Benefit Illustration

(This shall form a part of the policy document)

Na me of Pros pect/Policyholder: Sura j Debna th Pro p o s a l N o :

Age: 41 N a m e o f th e Pro d u ct: S U D Li f e Ce n tu ry S ta r
Na me of Life As s ured: Sura j Debna th Ta g Li n e : LiI nf de i Ivin ds uu aral nNceo nPl- l ai nnk e d N o n - p a r ci p a n g S a vi n g s
Age: 41
U n i q u e I d e n fica o n N u m b e r: 142 N 075 V02
Policy Term: 16
Premium Pa yment Term: 7 1s t Yea r 4.50%
GST Ra te a nd a pplica ble Ces s , if a ny
Amount of Ins ta lment Premium: 2,03,450 2nd Yea r Onwa rds 2.25%

This benefit illustration is intended to show year-wise premiums and benefits under the policy.
Policy Details
Base Plan Sum Assured Rs. 20,00,000
Policy Option NA Sum Assured on Death(at
Base Plan 20,00,000
inception of the policy) Rs.
SUD Life COVID -19 Benefit Rider-Traditional (UIN: 142B023V01) Rider Sum Assured Rs. 1,00,000
SUD Life Accidental Death and Total & Permanent Disability Benefit
Rider Sum Assured Rs. 0
Rider - Traditional (UIN: 142B005V01)
SUD Life Family Income Benefit Rider - Traditional (UIN: Rider Sum Assured Rs. 0
142B007V01)

Premium Summary
Base Plan Riders Total Instalment Premium
Instalment Premium w ithout GST 2,03,000 450 2,03,450
Instalment Premium w ith First Year GST 2,12,135 531 2,12,666
Instalment Premium w ith GST 2nd year Onw ards 2,07,568 0 2,07,118

(Amount in Rupees)
Guaranteed Non - Guaranteed
Policy Year Annualized Premium
Surrender Benefit Max(GSV,
Survival Benefit Other Benefits if any Maturity Death Benefit Guaranteed Surrender Value (GSV) Special Surrender Value (SSV) SSV)

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 (Amount in Rupees)
Guaranteed Non - Guaranteed
Policy Year Annualized Premium
Surrender Benefit Max(GSV,
Survival Benefit Other Benefits if any Maturity Death Benefit Guaranteed Surrender Value (GSV) Special Surrender Value (SSV)
SSV)

1 2,00,000 0 0 0 20,00,000 0 0 0

2 2,00,000 0 0 0 20,00,000 1,40,000 2,44,286 2,44,286

3 2,00,000 0 0 0 20,00,000 2,10,000 3,95,357 3,95,357

4 2,00,000 0 0 0 20,00,000 4,00,000 5,68,854 5,68,854

5 2,00,000 0 0 0 20,00,000 5,70,000 7,67,504 7,67,504

6 2,00,000 0 0 0 20,00,000 7,92,000 9,94,111 9,94,111

7 2,00,000 0 0 0 20,00,000 10,50,000 12,52,151 12,52,151

8 0 0 0 0 20,00,000 11,62,000 13,51,832 13,51,832

9 0 0 0 0 20,00,000 12,88,000 14,59,622 14,59,622

10 0 0 0 0 20,00,000 14,00,000 15,76,308 15,76,308

11 0 0 0 0 20,00,000 15,12,000 17,02,675 17,02,675

12 0 0 0 0 20,00,000 16,80,000 18,39,506 18,39,506

13 0 0 0 0 20,30,800 20,30,800 19,88,111 20,30,800

14 0 0 0 0 21,53,380 21,53,380 21,49,012 21,53,380

15 0 0 0 0 23,24,303 22,83,060 23,24,303 23,24,303

16 0 0 0 26,16,280 25,14,768 24,20,120 25,14,768 25,14,768

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Notes:Annualized Premium excludes Underwriting extra premium ,frequency loadings on premiums ,the premiums paid towards the riders ,if any and Goods and Service Tax

Terms and Conditions

1. Surrender Benefit
Surrender of the policy is allowed after 2 consecutive full years’ premiums have been paid. During the Policy Term, Surrender Value payable will be higher of Guaranteed Surrender Value and
Special Surrender Value.

2. Quantum of benefits in respect of Non-Guaranteed category may vary.

3. The Rider available under the plan.Riders are not available under POSP
Presently,the following riders are available under this product on payment of additional premium over and above the Base premium provided conditions on riders (Entry Age, Policy Term,
Premium Paying Term, Sum Assured etc) are satisfied.
a. SUD Life Accidental Death and Total & Permanent Disability Benefit Rider - Traditional (UIN: 142B005V01)
b. SUD Life Family Income Benefit Rider - Traditional (UIN: 142B007V01)
c. SUD Life COVID-19 Benefit Rider - Traditional (UIN: 142B023V01)

4. Policy values are as of year end.

5. Tax Benefits
Premiums payable and benefits receivable under this plan are eligible for tax benefits as per the prevailing tax laws. w.e.f. from April 01, 2012, to qualify for tax benefit on premium(s) paid under
section 80 C & for tax benefit on maturity/survival proceeds under section 10 (10 D) of the IT Act, 1961, the sum assured should not be less than 10 times the annualised/single premium. Please
consult your tax advisor for details

6. Proposal Deposit
The proposal deposit receipt given in respect of the consideration amount paid to the company does not bind the company to accept the risk on the life of the life proposed under the proposal for
insurance.

7. About Star Union Dai-ichi Life Insurance Company Limited

Star Union Dai-ichi Life insurance is the name of the company and 'SUD Life Century Star' is only the name of the Plan and does in no way indicate the quality of the policy, its future prospects
or returns.

8. Goods & Services Tax and applicable cess,if any will be charged on premiums as per prevailing tax laws.This is subject to any change in the tax rate.

9. For more details on risk factor, terms and conditions, please read the Sales brochure of the plan carefully before concluding a sale.

In case you require any clarification, please consult your insurance advisor or call our office.

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I, ___________________________ (Name), have explained the premiums, and benefits I ___________________________ (Name), having received the information with respect to
under the product fully to the prospect / policyholder. the above, have understood the above statement before entering into the contract.

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder