Circular - Up Gradation

8/14/2019 Circular - Up Gradation

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POL/DB/996 8 October 2009

Mr. Suman Bhowmik

H/8, Cluster XPurbachal Abason, Sector - III

Salt Lake City

KOLKATA - 700 097

Dear Sir,

POLICY NO. 911/III

Kindly refer to your letter dated 30 September 2009 requesting for upgradation of the above

policy to Schedule V Benefits.

In this connection, we would request you to refer to Point c of the addendum of the Policy

Conditions sent to you vide our circular dated 29 May 2009. You will please note therein that

upgradation is subject to satisfactory medical check up, if required by the Association, at themembers own cost. To enable us to consider the upgradation you are requested to submit the

medical examination reports to the Association for the following in respect of self.

1 Blood Pressure

2 Blood Sugar - PP

3 Report of Opthalmic Surgeon reg. Glaucoma4 E C G

The medical tests may be conducted at any hospital or nursing home or diagnostic centre

registered with the concerned local authorities and is under the supervision of a registered

qualified doctor.

Thanking you,

Yours faithfully,

( D Basu )

Asst. Manager - Accounts

maa


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POL/KD/1282 19 November 2009

Mr. Samir Kumar Dey

Saratalay 1237, Keotagarbagan

Sahaganj

HOOGHLY - 712 104

Dear Sir,

POLICY NO. 27885/IV

Kindly refer to the request for upgradation of the above policy to Schedule V Benefits.

In this connection, we would request you to refer to Point c of the addendum of the PolicyConditions sent to you vide our circular dated 29 May 2009. You will please note therein that

upgradation is subject to satisfactory medical check up, if required by the Association, at the

members own cost. However, as a senior citizen you will be reimbursed 50% of the costincurred on the medical examination subject to production of money receipts to the Association

and acceptance of the upgradation requested for. To enable us to consider the upgradation you

are requested to submit the medical examination reports to the Association for the following in

respect of self.

Self 1 Blood Pressure

2 Blood Sugar - PP3 Report of Opthalmic Surgeon reg. Cataract / Glaucoma

4 E C G



qualified doctor.

Thanking you,

Yours faithfully,

( K Das )

Finance Managermaa


3/21


Mr. Chitta Ranjan Mukherjee70, Baguiati Road

KOLKATA - 700 028

Dear Sir,

POLICY NO. 21302/IV - CHITTA RANJAN MUKHERJEE

POLICY NO. 401241/IV - MR. SUMAN MUKHERJEE

On 30 September 2009 we received your letter dated nil requesting for upgradation of the abovetwo policies.

In this connection, please note that the next renewal date of the above two policies falls due on 1

April 2010. Please, therefore, get in touch with us in the month of March 2010 to enable us toproceed further in the matter.

Thanking you,

Yours faithfully,

( D Basu )


maa


4/21


Mr.Asim Kumar Mukherji

174-A, Block G Nalini Ranjan Avenue

New Alipore

KOLKATA - 700 053

Dear Sir,

POLICY NO. 20808/IV

Kindly refer to your letter dated 9 November 2009 requesting for upgradation of the above

policy to Schedule V.



upgradation is subject to satisfactory medical check up, if required by the Association, at themembers own cost. However, as a senior citizen you will be reimbursed 50% of the cost

incurred on the medical examination subject to production of money receipts to the Association

and acceptance of the upgradation requested for. To enable us to consider the upgradation you

are requested to submit the medical examination reports to the Association for the following inrespect of self and your wife.

Self 1 Blood Pressure2 Blood Sugar - PP

3 Report of Opthalmic Surgeon reg. cataract/glaucoma

4 E C GWife 1 Blood Pressure

2 Blood Suger - PP

3 Report of Opthalmic surgeon reg. cataract/glaucoma

4 E C G


registered with the concerned local authorities and is under the supervision of a registeredqualified doctor.

The balance premium payable by you on upgradation, if accepted, will be intimated to you in duecourse. We would also request you to take immediate action in this regard.

Thanking you,Yours faithfully,

( K Das )

maa Finance Manager



5/21

Mr. Asoke Dasgupta

2nd Floor

31/1, Lake Avenue,KOLKATA - 700 026

Dear Sir,

POLICY NO. 23029/IV


policy to Schedule V.


