Quotation Number 70006519865 Quotation Date 14 - May - 2022

PNB MetLife India Insurance Co. Ltd.

Benefit Illustration for PNB MetLife Super Saver Plan (UIN No. :117N123V02) -Individual, Non-Linked, Participating, Savings, Life Insurance Plan
Proposal No.
Name of Life Assured DHEERAJ YADAV Name of Policyholder DHEERAJ YADAV
Date of Birth of Life Assured 02 Sep 1974 Date of Birth of Policyholder 02 Sep 1974
Ager of Life Assured 47 Age of Policyholder 47
Gender of Life Assured Male Gender of Policyholder Male
Is client an employee? Yes

How to read and understand this benefit illustration?

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy, at two assumed rates of interest i.e., 8% p.a. and 4% p.a.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, of 8% p.a. and 4% p.a. 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 future investment performance.

Policy Details
Policy option Savings + Health Care Base Sum Assured (Rs.) 20,94,048 Installment Premium for Savings and 4,92,585
Death coverage(Rs.)
Bonus option Accumulation Sum Assured on Death (at inception of policy) (Rs.) 50,00,000 GST rate applicable on Savings and Death 4.50%
coverage
Goods and Service tax on installment
Policy Term 10 Age Extra No premium for Savings and Death coverage 22,166
(inclusive of applicable cess) (Rs.)
Installment Premium for Health coverage
Premium Payment Term 5 Health Extra No (applicable where Policy option is 7,415
Savings Plus) Rs.
Premium Payment Mode Annual Annualised Premium (Rs.) 5,00,000 GST rate applicable on Health coverage 18%
Goods and Service tax on total
Bonus Type Reversionary Bonus installment premium for Health coverage 1,335
(inclusive of applicable cess) (Rs.)
Rider Details
Rider Policy Term Rider Premium Rider Annualised Installment Premium Goods and Service Tax on Rider
Rider (Years) Payment Term Sum Assured (Rs.) Premium (Rs.) without GST (Rs.) Installment Premium (Rs.)
(years)
PNB MetLife Accidental Death Benefit Rider Plus 10 5 5,00,000 470 470 85
(UIN: 117B020V03)
PNB MetLife Serious Illness Rider 10 5 5,00,000 6,653 6,653 1,198
(UIN: 117B021V03)

PNB MetLife India Ins ura nce Compa ny Limited, Regis tered office: Unit No 701,702 a nd 703, 7th Floor, Wes t Wing ,Ra heja Towers , 26/27 M G Roa d, Ba nga lore- 560001, Ka rna ta ka .
Ca ll us Toll-free a t 1-800-425-6969, Ema il: india s ervice@pnbmetlife.co.in or write to us : 1s t Floor, Techniplex -1, Techniplex Complex, Off Veer Sa va rka r Flyover,
Gorega on (Wes t), Mumba i - 400062, Ma ha ra s htra . Phone: +91-22-41790000, Fa x: +91-22-41790203. IRDA of India Regis tra tion Number: 117, CI No.: U66010KA2001PLC028883,
Webs ite: www.pnbmetlife.com
 Premium Summary
Base Plan Riders Age Extra Health Extra Total Installment Premium
Installment Premium without GST (Rs.) 5,00,000 7,123 0 0 5,07,123
Installment Premium with First Year GST (Rs.) 5,23,501 8,405 0 0 5,31,906 Premium to be
Installment Premium with GST Second Year Onwards (Rs.) 5,12,418 8,405 0 0 5,20,823 collected
Base Policy Benefit Details
Total Benefits incld Total Benefits incld
Guaranteed benefits Non-Guaranteed benefits @4% Guaranteed and Non- Non-Guaranteed benefits @8% Guaranteed and Non-
Age of Annualized Guaranteed Benefits @4% Guaranteed Benefits @8%
Policy the Life Premium*
Year Assured (Rs) Death Maturity Surrender Accrued Cash Terminal Surrender Total Total Total Accrued Cash Terminal Surrender Total Total Total
Benefit Benefit Benefit Reversionary Bonus Bonus Benefit Death Maturity Surrender Reversionary Bonus Bonus Benefit Death Maturity Surrender
(Rs.) (Rs.) (Rs.) Bonuses (Rs.) (Rs.) (Rs.) (Rs.) Benefit Benefit Value Bonuses (Rs.) (Rs.) (Rs.) (Rs.) Benefit Benefit Value
(Rs.) (Rs.) (Rs.) (Rs.) (Rs.) (Rs.)
1 47 5,00,000 50,00,000 0 0 73,292 0 0 0 50,73,292 0 0 98,420 0 0 0 50,98,421 0 0
2 48 5,00,000 50,00,000 0 4,20,373 1,46,583 0 0 73,565 51,46,584 0 4,93,938 1,96,841 0 0 98,788 51,96,841 0 5,19,160
3 49 5,00,000 50,00,000 0 6,87,309 2,19,875 0 0 1,20,279 52,19,875 0 8,07,588 2,95,261 0 0 1,61,518 52,95,261 0 8,48,827
4 50 5,00,000 50,00,000 0 10,00,000 2,93,167 0 0 1,73,695 52,93,167 0 11,73,695 3,93,681 0 0 2,33,628 53,93,681 0 12,33,628
5 51 5,00,000 50,00,000 0 13,60,987 3,66,458 0 0 2,38,173 53,66,459 0 15,99,159 4,92,101 0 0 3,19,832 54,92,102 0 16,80,819
6 52 0 50,00,000 0 14,83,476 4,39,750 0 0 3,11,530 54,39,750 0 17,95,006 5,90,522 0 0 4,18,340 55,90,522 0 19,01,816
7 53 0 50,00,000 0 16,16,988 5,13,042 0 0 3,96,162 55,13,042 0 20,13,150 6,88,942 0 0 5,31,989 56,88,942 0 21,48,977
8 54 0 50,00,000 0 17,62,518 5,86,333 0 2,05,217 6,78,200 57,91,550 0 24,40,718 7,87,362 0 4,13,365 10,34,735 62,00,727 0 27,97,254
9 55 0 50,00,000 0 22,50,000 6,59,625 0 2,30,869 4,84,087 58,90,494 0 27,34,087 8,85,782 0 4,65,036 9,02,321 63,50,818 0 31,52,321
10 56 0 50,00,000 20,94,048 0 7,32,917 0 2,56,521 0 59,89,438 30,83,486 0 9,84,203 0 5,16,706 0 65,00,909 35,94,957 0

PNB MetLife India Ins ura nce Compa ny Limited, Regis tered office: Unit No 701,702 a nd 703, 7th Floor, Wes t Wing ,Ra heja Towers , 26/27 M G Roa d, Ba nga lore- 560001, Ka rna ta ka .
Ca ll us Toll-free a t 1-800-425-6969, Ema il: india s ervice@pnbmetlife.co.in or write to us : 1s t Floor, Techniplex -1, Techniplex Complex, Off Veer Sa va rka r Flyover,
Gorega on (Wes t), Mumba i - 400062, Ma ha ra s htra . Phone: +91-22-41790000, Fa x: +91-22-41790203. IRDA of India Regis tra tion Number: 117, CI No.: U66010KA2001PLC028883,
Webs ite: www.pnbmetlife.com
 Rider Policy Benefit Details
Policy Year Age of the Life Assured Annualised premium* Guaranteed Accidental Guaranteed Serious Guaranteed Surrender Special Surrender Value Surrender Value Payable
(years) (Rs.) Death Benefit Plus (Rs.) Illness (Rs.) Value (Rs.) (Rs.) (Rs.)
1 47 7,123 5,00,000 5,00,000 0 0 0
2 48 7,123 5,00,000 5,00,000 3,419 4,559 4,559
3 49 7,123 5,00,000 5,00,000 5,236 5,983 5,983
4 50 7,123 5,00,000 5,00,000 8,548 10,257 10,257
5 51 7,123 5,00,000 5,00,000 8,904 10,685 10,685
6 52 0 5,00,000 5,00,000 7,123 8,548 8,548
7 53 0 5,00,000 5,00,000 5,342 6,411 6,411
8 54 0 5,00,000 5,00,000 4,986 5,699 5,699
9 55 0 5,00,000 5,00,000 3,205 3,562 3,562
10 56 0 5,00,000 5,00,000 0 0 0

PNB MetLife India Ins ura nce Compa ny Limited, Regis tered office: Unit No 701,702 a nd 703, 7th Floor, Wes t Wing ,Ra heja Towers , 26/27 M G Roa d, Ba nga lore- 560001, Ka rna ta ka .
Ca ll us Toll-free a t 1-800-425-6969, Ema il: india s ervice@pnbmetlife.co.in or write to us : 1s t Floor, Techniplex -1, Techniplex Complex, Off Veer Sa va rka r Flyover,
Gorega on (Wes t), Mumba i - 400062, Ma ha ra s htra . Phone: +91-22-41790000, Fa x: +91-22-41790203. IRDA of India Regis tra tion Number: 117, CI No.: U66010KA2001PLC028883,
Webs ite: www.pnbmetlife.com
Notes:
*Annualized Premiums exclude underwriting extra premium, frequency loadings on premium, the premiums paid towards the Riders, if any, Goods & service tax
Goods & Service Tax levied is as per presently applicable tax laws and the same are subject to changes in the tax laws in future. Please consult your Tax advisor for more details. Service Tax is inclusive of applicable cess.

Notes to the Benefit Illustration:

1. PNB MetLife Super Saver Plan is only the name of the product and does not in any way indicate the quality of the product, its future prospects or returns.
2. Please read this benefit illustra on in conjunc on with the product brochure carefully to understand all Terms, Condi ons and Exclusions before concluding a sale. The detailed Terms and Condi ons are contained in
the Policy Document.
3. Neither the Company nor any of its Advisor/ Financial Planning Consultants are authorised to offer any tax related advice. The tax benefits under various sections shall be available as per the prevailing tax regulations.
4. The above illustration is applicable to a standard life (in terms of medical, life style and occupation)
5. Some benefits are guaranteed and some benefits are variable with returns based on the future performance of the life insurance company. If your policy offers guaranteed returns then these will be clearly marked
guaranteed in the illustration table.
6. The values in the illustration below have been rounded off to the nearest rupee wherever applicable.
7. Reversionary bonus once declared is guaranteed and is payable at maturity. If 'Liquidity' is chosen as the bonus op on , Cash bonus (if any) will be paid at the end of each policy year a er the expiry of premium
payment term till the end of policy term or death or surrender, whichever is earlier.
8. The above amounts assume that all premiums are paid when due. Further, the above death and surrender values are illustrated assuming that all the installment premium payable in a policy year are paid (i.e. the event
occurs at the end of the policy year). If death or surrender occur and installment premiums for only part of the policy year are paid, then the death or surrender values will only consist of that premium that has been paid.
The death or surrender values at any time other than at the end of the policy year will be lower than those illustrated above.
9. For the purpose of illustra ons, we have used 4% and 8% as the lower and the higher rates of investment returns respec vely, in the calcula ons. These are in accordance with the guidelines issued by IRDA of India
and in no way signify our expectations of investment return on the funds and the actual investment returns may be higher or lower.
10. The maximum amount of policy loan payable is limited to 90% of the Special Surrender Value at the end of the relevant Policy Year less any unpaid premiums for that year and loan interest accrued to the end of that
year.
11. In case of any conflict between this benefit illustration and your policy document, the latter shall prevail
12. The main objective of the illustration is that you are able to understand the features of the product and the nature of benefits under different circumstances with some level of quantification.
13. If the premium payment term of Base Policy is 10 years or more, the policy will acquire a surrender value a er payment of three full years' premium and if the premium payment term of Base Policy is less than 10
years, The policy will acquire a surrender value a er payment of two full years' premium and the policy can con nue with paid up benefits. Special Surrender Value (SSV) is a non guaranteed benefit. The company reserves
the rights to change the SSV Factor from time to time depending on the economic environment, experience and other factors, subject to prior approval from IRDA of India. Same applies for rider(s).
14. Terminal Bonus is not guaranteed and may be declared under the Policy from the 10th Policy Year onwards or from the third last policy year whichever is earlier. Terminal Bonus is expressed as a percentage of all
accrued Simple Reversionary Bonuses and all Cash bonus (if any) paid, if any. If declared, the Terminal Bonus will be paid along with the Death Benefit (except for Savings + Family Care Op on). For maturing policies, the
declared Terminal Bonus is paid along with the Maturity Benefit. For policies that are surrendered during the last three policy years, the declared Terminal Bonus is payable along with Surrender benefit.
15. Surrender Value payable is taken as the higher of Guaranteed Surrender Value and Special Surrender Value. Please read the Policy document for more details.
16. For more details on risk factor, terms and conditions, please read Sales brochure of the particular plan carefully before concluding a sale.
17. The following riders are available along with this plan: PNB MetLife Accidental Death Benefit Rider Plus (UIN: 117B020V03), PNB MetLife Serious Illness Rider (UIN: 117B021V03).

Policyholder’s/ Prospect’s Declaration

I _________________________________________________have been taken through the illustration for PNB MetLife Super Saver Plan. The Financial Advisor/Specified Person/Authorized Person of Broker has explained to
me the premiums payable and benefits under the product. I having received the information with respect to the above and have fully understood the above statement before entering into the contract.
Signature of the Policyholder/ Prospect ______________________________________

For PNB MetLife India Insurance Company Limited (FA/FPC/SP/Authorised Person as applicable)
I cer fy that this illustra on has been fully explained to the Policyholder / Prospect, including the non-guaranteed elements. Further, I have also explained to the Policyholder / Prospect that the actual returns/benefits
under the product may be different from what has been illustrated.
Signature of the Financial Advisor/Specified Person/Authorized Person of Broker/IMF: _____________ Date: ____________________ Name:____________________
Financial Advisor/Specified Person/Authorized Person of Broker Code/IMF: _____________ Branch/Location: ________________Contact No: ________________ Seal: ______________

PNB MetLife India Ins ura nce Compa ny Limited, Regis tered office: Unit No 701,702 a nd 703, 7th Floor, Wes t Wing ,Ra heja Towers , 26/27 M G Roa d, Ba nga lore- 560001, Ka rna ta ka .
Ca ll us Toll-free a t 1-800-425-6969, Ema il: india s ervice@pnbmetlife.co.in or write to us : 1s t Floor, Techniplex -1, Techniplex Complex, Off Veer Sa va rka r Flyover,
Gorega on (Wes t), Mumba i - 400062, Ma ha ra s htra . Phone: +91-22-41790000, Fa x: +91-22-41790203. IRDA of India Regis tra tion Number: 117, CI No.: U66010KA2001PLC028883,
Webs ite: www.pnbmetlife.com