pair_id int64 | qa_id int64 | question string | chunk_id string | chunk_text string | answer string | label int64 | source string | negative_type string |
|---|---|---|---|---|---|---|---|---|
0 | 0 | What is the name of the insurance company issuing the policy? | 0 | National Insurance Co. Ltd.
Regd. & Head Office: Premises No. 18-0374, Plot no.
CBD-81, New Town, Kolkata - 700156 Page 1 of 19 National Mediclaim Policy
UIN: NICHLIP25036V082425
National Insurance Company Limited
CIN - U10200WB1906GOI001713 IRDAI Regn. No. - 58
Issuing Office
National Mediclaim Poli... | The name of the insurance company issuing the policy is National Insurance Co. Ltd. | 1 | NMP Policy Wordings.pdf | positive |
1 | 0 | What is the name of the insurance company issuing the policy? | 7 | for carrying out treatment procedures and medical or surgical / para-surgical interventions or both under the supervision of
registered AYUSH Medical Practitioner(s) on day care basis without in-patient services and must comply with all the following
criterion:
i. Having qualified registered AYUSH Medical Practitio... | 0 | NMP Policy Wordings.pdf | same_source | |
2 | 0 | What is the name of the insurance company issuing the policy? | 1609 | Intermediary Name :
Intermediary Code :
Mobile/Landline /e-Mail :
Address :
BDIS Name :
BDIS Code :
Date of Proposal & Declaration :
IN WITNESS WHEREOF, the undersigned being duly authorised has hereunto set his/her hand at {Policy Issuing Office
Address} this day of month , YYYY .
... | 0 | 20230913_Policy_Wordings_IHIP.pdf | bm25 | |
3 | 0 | What is the name of the insurance company issuing the policy? | 7113 | This Policy is a contract of insurance issued by ADITYA BIRLA HEALTH INSURANCE CO. LIMITED. (hereinafter called the ‘We / Our / Us / Insurer /
Company’) to the proposer mentioned in the Policy Schedule (hereinafter called the ‘You / Your / Policyholder’) to cover the person(s) named in the Policy Schedule
(hereinafte... | 0 | policy-document.pdf | dense | |
4 | 1 | Where is the head office of the insurance company located? | 0 | National Insurance Co. Ltd.
Regd. & Head Office: Premises No. 18-0374, Plot no.
CBD-81, New Town, Kolkata - 700156 Page 1 of 19 National Mediclaim Policy
UIN: NICHLIP25036V082425
National Insurance Company Limited
CIN - U10200WB1906GOI001713 IRDAI Regn. No. - 58
Issuing Office
National Mediclaim Poli... | The provided text does not contain this information. | 1 | NMP Policy Wordings.pdf | positive |
5 | 1 | Where is the head office of the insurance company located? | 190 | Fax: 0674 - 2596429
Email:
bimalokpal.bhubaneswar@cioins.co.in
Punjab, Haryana
(excluding Gurugram,
Faridabad, Sonepat and
Bahadurgarh), Himachal
Pradesh, Union
Territories of Jammu &
Kashmir, Ladakh &
Chandigarh Office of the Insurance Ombudsman,
S.C.O. No. 101, 102 & 103, 2nd Floor,
Batra Building, Secto... | 0 | NMP Policy Wordings.pdf | same_source | |
6 | 1 | Where is the head office of the insurance company located? | 10626 | regulated by the National Bank of Belgium, with a registered head office at Boulevard du Régent 7, 1000
Brussels, Belgium. Authorised by the Prudential Regulation Authority (firm reference number 202664). Subject
to regulation by the Financial Conduct Authority and limited regulation by the Prudential Regulation Auth... | 0 | PW_MCC_DIR_TRA_0622_V1.pdf | bm25 | |
7 | 1 | Where is the head office of the insurance company located? | 853 | Office Details Jurisdiction of Office Union Territory,District)
AHMEDABAD
Shri K.Vinayak Rao
Office of the Insurance Ombudsman, Jeevan
Prakash Building, 6th floor, Tilak Marg,
Relief Road, Ahmedabad – 380 001. Gujarat, Dadra & Nagar Haveli, Daman and
Diu.
Group Domestic Travel Insurance
UIN: UNITGDP... | 0 | group-domestic-travel-prospectus.pdf | dense | |
8 | 2 | What is the UIN assigned to this policy? | 0 | National Insurance Co. Ltd.
Regd. & Head Office: Premises No. 18-0374, Plot no.
CBD-81, New Town, Kolkata - 700156 Page 1 of 19 National Mediclaim Policy
UIN: NICHLIP25036V082425
National Insurance Company Limited
CIN - U10200WB1906GOI001713 IRDAI Regn. No. - 58
Issuing Office
National Mediclaim Poli... | The UIN assigned to this policy is NICHLIP25036V082425. | 1 | NMP Policy Wordings.pdf | positive |
9 | 2 | What is the UIN assigned to this policy? | 71 | For Insured Persons with Basic Sum Insured of ₹ 6 lacs and above, in the event of available Sum Insured being exhausted anytime
during the Policy Period on account of Hospitalisation claim(s), the Company shall reinstate the Basic Sum Insured (i.e., excluding
any CB) to be utilized in any subsequent Hospitalisation(s... | 0 | NMP Policy Wordings.pdf | same_source | |
10 | 2 | What is the UIN assigned to this policy? | 7834 | The entire amount of the claim is payable, if it is within the Sum Insured and is related with the
Hospitalization as per Policy condi tions and is supported by proper documents, except the expenses which
are excluded. If the Policy is subject to Loading, then there would be a deduction towards copay.
13. What is... | 0 | NIA_FAQs.pdf | bm25 | |
11 | 2 | What is the UIN assigned to this policy? | 13903 | UIN: UIIHLIP26047V072526
Zone B
Sum
Insured 0-17 18-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 71-75 75+
9,75,000 4,203 7,092 7,880 9,456 11,492 16,417 19,644 23,572 33,847 44,741 50,881 57,446 66,268
10,00,000 4,252 7,175 7,972 9,567 11,626 16,609 19,873 23,847 34,242 45... | 0 | 20250708 - Prospectus - IHIP.pdf | dense | |
12 | 3 | What is the IRDAI Regn. No. of this insurance company? | 0 | National Insurance Co. Ltd.
Regd. & Head Office: Premises No. 18-0374, Plot no.
CBD-81, New Town, Kolkata - 700156 Page 1 of 19 National Mediclaim Policy
UIN: NICHLIP25036V082425
National Insurance Company Limited
CIN - U10200WB1906GOI001713 IRDAI Regn. No. - 58
Issuing Office
National Mediclaim Poli... | The IRDAI Regn. No. of this insurance company is - 58. | 1 | NMP Policy Wordings.pdf | positive |
13 | 3 | What is the IRDAI Regn. No. of this insurance company? | 63 | 3.9.5 Organ Donor’s Medical Expenses
The Company shall indemnify the Medical Expenses incurred in respect of an organ donor’s Hospitalisation during the Policy
Period for harvesting of the organ donated to an Insured Person, provided that:
i. The organ donation confirms to the Transplantation of Human Organs Act 1... | 0 | NMP Policy Wordings.pdf | same_source | |
14 | 3 | What is the IRDAI Regn. No. of this insurance company? | 19853 | of
Insurance
Ombudsman
are
available
on
IRDAI
website:
https://irdai.gov.in/
and
on
the
website
of
Council
for
Insurance
Ombudsman:
https://www.cioins.co.in/
Helpline
Number:
1800
345
0330
Insurance
is
the
subject
matter
of
solicitation.
Please
preserv... | 0 | Private Car-package policy-Base Product-Terms and Conditions.pdf | bm25 | |
15 | 3 | What is the IRDAI Regn. No. of this insurance company? | 13869 | IRDAI (Protection of Policyholders’ Interest) Regulations, 20 24 as amended from time to time.
-------------------------- o--------------------------
Insurance is the subject matter of Solicitation.
United India Insurance Company Limited
Corporate Identity Number: U93090TN1938GOI000108
Registered Office: 24 Whi... | 0 | 20250708 - Prospectus - IHIP.pdf | dense | |
16 | 4 | What is the name of the proposer designated in the schedule of the policy? | 0 | National Insurance Co. Ltd.
Regd. & Head Office: Premises No. 18-0374, Plot no.
CBD-81, New Town, Kolkata - 700156 Page 1 of 19 National Mediclaim Policy
UIN: NICHLIP25036V082425
National Insurance Company Limited
CIN - U10200WB1906GOI001713 IRDAI Regn. No. - 58
Issuing Office
National Mediclaim Poli... | The provided text does not contain the name of the proposer designated in the schedule of the policy. | 1 | NMP Policy Wordings.pdf | positive |
17 | 4 | What is the name of the proposer designated in the schedule of the policy? | 58 | Provider Network (PPN) for a listed procedure as per eligible package.
3.9 Terms specific to Day Care Procedure, AYUSH, HIV/ AIDS Cover, Mental Illness Cover, Organ Donor’s Medical
Expenses, Ambulance Charges, Morbid Obesity Treatment and Correction of Refractive Error
In addition to the applicable Sub Limits (me... | 0 | NMP Policy Wordings.pdf | same_source | |
18 | 4 | What is the name of the proposer designated in the schedule of the policy? | 12956 | Sl.No. Name of the
Proposer Nominee’s
Name Date of Birth
of Nominee Relationship
to the
Proposer Signature of the
Proposer Signature of
Witness
Name and address of the witness Acknowledgement by New India Assurance Co. Ltd.
In case of Minor N... | 0 | GOOD HEALTH POLICY CLAUSE.pdf | bm25 | |
19 | 4 | What is the name of the proposer designated in the schedule of the policy? | 1644 | ‘Company ’) to the Proposer mentioned in the Schedule (hereinafter called the ‘ Insured ’) to cover the person(s)
named in the Schedule (hereinafter called the ‘ Insured Persons ’). The Policy is based on the statements and
declaration provided in the Proposal Form by the Proposer and is subject to receipt of the ful... | 0 | 20240311_Policy_Wordings_STUMP.pdf | dense | |
20 | 5 | Who is the applicant in this insurance policy? | 1 | applicable), which shall be the basis of this Contract and is deemed to be incorporated herein, has applied to National Insurance
Company Ltd. (hereinafter called the Company), for the insurance hereinafter set forth, in respect of person(s) named in the
Schedule hereto (hereinafter called the Insured Persons) and ha... | The provided text does not contain this information. | 1 | NMP Policy Wordings.pdf | positive |
21 | 5 | Who is the applicant in this insurance policy? | 36 | to the date of commencement of the policy.
2.40 Pre-hospitalisation Medical Expenses means Medical Expenses incurred during predefined number of days preceding the
Hospitalisation of the Insured Person, provided that:
i. Such Medical Expenses are incurred for the same condition for which the Insured Person’s Hosp... | 0 | NMP Policy Wordings.pdf | same_source | |
22 | 5 | Who is the applicant in this insurance policy? | 4587 | all the requirements of this section applicable to him,
the 2[Authority] may register the applicant as an insurer and grant him a certificate of registration.