Conditions sent to you vide our circular dated 29 May 2009. You will please note therein thatupgradation is subject to satisfactory medical check up, if required by the Association, at the

members own cost. However, as a senior citizen you will be reimbursed 50% of the cost

incurred on the medical examination subject to production of money receipts to the Associationand acceptance of the upgradation requested for. To enable us to consider the upgradation you


respect of self and your wife.


2 Blood Sugar - PP


Wife 1 Blood Pressure

2 Blood Sugar - PP3 Report of Opthalmic Surgeon reg. Glaucoma

4 E C G

The medical tests may be conducted at any hospital or nursing home or diagnostic centreregistered with the concerned local authorities and is under the supervision of a registered

qualified doctor.

Thanking you,

Yours faithfully,

( K Das )

Finance Managermaa



6/21

Mrs. Keya BhowmikRamroop

12, Garfa, 4th Lane

JadavpurKOLKATA - 700 075

Dear Madam,

POLICY NO. 55913/II


policy to Schedule III Benefits.






respect of self.

1 Blood Pressure2 Blood Sugar - PP

3 Report of Opthalmic surgeon reg. Cataract/Glaucoma

4 E C G



The balance premium payable by you on upgradation, if accepted, will be intimated to you in due

course. We would also request you to take immediate action in this regard.

Thanking you,

Yours faithfully,

( K Das )maa Finance Manager

POL/DB/1273 18 November 2009


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Mr. Gopalaiyer Venkitachalam Iyer18/30, Dover Lane

Ground Floor

KOLKATA - 700 029

Dear Sir,

POLICY NO. 12168/IV


policy to Schedule V Benefits.



upgradation is subject to satisfactory medical check up, if required by the Association, at themembers own cost. However, as a senior citizen you will be reimbursed 50% of the cost

incurred on the medical examination subject to production of money receipts to the Association

and acceptance of the upgradation requested for. To enable us to consider the upgradation youare requested to submit the medical examination reports to the Association for the following in

respect of self and your wife.

Self 1 Blood Sugar - PP2 Report of Opthalmic Surgeon reg. cataract/Glaucoma

Wife 1 Blood Pressure2 Blood Sugar - PP / Fasting

3 Report of Opthalmic surgeon reg. cataract / glaucoma

4 E C G



qualified doctor.

The balance premium payable by you on upgradation, if accepted, will be intimated to you in due

course. We would also request you to take immediate action in this regard.

Thanking you,

Yours faithfully,

( D Basu )

maa Asst. Manager - Accounts

POL/DB/1272 18 November 2009


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Mr. Edmund Ajit GomesA-6/5, satyen Park

M G Road, Joka

KOLKATA - 700 104

Dear Sir,

POLICY NO. 15980/II


policy to Schedule V Benefits. However, you can upgrade your above Policy to Schedule III or

IV Benefits, next Higher Schedule.






respect of self.

1 Blood Pressure

2 Blood Sugar - PP

3 Report of Opthalmic Surgeon reg. Cataract / Glaucoma4 E C G

The medical tests may be conducted at any hospital or nursing home or diagnostic centreregistered with the concerned local authorities and is under the supervision of a registered

qualified doctor.

The balance premium payable by you on upgradation, if accepted, will be intimated to you in duecourse. We would also request you to take immediate action in this regard.

Thanking you,

Yours faithfully,

( K Das )

Finance Managermaa



9/21

Mr. Sanjay Issar

3F, Shyamkunj

12C. Lord Sinha RoadKOLKATA - 700 071

Dear Sir,

POLICY NO. 52565/V


policy to Schedule VI Benefits.



members own cost. To enable us to consider the upgradation you are requested to submit the

medical examination reports to the Association for the following in respect of self and your wife.


