ILLUSTRATION - HANWHA FUTURE PROTECTION

The illustration is not part of insurance contract

CLIENT INFORMATION PREMIUM DETAILS

Policy Holder (PH) Insured Currency : Rupiah (IDR)

Name : Bapak Name : Bapak Premium Payment Period : 20 years
Age / Gender : 41 years old / Female Age / Gender : 41 years old / Female
Job : Private Employee Job : Private Employee Mode of Payment : Yearly
Medical Note : Non Medical Basic Premium : Rp. 6,280,500 / year
Relationship with PH : My self

Note : Age is calculated based on the nearest birthday provision, the insured age will change on 23/02/2022,
Please submit a new illustration if the application has not been processed until that date.

PRODUCT DETAILS
A. Insured
Insurance Coverage
Initial Sum Insured
Basic Insurance Up to Age Basic Premium *)
(IDR)
(Year)

Hanwha Future Protection 61 150,000,000 6,280,500

*) The Basic Premium is calculated based on the standard risk and depend on Insured ’s entry age and Sum Insured.

SUMMARY OF PRODUCT BENEFITS

- If the Insured dies due to illness or accident in the coverage period, the Insurer will pay 100% Sum Insured last increase at the time of death and then the coverage end.
- If the Insured alive until the end of the insurance period, the Insurer will return Total Premium that has been paid and the coverage ends. The amount of Premium return will
follow the provision below :

Insurance Coverage Total Premium Return

(Year) (% of Total Premium paid)

10 110%
15 115%
20 120%

- Sum Insured will increase by 10% every year.

PT Hanwha Life Insurance Indonesia is registered and supervised by Otoritas Jasa Keuangan

SIS Version Web.10.2 / Printed on : 19/Oct/2021 10:28:46 Page 1 dari 3 The Prospective Policyholder's signature: _____________
 ILLUSTRATION - HANWHA FUTURE PROTECTION
The illustration is not part of insurance contract

Name : Bapak Currency : Rupiah (IDR)

Date of Birth / Age : 23 Aug 1980 / 41 years old Initial Sum Insured : Rp. 150,000,000
Gender : Female Basic Premium : Rp. 6,280,500 / year
Job : Private Employee Mode of Payment : Yearly
Relationship with Policyholder : My self Premium Payment Period : 20 years

Premium 2 3
Policy Year Insured's Age 1 Cash Value Sum Insured Maturity 4
Accumulation

(1) (2) (3) (4) (5) (6)

1 41 6,280,500 0 150,000,000 0

2 42 12,561,000 0 165,000,000 0

3 43 18,841,500 0 181,500,000 0

4 44 25,122,000 0 199,650,000 0

5 45 31,402,500 0 219,615,000 0

6 46 37,683,000 0 241,576,500 0

7 47 43,963,500 0 265,734,150 0

8 48 50,244,000 0 292,307,565 0

9 49 56,524,500 0 321,538,322 0

10 50 62,805,000 0 353,692,154 0

11 51 69,085,500 0 389,061,369 0

12 52 75,366,000 0 427,967,506 0

13 53 81,646,500 0 470,764,257 0

14 54 87,927,000 0 517,840,682 0

15 55 94,207,500 0 569,624,750 0

16 56 100,488,000 37,683,000 626,587,225 0

17 57 106,768,500 50,244,000 689,245,948 0

18 58 113,049,000 64,061,100 758,170,543 0

19 59 119,329,500 79,134,300 833,987,597 0

20 60 125,610,000 95,463,600 917,386,357 150,732,000

Note :
1. Premium Accumulation is formed at the end of Policy Year.
2. Cash Value is formed at the beginning of Policy Year.
3. Sum Insured is formed at the beginning of Policy Year and increase 10% every year.
4. Maturity will be received at the end of coverage.

PT Hanwha Life Insurance Indonesia is registered and supervised by Otoritas Jasa Keuangan

SIS Version Web.10.2 / Printed on : 19/Oct/2021 10:28:46 Page 2 dari 3 The Prospective Policyholder's signature: _____________
 ILLUSTRATION - HANWHA FUTURE PROTECTION
The illustration is not part of insurance contract

NOTE :

I, as the Prospective Policyholder, declare that I have read this illustration, understood and acknowledge that :

1. Has received a complete explanation about the product benefits, risks, costs, requirements and procedures of Life Insurance products that offered to me before deciding to
buy this Life Insurance product.
2. Understand and accept all the terms of Life Insurance products that I buy include costs related to the product, as stated in the illustrations created and provided by PT
Hanwha Life Insurance Indonesia's sales force.
3. I understand and agree during in the process of issuing of Policy there are changes in the calculation of age, then the Policy will be issued using the age calculation
applicable at the Insurer. This illustration applies only to the age listed on this page and does not apply if there is a change of age.
4. Willing to read my Policy properly so that I know and understand well the terms and conditions applicable to the products that I bought.
5. This illustration was made to illustrate the Benefits of Insurance in accordance with the needs of Prospective Policyholder, where complete explanation and applicable as
stated in the Policy.
6. Each page of this illustration is related one to another and as a unity where if the Prospective Policyholder has understood and agreed to the contents for this illustration, it is
required to sign this illustration and attach it along with the Life Insurance Application Form submission.
7. The validity period of this illustration is 60 (sixty) days calendar since the date of illustrations printed up to 18 Dec 2021.
8. Prospective Policyholder has agreed, that the provisions of the applicable Life Insurance products are as stated in the Life Insurance Policy that will be issued by the Insurer.
By signing this illustration I declare to have fully understood and approved the content of the illustrations.

Prepared by Agent Code Printed Date Agent's Signature The Prospective Policyholder's signature

FRANSISCUS JORDAN 92011003 19 Oct 2021

PT Hanwha Life Insurance Indonesia is registered and supervised by Otoritas Jasa Keuangan

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