949 15.764 16.254 8.675 23.371 9.607 8.443 50 18.726 17.836 17.000 Male Female 27 6.305 46 14.052 8.444 8.952 10.810 17.556 11.323 14.947 12.724 21.003 8.796 11.385 35 7.828 13.090 14.582 22.851 13.00.309 11.224 17.683 13.881 9.410 8.181 18.022 42 11.898 11.258 49 17.085 14.504 8.742 24.226 10.073 11.288 7.927 .006 9.000 Male Female Plus-5.411 53 21.447 8.592 8.458 17.741 8.235 15.405 31 7.584 9.038 12.162 19.847 17.761 22.370 45 13.191 21.903 28 6.799 13.191 15.584 9.929 10.876 12.50.883 22.844 16.141 48 16.325 8.361 41 10.477 10.100 11.986 34 7.672 16.428 9.330 16.854 14.029 9.933 11.043 10.682 25.50.685 24.058 11.265 13.333 8.022 7.991 8.226 10.302 9.320 12.942 18.128 7.488 16.524 7.299 9.768 26.408 10.736 10.485 9.013 28. 719 90.989 22.351 46.051 36.819 54.240 79.802 40.234 58 28.169 31.235 40.087 85.767 46.586 56.041 23.925 107.396 42.389 42.009 66.970 84.464 65.197 85.668 24.749 41.206 66 40.268 60 31.522 48.416 43.392 84.539 30.50.435 38.110 51.873 111.109 39.670 44.50.418 63.767 59.505 68.50.664 65.954 57.736 36.637 62.026 58.436 95.270 41.205 57 26.058 50.192 32.458 42.884 90.345 36.638 97.657 53.259 76.000 Male Female 54 22.926 43.549 71.448 23.795 74.105 71.574 68.198 62.825 33.110 34.366 77 70.412 59 29.350 44.469 39.347 20.140 34.802 73 59.673 38.118 62 35.716 38.648 69 47.206 42.705 48.260 53.694 93.829 50.634 81.506 56.558 64.986 74 62.585 31.835 72 56.834 72.729 35.443 72.336 31.875 56.726 74.510 50.692 22.508 53.776 45.135 31.323 45.162 54.113 60.739 31.059 100.839 76.715 33.847 81.121 61.839 60.343 32.186 35.938 76.369 33.196 63 38.647 38.958 59.752 78 72.460 33.805 70.116 103.367 20.898 60.957 35.559 91.297 45.115 56.564 72.254 80.955 107.275 54.791 79.751 67 42.327 50.980 29.649 35.905 51.664 36.208 87.879 81.776 69.157 100.642 67.487 28.630 47.770 37.221 93.857 65.240 79 75.423 26.000 Male Female Plus-10.027 61.741 51.000 Male Female Plus-5.513 64 40.080 29.592 87.333 53.456 70 50.478 61 33.697 26.080 68 45.105 64.678 27.949 39.408 37.470 45.517 69.010 25.246 80.223 30.113 47.005 42.378 26.593 16 .324 56 24.873 27.00.094 76 68.092 61.556 57.789 65.451 69.082 65 37.612 34.076 27.129 23.671 76.016 35.905 114.059 29.578 50.424 48.243 76.503 71 53.183 90.923 103.251 68.409 75 65.988 37.202 27.846 59.745 49.309 26.427 56.843 80+ 77.304 40.239 28.759 24.819 48.670 32.170 24.052 118.117 29.331 96.INDIVIDUAL Age Plus-4.568 55 23.339 72.305 37.242 43.632 21.000 Male Female Plus-7.306 47.369 100.644 63.428 53. 372 79.149 38.361 13.639 45.835 16.493 8.245 9.105 8.976 14.789 8.708 11.063 9.849 17.754 27.950 13.925 38.773 45.000 5.274 19.845 57.554 55.681 18.929 10.526 30.218 11.162 8.903 49.750 10.384 73.781 9.924 12.000 10.586 12.459 35.978 11.814 65.259 32.425 8.953 29.651 31.366 11.115 45.546 15.976 14.727 51.537 45.842 62.921 11.669 72.607 8.905 39.861 10.843 15.804 9.000 10.439 9.187 12.811 38.981 12.715 52.075 54.790 20.036 22.681 58.601 25.630 42.356 16.178 28.969 60.000 Age 4.936 63.859 54.925 23.532 42.275 11.925 23.238 29.772 65.095 12.664 35.50.007 47.881 9.784 11.194 33.127 23.018 28.326 21.942 22.212 54.659 10.706 41.819 11.254 8.50.735 17.301 12.696 26.000 7.698 49.579 18.337 36.638 34.599 36.501 15.176 57.871 13.258 13.033 49.123 18.933 64.847 80.494 20.682 45.571 11.207 30.528 20.078 36.144 47.867 85.303 21.799 19.405 9.617 11.560 12.154 9.698 8.099 35.768 12.249 10.321 56.237 10.382 36.596 8.621 43.338 21.015 27.109 28.171 53.306 10.727 52.964 10.787 8.556 10.529 13.477 88.574 13.529 31.872 24.679 9.537 70.340 29.299 16.122 90.771 47.385 70.195 11.825 39.618 10.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 17 8.550 16.771 40.866 34.519 43.568 10.503 11.084 12.858 93.50.748 14.309 11.089 10.625 10.754 31.367 49.648 10.790 27.517 9.735 57.068 67.563 12.375 14.133 13.00.864 10.701 9.657 47.50.000 7.638 60.081 11.235 13.943 33.422 59.047 11.530 76.886 25.599 9.080 77.204 22.545 18.833 11.00.092 18.465 10.454 10.50.869 43.348 9.316 25.154 16.747 9.146 10.740 15.042 13.920 26.109 60.508 9.615 41.073 12.894 24.675 23.054 32.685 .FLOATER-1 ADULT+1 KID PLUS PLUS Age 4.000 5.714 40.607 68.181 22.932 52.657 14.131 9.446 34.910 37.431 10.883 17.211 17.206 37.949 9.654 20.222 16.351 10.575 24.814 32.869 75.290 24.593 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 19.336 82.147 22.369 12.237 36.599 9.161 11.742 11.420 29.391 60.389 11.234 9.958 27.169 61.50.104 55.158 62.492 50.707 19.040 9.947 12.025 22.646 13. 478 14.229 11.822 11.147 23.509 40.173 15.291 75.482 27.847 79.375 14.177 16.630 61.571 71.211 67.864 10.600 40.499 51.868 38.992 52.411 45.181 29.463 79.834 56.201 13.617 57.279 16.586 12.312 12.293 64.891 50.514 11.548 11.206 37.730 19.624 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 23.110 13.709 42.663 63.383 47.525 27.958 19.182 73.50.087 21.914 16.50.124 22.404 65.639 11.106 20.348 17.315 47.121 13.434 11.320 11.009 17.284 14.50.235 28.822 38.261 73.582 45.700 31.216 14.486 21.108 24.770 62.292 13.835 16.108 16.913 12.095 12.555 66.931 47.003 34.489 87.530 43.627 33.491 45.219 22.967 11.293 39.799 12.328 25.195 30.891 83.380 53.00.471 60.089 61.974 90.781 43.432 15.936 38.443 36.498 32.271 51.253 42.047 11.206 18.753 19.051 57.419 25.606 81.657 18 .139 15.000 5.201 13.825 13.335 12.000 5.264 31.048 41.983 35.600 13.388 77.819 56.605 11.909 58.490 66.686 30.945 15.50.002 15.862 54.841 31.002 24.319 59.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 10.467 14.691 14.886 47.092 71.50.182 14.130 12.180 18.019 13.591 29.986 17.873 21.453 25.990 28.629 15.000 Age 4.FLOATER-1 ADULT+2 KIDS PLUS PLUS Age 4.00.607 15.965 14.553 36.138 11.351 17.384 13.407 32.448 93.872 43.179 58.498 13.750 18.000 7.971 23.596 53.725 14.468 26.731 11.244 57.581 14.871 13.544 33.332 11.701 17.333 15.866 41.584 49.572 16.185 68.079 14.660 14.898 10.616 26.712 24.084 45.083 85.775 54.415 12.558 14.154 35.000 7.506 12.926 35.774 14.340 44.334 27.429 47.162 41.221 12.940 76.825 64.862 13.123 40.450 24.371 28.968 23.191 50.395 13.724 17.313 16.601 25.126 52.386 36.711 20.980 24.623 13.519 16.227 22.287 49.584 16.490 26.508 55.285 59.696 11.330 14.401 15.688 12.046 18.253 49.031 13.229 63.006 68.515 15.000 10.076 13.181 29.852 18.013 95.847 20.745 39.406 21.497 61.309 30.261 55.418 40.138 62.908 14.752 14.711 20.923 34.50.366 11.183 19.370 31.000 10.182 40.045 14.888 15.267 31.318 29.340 36.180 18.384 13.707 33.379 38.991 15.927 28.287 15.196 49.142 11.783 32.027 12. 986 24.292 28.357 27.377 49.916 43.416 16.472 31.204 14.923 15.834 71.880 16.676 34.117 36.770 35.523 48.149 18.428 37.738 26.997 102.425 34.511 62.566 13.634 28.630 97.833 18.006 59.970 38.558 64.160 18.985 13.50.531 35.893 20.872 48.975 68.423 34.932 87.121 20.515 30.000 7.124 21.313 16.476 17.066 17.473 33.393 43.587 68.723 31.940 25.651 77.058 44.598 55.741 27.669 32.555 13.973 71.033 28.00.590 86.947 19.398 14.230 15.591 39.829 44.50.602 17.354 52.527 15.386 81.882 42.666 31.180 17.369 20.000 10.905 83.918 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 27.126 44.616 18.105 15.363 29.918 17.154 16.272 22.720 30.459 46.417 68.463 13.646 14.638 14.921 18.250 14.159 14.714 21.