2 Blood Sugar - PP3 Report of Opthalmic Surgeon reg. Glaucoma

4 E C G

Wife 1 Blood Pressure

2 Blood Sugar - PP




Thanking you,

Yours faithfully,

( D Basu )

Asst. Manager - Accountsmaa

POL/AKC/1054 16 October 2009


10/21

Mr. Sukumar Banerjee22/1, N S Road

Anjan Garh

Seoraphuli Sarkarpara

P O SeoraphuliDIST HOOGHLY - 712 223

Dear Sir,

POLICY NO. 56662/IV

Please refer to your letter dated 21 September 2009 requesting for upgradation of the

above policy.

In this connection, please note that the next renewal date of your policy falls due on 18

May 2010. Please, therefore, get in touch with us in the month of April 2010 to enable

us to proceed further in the matter.

Thanking you,

Yours faithfully,

( D Basu )Asst. Manager - Accounts

maa

POL/DB/309 22 June 2009


11/21

Mr. Malay Kumar Majumder1/3/1, Sisir Kumar Dawn Road

KOLKATA - 700 036

Dear Sir,

POLICY NO. 58161/III

Please refer to your letter dated 16 June 2009 requesting for upgradation of your above policy

from Schedule III to Schedule IV Benefits.

In this connection, please note that the next renewal date of your policy falls due on 12

December 2009. Please, therefore, get in touch with us in the month of November 2009 to

enable us to proceed further in the matter.

Thanking you,

Yours faithfully,


maa

POL/DB/281 17 June 2009


12/21

Mr. Aloke Kumar Ghosh

4, Creek LaneKOLKATA - 700 014

Dear Sir,

POLICY NO. 28456/IV

Please refer to your letter dated 12 June 2009 requesting for upgradation of the above policy to

Schedule V Benefits.

In this connection, please note that the next renewal date of your policy falls due on 1 October

2009. Please, therefore, get in touch with us in the month of September 2009 to enable us to

proceed further in the matter.

Thanking you,

Yours faithfully,


maa

POL/DB/282 17 June 2009


13/21

Mr. Anil Shunglu

155/1, Block G New Alipore

KOLKATA - 700 053

Dear Sir,

POLICY NO. 828/III

Kindly refer to your letter dated 10 June 2009 requesting for upgradation of the above policy to

Schedule V Benefits.

In this connection, please note that the next renewal date of your policy falls due on 22 August

2009. Please, therefore, get in touch with us in the month of July 2009 to enable us to proceed

further in the matter.

Thanking you,

Yours faithfully,


maa

POL/DB/290 18 June 2009


14/21

Mr. Gopalaiyer Venkitachalam Iyer

18/30, Dover Lane

Ground FloorKOLKATA - 700 029

Dear Sir,

POLICY NO. 12168/IV

Please refer to your letter dated 12 June 2009. You may upgrade your above Policy to Schedule

III or Schedule V, the coverage and premium being as follows :-

Premium Per Annum

Upto Over

18 Years 18 Years Coverage

Schedule III Rs. 1,200/- Rs. 1,440/- Rs. 1,15,000/- with Sub-limits

Schedule V Rs. 1,560/- Rs. 1,800/- Rs. 1,15,000/- without Sub-limits

Service Tax etc. extra.

The upgradation is, however, subject to compliance of the conditions contained in the policy

conditions of the Association.

In this connection, please note that the next renewal date of your Policy falls due on 1 December

2009. Please, therefore, get in touch with us in the month of November 2009 to enable us to

proceed further in the matter.

Thanking you,

Yours faithfully,

( D Basu )Asst. Manager Accounts

maa

POL/DB/292 18 June 2009


15/21

Mr. Bhupinder Singh Arora

Flat 2A5, Wood Street

KOLKATA - 700 016

Dear Sir,

POLICY NO. 14979/V

On 15 June 2009 we received your letter dated nil requesting for upgradation of the above

policy.

In this connection, please note that the next renewal date of your policy falls due on 1 April

2010. Please, therefore, get in touch with us in the month of March 2010 to enable us to proceed

further in the matter.

Thanking you,

Yours faithfully,


maa

POL/DB/ June 2009


16/21

Dear Sir,

POLICY NO.

Kindly refer to your letter dated 20 May 2009.

As regards your request for upgradation of the above Policy to the next higher Schedule, wewould mention that enhancement of sum insured will be restricted to members who are not over

the age of 75 years at the time of renewal of the Policy. Since you have already exceeded the

age limit of 75 years, we regret our inability to upgrade the Policy.

