MEDICAL POPULATION - CIGNA

GOLD STAR(CIGNA) HELATHCARE - PREMIUM BREAKDOWN

No Policy No Name DOB Age
1 321/04221/01 Rakesh Rao 12/01/1962 58
2 321/04221/02 Darshnaben Rakesh Kumar Rao 05/06/1964 55
3 321/04221/03 Krutarth Rakesh KR 19/09/1995 24
4 321/04221/04 Jagrat Rakesh KR 25/03/1998 22
5 321/10012/01 Patrick Mwati 11/02/1956 64
6 321/10012/02 Irene Wanjiku Karanja 30/10/1962 57
7 321/10012/03 Mark Mwati Muriithi 28/04/1992 28
8 321/10012/04 Michelle W Muriithi 21/04/1997 23
9 321/10014/01 George Omondi Okwach 10/06/1968 51
10 321/10014/02 Francisca Achieng 26/12/1974 45
11 321/10016/01 Shailesh Patel 02/12/1972 47
12 321/10016/02 Daxaben Sailesh Patel 01/06/1975 44
13 321/10018/01 Nicholas Wanambisi B 01/07/1963 56
14 321/10018/02 Kadama Oscar Ngala 10/10/1969 50
15 321/10030/01 Ravindra Dimri 27/02/1970 50
16 321/10030/02 Ruchi Dimri 26/07/1973 46
17 321/10032/01 Nilesh Suresh Gosavi 14/02/1974 46
18 321/10032/02 Jyotsna Nilesh Gosavi 13/03/1980 40
19 321/10034/01 Sandile Shoko 23/11/1973 46
20 321/10034/02 Gloriah Shoko 31/03/1977 43
21 321/10037/01 Hemant Gupta 15/01/1980 40
22 321/10037/02 Pragti Gupta 19/07/1983 36
23 321/10039/01 Morris Njoroge Maina 17/04/1962 58
24 321/10039/02 Olive Wambui 12/08/1966 53
25 321/10044/01 Rajeev Kalita 24/06/1979 40
26 321/10044/02 Shrinal Patel 11/10/1983 36
27 321/10045/01 Deepak Shukla 01/04/1982 38
28 321/10045/02 Priyanka Shukla 08/01/1990 30
29 321/10046/01 Eliazar Otieno Okongo 23/11/1952 67
30 321/10047/01 David Githanji Muriithi 24/11/1974 45
31 321/10047/02 Mercy Mairu Githanji 12/10/1970 49
32 321/10056/01 Abhijit Roy 06/02/1968 52
33 321/10056/02 Arundhati Roy 11/11/1973 46
34 321/19491/01 Ettammal Padmanabhan 18/11/1958 61
35 321/19491/02 Padmanabhan Jyoti 16/12/1969 50
36 321/58954/01 bhavesh Gandhi 20/01/1974 46
37 321/58954/02 Bhumika Gandhi 11/12/1977 42
38 321/61411/01 Benraj Chakkalaparambil Antony 17/11/1980 39
39 321/61411/02 Vinita Jude 04/05/1984 35
40 321/75382/01 Ashfan Alnoor R Charania 30/09/1983 36
41 321/75382/02 Urooj Charania 29/06/1987 32
42 321/86288/01 Laura Nakhanu Wekesa 31/10/1981 38
43 321/86288/02 Makarios Omondi Agumbi 04/08/1977 42
44 321/86291/01 Joshi Hiren Pravinkumar 21/10/1981 38
45 321/86291/02 Hetalben Hiren Joshi 25/12/1980 39
46 321/87510/01 Hussein Ramji Charania 02/10/1962 57
47 321/87510/02 Zabin Ramji Charania 28/10/1964 55
48 321/87510/03 Azzam Ramji Charania 17/06/1994 25
49 321/87510/04 Yumna Ramji Charania 23/04/1997 23
50 321/87510/05 Ayman Ramji Charania 04/08/2002 17

SUMMARY
NO. PRINCIPAL 22
NO. DEPENDENTS 28
TOTAL 50
M BREAKDOWN
Premium
WWExclUSA $1,009.16
WWExclUSA $1,009.16
WWExclUSA $378.84
WWExclUSA $378.84
WWExclUSA $1,238.91
WWExclUSA $1,009.16
WWExclUSA $417.11
WWExclUSA $378.84
AFRICA, INDIA $796.29
AFRICA, INDIA $642.53
AFRICA, INDIA $642.53
AFRICA, INDIA $561.32
AFRICA, INDIA $918.44
AFRICA, INDIA $796.29
AFRICA, INDIA $796.29
AFRICA, INDIA $642.53
AFRICA, INDIA $642.53
AFRICA, INDIA $561.32
AFRICA, INDIA $642.53
AFRICA, INDIA $561.32
AFRICA, INDIA $561.32
AFRICA, INDIA $491.96
AFRICA, INDIA $918.44
AFRICA, INDIA $796.29
AFRICA, INDIA $561.32
AFRICA, INDIA $491.96
AFRICA, INDIA $491.96
AFRICA, INDIA $432.75
AFRICA, INDIA $1,334.67
AFRICA, INDIA $642.53
AFRICA, INDIA $642.53
AFRICA, INDIA $796.29
AFRICA, INDIA $642.53
AFRICA, INDIA $1,129.34
AFRICA, INDIA $796.29
AFRICA, INDIA $642.53
AFRICA, INDIA $561.32
AFRICA, INDIA $491.96
AFRICA, INDIA $491.96
WWExclUSA $537.13
WWExclUSA $471.03
Africa, India $491.96
Africa, India $561.32
Africa, India $491.96
Africa, India $491.96
WWExclUSA $1,009.16
WWExclUSA $1,009.16
WWExclUSA $417.10
WWExclUSA $378.84
WWExclUSA $335.35