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 19 12.831 14.113 14.000 7.263 18.000 10.125 44.985 50.640 23.282 17.530 71.638 33.679 60.349 15.934 83.490 36.836 40.948 24.683 53.168 17.058 18.717 48.341 14.737 14.166 28.235 20.589 .806 32.967 29.035 18.114 26.137 66.292 21.473 16.952 17.225 24.774 29.484 50.177 37.FLOATER-1 ADULT+3 KIDS PLUS PLUS Age 4.288 13.912 66.337 28.415 80.355 56.014 15.916 46.051 43.372 89.103 44.414 52.739 54.396 32.969 60.109 54.967 39.982 63.424 92.797 41.020 57.696 61.360 20.778 15.072 19.707 19.729 48.804 17.848 46.398 41.507 16.464 57.605 70.900 15.795 17.432 29.228 26.116 22.304 39.957 34.50.173 56.298 23.697 23.326 54.50.362 17.710 46.064 13.605 18.756 20.310 15.719 18.068 14.978 18.517 20.50.300 19.164 38.928 12.556 94.519 16.290 23.716 36.199 63.302 50.362 17.831 44.390 66.000 Age 4.958 19.001 55.905 35.590 18.877 41.957 79.698 15.823 16.697 41.385 17.850 61.516 74.307 14.521 58.592 22.323 19.452 21.848 46.933 37.533 67.153 63.345 27.271 17.959 31.165 16.000 5.50.771 21.379 85.471 60.695 73.691 69.772 52.458 30.646 13.000 5.973 51.603 14.00.432 22.171 52.774 99.388 18.654 64.054 25.633 16.475 39.530 24.749 65.353 74.021 77.309 69.527 15.943 25.376 33.010 62.654 19.949 16.616 19.888 22.450 43.022 14.729 14.743 15.509 13.932 18.662 58. 780 32.117 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 20.609 10.962 71.446 57.926 20 .451 36.988 14.292 21.886 22.881 69.852 18.116 30.325 58.914 16.646 40.00.221 12.049 30.000 Age 4.253 15.444 14.151 15.760 13.077 17.985 32.718 101.000 7.221 91.369 85.636 10.162 23.50.985 13.382 44.742 78.680 13.962 72.460 60.384 77.902 12.141 12.475 108.418 54.295 82.50.878 19.789 75.754 38.134 25.496 17.384 13.292 66.742 122.764 34.745 12.501 14.713 24.000 5.002 15.941 10.297 11.102 48.975 17.136 24.265 8.024 34.263 11.235 21.101 21.50.591 10.240 26.637 73.685 11.392 12.00.540 20.350 70.410 38.567 18.437 93.429 46.158 114.740 101.038 12.211 51.439 63.000 7.704 18.919 14.004 43.616 38.479 19.872 9.213 13.746 110.50.462 89.198 12.864 11.856 19.692 29.540 12.294 43.458 23.103 69.763 81.985 74.000 5.453 84.861 17.655 24.770 69.108 24.509 66.664 8.241 26.538 97.366 52.056 48.333 8.835 49.087 85.336 16.929 10.159 14.124 55.860 45.323 12.850 96.913 19.455 15.655 36.393 17.480 38.774 15.514 11.585 54.178 13.949 43.995 55.633 30.644 81.944 11.000 10.275 26.656 36.739 10.662 32.468 11.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 8.936 12.141 52.037 15.427 27.784 10.418 13.642 20.729 29.194 18.162 15.943 26.914 23.463 21.695 118.078 10.439 16.563 12.123 10.828 34.000 10.343 46.143 36.767 9.832 87.562 51.644 9.770 29.810 12.546 104.295 73.710 57.392 12.675 16.838 50.752 15.821 76.949 16.781 9.FLOATER-2 ADULTS PLUS PLUS Age 4.092 11.009 78.485 32.526 79.283 10.665 12.765 65.565 29.409 63.457 11.104 11.229 18.280 41.321 30.329 22.336 58.098 9.309 11.745 12.275 43.903 88.431 10.311 27.50.032 17.796 10.887 11.558 34.452 13.271 10.550 15.999 14.574 27.791 13.372 13.546 15.50.641 16.300 8.369 12.425 9.996 13.475 46.596 8.996 13.281 21.431 10.082 65.254 23.926 54.959 48.975 10.352 40.640 63.951 27.197 62.107 12.719 11.423 46.272 22.904 62.076 13.566 13.872 51.828 14.988 41.066 11.639 11.814 61.574 12.334 20.001 12.250 14.517 105.979 22.479 60.602 18.390 82. 204 14.579 18.884 113.420 29.372 72.976 14.173 32.50.000 7.359 16.947 34.017 16.428 43.702 21.472 39.099 13.660 102.123 70.187 61.000 Age 4.558 46.934 52.695 61.613 17.962 13.660 14.338 13.082 57.729 14.997 17.002 15.502 18.367 15.551 20.864 37.740 14.999 14.328 17.883 13.000 5.948 11.358 12.771 123.479 34.026 53.343 18.231 27.230 15.329 63.393 23.608 49.379 44.318 95.749 36.848 12.075 20.484 33.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 21 11.859 20.188 110.461 24.665 54.208 15.955 26.406 13.281 20.260 33.589 74.955 18.623 80.50.854 16.964 38.746 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 23.658 66.182 30.50.161 12.00.926 16.120 16.991 72.512 22.739 29.020 17.448 19.439 16.027 19.708 58.693 46.662 40.017 83.503 81.128 15.201 13.00.472 12.934 15.896 14.758 51.604 60.583 23.379 55.000 10.821 64.189 28.190 115.804 17.551 51.640 57.950 80.429 13.539 65.066 17.638 41.489 14.929 24.878 19.313 16.132 28.227 14.996 86.256 16.640 23.191 17.122 32.778 16.592 22.256 52.000 7.604 34.823 15.515 15.708 64.FLOATER-2 ADULTS+1 KID PLUS PLUS Age 4.675 15.651 46.520 14.464 42.481 15.292 28.110 20.000 10.031 91.064 13.084 19.785 22.220 106.433 26.105 72.019 32.733 20.886 35.205 60.358 106.705 37.970 77.840 67.714 13.246 58.038 27.988 89.504 22.731 31.50.217 19.210 89.907 70.701 16.294 98.909 26.992 92.109 85.968 15.081 11.503 11.927 87.724 48.992 27.956 54.716 40.009 77.784 76.861 17.154 16.541 16.040 35.618 23.327 13.50.866 101.597 12.920 25.011 .711 12.729 14.840 13.747 43.993 46.908 21.338 20.566 13.602 18.379 36.189 35.020 76.175 94.337 49.219 44.349 74.905 109.189 27.887 29.50.022 48.873 21.088 24.431 47.384 128.056 48.343 68.527 57.675 38.939 13.857 81.300 20.994 16.854 15.651 12.774 88.213 13.374 17.762 63.857 30.703 13.955 18.774 22.601 25.893 42.776 19.024 11.444 14.334 27.560 11.672 14.805 21.561 15.647 17.188 51.294 119.510 55.000 5.324 24.229 18.129 85.640 31.952 17.776 19.217 18.846 65.496 16.521 24.486 13.701 83.960 68.352 29.353 41.654 39.676 31. 636 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 27.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 13.389 90.232 19.830 18.716 17.561 15.456 33.135 70.974 66.844 45.834 37.896 28.50.899 82.246 20.359 24.745 19.541 16.909 112.056 21.267 65.569 83.560 71.270 99.945 30.017 16.129 19.287 15.270 59.893 54.611 21.850 87.816 55.272 36.008 24.804 17.274 18.260 63.000 10.776 38.466 21.092 52.790 22 .951 97.698 95.013 22.982 65.725 21.880 50.449 92.760 67.075 20.177 16.648 88.289 19.559 53.536 33.790 35.046 18.706 22.169 94.799 19.111 56.886 92.015 50.549 23.213 70.000 5.199 17.453 17.787 45.313 23.970 46.761 84.101 21.992 19.681 17.367 15.571 38.354 78.429 20.000 10.907 16.784 103.638 60.492 23.630 35.124 21.711 106.FLOATER-2 ADULTS+2 KIDS PLUS PLUS Age 4.976 70.231 118.240 26.00.119 31.128 68.50.754 23.849 24.040 16.675 133.973 20.676 19.266 27.439 43.038 19.179 25.350 32.409 21.324 31.718 41.447 68.170 82.293 32.038 19.300 27.727 18.805 47.013 30.869 35.745 20.783 13.128 41.190 74.247 32.922 22.530 70.807 18.533 17.50.476 25.151 15.116 15.451 54.336 16.361 74.454 29.603 29.390 22.237 78.971 16.709 15.295 56.422 18.235 47.823 23.512 14.230 15.738 18.299 42.271 78.440 121.108 23.602 63.456 26.310 49.560 30.626 14.754 115.662 111.306 52.087 39.034 26.646 62.959 57.636 17.126 18.285 60.680 40.003 87.414 19.385 17.547 85.968 22.598 16.533 51.918 17.866 15.769 24.842 22.280 62.180 17.664 58.360 21.279 16.022 125.165 50.708 129.570 53.413 15.117 26.952 43.444 17.000 Age 4.396 17.513 33.50.274 45.164 38.893 27.824 61.808 81.548 19.835 33.062 116.722 20.180 96.393 24.824 13.060 41.854 75.861 43.903 16.391 19.50.115 18.000 7.725 28.00.000 7.766 15.50.066 17.752 14.062 31.799 38.343 29.752 75.582 18.715 25.258 20.962 90.407 40.113 48.575 32.499 25.246 28.097 16.400 18.919 15.480 71.481 15.840 13.247 13.753 19.229 78.272 36.355 30.452 21.190 13.404 51.433 26.637 107.000 5.847 35.327 14.809 101.689 58.916 20.409 78.361 40.022 21.331 86.020 43.607 93.503 57.896 48.135 36. 