4[(2AA) The Authority shall give preference to register the applicant and grant him a certificate of
registration if such applicant agrees, in the form and... | 0 | a1938-04.pdf | bm25 | |
23 | 5 | Who is the applicant in this insurance policy? | 6112 | 18. Insured Person
i. Only those persons named as an
Insured Person in the Schedule shall
be covered under this Policy.
ii. Any person may be added during
the Policy Period after his application
has been accepted by Us, additional
premium has been paid and We have
issued an endorsement confirming
the additi... | 0 | policy-wordings-medicare-final.pdf | dense | |
24 | 6 | What type of insurance is being applied for by the applicant? | 1 | applicable), which shall be the basis of this Contract and is deemed to be incorporated herein, has applied to National Insurance
Company Ltd. (hereinafter called the Company), for the insurance hereinafter set forth, in respect of person(s) named in the
Schedule hereto (hereinafter called the Insured Persons) and ha... | The provided text does not contain this information. | 1 | NMP Policy Wordings.pdf | positive |
25 | 6 | What type of insurance is being applied for by the applicant? | 189 | Road, JP Nagar, Ist Phase, Bengaluru –
560 078.
Tel.: 080 - 26652048 / 26652049
Email: bimalokpal.bengaluru@cioins.co.in
Madhya Pradesh,
Chhattisgarh Office of the Insurance Ombudsman,
1st floor,"Jeevan Shikha", 60-B,
Hoshangabad Road, Opp. Gayatri Mandir,
Bhopal – 462 011.
Tel.: 0755 - 2769201 / 2769202
Ema... | 0 | NMP Policy Wordings.pdf | same_source | |
26 | 6 | What type of insurance is being applied for by the applicant? | 14593 | restricted to the difference of depreciation percentage applied under “Own Damage” section and as
mentioned above basis the unused tread depth.
A claim for only tyre and/ or rim will not affect Your No Claim Bonus eligibility at the time of renewal
with Us provided there is no other claim for damage to the... | 0 | policy-wording-v01.pdf | bm25 | |
27 | 6 | What type of insurance is being applied for by the applicant? | 4587 | all the requirements of this section applicable to him,
the 2[Authority] may register the applicant as an insurer and grant him a certificate of registration.
4[(2AA) The Authority shall give preference to register the applicant and grant him a certificate of
registration if such applicant agrees, in the form and... | 0 | a1938-04.pdf | dense | |
28 | 7 | Who are the Insured Persons in this insurance policy? | 1 | applicable), which shall be the basis of this Contract and is deemed to be incorporated herein, has applied to National Insurance
Company Ltd. (hereinafter called the Company), for the insurance hereinafter set forth, in respect of person(s) named in the
Schedule hereto (hereinafter called the Insured Persons) and ha... | The provided text does not contain this information. | 1 | NMP Policy Wordings.pdf | positive |
29 | 7 | Who are the Insured Persons in this insurance policy? | 27 | 2.26 ICU (Intensive Care Unit) Charges means the amount charged by a Hospital towards ICU expenses which shall include the
expenses for ICU bed, general medical support services provided to any ICU patient including monitoring devices, critical
care nursing and intensivist charges.
2.27 I D card means the card i... | 0 | NMP Policy Wordings.pdf | same_source | |
30 | 7 | Who are the Insured Persons in this insurance policy? | 2919 | NEW INDIA MEDICLAIM POLICY is a Policy designed to cover Hospitalisation expenses and/or
services incurred in India.
1. WHO CAN TAKE THIS POLICY?
All the persons proposed for this Insurance should be between the age of 18 years and 65 years.
Children between the age of 3 months and 18 years can be covered unde... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
31 | 7 | Who are the Insured Persons in this insurance policy? | 17176 | with the Policy Terms & Conditions.
2.2.13. Insured Person (Insured) means a self, legally married spouse, dependent children,
dependent parents or any other relationship having an insurable interest and whose name
specifically appears under Insured in the Policy Sch edule and with respect to whom the
prem... | 0 | CHIHLIP22223V012122.pdf | dense | |
32 | 8 | Which company is the applicant applying to for this insurance? | 1 | applicable), which shall be the basis of this Contract and is deemed to be incorporated herein, has applied to National Insurance
Company Ltd. (hereinafter called the Company), for the insurance hereinafter set forth, in respect of person(s) named in the
Schedule hereto (hereinafter called the Insured Persons) and ha... | The applicant is applying to National Insurance Company Ltd. for this insurance. | 1 | NMP Policy Wordings.pdf | positive |
33 | 8 | Which company is the applicant applying to for this insurance? | 174 | Treatment of Morbid Obesity and Refractive Error of at least 7.5D, subject to Waiting Periods
Reinstatement of Basic SI – Once in a Policy Period, available to Policy with Basic SI ₹ 6L and
above
Others
Pre Existing Disease Only PEDs declared in the Proposal Form and accepted for coverage by the Company shall be ... | 0 | NMP Policy Wordings.pdf | same_source | |
34 | 8 | Which company is the applicant applying to for this insurance? | 4587 | all the requirements of this section applicable to him,
the 2[Authority] may register the applicant as an insurer and grant him a certificate of registration.
