IA Licensed Broker #IA-BRK-2024-089 ZATCA Phase 1 & 2 Compliant
POL-2026-MED-1001 Medical Active

Modern Contracting Holding Co.

Insurer: Bupa Arabia for Cooperative Insurance (BUPA-CORP-99201) Period: 2026-06-06 → 2027-06-06 سلطان الدوسري
New Endorsement Log Claim
Gross Written Premium

850,000 SAR

Net Premium: 765,000 SAR
15% VAT Amount

127,500 SAR

Total Payable: 977,500 SAR
Broker Commission

85,000 SAR

10% of GWP
Total Sum Insured

50,000,000 SAR

Active Coverage
Identifier / ID / VIN Name / Description Category / Tier Individual Sum Insured Annual Premium Status
1023456789 Ibrahim Al-Subaie (CEO) Principal - VIP 1,000,000 SAR 12,000 SAR Active
1023456788 Sara Al-Subaie (Spouse) Dependent - VIP 1,000,000 SAR 9,500 SAR Active
1055566677 Senior Engineers & Managers (18 pax) Principal - Class A 500,000 SAR 6,200 SAR Active
2345678901 Field Staff & Technicians (260 pax) Principal - Class B 250,000 SAR 2,800 SAR Active
Installment # Due Date Premium Amount 15% VAT Total Due Payment Status Bank Reference
Installment #1 2026-06-06 425,000 SAR 63,750 SAR 488,750 SAR Paid TRF-ALRAJHI-9921
Installment #2 2026-12-06 425,000 SAR 63,750 SAR 488,750 SAR Unpaid -
Endorsement # Type Effective Date Reason Premium Adj Comm Adj Status
END-POL-2026-MED-1001-001 AdditionOfMember 2026-08-22 Addition of 15 new engineers for NEOM Project +35,000 SAR +3,500 SAR Approved
Claim # Loss Date Claimed Amount Settled / Approved Status View
CLM-2026-0021 2026-07-28 26,500 SAR 26,500 SAR Settled
Invoice # Issue Date Taxable Commission 15% VAT Total SAR ZATCA Status View
INV-2026-0081 2026-06-06 85,000 SAR 12,750 SAR 97,750 SAR CLEARED