409 29.012 18.080 18.196 22.580 30.529 65.654 19.051 57.554 28.820 139.292 113.445 26.422 50.603 21.471 44.694 63.50.852 135.003 41.339 117.FLOATER-2 ADULTS+3 KIDS PLUS PLUS Age 4.495 31.445 18.165 55.975 96.331 18.296 100.706 22.302 50.903 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 31.652 23.713 62.003 26.844 79.344 23.986 24.348 73.083 26.955 98.499 42.133 37.924 .011 93.931 66.063 16.221 21.780 24.988 19.232 19.710 87.131 17.194 33.061 19.608 80.866 40.50.612 39.222 102.832 60.326 20.000 Age 4.108 40.194 18.036 22.377 38.490 26.654 20.583 90.000 7.432 48.675 23.813 20.795 25.612 63.756 27.024 44.317 17.178 27.047 30.827 28.079 21.570 25.366 37.581 39.901 26.745 20.340 29.271 24.797 22.932 25.096 23.037 60.000 5.352 21.472 57.297 52.381 23.006 16.856 19.131 84.787 18.469 98.780 23.885 21.605 38.313 50.00.050 30.877 22.50.973 70.261 48.222 23.109 27.691 47.409 60.714 52.804 66.584 127.272 36.085 23.306 36.392 46.332 30.940 24.464 24.608 87.488 44.948 23.406 54.919 21.289 53.245 23.302 69.286 18.643 58.635 40.231 26.623 20.946 55.474 20.357 19.000 10.431 120.490 57.343 71.653 27.677 46.50.464 24.291 34.307 46.096 23.163 32.747 16.049 80.142 80.518 86.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 23 16.463 29.636 44.184 122.683 21.344 30.422 18.472 31.777 83.227 21.162 22.407 60.473 43.883 91.735 24.654 76.337 84.304 32.178 131.398 55.591 63.494 72.500 35.728 21.790 76.000 10.533 25.272 36.442 17.739 42.020 118.903 76.038 45.318 21.571 18.908 124.502 52.798 113.985 39.517 19.149 18.00.444 41.057 59.539 68.448 27.847 83.883 18.435 49.277 34.373 31.874 107.715 25.185 95.50.531 89.441 99.165 102.725 28.151 35.240 25.030 20.198 19.268 48.304 66.650 75.902 92.295 21.959 68.50.815 16.567 17.131 83.427 109.839 38.291 76.681 18.110 20.776 36.176 30.574 19.887 63.796 97.994 42.941 69.156 73.000 5.054 24.000 33.935 34.456 26.246 35.676 27.852 33.000 7.828 55.746 16.086 35.985 32.367 22.890 105.695 93.100 24.924 19.785 22.641 89.416 23.942 21.934 75.663 57.305 51. Chandigarh.Preferred & Premier Plan Zone 2 (Bangalore.All Premiums are with Service Tax . Chennai. Hyderabad. Ludhiana. Kolkata. Gujarat) Note . 884 16 20.298 25.365 23.742 23.127 28.178 28.000 Male Female Premier 1.692 27.732 29.007 18.167 18.219 26.466 25.000 Male Female <1 19.023 28.599 28.137 4 19.854 26.197 9 19.290 34.841 22.764 7 19.069 26.530 30.199 26.999 23.297 23.744 27.912 23.090 25.215 25.821 24.600 24.245 21.070 25.422 22.251 22.052 27.971 26.534 18 20.836 24.427 26.853 25.611 28.469 30.630 33.875 22.764 27.683 28.532 35.309 30.00.206 36.582 23.718 19 20.297 27.547 6 19.168 21.000 Male Female 50.666 25.619 18.353 28.134 25.965 25.000 Male Female Preferred 30.613 22.397 29.662 23.235 29.927 18.396 22.323 18.108 20.414 10 19.495 21.609 38.243 28.725 24.072 23.257 34.606 20.481 20.839 25.255 18.140 20 21.857 20.111 31.237 23 22.870 12 20.554 15 20.373 27.819 31.665 28.728 29.199 30.847 18.592 26.391 24.372 24.483 26 23.190 32.133 27.217 22.769 21.391 18.091 22.INDIVIDUAL Age 25 15.00.014 33.093 33.495 26.575 32.098 13 20.521 1 19.341 25.855 36.031 21.894 21.295 30.342 5 19.080 22.486 24.831 28.476 21.386 24.326 19.685 25 23.514 23.424 29.860 31.360 24.175 17.944 22.728 26.642 11 19.572 29.420 24.087 18.606 25.516 37.204 17 20.540 18.689 31.785 24.012 22.171 36.158 28.098 24.133 31.943 22.258 24.106 17.106 27.956 24 23.370 21.732 20.196 25.922 30.434 23.00.016 31.824 21 21.414 23.894 27.326 14 20.991 26.736 29.891 30.979 28.519 22 22.982 20.435 27.686 33.471 18.666 26.743 25.751 32.768 18.585 23.028 26.416 25.515 25.236 .00.741 23.039 30.276 29.727 2 19.00.884 29.529 31.355 20.733 28.604 27.784 22.557 35.316 21.103 26.149 22.925 37.624 21.932 3 19.632 21.895 35.684 32.699 18.582 22.828 23.760 33.359 30.905 34.890 24.624 32.497 19.663 27.668 19.220 24.204 24.929 27.243 23.981 8 19.880 29.373 32.061 24.637 24.613 26. 477 39.888 49.945 48.333 64.859 49.354 46.119 56.494 45.873 31.577 36 29.854 70.935 34.253 44.00.122 32.894 51.274 28.889 35.922 67.000 Male Female 50.813 30.983 38 30.613 61.938 65.619 34.891 32.129 62.870 46.218 38.246 51 47.577 46.913 39.147 66.000 Male Female Premier 1.532 35.330 32.976 70.975 35.934 53.373 27.959 40.407 42.355 31.014 59.999 39.765 33.534 37.083 90.899 38.419 44.657 98.200 36.037 34.440 57.547 39.687 39.946 33.078 82.497 65.991 47 41.268 42.598 34.646 34.428 74.970 44.552 57.424 55.000 Male Female Preferred 30.739 30.366 36.912 36.578 47.844 33 27.109 37.740 65.506 86.678 88.923 44.502 67.003 53.126 40.817 42.154 38.598 75.191 59.925 45 39.172 48.989 43.818 28.880 43.671 36.291 34.673 44.555 57.471 50.821 43 36.771 49 44.438 32.288 29.718 40.266 63.575 49.332 31.00.337 31.918 50 45.914 31.729 29 25.952 37.00.047 33.00.516 36.824 61.485 53 50.389 41 34.796 48 43.784 94.195 44.087 45.323 64.183 48.839 51.711 35 28.420 32.578 53.016 39.342 34.660 37 29.134 49.539 35.031 42 35.493 30 25.430 26 .819 54.487 61.835 45.327 41.262 34.518 32.031 33.782 44 38.005 56.773 67.304 38.654 43.130 68.981 46.262 46 40.778 53.995 48.801 35.769 45.267 84.656 37.614 38.922 47.980 40.919 45.804 38.245 42.654 42.215 55.787 78.481 41.529 59.726 32.841 60.379 43.INDIVIDUAL Age 15.217 71.278 42.123 43.977 28 24.861 36.000 Male Female 27 24.548 51.864 34 27.610 58.544 56.307 53.076 38.498 40.884 39.775 29.256 58.502 62.342 34.159 43.544 39 31.138 77.143 60.00.363 37.146 32 26.769 52 48.104 55.922 53.073 37.055 42.083 80.642 50.166 37.726 33.215 29.918 46.945 51.148 50.685 38.867 62.874 39.754 77.512 69.994 46.691 29.905 38.391 40 32.913 41.581 41.314 31 26.195 40.399 73.620 39.990 72.437 41.227 51. 469 78.277 97.517 85.835 152.106 155.690 107.402 80+ 139.427 70.555 168.248 52.000 Male Female 54 52.037 68 90.997 95.586 157.713 169.315 99.000 Male Female Preferred 30.651 57.499 129.246 76.005 117.344 233.808 158.491 96.504 72.906 129.485 163.632 124.678 103.487 103.604 183.227 122.502 243.466 248.344 180.948 160.INDIVIDUAL Age 27 15.156 163.981 143.137 105.504 111.938 94.177 170.314 61 71.005 103.666 204.694 171.116 73.362 73.368 64 83.916 108.762 62.961 187.986 131.857 109.183 121.887 107.137 154.812 220.296 65.938 122.861 86.918 105.910 113.359 95.569 118.901 91.783 138.407 203.734 90.734 131.964 164.819 111.848 129.820 152.735 152.893 98.870 54.392 94.334 173.717 101.735 90.080 69.706 123.571 71 103.647 58 61.945 144.975 117.053 167.309 190.474 257.281 225.045 135.00.322 83.240 140.289 69.354 216.843 156.721 75 121.780 .686 197.053 177.349 115.470 178.425 76.703 80.120 218.784 174.573 67 86.006 103.00.298 100.517 72 107.267 108.473 123.807 78 132.774 50.218 154.880 144.082 79 135.346 99.443 60 67.018 48.804 84.185 65 79.359 76 125.795 229.335 122.877 87.161 211.300 73 112.629 79.615 59.013 70 98.922 125.144 127.790 127.954 212.117 134.628 144.561 239.003 190.368 74 116.869 111.847 118.633 130.025 56 56.424 146.602 55 53.453 119.638 132.352 92.171 82.540 88.140 127.572 168.00.311 113.930 76.638 111.025 116.00.492 79.619 105.205 81.798 128.657 136.436 92.342 140.912 76.942 124.00.000 Male Female 50.487 101.060 147.047 115.967 111.373 148.032 90.982 153.989 147.891 59 64.093 73.889 75.718 151.661 160.304 119.863 137.245 66.570 98.403 87.312 91.952 66 82.273 135.654 234.926 117.242 82.647 184.000 Male Female Premier 1.882 108.678 63 79.554 77 128.993 106.364 95.188 100.699 57 58.534 136.000 73.975 140.939 138.926 62 75.843 69 94.355 149.810 194.026 116.818 143.267 113.682 83.367 140.883 175.284 226.509 186.361 64.453 252.874 161. 