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This document contains the highlights of the product Bajaj Allianz Life Assured Wealth Goal UIN: 116N170V06 and is subject to the terms and conditions as contained in the policy document. The
terms and conditions as contained in the policy document shall govern the contractual relationship and shall be binding. For details on any of the matters highlighted herein below, please refer to
policy document upon receipt of the same by you. The standard terms and conditions of the product is also available on the Company website (at www.bajajallianzlife.com)

Key Feature Document

Bajaj Allianz Life Assured Wealth Goal will

give you assurance of income in achieving
your Life Goals with guarantee.

A Non linked, Non Participating, Individual, Life Insurance Savings Plan

You have chosen Second Income option

Income Benefit: Maturity Benefit:
`
` You will receive Guaranteed Income during the income You will receive Sum of all premiums paid (if opted),
period of 25 / 30 years as opted by you plus last regular guaranteed payout.

Death Benefit: Surrender Benefit:

In case of Death of the insured person during the policy You will receive a surrender value which will be the
term, the death benefit shall be payable to the nominee higher of the guaranteed surrender value (GSV) or
in form of equated monthly Income over five years. the special surrender value (SSV)
The Death benefit will be higher of Sum Assured on Note- Please refer Policy Document for more details and the table of
Death or 105% of total premiums paid as on date of applicable GSV & SSV factors.
death or prevailing surrender value.

Revival: Non Payment of Premium:

You may revive your lapsed/ Paid-up Policy during the • If you have not paid first 2 years’ premium, then, no
Revival Period of five (5) years from the due date of first
` benefit will be payable.
unpaid premium, subject to the revival conditions under
the Policy. • If you have paid at least first 2 years’ premium, then
your policy will continue with reduced paid-up
benefits.
Grace Period:
You will have a Grace Period of thirty (30) days for
frequencies other than monthly and fifteen (15) days for Policy Loan:
monthly frequency to pay your due premiums. During You will have an option to avail policy loan upto 80%
the Grace Period, the Policy is considered to be in-force. of the surrender value.

Life Cover
Life cover of an individual will be throughout the policy term provided all due premiums have been paid.

Premium Payment
You will have an option to pay your premiums regularly or for a limited policy term.

Exclusions: Suicide Claim provision

In case of death of Life Assured due to suicide within 12 months from the date of commencement of risk or the date of latest revival of the
Policy, whichever is later, then the nominee or beneficiary of the Policyholder shall be entitled to receive, the higher of 80% of the total
Premiums paid or the Surrender Benefit as on the date of death, provided the Policy is in force and the policy will be terminated.

Free look Cancellation

Within 15 days of the receipt of this policy and thirty (30) days in case of electronic policy and policy obtained through distance mode, the
policyholder will have an option to review the terms and conditions of the policy and if the policyholder disagrees to any of the terms & condi-
tions, he/she will have an option to return the policy stating the reasons for objections. The policyholder shall be entitled to a refund compris-
ing of all premiums (excluding applicable taxes) paid, less the proportionate amount of risk premium including proportionate amount of rider
risk premium for the period the life assured was provided cover and the expenses incurred by the company on account of medical examina-
tion and stamp duty charges.
Tax Benefits
As per applicable tax laws as amended from time to time. You are requested to consult your tax consultant and obtain independent advice
for eligibility and before claiming any benefit under the policy.

Contact Us: Regd. Office Address: Bajaj Allianz life Insurance Co. ltd, Bajaj Allianz House, Airport Road, Yerwada, Pune - 411006., IRDAI Reg No.: 116, Visit us: www.baja-
jallianzlife.com, BALIC CIN : U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in, Call on : Toll free no. 1800 209 7272, Fax No: 020-66026789,
Quotation No : 60026109434

Bajaj Allianz Life Assured Wealth Goal

A Non-linked Non-Participating Life Insurance Savings Plan

Name of the Prospect/ Policyholder: Khushi Gupta Name of the Product: Bajaj Allianz Life Assured
Age: 32 Wealth Goal
Gender: F Tag Line: A Non-linked Non-participating Individual
Life Insurance Savings Plan
Name of the Life Assured: Khushi||Gupta
Unique Identification Number: 116N170V06
Age: 32
GST Rate(First Year): 4.50%
Gender: F
GST Rate(2nd Year onwards): 2.25%
Policy Term: 39 years
Premium Payment Term: 12 years
Deferment Period: 2 years
Amount of Installment Premium: 1,04,500
Mode of Payment of Premium: Annual

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Variant Second Income Instalment Income 1,56,500
Income Period 25 Total Income during the year 1,56,500

Income Payout Frequency Yearly Sum Assured on Death (at 12,60,000

inception of the Policy) (Rs.)
Choice of Income Payout date No

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST 1,00,000 0 1,00,000
Instalment Premium loading for Defence personnel 0 0 0
Total Instalment Premium without GST 1,00,000 0 1,00,000
Installment Premium with First Year GST 1,04,500 0 1,04,500
Installment Premium with GST 2nd year Onwards 1,02,250 0 1,02,250
(Amount in Rupees )
Benefit Summary
Guaranteed Non Guaranteed

