UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any...

45
UNITED INDIA INSURANCE COMPANY LIMITED #119,SYLVESTRA ARCADE, EAST PARK ROAD, 11TH CROSS, MALLESHWARAM BANGALORE - 560003 KARNATAKA PH: (080) 23441957,(080) 23340376 FAX: (80) 23347258 EMAIL: GROUP HEALTH POLICY UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14 POLICY NO.: 0716002818P113720603 PERIOD OF INSURANCE FROM 00:00 Hrs on 09/01/2019 To Midnight on 08/01/2020 Insured M/s KIOCL RETIRED EMPLOYEES MEDICAL TRUST II BLOCK, KORAMANGALA, BANGALORE. BANGALORE KARNATAKA 560034 Agent Name : MARSH INDIA INSURANCE BROKERS PVT. LTD Agent Code : BRC0000019 Mobile/Landline Number/Email : 9051364300 / (22) 40015033 LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in For any Information, Service Requests and Grievances please write to [email protected] For ID Cards & Claim Intimations Please contact the TPA mentioned in the Policy document. REGD. & HEAD OFFICE, 24, WHITES ROAD, CHENNAI - 600014 Website: http://www.uiic.co.in Printed By : LAT39055 @ 23/01/2019 5:40:23 PM

Transcript of UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any...

Page 1: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

UNITED INDIA INSURANCE COMPANY LIMITED #119,SYLVESTRA ARCADE, EAST PARK ROAD, 11TH CROSS, MALLESHWARAM

BANGALORE - 560003 KARNATAKA PH:  (080) 23441957,(080) 23340376   FAX:   (80) 23347258   EMAIL:  

  

GROUP HEALTH POLICY UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14 POLICY NO.: 0716002818P113720603

   

PERIOD OF INSURANCE FROM 00:00 Hrs on 09/01/2019

To Midnight on 08/01/2020  

Insured

M/s KIOCL RETIRED EMPLOYEES MEDICAL TRUSTII BLOCK, KORAMANGALA, BANGALORE.

BANGALORE KARNATAKA

560034   

  Agent Name : MARSH INDIA INSURANCE BROKERS PVT. LTD

  Agent Code : BRC0000019  Mobile/Landline Number/Email : 9051364300 / (22) 40015033

  

     LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in

 

 For any Information, Service Requests and Grievances please write to [email protected]

 For ID Cards & Claim Intimations Please contact the TPA mentioned in the Policy document.

 

REGD. & HEAD OFFICE, 24, WHITES ROAD, CHENNAI - 600014

Website: http://www.uiic.co.inPrinted By : LAT39055 @ 23/01/2019 5:40:23 PM

Page 2: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

 

GROUP HEALTH POLICY Schedule

Policy No. 0716002818P113720603 Previous Policy No.    

Insured Detail

Name/ID M/s KIOCL RETIRED EMPLOYEES MEDICAL TRUST/23059146202

Tel. (O)   Tel.(R)   Fax  EMail  Business/Occupation None  

Period of Insurance

From 00:00   Hours of 09/01/2019   To Midnight of 08/01/2020 

 

Coinsurance UIIC 071600 : 100%

No.of Employees  677 No.of Lives  

Coverage Details:-

Cover Group Sum Insured( ) Premium( )

Hospitalization  268,200,000.00  24,500,204.10 

  Total Sum Insured  268,200,000.00    Premium  24,500,204.10 

Insured Details

As Per Annexure Attached.

  Premium:  24,500,200.00 CGST(9%): 2,205,018.00

SGST(9%): 2,205,018.00

Stamp Duty:  1.00 Total:   28,910,236.00 Receipt Number :  10107160018114385507Receipt Date:  23/01/2019Development Officer Code/ Agent Code: MARSH INDIA INSURANCE BROKERS PVT. LTD

BRC0000019  

Page 3: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

Underwriter Remarks Policy covers retired employees and their spouse for a family sum insured of Rs.4 lakh if both the employee and spouse are covered and for a sum insured of Rs.2,00,000/- if only the employee or spouse is covered as per schedule attached. Domiciliary hospitalisation is excluded. Room rent is restricted to 2% of family sum insured or a single AC non deluxe room per day whichever is lower in case of metro cities. For non metro cities, which are state capitals, the limit is 1.5% of family sum insured or a single AC non deluxe room per day whichever is lower. For rest of the country it is 1% of family sum insured or a single AC non deluxe room per day whichever is lower. Ambulance charges are covered as per actual. Exclusion No. 4.1, 4.2, 4.3 and 4.4 are waived. Condition No. 1.2.1 and 1.4 are waived. Addition and deletion of persons during the currency of the policy is done on pro rata basis. No refund of premium is allowed under the policy for deletion, if a claim is made. Any refund due to deletion will be adjusted against the next installment premium. Any inclusion or deletion under the policy is to be intimated to the company within 5th day of the succeeding month. Persons joining the policy can be held covered in between the dates of the month provided there is sufficient amount lying in the CD Account of the insured. No request for change / alteration in the existing terms and conditions of the policy can be entertained. Claims will be settled by TPA, MD India Health Insurance TPA Pvt. Ltd. Other terms and conditions will be as per insured?s Tender No. KIOCL/TS/MED.INS-RTD.EMP/F-409/R1/216 dated 13.11.2018.

This Schedule and the attached policy shall be read together as one contract and any word or expression to which a specific meaning has been attached in any part of this Policy or of the Schedule shall bear the same meaning wherever it may appear.

Customer GST/UIN No.: 29AAACK8438M1ZX  Office GST No.: 29AAACU5552C1ZF 

SAC Code: 9971  Invoice No. & Date: 2818I113720603 & 23/01/2019 

Amount Subject to Reverse Charges-NIL

Anti Money Laundering Clause:-In the event of a claim under the policy exceeding 1 lakh or a claim for refund of premium exceeding 1 lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as well as Company's web site.

Date of Proposal and Declaration:  09/01/2019IN WITNESS WHEREOF, this policy has been signed at DO 6 BANGALORE 071600 on this 23rd day of January 2019For and On behalf of United India Insurance Co. Ltd.

Affix Policy Stamp here.

Authorized SignatoryUnderwritten By - LAT39055 ( DO UNDERWRITER )

Page 4: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.: 0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

Details of TPAPlease contact the following TPA for Issue of Identity Cards, Cashless Approvals & Claims Settlement.

Name of TPA MDIndia Health Insurance TPA Pvt Ltd 

Address S. NO. 46/1, E Space, A-2 Building, 3rd Floor, Pune nagar Road, Vadgaonsheri, Pune - 411014,Pune Nagar Road, Wadgaon -Sheri, Pin Code : 411014, Fax No :  

Toll Free number 1800-233-1166, 1800-233-4505 

Contact Details For General Enquiries For Cashless approval For Claim intimation For Grievances

Telephone Numbers 1860-233-4446  1800-233-4505  1860-233-4448   

Email IDs [email protected]  [email protected]  [email protected]  [email protected] 

Page 5: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

Annexure:

POLICY NO.: 0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

Name of TPAGroup

No.Person

ID.Insured Name Age Sex RelationOccupation

Sum Insured

MDIndia Health Insurance TPA Pvt Ltd  1009  1  S N VASUDEV RAO  89  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1012  1  F V CHIKKA REDDY  77  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1012  2  SUSHEEL CHIKKAREDDY  69  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1013  1  S UJJANAPPA  79  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1013  2  T K KOMALA  74  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1014  1  SATYENDRA KUMAR DHAR  82  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1014  2  CHAYA RANI DHAR  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1015  1  T R RAMANATHAN  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1015  2  R REVATHI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1024  1  N R PANIKKAR  78  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1024  2  USHA PANIKKAR  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1025  1  S K KRISHNA PRASAD  79  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1025  2  RATHNA  74  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1028  1  A P RAO  78  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1028  2  ASHA RAO  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1030  1  JAYANTHI RAGHURAM  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1031  1  CHANDRA SEKHAR JOSHI  78  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1031  2  PADMA PRIYA JOSHI  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1034  1  KESHAVA DEREBAIL  78  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1034  2  VEDAVATHI K  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1036  1  ANAND SHETTY  78  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1036  2  SHASHIKALA ANAND SHETTY  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1039  1  B MOHIDDIN  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1039  2  MYMUNA  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1041  1  MARTHA RUBEN  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1046  1  R MADHAVA RAO  82  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1046  2  RAMA M RAO  77  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1048  1  MYTHILY DAS  74  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1054  1  T S N MURTHY  80  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1054  2  N GEETHA  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1055  1  M SUBBANNA BHAT  79  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1055  2  SAVITHRI BHAT  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1056  1  A R GAJENDRA  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1056  2  VATHSALA  69  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1058  1  MAHENDRA NATH RAY  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1058  2  ANITHA RAY  69  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1059  1  HARI DAS MUKHARJEE  77  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1059  2  KALPANA MUKHARJEE  73  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1060  1  RAVINDRAN PILLAI K  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1060  2  THANKAMMA J  71  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1064  1  H L SHANKARAPPA GOWDA  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1064  2  LOKAMMA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1065  1  KN THAMMANAGOWDA  75  Male  Self    200000 

Page 6: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1073  1  K M ISMAIL  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1073  2  LATHIFA ISMAIL  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1076  1  P B SHENOY  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1076  2  RADHIKA B SHENOY  71  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1082  1  K S JAYARAM  77  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1082  2  PUSHPA JAYARAM  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1084  1  CHITTARANJAN ROUTH  82  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1084  2  BINA PANI ROUTH  73  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1090  1  KSV MURTHY  79  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1090  2  K SATHYAVATHI MURTHY  77  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1092  1  H S MURTHY  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1092  2  LALITHA MURTHY K N  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1100  1  C M HEMALATHA  65  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1101  1  R DAVID  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1101  2  ANTHONIAMMAL  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1103  1  SK JAYANTHA  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1103  2  SARASWATHI  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1104  1  M RAMASWAMY  69  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1110  1  SHIVARUDRAIAH  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1110  2  SARVAMANGALA V  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1120  1  M K RAJAGOPALAN  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1120  2  T C LAKSHMY  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1121  1  S M GIRIJA  64  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1121  2  S MURALIDHAR  69  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1138  1  B N PRABHA  66  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1140  1  K NARAYANA UPADHYA  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1140  2  SUNITHA N UPADHYA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1141  1  GATTAPPA  75  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1141  2  INDIRA  72  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1149  1  P DANIEL  87  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1149  2  ANNAMMA DANIEL  81  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1160  1  NARASIMHAIAH V  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1160  2  SUKANYA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1165  1  SUBHASH KARBARI  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1165  2  BHARATHI  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1170  1  G KRISHNA MURTY  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1170  2  C V SURMADEVI  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1173  1  PRAMILA BAI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1176  1  S P NARASIMHULU  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1176  2  NEERAJAMMA S  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1181  1  MANJULA MURTHY  83  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1185  1  S PRAHLAD RAO  68  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1188  1  M P V RAGHAVAN  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1188  2  P V GOURI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1192  1  ABS MANYAM  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1192  2  D S PUSHPALATHA  57  Female Spouse     

Page 7: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1197  1  H V SAROJA BAI  66  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1199  1  ESTHER MARGARET  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1200  1  K LAXMINARAYANA GUPTHA  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1200  2  SUJATHA L GUPTHA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1201  1  R NAGARAJ  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1201  2  PRABHA NAGARAJ  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1203  1  V RAMCHARI  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1203  2  LEELAVATHY  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1208  1  P G R PANICKAR  80  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1208  2  KANCHANA  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1210  1  C R RADHAKRISHNA NAIR  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1210  2  G VIJAYAAMMA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1211  1  N D ANANTHPADMANABHA  67  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1216  1  V M THYAGARAJ  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1216  2  MILLICENT ANN THYAGARAJ  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1219  1  A KRISHNAMURTHY  81  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1219  2  CHELLA KRISHNAMURHTY  72  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1223  1  HONNAPPA HOSABAYYA NAIK  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1223  2  CECILIA NAIK  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1226  1  M R GOPAL  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1226  2  K G ANITHA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1229  1  PREM KUMAR SHARMA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1229  2  TRIPTA SHARMA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1231  1  HANS RAJ SHARMA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1231  2  MAYA DEVI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1233  1  ANTHONY SAM  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1233  2  FRANCINA ANTHONY  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1234  1  CHAMMAN SINGH  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1234  2  MAHENDRI DEVI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1238  1  G MALLIKARJUNA  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1238  2  M JAYAKUMARI  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1243  1  K S SUDARSHANA  72  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1252  1  HEROOR GURUPRASAD  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1252  2  JAYASHREE PRASAD  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1253  1  S KRISHNARAJ URS  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1253  2  PADMA URS  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1256  1  R SRINIVASA MURTY  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1256  2  VANAJA MURTY  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1258  1  K M KUSHALAPPA  77  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1258  2  K K KAVERIAMMA  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1261  1  N SURAMANYA  77  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1261  2  GAYATHRI S  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1263  1  K S PUNDARIKA  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1263  2  G R BHAGYALAXMI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1264  1  B A GANGAMMA  65  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1264  2  B B AIYAPPA  77  Male  Spouse     

