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AIA Philippines Life and General

Insurance Company, Inc.


(formerly Philam Life)
AIA Philippines Head Office
Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines

AIA ALL-IN-ONE T: (632) 8521 6300 / (632) 8526 9200


E: customerservice.ph@aia.com
W: www.aia.com.ph

with AIA Vitality Additional Coverage Customer Hotline: (632) 8528 2000

CLIENT INFORMATION
Policy Owner Name : Felice Amanda Gabrielle P Dela Vega Age: 27 Sex: Female
Policy Insured Name : Felice Amanda Gabrielle P Dela Vega Age: 27 Sex: Female

Dear Ms. Felice Amanda Gabrielle P Dela Vega ,


Thank you for choosing AIA ALL-IN-ONE with AIA Vitality Additional Coverage 1 , a 20-pay non-participating ordinary life insurance
plan that provides coverage on death, disability, accident, and critical illness. It also comes with AIA Vitality, a total wellness program
that rewards the Insured for living a healthy lifestyle.
PLAN FEATURES
LIFE INSURANCE BENEFIT If an unexpected event happens resulting in the death of the Insured, the Face Amount
equal to PHP 1,000,000.00 will be provided to the beneficiary/ies

MATURITY BENEFIT The Face Amount equal to PHP 1,000,000.00 will be provided to the Policy Owner upon the
Insured’s attainment of age 100.

TOTAL AND PERMANENT If the Insured gets total and permanently disabled, a cash benefit equal to PHP
DISABILITY COVERAGE 1,000,000.00 will be provided

PERSONAL ACCIDENT If the Insured gets into an unfortunate event on an accident that result to loss of life, a cash
COVERAGE benefit equal to PHP 1,000,000.00 will be provided to the beneficiary/ies.

However, if the Insured gets into an unfortunate event that results to dismemberment or loss
of use of various parts of the Insured’s body, a percentage of the Personal Accident Face
Amount will be provided.

If the accident happens while riding a Public Transportation or due to Natural Disaster, an
additional 100% of the Personal Accident benefit will be provided.

Please see page 5 for the complete list of Dismemberment or Loss of Use of various body
parts, Public Transportation, and Acts of Nature.

CRITICAL ILLNESS If the Insured is diagnosed with any of the covered Critical Illness such as cancer, kidney
COVERAGE failure, heart attack, etc., a cash benefit equal to PHP 1,000,000.00

Please refer to page 6 for the complete list of covered critical illnesses.

WAIVER OF PREMIUM If the Insured gets totally and permanently disabled or gets diagnosed with any of the
covered critical illnesses, the Company will waive the succeeding premiums of the AIA All-
In-One and the Insured will continue to be covered.

1
By availing of AIA All-In-One with AIA Vitality Additional Coverage, you automatically avail of the AIA Vitality membership and its rewards, including additional coverage on
life insurance and selected riders for the Insured. AIA Vitality Membership Fee should be paid continuously as long as the policy is in force. If you choose to discontinue the
AIA Vitality Membership, the Insured will no longer enjoy the benefits of AIA Vitality and only the AIA All-In-One plan will continue.

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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Page 1 of 9
AIA Philippines Life and General
Insurance Company, Inc.

AIA Philippines Head Office


Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines
T: (632) 8521 6300 / (632) 8526 9200
E: customerservice.ph@aia.com
W: www.aia.com.ph
Customer Hotline: (632) 8528 2000

AIA VITALITY FEATURES


ADDITIONAL COVERAGE Get an additional upfront coverage of 20% on Life Insurance Benefit, Total and Permanent
Disability (if applicable), Personal Accident (if applicable), and Critical Illness (if applicable)
at the start of your policy. Additional coverage can range from 0 to 50% depending on the
Insured’s AIA Vitality Status at the end of the policy year.

REWARDS Get to earn AIA Vitality Points as the Insured engage in various points-earning activities like
walking, running or cycling throughout your membership. Get to enjoy exclusive rewards
and discounts from AIA Vitality partners, and increase your AIA Vitality Status through
points-earning activities like walking, running or cycling.