Policy Annualised Survival Maturity Death Benefit Guaranteed Surrender Value Special Surrender Value
Year Premium Benefits Benefit (GSV) (SSV)
1 1,00,000 0 0 12,60,000 0 0
2 1,00,000 0 0 12,60,000 60,000 79,399
3 1,00,000 0 0 12,60,000 1,05,000 1,30,706
4 1,00,000 0 0 12,60,000 2,00,000 1,91,298
5 1,00,000 0 0 12,60,000 2,50,000 2,62,537
6 1,00,000 0 0 12,60,000 3,00,000 3,45,971
7 1,00,000 0 0 12,60,000 3,50,000 4,43,363
8 1,00,000 0 0 12,60,000 4,08,000 5,56,724
9 1,00,000 0 0 12,60,000 4,68,000 6,88,350
10 1,00,000 0 0 12,60,000 5,30,000 8,40,872
11 1,00,000 0 0 12,60,000 6,05,000 10,17,314
12 1,00,000 0 0 12,60,000 6,72,000 12,21,153
13 0 0 0 13,44,364 6,84,000 13,44,364

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Quotation No : 60026109434

Benefit Summary
Guaranteed Non Guaranteed

Policy Annualised Survival Maturity Death Benefit Guaranteed Surrender Value Special Surrender Value
Year Premium Benefits Benefit (GSV) (SSV)
14 0 0 0 14,80,853 7,08,000 14,80,853
15 0 1,56,500 0 14,75,734 5,63,500 14,75,734
16 0 1,56,500 0 14,70,392 4,19,000 14,70,392
17 0 1,56,500 0 14,64,804 2,74,500 14,64,804
18 0 1,56,500 0 14,58,941 1,42,000 14,58,941
19 0 1,56,500 0 14,52,771 0 14,52,771
20 0 1,56,500 0 14,46,257 0 14,46,257
21 0 1,56,500 0 14,39,364 0 14,39,364
22 0 1,56,500 0 14,32,055 0 14,32,055
23 0 1,56,500 0 14,24,295 0 14,24,295
24 0 1,56,500 0 14,16,049 0 14,16,049
25 0 1,56,500 0 14,07,286 0 14,07,286
26 0 1,56,500 0 13,97,970 0 13,97,970
27 0 1,56,500 0 13,88,071 0 13,88,071
28 0 1,56,500 0 13,77,552 0 13,77,552
29 0 1,56,500 0 13,66,376 0 13,66,376
30 0 1,56,500 0 13,54,495 0 13,54,495
31 0 1,56,500 0 13,41,854 0 13,41,854
32 0 1,56,500 0 13,28,387 0 13,28,387
33 0 1,56,500 0 13,14,010 0 13,14,010
34 0 1,56,500 0 12,98,614 0 12,98,614
35 0 1,56,500 0 12,82,065 0 12,82,065
36 0 1,56,500 0 12,64,189 0 12,64,189
37 0 1,56,500 0 12,60,000 0 12,44,762
38 0 1,56,500 0 12,60,000 0 12,23,492
39 0 1,56,500 12,00,000 12,60,000 0 0
Notes:
1. The ma in objec ve of this benefit illus tra on is tha t the policyholder is a ble to unders ta nd the fea tures of the product a nd the na ture of benefits under
different circums ta nces like s urviva l, dea th & s urrender.
2. The a bove informa tion mus t be rea d in conjunction with Sa les Litera ture & Policy document.
3. The compa ny decla res tha t it ma y cha rge extra premium s ubject to underwriting of propos a l before is s ua nce of the policy.
4. Annua lized premium excludes underwri ng extra premium, the premiums pa id towa rds the riders , if a ny a nd Goods a nd Service Ta x/ a nd a ny other a pplica ble
ta xes .
5. The policy will a cquire a s urrender va lue which will be pa ya ble a s higher of the Gua ra nteed Surrender Va lue or Specia l Surrender Va lue. The dis pla yed Specia l
Surrender Va lues a re not gua ra nteed a nd only indica ve. Thes e ma y cha nge from me to me. The s urrender va lues a re illus tra ted a s s uming tha t a ll due
premiums in a policy yea r a re pa id.
6. The Dea th benefit, Ma turity Benefit, Surrender benefit a s s hown in Benefit Summa ry a re pa ya ble a s s uming Ma turity/ Dea th / Surrender occur a t the end of the
yea r. The Income pa youts will be pa id in a rrea rs a s per chos en pa yout frequency.
7. In ca s e of a ny conflict between this benefit illus tra tion a nd your policy document, the la tter s ha ll preva il.
8. The Gua ra nteed Income men oned in the benefit s umma ry is a n indica ve a mount ba s ed on the da te on which you a pplied for this policy. The exa ct income
will be a s per the da te of is s ua nce of your policy a nd is s pecified in the Policy document.
9. Ta x benefits under the policy will be a s per the preva iling Income Ta x la ws . We recommend tha t you s eek profes s iona l a dvice for a pplica bility of ta x benefit
on premiums pa id a nd benefits received.
10. For a ny further cla rifica tion, conta ct our s a les repres enta tive or e-ma il us on cus tomerca re@ba ja ja llia nz.co.in

I, , have explained the premiums and benefits under the policy fully I, Khushi Gupta , having received the information with respect to the
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
Bajaj Allianz Life Insurance Co. Ltd.
Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.
Tel:(020) 66026777. Fax:(020) 66026789.
Email: customercare@bajajallianz.co.in Website: www.bajajallianzlife.com

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