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Benefit Illustration for 'Max Life Monthly Income Advantage Plan'

UIN : 104N091V03
Savings - Non Linked Participating Plan
Policy/Proposal No:[_________________]
Date of Illustration - Aug 26, 2018 9:14:44 AM
Personal Details Product Features Rider Details

Name of Life Insured Jasvinder Singh Sum Assured Rs 15,00,000.00 ADD Rider Sum Assured, if opted Rs 1,00,000.00

Age of Life Insured at Inception of the 49 Years Policy Term 22 Years ADD Rider Term, if opted 12 Years
policy

Gender of Life Insured Male Premium Payment Term 12 Years Term Plus Rider Sum Assured, if opted N/A

Name of Policyholder Jasvinder Singh Premium Payment Mode Annual Term Plus Rider Term, if opted N/A

Age of Policyholder at Inception of the 49 Years


policy

Gender of Policyholder Male

Policyholder Residential State Maharashtra

Max Life State Maharashtra

PREMIUM SUMMARY

First Year Premium Renewal Premium

Base premium payable annually Rs 1,11,255.00 Rs 1,11,255.00

Accidental Death & Dismemberment (ADD) Rider premium payable annually Rs 100.00 Rs 100.00

GST on Base premium and Total Rider premium payable annually Rs 5,024.48 Rs 2,521.24

Total Premium payable annually along with GST Rs 1,16,379.48 Rs 1,13,876.24

Total Premium payable during the year exclusive of GST Rs 1,11,355.00 Rs 1,11,355.00

Total Premium payable during the year along with GST Rs 1,16,379.48 Rs 1,13,876.24

Refer Description of Goods and Service Tax (GST) under Important Notes section.
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 returns then these will be clearly marked "guaranteed" in the
illustration table on the next page. If your policy offers variable returns then the illustration on the next page will show two different rates of assumed future investment returns. These assumed rates of return are illustrative, 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.

This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration.
Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram 122 002
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YEARLY ILLUSTRATIVE DETAILS
(All cash flows are in Rs )

General Details Guaranteed Scenario 1 - Illustrated at 4% investment rate of return Scenario 2 - Illustrated at 8% investment rate of return

Policy Year Age of life Premium Survival & Death Guaranteed Accrued Terminal Survival & Death Special Accrued Terminal Survival & Death Special
Assured Maturity Benefit(1) Benefit(2) Surrender Reversionary Bonus(5) Maturity Benefit(2) Surrender Reversionary Bonus(5) Maturity Benefit(2) Surrender
Value(3) Bonus(4) Benefit(1) Value(3) Bonus(4) Benefit(1) Value(3)

(BOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY) (EOY)

1 49 1,11,355 0 15,00,000 0 0 0 0 15,00,000 0 0 0 0 15,00,000 0

2 50 1,11,355 0 15,00,000 0 4,500 0 0 15,00,000 0 25,050 0 0 15,00,000 0

3 51 1,11,355 0 15,00,000 1,00,130 9,014 0 0 15,00,000 1,64,170 50,518 0 0 15,00,000 1,75,341

4 52 1,11,355 0 15,00,000 2,22,510 13,541 0 0 15,00,000 2,43,951 76,412 0 0 15,00,000 2,62,151

5 53 1,11,355 0 15,00,000 2,78,138 18,081 0 0 15,00,000 3,29,942 1,02,738 4,28,893 0 15,00,000 4,22,538

6 54 1,11,355 0 15,00,000 3,33,765 22,635 0 0 15,00,000 4,50,454 1,29,504 4,36,055 0 15,00,000 5,75,109

7 55 1,11,355 0 15,00,000 3,89,393 27,203 0 0 15,00,000 5,54,197 1,56,717 4,43,337 0 15,00,000 7,09,226

8 56 1,11,355 0 15,00,000 4,71,721 31,785 0 0 15,00,000 6,64,541 1,84,384 4,50,741 0 15,00,000 8,52,919

9 57 1,11,355 0 15,00,000 5,60,725 36,380 0 0 15,00,000 7,81,751 2,12,513 4,58,268 0 15,00,000 10,06,647

10 58 1,11,355 0 15,00,000 6,56,405 40,989 0 0 15,00,000 9,06,693 2,41,112 4,65,922 0 15,00,000 11,71,716

11 59 1,11,355 0 15,00,000 7,46,521 45,612 0 0 15,00,000 11,07,642 2,70,188 4,73,702 0 15,00,000 14,28,725

12 60 1,11,355 0 15,00,000 8,54,438 50,249 0 0 15,00,000 12,70,621 2,99,751 4,81,613 0 15,00,000 16,43,331

13 61 0 1,50,000 15,00,000 7,44,490 54,900 0 1,50,000 15,00,000 12,10,232 3,29,806 4,89,656 1,50,000 15,00,000 16,27,723

14 62 0 1,50,000 15,00,000 6,34,542 59,565 0 1,50,000 15,00,000 11,37,995 3,60,364 4,97,833 1,50,000 15,00,000 16,03,745

15 63 0 1,50,000 15,00,000 5,24,594 64,243 0 1,50,000 15,00,000 10,46,231 3,91,432 5,06,147 1,50,000 15,00,000 15,74,764

16 64 0 1,50,000 15,00,000 4,14,646 68,936 0 1,50,000 15,00,000 9,35,242 4,23,019 5,14,600 1,50,000 15,00,000 15,40,204

17 65 0 1,50,000 15,00,000 3,04,697 73,643 0 1,50,000 15,00,000 8,16,867 4,55,134 5,23,194 1,50,000 15,00,000 14,99,434

18 66 0 1,50,000 15,00,000 1,81,399 78,364 0 1,50,000 15,00,000 6,80,999 4,87,784 5,31,931 1,50,000 15,00,000 14,51,732

19 67 0 1,50,000 15,00,000 71,450 83,099 0 1,50,000 15,00,000 5,38,608 5,20,980 5,40,814 1,50,000 15,00,000 13,96,329

20 68 0 1,50,000 15,00,000 0 87,848 0 1,50,000 15,00,000 3,91,964 5,54,731 5,49,846 1,50,000 15,00,000 13,32,333

21 69 0 1,50,000 15,00,000 0 92,612 0 1,50,000 15,00,000 2,46,683 5,89,045 5,59,028 1,50,000 15,00,000 12,58,867

22 70 0 1,50,000 15,00,000 0 97,390 0 2,47,390 15,00,000 97,390 6,23,932 5,68,364 13,42,296 15,00,000 11,92,296

This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration.
Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram 122 002
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TOTAL Rs 13,36,260 Rs 15,00,000 Rs 15,97,390 Rs 26,92,296

(BOY) - Beginning of Year (EOY) - End of Year

This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration.
Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram 122 002
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IMPORTANT NOTES

Section A - Key definitions of the terms used in the above table

Max Life Insurance Company is the name of the Company and Max Life Monthly Income Advantage Plan is the name of the Savings-Non Linked Participating Insurance Plan. The name of the plan does not in any way indicate the future returns of the said
plan.

(1) Survival Benefit: Survival Benefit is equal to income instalments, each equal to 1/12th (One twelfth) of 10% (Ten percent) of Sum Assured payable on each monthly anniversary for 10 (Ten) consecutive policy years (i.e. 120 months) post the Premium
Payment Term.

Maturity Benefit: Maturity Benefit is equal to the sum of Reversionary Bonus (if any) and Terminal Bonus (if any), and shall be payable at the end of Policy Term.

(2) Death Benefit will be paid immediately on the death of the Life Insured and additionally the policy will continue with all the other benefits under the policy remaining intact. Therefore, the total benefit payable on the death of the life insured under the
plan are:

-- Death Benefit - It is payable immediately on the death of the Life Insured. The Death Benefit is defined as higher of 11 times the annualized premium, 105% of all premiums paid as on the date of death, Guaranteed Sum Assured on Maturity or any
absolute amount assured to be payable on death. Please note that, the annualized premium includes extra premium, if any, but does not include loading for modal premium, GST or cess(if any). Absolute amount is equal to Sum Assured. This Sum Assured is
the amount chosen by the Policyholder basis which the premium amount for the policy is determined. Guaranteed Sum Assured on Maturity is 'zero' or 'nil' under this product as all the guaranteed benefit under the product is paid out in form of Survival
Benefits as mentioned above.

