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  • Ricky Rifaldo (Kirana)

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    This document is an illustration of a term life insurance plan for Ricky Rifaldo. It provides details of Ricky's personal information, insurance coverage of Rp350,000,000 for 5 years, an annual premium of Rp1,050,000, and a benefit of 100% of the coverage amount if he passes away during the insurance period. It also states that the underwriting will be done through a simplified application form and medical declarations. The document clarifies that it is only an illustration and not a binding insurance agreement.

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    Ricky rifaldo (Kirana)

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    This document is an illustration of a term life insurance plan for Ricky Rifaldo. It provides details of Ricky's personal information, insurance coverage of Rp350,000,000 for 5 years, an annual premium of Rp1,050,000, and a benefit of 100% of the coverage amount if he passes away during the insurance period. It also states that the underwriting will be done through a simplified application form and medical declarations. The document clarifies that it is only an illustration and not a binding insurance agreement.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views1 page

    Ricky Rifaldo (Kirana)

    Uploaded by

    Black Monger
    This document is an illustration of a term life insurance plan for Ricky Rifaldo. It provides details of Ricky's personal information, insurance coverage of Rp350,000,000 for 5 years, an annual premium of Rp1,050,000, and a benefit of 100% of the coverage amount if he passes away during the insurance period. It also states that the underwriting will be done through a simplified application form and medical declarations. The document clarifies that it is only an illustration and not a binding insurance agreement.

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    © All Rights Reserved
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    of 1

    ILUSTRASI

    ASURANSI PROTEKSI JIWA TERENCANA


    KIRANA
    PT. ASURANSI BRI LIFE

    DATA CALON TERTANGGUNG


    Nama RICKY RIFALDO
    Tanggal Lahir 18/05/2000
    Tanggal Mulai Asuransi 16/05/2023
    Akhir Masa Asuransi 16/05/2028
    Usia Masuk 23 Tahun
    Uang Pertanggungan Rp.350.000.000
    Masa Asuransi 5 Tahun
    Periode Pembayaran Premi Tahunan
    Premi Tahunan Rp.1.050.000
    Total Akumulasi Premi untuk 5 (lima) kali pembayaran premi Rp.5.250.000
    Pelunasan Seluruh Premi di Awal Pertanggungan untuk Mendapatkan 10% Diskon Premi Tidak

    MANFAAT ASURANSI
    Manfaat Uang Pertanggungan dalam hal Tertanggung meninggal dunia yang disebabkan oleh apapun dalam masa asuransi, maka Penerima Manfaat akan
    mendapatkan 100% Uang Pertanggungan dan pertanggungan Asuransi Berakhir.

    TAHUN TOTAL MANFAAT


    PREMI
    PERTANGGUNGAN ASURANSI

    1 Rp. 1,050,000 Rp. 350,000,000

    2 Rp. 1,050,000 Rp. 350,000,000

    3 Rp. 1,050,000 Rp. 350,000,000

    4 Rp. 1,050,000 Rp. 350,000,000

    5 Rp. 1,050,000 Rp. 350,000,000

    KETENTUAN UNDERWRITING
    Simplified Issuance Offer (SIO) dengan pernyataan kesehatan yang terdapat dalam formulir kepesertaan Asuransi.

    PROPOSAL INI HANYA ILUSTRASI DAN BUKAN PERJANJIAN ASURANSI

    DISAJIKAN OLEH : BFA Bancass Tiga


    KODE AGEN : 20190801003

    TANDA TANGAN AGEN TANDA TANGAN CALON PEMEGANG POLIS

    (BFA Bancass Tiga) (RICKY RIFALDO)

    Saya telah menjelaskan isi ilustrasi ini kepada Calon Pemegang Polis. Saya telah memahami isi ilustrasi ini.

    BRI LIFE TIDAK MENERIMA PEMBAYARAN PREMI SECARA TUNAI

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