064 120.815 226.173 59 74.459 40.351 69.847 182.762 29.642 79.787 44.069 50.216 78 131.000 1.965 73.326 45.482 121.285 92.148 32.524 95.000 30.101 174.438 39.710 34.206 43.513 85.978 104.546 141.929 49.529 57.824 53.028 49.00.037 59.797 71 107.553 140.708 68 96.366 75 122.813 46.625 182.000 1.387 160.244 51 57.581 74 118.250 40.980 40.951 55 65.501 39.262 59.014 47.103 172.611 61 80.518 70.702 155.484 49.927 45.163 198.733 179.670 43.033 167.582 72 110.735 76.873 35.500 33.00.470 328.188 41.370 48.804 42.493 41.973 79.000 50.810 197.212 47.722 87.593 85.265 67.236 58.761 219.944 54 62.000 50.059 48.029 63 87.492 239.922 89.141 217.936 105.104 55.812 48.691 46.925 30.157 42.257 34.990 73 114.360 60.117 33.883 31.021 148.344 142.091 52 59.303 80+ 137.274 58.146 69.345 76 125.218 192.007 27.842 89.099 65.811 82.347 64.096 232.051 291.552 66 90.126 245.954 134.220 59.431 43.949 41.617 116.818 60 77.416 83.550 41.748 53.929 164.715 32.928 72.641 77.230 309.510 57.989 99.542 42.677 58 72.516 34.526 82.331 283.313 110.047 63.530 50.623 46.352 47.238 166.470 184.742 44.392 98.306 55.579 43.278 44.572 135.505 52.052 154.058 43.372 141.811 37.912 51.430 50.467 239.465 35.498 300.816 35.221 90.223 148.873 208.450 42.138 29.005 55.874 Preferred Premier Female 30.338 189.00.360 213.928 38.00.228 67.00.581 33.820 100.098 61.919 148.00.589 125.507 199.997 136.205 271.733 67 93.029 53 60.686 48.317 57 69.00.374 35.889 40.449 38.736 61.FLOATER-1 ADULT+1 KID Preferred Premier Age 15.294 76.000 Age 15.389 37.499 50.990 36.326 172.000 50 55.723 62 84.898 111.00.253 47.910 36.395 38.617 249.617 189.080 53.355 36.526 56.238 115.964 129.071 56 67.425 147.685 37.324 30.898 51.698 94.267 37.229 70 103.808 205.010 47.203 79 134.357 52.933 96.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 27.728 62.537 29.387 39.280 65 87.00.380 205.622 121.227 180.541 64 91.804 190.191 318.697 123.885 39.991 228.470 160.00.475 106.946 127.642 45.128 153.022 39.981 130.091 127.866 69 100.229 77 128.121 52.081 28 .293 31.649 260.375 54.964 28.392 71.673 44.413 109.087 113.304 39.896 54.757 56.377 194.303 80.548 51.302 102.774 74.171 68.751 48.738 118.891 64. 103 76.FLOATER-1 ADULT+2 KIDS Preferred Premier Age 15.823 113.254 74 125.575 49.328 197.475 131.416 67.873 314.304 184.855 153.299 212.437 172.198 53 71.894 56.233 71 115.468 44.257 205.110 46.252 322.767 146.290 82.643 157.643 305.394 120.257 86.401 119.381 61 90.401 106.270 191.863 65.258 98.273 152.884 61.000 230.371 146.458 80.992 51.970 70.246 210.070 259.416 101.234 127.132 60.946 66 99.123 225.185 152.490 58.148 84.720 88.853 87.341 160.789 74.974 50.804 60.679 60 87.00.343 76.765 62.849 131.815 79 140.381 116.908 158.158 121.559 170.473 220.401 76 132.838 100.208 41.007 85.236 57.777 56.658 125.805 147.066 75.601 65.085 55 75.280 35.00.386 Preferred Premier Female 30.00.984 165.857 231.467 92.693 68.939 331.767 60.770 243.551 78.591 195.492 174.906 82.329 54.183 137.259 108.189 212.706 43.000 30.365 83.00.967 67 102.039 63.596 112.687 51 67.278 38.240 163.859 132.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 29 34.914 55.00.544 204.966 136.539 117.405 221.075 92.300 180.570 91.00.727 76.788 89.613 136.000 50.973 52.722 164.983 250.824 59.360 57 79.114 59 84.844 58.684 59.261 86.459 67.745 46.225 57.000 1.813 85.078 179.903 279.746 69 108.133 96.301 70.675 141.869 74.422 51.991 98.487 64.964 111.000 50 65.306 69.052 188.162 80.742 75 129.960 135.841 51.948 56.168 89.938 186.645 198.164 71.140 66.655 75.022 47.071 48.180 168.031 50.299 48.129 45.298 37.007 112.439 101.188 42.275 205.936 73 122.525 65 96.885 79.782 68 105.963 117.946 64 100.933 54.247 268.408 52 69.429 98.671 54.554 104.881 53.090 54 73.743 141.239 40.681 115.094 190.258 39.675 58 82.010 79.522 93.571 63 96.000 50.841 69.394 53.696 102.387 95.742 63.118 109.746 63.715 82.00.163 206.953 53.012 50.946 66.090 47.429 158.608 77.017 108.417 93.992 48.476 200.970 59.904 70 112.855 126.720 84.118 52.712 89.745 105.275 95.010 78 137.711 195.244 123.00.022 72.785 237.172 56 77.120 239.149 44.365 151.591 62.051 49.799 250.748 72.000 1.391 62 93.631 105.597 63.160 77 135.934 .863 57.283 95.044 140.00.443 80.722 80+ 143.438 81.00.321 62.394 67.685 297.615 91.512 72.726 64.172 129.767 72 118.038 289.235 71.196 73.317 36.279 109.000 Age 15.169 43.785 61.044 61.585 78.738 177. 720 106.744 237.439 67.161 77 153.812 161.270 89.416 107.413 41.838 101.118 109.385 54 84.910 180.00.811 122.532 64.599 243.000 50.962 145.799 77.683 47.295 200.509 79.073 56 90.303 172.013 87.450 42.000 50 73.062 56.682 87.482 85.00.908 65.674 69.509 68 123.203 354.801 178.076 105.889 271.189 92.504 74.836 131.881 53.000 1.230 140.763 53 81.539 267.634 46.000 Age 15.251 195.631 78.816 111.410 91.517 345.827 187.911 166.649 98.614 62.610 169.00.251 118.915 99.119 376.972 125.430 64.719 156.248 57.939 136.005 114.077 79 197.893 79.704 76.549 80.068 183.343 62.323 103.362 311.712 89.061 155.877 59 100.187 490.476 162.004 70.155 55 87.060 92.00.514 60 104.576 154.295 61.607 67.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 40.953 114.392 217.355 65 114.865 233.358 70.517 96.210 63.079 79.208 127.997 82.709 63 108.819 94.861 328.887 69.331 280.781 49.760 71.790 80+ 203.265 73.096 95.207 80.205 116.515 72.609 206.015 178.121 131.000 1.783 122.805 72.941 69 127.081 208.394 118.538 174.067 172.712 75.991 66.138 336.283 67 120.500 62.172 76.127 138.461 75 147.165 176.829 50.363 86.003 58.625 101.141 168.027 103.00.449 96.707 59.208 59.878 51.964 54.838 160.068 78 156.729 91.879 208.282 83.801 60.636 94.920 151.490 65.904 85.401 74.517 189.266 229.361 129.367 61 108.714 290.800 200.548 44.601 150.728 148.120 193.576 67.314 86.423 58 96.273 226.822 88.FLOATER-1 ADULT+3 KIDS Preferred Premier Age 15.604 84.445 83.352 54.583 120.882 220.805 112.000 50.239 151.228 30 .566 70 130.858 146.794 251.555 97.260 211.820 140.906 82.227 105.539 66.968 365.625 68.900 185.100 75.435 167.895 109.073 63.857 51.550 131.994 302.944 136.591 122.516 Preferred Premier Female 30.306 69.743 48.077 135.499 43.266 52 78.00.109 92.906 51 76.703 72.013 55.379 249.00.164 222.041 224.271 201.084 241.872 73 141.260 94.00.337 261.111 57.161 127.462 102.269 72 137.328 140.166 60.750 133.809 72.174 57 93.213 117.800 56.838 71 134.216 97.011 98.356 76 150.387 192.022 104.419 108.352 255.779 145.605 109.633 506.072 62 111.000 30.00.257 142.769 216.949 311.846 126.656 74 144.00.852 225.082 215.381 63.082 81.277 113.160 58.870 319.711 70.062 260.403 215.871 90.575 300.277 64 111.246 60.239 66 117.585 45.916 52. 716 78.200 35.979 63.677 64.518 107.352 47.672 73.642 225.624 51.020 199.787 59.358 38.340 69.737 182.025 55.291 217.497 54.745 281.417 61.515 56.849 402.603 82.796 94.927 51 61.000 50 58.429 347.099 65.597 55 72.544 188.494 167.278 285.555 90.760 168.389 70 130.574 484.944 296.778 95.508 74 154.047 62.945 65 109.213 276.092 44.278 103.079 162.855 52.490 322.145 57.378 52 63.262 83.338 39.338 64.730 77.00.016 56.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 31 27.319 40.823 72 142.281 71.123 50.000 120.738 58.372 79.064 53.219 67.693 192.000 50.729 66.372 100.527 195.966 205.757 153.235 53.985 56.000 50.878 201.876 254.534 29.220 78 178.842 158.924 57 79.110 141.475 32.523 87.975 215.762 238.730 298.522 43.329 288.397 36.782 123.581 73.683 48.268 285.938 67.874 310.626 55.377 52.417 35.017 129.426 435.435 88.460 71.469 90.062 383.641 247.901 67 120.142 49.499 68.701 54 69.858 60.177 60.131 42.456 33.851 161.840 72.515 30.903 114.725 149.470 74.954 53 66.712 152.120 67.483 259.451 90.136 48.000 1.103 51.270 126.550 224.759 111.676 92.675 56 75.299 41.639 109.787 59.600 66 114.988 247.183 346.256 50.314 86.245 110.916 97.00.223 234.617 56.880 Preferred Premier Female 30.062 82.006 61 95.175 256.465 50.377 37.970 38.966 57.044 54.425 95.300 250.154 159.757 223.212 38.560 312.416 110.568 61.445 181.885 54.832 41.254 52.309 63 105.062 144.508 77 172.579 36.891 60 91.091 79 183.888 189.994 49.005 55.609 335.036 76 166.164 88.00.462 43.929 71 136.367 58 83.053 99.000 30.579 69.00.000 Age 15.793 123.FLOATER-2 ADULTS Preferred Premier Age 15.312 80+ 188.948 63.404 64 110.083 52.201 39.00.846 171.989 105.762 .240 105.544 272.00.960 144.157 101.717 177.100 75.933 116.343 357.048 265.752 41.026 59 86.489 266.304 46.051 74.119 212.509 62 100.880 137.411 86.833 77.436 34.074 49.260 43.554 28.209 70.442 75.701 75.267 365.495 31.795 46.846 75 161.192 211.194 294.857 236.279 42.00.181 47.945 468.946 34.987 330.000 1.00.396 57.632 82.00.652 136.203 418.500 73 148.002 80.355 452.240 44.962 134.201 46.913 45.221 45.183 84.361 39.893 85.778 69 125.167 68 122.131 129.398 105.162 48.722 46.942 80.777 177.842 116.821 77.307 65.890 70.00.037 99.132 186. 498 72.057 85.00.452 220.000 30.392 118.819 44.845 244.023 137.858 223.612 72 151.167 56.805 148.016 198.860 185.715 220.974 144.039 70.405 75.149 85.890 76.686 48.022 52.612 60 99.702 263.536 103.688 349.884 182.192 57 88.626 47.230 170.230 82.00.340 97.265 41.962 77 182.042 168.634 89.223 105.680 201.422 379.929 55.852 232.693 116.300 72.609 110.628 123.745 70 139.277 59.00.054 92.599 121.325 42.457 62.00.388 57.775 342.837 101.586 73 157.150 55 82.349 235.397 66 122.112 70.091 56 85.00.133 63.355 57.308 112.814 98.213 63.690 163.735 53 76.275 452.464 58 91.467 80.054 64 118.922 107.245 86.369 54 79.515 91.917 298.156 57.664 248.608 435.689 75.00.409 91.751 62 108.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 34.267 502.847 58.166 94.204 32 .478 161.194 153.501 73.542 209.167 307.966 54.279 79.778 53.461 211.902 236.981 85.000 50.941 59 95.00.085 80+ 199.031 291.254 63 113.175 165.394 215.466 141.104 176.239 52 73.771 107.786 127.698 66.778 123.690 84.287 104.584 81.506 45.056 89.949 279.771 80.039 132.457 65 117.957 74.522 283.754 62.888 486.753 94.880 324.758 67.152 139.578 64.577 51.835 Preferred Premier Female 30.164 127.566 46.639 372.790 173.891 270.378 298.163 201.975 36.740 470.427 68.00.650 75 171.856 83.668 82.503 191.000 Age 15.919 68 128.561 108.016 158.223 324.907 129.036 55.035 37.397 61.684 180.006 114.670 205.389 50.091 121.649 360.445 44.308 76 176.563 50.490 71 145.385 43.096 38.881 96.145 307.580 68.728 66.00.673 65.890 78 188.144 312.205 40.522 66.481 53.476 125.247 101.746 49.911 69.720 116.633 190.139 99.452 96.323 79.310 291.879 51 71.531 155.000 50 68.924 74 164.977 418.096 56.615 248.945 62.658 118.973 113.075 259.004 289.707 102.813 72.365 146.037 195.897 79.862 129.144 39.988 47.305 171.927 52.636 260.864 77.446 88.000 50.556 59.283 83.132 67.807 50.188 48.667 102.900 186.030 63.800 99.499 61 103.723 67.114 275.334 64.518 63.114 70.217 58.779 225.342 61.809 360.130 398.306 60.00.638 65.422 94.292 133.114 111.078 78.056 69 133.744 60.337 60.500 74.597 87.867 51.000 1.367 90.963 257.198 77.FLOATER-2 ADULTS+1 KID Preferred Premier Age 15.000 1.799 46.515 135.974 92.944 79 194.573 67 127.361 268.669 88.301 151.987 54.170 336. 735 282.093 80.398 433.769 89.141 96.437 45.366 44.168 82.559 84.000 Age 15.435 232.530 317.735 75.217 76.797 62 115.261 68 135.528 74 172.137 232.151 73.071 91.394 249.909 141.475 65.933 69.557 .107 88.662 65 124.998 163.232 78.705 129.948 142.389 295.112 155.531 118.539 413.061 112.234 42.213 64 125.711 96.278 70.983 178.528 119.826 80+ 207.654 78 196.155 143.162 246.589 90.208 374.585 225.675 138.712 212.828 52 80.327 58 98.669 361.251 58.819 310.772 50.364 289.326 305.985 124.00.608 372.872 67.036 87.719 467.991 76 184.701 279.062 113.839 167.130 192.701 82.641 48.771 72.946 85.573 187.712 196.684 153.300 75 178.967 94.049 54 85.009 57 95.729 65.570 109.440 136.588 121.403 225.298 500.947 258.000 123.923 179.136 72.529 96.526 62.635 151.387 105.969 71 153.566 60 106.844 51.234 92.00.807 274.148 336.193 79.000 50.136 72 159.164 131.339 52.294 43.00.998 61.827 215.501 91.161 357.155 73 165.435 55.047 55.336 107.480 127.838 277.044 140.239 126.00.189 70 146.279 74.594 305.374 61.171 205.499 61 110.960 132.181 87.322 59.856 63.454 61.00.194 134.047 94.466 80.895 94.832 393.654 103.711 78.497 322.076 71.881 60.376 98.504 98.876 55 88.730 171.857 237.00.976 54.994 236.765 121.675 81.396 136.696 79 201.245 125.609 157.162 108.903 195.644 256.199 116.102 186.253 73.132 85.883 75.795 73.057 324.712 49.585 110.000 50.796 69.880 67 135.569 47.244 339.427 89.183 485.328 171.706 262.394 60.177 99.349 79.986 59.004 70.599 210.731 63.051 114.329 112.661 91.694 183.597 63.674 70.000 30.381 269.FLOATER-2 ADULTS+2 KIDS Preferred Premier Age 15.801 66.338 64.565 93.941 68.389 Preferred Premier Female 30.119 106.323 289.370 53 83.856 103.497 46.621 100.000 1.942 54.00.191 57.00.970 164.389 299.444 98.411 51 77.418 72.129 348.124 201.368 63 120.805 112.627 115.029 449.842 149.00.193 221.000 1.376 205.614 87.849 59 102.119 56.068 159.044 174.852 56 92.687 146.721 135.752 308.616 77.00.208 73.125 179.916 52.011 97.691 77 190.149 100.000 50 75.852 108.208 66.986 76.617 244.917 57.090 105.832 66.466 69 141.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 33 41.714 129.285 116.314 67.785 269.658 64.910 101.468 104.575 383.599 215.292 86.650 84.642 516.659 66 129.977 196.399 58.826 82.941 145. 976 72.433 142.103 204.991 64 141.557 112.138 94.718 529.343 73 181.694 207.377 337.896 266.848 103.827 126.507 132.616 291.448 168.225 150.244 68 151.419 116.055 68.472 114.497 65 140.621 108.007 145.660 383.267 122.741 84.173 495.344 175.493 124.000 Age 15.962 89.100 63 135.366 69.301 114.520 405.576 394.00.474 118.650 91.254 66.647 Preferred Premier Female 30.871 96.755 67.624 134.996 305.842 152.625 223.379 253.472 478.282 319.615 98.093 358.409 80.428 86.515 141.592 105.450 100.509 90.481 235.163 254.422 84.287 73.100 162.238 162.018 118.950 131.445 57 110.301 56.632 333.479 116.567 75 195.601 57.401 74.487 122.623 53 98.518 243.00.662 190.987 302.161 87.624 317.449 277.242 56 107.960 441.352 86.431 94.822 156.819 113.995 126.502 134.718 331.014 92.123 135.618 367.00.221 55 104.00.831 254.466 199.463 136.241 421.889 333.628 121.605 403.077 79 218.838 165.263 70 163.040 157.521 65.348 54 101.557 140.128 61 126.834 139.220 110.000 50 90.394 93.444 65.246 179.133 64.359 100.610 328.791 225.000 30.00.517 199.00.436 92.563 224.778 117.426 129.596 206.865 242.940 82.266 317.150 60 122.860 350.452 104.817 67 151.486 72.551 66 145.403 78.430 90.231 149.430 82.279 72 175.275 182.508 119.069 51.183 289.830 461.584 213.975 75.807 290.408 196.170 309.025 131.503 156.494 128.157 188.466 112.293 76 201.417 86.704 255.409 197.411 103.258 234.00.573 51 93.376 59 118.495 69 157.649 513.707 77.912 59.228 123.691 53.488 126.046 115.223 60.069 108.402 266.047 170.501 130.589 304.191 161.196 80.041 85.444 98.465 108.445 102.022 105.820 80.614 95.325 107.033 144.265 185.190 231.812 100.684 84.243 145.273 63.742 70.639 160.273 245.632 147.FLOATER-2 ADULTS+3 KIDS Preferred Premier Age 15.990 55.235 136.677 70.509 78.523 61.077 71 169.416 82.396 76.660 192.000 1.998 68.00.867 265.035 78 213.880 167.772 150.979 346.452 79.000 1.196 80+ 223.769 50.040 168.819 58 114.035 52 95.000 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 48.119 81.00.097 370.523 72.000 50.526 299.438 96.103 101.863 173.834 63.380 52.213 97.587 74.898 76.547 385.452 278.458 106.261 233.920 34 .651 87.230 73.209 77.441 155.483 62 131.423 88.431 215.922 174.714 278.000 50.340 181.377 215.813 110.460 110.905 89.028 77 207.040 544.762 74 188.00.480 120.551 215. Hyderabad. Gujarat) Note . Chennai.Deductible Plans Zone 2 (Bangalore. Chandigarh. Ludhiana. Kolkata.All Premiums are with Service Tax . 