Page 8: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1265  1  P VIJAYAN  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1265  2  B SULOCHANA  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1273  1  P S GUNASHEKAR  65  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1274  1  C S SARASWATHY  67  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1281  1  G RAMAKRISHNAIAH  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1281  2  J MARY KUMARI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1283  1  RAMA MOOLYA BANTWAL  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1283  2  PUSPALATHA R BANTWAL  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1284  1  P R KAMATH  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1284  2  SHYAMALA P KAMATH  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1293  1  M P SAMUEL  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1293  2  ALEYAMMA SAMUEL  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1294  1  V K APPUKUTTAN  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1294  2  KOUSU T M  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1296  1  B S KRISHNAIAH  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1296  2  G V RAMADEVI  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1300  1  KAMALA JEEVANESAN  83  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1304  1  M T SRISAILAM  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1304  2  M T NALINI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1305  1  K VARADA RAJAN  82  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1305  2  K RANGANAYAKI  72  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1313  1  S SELVANATHAN  67  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1320  1  H S RAMACHANDRA  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1320  2  H V SEETHALAKSHMI  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1322  1  SUBHAS LAHIRI  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1322  2  GOPA LAHIRI  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1324  1  S E PADMANABHA  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1324  2  H LALITHA  72  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1326  1  T V BASHYAM  75  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1326  2  SAHANTI  71  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1328  1  H S CHANDRASHEKHAR  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1328  2  U S SOWBHAGYA SHEKHAR  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1332  1  MITHRASENA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1332  2  ARUNA KUMARI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1339  1  P PRABHAKAR  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1339  2  S M SUVARNA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1341  1  THIMME GOWDA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1341  2  LALEETH  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1344  1  C K NARAYANAN  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1344  2  DEVAKI PONNAMMA  71  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1345  1  H N VISWANATHA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1345  2  K S SHARADHA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1348  1  THIMME GOWDA H R  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1348  2  A J SULOCHANA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1352  1  SUBBE GOWDA  62  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1357  1  GOPALAKRISHNA PILLAI  68  Male  Self    400000 

Page 9: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1357  2  SALILA DEVI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1359  1  PARSHWANATHAIAH  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1359  2  SHREEYALA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1366  1  KISHORE M KAKADE  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1366  2  UJWALA K KAKADE  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1368  1  ASHA DONAT  72  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1380  1  M A ABBAS  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1380  2  NASREEN ABAAS  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1381  1  H R KRISHNA SWAMY  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1381  2  SHARADA K SWAMY  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1382  1  VICTOR LOBO  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1382  2  ROSY LOABO  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1384  1  SYED ZAHIR AHMED  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1384  2  SYEDA JABEEN TAJ  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1390  1  V G RAMAMURTHY  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1390  2  B R BHAGYALAKSHMI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1398  1  SURENDRA KUMAR H S  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1398  2  PRATHIMA  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1400  1  G CHINNAPURAPPA  72  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1401  1  SUDARSHANA S J  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1401  2  RATHNAMMA  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1407  1  JINARAJAIAH  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1407  2  PREMA KUMARI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1415  1  SINDU DEVI  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1416  1  SABINA LILLY D SOUZA  64  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1416  2  JOSEPH DSOUZA  79  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1421  1  DHARMAPALAIAH H S  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1421  2  JAYALAKSHMI  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1431  1  H RAGHURAMAIAH  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1431  2  PARIMALA RAGHURAMAIH  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1432  1  H N NANJUNDARAJ URS  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1432  2  BHAVANI C URS  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1441  1  K NARASIMHA MURTHY  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1441  2  BHAGYA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1447  1  K A RAMASUBRAMANIAN  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1447  2  SABITHA MANIAN  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1449  1  TRIVENI A SALGAONKAR  65  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1450  1  T C SHIVA SHANKARAPPA  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1450  2  RATHNA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1454  1  K N RAVINDRA  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1454  2  PADMAVATHI  69  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1457  1  HUCHAMMA  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1458  1  P CHANDRAN  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1458  2  P PADMAVATHY  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1459  1  HENRY D SOUZA  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1459  2  SICILIA D SOUZA  69  Female Spouse     

Page 10: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1468  1  ALPHONSE VAZ  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1468  2  LILY VAZ  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1469  1  SWAMY GOWDA  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1469  2  DEVAMMA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1471  1  SHIVRAMAPPA Y  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1471  2  Y SUSHEELA  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1475  1  G G LOKESHAPPA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1475  2  N B DAKSHAYINI  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1486  1  A B JAYAVANTH  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1486  2  J NIRMALA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1487  1  V CHANDRA KANTHA  64  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1491  1  HARRY L DSOUZA  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1491  2  STELLA D SOUZA  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1492  1  M G SADIQ  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1492  2  MAMTAZ  34  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1495  1  NITHYANANDA K P  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1495  2  MALATHI N  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1498  1  K M DAMODARA  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1498  2  VILASINI D  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1501  1  HOOVAMMA  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1504  1  SHANTHAPPA GOWDA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1504  2  KUSUMA C B  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1510  1  RATHNARAJAIAH  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1510  2  PREMAKUMARI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1513  1  N S VASUDEVA RAO  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1513  2  S VIJAYALAKSHMI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1529  1  JINARAJAIAH N  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1529  2  PAMPALA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1532  1  PADMANABHAIAH  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1532  2  RAJAMATHI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1539  1  P VENKATESH MARATHE  75  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1539  2  REKHA V MARATHE  71  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1544  1  Y S BHAT  87  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1544  2  USHA S BHAT  73  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1553  1  RAJANNA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1553  2  SMT INDIRA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1554  1  A VIJAYAKUMAR  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1554  2  VINAYALATHA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1560  1  J C BRAHMAIAH  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1560  2  J B SUNANDA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1564  1  P ABOOBACKER  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1564  2  RASHEEDA ABOOBACKER  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1568  1  P RAMANATHA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1568  2  NANDINI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1570  1  K CHANDRASHEKARA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1570  2  GEETHA T C  61  Female Spouse     

Page 11: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1579  1  K S SRIDHARA MURTHY  75  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1579  2  INDIRA S MURTHY  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1585  1  P N VISWANATHANH  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1585  2  PREMA VISWANATHAN  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1586  1  GRACE MARTIN  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1595  1  D S CHANDRASEKHARAN  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1595  2  V VIJAYALAKSHMI  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1596  1  S SESHA RAO  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1596  2  SRIGHAKOLAPU LAKSHMI RATHNAM  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1612  1  RATHNA RAMACHANDRA  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1620  1  ABDUL SAB P  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1620  2  RAZIA BEGUM  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1625  1  S D LAKSHMAIH  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1625  2  SIDDAGANGAMMA  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1626  1  SYED MUNEER AHMED  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1626  2  ASEEL  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1628  1  MOHAN R  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1628  2  SHARADA MOHAN  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1633  1  YADAVA SHETTIGAR  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1633  2  SHYAMALA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1634  1  THIMAPPA T  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1634  2  MALLIKA T DEVADIGA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1638  1  G Y BOREGOWDA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1638  2  B D SEETHAMMA  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1640  1  MAHAMED SAB  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1640  2  DILFIZA BANU  46  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1647  1  K GUNDURAO  68  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1659  1  C RAGHUNATHAN  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1659  2  MEERA BAI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1661  1  T N PANDEY  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1661  2  PREMA DEVI PANDEY  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1662  1  A RANGANATHACHAR  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1662  2  JAYALAXMI K M  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1664  1  P K N PRASANNA  78  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1664  2  NAGARATHNA GUDADASA  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1667  1  K VASANTHA KUMARI  68  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1667  2  H A BACHAPPANAVAR  67  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1669  1  C M SHIVADEVAPPA  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1669  2  SUBHAMANGALA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1670  1  S N SIDDAPPA GOWDA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1670  2  S K SUSHEELA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1672  1  RAJAPPA GOWDA S  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1672  2  INDIRAMMA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1676  1  CHARLES VIJAYAKUMAR  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1676  2  SHOBHAMALA  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1677  1  ERANNA  61  Male  Self    400000 

Page 12: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1677  2  GOWRAMMA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1678  1  MATILDA GONSALVES  61  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1678  2  WALTER GONSALVES  61  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1681  1  K BHARATHI  66  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1681  2  RADHAKRISHNA K  71  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1688  1  JOSEPH RODRIGUES  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1688  2  JESSY RODRIGUES  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1691  1  V DEVANNA PRABHU  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1691  2  MALATHI PRABHU  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1695  1  M V MANJAPPA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1695  2  K M NAGARATHNA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1696  1  SUNDRAIAH  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1696  2  SHOBHA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1711  1  U GIDDAPPA  68  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1714  1  G MOHAN REDDY  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1714  2  G LAKSHMI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1715  1  C H BHASKAR  67  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1718  1  B R RAMAKOTAIAH  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1718  2  PREMAVATHI M V  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1723  1  B N SRIRANGANAYAKI  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1743  1  N KARUNAKARA  68  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1744  1  UMESH ANAND RAO PIKLE  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1744  2  LALITHA UMESH PIKLE  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1748  1  KOMALAM P  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1757  1  SHREEKANTH  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1757  2  HEMALATHA B  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1759  1  M S VIJAYALAKSHMI  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1763  1  K MALLIKA  64  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1763  2  K A CHANDRASHEKARAN  69  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1772  1  J N KINI  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1772  2  KALPANA KINI  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1773  1  SURESH SINGH  77  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1773  2  SUMITRA DEVI  72  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1783  1  S AYYASWAMI  73  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1791  1  NIRANJANA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1791  2  VATHSALA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1792  1  MV ANANTHA PADMANABHA RAO  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1792  2  B RADHA RAO  71  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1795  1  M A RAVINDRA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1795  2  M R BHAVANI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1796  1  NARAYANA SHETTY  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1796  2  INDIRA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1803  1  PRALHAD A KATTI  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1803  2  SHASHIKALA P KATTI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1805  1  HARIDEV BHARADWAJ  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1805  2  KRISHNA BHARDWAJ  64  Female Spouse     

Page 13: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1834  1  H KRISHNA KAMATH  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1834  2  MOHINI KAMATH  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1836  1  G KIRUBAGARAN  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1836  2  A UMA  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1838  1  C NAGESHA RAO  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1838  2  K S PADMA NAGESH  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1844  1  NAVIN KUMAR  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1844  2  VIOLA JANET  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1846  1  D S VENUGOPAL  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1846  2  R RUKMINI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1847  1  K SUNDARA SHETTY  75  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1847  2  RATHNAVATHI S SHETTY  69  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1848  1  NALINKUMAR GOPALDAS DARBAR  64  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  1850  1  FEDRICK PASCAL SALDANHA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1850  2  SYLVINE LEENA SALDANHA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1856  1  BALAKRISHNA M ACHARYA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1856  2  VEENA B ACHARYA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1859  1  BHAGAVAN DAS N R  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1859  2  N B KAMALA DAS  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1861  1  ADDNAL BHASKAR RAO  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1861  2  ADDNAL VANI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1866  1  M B PADIYAR  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1866  2  KAVITHA B PADIYAR  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1867  1  IVAN PINTO  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1867  2  JOYCE PINTO  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1871  1  MANJUNATH KS  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1871  2  MANJULA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1887  1  RISHI KUMAR GUPTA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1887  2  KAMINI DEVI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1892  1  RUDRAMUNAIAH G  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1892  2  H M SHYLA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1895  1  NEELAKAR K  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1895  2  SULOCHANA N  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1906  1  DR B LAKSHMANA HEGDE  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1906  2  SHASHIKALA L HEGDE  68  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1907  1  MURTHY V  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1907  2  MALARKODI M  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1908  1  K NAGENDRA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1908  2  M N LEELAVATHI  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1910  1  A ANANDA  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1910  2  RAJEEVI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1922  1  B RAVI  77  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1922  2  S GOVINDA BAI  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1926  1  T M GOPALAKRISHNA BHAT  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1926  2  SHYAMALA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1928  1  SANTHAMMA FRANCIS  73  Female Self    200000 

Page 14: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  1937  1  G P GAONKAR  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1937  2  PRAMILA KRISHNA NAIK  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1942  1  B M VENKOBA RAO  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1942  2  KRISHNA KUMARI T R  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1945  1  M LAKSHMI NARAYANA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1945  2  S L SEETHALAKSHMI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1948  1  G A PRABHAKAR  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1948  2  M K PRABHAMANI  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1955  1  S MURARI  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1955  2  RAMA MURARI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1960  1  DEVRAJ SHARMA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1960  2  SHARDA SHARMA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1962  1  C D NAIK  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1962  2  LEELA C  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1972  1  BAPU Y BHOVAR  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1972  2  SONIA BAPU BHOVAR  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1973  1  SADASHIVA BOLOOR  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1973  2  MALLIKA S BOLOOR  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1974  1  LAXMANA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1974  2  KAMALA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1980  1  LAKSHMAMMA K S  77  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1981  1  MOZAFFAR SAYEED  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  1981  2  RIZWANA KHATOON  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  1997  1  VEDAVATHI S ACHAR  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2000  1  SITARAM MAHATO  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2000  2  DURGA DEVI  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2004  1  HARISH SHARMA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2004  2  A VEENAVATHI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2017  1  K R ESWARAPPA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2017  2  MANJULA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2033  1  R VENKATESH MURTHY  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2033  2  SHANTHA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2041  1  DOROTHY PUSHPA DIVAKAR  75  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2049  1  H GIRISH BABU  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2049  2  POORNIMA GIRISH BABU  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2050  1  B SEETHARAMA SHETTY  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2050  2  VANITHA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2052  1  M HARI KRISHNA  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2052  2  POORNIMA H RAO  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2056  1  SYED R SHARIEFF  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2056  2  SYEDA AMEERA BANU  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2058  1  CELIN S  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2061  1  T UMAKANTHAN  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2061  2  UMA DEVI  70  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2062  1  KP NETRAVATHI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2065  1  K UPENDRA  66  Male  Self    400000 

Page 15: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2065  2  VIJAYA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2067  1  K VISHWANATH PAI  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2067  2  K VEENA PAI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2070  1  K CHANDRASEKHARAN  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2070  2  LEELAVATHI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2074  1  B JHON WESLY  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2074  2  LUDHIYA RANI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2098  1  NEELAKANTA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2098  2  PARVATHAMMA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2100  1  K N SHIVARAMA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2100  2  B N KALAVATHI  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2110  1  G KANNAN  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2110  2  K MEGALA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2113  1  BASAVARAJAPPA B  65  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2115  1  BHARATHI H KINI  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2119  1  RAHAMATHULLA  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2119  2  AJAS BEGUM  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2129  1  VIVEKANAVDA J SHASTRI  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2129  2  PUSHPA V SHASTRI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2132  1  I R VASANTHA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2140  1  K RAMAKRISHNA KAMATH  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2140  2  VIJAYA YANE K REKHA KAMATH  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2147  1  NAVIN KUMAR K  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2147  2  SANTHOSH KUMARI K  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2152  1  V P S BONIFUS  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2152  2  MARY BONIFUS  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2155  1  SHANKARAPPA M  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2155  2  GANGAMMA R G  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2156  1  ABDUL RAZAK R S A  68  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2157  1  THIMMAPPA  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2157  2  LEELA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2160  1  O SHANTHARAJU  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2160  2  N TRIVENI  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2163  1  SUBBANNA K E  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2163  2  LEELAVATHI K S  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2164  1  NAGESH K S  63  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2167  1  JAGADEESHA MN  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2167  2  YASHODA KN  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2168  1  VEERABHADRAPPA G  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2168  2  G VANDANA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2171  1  VIJAY KUMAR N  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2171  2  SHARADHA N  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2177  1  KEMPAIAH K  65  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2178  1  SAROJAA M  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2180  1  ALEXANDER I  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2180  2  CAROLINE METREETA S  55  Female Spouse     

Page 16: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2182  1  SARASA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2201  1  S RANGANTH BABU  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2201  2  USHA R BABU  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2210  1  CHANDRAHASA S  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2210  2  USHA P  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2211  1  C T KESHAVAMURTHY  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2211  2  DHARANI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2214  1  K CHELLAPPAN  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2214  2  PRABHA CHELLAPAN  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2216  1  I K GANAPATHY  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2216  2  POOVAMMA GANAPATHY  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2217  1  MADHVA UPADHYAYA K  69  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2220  1  C PADMANABHA SUVARNA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2220  2  PREMA P SUVARNA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2225  1  UPADHYA A V  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2225  2  PADMAJA A UPADHYA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2229  1  DHODDI SRIHARI RAO  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2229  2  DR G UMADEVI  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2232  1  MAYURA RANGANATH  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2241  1  J VAMAN  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2241  2  PUSHPALATHA K  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2243  1  S VISWANATH  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2243  2  V NALINI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2244  1  N GURUMURTHY  69  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2249  1  MUNIRAJ R  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2249  2  KAMALAMMA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2257  1  ABDUL SUBHAN  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2257  2  PARYJAN  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2260  1  M MAPANNA BHAT  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2260  2  M B SUMATHI  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2262  1  K RAGAHUNATHAN PILLAI  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2262  2  SREELEKHA S  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2273  1  A M LOKAIAH  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2273  2  SHARADHA S R  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2280  1  K S NAGARAJ  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2280  2  SANDHYA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2282  1  DODEGOWDA S M  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2282  2  JYOTHI LAKSHMI  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2283  1  R BHANUMATHI  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2284  1  SHESHAGIRI B M  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2284  2  GAYATHRI H N  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2287  1  CHACKOCHAN C I  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2287  2  USHA BABY C I  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2297  1  G MAGHENDRAN  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2297  2  R PRAMILA  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2306  1  G V RAMESH  64  Male  Self    400000 

Page 17: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2306  2  VASANTHA RAMESH  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2315  1  DATHATHREYA S  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2315  2  K KASTURI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2318  1  KK SUBRAMANIAN  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2318  2  SASIKALA SUBRAMANIAN  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2320  1  SHIVALINGAPPA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2320  2  CHANDRAMMA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2323  1  SHIVAPRAKASHAN V V  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2323  2  REENA P V  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2324  1  A ABDUL SALAM  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2324  2  HIFZUNNISA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2328  1  G P MAHESWARAPPA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2328  2  GIRIJA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2336  1  KODANDA RAM  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2336  2  S R GEETHA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2344  1  GURULINGAPPA SAVADI  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2344  2  SAROJINI G SAVADI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2346  1  P G SHIVA KUMAR  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2346  2  K PREMA  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2350  1  S RATHNAKAR  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2350  2  MADHURAJI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2359  1  M ANANDAPPA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2359  2  BG MANJULA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2365  1  RAJA KUMAR JOHNSTON  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2365  2  SUNITHA MANI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2380  1  R N SWAMY RAO  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2380  2  NAGAVENI S RAO  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2381  1  DANIEL RAJPRASAD  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2381  2  IRIS SHOBHA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2382  1  AR KRISHNA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2382  2  CR MEERA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2388  1  N PALANINADAN  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2388  2  K A KAMALA  72  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2389  1  S VENKATRAYA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2389  2  S SATHYABHAMA V RAO  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2395  1  JOHN BAPTIST LOBO  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2395  2  ROSELINE LOBO  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2399  1  K NAGARAJ  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2399  2  USHA NAGARAJ  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2409  1  VISHWANATHA SAPALIGA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2409  2  JAYASHREE  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2416  1  J HALASWAMY  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2416  2  T UMA DEVI  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2418  1  RAMESH  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2418  2  CHANDRAKALA RAMESH  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2431  1  C V MOHAN  60  Male  Self    400000 

Page 18: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2431  2  PRATHIMA H G  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2435  1  SATISHA S  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2435  2  JYOTHI K  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2439  1  M MUSTAFA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2439  2  NASREEN SULTANA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2440  1  VISHWANATHA HS  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2440  2  RATHNA S  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2445  1  DATTATREYA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2445  2  BHAGYALAKSHMI  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2452  1  H SRINIVASA RAO  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2452  2  H SAKKU RAO  73  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2453  1  APPAYA NAIK  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2453  2  SHARADHA  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2454  1  SHYAMA SUNDAR B  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2454  2  PREMALATHA S B  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2457  1  S MOHAN KRISHNA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2457  2  JAYANTHI MOHAN  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2458  1  G H MOULESH  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2458  2  G M SUKANYA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2462  1  PANI RAJU  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2462  2  B V VIJAYA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2466  1  A KRISHNAMURTHY  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2466  2  JAYANTHI K  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2471  1  YOGEESHA K  54  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2471  2  UMADEVI  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2474  1  V SRIDHARA TALITHAYA  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2474  2  V SHYAMALA THALITHAYA  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2482  1  BOBA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2482  2  LAKSHMI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2484  1  G S ASHOK KUMAR  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2484  2  B S SUMA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2488  1  HULKUND MB  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2488  2  SUSHEELA MALLIKARJUN HULKAND  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2490  1  U NAGENDRA RAO  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2490  2  U NAGAMANI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2494  1  O G CHANDRAMOULI  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2494  2  B RAJINI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2497  1  SRIPATHY KUMAR P  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2497  2  JAYALAXMI K V  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2498  1  JOSEPH MICHAEL DISILVA  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2498  2  MARGRET D SILVA  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2499  1  SUBRAHMANYA BHAT D R  60  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2501  1  L S RAVINDRANATH PATEL  57  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2506  1  K DAYASHANKAR  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2506  2  UMA DAYASHANKAR  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2507  1  C V VEERACHARY  62  Male  Self    400000 

Page 19: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2507  2  R V HEMALATHA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2515  1  SREENIVAS V  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2515  2  RAJANI SREENIVAS  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2523  1  DILSHAD BEGAM  66  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2523  2  ABDUL GAFFAR SABRI  66  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2525  1  P N VISALAKSHY  69  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2525  2  J SRINIVASAN  74  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2531  1  R CHANDRA BHAN SINGH  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2531  2  C VENDANA SINGH  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2534  1  M THIRUNAVUKKARASU  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2534  2  MAGESHWARI T  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2536  1  K RATHNAKARA SHETTY  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2536  2  LATHA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2541  1  DEVAPPA SALALLI  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2541  2  SUVARNA SALALLI  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2543  1  NINGARAJU P  61  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2547  1  M D RAMARAJE URS  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2547  2  RATHNA URS  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2551  1  SHIVAMURTHY K  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2551  2  PRABHA R  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2561  1  N G NAGARAJA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2561  2  R K NALINI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2562  1  HEMAKSHAMMA T  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2563  1  UKR KULKARNI  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2563  2  SUREKHA U KULKARNI  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2566  1  B C NARENDRANATH  63  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2569  1  A V PRABHAKARA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2569  2  K S UMA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2576  1  H NAGABHUSHANA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2576  2  H SUNDAREE  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2578  1  THRIYAMBAKA N  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2578  2  BHARATHI  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2580  1  S SUNDAR  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2580  2  UMA SUNDAR  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2582  1  NARENDERNATH KUTNIKAR K L  60  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2583  1  BHOJARAJA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2583  2  SHASHIKALA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2584  1  NANDA S  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2593  1  BALASUBRAMANYA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2593  2  M SAVITHA  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2597  1  RAVICHANDRA ARYA  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2597  2  NIRAMALA ARYA  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2613  1  S NATARAJAN  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2613  2  N MALLIKA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2623  1  HILDA MATHIAS  72  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2626  1  HEMANTH KUMAR M S  61  Male  Self    400000 

Page 20: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2626  2  SHASHI HEMANTH  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2627  1  R B UMASHANKAR  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2627  2  GEETHA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2629  1  VAMANA BHAT Y  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2629  2  SHAKUNTALA BHAT Y  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2631  1  J SOMESHA  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2631  2  SHIVAKUMARI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2636  1  VISHWA KUMAR  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2636  2  GEETHA VISHUKUMAR  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2637  1  S C MOHANTO  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2637  2  PRAMILA MOHANTO  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2642  1  THAMMAIAH H G  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2642  2  PRABHA R  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2643  1  MAHADEVAPPA S MOHITE  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2643  2  SHOBHA M MOHITE  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2644  1  K S SATHYABHAMA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2649  1  K R RAMESH  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2649  2  JYOTHI  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2650  1  SIDDACHARY C  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2650  2  PARVATHI  47  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2660  1  MAHADEVAPPA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2660  2  NAGARATHNA M  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2663  1  A N NARAYANA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2663  2  JAYAMMA  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2665  1  UDAYA SHANKARA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2665  2  PARAVATHI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2672  1  MADHAVA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2672  2  HEMAVATHI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2674  1  UTTAM A NAIK  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2674  2  SUJATHA UTTAM NAIK  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2680  1  BELLAPPA JULPI  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2680  2  NIRMALA B JULPI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2683  1  RAMAKRISHNA RAO S  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2683  2  JYOTHI RAMAKRISHNA RAO  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2684  1  SYEDBASHA KUDAGI  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2684  2  NAJAMUNNISA KUDAGI  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2693  1  V GOVINDARAJU  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2693  2  JAYAMMA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2696  1  SHRIKANT PUNDALIK PAI  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2696  2  GEETHA SHRIKANT PAI  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2703  1  M RADHAKRISHNA PRABHU  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2703  2  M PRAMEELA PRABHU  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2709  1  N VISHWANATHA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2709  2  B A SEETHALAKSHMI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2711  1  T VEERANNA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2711  2  VIJAYALAKSHIMI V  53  Female Spouse     