4[(2AA) The Authority shall give preference to register the applicant and grant him a certificate of
registration if such applicant agrees, in the form and... | 0 | a1938-04.pdf | bm25 | |
35 | 8 | Which company is the applicant applying to for this insurance? | 14089 | Health Total | Policy Wordings
UIN: GCIHLIP25037V062425
application has been accepted by Us, an additional premium has been received a... | 0 | health-total-policy-wording.pdf | dense | |
36 | 9 | How much premium has been paid by the applicant for this insurance? | 1 | applicable), which shall be the basis of this Contract and is deemed to be incorporated herein, has applied to National Insurance
Company Ltd. (hereinafter called the Company), for the insurance hereinafter set forth, in respect of person(s) named in the
Schedule hereto (hereinafter called the Insured Persons) and ha... | The provided text does not contain this information. | 1 | NMP Policy Wordings.pdf | positive |
37 | 9 | How much premium has been paid by the applicant for this insurance? | 190 | Fax: 0674 - 2596429
Email:
bimalokpal.bhubaneswar@cioins.co.in
Punjab, Haryana
(excluding Gurugram,
Faridabad, Sonepat and
Bahadurgarh), Himachal
Pradesh, Union
Territories of Jammu &
Kashmir, Ladakh &
Chandigarh Office of the Insurance Ombudsman,
S.C.O. No. 101, 102 & 103, 2nd Floor,
Batra Building, Secto... | 0 | NMP Policy Wordings.pdf | same_source | |
38 | 9 | How much premium has been paid by the applicant for this insurance? | 3025 | ii. where the risk has already commenced and the option of return of the policy is exercised
by the insured person, a deduction towards the proportionate risk premium for period
of cover or
iii. Where only a part of the insurance coverage has commenced, such proportionate
premium commensurate with the insura... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
39 | 9 | How much premium has been paid by the applicant for this insurance? | 6323 | by Us, additional premium has been paid and We have issued an endorsement confirming the
addition of such person as an Insured Person.
b. We may apply a risk loading on the premium payable (based upon the declarations made in the
proposal form and the health status, occupational profile of the persons proposed fo... | 0 | COMPLETE HEALTHCARE INSURANCE_2013-2014.pdf | dense | |
40 | 10 | What is the purpose of the insurance policy? | 2 | 1 PREAMBLE
The Company undertakes that if during the Policy Period stated in the Schedule, any Insured Person(s) shall suffer any illness or
disease (hereinafter called Illness) or sustain any bodily injury due to an Accident (hereinafter called Injury), requiring
Hospitalisation of such Insured Person(s), for In-P... | The purpose of the insurance policy is to provide coverage for any Insured Person(s) who suffers an Illness or sustains an Injury during the Policy Period, requiring Hospitalization for In-Patient Care at any hospital/nursing home. | 1 | NMP Policy Wordings.pdf | positive |
41 | 10 | What is the purpose of the insurance policy? | 140 | such change shall be effective only when an endorsement on the policy is made. In the event of death of the policyholder, the
Company will pay the nominee {as named in the Policy Schedule/Policy Certificate/Endorsement (if any)} and in case there is no
subsisting nominee, to the legal heirs or legal representatives o... | 0 | NMP Policy Wordings.pdf | same_source | |
42 | 10 | What is the purpose of the insurance policy? | 7804 | insurer.
12. HOW IS THE ENDORSEMENT PREMIUM COLLECTED?
Addit ional premium can be deposited by Bank Draft or NEFT.
13. HOW AND BY WHOM IS NCB CERTIFICATE ISSUED?
NCB certificate is issued by the previous insurer or insurance compan... | 0 | NIA_FAQs.pdf | bm25 | |
43 | 10 | What is the purpose of the insurance policy? | 11975 | provide.
Your policy comprises:
• The preamble [the current part] which introduces the policy document, describes
the structure of the document and sets the general rules;
• The policy wording which lists and details the available coverage, benefits, claims
and grievance redressal procedure, exclusions and... | 0 | group-health-insurance-policy-wordings.pdf | dense | |
44 | 11 | Who is an Insured Person under this policy? | 2 | 1 PREAMBLE
The Company undertakes that if during the Policy Period stated in the Schedule, any Insured Person(s) shall suffer any illness or
disease (hereinafter called Illness) or sustain any bodily injury due to an Accident (hereinafter called Injury), requiring
Hospitalisation of such Insured Person(s), for In-P... | The provided text does not contain information about who is an Insured Person under this policy. | 1 | NMP Policy Wordings.pdf | positive |
45 | 11 | Who is an Insured Person under this policy? | 23 | 2.22 Illness means a sickness or a disease or pathological condition leading to the impairment of normal physiological function
and requires medical treatment.
i. Acute Condition means 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 ... | 0 | NMP Policy Wordings.pdf | same_source | |
46 | 11 | Who is an Insured Person under this policy? | 2922 | subsequent Renewals unless the child is declared for Insurance and covered as an Insured Person.
Note: This coverage is available for a New Born Baby born during the Policy Period to a female
Insured Person, who has twenty -four months of Continuous Coverage with Us.
2. CAN I COVER MY FAMILY MEMBERS IN... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
47 | 11 | Who is an Insured Person under this policy? | 14088 | parents, Your Dependent Siblings, Your daughter in law, Your son in law, Your parents in
law, Your grandparents and Your grandchildren.
Only those persons named as Insured Persons in the Schedule shall be covered under this
Policy. A person may be added as an Insured Person during the Policy Period after his/her | 0 | health-total-policy-wording.pdf | dense | |
48 | 12 | What is required for an Insured Person to receive coverage under this policy? | 2 | 1 PREAMBLE
The Company undertakes that if during the Policy Period stated in the Schedule, any Insured Person(s) shall suffer any illness or
disease (hereinafter called Illness) or sustain any bodily injury due to an Accident (hereinafter called Injury), requiring
Hospitalisation of such Insured Person(s), for In-P... | An Insured Person must suffer an Illness or sustain an Injury that requires Hospitalization for In-Patient Care at any hospital/nursing home for coverage under this policy. | 1 | NMP Policy Wordings.pdf | positive |
49 | 12 | What is required for an Insured Person to receive coverage under this policy? | 152 | Note
In the event of a claim lodged under the Policy and the original documents having been submitted to any other insurer, the Company
shall accept the copy of the documents listed under condition 6.17.4 and claim settlement advice, duly certified by the other insurer
subject to satisfaction of the Company.
6.17... | 0 | NMP Policy Wordings.pdf | same_source | |
50 | 12 | What is required for an Insured Person to receive coverage under this policy? | 2922 | subsequent Renewals unless the child is declared for Insurance and covered as an Insured Person.
Note: This coverage is available for a New Born Baby born during the Policy Period to a female
Insured Person, who has twenty -four months of Continuous Coverage with Us.
2. CAN I COVER MY FAMILY MEMBERS IN... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
51 | 12 | What is required for an Insured Person to receive coverage under this policy? | 1014 | We receive and accept it, We will provide the insurance described in the Policy.
Insurance under this Policy is given subject to the Endorsements if any, exclusions, terms and conditio ns
shown below and failure in compliance may result in the claim being denied.
B.2 Persons who can be insured
This Policy is ava... | 0 | group-health-policy-wording.pdf | dense | |
52 | 13 | What is the maximum amount of coverage provided by this policy? | 2 | 1 PREAMBLE
The Company undertakes that if during the Policy Period stated in the Schedule, any Insured Person(s) shall suffer any illness or
disease (hereinafter called Illness) or sustain any bodily injury due to an Accident (hereinafter called Injury), requiring
Hospitalisation of such Insured Person(s), for In-P... | The provided text does not contain information about the maximum amount of coverage provided by this policy. | 1 | NMP Policy Wordings.pdf | positive |
53 | 13 | What is the maximum amount of coverage provided by this policy? | 109 | 5.32. Home visit charges
Home visit charges during Pre and Post Hospitalisation of doctor, aya, attendant and nurse.
5.33. War
War (whether declared or not) and war like occurrence or invasion, acts of foreign enemies, hostilities, civil war, rebellion,
revolutions, insurrections, mutiny, military or usurped powe... | 0 | NMP Policy Wordings.pdf | same_source | |
54 | 13 | What is the maximum amount of coverage provided by this policy? | 7834 | The entire amount of the claim is payable, if it is within the Sum Insured and is related with the
Hospitalization as per Policy condi tions and is supported by proper documents, except the expenses which
are excluded. If the Policy is subject to Loading, then there would be a deduction towards copay.
13. What is... | 0 | NIA_FAQs.pdf | bm25 | |
55 | 13 | What is the maximum amount of coverage provided by this policy? | 7933 | policy with us is still in force at the time of the incident resulting in a claim.
You may travel as many times as you wish during the period of coverage provided that no one trip exceeds the maximum number of
days as specified and contracted for at the time of application and shown on your policy schedule/ certifica... | 0 | TravelAssure-Policy-Wording.pdf | dense | |
56 | 14 | What is the duration of the policy period? | 2 | 1 PREAMBLE
The Company undertakes that if during the Policy Period stated in the Schedule, any Insured Person(s) shall suffer any illness or
disease (hereinafter called Illness) or sustain any bodily injury due to an Accident (hereinafter called Injury), requiring
Hospitalisation of such Insured Person(s), for In-P... | The provided text does not contain information about the duration of the policy period. | 1 | NMP Policy Wordings.pdf | positive |
57 | 14 | What is the duration of the policy period? | 9 | a. Central or State Government AYUSH Hospital or
b. Teaching hospital attached to AYUSH College recognized by the Central Government/ Central Council of Indian
Medicine/ Central Council for Homeopathy; or
c. AYUSH Hospital, standalone or co-located with in-patient healthcare facility of any recognized system of medi... | 0 | NMP Policy Wordings.pdf | same_source | |
58 | 14 | What is the duration of the policy period? | 2936 | lakhs and 7 lakhs are not available for a fresh Policy and is only available in case of renewal with
same Sum insured.
15. WHAT IS THE POLICY TERM/PERIOD OF INSURANCE OR THE POLICY PERIOD?
The Policy Period or the Period of Insurance is one year as stated in the Policy Schedule. However,
the Policy Te... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
59 | 14 | What is the duration of the policy period? | 15461 | 2.64 Policy Period is the period between the inception date and the expiry date of the Policy as specified in the Policy Schedule or the
date of cancellation of this Policy, whichever is earlier.
2.65 Policy Year means the period of one year commencing on the date of commencement specified in the Policy Schedule or a... | 0 | Health-Premia-Policy-Wording.pdf | dense | |
60 | 15 | What is the coverage mentioned in the policy? | 3 | Day Care Treatment at any Day Care Center, following the Medical Advice of a duly qualified Medical Practitioner, the Company
shall indemnify the Hospital or the Insured, Reasonable and Customary Charges incurred for Medically Necessary Treatment
towards the Coverage mentioned herein.
Provided further that, the am... | The coverage mentioned in the policy is for Medically Necessary Treatment at any Day Care Center, following the Medical Advice of a duly qualified Medical Practitioner. | 1 | NMP Policy Wordings.pdf | positive |
61 | 15 | What is the coverage mentioned in the policy? | 8 | are to be carried out;
iii. Maintaining daily records of the patients and making them accessible to the insurance company’s authorized
representative.
2.6 AYUSH Hospital is a healthcare facility wherein medical/surgical/para-surgical treatment procedures and interventions are
carried out by AYUSH Medical Practiti... | 0 | NMP Policy Wordings.pdf | same_source | |
62 | 15 | What is the coverage mentioned in the policy? | 7804 | insurer.
