Paranjape Schemes (Construction) Limited
& Group Companies
HR Dept.
Hinjawadi
URGENT & IMPORTANT
18th June 2024
Dear Colleagues,
Our present Group Mediclaim Policy is due for renewal w.e.f. 1st August 2024. For this purpose, please
send us details of your family members to be covered for this benefit in the following format by 21st June
2024. Only the names given in this form will be included in the Policy. The details like spellings, date of
birth etc. should be correct. No changes will be done after we take these details on record.
It is the responsibility of the employee to ensure that the details of changes like marital status, new born
babies, divorce or death of the insured person should be informed to HR dept. with documents immediately.
Employees will have an option to cover either parents or parents-in-law. As per sum insured and family size,
monthly premium will be deducted from employee’s monthly salary. If form is not submitted by 21st June
2024, only employee’s name will be considered and names of family dependents will be deleted. If the sum
insured amount is not chosen by the employee, the sum insured will be considered as Rs. 1.50 lacs only.
At present, the premium deducted per month is as under. We are trying to keep present monthly deductions
unchanged as mentioned below, but considering our claim ratio and related factors, this deduction may
increase this year.
FAMILY 1 1+1 1+2 1+3 1+4 1+5 1+6 Sum Insured
Rs.
Premium/pm 180 360 510 770 900 1200 1290 1,50,000/-
Premium/pm 250 510 750 1200 1600 2010 2330 3,00,000/-
Premium/pm 630 1600 2650 3570 4390 5210 5300 5,00,000/-
Premium/pm 910 2110 3430 4790 6360 7520 9200 7,00,000/-
Once amount of sum insured is chosen, it cannot be changed during the validity of the policy. For cashless
facility and approving / rejecting the claims, the decision of the insurance company will be final. Employees
should refer and understand the rules of insurance policy available in HR dept. for this purpose.
Sr. Full Name Relation Date of Male /
No. Birth Female
1 Self
2 Spouse
3 Child 1
4 Child 2
5 Father/Father -in-Law
6 Mother/Mother-in-Law
Employee No:
Please tick mark Sum Insured: 1,50,000 / 3,00,000 / 5,00,000/ 7,00,000
Signature of employee: ________________ Date _________ Contact No.:__________________