Page 21: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2712  1  LAKSHMANA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2712  2  SUNDARI  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2716  1  N L NADIGAR  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2716  2  SUDHA NADIGER  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2719  1  P MANUEL RAJ  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2719  2  MARY FELICA  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2720  1  SAMPSON BAYER  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2720  2  SUSHEELA SAMPSON  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2721  1  P K THALAGATTI  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2721  2  SHOBHA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2724  1  CYRIL S FERNANDES  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2724  2  SEVERIN GOMES  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2727  1  S BASAVARAJU  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2727  2  S PARVATHI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2728  1  A SUNDARA RAJ  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2728  2  R LAKSHMI  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2732  1  PARAMESHWARAGOWDA S YARESHIMI  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2732  2  USHA D S  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2736  1  S T CHANCHALA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2740  1  FRANKLIN CHIDANANDA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2740  2  SAVITA ROSHNI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2742  1  V VARADARAJAN  81  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2742  2  JAYA VARADARAJAN  74  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2748  1  PRAKASH  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2748  2  REKHA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2756  1  HAJAPPA SUGOOR  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2756  2  HALAMMA H S  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2765  1  SRIDHAR ACHARYA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2765  2  VINITHA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2768  1  MOHAMMED SULEMAN  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2768  2  NAZIMUNNISA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2774  1  K PANDURANGA RAO  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2774  2  K VIJAYALAKSHMI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2775  1  DAVID S  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2775  2  SUSHEELA DAVID  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2778  1  BADRUZZAMAN  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2778  2  NASIMA BANU  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2781  1  T VINCENT  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2781  2  MARY VINCENT  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2785  1  D LOUIS  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2785  2  L PRECILLA JAYANTHI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2788  1  MALLIKARJUNAPPA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2788  2  GEETHA  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2796  1  JOSEPH V D  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2796  2  ROSA K  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2802  1  P SHRIDHARA RAO  68  Male  Self    400000 

Page 22: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2802  2  GIRIJA  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2806  1  BIBIJAN  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2813  1  RAMACHANDRA M S  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2813  2  REVATHI  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2815  1  K T PAULOSE  79  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2815  2  MARY PAULOSE  76  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2818  1  K DIVAKARAN NAIR  75  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2818  2  SWARNA KUMARI E K  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2821  1  SHARADA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2823  1  G RAMAKRISHNAN  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2823  2  V VIJAYALAKSHMI  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2828  1  A JOSEPH PHILOMIN RAJ  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2828  2  P S MARY  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2829  1  BASAVARAJ S ANKALAGI  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2829  2  SHAKUNTALA B ANKALAGI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2830  1  K ADIRAJA JAIN  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2830  2  SYAMALA A JAIN  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2832  1  K S SADYOJATHA  61  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2840  1  S SUBBAKRISHNA  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2840  2  GAYATHRI S KRISHNA  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2841  1  ISHWARAPPA S PAWAR  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2841  2  SUNITA PAWAR  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2844  1  SAROJINI S GANGAL  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2846  1  NP PINTO  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2846  2  ELIZABETH N PINTO  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2849  1  NANJAPPA K M  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2849  2  ANJAMMA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2853  1  PARASNATH THAKUR  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2853  2  SUMITHRA DEVI  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2856  1  JEEVANKUMAR S SHETTI  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2856  2  VANDANA J SHETTI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2860  1  NAGARAJACHARY C  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2860  2  NAGARATHNAMMA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2865  1  HAZEL BARNES  71  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2865  2  WINSTON BARNES  67  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2870  1  A NAGAPPA REDDY  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2870  2  H REKHA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2873  1  B M MATADAPPAIAH  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2873  2  C CHANDRAMMA KALAVATHI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2874  1  RAMACHANDRAPPA R  61  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2876  1  H S SURESH  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2876  2  S GAYATHRI  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2879  1  HONNAIAH  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2879  2  SHARADA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2881  1  P DHANASEGARAN  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2881  2  CHANDRAVENI Y  49  Female Spouse     

Page 23: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2889  1  MALUR DESHIKAN RAJASHREE  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2889  2  K S JATHIRAJ  69  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2898  1  RAJESHWARI  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2902  1  B K MANJUNATHA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2902  2  VIJAYALAKSHMI  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2905  1  B KUMARA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2905  2  RENUKA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2908  1  K C GANESH SHARMA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2908  2  K G SARASWATHI  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2910  1  M DAMODAR NAYAK  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2910  2  M DHANALAXMI NAYAK  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2912  1  PATTABIRAMAN V  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2912  2  NAGESWARI P  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2914  1  DENZIL H T SMITH  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2914  2  PHILOMENA SMITH  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2916  1  ASHOK KUMAR  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2916  2  NAGAMANI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2917  1  A S RAMAPPA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2917  2  H R YASHODA  47  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2921  1  K KRISHNA ACHAR  69  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  2922  1  V SREENIVASAIAH  76  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2922  2  RADHA SRINIVASAIAH  72  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2927  1  RONALD WILFRED LOBO  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2927  2  ELCY LOBO  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2933  1  GRACE JANKI ADHIKARY  58  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2933  2  AJOY ADHIKARY  66  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2934  1  G RAMESH  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2934  2  SHANTHA RAMESH  71  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2935  1  K BALACHANDRA RAO  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2935  2  KANTHI B RAO  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2936  1  H M MALLESHAPPA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2936  2  B C NAGAMANI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2941  1  C ESHWAR REDDY  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2941  2  C GURAVAMMA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2942  1  L C GANESHA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2942  2  B VIDYA RAO STAFF NO 3114  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2951  1  P ASHOK  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2951  2  P SUNITHA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2958  1  P N SUBRAMANYA  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2958  2  SUMA SUBRAMANYA  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2963  1  K S JAYANNA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2963  2  K ANURADHA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2964  1  S PRAMILA  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2970  1  VITTAL B GAVADE  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2970  2  TANUJA V GAVADE  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2977  1  G ONKARAPPA  61  Male  Self    400000 

Page 24: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  2977  2  B C HEMALATHA  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2978  1  KOIL SELVARAJ  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2978  2  SHELLA SELVARAJ  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2979  1  VINAYAK NARAYAN KARKI  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2979  2  USHA VINAYAK KARKI  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2980  1  ASHOK V NAIK  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2980  2  SANDHY A NAIK  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2981  1  DR MADAVA VENKAT RAO JAKATI  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2981  2  JAYASHRI MADAVA JAKATI  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2982  1  DR M R SUDHAKAR  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2982  2  SURYAKANTHI  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2983  1  SYAMAL KUMAR SENGUPTA  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2983  2  RUBY SENGUPTA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2986  1  HEMACHANDRA ANCHAN  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2986  2  RAMANI H ANCHAN  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2987  1  VISHWANATHA GOWDA B  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2987  2  LAKSHMI N R  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2990  1  N SHIVAANADAPPA  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2990  2  PADMA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2995  1  B L NAGARAJ RAO  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2995  2  SHASHIKALA NAGARAJ RAO  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2996  1  G S MURALIDHAR  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2996  2  VINUTHA S  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  2998  1  B SUKUMARAN  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  2998  2  K RATHNAVATHY  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3001  1  CHACKO JOSEPH  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3001  2  FILLY CHACKO  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3005  1  P V VIJAYALAKSHMI  63  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3005  2  N K CHANDRAN  68  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3011  1  B LAKSHMAPPA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3011  2  RENUKA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3012  1  C S DATTATRI  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3012  2  PRABHA  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3013  1  G JAYAPPA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3013  2  S SUNANDA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3015  1  S SATHYANARAYANA RAO  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3015  2  KALAVATHI S S RAO  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3016  1  T C OOMMEN  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3016  2  ELIZABETH OOMMEN  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3017  1  SURLA NARAYANA RAO NAIDU  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3017  2  S VIJAYALAKSHMI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3024  1  JAVARE GOWDA K  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3024  2  B RUKMINI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3026  1  M PUTTAIAH  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3026  2  G Y SHARADHA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3027  1  CLEMENT CARDOZA  63  Male  Self    400000 

Page 25: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3027  2  JOYCE GLADYS CARDOZA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3042  1  MV ASWATHANARAYANA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3042  2  K S USHA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3044  1  Y R SAMBASHIVAIAH  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3044  2  C S VEENA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3046  1  H SATISH BABU  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3046  2  B N RAJALAKSHMI  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3054  1  CHANDRASHEKARA SASTRY  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3054  2  VASANTHI K C SASTRY  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3056  1  MM MARINAGAMMANAVAR  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3056  2  NAGARATHNA MM  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3057  1  A MANJUNATH  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3057  2  VANDANA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3058  1  A JOSEPH ALEX  59  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3059  1  B N SRIDHAR  61  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3063  1  M R PATTAN  60  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3064  1  R HANUMANTHE GOWDA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3064  2  H V RADHA  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3068  1  M V THIMMAIAH  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3068  2  S S RATHNA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3072  1  GANGAMMA K N  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3077  1  MANGAL PRASAD  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3077  2  NEERA PRASAD  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3078  1  LOKANATH D  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3078  2  JAYANTHI LOKANATH  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3081  1  SARASWATHI  65  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3081  2  R JAYARAJ  65  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3083  1  D M SHIVAPPA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3083  2  H S RENA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3086  1  K C SHIVA KUMAR  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3086  2  S P KALYANAMMA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3087  1  DAYANANDA B S  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3087  2  KRIPA KUMARI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3090  1  J KRISHNA REDDY  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3090  2  J SHYAMALA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3092  1  MANOHAR SHET  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3092  2  PREMA M SHET  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3093  1  N GIRIYAPPA  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3093  2  OMAN KUMARI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3099  1  ONKARAPPA G  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3099  2  T S HEMAVATHI  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3101  1  SRIPATHI RAO Y  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3101  2  SAROJA S RAO  69  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3102  1  SOWBHAGYAVATHI S  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3103  1  SAGAYA RANI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3105  1  CHANDRAKALA  51  Female Spouse     

Page 26: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3107  1  B N SWAMY  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3107  2  SAVITHRY SWAMY  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3109  1  SIDDAGANGAIAH  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3109  2  NAGARATHAMMA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3127  1  SHESHADRI PRASAD C S  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3127  2  CHUDAMANI B L  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3129  1  VEENA BAI M  61  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3136  1  K J NAGARAJAIAH  73  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3136  2  PREMALATHA  62  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3137  1  H KRISHNA SETTY  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3137  2  JAYALAKSHMI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3138  1  PADMAVATHI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3145  1  M M AHMED  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3145  2  ROUSHANARA AHMED  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3146  1  G B YADAV  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3146  2  BHAGRAJI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3151  1  P S SHANKARA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3151  2  SHARADA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3155  1  HANUMANTHA REDDY KB  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3155  2  VIJAYALAKSMY SN  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3157  1  KOOSAPPA SHETTY M  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3157  2  LEELAVATHI  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3161  1  JAGADISH PRASAD  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3161  2  RANI DEVI  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3166  1  JAYANT V NIKAM  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3166  2  PRAMILA NIKAM  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3179  1  M SUBRAMANI  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3179  2  BHAVANI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3180  1  K M SHIVAKUMAR  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3180  2  K M GEETHA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3181  1  M C SIDDARAMAPPA  66  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3186  1  V VENKATESH RAO  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3186  2  V SHOBHA RAO  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3209  1  RAMACHANDRA SHETTIGAR  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3209  2  LALITHA R S  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3210  1  GOPALAKRISHNA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3210  2  SUJAYA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3215  1  RANGAPPA K N  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3215  2  RATHNA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3218  1  R RAGHAVENDRA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3218  2  KAMALA RAGHAVENDRA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3219  1  K VIJAYAKUMAR  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3219  2  K ASI ESTHER  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3220  1  D DAMODARAN  63  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3221  1  R B KADWAD  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3221  2  SHALINI KADWAD  52  Female Spouse     