12. HOW IS THE ENDORSEMENT PREMIUM COLLECTED?
Addit ional premium can be deposited by Bank Draft or NEFT.
13. HOW AND BY WHOM IS NCB CERTIFICATE ISSUED?
NCB certificate is issued by the previous insurer or insurance compan... | 0 | NIA_FAQs.pdf | bm25 | |
63 | 15 | What is the coverage mentioned in the policy? | 11975 | provide.
Your policy comprises:
• The preamble [the current part] which introduces the policy document, describes
the structure of the document and sets the general rules;
• The policy wording which lists and details the available coverage, benefits, claims
and grievance redressal procedure, exclusions and... | 0 | group-health-insurance-policy-wordings.pdf | dense | |
64 | 16 | What is the policy period? | 3 | Day Care Treatment at any Day Care Center, following the Medical Advice of a duly qualified Medical Practitioner, the Company
shall indemnify the Hospital or the Insured, Reasonable and Customary Charges incurred for Medically Necessary Treatment
towards the Coverage mentioned herein.
Provided further that, the am... | The policy period is not specified in the provided context. | 1 | NMP Policy Wordings.pdf | positive |
65 | 16 | What is the policy period? | 24 | ii. Chronic Condition means a disease, illness, or injury that has one or more of the following characteristics
a) it needs ongoing or long-term monitoring through consultations, examinations, check-ups, and / or tests
b) it needs ongoing or long-term control or relief of symptoms
c) it requires rehabilitation for t... | 0 | NMP Policy Wordings.pdf | same_source | |
66 | 16 | What is the policy period? | 2936 | lakhs and 7 lakhs are not available for a fresh Policy and is only available in case of renewal with
same Sum insured.
15. WHAT IS THE POLICY TERM/PERIOD OF INSURANCE OR THE POLICY PERIOD?
The Policy Period or the Period of Insurance is one year as stated in the Policy Schedule. However,
the Policy Te... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
67 | 16 | What is the policy period? | 6009 | the actual time of birth.
39. Policy
Policy means the contract of insurance
including but not limited to Policy Schedule,
Endorsements, Policy Wordings and Riders.
40. Policy Period
Policy Period means the time during
which this Policy is in effect. Such period
commences from Commencement Date
and ends on the Ex... | 0 | policy-wordings-medicare-final.pdf | dense | |
68 | 17 | What is the requirement for medical advice in order to receive coverage for treatment? | 3 | Day Care Treatment at any Day Care Center, following the Medical Advice of a duly qualified Medical Practitioner, the Company
shall indemnify the Hospital or the Insured, Reasonable and Customary Charges incurred for Medically Necessary Treatment
towards the Coverage mentioned herein.
Provided further that, the am... | The requirement for medical advice in order to receive coverage for treatment is that the medical advice must be provided by a duly qualified medical practitioner. | 1 | NMP Policy Wordings.pdf | positive |
69 | 17 | What is the requirement for medical advice in order to receive coverage for treatment? | 56 | stem cells for bone marrow transplant
for haematological conditions to be
covered. Limit is for complete treatment,
including Pre & Post Hospitalization
3.6 Expenses related to treatment necessitated due to participation as a non-
professional in hazardous or adventure sports , inclusive of above sub
limits (i.... | 0 | NMP Policy Wordings.pdf | same_source | |
70 | 17 | What is the requirement for medical advice in order to receive coverage for treatment? | 2970 | amendment from time to time.
Yes, your claim will be admissible but 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.
35. CAN I CHANGE HOSPITALS DURING THE COURSE OF MY TREATMENT?
Yes, it is possible t... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
71 | 17 | What is the requirement for medical advice in order to receive coverage for treatment? | 16100 | in the same household as the Insured Person.
3.44 Medically Necessary Treatment - means any treatment, tests, medication, or stay in Hospital or part
of a stay in Hospital which:
I. is required for the medical management of the Illness or Injury suffered by the Insured;
II. must not exceed the level of care ne... | 0 | RQBHLGP21566V012021_2020-2021.pdf | dense | |
72 | 18 | Who is indemnified under the policy? | 3 | Day Care Treatment at any Day Care Center, following the Medical Advice of a duly qualified Medical Practitioner, the Company
shall indemnify the Hospital or the Insured, Reasonable and Customary Charges incurred for Medically Necessary Treatment
towards the Coverage mentioned herein.
Provided further that, the am... | The provided text does not contain information about who is indemnified under the policy. | 1 | NMP Policy Wordings.pdf | positive |
73 | 18 | Who is indemnified under the policy? | 60 | Unani, Siddha and Homeopathy systems of medicines during each Policy Period up to the limit of Sum Insured as specified in the
Policy Schedule in any AYUSH Hospital.
3.9.3 HIV/ AIDS Cover
The Company shall indemnify the Medical Expenses (including Pre and Post Hospitalisation Expenses) related to following stage... | 0 | NMP Policy Wordings.pdf | same_source | |
74 | 18 | Who is indemnified under the policy? | 7804 | insurer.
12. HOW IS THE ENDORSEMENT PREMIUM COLLECTED?
Addit ional premium can be deposited by Bank Draft or NEFT.
13. HOW AND BY WHOM IS NCB CERTIFICATE ISSUED?
NCB certificate is issued by the previous insurer or insurance compan... | 0 | NIA_FAQs.pdf | bm25 | |
75 | 18 | Who is indemnified under the policy? | 8449 | representatives who obtain representation to the estate of the Policyholder or to
such person or persons as directed by a court of competent jurisdiction in India,
limited at all times to the monies payable under this Policy. We hereby agree to pay
the appropriate benefits under the Policy subject to: a) Our satisfa... | 0 | ICICI_Pru_iProtect_Smart_Life_Option_Oct_4_2018_to_till_date-105N151V04.pdf | dense | |
76 | 19 | What are the reasonable and customary charges for medically necessary treatment? | 3 | Day Care Treatment at any Day Care Center, following the Medical Advice of a duly qualified Medical Practitioner, the Company
shall indemnify the Hospital or the Insured, Reasonable and Customary Charges incurred for Medically Necessary Treatment
towards the Coverage mentioned herein.
Provided further that, the am... | The provided text does not contain this information. | 1 | NMP Policy Wordings.pdf | positive |
77 | 19 | What are the reasonable and customary charges for medically necessary treatment? | 130 | 6.9 Renewal of Policy
i. The Policy shall be renewable provided the product is not withdrawn, except in case of established fraud or non-disclosure or
misrepresentation by the Insured. If the product is withdrawn, the policyholder shall be provided with suitable options to migrate
to other similar health insurance ... | 0 | NMP Policy Wordings.pdf | same_source | |
78 | 19 | What are the reasonable and customary charges for medically necessary treatment? | 12167 | be available only for illness [as per definition IRDAI ] during the policy period. The Company
will pay reasonable and customary charges that are medically necessary and incurred by you
in respect of an admissible claims as per the policy terms and conditions.
Group Health Insurance Policy | 0 | group-health-insurance-policy-wordings.pdf | bm25 | |
79 | 19 | What are the reasonable and customary charges for medically necessary treatment? | 17201 | (iii) The Medical Expenses are Reasonable and Customary Charges which are necessarily
incurred.
(iv) Any Pre Hospitalization Medical Expenses and Post Hospitalization Medical Expenses shall be payable under this Benefit.
(v) Any Medical Expenses incurred for the treatment in relation to any of the following
disea... | 0 | CHIHLIP22223V012122.pdf | dense | |
80 | 20 | What is the coverage limit for the policy? | 4 | to the coverage, terms, exclusions, conditions, definitions and sub limits contained herein as well as shown in the Table of Benefits,
and shall not exceed the Sum Insured (i.e., Basic Sum Insured and Cumulative Bonus) and Reinstated Basic Sum Insured (if
applicable as per terms) of the Insured Person.
2 DEFINITIO... | The provided text does not contain information about the coverage limit for the policy. | 1 | NMP Policy Wordings.pdf | positive |
81 | 20 | What is the coverage limit for the policy? | 155 | 6.17.6 Services Offered by TPA
Servicing of claims, i.e., claim admissions and assessments, under this Policy by way of pre-authorization of cashless treatment or
processing of claims other than cashless claims or both, as per the underlying terms and conditions of the Policy.
The services offered by a TPA shall no... | 0 | NMP Policy Wordings.pdf | same_source | |
82 | 20 | What is the coverage limit for the policy? | 3012 | months of Continuous Coverage.
Congenital External Disease or Defects or anomalies shall be covered after thirty -six months
of Continuous Coverage, but such cover for Co ngenital External Disease or Defects or
anomalies shall be limited to 10% of the average Sum Insured in the preceding four years.
40. WHAT ARE... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
83 | 20 | What is the coverage limit for the policy? | 13473 | This Cover does NOT carry forward if it is not claimed and shall not be provided if the Policy is not
Renewed further. The below mentioned limits are applicable for each Insured Person in case of
Individual Policy and cumulatively for all Insured Persons in case of Family Floater Policy.
Limits:
Type/
Plan B... | 0 | chi-policy-wordings.pdf | dense | |
84 | 21 | What is the definition of "Accident" according to the policy? | 4 | to the coverage, terms, exclusions, conditions, definitions and sub limits contained herein as well as shown in the Table of Benefits,
and shall not exceed the Sum Insured (i.e., Basic Sum Insured and Cumulative Bonus) and Reinstated Basic Sum Insured (if
applicable as per terms) of the Insured Person.
2 DEFINITIO... | The provided text defines "Accident" as a sudden, unforeseen and involuntary event caused by external, visible and violent means. | 1 | NMP Policy Wordings.pdf | positive |
85 | 21 | What is the definition of "Accident" according to the policy? | 7 | for carrying out treatment procedures and medical or surgical / para-surgical interventions or both under the supervision of
registered AYUSH Medical Practitioner(s) on day care basis without in-patient services and must comply with all the following
criterion:
i. Having qualified registered AYUSH Medical Practitio... | 0 | NMP Policy Wordings.pdf | same_source | |
86 | 21 | What is the definition of "Accident" according to the policy? | 14786 | Permanent Disablement actually suffered, attracts the largest percentage stated in
the Table of Benefits below.
What We Will Pay We will p ay to Your nominee or to the person We are required to pay to under the
law if there is no such nominee, the compensation according to the scale stated in
the Table of Benefit... | 0 | PolicyWording3p.pdf | bm25 | |
87 | 21 | What is the definition of "Accident" according to the policy? | 9089 | POLICY WORDINGBundled Private Car Insurance Policy
1. DEFINITIONS
1. Accident means sudden, unforeseen, and involuntary event
caused by external, visible, and violent means.
2. Act means the Insurance Act, 1938 (4 of 1938).
3. Authority means the Insurance Regulatory and Development
Authority of India established u... | 0 | 1c3fe3419c5744c6900fc0af2563525d.pdf | dense | |
88 | 22 | What are the terms, exclusions, conditions, and definitions contained in the policy? | 4 | to the coverage, terms, exclusions, conditions, definitions and sub limits contained herein as well as shown in the Table of Benefits,
and shall not exceed the Sum Insured (i.e., Basic Sum Insured and Cumulative Bonus) and Reinstated Basic Sum Insured (if
applicable as per terms) of the Insured Person.
