28-12-2022

Quote No : qbh59trui6rpo

Benefit Illustration for HDFC Life Super Income Plan

This illustration has been produced by HDFC Life Insurance Company Limited to help you understand the benefits of your HDFC Life
Super Income Plan

Proposal No:
Name of the Prospect/Policyholder: Sasmita Jena Name of Product: HDFC Life Super Income Plan
Age: 40 Tag Line: A Non-Linked Participating Life Insurance Plan
Name of Life Assured: Sasmita Jena Unique Identification No: 101N098V05
Age: 40 GST Rate: 4.5%* for first year
2.25%* second year
Policy Term: 15 year(s)
onwards
Premium Paying Term: 5 year(s)
Amount of Instalment Premium (Without GST): Rs.25,000
Mode: Annual
*0% if qualifies as zero-rated supply under GST law

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 HDFC Life Super Income Plan Sum Assured Rs. 91,726
Sum Assured on Death (at inception of
Bonus Type Reversionary Bonus 2,50,000
the policy) Rs.

Premium Summary
PP PP Total
Base Plan CI Rider IB Rider PP Rider (PAC) Rider Rider Instalment
(ADC) (CC) Premium

Instalment Premium without GST 25,000 0 0 0 0 0 25,000

Instalment Premium with First Year GST 26,125 0 0 0 0 0 26,125

Instalment Premium with GST 2nd Year Onwards 25,563 0 0 0 0 0 25,563
 (Amounts in Rupees.)
Total Benefits
Non Guaranteed Benefits Non-Guaranteed Benefits including Guaranteed and Non-Guaranteed Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Maturity Benefit Death Benefit Surrender Benefit

Total Total Total Total Total Total

Single /
Policy Maturity Maturity Death Death Surrender Surrender
Annualized
Year Benefit, Benefit, Benefit Benefit Benefit Benefit
Premium
Guaranteed Survival Surrender Death Maturity Cash Surrender Cash Surrender incl incl incl of incl of incl of incl of
RB RB
Additions Benefit Benefit# Benefit Benefit Bonus Benefit# Bonus Benefit# Terminal Terminal Terminal Terminal Terminal Terminal
Bonus, if Bonus, if Bonus, if Bonus, if Bonus, if Bonus, if
any, @ any, @ any, @ any, @ any, @ any, @
4% 8% 4% 8% 4% 8%

1 25,000 0 0 0 2,50,000 0 917 0 0 3,669 0 0 0 0 2,50,917 2,53,669 0 0

2 25,000 0 0 15,000 2,50,000 0 1,835 0 90 7,338 0 1,907 0 0 2,51,835 2,57,338 15,090 16,907
3 25,000 0 0 26,250 2,50,000 0 2,752 0 390 11,007 0 4,196 0 0 2,52,752 2,61,007 26,640 30,446
4 25,000 0 0 50,000 2,50,000 0 3,669 0 235 14,676 0 939 0 0 2,53,669 2,64,676 50,235 50,939

5 25,000 0 0 62,500 2,50,000 0 4,586 0 1,451 18,345 0 10,587 0 0 2,54,586 2,68,345 63,951 73,087
6 0 0 9,173 53,327 2,50,000 0 5,504 0 7,214 22,014 0 19,052 0 0 2,55,504 2,72,014 60,541 72,379
7 0 0 9,173 44,155 2,50,000 0 6,421 0 13,466 25,683 0 28,375 0 0 2,56,421 2,75,683 57,620 72,530
8 0 0 9,173 42,482 2,50,000 0 7,338 0 12,818 29,352 0 31,221 0 0 2,57,338 2,79,352 55,300 73,704
9 0 0 9,173 39,560 2,50,000 0 8,255 0 14,033 33,021 0 36,397 0 0 2,58,255 2,83,021 53,593 75,956

10 0 0 9,173 37,887 2,50,000 0 9,173 0 14,626 36,690 0 41,456 0 0 2,59,173 2,86,690 52,513 79,343
11 0 0 9,173 36,214 2,50,000 0 10,090 0 8,530 40,359 0 38,194 0 0 2,60,090 2,90,359 44,744 74,408

12 0 0 9,173 34,542 2,50,000 0 11,007 0 2,442 44,028 0 34,968 0 0 2,61,007 2,94,028 36,984 69,510

13 0 0 9,173 31,619 2,50,000 0 11,924 0 2,707 47,698 0 33,029 0 0 2,61,924 2,97,698 34,326 64,648
14 0 0 9,173 29,947 2,50,000 0 12,842 0 3,352 51,367 0 29,877 0 0 2,62,842 3,01,367 33,298 59,824

15 0 0 9,173 0 2,50,000 0 13,759 0 0 55,036 0 0 44,946 1,10,988 2,63,759 3,05,036 0 0

Notes:
1. Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods & Service Tax. Refer Sales Literature for
explanation of terms used in this illustration.
2. Upon payment at Maturity, the policy terminates and no further benefits become payable.
3. The death benefits shown above are at the end of the year. Upon payment, of death benefit the policy terminates and no further benefit is payable.
4. The surrender benefits shown above are at the end of the year. Upon payment of surrender benefit, the policy terminates and no further benefit becomes payable.
5. The Premium and the Sum Assured on Maturity stated above is based on the information provided. They may vary as a result of underwriting.
6. Any statutory levy or charges (such as Goods and Service tax) including any indirect tax may be charged to the Policyholder either now or in future by the company and such amount so
charged shall become due and payable and shall be subject to the same terms and conditions as applicable to payment of premium.
7. RB - Reversionary Bonus, TB - Terminal Bonus, GA - Guaranteed Additions
8. Taxes will be applicable as per the prevailing provisions of the Income Tax Act, 1961.

I ASTHIRAJ DAS, have explained the premiums charges and benefits under the product I Sasmita Jena,having received the information with respect to the above, have
fully to the prospect / policy holder. understood the above statement before entering into the contract.

Place:

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

Note: Kindly note that name of the company has changed from "HDFC Standard Life Insurance Company Limited" to "HDFC Life Insurance Company Limited".