The Insured can access the AIA Vitality app to view and monitor his AIA Vitality Points and
Status.

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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AIA Philippines Life and General
Insurance Company, Inc.

AIA Philippines Head Office


Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines
T: (632) 8521 6300 / (632) 8526 9200
E: customerservice.ph@aia.com
W: www.aia.com.ph
Customer Hotline: (632) 8528 2000

PREMIUMS AND BENEFITS


BENEFIT AS BENEFIT ANNUAL
COVERAGE
BENEFIT PERCENTAGE OF THE AMOUNT PREMIUM
PERIOD
FACE AMOUNT (in PHP) (in PHP)

FACE AMOUNT
Life Insurance Coverage Up to age 100 or 100% of the Face 1,000,000.00 14,990.00
upon claim Amount

Total and Permanent Up to age 65 or upon 100% of the Rider Face 1,000,000.00 1,400.00
Disability claim Amount

Personal Accident Up to age 75 or upon 100% of the Rider Face 1,000,000.00 560.00
claim Amount

10 Critical Illness Up to age 75 or upon 100% of the Rider Face 1,000,000.00 10,100.00
claim Amount

Up to end of paying Waives Future Premiums - 565.35


Waiver of Premium period

TOTAL PREMIUMS 2 27,615.35


Vitality Membership Fee 3
1,200.00

TOTAL 28,815.35

PAYMENT OPTIONS INCLUDING AIA VITALITY MEMBERSHIP FEE (in PHP)


PREMIUM COMPONENT ANNUAL SEMI-ANNUAL QUARTERLY MONTHLY
Basic Premium 14,990.00 7,495.00 3,747.50 1,250.17
Rider Premium/s 12,625.35 6,312.68 3,156.34 1,052.95
TOTAL PREMIUMS2 27,615.35 13,807.68 6,903.84 2,303.12

AIA Vitality Membership Fee 3 1,200.00 600.00 300.00 100.00

TOTAL PAYMENT 28,815.35 14,407.68 7,203.84 2,403.12

2
Total Premium for this illustration does not include AIA Vitality Membership Fee.
3
AIA Vitality Membership Fee should be paid continuously as long as the policy is in force. If you choose to discontinue the AIA Vitality Membership, the Insured will no longer
enjoy the benefits of AIA Vitality and only the AIA All-In-One plan will continue. AIA Vitality Membership Fee is not guaranteed and may be subject to change.

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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AIA Philippines Life and General
Insurance Company, Inc.

AIA Philippines Head Office


Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines
T: (632) 8521 6300 / (632) 8526 9200
E: customerservice.ph@aia.com
W: www.aia.com.ph
Customer Hotline: (632) 8528 2000

ILLUSTRATION OF BENEFITS
Total Cash Total and
Policy Insured Annual Surrender Life Insurance Permanent Personal
Benefit Accident Critical Illness
Year Age Premium Value Disability (in PHP)
(in PHP) (in PHP) (in PHP) (in PHP) (in PHP)
1 28 27,615.35 - 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
2 29 27,615.35 - 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
3 30 27,615.35 3,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
4 31 27,615.35 17,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
5 32 27,615.35 41,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
6 33 27,615.35 65,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
7 34 27,615.35 89,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
8 35 27,615.35 115,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
9 36 27,615.35 142,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
10 37 27,615.35 165,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
11 38 27,615.35 190,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
12 39 27,615.35 215,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
13 40 27,615.35 240,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
14 41 27,615.35 266,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
15 42 27,615.35 292,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
16 43 27,615.35 317,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
17 44 27,615.35 342,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
18 45 27,615.35 369,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
19 46 27,615.35 396,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
20 47 27,615.35 424,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
33 60 - 561,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
38 65 - 602,000 1,000,000.00 1,000,000.00 1,000,000.00 1,000,000.00
43 70 - 620,000 1,000,000.00 - 1,000,000.00 1,000,000.00
48 75 - 586,000 1,000,000.00 - 1,000,000.00 1,000,000.00
53 80 - 635,000 1,000,000.00 - - -
73 100 - 1,000,000 1,000,000.00 - - -

NOTES ON ILLUSTRATION OF BENEFITS TABLE


1. The above is a summary illustration of the major features and benefits of the policy.
2. All payments and benefits shown are in Philippine Pesos. Payments are acceptable in Philippine Pesos only.
3. Cash Surrender Value includes the cash surrender values of the basic plan and any attached rider/s and assumes that all
premiums are paid.
4. There will be a proportionate reduction in Cash Surrender Value for every payment of claim on rider/s attached.
5. Annual Premium will be proportionately reduced once there is a claim on rider/s attached.
6. Total Annual Premium does not include your AIA Vitality Membership Fee.
7. This Illustration is only valid if distributed within the Philippines.

REMINDER ON PRE-EXISTING CONDITIONS AND FREE-LOOK


Upon receiving the Policy Contract, you may refer to the document for full details on the critical illness definitions, exclusions
including the pre-existing conditions, and other limitations. If you decide that this plan is not suitable to your needs after reading
the Policy Contract, simply return the document to AIA Philippines within fifteen (15) days from the date when you or your
authorized representative received it and we will refund to you the total premiums you have paid.

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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AIA Philippines Life and General
Insurance Company, Inc.

AIA Philippines Head Office


Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines
T: (632) 8521 6300 / (632) 8526 9200
E: customerservice.ph@aia.com
W: www.aia.com.ph
Customer Hotline: (632) 8528 2000

SPECIAL ILLUSTRATION OF AIA VITALITY ADDITIONAL COVERAGE


AIA VITALITY ADDITIONAL
Cash COVERAGE
Total Annual Life Insurance
Policy Insured Surrender
Premium Benefit Additional Additional
Year Age Value Vitality
(in PHP) (in PHP) Coverage Coverage
(in PHP) Status
% (in PHP)
1 28 27,615.35 - 1,000,000.00 Bronze 20.0% 200,000.00
2 29 27,615.35 - 1,000,000.00 Gold 25.0% 250,000.00
3 30 27,615.35 3,000.00 1,000,000.00 Gold 30.0% 300,000.00
4 31 27,615.35 17,000.00 1,000,000.00 Gold 35.0% 350,000.00
5 32 27,615.35 41,000.00 1,000,000.00 Gold 40.0% 400,000.00
6 33 27,615.35 65,000.00 1,000,000.00 Gold 45.0% 450,000.00
7 34 27,615.35 89,000.00 1,000,000.00 Gold 50.0% 500,000.00
8 35 27,615.35 115,000.00 1,000,000.00 Gold 50.0% 500,000.00
9 36 27,615.35 142,000.00 1,000,000.00 Gold 50.0% 500,000.00
10 37 27,615.35 165,000.00 1,000,000.00 Gold 50.0% 500,000.00
11 38 27,615.35 190,000.00 1,000,000.00 Gold 50.0% 500,000.00
12 39 27,615.35 215,000.00 1,000,000.00 Gold 50.0% 500,000.00
13 40 27,615.35 240,000.00 1,000,000.00 Gold 50.0% 500,000.00
14 41 27,615.35 266,000.00 1,000,000.00 Gold 50.0% 500,000.00
15 42 27,615.35 292,000.00 1,000,000.00 Gold 50.0% 500,000.00
16 43 27,615.35 317,000.00 1,000,000.00 Gold 50.0% 500,000.00
17 44 27,615.35 342,000.00 1,000,000.00 Gold 50.0% 500,000.00
18 45 27,615.35 369,000.00 1,000,000.00 Gold 50.0% 500,000.00
19 46 27,615.35 396,000.00 1,000,000.00 Gold 50.0% 500,000.00
20 47 27,615.35 424,000.00 1,000,000.00 Gold 50.0% 500,000.00
33 60 - 561,000.00 1,000,000.00 Gold 50.0% 500,000.00
38 65 - 602,000.00 1,000,000.00 Gold 50.0% 500,000.00
43 70 - 620,000.00 1,000,000.00 Gold 50.0% 500,000.00
48 75 - 586,000.00 1,000,000.00 Gold 50.0% 500,000.00
53 80 - 635,000.00 1,000,000.00 Gold 50.0% 500,000.00
73 100 - 1,000,000.00 1,000,000.00 Gold 50.0% 500,000.00

Please refer to NOTES ON SPECIAL ILLUSTRATION OF AIA VITALITY ADDITIONAL COVERAGE page for complete details.