852 20.916 14.839 6.000 Deductible 1.236 18.156 13.DEDUCTIBLE PLANS (PROTECT PLAN) Individual SI 3.000 1.972 8.487 39.232 75+ 23.958 56-60 11.00.000 2.50.000 1.000 2.987 22.693 7.997 36-45 3.292 12.956 9.000 1.422 Floater-1 Adult+1 Kid 4.780 5.298 4.201 36 .427 61-64 11.50.671 22.000 2.076 6.00.00.087 46-50 3.711 51-55 5.000 0-35 1.849 6.890 51-55 8.028 1.152 5.183 27.944 3.109 13.00.294 9.017 28.660 4.242 5.867 Floater-1 Adult+3 Kids 4.00.50.740 31.027 5.175 3.517 16.045 17.702 51-55 9.471 61-64 17.418 14.333 46-50 6.346 32.000 4.768 2.985 5.000 4.886 3.101 3.50.401 46-50 5.583 65-74 14.00.50.072 56-60 6.502 12.931 11.50.045 65-74 25.50.50.000 1.267 75+ 40.268 61-64 18.000 1.663 15.000 Deductible 1.000 4.337 SI 3.958 41.046 27.000 2.367 SI 3.000 3.000 0-35 3.077 10.095 40.000 4.801 56-60 12.50.718 47.507 46-50 5.819 10.00.00.038 1.000 Deductible 1.525 23.336 75+ 39.50.912 4.764 65-74 26.200 61-64 19.00.796 3.000 0-35 1.000 0-35 2.732 56-60 13.00.50.621 3.00.696 65-74 27.857 2.926 4.988 19.443 23.770 51-55 9.715 75+ 38.135 8.00.000 2.154 11.190 48.494 26.201 7.000 Deductible 1.925 2.929 36-45 4.693 Floater-1 Adult+2 Kids SI 3.044 49.079 36-45 3.106 36-45 1.200 33.50.000 1. 000 4.956 9.00.306 6.150 7.619 65-74 28.634 6.346 32.656 61-64 18.663 15.00.50.152 5.222 4.973 15.047 34.656 56-60 14.00.713 7.958 56-60 11.50.385 36-45 4.709 20.236 18.724 75+ 39.123 61-64 20.000 4.00.630 51-55 10.309 19.997 36-45 3.000 2.058 .000 1.000 4.00.50.079 36-45 3.190 48.000 1.000 Deductible 1.000 4.796 3.00.367 4.101 3.294 9.890 51-55 8.415 40.50.715 75+ 38.502 12.00.095 40.236 4.867 Floater-2 Adults+2 Kids SI 3.50.00.768 2.00.000 Deductible 1.265 46-50 7.903 28.000 Deductible 1.000 0-35 1.00.000 1.292 12.000 0-35 2.183 27.276 9.000 3.000 2.50.718 47.027 5.503 27.860 36-45 5.740 31.108 3.117 4.00.364 17.000 1.000 1.000 2.000 0-35 4.764 65-74 26.912 Floater-2 Adults+1 Kid 4.000 2.892 50.189 56-60 12.987 22.337 Floater-2 Adults+3 Kids 4.336 75+ 39.50.50.191 75+ 40.494 26.839 6.00.50.815 42.135 8.988 19.507 46-50 5.778 12.000 Deductible 1.387 11.50.000 2.657 32.077 10.475 4.000 0-35 3.944 3.926 4.013 14.925 2.373 24.801 56-60 12.545 8.401 46-50 5.487 39.916 14.524 5.985 5.671 22.790 46-50 6.000 4.982 23.158 51-55 9.755 37 SI 3.770 51-55 9.471 61-64 17.658 SI 3.DEDUCTIBLE PLANS (PROTECT PLAN) Floater-2 Adults SI 3.153 65-74 26.268 61-64 18.50.680 11.045 65-74 25.50.612 13.501 48. 711 52.548 24.622 38 .548 10.000 2.808 13.000 7.50.164 3.000 2.820 11.914 40.565 22.735 8.000 5.000 4.595 23.00.657 26.00.000 2.652 54.898 79.030 33.000 7.710 5.50.50.200 23.220 5.108 11.617 46.795 41.00.000 5.393 49.407 51.281 19.000 7.50.000 10.00.00.531 3.947 2.899 18.00.127 35.337 25.729 18.844 27.826 9.305 12.000 5.087 19.991 57.600 Floater-1 Adult+1 Kid SI 4.035 8.441 94.824 38.919 24.677 7.394 28.796 63.614 16.152 Floater-1 Adult+2 Kids SI 4.320 21.000 3.315 12.856 50.034 4.DEDUCTIBLE PLANS (PLUS PLAN) Individual SI 4.547 18.497 9.252 20.000 0-35 36-45 46-50 51-55 56-60 61-64 65-74 75+ 2.839 85.282 9.893 15.620 2.50.00.000 2.000 0-35 36-45 46-50 51-55 56-60 61-64 65-74 75+ 3.129 15.50.000 10.00.699 4.00.000 3.196 65.50.233 8.000 7.309 44.011 44.00.645 7.000 2.597 72.000 5.50.00.076 2.702 10.000 7.511 19.096 4.000 0-35 36-45 46-50 51-55 56-60 61-64 65-74 75+ 4.50.000 2.358 60.358 5.317 52.032 14.691 13.722 20.965 8.180 5.866 29.017 4.50.532 2.672 47.000 5.791 13.00.793 62.652 3.112 4.648 8.856 34.345 42.523 46.390 35.938 96.321 88.000 7.354 60.652 7.522 6.000 2.000 3.667 12.047 13.905 22.000 3.030 10.430 77.000 4.00.601 21.871 39.463 6.000 3.451 19.601 37.671 2.933 24.139 17.091 36.00.848 3.000 3.750 7.00.866 12.639 2.890 7.208 4.997 17.50.000 5.334 43.000 2.545 48.621 63.50.320 17.149 4.395 56.50.700 7.036 30.000 Deductible 1.00.229 43.917 8.912 25.279 23.712 15.653 32.000 10.066 66.980 23.807 32.041 32.50.240 14.809 7.50.926 3.000 3.000 4.877 27.456 15.835 31.805 73.074 9.348 70.135 11.244 13.615 36.883 21.297 26.566 11.005 4.000 Deductible 1.016 13.017 8.000 Deductible 1.000 3.00.350 17.00.635 37.383 6.00.00.00.293 5.064 43.000 3.300 11.000 2.567 29.437 23.00.440 4.275 28.475 27.50.447 14.470 7.50.023 11.057 75.454 11.50.00.00.404 30. 50.592 6.339 42.200 23.279 23.848 3.456 15.334 43.722 20.648 8.309 44.898 79.067 40.000 10.000 2.164 3.000 2.418 10.00.696 11.653 32.437 23.965 9.513 28.000 7.315 12.691 13.760 5.000 2.50.000 Deductible 1.657 26.390 35.047 13.404 25.016 13.984 11.835 31.000 Deductible 1.00.000 7.00.283 49.576 65.965 8.091 36.150 48.000 3.987 69.007 99.702 10.601 37.057 75.300 11.00.035 8.525 15.622 .768 46.135 11.565 22.000 2.000 3.50.000 2.320 21.839 85.129 15.036 30.000 0-35 36-45 46-50 51-55 56-60 61-64 65-74 75+ 39 4.000 3.000 3.791 13.545 48.667 12.567 46.000 3.50.00.000 5.252 20.971 14.000 5.108 11.00.938 96.744 30.358 5.440 4.321 88.00.076 63.000 0-35 36-45 46-50 51-55 56-60 61-64 65-74 75+ 3.00.00.270 6.288 16.017 4.50.933 24.893 15.000 4.597 72.792 22.511 19.272 10.946 78.00.000 3.00.00.652 3.087 26.000 2.463 6.890 7.50.50.50.393 49.023 11.50.00.50.970 Floater-2 Adults SI 4.000 4.522 6.50.358 60.000 2.196 65.729 18.856 50.320 17.348 70.000 7.152 Floater-2 Adults+1 Kid SI 4.365 34.000 10.00.409 15.50.645 7.441 94.000 2.00.50.450 53.475 27.926 3.497 9.350 17.762 13.000 7.793 62.000 5.00.787 15.00.065 35.848 9.447 14.208 10.50.735 8.997 17.000 5.750 7.000 2.548 10.699 4.856 34.404 30.139 17.824 82.087 19.281 19.00.710 5.917 8.064 43.923 19.635 37.652 54.50.00.322 54.306 20.000 4.00.103 21.317 52.914 40.337 25.229 43.50.383 36.617 46.705 24.531 3.883 21.805 73.000 Deductible 1.50.180 5.000 5.677 7.066 66.300 57.548 24.506 39.991 57.000 7.50.650 26.000 0-35 36-45 46-50 51-55 56-60 61-64 65-74 75+ 6.889 29.000 3.878 69.293 5.041 32.526 6.795 41.807 17.796 63.000 3.297 26.672 47.00.DEDUCTIBLE PLANS (PLUS PLAN) Floater-1 Adult+3 Kids SI 4.00.000 7.000 3.354 60.678 76.375 32.00.621 63.866 29.844 27.430 77.208 4.030 33.282 9.915 6.314 21.000 10.317 91.074 9.871 39.000 5.00.711 52. 062 49.848 9.110 31.567 46.762 13.293 48.001 32.103 21.000 5.110 13.811 7.283 49.721 19.696 11.921 57.678 76.795 44.270 6.000 4.048 11.000 5.00.000 2.000 0-35 36-45 46-50 51-55 56-60 61-64 65-74 75+ 7.127 17.293 5.365 34.000 3.00.513 28.000 3.987 69.50.650 26.525 15.506 39.000 2.129 18.314 21.00.351 7.762 72.540 79.946 78.306 20.50.450 53.526 6.000 7.000 2.00.107 8.000 10.076 63.50.349 68.194 11.000 7.701 35.065 35.007 99.683 8.471 13.857 25.50.300 57.150 48.915 6.680 37.760 5.792 22.409 15.50.00.000 3.519 27.462 37.780 66.984 11.910 42.389 15.787 15.738 86.576 65.554 7.000 7.322 54.878 69.824 82.673 51.727 38.889 29.232 28.000 2.971 14.923 19.000 Deductible 1.50.965 9.499 12.558 17.857 28.000 2.50.272 10.762 12.824 81.50.383 36.067 40.000 10.033 56.257 22.00.000 2.208 10.000 Deductible 1.00.00.339 42.00.935 60.288 16.000 5.00.404 25.845 21.000 7.768 46.061 103.487 42.000 3.50.00.00.116 23.50.DEDUCTIBLE PLANS (PLUS PLAN) Floater-2 Adults+2 Kids SI 4.705 24.087 26.807 17.000 4.303 40 .840 26.628 16.00.744 30.00.000 0-35 36-45 46-50 51-55 56-60 61-64 65-74 75+ 6.375 32.343 24.300 94.418 10.000 3.592 6.579 12.718 30.00.733 7.259 17.50.00.880 52.679 72.317 91.970 Floater-2 Adults+3 Kids SI 4.000 5.000 3.50. 