Page 27: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3223  1  CHIKKAIAH HN  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3223  2  AR VINODA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3225  1  CM SHARADA  72  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3226  1  MS VISWANATHA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3226  2  VIJAYA V PRABHU  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3230  1  K RAJU  60  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3233  1  TRIRUMALESHWARA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3233  2  HEMAVATHI  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3234  1  LEO LOBO  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3234  2  BENEDICTA LOBO  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3236  1  M S KUMARASWAMY  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3236  2  H G PRABHA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3252  1  VITTALA N  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3252  2  LEETHA D SOUZA  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3264  1  A K ACHUTHA  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3264  2  TARA ACHUTHA  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3273  1  P PARAMAN  75  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3273  2  P THANAPAKIYAM  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3278  1  K R VASANTH  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3278  2  S UMA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3281  1  K BABU POOJARY  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3281  2  HEMAVATHI  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3285  1  K KESHAVA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3285  2  KALAVATHI  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3289  1  M MANICKAM  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3289  2  M REVATHI  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3291  1  NAGARAJA BHAT  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3291  2  SHANTHERI BHAT N  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3292  1  M SATHYABHAM  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3294  1  MOUNESH  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3294  2  K VIJAYALAKSHMI  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3296  1  H D MOHANKUMAR  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3296  2  H T VANI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3308  1  LANCELOT GODWIN BAPTIST  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3308  2  PRECILLA BAPTIST  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3310  1  BALARAMAN E  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3310  2  S LYDIA NIRANJINI  43  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3314  1  T M SHIVARAM  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3314  2  KUSUMA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3324  1  K PURUSHOTHAM  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3324  2  HEMALATHA K  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3326  1  S ARAVAMUDHAN  78  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3330  1  CHANDRASEKARAN A  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3330  2  P C MARY  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3332  1  T B VENKATESHAN  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3332  2  UMADEVI A P  54  Female Spouse     

Page 28: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3335  1  P RAVINDRA RAO  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3335  2  BINA R RAO  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3336  1  J KALAVATHI  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3338  1  B HARIYAPPA POOJARY  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3338  2  PADMAVATHI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3342  1  A CHANDRASHEKHARA  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3342  2  B K GEETHA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3343  1  T R RAMACHANDRA RAO  76  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3346  1  GANGA MURTHY  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3347  1  APPASAHEB AMEENSAHEEB KHANDALE  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3347  2  BIBIJAN APPASAHEEB  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3348  1  MINGLI KAITAN GONSALVES  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3348  2  JEMMA MINGLI GONSALVES  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3350  1  KRISHNA MURTHY M  64  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3351  1  G S KRISHNA MURTHY  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3351  2  A C VIJAYA  61  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3354  1  K SUBBA RAO  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3354  2  PUSHPA RAO  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3357  1  JOCOB GEORGE  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3357  2  BENCY JACOB  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3368  1  NARAYANAPPA B M  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3368  2  UMADEVAMMA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3369  1  SMT B M MANJULA  59  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3369  2  K R ANANTHRAM  67  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3373  1  VENKATESHA H G  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3373  2  SHARADA VENKATESH  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3374  1  H N BALAKRISHNA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3374  2  PRABHA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3375  1  M BABU  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3375  2  P S SUDHA  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3377  1  DINDAYAL AGARAWAL  64  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3380  1  RUKMANGADA RAJ URS  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3380  2  RARA URS  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3387  1  N PRAKASH  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3387  2  G VIMALA  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3388  1  P RAMACHANDRA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3388  2  USHA R BHAT  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3390  1  RUZER LOPES  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3390  2  NATHAL LEENA LOPES  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3392  1  MAHALINGASWAMY K S  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3392  2  K GEETHA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3393  1  HOOVAPPA NAIK K  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3393  2  SUJATHA K  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3404  1  DR B USHA  70  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3407  1  EVANI SUBBAYYA SASTRY  88  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3407  2  EVANI LAKSHMI  80  Female Spouse     

Page 29: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3411  1  M ANNI NAIK  57  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3411  2  RATHNAVATHI  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3412  1  A K HONNURAPPA  67  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3413  1  C KUPPUSWAMY  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3413  2  SASIKALA R  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3416  1  RAYAPPA GOWDA R  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3416  2  LAKSHMAMMA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3421  1  UMA H N  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3423  1  POOVAPPA NAIK  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3423  2  N VARIJA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3428  1  B A PRAMEELA RAJU  73  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3431  1  VENKATESHA H S  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3431  2  ASHA S N  47  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3434  1  K V SURESH KUMAR  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3434  2  K S SUJATHA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3438  1  H R NAGARAJA RAO  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3438  2  VIDYA NAGARAJA RAO  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3439  1  D SUBRAMANIAM  70  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3439  2  S JAYASHREE  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3448  1  GIRIYAPPA  63  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3451  1  SUBRAMANYA HS  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3451  2  ANURADHA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3457  1  B H JAYARAMA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3457  2  B J SUJATHA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3458  1  N S SUBBA RAO  83  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3458  2  N S PADMA  74  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3463  1  MAHALINGAIAH  66  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3463  2  PUSHPAVATHI  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3466  1  B V NAGARAJA  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3466  2  N NAGARATHNA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3468  1  LAXMINARAYANA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3468  2  NAGARATHNA  60  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3470  1  K G NAGARAJ  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3470  2  REVAMMA  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3481  1  GULABI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3487  1  K VENUGOPAL  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3487  2  SUNITHA  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3488  1  K SACHINDRA  71  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3488  2  VEENA SACHINDRA  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3491  1  ANIL KUMAR SAVANT  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3491  2  KRISHNI SAVANT  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3494  1  BOBRAJ JEYAHARAN V  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3494  2  NIRMALA DARE  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3500  1  B SEENAPPAREDDY  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3500  2  B C SHOBHA  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3504  1  DEVARAJA  60  Male  Self    400000 

Page 30: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3504  2  SARVANI D  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3506  1  M G SHANTHAVEERAPPA  57  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3506  2  R VINODA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3507  1  V CHANDRACHARY  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3507  2  VASANTHA KUMARI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3510  1  MAYA KUMARI  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3511  1  VITTAL NAYAK  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3511  2  PUSHPA V NAIK  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3514  1  DK SHIVESHWAR  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3514  2  SUJATA SHREEDHAR NAIK  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3516  1  SYED HUSSAIN QUADRI  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3516  2  SAIRA BANU  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3518  1  MALAKAPPA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3518  2  SHARADHA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3519  1  P M RENUKESHWARAIAH  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3519  2  SHANTHA BAI M  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3527  1  BASAVARAJ K M  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3527  2  BHAGYAMMA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3529  1  H N MAHESWARAPPA  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3529  2  MEENAKSHI  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3530  1  SANJEEVA MURTHY S  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3530  2  CHANDRAVATHI  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3531  1  ASHOK SETURAM SHIKHARE  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3531  2  RENUKA ASHOK SHIKHARE  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3538  1  M S TUKARAM  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3538  2  ASHA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3540  1  S MOHAMED BASHA  57  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3540  2  S FARZANA BANU  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3541  1  NAGARAJA K L  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3541  2  T BHAGYA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3543  1  SIDDUSWAMY D  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3543  2  SUNANDA S  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3545  1  LOUIS MICHAEL D SOUZA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3545  2  JACINTHA D SOUZA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3546  1  S Z AREFEEN  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3546  2  P HASEENA BEGUM  42  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3554  1  S GOVINDRAJA BHAT  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3554  2  SHASHIPRABHA G BHAT  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3555  1  SATISH MUDBIDRI  74  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3555  2  SUNITA MUDBIDRI  67  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3556  1  PRASHANTH KUMAR  63  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3559  1  JAYANANDA AMIN  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3559  2  JAYASHREE J AMIN  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3561  1  MADAN MOHAN R KULAKARNI  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3561  2  B S INDUMATHI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3564  1  P S VEDAVYASA MURTY  60  Male  Self    400000 

Page 31: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3564  2  M V SARASWATHAMA  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3570  1  A RAMAKRISHNA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3570  2  M S USHA  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3575  1  KS JAYAKUMAR  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3575  2  YASHODA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3577  1  JAGADISH JOSHI  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3577  2  SUDHA J JOSHI  65  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3594  1  S S BAGALI  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3594  2  SAROJA S BAGALI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3601  1  KOLAR SRINIVASAN  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3601  2  KALPANA SRINIVAS  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3610  1  K JAYAKUMAR  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3610  2  AJITHA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3628  1  U R GIRISHAPPA  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3628  2  AKKAMAHADEVI  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3633  1  BHARATHRAJ ALVA P  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3633  2  SUDHA BHARATH  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3639  1  KIRON KUMAR SHANBAGH  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3639  2  MAYA SHANBAGH  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3645  1  K B DALLY  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3645  2  K C AMMAIAH  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3654  1  K G VIJAYA KUMAR  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3654  2  C SUMA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3656  1  PARVATHI  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3664  1  NAGARAJA  59  Male  Self    200000 

MDIndia Health Insurance MDIndia Health Insurance TPA Pvt Ltd  3670  1  JAMES P MATHEW  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3670  2  SUSAN A V  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3671  1  KALAVATHI CHIKKAMATH  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3672  1  K L SHIVALINGAPPA  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3672  2  NAGAMANI S  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3674  1  ABDUL RAHIMAN P  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3674  2  MUMTAZ  47  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3679  1  ABDUL RAHIMAN  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3679  2  ZULAIKA  47  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3683  1  PRAKASH SANDUR VEERAPPA  57  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3683  2  SUMANGALA PRAKASH  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3684  1  S NARAYAN SHETTY  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3684  2  S RENUKA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3686  1  RICHARD MACHADO  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3686  2  JANE MACHADO  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3687  1  MOHAMED NISAR AHMED  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3687  2  NAJEEBA KHUNUM  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3695  1  CHANNABASAPPA V ROTTI  56  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3695  2  BHARATHI C ROTTI  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3700  1  BS NARASIMHA MURTHY  57  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3700  2  LALITHAMBA  49  Female Spouse     

Page 32: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3702  1  METILDA PAIS  63  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3704  1  A K MISHRA  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3704  2  INDU MISHRA  66  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3707  1  G K MOHANA  60  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3707  2  K MOHAN SUNDAR  56  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3711  1  ARUN NARAYAN SHETTY  56  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3711  2  RAJESHWARI ARUN SHETTY  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3714  1  GANESH  54  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3714  2  ROOPRALATHA  44  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3720  1  RAGHAVENDRA M L  54  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3720  2  SUVARNA H N  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3721  1  A ANTONY PORSELVI  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3724  1  SMT I BHARATHI  61  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3724  2  N B SUNDARESHAN  66  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3732  1  H TARA BAI  68  Female Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3732  2  K RAMESH KAMATH  66  Male  Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3750  1  BALASUBRAMANYA  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3750  2  SHARADAMBA M A  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3755  1  MAHALINGAPPA S  56  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3755  2  SHOBHA KT  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3759  1  RONALD D SOUZA  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3759  2  ELVERA D SOUZA  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3769  1  MANJUNATHA PRASAD K  57  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3769  2  ASHAGOWRY K S  49  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3778  1  K A SHASHIKALA  45  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3779  1  MURALI  54  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3779  2  VEENA  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3780  1  PARTHASARATHY  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3780  2  GEETHA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3785  1  NAGESH KOTIAN  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3785  2  PARVATHI  42  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3786  1  SISILY ANDREW  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3787  1  K GANGADHARA  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3787  2  PUSHPA  55  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3800  1  G PADMANABHAN NAME CHANGED TO

MOHAMMED FAIROZ  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3800  2  SHAMEEM BANU  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3810  1  P SETHUMADHAVAN  69  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3810  2  K DAMAYANTHI  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3834  1  DIWAKAR KORE S  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3834  2  JAYASHREE N  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3867  1  IBRAHIM KHALILULLAH  63  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3871  1  ARJUN DEVARUSHI  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3871  2  SUNITHA  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3872  1  P M ISMAIL  72  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3872  2  SARAMMA  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3874  1  D MANJUNATHA  67  Male  Self    400000 

Page 33: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  3874  2  VISHALAKSHI  57  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3883  1  SOMASHEKAR M KITTUR  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3883  2  KITTUR SHARADABEN  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3908  1  B A SEETHARAM  68  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3908  2  SUMA S BHAT  64  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3909  1  C P CHANDRAMOULI  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3909  2  M CHANDRAKALA  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3915  1  SARATCHANDRAN NAIR B  70  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3926  1  V MUNIYANDI  63  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3926  2  KALAIYARASI  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3930  1  MANJUNATHA UPADHYA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3930  2  ANASUYA  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3957  1  PILLALA LAKSHMANA RAO  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3957  2  PILLALA TAPATESHWARI  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3959  1  MANGALA GOWRI  59  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3967  1  N GANGAPPA  67  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3967  2  G ANUSUYA DEVI  47  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3971  1  RAMAMURTHY  60  Male  Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  3977  1  P N SURESH  61  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3977  2  LAKSHMI DEVI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  3986  1  DODDAVEERACHARI  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  3986  2  MADHU KUMARI  46  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4002  1  SURESH L MORE  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4002  2  REKHA MORE  52  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4025  1  B ANWAR BEIG  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4025  2  SHAMEEMUNISSA BEGUM  59  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4039  1  VENKATARAMANA K G  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4039  2  VEEEN M S  47  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4055  1  H N SUBRAMANYA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4055  2  K N SUJATHA  54  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4061  1  K PANCHAKSHARAPPA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4061  2  S T NETHRAVATHI  56  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4068  1  GOPINATH H NAIK  58  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4068  2  SUJATHA G NAIK  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4071  1  INDUPRASAD  66  Female Self    200000 

