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Life Insurance Division Quotation No. 2023/23/009680/01

No. 21, Vauxhall Street, Calculation Date: 2023/12/28
Colombo 02. Sri Lanka.
Tel: (011) 2 357 249/ 2 357 226 Advisor Code :0

Divi Thilina Currency:LKR

Quotation for Mr. Balachandran Gender Male
Age/Date of Birth 30 Years 1993/12/28 Sum Assured 1,000,000 Period of Cover 15 Years
Cover Details (Main Life)
Cover Name Years Covers Annual Premium
Basic Sum Assured 15 1,000,000 65,681.00
Family Protection Unit 15 1,000,000 2,450.00
SLI Hospital Cash Plan(Per day) 15 3,000 2,832.00
SLI Surgical Plan 15 500,000 5,855.00
76,818.00
Total Premium
Yearly Half Yearly Quarterly Monthly
76,818.00 39,534.00 20,333.00 7,280.00
Benefits
Main Life
Maturity Value 1,000,000 + Bonus
Death due to Natural Causes 2,000,000 + Bonus
Death due to an Accident 2,000,000 + Bonus
SLI Hospital Cash Plan during a stay in the 6,000
Intensive Care Unit (Per Day)
* Illustrated Bonus expected : Rs 950,000 (This illustration is based on the Actual Bonus declared for current year)
Sri Lanka insurance triggers the insurance market with a gigantic Rs.10.4 Billion Bonus to its valued
life policyholders. The largest ever declared in the history of the Sri Lankan insurance Industry

A sum of Rs.400 will be charged as the policy fee together with the initial payment and no additional payment thereafter.
* This is only a quotation. The Company will decide the final premium and the benefits, on receipt of the proposal & Medical Reports.
* The policy issued will indicate the correct premium, benefits and conditions applicable.
* This quotation is valid only for one month. Even within this one month period if the age near birthday at entry increases, kindly make a request for a
fresh quotation.

Brief Description on Rider Covers

Family Protection Benefit
This unique rider enhances the value of the Life cover by providing an additional cover at the death of the Life Assured for a relatively
small premium.
SLI Hospital Cash Plan (Per Day Benefit)
The SLI Hospital Cash Plan provides financial assistance at the time of hospitalization as a per day benefit. Whether it’s a major illness
or a simple mishap, you get daily cash benefit to cover medical expenses. The benefit is doubled if admitted to the ICU.
SLI Surgical Plan
The SLI Surgical Plan ensures that you are financially supported in the event of a surgery. This plan covers surgeries done under
medical references, up to a pre­specified maximum limit. A pre­specified percentage from rider sum assured will be paid depending on
the nature of the surgery. Surgeries done in Sri Lanka, India, Malaysia & Singapore will be covered under this benefit.
(Terms & conditions applied)

Head Office: 21, Vauxhall Street, Colombo 02, Sri Lanka. Tel: (94­11) 2357000, 2357457 Fax: (94­11) 2447742 Web: www.srilankainsurance.com Company Reg. No: PB 289
2023/12/28 07:41:18 AM 410623 Jaffna 192.168.101.46