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80001727204
Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your Insurer carrying on life insurance business.
If your policy offers guaranteed benefits then these will be clearly marked "guaranteed" in the illustration table on this page. If your policy offers variable benefits then the illustrations on this page will
show two different rates of assumed future investment returns. These assumed rates of return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your
policy is dependent on a number of factors including actual future investment performance.
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Income Variant Basic Sum Assured Rs 18,00,000
Sum Assured on Death (at inception of the policy) 34,20,000
Rs.
Quotation No
Premium Summary
Base Plan Riders Total Installment Premium
Instalment Premium without GST 3,00,000 0 3,00,000
Instalment Premium with First Year GST 3,13,500 0 3,13,500
Instalment Premium with GST 2nd Year onwards 3,06,750 0 3,06,750
(Amounts in Rupees)
Guaranteed Non-Guaranteed
Policy Year Annualized Premium
Survival Benefits / Loyalty Additions Other Benefits if any Maturity Benefit Death Benefit Min. Guaranteed Surrender Value Special Surrender Value
1 3,00,000 0 0 0 34,20,000 0 0
2 3,00,000 0 0 0 34,20,000 1,80,000 3,77,460
3 3,00,000 0 0 0 34,20,000 3,15,000 6,12,540
4 3,00,000 0 0 0 34,20,000 6,00,000 8,83,800
5 3,00,000 0 0 0 34,20,000 7,50,000 11,95,560
6 3,00,000 0 0 0 34,20,000 9,00,000 15,52,680
7 0 0 0 0 30,00,000 9,00,000 16,82,640
8 0 1,32,000 0 0 30,00,000 7,68,000 16,91,820
9 0 1,32,000 0 0 30,00,000 7,26,000 17,01,000
10 0 1,32,000 0 0 30,00,000 5,94,000 17,10,540
11 0 1,32,000 0 0 30,00,000 4,62,000 17,20,260
12 0 1,32,000 0 0 30,00,000 3,30,000 17,30,340
13 0 1,32,000 0 0 30,00,000 2,88,000 17,40,420
14 0 1,32,000 0 0 30,00,000 1,56,000 17,50,860
15 0 1,32,000 0 0 30,00,000 24,000 17,61,480
16 0 1,32,000 0 0 30,00,000 0 17,72,280
17 0 1,32,000 0 0 30,00,000 0 17,83,440
18 0 1,32,000 0 0 30,00,000 0 17,94,780
19 0 1,32,000 0 0 30,00,000 0 18,06,480
20 0 1,32,000 0 0 30,00,000 0 18,18,180
21 0 1,32,000 0 0 30,00,000 0 18,29,880
22 0 1,32,000 0 0 30,00,000 0 18,41,580
23 0 1,32,000 0 0 30,00,000 0 18,53,100
24 0 1,32,000 0 0 30,00,000 0 18,64,260
Quotation No
(Amounts in Rupees)
Guaranteed Non-Guaranteed
Policy Year Annualized Premium
Survival Benefits / Loyalty Additions Other Benefits if any Maturity Benefit Death Benefit Min. Guaranteed Surrender Value Special Surrender Value
Notes: Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any and Goods and Service Tax.
I, ___________________________ (name), have explained the premiums, and benefits under the I, ___________________________ (name), having received the informa on with respect to the
product fully to the prospect / policyholder. above, have understood the above statement before entering into the contract.
Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder