Bajaj Allianz Life

Smart Protection Goal

A Non-Linked, Non-Participating, Individual Life Insurance Term Plan

Key Features of the plan

Planning your Life Goals is just the start, securing them against eventualities is the next step with Bajaj Allianz Life Smart Protection Goal,
Type of the Plan an affordable term plan with numerous options

Bajaj Allianz Life Smart Protection Goal is an individual, life, non-participating, non-Linked, limited/regular premium payment, savings
Aim of the policy (ROP) and pure risk term cover plan, providing protection

Life Cover- Life Cover amount i.e. the Sum Assured is payable on death of the Life Assured
If you have chosen any of the below option the benefit payable will be as mentioned below –
 ROP – On maturity date, Return of Premium as Maturity Benefit is payable
 CIB –
 In case of diagnosis of any of the listed 55 Critical Illnesses, CI sum assured is payable
 For Minor stage CI other than Angioplasty, 25% of the CIB will be payable
 For Angioplasty, lower of 5 lakhs or 25% of CIB, will be payable
Benefits under
 For Major CI, 100% of CI sum assured will be payable
the policy
The total claims paid under Minor and Major stage CI will not be more than 100% of CI sum assured.
Whole of Life – Life Cover up to age 99 years.
 This option is only available when limited premium payment option is chosen.

Note-
 Critical Illness Benefit- CIB

Premium The premium payment term chosen by you is the basis on which Benefit Illustration has been drawn and shall also be mentioned in
Payment Term the Policy Schedule

For Regular Premium or Limited Premium payment option without ROP: If any premium is not paid before the end of the grace
period, then no benefit under the policy will be payable
For Regular Premium or Limited Premium payment option with ROP:
Non- payment a) If at least two (2) full years' premiums are not paid under a policy, then no benefit will be payable under the policy.
of premium
b) If at least two (2) full years' premiums under a policy are paid and subsequent premiums are not paid, then, the policy will be,
immediately & automatically, converted to a paid-up policy at the expiry of the grace period.
Note: For detailed conditions, refer Sales Literature.

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver 1 : English
 a) Surrender Value is available –
I. For regular premium with ROP, only if at least two (2) full years' premiums under a policy are paid
ii. For Limited premium –
1. with ROP only if at least two (2) full years' premiums under a policy are paid
Surrender 2. without ROP option only after the premium payment term
Value Note –
Under Regular Premium payment for without ROP option, no surrender value shall be available.

The surrender value payable shall be higher of the GSV or SSV.

You may revive your lapsed policy during the revival period of five (5) years from the due date of first unpaid premium, subject to
Revival the revival conditions under the policy

If the life assured commits suicide, within 12 months from the date of commencement of risk or the date of latest revival of the
Suicide Claim policy, whichever is later, the higher of 80% of the total premiums paid or the surrender value as on the date of death will be paid as
Provisions death benefit, provided the policy is in force.

a) The risk cover under the Policy and/or CI Benefit shall, immediately and automatically, terminate on the occurrence of any of the
following events:
i) On the date of death of the Life Assured
ii) On the Maturity Date of the Policy
iii) On payment of the full CI Sum Assured .
iv) On the cessation of CI Cover Term
Termination b) This Policy shall, immediately and automatically, terminate on the earliest occurrence of any of the following events:
i) On the expiry of the Revival Period for lapsed policies.
ii) On the payment of Death Benefit.
iii) On the payment of Maturity Benefit
iv) On payment of the refund on Free look cancellation (as per Section 5 above)
v) On payment of Surrender Value.

You will have a free look period of fifteen (15) days from the date of receipt of the Policy Document and period of thirty (30) days in
case of electronic policies and policies obtained through distance mode, to review the terms and conditions of the Policy and if you
Free Look disagree to any of those terms or conditions, you have an option to return the Policy for cancellation, stating the reasons for
Cancelation objection, then you shall be entitled to a refund of the premium paid subject only to a deduction of a proportionate risk premium for
the period of cover and the expenses incurred on medical examination and stamp duty charges.

Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit us:
www.bajajallianzlife.com
Contact us
BALIC CIN : U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in, Call on : Toll free no. 1800 209 7272, Fax No: 020-
66026789

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver 1 : English
 Do's
 Do fill the proposal form very carefully and personally in CAPITAL letters in blue ink only
 Do provide true and complete information
 Do provide correct contact number, address and email ID, and update in case of any change, so that you can receive necessary
communication
 Do sign on all the documents provided by you (Self Attestation)
 Do provide your recent passport photograph
 Do draw cheque/ DD, in favour of “Bajaj Allianz Life Insurance Co. Ltd.”
 Do read the policy bond carefully upon receipt of the same.
 Do contact us if you do not receive the policy bond or any other communication from the Company within 30 days.
 Do read the enclosed Benefit Illustration carefully before signing
 Do register for Auto Debit Instructions/ ECS to ensure timely payments of your premium on due dates.

Don'ts
 Do not sign any blank proposal form
 Do not leave any column blank in the proposal form
 Do not conceal any facts as this could lead to dispute at the time of a claim
 Do not miss or delay your premium payment
 Do not rely on any commitments of any additional benefits made by anyone apart from what has been highlighted herein above.

Disclaimer - This document contains the highlights of the product Bajaj Allianz Life Smart Protection Goal (UIN:116N174V01) 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 above, 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)

Bajaj Allianz Life Insurance Co. Ltd.,

Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116. Ver 1 : English
Quotation No : 60034907826

Bajaj Allianz Life Smart Protection Goal

A Non-Linked, Non-Participating, Individual Life Insurance Term Plan

Name of the Prospect/ Mr Thakur Proposal No

Policyholder:
Age 24 years
Name of the Product: Bajaj Allianz Life Smart Protection Goal
Gender Male
Name of Life Assured Mr Thakur Tag Line A Non-Linked, Non-Participating, Individual Life
Insurance Term Plan
Age 24 years
UIN: 116N174V01
Gender Male
Policy Term 40 years GST Rate (First Year): 18.00%
Premium Payment Term 10 years GST Rate (Second Year 18.00%
onwards):
Amount of Instalment Rs.26,385 Tobacco user No
Premium (including GST)
Mode Yearly Premium Category Medical
This benefit illus tra tion is intended to s how yea r-wis e premiums pa ya ble a nd benefits under the Policy

Policy Details
Sum Assured (Rs.) 1,50,00,000
Sum Assured on Death (at inception of the policy)(Rs.) 1,50,00,000
Maturity Benefit (Rs.) 0

Add-On Benefits Selected/Not Selected Sum Assured PT PPT

Critical illness Benefit No NA NA NA

Premium Summary
Particulars Base Plan Critical Illness Total Installment Premium
Benefit
Installment Premium (Including Premium for Add-ons) without GST 23,537 0 23,537
Salary Rebate, If available 1,177 0 1,177
Insurance for All Discount, If available 0 0 0
Vaccination Discount, If available 0 0 0
Installment Premium without GST after discounts, if applicable 22,360 0 22,360
Installment Premium with GST after discounts, if applicable (First Year only) 26,385 0 26,385
Installment Premium with GST 2nd Year Onwards 27,774 0 27,774

Benefit Summary (Amount in Rupees)

Guaranteed Non-Guaranteed
Policy Annualised
Year Premium Survival Maturity Death Min. Guaranteed Surrender Value Special Surrender Value Surrender Value
Benefits Benefit Benefit (GSV) (SSV) Receivable
1 22,360 0 0 1,50,00,000 0 0 0
2 23,537 0 0 1,50,00,000 0 0 0
3 23,537 0 0 1,50,00,000 0 0 0
4 23,537 0 0 1,50,00,000 0 0 0
5 23,537 0 0 1,50,00,000 0 0 0
6 23,537 0 0 1,50,00,000 0 0 0
7 23,537 0 0 1,50,00,000 0 0 0
8 23,537 0 0 1,50,00,000 0 0 0
9 23,537 0 0 1,50,00,000 0 0 0

