APPLICATION AND CONSENT TO BECOME A MEMBER UNDER GROUP INSURANCE POLICY FOR UJJWAL CARD HOLDERS

To,
Home Credit India Finance Private Limited.
3rd Floor, Tower C, DLF Infinity Towers,
DLF Cyber City Phase II, Gurugram, Haryana

I would like to apply for, and accordingly give consent to, voluntarily and unconditionally, membership of group insurance policy, hereinafter referred as “Group Policy” underwritten by respective insurers and proposed by Home Credit India Finance Private Limited (“Master Policyholder”) for the benefit of its customers / borrowers who have specifically opted for insurance.

I confirm that I have read and understood the terms and conditions of Group Policy as available on https://homecredit.co.in/corporate-governance and I have applied for the enrolment under Group Policy with following details only after receiving all information about the Group Policy, including but not limited to, risk cover, insurance premium and claim settlement process of insurer:

This document lays out the terms and conditions which shall be applicable to the package of value added services (named as FIN-SHIELD), mentioned herein below, that you (‘the Customer’) have applied in the Ujjwal Card Enrolment Form and provided by Home Credit India Finance Private Limited (‘HCIN’). By applying, using, availing, or opting for this package, you agree to be bound by these terms and conditions (FIN-SHIELD Terms) as mentioned herein as well as the registered General Terms and Conditions for obtaining Personal Loans & POS Loans from Home Credit India Finance Private Limited (‘GTC’), if applicable. For terms used herein, please refer GTC unless otherwise re-defined herein.

Insurance Type Life Insurance Personal Accident Insurance
Insurer Max Life India Insurance Co. Ltd. ICICI Lombard General Insurance Co. Ltd.
Product Name and UIN Max Life Group Term Life Platinum Assurance (UIN - 104N112V01) Group Personal Accident Policy (UIN - ICIPAGP03004V040203)
Sum Assured ₹1,00,000 ₹50,000
Insurance Term 1 year 1 year
Insurance Premium* ₹122 ₹20
Risk Coverage Death benefit as mentioned in Group Policy. No amount shall be payable on maturity. Personal Accident benefit as mentioned in Group Policy. No amount shall be payable on maturity.
Effective Date From the date of Ujjwal card activation From the date of Ujjwal card activation

*Rounding of premium amount upto two decimals. Goods & Service Tax and other taxes extra as applicable.

I agree that the premium under this Group Policy will be included in the monthly fee charged by Master Policyholder basis my application for the Ujjwal Card. I hereby authorize Master Policyholder to provide my personal, demographic, business, credit, financial and other information/ data that is reasonably necessary for the Insurer to provide me with insurance coverage.

I have enrolled myself under Group Policy through the Master Policyholder to secure the credit facility under Ujjwal Card availed by me. In consideration of receiving the Ujjwal Card, I hereby authorize insurers to make payment to the extent of Outstanding Amount to Master Policyholder by deducting from the claim proceeds payable on happening of the contingent event covered by the Group Policy referenced above and the remaining to the Nominee. For this purpose, I confirm that ‘Outstanding Amount’ shall mean the dues and repayments payable under Ujjwal card including but not limited to the balance amount of principal, interest, fee and penalties as mentioned in the statement of Ujjwal card submitted by Master Policyholder.

I further declare and confirm that I, or my nominee, and/ or legal heir shall not dispute the right of Master Policyholder to receive the Outstanding Loan Amount out of the proceeds of insurance claim any point of time.

I further agree that all the claims under the Group Policy shall be addressed/ resolved by Insurer only. For queries and clarification on the insurance coverage, terms & conditions of the aforesaid Group Policy as well as any grievances or support related to settlement of insurance claims, Master Policyholder may provide necessary assistance. Master Policyholder shall be under no obligation to settle any insurance claim of the customer. The certificate of insurance shall be provided by the Insurer separately on approval.

I the undersigned hereby declare that the above statements and particulars are true, accurate and complete and I declare and agree that this declaration shall be held to be promissory and shall be the basis of my membership under Group Policy. I also confirm the receipt of copy of the terms and conditions of Group Policy from Master Policyholder.

TERMS AND CONDITIONS FOR VALUE ADDED SERVICES (NAMED AS FIN-SHIELD)

This document lays out the terms and conditions which shall be applicable to the package of value added services (named as FIN SHIELD), mentioned herein below, that you (‘the Customer’) have applied in the Ujjwal Card Enrolment Form and provided by Home Credit India Finance Private Limited (‘HCIN’). By applying, using, availing, or opting for this package, you agree to be bound by these terms and conditions (FIN SHIELD Terms) as mentioned herein as well as the registered General Terms and Conditions for obtaining Personal Loans & POS Loans from Home Credit India Finance Private Limited (‘GTC’), if applicable. For terms used herein, please refer GTC unless otherwise re-defined herein.

GENERAL CONDITIONS APPLICABLE TO ALL SERVICES UNDER FIN SHIELD

SPECIFIC CONDITIONS FOR ‘PAYMENT HOLIDAY’ OPTION

SPECIFIC CONDITIONS FOR ‘PERSONAL ACCIDENT INSURANCE’ UNDER GROUP INSURANCE

SPECIFIC CONDITIONS FOR ‘LIFE INSURANCE’ UNDER GROUP INSURANCE