MDIndia Health Insurance TPA Pvt Ltd  4073  1  BHIMANNA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4073  2  RUKMINI  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4078  1  CHANDRAN M  62  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4078  2  SAROJA  51  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4085  1  GURUNATH D  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4085  2  MALA G D  48  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4088  1  SHIVASHARANAPPA  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4088  2  SAROJINI  53  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4097  1  DR A BHASKAR RAO  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4097  2  M SUBHASHINI  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4116  1  M T RATHNA  60  Female Spouse     

Page 34: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

MDIndia Health Insurance TPA Pvt Ltd  4127  1  NEELAPP B PATIL  60  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4127  2  SHAMALA N PATIL  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4128  1  LOUIS MISQUITH  59  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4128  2  FRANCISCA LUCY CRASTA  63  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4130  1  ANNAPPA G  54  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4130  2  SHANTHA S  50  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4133  1  MAXI PINTO  64  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4133  2  USHA PINTO  58  Female Spouse     

MDIndia Health Insurance TPA Pvt Ltd  4140  1  KAMALAKSHA B K  65  Male  Self    400000 

MDIndia Health Insurance TPA Pvt Ltd  4140  2  ARUNA K  55  Female Spouse     

Page 35: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

PREMIUM INSTALLMENT CLAUSE

 It is hereby understood and agreed that the premium shall be paid in the following installments:- 

SR.NO NET PREMIUM ( ) CGST ( ) SGST ( ) STAMP DUTY ( ) TOTAL ( ) RECEIVED PAYABLE ON OR BEFORE

Installment 1 6,125,050.00 551,255.00 551,254.00 1.00 7,227,559.00 23/01/2019   Installment 2 6,125,050.00 551,255.00 551,254.00 NA 7,227,559.00   09/04/2019 Installment 3 6,125,050.00 551,255.00 551,254.00 NA 7,227,559.00   09/07/2019 Installment 4 6,125,050.00 551,253.00 551,256.00 NA 7,227,559.00   09/10/2019 

Nevertheless it is further understood and agreed that: Notwithstanding any provision as to notice of cancellation contained in this Policy, it is a condition that in the event of any installment not being paid by its due date the cover afforded by this Policy shall be deemed to have ceased at midnight of such due date.  In the event of a claim hereunder which exceeds the installments of premium paid on this Policy the installments of premium then outstanding shall become payable forthwith. 

Page 36: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

UNITED INDIA INSURANCE COMPANY LIMITEDREGD.& HEAD OFFICE : No.24, WHITES ROAD, CHENNAI-600014

 GROUP HEALTH POLICY

1 WHEREAS the insured designated in the Schedule hereto has by a proposal and declaration dated as stated in the Schedule which shall be the basis of this Contract and is deemed to be incorporated herein has applied to UNITED INDIA INSURANCE COMPANY LTD. (hereinafter called the COMPANY) for the insurance hereinafter set forth in respect of Employees/Members (including their eligible family members) named in the Schedule hereto (hereinafter called the INSURED PERSON) and has paid premium as consideration for such insurance.

   1.1 NOW THIS POLICY WITNESSES that subject to the terms, conditions, exclusions and definitions contained herein or endorsed, or

otherwise expressed hereon the Company undertakes that if during the period stated in the Schedule or during the continuance of this policy by renewal any insured person shall contract any disease or suffer from any illness (hereinafter called DISEASE) or sustain any bodily injury through accident (hereinafter called INJURY) and if such disease or injury shall require any such insured Person, upon the advice of a duly qualified Physician/Medical Specialist/Medical practitioner (hereinafter called MEDICAL PRACTITIONER) or of a duly qual i f ied Surgeon (hereinafter cal led SURGEON) to incur hospital isation/domici l iary hospital isation expenses for medical/surgical treatment at any Nursing Home/Hospital in India as herein defined (hereinafter called HOSPITAL) as an inpatient, the Company will pay through TPA to the Hospital / Nursing Home or Insured the amount of such expenses incurred as are Medically Necessary and reasonable and customary in respect thereof by or on behalf of such Insured Person but not exceeding the Sum Insured in aggregate in any one period of insurance stated in the schedule hereto.

   1.2 In the event of any claim becoming admissible under this scheme, the company will pay through TPA to the Hospital / Nursing

Home or insured person the amount of such expenses as would fall under different heads mentioned below and as are reasonably and necessarily incurred thereof by or on behalf of such insured person but not exceeding the Sum Insured in aggregate mentioned in the schedule hereto.

  A. Room, Boarding and Nursing expenses as provided by the Hospital/Nursing Home not exceeding 1% of the sum insured per day or the actual amount whichever is less. This also includes nursing care, RMO charges, IV Fluids/Blood transfusion/injection administration charges and similar expenses.

  B. Intensive Care Unit (ICU) expenses not exceeding 2% of the sum insured per day or actual amount whichever is less.   C. Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialists Fees   D. Anesthetic, Blood, Oxygen, Operation Theatre Charges, surgical appliances, Medicines & Drugs, Dialysis, Chemotherapy,

Radiotherapy, Cost of Artif icial Limbs, cost of prosthetic devices implanted during surgical procedure l ike pacemaker, orthopaedic implants, infra cardiac valve replacements, vascular stents, relevant laboratory/diagnostic tests, X-ray and such similar expenses that are medically necessary.

  E. Hospitalisation expenses (excluding cost of organ) incurred for/by donor in respect of organ transplant to the insured.      Note:  1.   The amount payable under 1.2 C & D above shall be at the rate applicable to the entitled room category. In case the Insured

person opts for a room with rent higher than the entitled category as in 1.2 A above, the charges payable under 1.2 C & D shall be limited to the charges applicable to the entitled category. This will not be applicable in respect of medicines & drugs and implants. 2.  No payment shall be made under 1.2 C other than as part of the hospitalisation bill.

1.2.1    Expenses in respect of the following specified illnesses/surgeries will be restricted as detailed below: Hospitalisation Benefits LIMITS per surgery RESTRICTED TO

a.Cataract, Hernia,Hysterectomy

b.Major surgeries*

a.Actual expenses incurred or 25% of the sum insured whichever is less

b.Actual expenses incurred or 70% of the Sum Insured whichever is less

* Major surgeries include Cardiac surgeries, Brain Tumor surgeries, Pacemaker implantation for sick sinus syndrome, Cancer surgeries, Hip, Knee, joint replacement surgery, Organ Transplant. * The above limits specified are applicable per hospitalization/surgery.

Page 37: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

1.3 Pre and Post Hospitalisation expenses payable in respect of each hospitalisation shall be the actual expenses incurred subject to a maximum of 10% of the Sum Insured.

   1.4 In addition to the above, the following would apply to claims arising out of persons aged more than 60 years

EXPENSES ON MAJOR ILLNESSES CHARGED AS A TOTAL PACKAGE

TO BE SETTLED WITH A CO-PAY ON 80:20 BASIS. The co-pay of 20% will be applicable on the admissible claim amount.

2. DEFINITIONS:   2.1 ACCIDENT:  An accident is a sudden, unforeseen and involuntary event caused by external, visible and violent means.  2.2 A. "Acute condition"-Acute condition is a disease, illness or injury that is likely to respond quickly to treatment which aims to return

the person to his or her state of health immediately before suffering the disease/illness/injury which leads to full recovery.   B. "Chronic condition"-A chronic condit ion is def ined as a disease, i l lness, or injury that has one or more of the fol lowing

characteristics-   i. it needs ongoing or long-term monitoring through consultations, examinations, check-ups and/or tests-   ii. it needs ongoing or long-term control or relief of symptoms   iii. it requires your rehabilitation or for you to be specially trained to cope with it   iv. it continues indefinitely   v. it comes back or is likely to come back.      2.3 ALTERNATIVE TREATMENT:

Alternative treatments are forms of treatments other than treatment "Allopathy" or "modern medicine" and includes Ayurveda, Unani, Siddha and Homeopathy in the Indian context.

2.4 ANY ONE ILLNESS: Any one illness will be deemed to mean continuous period of illness and it includes relapse within 45 days from the date of last consultation with the Hospital / Nursing Home where treatment has been taken.

2.5 CASHLESS FACILITY: Cashless facility "means a facility extended by the insurer to the insured where the payments, of the cost of treatment undergone by the insured in accordance with the policy terms and conditions, or directly made to the network provider by the insurer to the extent pre-authorisation approved.

2.6 CONGENITAL ANOMALY: Congenital Anomaly refers to a condition(s) which is present since birth, and which is abnormal with reference to form, structure or position. a .Internal Congenital Anomaly Which is not in the visible and accessible parts of the body. b.External Congenital Anomaly Which is in the visible and accessible parts of the body.

2.7 CONDITION PRECEDENT: Condition Precedent shall mean a policy term or condition upon which the Insurer's liability under the policy is conditional upon.

2.8 CONTRIBUTION: Contribution is essentially the right of an insurer to call upon other insurers liable to the same insured to share the cost of an indemnity claim on a rateable proportion.

2.9 DAY CARE CENTRE: A day care centre means any institution established for day care treatment of illness and/ or injuries or a medical setup within a hospital and which has been registered with the local authorities, wherever applicable, and is under the supervision of a registered and qualified medical practitioner AND must comply with all minimum criteria as under;- - Has qualified nursing staff under its employment - Has qualified Medical Practitioner(s) in charge - Has a fully equipped operation theatre of its own where surgical procedures are carried out- - Maintains daily records of patients and will make these accessible to the Insurance Company's authorized personnel.

2.10 DAY CARE TREATMENT: Day care Treatment refers to medical treatment and or surgical procedure which is i. undertaken under general or local anaesthesia in a hospital/day care centre in less than 24 hours because of technological

advancement, and ii. which would have otherwise required a hospitalisation of more than 24 hours. Treatment normally taken on an out-patient basis

is not included in the scope of this definition.

Page 38: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

2.11 DOMICILIARY HOSPITALISATION: Domiciliary Hospitalisation means medical treatment for an illness/disease/injury which in the normal course would require care and treatment at a hospital but is actually taken while confined at home under any of the following circumstances : a ) The condition of the patient is such that he/she is not in a condition to be removed to a hospital or b) The patient takes treatment at home on account of non-availability of room in a hospital.

2.12 GRACE PERIOD: Grace Period means the specified period of time immediately following the premium due date during which a payment can be made to renew or continue a policy in force without loss of continuity benefits such as waiting periods and coverage of pre-existing diseases. Coverage is not available for the period for which no premium is received.

2.13 HOSPITAL/NURSING HOME: A Hospital means any institution established for in-patient care and day care treatment of illness and/or injuries and which has been registered as a Hospital with the local authorities under the Clinical establishments (Registration and Regulation) Act, 2010 or under the enactments specified under the Schedule of Section 56(1) of the said Act OR complies with all minimum criteria as under - Has qualified nursing staff under its employment round the clock. - Has at least 10 in-patient beds in towns having a population of less than 10 lacs and at least 15 in-patient beds in all other places; - Has qualified medical practitioner(s) in charge round the clock; - Has a fully equipped Operation Theatre of its own where surgical procedures are carried out; - Maintains daily records of patients and makes these accessible to the insurance company's authorized personnel.

2.14 HOSPITALIZATION: Hospitalization means admission in a Hospital/Nursing Home for a minimum period of 24 consecutive hours of inpatient care except for specified procedures/treatments, where such admission could be for a period of less than 24 consecutive hours

2.15 ID CARD: ID card means the identity card issued to the insured person by the TPA to avail cashless facility in network hospitals.

2.16 ILLNESS: Illness means a sickness or a disease or pathological condition leading to the impairment of normal physiological function which manifests itself during the policy period and required medical treatment.

2.17 INJURY : Injury means accidental physical bodily harm excluding illness or disease solely and directly caused by external, violent and visible and evident means which is verified and certified by a Medical Practitioner.

2.18 IN-PATIENT CARE: In-patient care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.

2.19 INTENSIVE CARE UNIT: Intensive Care Unit means an identifies section, ward or wing of a Hospital which is under the constant supervision of a dedicated medical practitioner(s) and which is specially equipped for the continuous monitoring and treatment of patients who are in a critical condition, or require life support facilities and where the level of care and supervision is considerably more sophisticated and intensive than in the ordinary and other wards.