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Quotation No : 60034907826

Benefit Summary (Amount in Rupees)

Guaranteed Non-Guaranteed
Policy Annualised
Year Premium Survival Maturity Death Min. Guaranteed Surrender Value Special Surrender Value Surrender Value
Benefits Benefit Benefit (GSV) (SSV) Receivable
10 23,537 0 0 1,50,00,000 39,520 79,040 79,040
11 0 0 0 1,50,00,000 36,929 73,859 73,859
12 0 0 0 1,50,00,000 34,426 68,853 68,853
13 0 0 0 1,50,00,000 32,011 64,023 64,023
14 0 0 0 1,50,00,000 29,684 59,368 59,368
15 0 0 0 1,50,00,000 27,445 54,889 54,889
16 0 0 0 1,50,00,000 25,293 50,586 50,586
17 0 0 0 1,50,00,000 23,229 46,458 46,458
18 0 0 0 1,50,00,000 21,253 42,506 42,506
19 0 0 0 1,50,00,000 19,365 38,730 38,730
20 0 0 0 1,50,00,000 17,565 35,129 35,129
21 0 0 0 1,50,00,000 15,852 31,704 31,704
22 0 0 0 1,50,00,000 14,227 28,455 28,455
23 0 0 0 1,50,00,000 12,690 25,381 25,381
24 0 0 0 1,50,00,000 11,241 22,483 22,483
25 0 0 0 1,50,00,000 9,880 19,760 19,760
26 0 0 0 1,50,00,000 8,607 17,213 17,213
27 0 0 0 1,50,00,000 7,421 14,842 14,842
28 0 0 0 1,50,00,000 6,323 12,646 12,646
29 0 0 0 1,50,00,000 5,313 10,627 10,627
30 0 0 0 1,50,00,000 4,391 8,782 8,782
31 0 0 0 1,50,00,000 3,557 7,114 7,114
32 0 0 0 1,50,00,000 2,810 5,621 5,621
33 0 0 0 1,50,00,000 2,152 4,303 4,303
34 0 0 0 1,50,00,000 1,581 3,162 3,162
35 0 0 0 1,50,00,000 1,098 2,196 2,196
36 0 0 0 1,50,00,000 703 1,405 1,405
37 0 0 0 1,50,00,000 395 790 790
38 0 0 0 1,50,00,000 176 351 351
39 0 0 0 1,50,00,000 44 88 88
40 0 0 0 1,50,00,000 0 0 0

Notes & Disclaimers:

1. The above informa on must be read in conjunc on with Sales Literature & Policy document. In case of any conflict between this benefit
illustration and your policy document, the latter shall prevail.
2. The Annualized Premium is exclusive of taxes, underwriting extra premium and loadings for modal premiums if any
3. Benefit Option - Life Cover*
* This cover will be available with or without ROP. If ROP feature is chosen, then, ROP will be applicable to the premium paid w.r.t. the variant
and any add-on cover opted for.
4. Add-On Cover
Critical Illness Benefit (CIB): On the occurrence of CI to life assured during the CIB cover period.
5. The benefits illustrated are as of at end of the year
6. Sum Assured on Death - For Regular Premium and Limited Premium: Sum Assured on Death is defined as the higher of (a) 10 Times
Annualized Premium*, (b) 105% of total premiums paid* till date of death, (c) Sum Assured (or prevailing sum assured, if applicable),
* Annualised Premium -Total Premium/s payable in a Policy Year, excluding any Extra Premium, and GST, if any.
7. Tax benefits under the policy will be as per the prevailing Income Tax laws. We recommend that you seek professional advice for
applicability of tax benefit on premiums paid and benefits received.
8. For any further clarification, contact our sales representative or e-mail us on customercare@bajajallianz.co.in
I, ___ ____, have explained the premiums, charges and benefits I, ___ Mr Thakur _____ , having received the informa on with
under the policy fully to the prospect / policyholder. respect to the above, have understood the above statement before
entering into the contract.

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder

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Quotation No : 60034907826

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
www.bajajallianzlife.com