000 7.50.00.00.019 Premium for Reduction in Maternity Waiting Period (Plus Plan with Deductible) SI 4.000 5.000 4.00.000 3.000 2.00.000 3.648 494 494 494 330 330 330 All Ages 41 .50.00.000 2.00.00.Premium for Reduction in Maternity Waiting Period (Optional) Premium for Reduction in Maternity Waiting Period (without deductible plans) Plan Plus Preferred Premier All Ages 6.00.000 Deductible 1.000 7.50.019 26.000 2.000 3.000 1.50.000 5.592 26.50.50.000 10. 81 130.18 108.75 119.75 46.27 103.51 5.58 23.94 4.87 1.85 29.60 89.30 84.83 1.22 71.15 30.02 76.47 2.66 21.27 8.70 66.39 61.60 3.90 53.19 2.70 66.47 2.87 6.29 2.66 25.05 178.42 2A 27.78 4.83 1.59 3.76 20.65 33.03 2.11 86.54 7.09 Age Premium Rate 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 15.54 4.10 2.75 119.96 2.29 4.05 11.23 161.08 3.80 6.31 25.92 49.55 3.22 71.92 1.02 76.30 3.58 63.11 16.83 1.11 6.69 217.33 39.83 35.39 36.34 4.03 42 .10 2.05 11.09 9.42 Annual Rate per 1000 Sum assured Age 1A 2A 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 1.66 21.83 1.62 14.00 10.46 13.63 2.27 45.95 170.59 98.98 5.54 57.54 57.20 5.93 4.08 3.24 49.42 98.13 93.91 18.76 53.19 2.90 23.22 10.24 80.26 16.24 49.11 15.84 28.83 1.26 80.59 3.92 1.18 108.84 206.66 25.79 15.19 17.92 3.27 5.89 32.77 42.90 Age 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80+ 1A 15.39 61.59 98.30 84.09 7.87 6.21 113.03 2.90 19.75 5.45 125.45 125.Critical Illness Add-on Premium Rates With Service Tax Individual Floater Annual Rate per 1000 Sum assured Age 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 Premium Rate 1.54 7.42 3.87 1.38 9.37 19.08 145.75 5.92 3.27 103.18 11.09 3.13 93.45 42.27 8.30 3.24 80.37 2.48 3.65 33.60 89.77 2.25 92.15 30.34 113.71 138.54 2.29 2.42 3.93 4.34 113.77 2.26 12.55 187.95 106.42 3.76 3.00 10.37 2.39 36.47 196.83 1.63 2.33 39.52 68.84 28.26 12.45 42.09 9.54 2.96 58.71 8.58 23.93 17.75 121.73 74.90 53.62 14.68 38.14 4.75 46.56 7.26 12.27 5.96 2.29 4.92 154. Hyderabad. Gujarat) . Ludhiana. Chennai.Useful Information Zone 2 (Bangalore. Kolkata. Chandigarh. VOLUNTARY CO-PAY Sr. UNDERWRITING LOADING Additional loading may apply depending on the assessment of each case.00% Voluntary Co-Pay will not be applicable on Deductible Plans and Reduction in Maternity Waiting Period Premium. No. Long term discount of 7. Option Discount 1 10% Co-Pay 7.DISCOUNTS Sr. 44 . Description 1 Family 2 Long term Percentage 10.50% 2 20% Co-Pay 15. No.00% 7.50% Family Discount of 10 % on covering more than 2 members of your family in an individual policy.5% on opting for a 2 year term. ..................46 I.................................................. Individual Policy (with Deductible) ............... Base Plan Only Base Plan With Optional Cover Base Plan With Critical Illness Add-on Base Plan With Optional Cover & Critical Illness Add-on Cover 51 45 ........... Base Plan Only Base Plan With Optional Covers Base Plan With Critical Illness Add-on Only Base Plan With Optional Covers & Critical Illness Add-on 47 II Floater Policy (without Deductible) .............................................. Individual Policy (without Deductible) ................................................................................ Base Plan Only Base Plan With Optional Covers Base Plan With Critical Illness Add-on Only Base Plan With Optional Covers And Critical Illness Add-on 48 III................... Base Plan Only Base Plan With Optional Cover Base Plan With Critical Illness Add-on Cover Base Plan With Optional Cover & Critical Illness Add-on 50 IV Floater Police (with Deductible) .STEPS TO CALCULATE PREMIUM ZONE WISE PREMIUM .............. ZONE WISE PREMIUM Premium will be calculated based on the Sum Insured opted. C (Son) resides in Delhi (Zone 1). Highest Zone among all the insured persons will be considered for the calculation of premium for all the persons. B (mother) resides in Kolkata (Zone 2) and Mr. Zone Classification Zone 1: Mumbai. Kolkata. Gujarat Zone 3: Rest of India excluding the locations mentioned under Zone 1 & Zone 2 Multiple Zones If there are multiple insured in single proposal residing in different cities. gender. Ashish Patro's Date of Birth is 10 Dec 1982. risk classification and Zone of Cover. Chandigarh. A (Father) resides in Cochin (Zone 3). Default Zone of Cover will be based on Your City-Location based on your correspondence address. Age. Age Completed Birthday Example: Age Completed Birthday Mr. Thane & Navi Mumbai and Delhi & NCR Zone 2: Bangalore. Mr. Today's Date (assumed to be date on which proposal form is being filled): 31 Jan 2014 Age Completed Birthday in Years: 31 years 46 . Ludhiana. Mrs. Chennai. Zone 1 will be taken as the Zone under the Policy and considered for calculation of premium for all members. Hyderabad. Example: Three (3) insured details submitted in one proposal. Select the Plan and Sum Insured option Step 3.Refer table for Co-pay discount & apply on Base Premium to arrive at final premium (D) BASE PLAN + VOLUNTARY CO-PAY + REDUCTION IN MATERNITY WAITING PERIOD Step 1.Arrive at the base premium as per Steps in Section I (A) Step 2. 2. (B) BASE PLAN + REDUCTION IN MATERNITY WAITING PERIOD Step 1.Arrive at Premium as per Section I (C) Step 2.Total Premium = (Premium in Step 1 + Premium in Step 3) 47 . Step 2.Select the Premium applicable to your Plan from Reduction in Maternity Waiting Period table Step 3.Total Premium = (Premium in Step 1 + Premium in Step 2) (C) BASE PLAN + VOLUNTARY CO-PAY Step 1. Step 1. 3.Identify Premium Booklet (basis ZONE Classification).Check premium based on insured Gender (male/female) & age (Age Completed Birthday).CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4.Select the Premium applicable to your plan from Reduction in Maternity Waiting Period Table Step 3. Separate booklet for Zone 1.Total Premium = (Premium in Step 1 + Premium in Step 2) (E) BASE PLAN WITH CRITICAL ILLNESS ADD-ON COVER ONLY *Critical Illness add-on cover can be opted by Insured between 18-65 years of age.Arrive at Premium as per Section I (A) Step 2 .Identify the Premium Factor against the age of the Insured from Critical Illness Add-on premium table Step 3.STEPS FOR PREMIUM CALCULATION (INDIVIDUAL POLICY) SECTION I (A) BASE PLAN ONLY Step 1.Arrive at the base premium as per Steps in Section I (A) Step 2. Arrive at the premium as per Section I (B) Step 2 . K= Kid Step 3. Step 2.Identify Premium Booklet (basis ZONE Classification).Calculate the age of the eldest member from the combination identified in Step 2 for deriving premium (Age completed birthday) Step 4. Separate booklet for Zone 1. 2A + 3K) A= Adult.CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4. 1A + 2K.Select the Plan and Sum Insured option Step 5. 2A + 2K. 2. 2A.Select the Premium Factor against the age of the Insured from Critical Illness Add-on premium table Step 3. 3.Select the Premium Factor against the age of the Insured from the Critical Illness Add on premium table Step 3.Total Premium = (Premium in Step 1 + Premium in Step 3) (H) Step 1Step 2Step 3Step 4- BASE PLAN + VOLUNTARY CO-PAY + REDUCTION IN MATERNITY WAITING PERIOD + CI ADD ON Arrive at the Premium as per Section I (D) Select the Premium Factor against the age of the Insured from Critical Illness Add on table CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Total Premium = (Premium in Step 1 + Premium in Step 3) STEPS FOR PREMIUM CALCULATION (FLOATER POLICY) SECTION II (A) BASE PLAN ONLY Step 1.Arrive at the Premium as per Section I (C) Step 2.Select the correct combination of insured (1A + 1K.Total Premium = (Premium in Step 1 + Premium in Step 3) (G) BASE PLAN + VOLUNTARY CO-PAY + CRITICAL ILLNESS ADD ON Step 1.