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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AIA Philippines Life and General
Insurance Company, Inc.

AIA Philippines Head Office


Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines
T: (632) 8521 6300 / (632) 8526 9200
E: customerservice.ph@aia.com
W: www.aia.com.ph
Customer Hotline: (632) 8528 2000

NOTES ON SPECIAL ILLUSTRATION OF AIA VITALITY ADDITIONAL COVERAGE TABLE

1. While above illustration only shows the application of AIA Vitality Additional Coverage on the Life Insurance Benefit,
the AIA Vitality Additional Coverage will also apply to Total and Permanent Disability, Personal Accident and Critical
Illness Benefit, if attached.
2. The AIA Vitality Additional Coverage is equal to the Additional Coverage % multiplied by the Life Insurance Benefit amount
of your policy. For Total and Permanent Disability, Personal Accident and Critical Illness Benefit, if attached, the AIA Vitality
Additional Coverage % will be multiplied to the Total and Permanent Disability, Personal Accident and Critical Illness Benefit
amount.
3. The AIA Vitality Additional Coverage benefit may change per policy year depending on the Insured’s attained AIA Vitality
Status at policy anniversary. When the Insured’s AIA Vitality Status at policy anniversary is Bronze or Silver, the AIA Vitality
Additional Coverage decreases (-10% for Bronze and -5% for Silver). When the Insured’s AIA Vitality Status at policy
anniversary is Gold or Platinum, the AIA Vitality Additional Coverage increases (+5% for Gold and +10% for Platinum).
4. The AIA Vitality Additional Coverage % on any policy year can be as high as 50% and it cannot be lower than zero.
5. The yearly AIA Vitality Status shown above is for illustration purposes only. The AIA Vitality Status will depend on
the Insured’s engagement in the program or actual AIA Vitality Points earned from activities like walking, running
or cycling.
6. The AIA Vitality Membership Fee should be paid continuously as long as the policy is in force. If you choose to
discontinue the AIA Vitality Membership, the Insured will no longer enjoy the benefits of AIA Vitality and only the
AIA All-In-One plan will continue. AIA Vitality Membership Fee is not guaranteed and may be subject to change.

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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AIA Philippines Life and General
Insurance Company, Inc.

AIA Philippines Head Office


Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines
T: (632) 8521 6300 / (632) 8526 9200
E: customerservice.ph@aia.com
W: www.aia.com.ph
Customer Hotline: (632) 8528 2000

LIST OF ACCIDENTAL DISMEMBERMENT OR LOSS OF USE OF VARIOUS BODY PARTS


% of Principal Sum
Accidental Dismemberment or Loss of Use of Limbs
(a) Both Hands 100%
(b) Both Feet 100%
(c) One Hand and One Foot 100%
(d) One Hand 50%
(e) Arm between elbow and wrist 60%
(f) Arm at or above elbow 70%
(g) One Foot 50%
(h) Leg below knee 60%
(i) Leg at or above knee 70%
Loss of Sight
(a) Both Eyes 100%
(b) One Eye 50%
Loss of Speech 100%
Loss of Hearing
(a) Both Ears 100%
(b) One Ear 50%
Accidental Dismemberment or Loss of Use of Fingers
(a All of One Hand 50%
(b Thumb 15%
(c) Index Finger 10%
(d Middle Finger 6%
(e) Ring Finger 5%
(f) Little Finger 4%
Loss of Use of Metacarpals – first or second 3%
Loss of Use of Metacarpals – third, fourth or fifth 2%
Accidental Dismemberment or Loss of Use of Toes
(a) All of One Foot 25%
(b) Great Toe 5%
(c) Other than Great, each toe 1%
Fractured leg or patella with established non-union 10%
Shortening of leg by at least 5 cm 7.5%