2 DEFINITIO... | The provided text does not contain the terms, exclusions, conditions, and definitions contained in the policy. | 1 | NMP Policy Wordings.pdf | positive |
89 | 22 | What are the terms, exclusions, conditions, and definitions contained in the policy? | 144 | all relevant information relating to claim including plan of treatment, policy number etc. within the prescribed time limit.
National Insurance Co. Ltd.
Regd. & Head Office: Premises No. 18-0374, Plot no.
CBD-81, New Town, Kolkata - 700156 Page 14 of 19 National Mediclaim Policy
UIN: NICHLIP25036V082425
Claim I... | 0 | NMP Policy Wordings.pdf | same_source | |
90 | 22 | What are the terms, exclusions, conditions, and definitions contained in the policy? | 17084 | Subject otherwise to terms, exclusions, conditions, and endorsements of the Policy.
34. 2X Sum insured : UIN: IRDAN134RP0004V03200708/A0004V02202526
Whereas the insured 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... | 0 | motor-private-car-addon.pdf | bm25 | |
91 | 22 | What are the terms, exclusions, conditions, and definitions contained in the policy? | 2604 | validity, construct, limitations and/or exclusions contained in the Policy shall be determined
by the Indian court and according to Indian law.
j. Terms and conditions of the Policy
The terms and conditions contained herein and in the Policy Schedule shall be deemed to
form part of the Policy and shall be read t... | 0 | 90b24a0504e444c1bfc44098112be61d.pdf | dense | |
92 | 23 | What is the maximum amount the policy will cover? | 4 | to the coverage, terms, exclusions, conditions, definitions and sub limits contained herein as well as shown in the Table of Benefits,
and shall not exceed the Sum Insured (i.e., Basic Sum Insured and Cumulative Bonus) and Reinstated Basic Sum Insured (if
applicable as per terms) of the Insured Person.
2 DEFINITIO... | The maximum amount the policy will cover is the Sum Insured (i.e., Basic Sum Insured and Cumulative Bonus) and Reinstated Basic Sum Insured (if applicable as per terms) of the Insured Person. | 1 | NMP Policy Wordings.pdf | positive |
93 | 23 | What is the maximum amount the policy will cover? | 51 | during a surgical procedure.
v. Ambulance Charges, as per Section 3.9.6 Maximum amount admissible under Other
Expenses for Any One Illness shall be 50%
of Sum Insured (i.e., Basic Sum Insured
and Cumulative Bonus) as mentioned in
the Schedule.
3.4 Expenses for the following procedures inclusive of above sub limit... | 0 | NMP Policy Wordings.pdf | same_source | |
94 | 23 | What is the maximum amount the policy will cover? | 7887 | 10. What is Owner /Driver PA Cover?
As per the recent amendment, Personal Accident cover for Rs.Fifteen Lacs is compulsory on payment of
premium as per Tariff Guideline if the Driver owns the Insured Vehicle .
11. What does Motor Package Policy Cover?
This type of policy covers all the risks covered under Motor ... | 0 | NIA_FAQs.pdf | bm25 | |
95 | 23 | What is the maximum amount the policy will cover? | 6643 | Period,
b. Our maximum liabilit y under this Endor sement will be limit ed
to - 1% of sum insur ed up to a maximum of `2500 Per Policy
Period.
All other terms and conditions under the policy remain unalt ered.
3. Mat ernit y Benef it Ext ension with waiting period of 9 months:
It is her eby declar ed and agr eed t... | 0 | 947e0e11c7a34c2ea1fac50af90ef60f.pdf | dense | |
96 | 24 | What is the sum insured? | 4 | to the coverage, terms, exclusions, conditions, definitions and sub limits contained herein as well as shown in the Table of Benefits,
and shall not exceed the Sum Insured (i.e., Basic Sum Insured and Cumulative Bonus) and Reinstated Basic Sum Insured (if
applicable as per terms) of the Insured Person.
2 DEFINITIO... | The provided text does not contain the information about the sum insured. | 1 | NMP Policy Wordings.pdf | positive |
97 | 24 | What is the sum insured? | 184 | 27 ADMISSION KIT
28 DIABETIC CHART CHARGES
29 DOCUMENTATION CHARGES / ADMINISTRATIVE EXPENSES
30 DISCHARGE PROCEDURE CHARGES
31 DAILY CHART CHARGES
32 ENTRANCE PASS / VISITORS PASS CHARGES
33 EXPENSES RELATED TO PRESCRIPTION ON DISCHARGE
34 FILE OPENING CHARGES
35 INCIDENTAL EXPENSES / MISC. CHARGES (NOT EXPLAI... | 0 | NMP Policy Wordings.pdf | same_source | |
98 | 24 | What is the sum insured? | 3015 | the premium payable for the Insured Person.
41. WHAT WILL HAPPEN WHEN MY SUM INSURED IS EXHAUSTED DURING POLICYPERIOD?
If during the Policy period the Sum Insured is exhausted for any Insured, then the Sum Insured
shall be reinstated back to the original Sum Insured chosen by the Insured, provided our liab... | 0 | Prospectus New India Mediclaim Policy.pdf | bm25 | |
99 | 24 | What is the sum insured? | 1057 | C.2.9 SUM INSURED
Sum Insured means the sum shown in the Schedule of Insurance Certificate which represents Our
maximum total and cumulative liability for any and all claims under the Policy during the Policy Year.
D BENE FITS COVERED UNDER THE POLICY
The Policy covers Reasonable and Customary Charges incurr... | 0 | group-health-policy-wording.pdf | dense |
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