(F) BASE PLAN + REDUCTION IN MATERNITY WAITING PERIOD + CI ADD ON Step 1.CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4. 2A + 1K. 1A + 3K.Value corresponding to the age identified in Step 3 and the Plan/Sum Insured in Step 4 is the Premium 48 . Arrive at premium as per Section II (B) Step 2 .Select the Premium Factor against the age of the eldest member from the Critical Illness Add-on premium table (Floater) Step 3 .Select the Premium applicable to your Plan from Reduction in Maternity Waiting Period table Step 3 .Select the Premium applicable to your Plan as per Reduction in Maternity Waiting Period table Step 3 .Select the Premium Factor against the age of the eldest member from the Critical Illness Add-on premium table (Floater) 49 .CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4 .Select the Premium Factor against age of the eldest member from the Critical Illness Add-on premium table (Floater) Step 3 .Refer table for Co-pay discount and apply on Base Premium to arrive at final premium (D) BASE PLAN + VOLUNTARY CO-PAY + REDUCTION IN MATERNITY WAITING PERIOD Step 1.Arrive at Premium as per Section II (C.Arrive at the base premium as per Steps in Section II (A) Step 2 .Arrive at Premium as per Section II (A) Step 2 .Arrive at Premium as per Section II (C.(B) BASE PLAN + REDUCTION IN MATERNITY WAITING PERIOD Step 1.) Step 2 .) Step 2.Total Premium = (Premium in Step 1 + Premium in Step 3) (F) BASE PLAN + REDUCTION IN MATERNITY WAITING PERIOD + CI ADD ON Step 1.Arrive at the base premium as per Steps in Section II (A) Step 2.Total Premium = (Premium in Step 1 + Premium in Step 2) (C) BASE PLAN + VOLUNTARY CO-PAY Step 1.Total Premium = (Premium in Step 1 + Premium in Step 3) (G) BASE PLAN + VOLUNTARY CO-PAY + CRITICAL ILLNESS ADD ON Step 1. Step 1.Total Premium = (Premium in Step 1 + Premium in Step 2) (E) ) BASE PLAN WITH CRITICAL ILLNESS ADD-ON COVER ONLY *Critical Illness add-on cover can be opted by Insured between 18-65 years of age.CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4 . Sum Insured and Deductible option (from Deductible section in Booklet) Step 3. Step 1.CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4 .Total Premium = (Premium in Step 1 + Premium in Step 2) (C) BASE PLAN WITH DEDUCTIBLE AND CRITICAL ILLNESS ADD-ON COVER *Critical Illness add-on cover can be opted by Insured between 18-65 years of age. 2.Total Premium = (Premium in Step 1 + Premium in Step 3) (H) Step 1Step 2Step 3Step 4- BASE PLAN + VOLUNTARY CO-PAY + REDUCTION IN MATERNITY WAITING PERIOD + CI ADD ON Arrive at Premium as per Section II (D) Select the Premium Factor against the age of the eldest member from the Critical Illness Add-on premium table (Floater) CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Total Premium = (Premium in Step 1 + Premium in Step 3) STEPS FOR PREMIUM CALCULATION (INDIVIDUAL POLICY) SECTION III (A) BASE PLAN WITH DEDUCTIBLE ONLY Step 1.Select the Premium applicable for the Sum Insured and Deductible chosen from Reduction in Maternity Waiting Period table Step 3 . 3.Identify Premium Booklet (basis ZONE Classification).Select the Plan.Identify the age band in which the insured belongs (Age Completed Birthday to be taken) Step 4. Separate booklet for Zone 1.Arrive at premium for Base Cover with Deductible as per Section III (A) Step 2 .Arrive at premium for Base Cover with Deductible as per Section III (A) Step 2 . Step 1.Select the Premium applicable to your Plan (B) BASE PLAN WITH DEDUCTIBLE + REDUCTION IN MATERNITY WAITING PERIOD (Applicable in PLUS Plan Only) * Voluntary Co-pay cannot be opted under the same plan if Deductible is selected.Step 3.Select the Premium Factor against the age of the Insured from Critical Illness Add-on premium table (Individual) 50 . Step 2. K= Kid Step 3. 3.Arrive at premium for Base Plan with Deductible as per Section IV (A) 51 .Calculate the age of the eldest member from the combination identified in Step 2 for deriving premium (Age completed birthday) Step 4.Value corresponding to the age band identified in Step 5 and the Plan. Arrive at premium as per Section III (B) Select the Premium Factor against the age of the Insured from Critical Illness Add-on premium table (Individual) CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Total Premium = (Premium in Step 1 + Premium in Step 3) STEPS FOR PREMIUM CALCULATION (FLOATER POLICY) SECTION IV (A) BASE PLAN WITH DEDUCTIBLE ONLY Step 1. Separate booklet for Zone 1.Identify Premium Booklet (basis ZONE Classification). 1A + 3K. Step 1.Step 3 . 2A + 1K.Select the Age Band in which the eldest member falls Step 6. 2A. Sum Insured and Deductible in Step 4 is the Premium (B) BASE PLAN WITH DEDUCTIBLE + REDUCTION IN MATERNITY WAITING PERIOD (Applicable in PLUS Plan Only) * Voluntary Co-pay cannot be opted under the same plan if Deductible is selected.Select the correct combination of insured (1A + 1 K. 1A + 2K. 2.Total Premium = (Premium in Step 1 + Premium in Step 3) (D) Step 1Step 2Step 3Step 4- BASE PLAN WITH DEDUCTIBLE + REDUCTION IN MATERNITY WAITING PERIOD (Applicable in PLUS Plan Only) + CI ADD ON * Voluntary Co-pay cannot be opted under the same plan if Deductible is selected. 2A + 2K.CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4 . Step 2.Select the Plan. 2A + 3K) A= Adult. Sum Insured and Deductible option (Applicable for Protect/Plus Plan only) from Deductible section in Booklet Step 5. Select the Premium applicable to your plan from Reduction in Maternity Waiting Period table Step 3 .CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4 .Arrive at premium for Base Plan with Deductible as per Section IV (A) Step 2 . Step 1.CI Premium = Base Sum Insured X Premium Factor (as per Step 2) 1000 Step 4 .Total Premium = (Premium in Step 1 + Premium in Step 3) (D.Total Premium = (Premium in Step 1 + Premium in Step 2) (C) BASE PLAN WITH DEDUCTIBLE AND CRITICAL ILLNESS ADD-ON COVER *Critical Illness add-on cover can be opted by Insured between 18-65 years of age.Step 2 .Select the Premium Factor against the age of the eldest member from Critical Illness Add-on premium table (Floater) Step 3 .Select the Premium Factor against the age of the eldest member from Critical Illness Add-on premium table (Floater) Step 3 .) BASE PLAN WITH DEDUCTIBLE + REDUCTION IN MATERNITY WAITING PERIOD (Applicable in PLUS Plan Only) + CI ADD ON * Voluntary Co-pay cannot be opted under the same plan if Deductible is selected. Step 1.Total Premium = (Premium in Step 1 + Premium in Step 3) 52 .Arrive at premium for Base Plan with Deductible + Reduction in Maternity Waiting Period as per Section IV (B) Step 2 . Your Health Relationship Manager Has The Answer Be it claims assistance or guidance. 151 • CignaTTK ProHealth Insurance Policy UIN Number: IRDA/NL-HLT/CTTK/P-H/V-I/390/13-14 • CignaTTK Critical Illness Add On Cover UIN Number: IRDA/NL-HLT/CTTK/P-H/V-l/390/Add-on(CI)13-14 • Version Number: V1/June 2015 .10th Floor. IRDA Registration No. contact your Health RM anytime. Mumbai . 1-800-10-24462 customercare@cignattk. Goregaon (East). International Business Park.in Corporate Office: CignaTTK Health Insurance Company Limited.in www. Oberoi Garden City.cignattkinsurance. Commerz.400 063.