ICICI Pru LifeTime Premier RP - ICICI Prudential Life Insurance

Insurance Ombudsman at the address given below if the grievance pertains to • any partial or total repudiation ofclaims or • the premium paid or payable in terms of the policy • any claim related dispute on the legal constructionof the policies in so far as such dispute relate to claims or • delay in settlement of claims • non-issue of policydocument to customers after receipt of premiums iv. The complaint to the office of the Insurance Ombudsmanshould be made in writing duly signed by the complainant (Policyholder) or by his legal heirs with full details of thecomplaint and the contact information of complainant. Given below are details of the ombudsman officeconsidering address of the Policyholder mentioned in the application form. The Insurance Regulatory andDevelopment Authority’s or the Company’s website must be checked for the updated contact details.nd1. Ahmedabad: Insurance Ombudsman, Office of the Insurance Ombudsman, 2 Floor, Ambica House, Nr. C.U.Shah College, Ashram Road,AHMEDABAD-380 014. Jurisdiction: State of Gujarat, UT of Dadra & Nagar Haveli,Daman and Diu. Tel: 079-27546840, Fax: 079-27546142, E-mail: ins.omb@rediffmail.comnd2. Bhopal: Insurance Ombudsman, Office of the Insurance Ombudsman, Janak Vihar Complex, 2 floor, 6,Malviya Nagar, Opp. Airtel, Near New Market, BHOPAL (M.P)-462 023. Jurisdiction: States of Madhya Pradesh &Chhattisgarh. Tel: 0755-2569201, Fax: 0755-2769203, E-mail: bimalokpalbhopal@airtelmail.in3. Bhubneshwar: Insurance Ombudsman, Office of the Insurance Ombudsman, 62, Forest Park,BHUBANESHWAR-751 009. Jurisdiction: State of Orrisa. Tel: 0674-2596455, Fax: 0674-2596429,E-mail: ioobbsr@dataone.in.nd4. Chandigarh: Insurance Ombudsman, Office of the Insurance Ombudsman, S.C.O. No.101-103, 2 Floor,Batra Building, Sector 17-D, CHANDIGARH-160 017. Jurisdiction: State of Punjab, Haryana, Himachal Pradesh,Jammu & Kashmir, UT of Chandigarh. Tel: 0172-2706468, Fax: 0172-2708274, E-mail: ombchd@yahoo.co.in.th5. Chennai: Insurance Ombudsman, Office of the Insurance Ombudsman, Fathima Akhtar Court, 4 Floor, 453(old 312), Anna Salai, Teynampet, CHENNAI-600 018. Jurisdiction: State of Tamil Nadu, UT–Pondicherry Townand Karaikal (which are part of UT of Pondicherry) Tel: 044-24333668 /5284, Fax: 044-24333664,E-mail: insombud@md4.vsnl.net.in.6. New Delhi: Insurance Ombudsman, Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Bldg.,Asaf Ali Road, NEW DELHI-110 002. Jurisdiction: States of Delhi & Rajasthan. Tel: 011-23239633,Fax: 011-23230858, E-mail: iobdelraj@rediffmail.com.th7. Guwahati: Insurance Ombudsman, Office of the Insurance Ombudsman, “Jeevan Nivesh”, 5 Floor, NearPanbazar Overbridge, S.S. Road, GUWAHATI-781 001 (ASSAM). Jurisdiction: States of Assam, Meghalaya,Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura. Tel: 0361-2132204/5, Fax: 0361-2732937,E-mail: ombudsmanghy@rediffmail.com.st8. Hyderabad: Insurance Ombudsman, Office of the Insurance Ombudsman, 6-2-46, 1 Floor, Moin Court, A.C.Guards, Lakdi-Ka-Pool, HYDERABAD-500 004. Jurisdiction: States of Andhra Pradesh, Karnataka and UT ofYanam – a part of the UT of Pondicherry. Tel: 040-65504123, Fax: 040-23376599,E-mail: insombudhyd@gmail.com.nd9. Kochi: Insurance Ombudsman, Office of the Insurance Ombudsman, 2 Floor, CC 27/2603, Pulinat Bldg.,Opp. Cochin Shipyard, M.G. Road, ERNAKULAM-682 015. Jurisdiction: State of Kerala, UT of (a) Lakshadweep,(b) Mahe – a part of UT of Pondicherry. Tel: 0484-2358759, Fax: 0484-2359336,E-mail: iokochi@asianetindia.com.th10. Kolkata: Insurance Ombudsman, Office of the Insurance Ombudsman, 4 Floor, Hindusthan Bldg. Annexe, 4,C.R.Avenue, Kolkata – 700 072. Jurisdiction: West Bengal, Bihar, Jharkhand and UT of Andaman & Nicobar Islands,Sikkim . Tel: 033 22124346/40, Fax: 033 22124341, Email: iombsbpa@bsnl.in.th11. Lucknow: Insurance Ombudsman, Office of the Insurance Ombudsman, Jeevan Bhawan, Phase-2, 6 Floor,Nawal Kishore Road, Hazaratganj, LUCKNOW-226 001. Jurisdiction: State of Uttar Pradesh and Uttaranchal.Tel: 0522 -2231331, Fax: 0522-2231310, E-mail: insombudsman@rediffmail.com.rd12. Mumbai: Insurance Ombudsman, Office of the Insurance Ombudsman, 3 Floor, Jeevan Seva Annexe,S.V. Road, Santacruz(W), MUMBAI-400 054. Jurisdiction: States of Maharashtra, Goa. Tel: 022-26106928,Fax: 022-26106052, E-mail: ombudsmanmumbai@gmail.com.Policy Certificate, Terms and Conditions of the Policy and all the endorsements by the Company, if any,shall form integral part of this contract and shall be binding on the parties (U78: Ver5)Annexure IStandard Mortality charges per thousand life Insurance cover (For Male Life Assured)Age Basic Age Basic Age Basic Age Basiccompleted Mortality completed Mortality completed Mortality completed Mortalitybirthday Charges birthday Charges birthday Charges birthday Charges0 1.26 19 1.29 38 2.12 57 10.931 0.98 20 1.33 39 2.3 58 11.832 0.93 21 1.35 40 2.48 59 12.933 0.79 22 1.38 41 2.65 60 14.214 0.74 23 1.4 42 2.82 61 15.695 0.7 24 1.42 43 3.04 62 17.376 0.72 25 1.43 44 3.31 63 19.257 0.72 26 1.45 45 3.62 64 21.328 0.72 27 1.45 46 3.98 65 22.429 0.75 28 1.46 47 4.39 66 25.310 0.77 29 1.46 48 4.85 67 28.5111 0.85 30 1.46 49 5.35 68 32.0912 0.96 31 1.49 50 5.91 69 36.0813 1.02 32 1.53 51 6.51 70 40.5114 1.08 33 1.59 52 7.15 71 45.4415 1.13 34 1.66 53 7.85 72 50.9216 1.17 35 1.75 54 8.6 73 5717 1.22 36 1.86 55 9.39 74 63.7518 1.26 37 1.98 56 10.23 75 71.25Notes: • For female Life Assured, the Mortality charges will be those applicable to a male Life Assured two yearsyounger.Annexure II – Maximum Sum Assured MultiplesAge last birthday Maximum Sum Assured Multiples7-20 9021-25 9026-30 7031-35 5536-40 3541-45 2046-50 1051-55 10>55 10Note: The above multiples are of the yearly premiumsComm/ WK/ LTP-RP/ T&C/ 4.0