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Key Feature Document: You Have Chosen Second Income Option Maturity Benefit: Death Benefit: Income Benefit
Key Feature Document: You Have Chosen Second Income Option Maturity Benefit: Death Benefit: Income Benefit
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)
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.
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 : 60026111296
Name of the Prospect/ Policyholder: Abc Z Name of the Product: Bajaj Allianz Life Assured
Age: 37 Wealth Goal
Gender: M Tag Line: A Non-linked Non-participating Individual
Life Insurance Savings Plan
Name of the Life Assured: Abc||Z
Unique Identification Number: 116N170V06
Age: 37
GST Rate(First Year): 4.50%
Gender: M
GST Rate(2nd Year onwards): 2.25%
Policy Term: 44 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 1,53,500
Income Period 30 Total Income during the year 1,53,500
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 11,80,000 0 0
2 1,00,000 0 0 11,80,000 60,000 77,610
3 1,00,000 0 0 11,80,000 1,05,000 1,27,783
4 1,00,000 0 0 11,80,000 2,00,000 1,87,053
5 1,00,000 0 0 11,80,000 2,50,000 2,56,757
6 1,00,000 0 0 11,80,000 3,00,000 3,38,415
7 1,00,000 0 0 11,80,000 3,50,000 4,33,759
8 1,00,000 0 0 11,80,000 4,08,000 5,44,764
9 1,00,000 0 0 11,80,000 4,68,000 6,73,690
10 1,00,000 0 0 11,80,000 5,30,000 8,23,122
11 1,00,000 0 0 11,80,000 5,94,000 9,96,036
12 1,00,000 0 0 12,60,000 6,60,000 11,95,853
13 0 0 0 13,16,780 6,72,000 13,16,780
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Quotation No : 60026111296
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 14,50,773 6,84,000 14,50,773
15 0 1,53,500 0 14,45,916 5,42,500 14,45,916
16 0 1,53,500 0 14,40,891 4,13,000 14,40,891
17 0 1,53,500 0 14,35,682 2,71,500 14,35,682
18 0 1,53,500 0 14,30,269 1,30,000 14,30,269
19 0 1,53,500 0 14,24,629 0 14,24,629
20 0 1,53,500 0 14,18,734 0 14,18,734
21 0 1,53,500 0 14,12,563 0 14,12,563
22 0 1,53,500 0 14,06,091 0 14,06,091
23 0 1,53,500 0 13,99,304 0 13,99,304
24 0 1,53,500 0 13,92,184 0 13,92,184
25 0 1,53,500 0 13,84,724 0 13,84,724
26 0 1,53,500 0 13,76,920 0 13,76,920
27 0 1,53,500 0 13,68,775 0 13,68,775
28 0 1,53,500 0 13,60,294 0 13,60,294
29 0 1,53,500 0 13,51,490 0 13,51,490
30 0 1,53,500 0 13,42,376 0 13,42,376
31 0 1,53,500 0 13,32,974 0 13,32,974
32 0 1,53,500 0 13,23,302 0 13,23,302
33 0 1,53,500 0 13,13,388 0 13,13,388
34 0 1,53,500 0 13,03,260 0 13,03,260
35 0 1,53,500 0 12,92,949 0 12,92,949
36 0 1,53,500 0 12,82,491 0 12,82,491
37 0 1,53,500 0 12,71,929 0 12,71,929
38 0 1,53,500 0 12,61,307 0 12,61,307
39 0 1,53,500 0 12,60,000 0 12,50,678
40 0 1,53,500 0 12,60,000 0 12,40,102
41 0 1,53,500 0 12,60,000 0 12,29,653
42 0 1,53,500 0 12,60,000 0 12,19,412
43 0 1,53,500 0 12,60,000 0 12,09,485
44 0 1,53,500 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, Abc Z , having received the informa on with respect to the above,
to the prospect / policyholder. 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
O.X.X.A