2.20 MATERNITY EXPENSES: Maternity expenses/treatment shall include: a) Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred during

hospitalization). b) Expenses towards lawful medical termination of pregnancy during the policy period.

2.21 MEDICAL ADVICE: Any consultation or advice from a medical practitioner/doctor including the issue of any prescription or repeat prescription.

2.22 MEDICAL EXPENSES: Medical expenses-Medical Expenses means those expenses that an Insured person has necessarily and actually incurred for medical treatment on account of illness or Accident on the advice of a Medical Practitioner, as long as these are no more than would have been payable if the Insured Person had not been insured and no more than other hospitals or doctors in the same locality would have charged for the same medical treatment.

2.23 MEDICALLY NECESARY: Medically necessary treatment is defined as any treatment, test, medication or stay in hospital or part of a stay in a hospital which

Page 39: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

- Is required for the medical management of the illness or injury suffered by the insured; - Must not exceed the level of care necessary to provide safe, adequate and appropriate medical care in scope, duration or

intensity; - Must have been prescribed by a Medical Practitioner; - Must confirm to the professional standards widely accepted in international medical practice or by the medical community in

India.

2.24 MEDICAL PRACTITIONER: Medical Practitioner is a person who holds a valid registration from the Medical Council of any State or Medical Council of India or Council for Indian Medicine or the homeopathy set up by the Government of India or a State Government and is thereby entitled to practice medicine within its jurisdiction; and is acting within the scope and jurisdiction of his l icense. The term medical practitioner would include physician, specialist and surgeon. (The Registered practitioner should not be the insured or close family members such as parents, in-laws, spouse and children.)

2.25 NETWORK PROVIDER: Network Provider means hospitals or health care providers enlisted by an insurer or by a TPA and insurer together to provide medical services to an insured on payment by a cashless facility. The list of network hospitals is maintained by and available with the TPA and the same is subject to amendment from time to time. Preferred Provider Network means a network of hospitals which have agreed to a cashless packaged pricing for certain procedures for the insured person. The list is available with the company/TPA and subject to amendment from time to time. Reimbursement of expenses incurred in PPN for the procedures (as listed under PPN package) shall be subject to the rates applicable to PPN package pricing.

2.26 NEW BORN BABY: A new born baby means baby born during the Policy Period aged between one day and 90 days, both days inclusive.

2.27 NON-NETWORK Any hospital, day care centre or other provider that is not part of the network.

2.28 NOTIFICATION OF CLAIM Not i f icat ion of c la im is the process of not i fy ing a c la im to the insurer or TPA by speci fy ing the t imel ines as wel l as the address/telephone number to which it should be notified.

2.29 OPD TREATMENT: OPD Treatment is one in which the insured visits a clinic/hospital or associated facility like a consultation room for diagnosis and treatment based on the advice of medical a practitioner. The insured is not admitted as a day care or in-patient.

2.30 PRE-EXISTING DISEASE Pre Existing Disease is any condition, ailment or injury or related condition(s) for which you ad signs or symptoms, and/or were diagnosed, and/or received medical advice/treatment, within 48 months prior to the first policy issued by the insurer.

2.31 PORTABILITY: Portability means transfer by an individual health insurance policyholder (including family cover) of the credit gained for pre-existing conditions and time-bound exclusions if he/she chooses to switch from one insurer to another.

2.32 PRE-HOSPITALISATION MEDICAL EXPENSES Medical expenses incurred immediately 30 days before the insured person is hospitalized will be considered as part of a claim as mentioned under Item 1.2 above provided that; i. Such Medical expenses are incurred for the same condition for which the Insured Person's Hospitalisation was required; and ii. The In-patient Hospitalisation claim for such Hospitalisation is admissible by the Insurance Company

2.33 POST HOSPITALISATION MEDICAL EXPENSES: Relevant medical expenses incurred immediately 60 days after the Insured person is discharged from the hospital provided that ; a . Such Medical expenses are incurred for the same condition for which the Insured Person's Hospitalisation was required; and b. The In-patient Hospitalisation claim for such Hospitalisation is admissible by the Insurance Company.

2.34 QUALIFIED NURSE: Qualified Nurse is a person who holds a valid registration from the Nursing Council of India or the Nursing Council of any state in India.

2.35 REASONABLE AND CUSTOMARY CHARGES: Reasonable Charges means the charges for services or supplies, which are the standard charges for the specific provider and consistent with the prevailing charges in the geographical area for identical or similar services, taking into account the nature of the illness/injury involved.

Page 40: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

2.36 RENEWAL: Renewal defines the terms on which the contract of insurance can be renewed on mutual consent with a provision of grace period for treating the renewal continuous for the purpose of all waiting periods.

2.37 ROOM RENT Room rent shall mean the amount charged by a hospital for the Occupancy of a bed on per day (24 hours) basis and shall include associated medical expenses.

2.38 SUBROGATION Subrogation shall mean the right of the insurer to assume the rights of the insured person to recover expenses paid out under the policy that may be recovered from any other source.

2.39 SURGERY: Surgery or Surgical Procedure means manual and/or operative procedure(s) required for treatment of an illness or injury, correction of deformities and defects, diagnosis and cure of diseases, relief of suffering or prolongation of life, performed in a hospital or day care centre by a Medical Practitioner.

2.40 THIRD PARTY ADMINISTRATOR TPA means a Third Party Administrator who holds a valid License from Insurance Regulatory and Development Authority to act as a THIRD PARTY ADMINISTRATOR and is engaged by the Company for the provision of health services as specified in the agreement between the Company and TPA.

2.41 UNPROVEN/EXPERIMENTAL TREATMENT Unproven/Experimental treatment is treatment, including drug Experimental therapy, which is not based on established medical practice in India.

3. COVERAGES:   3.1 Expenses on Hospitalisation for minimum period of 24 hours are admissible. However, this time limit is not applied to specific

treatments, such as

1. Adenoidectomy 19. FESS

2. Appendectomy 20. Haemo dialysis

3. Ascitic/Pleural tapping 21. Fissurectomy/Fistulectomy

4. Auroplasty 22. Mastoidectomy

5. Coronary angiography 23. Hydrocele

6. Coronary angioplasty 24. Hysterectomy

7. Dental surgery 25. Inguinal/ventral/umbilical/ Femoral hernia

8. Dilatation & Curettage 26. Parenteral chemotherapy

9. Endoscopies 27. Polypectomy

10. Excision of Cyst/Granuloma/lump 28. Septoplasty

11. Eye surgery 29. Piles/fistula

12. Fracture/dislocation excluding hairline fracture

30. Prostate

13. Radiotherapy 31. Sinusitis

14. Lithotripsy 32. Tonsilectomy

15. Incision and drainage of abcess 33. Liver aspiration

16. Colonoscopy 34. Sclerotherapy

17. Varicocelectomy 35. Varicose Vein Ligation

18. Wound suturing  

This condition will also not apply in case of stay in hospital of less than 24 hours provided -

a . The treatment is undertaken under General or Local Anesthesia in a hospital/day care centre in less than 24 hours because of technological advancement and

b. Which would have otherwise required a hospitalisation of more than 24 hours.

Procedures/treatments usually done in out patient department are not payable under the policy even if converted as an in-patient in the hospital for more than 24 hours or carried out in Day Care Centres.

3.2 Domiciliary Hospitalisation means medical treatment for a period exceeding three days for such an illness/disease/injury which in the normal course would require care and treatment at a hospital but is actually taken while confined at home under any of the following circumstances : a . The condition of the patient is such that he/she is not in a condition to be removed to a hospital or  b. The patient takes treatment at home on account of non-availability of room in a hospital.

Page 41: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

Subject however that domiciliary hospitalisation benefits shall not cover:i) Expenses incurred for pre and post hospital treatment andii) Expenses incurred for treatment for any of the following diseases:-

a.      Asthmab.      Bronchitisc.      Chronic Nephritis and Nephritic Syndromed.      Diarrhoea and all type of Dysenteries including Gastroenteritise.      Diabetes Mellitus and Insipidusf.      Epilepsyg.      Hypertension h.      Influenza, Cough and Coldi.      All Psychiatric or Psychosomatic Disordersj.      Pyrexia of unknown Origin for less than 10 days

k .       Tonsillitis and Upper Respiratory Tract infection including Laryngitis and pharangitisl.      Arthritis, Gout and Rheumatism

Liability of the company under this clause is restricted as stated in the Schedule attached hereto 3.3 For Ayurvedic Treatment, hospita l isat ion expenses are admissib le only when the treatment has been undergone in a

Government Hospital or in any Institute recognised by the Government and/or accredited by Quality Council of India/National Accreditation Board on Health.

Company's Liability for all claims admitted in respect of any/all insured person/s during the period of insurance shall not exceed the Sum Insured stated in the schedule.

4. Exclusions:

The company shall not be liable to make any payment under this policy in respect of any expenses whatsoever incurred by any Insured Person in connection with or in respect of: 4.1 Any pre-existing condition(s) as defined in the policy, until 48 months of continuous coverage of such insured person have

elapsed, since inception of his/her first Policy with the Company.

4.2 Any disease other than those stated in clause 4.3 below, contracted by the Insured person during the first 30 days from the commencement date of the policy. This exclusion shall not however, apply in case of the Insured person having been covered under an Insurance scheme with our Company for a continuous period of preceding 12 months without any break.

4.3 Unless the Insured has 24 months of continuous coverage, the expenses on treatment of diseases such as Cataract, Benign Prostatic Hyperthrophy, Hysterectomy for Menorrhagia, or Fibromyoma, Hernia, Hydrocele, Congenital internal disease, Fistula in anus, piles, Sinusitis and related disorders, Gall Bladder Stone removal, Gout & Rheumatism, Calculus Diseases are not payable. Internal Congenital Disease means anomaly which is not visible and accessible parts of the body.

4.4 Unless the Insured has 48 months of continuous coverage, the expenses related to treatment of Joint Replacement due to Degenerative Condition and age-related Osteoarthritis & Osteoporosis are not payable.

If these diseases mentioned in Exclusion no.4.3 and 4.4 (other than Congenital Internal Diseases) are pre-existing at the time of proposal they will not be covered even during subsequent period of renewal subject to the pre-existing disease exclusion clause. If the Insured is aware of the existence of congenital internal disease before inception of the policy, the same will be treated as pre-existing.

4.5 Injury / disease directly or indirectly caused by or arising from or attributable to War, invasion, Act of Foreign enemy, War like operations (whether war be declared or not).

4.6 a.Circumcision unless necessary for treatment of a disease not excluded hereunder or as may be necessitated due to an accident. b.Vaccination or inoculation c. Change of life or cosmetic or aesthetic treatment of any description such as correction of eyesight, etc. d Plastic surgery other than as may be necessitated due to an accident or as a part of any illness.

4.7 Cost of spectacles, contact lenses and hearing aids.

4.8 Dental treatment or surgery of any kind unless necessitated by accident and requiring hospitalisation.

4.9 Convalescence, general debility; run-down condition or rest cure, obesity treatment and its complications including morbid obesity, Congenital external disease or defects or anomalies, treatment relating to all psychiatric and and psychomatic disorders. Infertility, Sterility, Venereal disease, intentional self injury and use of intoxication drugs / alcohol

4.10 All expenses arising out of any condition directly or indirectly caused to or associated with Human T-Cell Lymphotropic Virus Type III (HTLB - III) or lymphadinopathy Associated Virus (LAV) or the Mutants Derivative or Variation Deficiency Syndrome or any syndrome or condition of a similar kind commonly referred to as AIDS.

Page 42: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

   4.11 Charges incurred at Hospital or Nursing Home primarily for diagnosis, x-ray or Laboratory examinations or other diagnostic studies

not consistent with or incidental to the diagnosis and treatment of positive existence or presence of any ailment, sickness or injury, for which confinement is required at a Hospital / Nursing Home

4.12 Expenses on vitamins and tonics unless forming part of treatment for injury or diseases as certified by the attending physician

4.13 Injury or Disease directly or indirectly caused by or contributed to by nuclear weapon / materials

4.14 Treatment arising from or traceable to pregnancy, childbirth, miscarriage, abortion or complications of any of these including caesarean section, except abdominal operation for extra uterine pregnancy (Ectopic Pregnancy) which is proved by submission of Ultra Sonographic report and Certificate of Gynaecologist that it is life threatening one if left untreated.

4.15 Naturopathy Treatment, acupressure, acupuncture, magnetic therapies, experimental and unproven treatments/therapies. Treatment including drug experimental therapy which is not based on establ ished medical practice in India, is treatment experimental or unproven.

