WITHOUT HOSPITAL CASH BENEFITS

PREMIUM TABLE FOR GOOD HEALTH PERSONAL ACCIDENT POLICY W.E.F. 31.03.2009.

Plan Option	Sum Insured (`)	Premium including 10.30% S.T (`)
1	2,00,000	250
2	3,00,000	375
3	4,00,000	500
4	5,00,000	620
13	7,50,000	940
14	10,00,000	1250

PREMIUM TABLE FOR GOOD HEALTH MEDICLAIM POLICY W.E.F. 31.03.2009.
(Premium includes 10.30% Service Tax)

WITHOUT HOSPITAL CASH BENEFITS

Plan	Sum Insured (`)	Up to 25 Years	26-35 Years	36-45 Years	46-55 Years	56-60 Years	61-65 Years	66-70 Years	71-75 Years	76-80 Years	81-90 Years	above 90 Years
5	50000	600	660	750	1135	1370	1600	1790	1920	2370	2489	2710
6	100000	1170	1250	1450	2200	2660	3095	3460	3710	4590	4810	5250
7	150000	1710	1830	2120	3240	3910	4570	5120	5550	7070	7410	8075
8	200000	2200	2350	2730	4210	5090	5940	6680	7290	9460	9910	10805
9	250000	2630	2820	3260	5100	6200	7230	8140	8940	11750	12305	13430
10	300000	3060	3280	3800	5990	7300	8505	9610	10590	14050	14710	16050
11	400000	3820	4090	4740	7625	9340	10900	12370	13910	18450	19330	21080
12	500000	4580	4900	5690	9260	11390	13280	15120	16830	22850	23940	26120

15 DAYS HOSPITAL CASH BENEFITS

Plan	Sum Insured (`)	Hospital cash per day (`)	Up to 25 Years	26-35 Years	36-45 Years	46-55 Years	56-60 Years	61-65 Years	66-70 Years	71-75 Years	76-80 Years	81-90 Years	above 90 Years
15	50000	100	690	730	840	1281	1530	1760	1970	2110	2600	2730	2970
16	100000	200	1320	1420	1630	2460	2951	3410	3790	4070	5030	5290	5750
17	150000	300	1940	2070	2390	3620	4350	5020	5600	6080	7740	8151	8850
18	200000	400	2490	2670	3070	4700	5661	6540	7310	7990	10360	10900	11840
19	250000	500	2990	3190	3670	5700	6881	7950	8920	9790	12870	13540	14710
20	300000	600	3480	3720	4280	6700	8110	9360	10530	11600	15380	16180	17590
21	400000	800	4340	4640	5340	8520	10380	11990	13540	15020	20210	21255	23110
22	500000	1000	5200	5560	6390	10351	12650	14610	16560	18440	25030	26340	28620

30 DAYS HOSPITAL CASH BENEFITS

Plan	Sum Insured (`)	Hospital cash per day (`)	Up to 25 Years	26-35 Years	36-45 Years	46-55 Years	56-60 Years	61-65 Years	66-70 Years	71-75 Years	76-80 Years	81-90 Years	above 90 Years
23	50000	100	770	820	940	1410	1680	1920	2140	2290	2820	2980	3230
24	100000	200	1480	1581	1810	2720	3240	3720	4120	4420	5470	5770	6250
25	150000	300	2170	2320	2651	4011	4780	5480	6090	6600	8420	8890	9630
26	200000	400	2801	2980	3410	5200	6220	7130	7950	8680	11261	11890	12880
27	250000	500	3340	3570	4080	6300	7570	8670	9700	10651	13990	14770	16000
28	300000	600	3890	4150	4750	7400	8920	10210	11440	12611	16720	17650	19130
29	400000	800	4860	5180	5930	9420	11420	13080	14720	16330	21960	23191	25120
30	500000	1000	5830	6210	7110	11440	13920	15941	18000	20040	27210	28725	31120

PREMIUM TABLE FOR 2YEAR POLICIES:

PREMIUM TABLE FOR GOOD HEALTH MEDICLAIM POLICY FOR 2YEARS

WITHOUT HOSPITAL CASH BENEFITS

PLAN	SUM INSURED	upto 25	26-35	36-45	46-55	56-60	61-65	66-70	71-75	76-80	81-90	91-100
50	50000	1110	1190	1382	2104	2532	2954	3312	3551	4381	4590	5007
51	100000	2152	2306	2675	4067	4904	5721	6396	6860	8488	8893	9701
52	150000	3154	3379	3918	5992	7233	8439	9457	10255	13071	13694	14939
53	200000	4056	4345	5037	7779	9415	10984	12344	13480	17487	18319	19985
54	250000	4856	5202	6032	9429	11453	13362	15060	16536	21730	22764	24834
55	300000	5657	6061	7027	11076	13491	15740	17775	19591	25975	27212	29686
56	400000	7058	7563	8767	14100	17274	20153	22868	25364	34123	35748	38998
57	500000	8461	9066	10509	17124	21056	24566	27961	31135	42272	44285	48311

15 DAYS HOSPITAL CASH BENEFITS

PLAN	SUM INSURED	upto 25	26-35	36-45	46-55	56-60	61-65	66-70	71-75	76-80	81-90	91-100
60	50000	1270	1349	1553	2351	2814	3250	3628	3888	4799	5050	5486
61	100000	2443	2614	3011	4545	5449	6294	7007	7514	9297	9783	10630
62	150000	3581	3830	4407	6697	8037	9283	10358	11231	14317	15063	16370
63	200000	4606	4926	5667	8694	10461	12083	13521	14765	19153	20153	21899
64	250000	5515	5897	6786	10539	12726	14699	16494	18111	23800	25041	27214
65	300000	6425	6869	7906	12378	14990	17313	19468	21458	28448	29934	32529
66	400000	8016	8572	9863	15760	19193	22169	25046	27779	37372	39323	42737
67	500000	9609	10274	11822	19139	23396	27021	30624	34101	46299	48714	52940

30 DAYS HOSPITAL CASH BENEFITS

PLAN	SUM INSURED	upto 25	26-35	36-45	46-55	56-60	61-65	66-70	71-75	76-80	81-90	91-100
70	50000	1413	1507	1727	2600	3095	3546	3942	4229	5217	5508	5967
71	100000	2736	2922	3344	5024	5993	6866	7617	8166	10105	10670	11560
72	150000	4010	4280	4897	7401	8842	10128	11259	12207	15561	16433	17802
73	200000	5156	5505	6296	9609	11508	13181	14697	16049	20817	21983	23816
74	250000	6174	6589	7540	11646	13998	16035	17928	19686	25869	27317	29593
75	300000	7192	7678	8783	13683	16490	18888	21162	23323	30924	32653	35375
76	400000	8974	9579	10959	17419	21113	24184	27223	30196	40623	42899	46473
77	500000	10757	11482	13136	21153	25736	29478	33287	37065	50324	53142	57570

PREMIUM RATES FOR GOOD HEALTH PERSONAL ACCIDENT POLICY FOR 2YEAR

PLAN	SUM INSURED	PREMIUM
40	200000	400
41	300000	600
42	400000	800
43	500000	1000
44	750000	1510
45	1000000	2000