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This document contains the highlights of the product Bajaj Allianz Life Assured Wealth Goal UIN: 116N170V09 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 : 60032687433
Name of the Prospect/ Policyholder: Jeganathan . Name of the Product: Bajaj Allianz Life Assured
Age: 60 Wealth Goal
Gender: Male Tag Line: A Non-Linked Non-Participating Individual
Life Insurance Savings Plan
Name of the Life Assured: Jeganathan .
Unique Identification Number: 116N170V09
Age: 60
GST Rate(First Year): 4.50%
Gender: M
GST Rate(2nd Year onwards): 2.25%
Policy Term: 39 years
Premium Payment Term: 7 years
Deferment Period: 0 years
Amount of Installment Premium: 2,09,000
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 Lifelong Income Instalment Income 90,200
Income Period 32 Total Income during the year 90,200
Sum Assured on Death (at
Income Payout Frequency Yearly inception of the Policy) (paid in 20,40,000
instalments*)
Choice of Income Payout date No
Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST 2,00,000 0 2,00,000
Installment Premium with First Year GST 2,09,000 0 2,09,000
including channel Premium
Installment Premium with GST 2nd year 2,04,500 0 2,04,500
Onwards
(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 2,00,000 0 0 20,40,000 0 0
2 2,00,000 0 0 20,40,000 1,20,000 1,88,293
3 2,00,000 0 0 20,40,000 2,10,000 3,07,375
4 2,00,000 0 0 20,40,000 4,00,000 4,46,552
5 2,00,000 0 0 20,40,000 5,00,000 6,09,062
6 2,00,000 0 0 20,40,000 6,00,000 7,98,787
7 2,00,000 0 0 20,40,000 7,00,000 10,20,392
8 0 90,200 0 20,40,000 6,23,800 10,29,360
9 0 90,200 0 20,40,000 5,47,600 10,36,634
10 0 90,200 0 20,40,000 4,71,400 10,44,435
11 0 90,200 0 20,40,000 4,09,200 10,52,801
12 0 90,200 0 20,40,000 3,33,000 10,61,759
13 0 90,200 0 20,40,000 2,56,800 10,71,328
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Quotation No : 60032687433
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 90,200 0 20,40,000 1,94,600 10,81,518
15 0 90,200 0 20,40,000 1,18,400 10,92,328
16 0 90,200 0 20,40,000 42,200 11,03,758
17 0 90,200 0 20,40,000 0 11,15,799
18 0 90,200 0 20,40,000 0 11,28,440
19 0 90,200 0 20,40,000 0 11,41,661
20 0 90,200 0 20,40,000 0 11,55,447
21 0 90,200 0 20,40,000 0 11,69,773
22 0 90,200 0 20,40,000 0 11,84,612
23 0 90,200 0 20,40,000 0 11,99,937
24 0 90,200 0 20,40,000 0 12,15,710
25 0 90,200 0 20,40,000 0 12,31,894
26 0 90,200 0 20,40,000 0 12,48,440
27 0 90,200 0 20,40,000 0 12,65,296
28 0 90,200 0 20,40,000 0 12,82,399
29 0 90,200 0 20,40,000 0 12,99,669
30 0 90,200 0 20,40,000 0 13,17,015
31 0 90,200 0 20,40,000 0 13,34,310
32 0 90,200 0 20,40,000 0 13,51,392
33 0 90,200 0 20,40,000 0 13,68,016
34 0 90,200 0 20,40,000 0 13,83,805
35 0 90,200 0 20,40,000 0 13,98,147
36 0 90,200 0 20,40,000 0 14,09,973
37 0 90,200 0 20,40,000 0 14,17,334
38 0 90,200 0 20,40,000 0 14,16,497
39 0 90,200 14,00,000 20,40,000 0 0
Under Lifelong Income va ria nt: The Dea th benefit will be pa id in ins ta lments over 5 yea rs .
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, ma turity, 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. 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 .
4. The policy will a cquire a s urrender va lue a ny me in ca s e of s ingle premium a nd on pa yment of a tlea s t 2 yea rs premiums otherwis e. The s urrender va lue
pa ya ble will be 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 tive. Thes e ma y cha nge from time to time. 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.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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, Jeganathan . , having received the informa on 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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