4.16 External and or durable Medical / Non-medical equipment of any kind used for diagnosis and/or treatment and/or monitoring and/or maintenance and/or support including CPAP, CAPD, Infusion pump, Oxygen concentrator etc., Ambulatory devices i.e., walker, crutches, Belts, Collars, Caps, Splints, Slings, Braces, Stockings, elastrocepe bandages, external orthopaedic pads, sub cutaneous insulin pump, Diabetic foot wear, Glucometer/Thermometer, alpha/water bed and similar related items etc. and also any medical equipment, which are subsequently used at home.

4.17 Genetic disorders and stem cell implantation/surgery.

4.18 Change of treatment from one system of medicine to another unless recommended by the consultant/hospital under whom the treatment is taken.

4.19 Treatment for Age Related Mascular Degeneration (ARMD), treatment such as Rotational Field Quantum Magnetic Resonance (RFQMR), Enhanced External Counter Pulsation (EECP), etc.

4.20 All non-medical expenses including convenience items for personal comfort such as charges for telephone, television, ayah, private nursing/barber or beauty services, diet charges, baby food, cosmetic, tissue paper, diapers, sanitary pads, toiletry items and similar incidental expenses.

4.21 Any kind of Service charges, Surcharges, Admission Fees/Registration Charges, Luxury tax and similar charges levied by the hospital.

4.22 All non-Medical expenses. For detailed list of non-medical expenses, please log on to our website www.uiic.co.in.

5. CONDITIONS:

5.1 Contract: The Proposal form, Prospectus, Pre-acceptance Health check-up and the Policy issued shall constitute complete Contract of Insurance.

5.2 Every notice or communication regarding hospitalization or claim to be given or made under this Policy shall be delivered in writing at the address of the TPA office as shown in the Schedule. Other matters relating to the policy may be communicated to the policy issuing office.

5.3 The premium payable under this Policy shall be paid in advance. No receipt for Premium shall be valid except on the official form of the company signed by a duly authorised official of the company. The due payment of premium and the observance and fulfilment of the terms, provisions, conditions and endorsements of this Policy by the Insured Person in so far as they relate to anything to be done or complied with by the Insured Person shall be a condition precedent to any liability of the Company to make any payment under this Policy. No waiver of any terms, provisions, conditions and endorsements of this policy shall be valid unless made in writing and signed by an authorised official of the Company.

5.4 Notice of Communication: Upon the happening of any event which may give rise to a claim under this Policy notice with full particulars shall be sent to the TPA named in the schedule immediately and in case of emergency hospitalization within 24 hours from the time of Hospitalisation/Domiciliary Hospitalisation

5.5 All supporting documents relating to the claim must be filed with TPA within 15 days from the date of discharge from the hospital.In case of post-hospitalisation, treatment (limited to 60 days), all claim documents should be submitted within 7 days after completion of such treatment.

Page 43: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

   Note:Waiver of this Condition may be considered in extreme cases of hardship where it is proved to the satisfaction of the Company that under the circumstances in which the insured was placed it was not possible for him or any other person to give such notice or file claim within the prescribed time-limit.

5.6 The Insured Person shall obtain and furnish to the TPA with all original bills, receipts and other documents upon which a claim is based and shall also give the TPA / Company such additional information and assistance as the TPA / Company may require in dealing with the claim.

5.7 Any medical practitioner authorised by the TPA / Company shall be allowed to examine the Insured Person in case of any alleged injury or disease leading to Hospitalisation if so required.

5.8 The Company shall not be liable to make any payment under this policy in respect of any claim if such claim be in any manner fraudulent or supported by any fraudulent means or device whether by the Insured Person or by any other person acting on his behalf.

5.9 DISCLOSURE TO INFORMATION NORM The Policy shall be void and all premium paid hereon shall be forfeited to the Company, in the event of misrepresentation, mis-description or non-disclosure of any material fact.

5.10 If at the time when a claim arises under the policy, there is in existence any other insurance taken by the insured to indemnify thetreatment costs, the insured person shall have the right to require a settlement of the claim in terms of any of his policies.  If the amount to be claimed exceeds the sum insured under a single policy, after considering deductibles or co-pay, the insured person shall have the right to choose the insurers by whom the claim is to be settled.  In such cases, the Company shall not be liable to pay or contribute more than its rateable proportion of any loss, liability, compensation costs or expenses. Note:  The insured person must disclose such other insurance at the time of making the claim under this policy.

5.11 The Policy may be renewed by mutual consent and in such event the renewal premium shall be paid to the Company on or before the date of expiry of the Policy or of the subsequent renewal thereof.The Company shall not be bound to give notice that such renewal premium is due, provided however that if the insured shall apply for renewal and remit the requisite premium before the expiry of this policy, renewal shall not normally be refused, unless the Company has reasonable justification to do so.

5.12 ENHANCEMENT OF SUM INSURED

The insured may seek enhancement of Sum Insured in writing at or before payment of premium for renewal, which may be granted at the discretion of the Company. However, notwithstanding enhancement, for claims arising in respect of ailment, disease or injury contracted or suffered during a preceding policy period, liability of the company shall be only to the extent of the Sum Insured under the policy in force at the time when it was contracted or suffered during the currency of such renewed policy or any subsequent renewal thereof.

Any such request for enhancement must be accompanied by a declaration that the insured or any other insured person in respect of whom such enhancement is sought is not aware of any symptoms or other indications that may give rise to a claim under the policy. The Company may require such insured person/s to undergo a Medical examination to enable the company to take a decision on accepting the request for enhancement in the Sum Insured.

5.13 Cancellation Clause :

The Company may at any time cancel the Policy on grounds of misrepresentation, fraud, non-disclosure of material fact or non-cooperation by the insured by sending fifteen days notice in writing by Registered A/D to the insured at his last known address in which case the Company shall return to the insured a proportion of the last premium corresponding to the unexpired period of insurance if no claim has been paid under the policy. The insured may at any time cancel this policy and in such event the Company shall allow refund of premium at Company's short period rate table given below provided no claim has occurred upto the date of cancellation.

PERIOD ON RISK RATE OF PREMIUM TO BE CHARGED.

Upto one month 1/4 th of the annual rate

Upto three months 1/2 of the annual rate

Upto six months 3/4th of the annual rate

Exceeding six months Full annual rate.

Page 44: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

5.14 If any dispute or difference shall arise as to the quantum to be paid under the policy (liability being otherwise admitted) such difference shall independently of all other questions be referred to the decision of a sole arbitrator to be appointed in writing by the parties or if they cannot agree upon a single arbitrator within 30 days of any party invoking arbitration, the same shall be referred to a panel of three arbitrators, comprising of two arbitrators, one to be appointed by each of the parties to the dispute/difference and the third arbitrator to be appointed by such two arbitrators and arbitration shall be conducted under and in accordance with the provisions of the Arbitration and Conciliation Act, 1996. It is clearly agreed and understood that no difference or dispute shall be referable to arbitration as herein before provided, if the Company has disputed or not accepted liability under or in respect of this Policy. It is hereby expressly stipulated and declared that it shall be a condition precedent to any right of action or suit upon this policy that award by such arbitrator/arbitrators of the amount of the loss or damage shall be first obtained.

5.15 If the TPA, as per terms and condit ions of the policy or the Company shall disclaim l iabi l ity to the Insured for any claim hereunder and if the Insured shall not within 12 calendar months from the date or receipt of the notice of such disclaimer notify the TPA/ Company in writing that he does not accept such disclaimer and intends to recover his claim from the TPA/Company then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder.

5.16 All medical/surgical treatments under this policy shall have to be taken in India and admissible claims thereof shall be payable in Indian currency. Payment of claim shall be made through TPA to the Hospital/Nursing Home or the Insured Person as the case may be. Upon acceptance of an offer of settlement, the payment of amount due shall be made within 7 days from the date of acceptance of offer by the Insured. In the cases of delay in the payment, the insurer shall be liable to pay interest at a rate which is 2% above the bank rate prevalent at the beginning of the financial year in which the claim is reviewed by it.

5.17 Low Claim Ratio Discount (Bonus)

Low Claim Ratio Discount at the following scale will be allowed on the total premium at renewal only depending upon the incurred claim ratio for the entire group insured under the Group Mediclaim Insurance Policy for the preceding 3 completed years excluding the year immediately preceding the date of renewal where the Group Mediclaim Insurance Policy has not been in force for 3 completed years, such shorter period of completed years excluding the year immediately preceding the date of renewal will be taken in to account

Incurred Claim ratio under the group policy Discount %

Not exceeding 60% 5

Not exceeding 50% 15

Not exceeding 40% 25

Not exceeding 30% 35

Not exceeding 25% 40

5.18 High Claims Ratio Loading (MALUS)

The total premium payable at renewal of the Group Policy will be loaded at the following scale depending upon the incurred claims ratio for the entire group insured under the Group Mediclaim Insurance Policy for the preceding year (immediately preceding the date of renewal).

Incurred claims ratio under this group policy Loading

Between 70% and 100% 25%

Between 101% and 125 % 55%

Between 126 % and 150 % 90%

Between 151 % and 175 % 120%

Between 176 and 200 150%

Over 200 % Cover to be reviewed

   Note: 1. Low Claim Ratio Discount (Bonus) or High Claim Ratio loading (Malus) will be applicable to the Premium at renewal of the Policy

depending on the incurred claims Ratio for the entire Group Insured. 2. Incurred claim would mean claims paid plus claims outstanding in respect of the entire group insured under the policy during the

relevant period. The insured shall throughout the period of insurance keep and maintain a proper record of register containing the names of all the insured persons and other relevant details as are normally kept in any institution/ Organisation. The insured shall declare to the company any additions in the number of insured persons as and when arising during the period of insurance and shall pay the additional premium as agreed.

Page 45: UNITED INDIA INSURANCE COMPANY LIMITED Medical Policy 1.pdfPLEASE TAKE THE PLEDGE AT For any Information, Service Requests and Grievances please write to 071600@uiic.co.in For ID Cards

POLICY NO.:0716002818P113720603

UIN NO. IRDA/NL-HLT/UII/P-H/V.1/236/13-14

It is hereby agreed and understood that, that this insurance being a Group Policy availed by the Insured covering Members, the benefit thereof would not be available to Members who cease to be part of the group for any reason whatsoever. Such members may obtain further individual insurance directly from the Company and any claims shall be governed by the terms thereof.

6 MATERNITY EXPENSES BENEFIT EXTENSION: (Wherever applicable)

This is an optional cover, which can be obtained on payment of 10% of total basic premium for all the Insured Persons under the Policy.

Option for Maternity Benefits has to be exercised at the inception of the Policy period and no refund is allowable in case of Insured's cancellation of this option during currency of the policy.

The hospitalization expenses in respect of the new born child can be covered within the Mother's Maternity expenses. The maximum benefit allowable under this clause will be up to Rs. 50,000/- or the sum insured opted by the group whichever is lower.

Special conditions applicable to Maternity expenses Benefit Extension:

1. These Benefits are admissible only if the expenses are incurred in Hospital / Nursing Home as in-patients in India

2. A waiting period of 9 months is applicable for payment of any claim relating to normal delivery or caesarean section or abdominal operation for extra uterine pregnancy. The waiting period may be relaxed only in case of delivery, miscarriage or abortion induced by accident or other medical emergency.

3. Claim in respect of delivery for only first two children and / or operations associated therewith will be considered in respect of any one Insured Person covered under the policy or any renewal thereof. Those Insured Persons who are already having two or more living children will not be eligible for this benefit.

4. Expenses incurred in connection with voluntary medical termination of pregnancy during the first 12 weeks from the date of conception are not covered.

5. Pre-natal and postnatal expenses are not covered unless admitted in Hospital / Nursing Home and treatment is taken there.

Note: When group policy is extended to include Maternity Expenses Benefit, the exclusion No.4.14 of the policy stands deleted.

7 IRDA REGULATIONS : This policy is subject to IRDA (Health Insurance) Regulations 2013 and IRDA (Protection of Policyholders’ Interest) Regulations 2002 as amended from time to time.

8. GRIEVANCE REDRESSAL : In the event of the policyholder having any grievance relating to the insurance, the insured person may submit in writing to the Policy Issuing Office or Grievance cells at Regional Office of the Company for redressal.  If the grievance remains unaddressed, the insured person may contact the Officer, Uni-Customer Care Department, Head Office.  

9 IMPORTANT NOTICE

The Company may revise any of the terms, conditions and exceptions of this insurance including the premium payable on renewal in accordance with the guidelines/rules framed by the Insurance Regulatory and Development Authority (IRDA) and after obtaining prior approval from the Authority. We shall notify you of such changes at least three months before the revision are to take effect.

The Company may also withdraw the insurance as offered hereunder after following the due process as laid down by the IRDA and after obtaining prior approval of the Authority and we shall offer to cover you under such revised/new terms, conditions, exceptions and premium for which we shall have obtained prior approval from the Authority.

* * * * *