LIST OF COVERED EVENTS ON PERSONAL ACCIDENT FOR


PUBLIC TRANSPORTATION AND/OR ACTS OF NATURE
Additional 100% of the Personal Accident benefit will be provided if Accident results to Loss of Life or Dismemberment/Loss
of Use of various parts of the Insured’s body due to the following:
PUBLIC TRANSPORTATION ACTS OF NATURE
while traveling as a ticketed or officially listed passenger in a such as
1. Commercial Bus, 1. Storm (wind, rain, snow, sleet, hail, lightning, dust
2. Automobile, or sand),
3. Train, 2. Earthquake,
4. Monorail, 3. Flood,
5. Boat, 4. Land Slide,
6. Airplane, or 5. Volcanic Eruption, or
7. Ride Sharing App 6. Wildfire
over an established Land, Sea or Air route

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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AIA Philippines Life and General
Insurance Company, Inc.

AIA Philippines Head Office


Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines
T: (632) 8521 6300 / (632) 8526 9200
E: customerservice.ph@aia.com
W: www.aia.com.ph
Customer Hotline: (632) 8528 2000

LIST OF COVERED CRITICAL ILLNESSES

1. Cancer 6. Kidney Failure


2. Coma 7. Liver Cirrhosis
3. End Stage Lung Disease 8. Stroke
4. Heart Attack 9. Terminal Illness
5. HIV due to Blood Transfusion and Occupationally 10 Vital Organ Transplant
Acquired HIV

REMINDER ON PRE-EXISTING CONDITIONS AND FREE-LOOK

Upon receiving the Policy Contract, you may refer to the document for full details on the critical illness definitions, exclusions
including the pre-existing conditions, and other limitations. If you decide that this plan is not suitable to your needs after reading the
Policy Contract, simply return the document to AIA Philippines within fifteen (15) days from the date when you or your authorized
representative received it and we will refund to you the total premiums you have paid.

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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AIA Philippines Life and General
Insurance Company, Inc.

AIA Philippines Head Office


Six/Neo Building (formerly Net Lima Building),
5th Avenue cor. 26th Street
Bonifacio Global City, Taguig 1634
Philippines
T: (632) 8521 6300 / (632) 8526 9200
E: customerservice.ph@aia.com
W: www.aia.com.ph
Customer Hotline: (632) 8528 2000

Policy Owner Name : Felice Amanda Gabrielle P Dela Vega Application No. :
Agent’s Name : LORENZ CHRISTOPHER V ANG Agent’s Code No. : 007682812

DECLARATIONS AND ACKNOWLEDGMENTS


DECLARATIONS
I confirm that:
CB__01

• I have carefully read and understood all the disclosures and information contained in this Sales Illustration.
• My Insurance Agent has satisfactorily explained the principal features, limitations, exclusions and benefits of this policy.
• I acknowledge that this Sales Illustration is valid only if submitted to the Company within three (3) months from
the date it was prepared and that any alteration may deem this invalid.
• This Sales Illustration will not form part of the insurance contract once the policy is issued. In case of conflict
between this Sales Illustration and the issued policy, the latter shall prevail.

Felice Amanda Gabrielle P Dela Vega February 01, 2023


Policy Owner Name Policy Owner Signature Date

AGENT’S ATTESTATION

I attest that:

• These declarations and acknowledgments are made with my knowledge as his/her Insurance Agent.
• The Sales Illustration has been presented to the Policy Owner unaltered.
• The Policy Owner has been informed about the principal features, limitations, exclusions and benefits of this policy
• No statements have been made that are inconsistent with this Sales Illustration.

LORENZ CHRISTOPHER V ANG February 01, 2023


Agent’s Name Signature Date

CARDINAL BUOY FINANCIALS 007682812


Agency Office Name Agent’s Code No.

DATE PREPARED: 02/01/2023 LIFE : 0.0/STD TPD: STD 10CI: STD EWP: STD NGPAL - 1.0
VALID UNTIL: 05/01/2023 PA: Class 1

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