You will appreciate that we have to operate within certain restrictions and parameters and we

trust that we shall continue to receive your co-operation and support for the years to come.

Thanking you,

Yours faithfully,

( D Basu )


maa

SPECIMEN


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POL/DB/ 17 June 2009

Mr. Bhaskar Gupta

394-B, Jodhpur ParkFlat 3-A

KOLKATA 700 068

Dear Sir,

UPGRADATION - POLICY NO:25926/IV

Kindly refer to your letter dated 2 June 2009 requesting for upgradation of the above policy toSchedule V benefits and enclosing a cheque for Rs.1324/-.

Based on your request the above Policy covering yourself and your wife is considered for

upgradation to Schedule V benefits with effect from the renewal date, i.e. 1 June 2009 subject to

the following condition :

Besides the waiting period of two months from the date of conversion to

Schedule V Benefits, claims in respect of illness or conditions includingmaternity about which reasonable presumption of knowledge can be

inferred at the time of conversion, will be settled under the pre-existing

Schedule

Please also note that the claims in respect of the treatments for the following diseases, settled

prior to conversion to Schedule V, will be processed under the same Schedules under which

those were settled earlier, as shown below :

NAME PRE-EXISTING DISEASES PRE-EXISTING

DISEASES

SETTLED PRIOR TO

1 JUNE 2009 UNDER

SCHEDULE

Mr. Bhaskar Gupta Intestinal Obstruction or

any sequelae thereof IVCataract Operation both eyes

or any sequelae thereof IV

Mrs. Shibani Gupta Cholecystectomy or any sequelae thereof II

Contd 2

: 2 :


18/21

Kindly return the duplicate of this letter duly signed by you at the appropriate place in token of

your acceptance of the above conditions on receipt of which we shall proceed furtherin the matter.

Thanking you,

Yours faithfully,

( K Das )

Finance Manager

Agreed

____________________

Signature of Policyholder

Dated :

Contact No. :

SPECIMEN


19/21

Endorsement No:

Name of Member : Mr. Bhaskar Gupta Policy No:25926/V

Yearly Subscription Rs. 3600/- per annum

It is hereby declared and agreed that as from 1 June 2009 you are covered under the

Associations Fifth Schedule of Benefits. Please note that your Policy No. has been changed

from 25926/IV to 25926/V with effect from that date.

Besides the waiting period of two months from the date of conversion to Schedule VBenefits, claims in respect of illness or conditions including maternity about which reasonable

presumption of knowledge can be inferred at the time of conversion, will be settled under the

pre-existing Schedule.

It is further agreed that the Association will process claims for Mr. Bhaskar Gupta

relating to the treatment of Intestinal Obstruction or any sequelae thereof and for Cataract

operations in both eyes or any sequelae thereof under Schedule IV.

It is also agreed that the Association will process claims for Mrs. Shibani Gupta relating

to the treatment of Cholecystectomy or any sequelae thereof under Schedule II.

( K. Das )

Date : June 2009Finance Manager

POL/DB/ June 2009


20/21

Dear ,

Please refer to your E-mail dated 11 June 2009. You may request for upgradation of your

existing Schedule to Schedule III or Schedule V, the coverage and premium being as follows :-

Premium Per Annum

Upto Over 18 Years 18 Years Coverage

Schedule III Rs. 1,200/- Rs. 1,440/- Rs. 1,15,000/- with Sub-limits

Schedule V Rs. 1,560/- Rs. 1,800/- Rs. 1,15,000/- without Sub-limits

Service Tax etc. extra.

The upgradation is, however, subject to compliance of the conditions contained in the policyconditions of the Association.

Please get in touch with us nearer the time of next renewal.

Please note that the selective upgradation is not possible.

Thanking you,

Yours faithfully,

( D Basu )

Asst. Manager Accounts

maa


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Meanwhile, please ensure that the premium for the existing Schedule for the policy year ended30 November 2010 is paid within the due date. You are also aware that default in payment of

premium within 15 days grace period from the due date will lead to cancellation of the Policy.

In case you have already paid the premium, please ignore this.

Documents

Circular - Up Gradation