-- Policy Continuance Benefit - All the premiums (if any) coinciding with or following the date of death of the Life Insured, shall be waived off and the policy will continue as is and Survival & Maturity Benefits shall be payable to the nominee as and when
due.
-- If ADD rider is selected, then an additional amount equivalent to ADD rider Sum Assured will be paid along with the base Death benefit in case of Accidental Death.
Please note that subsequent to the death of the Life Insured, the policy cannot be surrendered and shall continue till the end of the policy term with all the benefits being paid as and when due.

(3) Surrender Value: Upon surrender, the policyholder will be paid the higher of the Guaranteed Surrender Value (GSV) or Special Surrender Value (SSV).

-- GSV is the minimum guaranteed amount that will be payable to the policyholder on surrender of the policy.
-- SSV is the non guaranteed amount that will be payable to the policyholder on surrender of the policy. SSV also includes the surrender value of Accrued Reversionary Bonus and surrender value of Terminal Bonus (if any). SSV factors can be changed
by the company with prior approval of the IRDAI basis significant change in investment returns and/or market values of underlying assets or demographic experience. The SSV will always be equal to or higher than GSV.

(4) Accrued Reversionary Bonus: Reversionary Bonus will be declared each year post completion of second policy year depending on the experience of the company. Once declared reversionary bonus is guaranteed to be paid out on the earlier of Surrender
(only cash value) or Maturity. Reversionary bonus is primarily driven by investment in fixed interest securities such as government and corporate bonds and is expected to be relatively less volatile as compared to Terminal Bonus.

(5) Terminal Bonus is an additional bonus paid only ONCE on the earlier of surrender or maturity, provided the policy has been in force for at least 5 complete policy years. Unlike Reversionary Bonus which once declared becomes guaranteed, Terminal
Bonus is NOT GUARANTEED and is expected to move in line with the value of the overall assets, more specifically with the value of the growth assets like equity/property. Under the economic scenario of lower investment returns, the Terminal Bonus is
likely to reduce. Please note that on surrender, only surrender value of Terminal Bonus, if any, is payable.

Section B Additional information

-- This Benefit Illustration shall form a part of the policy document.


-- This is only an illustrative document. It does not purport to be a contract of insurance and does not in any way create any rights and/or obligations. Bonuses are not guaranteed, and bonus rates will be based on the actual company experience from time
to time.
-- Benefits secured under your policy shall become payable provided all contractual premiums are paid as and when they are due. The illustrative benefits above assume that all the contractual premiums will be paid on the due dates respectively.
-- Please note that this Benefit Illustration should be read in conjunction with the product brochure/ leaflet and Policy Contract (available at www.maxlifeinsurance.com), for understanding the product features and terms used in this illustration.
-- GST and other applicable taxes,cess (if any) would be levied as per applicable laws and would be borne by the policyholder. Tax laws and the benefits arising under the policy are as per prevailing provisions of law subject to change.
-- You may be entitled to certain applicable tax benefits on your premiums and policy benefits.Please note that all the tax benefits are subject to tax laws prevailing at the time of payment of premium or receipt of benefits by you/ your nominee.
-- The GST shall comprise - CGST, SGST/UTGST or IGST whichever may applicable and cesses, if any. The applicability of appropriate components will be determined subject to policyholder communication address (state) and state of insurance
provider.

This is only an illustrative document. The benefits if guaranteed, are clearly mentioned. For variable benefits, investment rate of return of 4% and 8% are used as an illustration.
Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram 122 002
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I ________________________________________________________ (Name), have explained the terms and conditions and the benefits of the policy to the prospect/policyholder.

Signature of Agent/Specified Person:


Name and ID:
Place:
Date:
Company Seal:

I ________________________________________________________ (Name), having received the information with respect to the above, have understood the above statement before entering into the contract. I understand and intend to continue paying

12 Years Guaranteed
the above said premium amount for the complete Premium Payment Term of ___________________ and as per the opted frequency. I also understand that the Monthly Income Benefit and Guaranteed Surrender Value are _________________________

whereas the special surrender value, reversionary and terminal bonus under the plan are_______________
non-Guaranteed.
Policyholder's Signature:
Policyholder's Name:
Date:

Max Life Insurance Company Limited having its corporate office at 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurugram 122 002

2010.1.2.8.6.63.7252840749.0000011450000.000001.00000121333 1100000001000000 10000018001000000 0 1

(34,49,1500000,R,111355,M,c34)

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