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MU01 C169170622 SP 163/3912 BANC DSP Non Term_NonEIA

February 17, 2020
SUJATA PANKAJ KADAM
SAROVAR HOTELJAVAL, A-32 SAROVAR HOUSING
SOCIETY, WALHEKARWADI,PUNECITY,CHINCHWADGAON
PUNE 411033
MAHARASHTRA INDIA
M- 9766455384

1.Part A
Dear SUJATA PANKAJ KADAM,

Thank you for choosing Us for your insurance needs. Tata AIA Life is committed to give you world-class products and
professional service.

We take great pleasure in presenting Your Policy document. Please check your personal details and the Policy provisions
carefully. Should you have any queries, please contact your agent or contact us at the address mentioned below. You can
also reach us via email at customercare@tataaia.com or call our helpline number 1860-266-9966 (Local charges apply).

Agent Name: INDUSIND BANK LIMITED

Agency Code: 004587369

In order to provide better service, We request you to intimate us in the event of any change in the address of the
Policyholder or the Nominee.

If you are not satisfied with the terms & conditions/features of the Policy and benefits stated in the Benefit Illustration,
you have the right to cancel the Policy by providing a written notice to the Company stating objections/reasons and
receive the refund of all premiums paid without interest after deducting proportionate risk premium, stamp duty
and medical examination cost along with applicable taxes, cesses and levies which have been incurred for issuing the
Policy. Such notice must be signed by you and received directly by the Company within 15 days from the date of receipt
of the Policy document by you or person authorized by you. The said period of 15 days shall stand extended to 30 days,
if the Policy is sourced through electronic or distance marketing mode, which includes solicitation through any means of
communication other than in person.

If you notice any mistake on examination of the Policy, please return the Policy to the Company immediately for
correction.

At Tata AIA Life, we believe that life inspires us to think ahead. Our insurance solutions are therefore designed to be a
step ahead, thus giving you an advantage to adapt to tomorrow’s changes, starting today.

We look forward to a long and cherished relationship with you.

Best wishes,
For and on behalf of
Tata AIA Life Insurance Company Limited

Authorised Signatory
Policy Servicing Branch : 1st Flr,Simran Cntr,30/H Parsi, Panchayat Mrg,Andheri-E,Mumbai - 400093
Tata AIA Life Insurance Company Ltd (IRDA of India Regn.No.110) (CIN - U66010MH2000PLC128403)
Registered & Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai 400013.
C169170622 Page 1 of 28
"The Stamp duty of (`) 286/-(Rupees Two Hundred And Eighty-Six only) paid vide MUDRANK 2004/4125/CR
690/M-1 Dated 31.12.2004, CSD/278/2019/27 dated 01/01/2020"

(Signature)
Proper Officer

Tata AIA Life Insurance Diamond Savings Plan

Tata AIA Life Insurance Company Limited

LIFE INSURED: SUJATA PANKAJ KADAM

POLICY NUMBER: C169170622

BRANCH CODE: PU01

1.1. Policy Terms and Conditions and Privileges within referred to

This Policy is the evidence of the contract between Tata AIA Life Insurance Company Limited and the Policyholder
referred to below.

PREAMBLE

Tata AIA Life Insurance Company Limited (“the Company”) having received a Proposal Form and other related
documents with Declaration thereto and initial premium from the Policyholder hereby issues Tata AIA Life Insurance
Diamond Savings Plan. The Company under this Policy; does agree in consideration and subject to Policy conditions
to pay the benefits under the Policy on the happening of a insured event, while the Policy is in-force. The basic
Insurance plan provided under this Policy, with its amount of coverage and Premium is specified on the Policy
Schedule. Entitlement to benefits, conditions for payment and other Policy details are also set out inside. This Policy is
subject to term and conditions mentioned herein below and endorsements if any.

Executed and signed by us on the Date of Commencement of this Policy as stated in the Policy Schedule.

Registrar Managing Director and CEO

This is a system generated document requiring no physical signature.

C169170622 Page 2 of 28
 POLICY SCHEDULE

Tata AIA Life Insurance Diamond Savings Plan (110N133V02)

THIS SCHEDULE MUST BE READ WITH THE ACCOMPANYING POLICY DOCUMENT AND IS PART OF THE LIFE INSURANCE CONTRACT

Personal Details
Name of Policyholder : SUJATA PANKAJ KADAM Name of Life Insured : SUJATA PANKAJ KADAM
Address of Policyholder : SAROVAR HOTELJAVAL, A-32 Address of Life Insured : N/A
SAROVAR HOUSING N/A
SOCIETY, N/A
WALHEKARWADI,PUNECITY,CHINCHWADGAON N/A
N/A
PUNE N/A
411033 N/A
MAHARASHTRA
INDIA
Client ID of Policyholder : 263682993 Client ID of Life Insured : 263682993
Date of Birth of Policyholder : 20/01/1993 Date of Birth of Life Insured : 20/01/1993
Age at entry of Policyholder : 27 Age at entry of Life Insured : 27
Gender : FEMALE Age Admitted : YES
Gender : FEMALE

Policy Details
Policy Number : C169170622 Policy Term : 18 years
Date of Commencement of Policy : 13/02/2020 Premium Paying Term : 8 years
Date of Commencement of Risk : 13/02/2020 Mode of Premium Payment : Annual
Date of Maturity of Policy : 13/02/2038 Annualised Premium (Excl. taxes) Rs. : 130000.00
Premium Due Date (s) : 13/02 of every year Modal Premium (Excl. taxes) Rs. : 130000.00
Applicable Taxes, Cessess and Levies Rs. : 5,850.00
Total Modal Premium (Incl. taxes) Rs. : 135850.00

Base Plan/Rider Name Sum Assured Modal Premium Date of Maturity Due Date of Last Policy Premium
(Rs.) (Incl. taxes) (Rs.) of Policy Premium Payment Term Payment Term
(Years) (Years)
Tata AIA Life Insurance Diamond Savings Plan
(110N133V02) 14,30,000.00 135850.00 2038/02/13 2027/02/13 18 8
Tata AIA Life Insurance Diamond Savings Plan
(110N133V02) 14,30,000.00 135850.00 2038/02/13 2027/02/13 18 8

Benefit Payable
Maturity Benefit As per clause 3.1.2 of Part C
Survival Benefit As per clause 3.1.1 of Part C
Death Benefit As per clause 3.1.4 of Part C

Nominee details (under section 39 of the Insurance Act 1938)

Name of the Nominee (s) Relationship with Life Insured Age Nomination %
PANKAJ N KADAM Spouse 29 100.00
PANKAJ N KADAM Spouse 29 100.00

Appointee Details (Applicable in case the Nominee is a minor)

Name of the Appointee (s) Relationship with nominee Age
NA NA NA

For and on behalf of

Tata AIA Life Insurance Company Limited

Authorised Signatory

On examination of the Policy, if you notice any mistake, please return the Policy to the Company immediately for correction.

C169170622 Page 3 of 28
OTHER ENDORSEMENTS

C169170622 Page 4 of 28
 Policy Document - Tata AIA Life Insurance Diamond Savings Plan
Key Benefits:

Provided the Policy is in force and all due Premiums have been paid, the following
Survival Benefit shall be paid:

Guaranteed Income: A Guaranteed Income, as a percentage of the Assured Benefit,

shall be paid as follows:
Premium
Policy Term Income
Payment Guaranteed Income (p.a.)
(years) Commencement
Survival Term (years)
Benefit 5 15 10% of Assured Benefit End of Policy Year 6
5 20 7.50% of Assured Benefit End of Policy Year 6
6 15 15% of Assured Benefit End of Policy Year 7
8 18 20% of Assured Benefit End of Policy Year 9
12 25 25% of Assured Benefit End of Policy Year 13

The above benefit shall be paid till the Date of Maturity of Policy or till death of Life
Insured, whichever is earlier.
Provided the Policy is in force and all due Premiums have been paid the following
Maturity Benefit shall be paid:

(i) Sum Assured on Maturity which is equal to last Guaranteed Income instalment
Maturity payable on maturity; plus
Benefit (ii) Vested Compound Reversionary Bonus, if any, plus
(iii) Terminal Bonus, if any,

The Compound Reversionary Bonus and Terminal Bonus will be based on Company’s
performance and are not guaranteed.

In the event of death of Life Insured during the Policy Term provided the policy is in
force, We shall pay:

 Sum Assured on Death; plus

 Compound Reversionary Bonus, if any; plus
 Terminal Bonus, if any.

Death This total amount will be subject to a minimum of 105% of total Premiums received up
Benefit to the date of death.
Where,
The ‘Sum Assured on Death’ shall be the highest of the following:
a) 11 times Annualised Premium;
b) Sum Assured on Maturity;
c) Absolute amount assured to be paid on death;

The Policy will terminate on payment of death benefit and no other benefit under the
Policy shall be payable.

Page 1 of 1
Date of filing: 30/03/2017
Date of Modification: 06/09/2019
Final Policy Document Date: 06/09/2019

C169170622 Page 5 of 28
 2. PART B
Tata AIA Life Insurance Diamond Savings Plan is a Limited
Premium Paying Non-Linked, Participating Individual Life
Insurance Savings Plan.
2.1. Basic definitions
“Age” means age as on the last birthday; i.e. the age of the Life Insured in
completed years as on Date of Commencement of Policy and is as shown
in the Policy Schedule.
“Annual Premium” means an amount specified in the Policy Schedule,
which is payable under annual premium payment mode, excluding Extra
Premium, if any and excluding applicable taxes, cesses and levies if any.
“Annualised Premium”shall be the premium payable in a year chosen by
the Policyholder, excluding the taxes, rider premiums, Extra Premiums and
loadings for Modal Premiums, if any, as specified in the Policy Schedule.
“Assured Benefit” is an amount dependent on the Age, Policy Term and
Premium Payment Term and shall be as below:
Assured Benefit = Annualised Premium x 1000 / Premium Rate per 1000
Assured Benefit (As per Annexure 1).
All the benefits payable under the plan are as a % of Assured Benefit.
“Claimant” means the person entitled to receive the Policy benefits and
includes the Policyholder, the nominee, the assignee, the legal heir, the
legal representative(s) or the holder(s) of succession certificate as the case
may be;
“Compound Reversionary Bonus” means the bonus(es) payable by Us
in accordance with Clause 3.1.3 of Part C, if declared by Us.
“Date of Commencement of Policy” is the date when We issue the
Policy and is mentioned on the Policy Schedule.
“Date of Commencement of Risk” means the date on which the risk
under the Policy, if opted for, comes into effect and is as specified in the
Policy Schedule. The Date of Commencement of Risk cover shall depend
on the age of the Life Insured as on the Date of Commencement of Policy.
“Date of Maturity of Policy” means the date specified in the Policy
Schedule on which the Policy Term expires.
“Extra Premium” means an additional amount mentioned in the Policy
Schedule and charged by Us, as per Our Underwriting Policy, which is
determined on the basis of disclosures made by You in the Proposal Form
or any other information received by Us including medical examination
report of the Life Insured.
“Free look” means a period of 15 days (30 days if the Policy is sourced
through distance marketing modes) from the date of receipt of the Policy,
to review the terms and conditions of the Policy, where if You disagree to
any of those terms and conditions, You have the option to return the Policy
stating the reasons for objection. Upon return, the Policy will terminate
forthwith and all rights, benefits and interests under the Policy will cease
immediately. You shall be entitled to a refund of the premium received by
Us after deducting the proportionate risk premium for the period of cover,
charges of stamp duty paid and the expenses incurred by Us on medical
examinations, if any.
“Grace Period” means a period of 15 (Fifteen) days from the due date of the
unpaid Premium for monthly premium payment mode and 30 (Thirty) days
from the due date of unpaid Premium for all other premium payment modes.
“Guaranteed Income” means an amount which depends on the
combination of chosen Premium Payment Term and Policy Term and shall
commence as below:
Premium Policy
Payment Term Guaranteed Income
Term (years) (years) Income (p.a.) Commencement
5 15 10% of Assured Benefit End of Policy Year 6
5 20 7.50% of Assured Benefit End of Policy Year 6
6 15 15% of Assured Benefit End of Policy Year 7
8 18 20% of Assured Benefit End of Policy Year 9
12 25 25% of Assured Benefit End of Policy Year 13
Guaranteed Income shall be paid till Date of Maturity of Policy or till death
of Life Insured, whichever is earlier.
“Guaranteed Surrender Value” shall be the minimum Surrender Value
computed in accordance with Clause 4.5.1. of Part D, which is guaranteed
by Us. The Guaranteed Surrender Value will be determined in the Policy
Year in which the Surrender is effected.
IRDA of India Regn no. 110
C2019-34
“Lapsed Policy” means a Policy which has not acquired the Surrender
Value and where the due Premium has not been received till the expiry of
the Grace Period.
“Life Insured” means the person whose life is insured or assured under
the Policy and is shown in the Policy Schedule.
“IRDAI” means the Insurance Regulatory and Development Authority
of India.
“Nominee” means the person or persons nominated under Section 39 of
the Insurance Act, 1938, as amended from time to time, to receive the
admissible benefits, in the event of death of the Life Insured.
“Policy” means the contract of insurance entered into between You and
Us as evidenced by this document, the Proposal Form, the Policy
Schedule and any additional information/document(s) provided to Us in
respect of the Proposal Form along with any written instructions from You
subject to Our acceptance of the same and any endorsement issued by
Us.
“Policy Anniversary” refers to the annual anniversary of the Date of
Commencement of Policy.
“Policy Schedule” means the policy schedule and any endorsements
attached to and forming part of the Policy and if any updated Schedule is
issued, then, the Schedule latest in time.
“Policy Term” means the term of the Policy as specified in the Schedule.
“Policy Year” means a period of 12 (Twelve) months commencing from
the Date of Commencement of Policy and every Policy Anniversary
thereafter.
“Premium” means the amount specified in the Policy Schedule, payable
by you, by the due dates to secure the benefits under the Policy, excluding
applicable tax or other taxes, surcharge, cessess or levies, if any.
“Premium Payment Term” means the term as specified in the Schedule,
during which the Premium is payable.
“Proposal Form” means the form filled in and completed by You for the
purpose of obtaining insurance coverage under the Policy;
“Revival Period” means a period of 5 (Five) years from the due date of the
first unpaid Premium.
“Special Surrender Value” means the Special Surrender Value
computed in accordance with Clause 4.5.1 of Part D.
"Special Surrender Value Factors” are factors determined by Us in
consultation with and approved by the IRDAI to compute the Special
Surrender Value, which can be revised by Us on the basis of Our experience
from time to time in consultation with and approval of the IRDAI.
“Sum Assured on Maturity” shall refers to the amount of benefit which
is guaranteed to be paid on Date of Maturity of Policy, and shall be equal
to the last Guaranteed Income instalment payable on the Date of Maturity
of Policy.
“Surrender” means complete withdrawal/ termination of the entire Policy.
“Surrender Value” means an amount payable on Surrender of this Policy,
which will be the higher of the Guaranteed Surrender Value or the Special
Surrender Value;
“Terminal Bonus” means the bonus(es) payable by Us in accordance
with Clause 3.1.3 of Part C, if declared by Us .
“Total Premiums Paid" means amount equal to the total Premiums paid
excluding any Extra Premiums, any rider premiums and taxes, if any.
“Underwriting Policy” means our then prevailing Underwriting Policy as
approved by Our board of directors;
“We”, “Us”, “Our” or “Company” refers to Tata AIA Life Insurance
Company Limited.
“You” or “Your” means the Policyholder of this Policy as named in the
Policy Schedule
Whenever the context requires, the masculine form shall apply to feminine
and singular terms shall include the plural.
3. PART C
3.1. Benefits
3.1.1. Survival Benefit
We shall pay Guaranteed Income provided the Policy is in force and all due
Premiums have been paid. The Guaranteed Income shall be paid till the
Date of Maturity of Policy or till death of the Life Insured, whichever is
earlier.
C169170622 Page 6 of 28
3.1.2. Maturity Benefit
We shall pay the sum total of following benefits where Life Insured survives
on the Maturity Date of the Policy provided the Policy is in force and all due
Premiums have been paid:
• Sum Assured on Maturity which is equal to last Guaranteed Income
instalment payable on maturity plus
• Vested Compound Reversionary Bonus, if any; plus
• Terminal Bonus, if any.
3.1.3. Bonus
Bonus(es) may be declared by Us depending upon the surplus generated
in the participating fund over the Policy Term. You shall be eligible to
receive the following, Bonus(es) on death of Life Insured or on Surrender
or Date of Maturity of the Policy, whichever is earlier:
• Compound Reversionary Bonus - Compound Reversionary Bonus
will accrue annually starting from first Policy Anniversary. Compound
Reversionary Bonus shall be a percentage of the Assured Benefit and
vested Compound Reversionary Bonus
• Terminal Bonus – Terminal Bonus shall be a percentage of the
Assured Benefit and shall be paid subject to the following:
- At least 4 year full Annual Premiums have been paid, where
Premium Payment Term is 5 or 6 years;
- At least 5 year full Annual Premiums have been paid, where
Premium Payment Term is 8 years; or
- At least 7 years full Annual Premiums have been paid, where
Premium Payment Term is 12 years.
Compound Reversionary Bonus and Terminal Bonus will be based on
Company’s performance and are not guaranteed.
3.1.4. Death Benefit
On death of the Life Insured during the Policy Term, provided the Policy is
in force, We shall pay the Claimant:
• Sum Assured on Death; plus
• Vested Compound Reversionary Bonus, if any; plus
• Terminal Bonus, if any.
This total amount will be subject to a minimum of 105% of the total
Premiums received up to the date of death.
“Sum Assured on Death” means the absolute amount of benefit which
is guaranteed to be paid on death of the Life Insured and shall be highest
of the following:
• An amount equal to 11 times of the Annualised Premium
• Absolute amount assured to be paid on death
• Sum Assured on Maturity
“Basic Sum Assured” is defined as 11 times the Annualised Premium.
The interim bonus, if any, shall be payable in case of termination of policies
due to death before the next policy anniversary.
3.1.5. Premium details
3.1.5.1. Plan change / Conversion option
Plan change / Conversion is not allowed under this Policy
3.1.5.2. Payment
• You can pay Premium at any of Our offices or through our website
www.tataaia.com or by any other means, as informed by Us. Any
Premium paid by You will be deemed to have been received by Us
only after the same has been realized and credited to Our bank
account.
• Collection of advance premium shall be allowed within the same
financial year for the Premium due in that financial year. However,
where the Premium due in one financial year is being collected in
advance in earlier financial year, the Company may collect the same
for a maximum period of three months in advance of the due date of
the Premium.
• The Premium so collected in advance shall only be adjusted on the
due date of the Premium.
3.1.5.3. Change of frequency of premium payment
You may change the frequency of Premium payments by written request.
Subject to our minimum premium requirements, premiums may be paid
on Annual, Half- yearly, Quarterly or Monthly mode at the Premium rates
applicable on the Issue Date. Alteration in the frequency of Premium
payment may lead to a change in the Premium.
No alterations are permissible under the Policy except change in
frequency of Premium payment.
IRDA of India Regn no. 110
C2019-34
3.1.5.4. Default
After payment of the first premium, failure to pay a subsequent Premium
on or before its due date will constitute a default in Premium payment.
3.1.5.5. Grace period
The Premium is due and payable by the due date as mentioned in the
Policy Schedule. If the Premium is not paid by the due date, you may pay
the same during the Grace Period without any interest. The Policy will
remain in-force during this period. If the full Premium for the first 2 Policy
Years remains unpaid at the end of their grace period, the Policy shall
lapse from the due date of the first unpaid Premium.
3.1.5.6. Deduction of premium at claim
If a claim is payable under this Policy, any balance of the premiums due for
the full Policy year in which death occurs shall be deducted from the
proceeds payable under the Policy.
3.1.6. Payment of benefits
• The benefit under the Policy shall be payable to the Claimant.
• Once the benefits under this Policy are paid to a Claimant, the same
shall constitute a valid discharge of Our liability under this Policy.
3.1.7. Change in address of Policyholder or Nominee
In order to provide better service, We request you to intimate us in the
event of any change in the address of the Policyholder or the Nominee.
4. PART D
4.1. Free look period
If the Policyholder is not satisfied with the terms & conditions/ features of
the Policy, the Policyholder has the right to cancel the Policy by providing
written notice to the Company stating objections/reasons and receive a
refund of all premiums paid without interest after deducting a)
Proportionate Risk Premium for the period of cover, b) Stamp duty
charges and medical examination costs (including applicable taxes,
cesses and levies) which have been incurred for issuing the Policy. Such
notice must be signed by the Policyholder and received directly by the
Company within 15 days after the Policyholder receives the Policy
document. The said period of 15 days shall stand extended to 30 days, if
the Policy is sourced through distance marketing i.e. other than in person.
The Proportionate Risk Premium will be determined as under:
Sum Assured on Death multiplied by (Mortality rate) multiplied by (number
of days for the period on cover divided by 365)
4.2. Lapsation of Policy
The coverage under a Lapsed Policy ceases from the due date of first
unpaid Premium and benefits, if any, shall cease immediately and
automatically.
4.3. Revival
If a premium is in default beyond the Grace Period and subject to the
Policy not having been surrendered, it may be revived, in accordance
with Underwriting Policy within Revival Period but before the Date of
Maturity of Policy, subject to: (i) Your written application for revival; (ii)
production of Insured’s current health certificate and other evidence of
insurability subject to Our satisfaction; and (iii) payment of all overdue
Premiums with interest.
Any evidence of insurability requested at the time of revival will be based
on the prevailing Underwriting Policy.
The applicable interest rate for revival is determined using the SBI
domestic term deposit rate for tenure ‘1 year to 455 days’, plus 2%. Any
alteration in the formula will be subject to prior approval of IRDAI. The
interest rate applicable as on 1st April 2017, is 8.90% p.a. [i.e. SBI
interest rate of 6.90% (which rate may be revised from time to time) + 2%]
and applicable taxes, cesses and levies, compounding annually.
Upon revival, the benefits of the Policy shall be restored with effect from
the date of revival.
4.4. Loan
You may apply for a loan up to 80% of Surrender Value provided the Policy
acquires Surrender Value. On availing loan, the Policy must be assigned to
us. The Policyholder shall be liable to pay interest on the loan as below:
• Daily interest shall accrue on loan at the prevailing SBI domestic term
deposit interest rate for tenure 1 year to 455 days’ + 2%. This formula
will be reviewed annually and only altered subject to prior approval of
IRDAI. The interest rate applicable as on 1st April 2017, is 8.90% p.a.
[i.e. SBI interest rate of 6.90% (which rate may be revised from time to
time) + 2%] and applicable taxes, cesses and levies, compounding
annually;
C169170622 Page 7 of 28
• Interest shall be payable on each Policy Anniversary after the loan
date and until the loan is repaid;
• Any unpaid interest shall be added to the principal loan and bear
interest at the same rate. At any time while this Policy is in-force, You
may repay the principal and accrued interest, or any part of the loan;
• When the loan with accrued interest exceeds the Surrender Value, the
Policy will become void. This shall not be applicable, in case of the
Premium Paying Policies or Reduced Paid- up policies.
4.5. Non forfeiture provisions
4.5.1. Surrender Benefit:
The Policy may be surrendered at any point during the Policy Term but it
shall acquire a Surrender Value only if at least first 2 full years’ premiums
have been paid, wherein:
Guaranteed Surrender Value (GSV) is equal to
GSV Factor for premium multiplied by all the premiums paid (excluding
Extra Premiums and modal loading) plus (vested Compound Reversionary
Bonus x GSV factor for Compound Reversionary Bonus) minus Total
Guaranteed Income already paid, if any.
Guaranteed Surrender Value factor will be as applicable at the time of
Surrender and are as per table annexed as Annexure 2 herein. The
Guaranteed Surrender Value Factors vary according to the Policy Term and
Policy year of Surrender.
Special Surrender Value (SSV) is equal to
SSV Factor multiplied by (No. of Premiums paid) divided by (No of
Premiums payable, during the entire Premium Payment Term) multiplied by
(Sum of all Guaranteed Income pay outs) minus Guaranteed Income pay
outs already made, if any, plus vested Compound Reversionary Bonus, if
any, plus Terminal Bonus, if any
The interim bonus becomes payable in case of surrenders before the next
Policy Anniversary.
The SSV Factors vary according to the Policy Term and Policy Year of
Surrender. The Company may review this SSV factor from time to time
based on the experience and any change in SSV factors will be subject to
prior approval of IRDAI.
SSV factor will be as applicable at the time of Surrender and are as per
table annexed as Annexure – B herein.
4.5.2. Reduced Paid-up:
If at least first 2 full years’ Premiums have been paid and subsequent
Premiums remain unpaid provided the Policy has not been surrendered,
the Policy will be converted into a Reduced Paid-up Policy by default.
Reduced Paid-up policy is a default non forfeiture benefit. Reduced
Paid-Up Policy, shall continue as Reduced Paid-up Policy unless revived
within five years from the due date of first unpaid premium. Such Reduced
Paid-up Policies can be revived within five years from the due date of first
unpaid Premium by payment of all due premiums together with interest as
mentioned in Clause 4.3 (“Revival”) of Part D.Once the Policy becomes
Reduced Paid-up, the Policy shall not be entitled to any further Bonuses.
“Reduced Paid Up Factor” shall be equal to (Number of Premiums paid)
divided by (Number of Premiums Payable during the entire premium
payment term)
In case of Reduced Paid-up policies, the benefit shall be payable as under:
a. Survival Benefit:
The reduced Guaranteed Income, as mentioned below, shall continue
to be payable as scheduled:
Premium Policy
Payment Term Reduced Guaranteed Income (p.a.)
Term (years) (years)
5 15 10% of Assured Benefit x Reduced Paid up factor
5 20 7.50% of Assured Benefit x Reduced Paid up factor
6 15 15% of Assured Benefit x Reduced Paid up factor
8 18 20% of Assured Benefit x Reduced Paid up factor
12 25 25% of Assured Benefit x Reduced Paid up factor
b. Maturity Benefit:
Sum Assured on Maturity multiplied by Reduced Paid up factor, along
with vested Compound Reversionary Bonus plus Terminal Bonus, if
any will be paid.
c. Death Benefit
On death of the Life Insured during the Policy Term, an amount equal
to Sum Assured on Death multiplied by Reduced Paid up factor along
IRDA of India Regn no. 110
C2019-34
with vested Compound Reversionary Bonus, if any, plus Terminal
Bonus, if any,will be paid.
d. Surrender benefit
The policy may be surrendered at any point during the Policy Term but
it shall acquire a Surrender Value only if at least first 2 full years’
premiums have been paid.
Guaranteed Surrender Value = (Total premiums paid multiplied by
GSV factor for Premium) plus (vested Compound Reversionary Bonus
multiplied by GSV factor for Compound Reversionary Bonus) minus
Total Guaranteed Income already paid, if any.
Special Surrender Value = SSV Factor multiplied by (No. of Premiums
paid) divided by (No of Premiums payable, during the entire Premium
Payment Term) multiplied by
(Sum of all Guaranteed Income pay outs) minus income pay outs
already made, if any plus vested Compound Reversionary Bonus, if
any plus Terminal Bonus, if any}
The interim bonus, if any, shall be payable in case of termination
policies due to surrender before the next Policy Anniversary.
5. PART E
Not Applicable for this Product
6. PART F
6.1. Policy Contract
This Policy Contract is issued on the basis of the details provided by you in
the Proposal Form and the declaration signed by you, on receipt of the
required premium amount and any attached endorsement given at the time
of issuing this Policy. The Policy, proposal for it, the Policy Schedule and any
attached endorsements constitute the entire contract. The terms and
conditions of this Policy cannot be changed or waived except by
endorsement duly signed by our authorized officer. Your Policy consists of the
basic Insurance plan and any endorsements which may be attached to it.
6.2. Fraud, Misrepresentation and Forfeiture
Your Policy is based on the application and declaration which you have
made to us and other information provided by you/on your behalf.
However, in case of fraud and mis-representation by you we shall
immediately cancel the Policy by paying Surrender Value, if any, subject to
the fraud or misrepresentation being established by Us in accordance with
Section 45 of the Insurance Act, 1938.
The simplified version of the provisions of Section 45 of the Insurance Act,
1938 is enclosed in Annexure 5 for reference.
6.3 Suicide
In case of death due to suicide within 12 months from the Date of
Commencement of Risk under the Policy or from the date of revival of the
Policy, as applicable, the Claimant shall be entitled to at least 80% of the
Total Premiums Paid till the date of death or the surrender value available
as on the date of death whichever is higher, provided the Policy is in force.
6.4. Misstatement of Age and Gender
Declaration of the correct Age and/ or gender of the Life Insured is
important for Our underwriting process and calculation of premiums
payable under the Policy. If the Age and/or gender declared in the
Proposal Form is found to be incorrect at any time during the Policy Term
or at the time of claim, We may revise the premium with interest and/or
applicable benefits payable under the Policy in accordance with the
premium and benefits that would have been payable, if the correct Age
and/ or gender would have made the Life Insured eligible to be covered
under the Policy on the Date of Commencement. If at the correct
age/gender the Insured is not insurable under this Policy pursuant to our
Underwriting Policy, the Policy/Rider shall be void-ab-initio and the
Company will refund the total premiums paid without interest after
deducting all charges incurred by the Company under the Policy/Rider.
6.5. Nomination
Nomination allowed as per provisions of Section 39 of the Insurance Act
1938 as amended from time to time. The simplified version of the
provisions of Section 39 is enclosed in Annexure 4 for reference.
6.6. Assignment
Assignment shall be as per provisions of Section 38 of the Insurance Act
1938 as amended from time to time. The simplified version of the Section
38 is enclosed in Annexure 3 for reference.
6.7. Policy on the life of a Minor
Where Life Insured is a minor, the Policy shall automatically vest unto the
C169170622 Page 8 of 28
Life Insured on his attaining majority. following documents:
6.8. Currency and place of payment Type of Claim Requirement
All amounts payable either to or by Us will be paid in the Indian currency. Such a) Claim Forms
amounts will be paid by a negotiable bank draft or cheque drawn on a bank • Part I: Application Form for Death Claim
or NEFT (National Electronic Funds Transfer) or electronic clearing systems. (Claimant's Statement) along with NEFT form
6.9. Loss of Policy document • Part II: Physician's Statement - to be filled by
last attending physician
If the Policy document is lost or destroyed, then at the request of the
Policyholder, the Company, will issue a duplicate Policy document duly b) Death Certificate
endorsed to show that it is issued following the loss or destruction of the Death c) Medical Records (Admission Notes,
original Policy document. Upon the issue of the duplicate Policy (all causes of death Discharge/Death Summary, Indoor Case
document, the original Policy document immediately and automatically other than the Papers, Test Reports etc)
ceases to have any validity. The Company will charge a fee of Rs. 250 Accidental Death) d) Original Policy document
along with the applicable tax and surcharge/cess, for the issuance of a e) Claimant's Photo ID with age proof &
duplicate Policy document. The Policyholder has to also submit an relationship with the Life Insured along with
Indemnity Bond executed on appropriate Stamp paper along with a Policy Address proof of the claimant and Cancelled
Lost Declaration. These charges are subject to revision by the Company cheque with name and account number printed
from time to time. or cancelled cheque with copy of Bank
6.10. Freedom from restrictions Passbook / Bank Statement
If no nomination - Proof of legal title to the claim
Unless otherwise specified, this Policy is free from any restrictions upon
proceeds (e.g. legal succession paper)
the Life Insured as to travel or occupation.
f) Postmortem report (Autopsy report) & Chemical
6.11. Policyholder’s Right:
If Death due to Viscera report - if performed
To exercise your rights or options, under this Policy, You should follow the Accident (to be g) All Police Papers – Panchnama, Inquest, First
procedures stated in this Policy. If you want to change your Nominee, submitted in Information Report (FIR) and Final Investigation
change an address or exercise any other options under the Policy, You addition to the Report
shall do so only using the forms prescribed for each purpose which are above)
available with your financial advisor, from our local office or can be h) Newspaper cutting / Photographs of the
accident - if available
downloaded from our website www.tataaia.com.
6.12. Taxes NOTE:
Applicable taxes, cesses and levies are payable on life Insurance premium • In case the claim warrants any additional requirement, the Company
reserves the right to call for the same.
as per the applicable laws. All applicable taxes, duties, surcharge, cesses
or levies, as may be imposed by Government or any statutory authority • Notification of claim & submission of the claim requirements does not
from time to time, on the premiums payable and benefits secured under mean admission of the claim liability by the Company.
Policy, shall be borne and paid by the Policyholder. The benefits and 6.17. Claims Intimation Process
liabilities under the Policy are subject to prevailing tax laws. If any Mentioned below is a list of various mediums through which Claimant can
imposition (tax or otherwise) is levied by any statutory or administrative contact us.
body under the Policy, We reserve the right to claim the same from You.
a. Online at www.tataaia.com
Alternatively, We have the right to deduct the amount from the benefits
payable by Us under the Policy. b. Email - customercare@tataaia.com
c. Call our helpline number 1-860-266-9966 (local charges apply)
Tax benefits and liabilities under the Policy are subject to prevailing tax
laws. Tax laws and the benefits arising thereunder are subject to change. d. Walk into any of the Company branch office
You are advised to seek an opinion of Your tax advisor in relation to the tax e. Write directly to us on following address:
benefits and liabilities applicable to You. Tata AIA Life Insurance Company Limited
B - Wing, 9th Floor, I-Think Techno Campus, Behind TCS, Pokhran
6.13. Change in Basic Sum Assured Road No.2, Close to Eastern Express Highway, Thane (West) – 400
Increase / Decrease in Basic Sum Assured is not allowed in this Policy. 607, Maharashtra.
6.18. Governing Law And Jurisdiction
6.14. Termination of Policy:
The Policy will be governed by and enforced in accordance with the laws
This Policy will terminate upon the happening of any of the following events: of India. The competent courts in India will have exclusive jurisdiction in all
1. On the date of acceptance of Freelook request. matters and causes arising out of the Policy.
2. On the date of payment of the death claim in accordance with the 7. PART G
provisions of this Policy;
CONSUMER INFORMATION
3. On the expiry of the Revival Period, if the Lapsed Policy has not been
revived; POLICYHOLDER'S SERVICING
4. On the date of payment of surrender benefit of this Policy; or With regards to any query or issue related to the Policy, the Policyholder
5. On the Date of Maturity of Policy. can contact the Company through the following service avenues:
6.15. Claims • Contact your Tata AIA Life Agent / Distributor
All cases of death must be notified to us in writing within 90 days of • Call our helpline number 1-860-266-9966 (local charges apply)
occurrence of death. We may condone delay on merit for delayed claims • E-mail us at customercare@tataaia.com
where the reason for delay is proved to be for reasons beyond the control • Visit the nearest Tata AIA Life branch or CAMS Service Center
of the Claimant.
• Log on to Online Customer Portal by visiting www.tataaia.com
Please note that all death claims will be payable to the nominee/legal heir
of the Life Insured. • Write to Us at: Tata AIA Life Insurance Company Limited
B- Wing, 9th Floor, I-Think Techno Campus, Behind TCS, Pokhran
Filing Proof of Claim - Unless otherwise specified, duly filled in requisite
Road No.2, Close to Eastern Express Highway, Thane (West) – 400
forms along with proof of loss shall be furnished to us, at the claimant’s
607, Maharashtra.
expenses, within 90 days from the date the Insured event happens. A list
of documents required in general, is attached to the Policy. However, GRIEVANCE REDRESSAL PROCEDURE
submission of such documents, forms or other proof shall not be 1) Resolution of Grievances
construed as an admission of liabilities by the Company and we reserve
right to request additional proof and/or documents in support. Customers can register their grievances through Multiple Service
Avenues:
6.16. Claims requirements • Call our helpline number 1-860-266-9966 (local charges apply)
6.16.1. Death claims requirements • Email us at life.complaints@tataaia.com
For processing the claim request under this Policy, we will require the • Login to online Policy account on www.tataaia.com

IRDA of India Regn no. 110

C2019-34
C169170622 Page 9 of 28
• SMS SERVICE to 58888 to receive a call back from our Customer
Service Representative
• Visit any of the nearest Tata AIA Life branches or CAMS Service
Centers
• Contact your Tata AIA Life Agent / Distributor
• Write to us on the following address:
Grievance Redressal Department
Tata AIA Life Insurance Company Limited
B- Wing, 9th Floor, I-Think Techno Campus, Behind TCS, Pokhran
Road No.2, Close to Eastern Express Highway, Thane (West) – 400
607, Maharashtra.
- We shall acknowledge a customer's grievance within 3 business days
by providing the customer with the name of the Grievance Redressal
Executive who is responsible to handle the grievance.
- We shall provide the customer with an equitable resolution within 2
weeks of receipt of the grievance.
- In case customer wishes to contact us during the course of the
assessment, they can contact us at any of the above mentioned touch
points.
- All Tata AIA Life branches have a Grievance Redressal Officer who
can be contacted for any support during the grievance redressal
process.
2) Escalation Mechanism
In case customers are not satisfied with the decision of the above
offices, or has not received any response within the stipulated
timelines, they may contact the following officials for resolution:
• 1st level of Escalation: Senior Manager - Customer Service
• 2nd level of Escalation: Head - Customer Service
• 3rd level of Escalation: Grievance Redressal Officer (GRO)
For escalations, customers can email to
head.customerservice@tataaia.com or write to –
Tata AIA Life Insurance Company Limited,
B-Wing, 9th Floor, I-Think Techno Campus, Behind TCS, Pokhran Road
No.2, Close to Eastern Express Highway, Thane (West) - 400 607,
Maharashtra
We request our customers to follow the escalation mechanism in case of
non-receipt of response or unsatisfactory response from the concerned
persons mentioned above.
If you are not satisfied with the response or do not receive a response from
us within 15 days, you may approach the Grievance Cell of the Insurance
Regulatory and Development Authority of India (IRDAI) on the following
contact details:
- IRDAI Grievance Call Centre (IGCC) TOLL FREE NO: 155255 (or)
1800 4254 732
- Send an e-mail to Email ID: complaints@irda.gov.in
- Make use of IRDAI's online portal - Integrated Grievance Management
System (IGMS): Register and monitor your complaint at
igms.irda.gov.in
Address for communication for complaints by fax/paper:
General Manager
Consumer Affairs Department - Grievance Redressal Cell
Insurance Regulatory and Development Authority of India
Sy. No. 115/1, Financial District,
Nanakramguda, Gachibowli,
Hyderabad – 500032, Telangana.
3) Insurance Ombudsman:
Where the redressal provided by the Company is not satisfactory despite
the escalation above, the customer may represent the case to the
Ombudsman for Redressal of the grievance, if it pertains to the following:
- Delay in settlement of claim
- Partial or total rejection of claim
- Dispute with regard to premium
- Misrepresentation of policy terms and conditions
- Legal construction of the policy in so far as dispute related to claim
- Grievance relating to policy servicing
- Issuance of policy which is not in conformity with proposal form
- Non- issuance of your insurance document and
- Any other matter resulting from the violation of provisions of the
Insurance Act, 1938 or the regulations, circulars, guidelines or
IRDA of India Regn no. 110
C2019-34
instructions issued by the IRDAI from time to time or the terms and
conditions of the policy contract, in so far as they relate to issues
mentioned hereinabove.
Please refer to our website www.tataaia.com for further details in this regard.
The list of Ombudsman address is attached as Annexure - A
The complaint should be made in writing duly signed by the complainant
or through his legal heirs, nominee or assignee, and shall state clearly the
name and address of the complainant, the name of the branch or office of
the insurer against whom the complaint is made, the facts giving rise to the
complaint, supported by documents, the nature and extent of the loss
caused to the complainant and the relief sought from the Insurance
Ombudsman. As per provision 14(3) of the Insurance Ombudsman Rules,
2017, the complaint to the Ombudsman can be made, within a period of
one year provided it is not simultaneously under any litigation:
• Only if the grievance has been rejected by the Grievance Redressal
Machinery of the Insurer; or
• the complainant had not received any reply within a period of one
month after the Insurer received his representation; or
• the complainant is not satisfied with the reply given to him by the insurer.
ANNEXURE – A
NAMES OF OMBUDSMAN AND ADDRESSES OF
OMBUDSMAN CENTRES
AHMEDABAD - Office of the Insurance Ombudsman, Jeevan Prakash
Building, 6th floor, Tilak Marg, Relief Road, Ahmedabad - 380 001. Tel.:
079 - 25501201/02/05/06, Email: bimalokpal.ahmedabad@ecoi.co.in,
(Jurisdiction: Gujarat, Dadra & Nagar Haveli, Daman and Diu).
BENGALURU - Office of the Insurance Ombudsman, Jeevan Soudha
Building, PID No. 57-27-N-19, Ground Floor, 19/19, 24th Main Road, JP
Nagar, Ist Phase, Bengaluru - 560 078. Tel.: 080 - 26652048/26652049,
Email: bimalokpal.bengaluru@ecoi.co.in, (Jurisdiction: Karnataka).
BHOPAL - Office of the Insurance Ombudsman, Janak Vihar Complex,
2nd Floor, 6, Malviya Nagar, Opp. Airtel Office, Near New Market, Bhopal -
462 003. Tel.: 0755 - 2769201/ 2769202, Fax: 0755 - 2769203, Email:
bimalokpal.bhopal@ecoi.co.in, (Jurisdiction: Madhya Pradesh,
Chattisgarh). BHUBANESHWAR - Office of the Insurance Ombudsman,
62, Forest park, Bhubneshwar – 751 009. Tel.: 0674 - 2596461/2596455,
Fax: 0674 - 2596429, Email: bimalokpal.bhubaneswar@ecoi.co.in,
(Jurisdiction: Orissa). CHANDIGARH - Office of the Insurance
Ombudsman, S.C.O. No. 101, 102 & 103, 2nd Floor, Batra Building,
Sector 17 - D, Chandigarh - 160 017. Tel.: 0172 - 2706196/2706468, Fax:
0172 - 2708274, Email: bimalokpal.chandigarh@ecoi.co.in, (Jurisdiction:
Punjab, Haryana, Himachal Pradesh, Jammu & Kashmir, Chandigarh).
CHENNAI - Office of the Insurance Ombudsman, Fatima Akhtar Court,
4th Floor, 453, Anna Salai, Teynampet, Chennai - 600 018. Tel.: 044 -
24333668/ 24335284, Fax: 044 - 24333664, Email:
bimalokpal.chennai@ecoi.co.in, (Jurisdiction: Tamil Nadu, Pondicherry
Town and Karaikal {which are part of Pondicherry}). DELHI - Office of the
Insurance Ombudsman, 2/2 A, Universal Insurance Building, Asaf Ali
Road, New Delhi - 110 002. Tel.: 011 - 23232481 / 23213504, Email:
bimalokpal.delhi@ecoi.co.in, (Jurisdiction: Delhi). ERNAKULAM - Office
of the Insurance Ombudsman, 2nd Floor, Pulinat Bldg., Opp. Cochin
Shipyard, M. G. Road, Ernakulam - 682 015. Tel.: 0484 - 2358759/
2359338, Fax: 0484 - 2359336, Email: bimalokpal.ernakulam@ecoi.co.in,
(Jurisdiction: Kerala, Lakshadweep, Mahe-a part of Pondicherry).
GUWAHATI - Office of the Insurance Ombudsman, Jeevan Nivesh, 5th
Floor, Nr. Panbazar over bridge, S.S. Road, Guwahati - 781001(ASSAM).
Tel.: 0361 - 2132204 / 2132205, Fax: 0361 - 2732937, Email:
bimalokpal.guwahati@ecoi.co.in, (Jurisdiction: Assam, Meghalaya,
Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura).
HYDERABAD - Office of the Insurance Ombudsman, 6-2-46, 1st floor,
Moin Court, Lane Opp. Saleem Function Palace, A. C. Guards,
Lakdi-Ka-Pool, Hyderabad - 500 004. Tel.: 040 - 67504123/23312122,
Fax: 040 - 23376599, Email: bimalokpal.hyderabad@ecoi.co.in,
(Jurisdiction: Andhra Pradesh, Telangana, Yanam and part of Territory of
Pondicherry). JAIPUR - Office of the Insurance Ombudsman, Jeevan
Nidhi - II Bldg., Gr. Floor, Bhawani Singh Marg, Jaipur - 302 005. Tel.: 0141
- 2740363, Email: bimalokpal.jaipur@ecoi.co.in, (Jurisdiction: Rajasthan).
KOLKATA - Office of the Insurance Ombudsman, Hindustan Bldg.
Annexe, 4th Floor, 4, C.R. Avenue, Kolkata - 700 072. Tel.: 033 -
22124339 / 22124340, Fax : 033 - 22124341, Email:
bimalokpal.kolkata@ecoi.co.in, (Jurisdiction: West Bengal, Sikkim,
Andaman & Nicobar Islands). LUCKNOW - Office of the Insurance
Ombudsman, 6th Floor, Jeevan Bhawan, Phase-II, Nawal Kishore Road,
Hazratganj, Lucknow - 226 001. Tel.: 0522 - 2231330/2231331, Fax:
0522 - 2231310, Email: bimalokpal.lucknow@ecoi.co.in, (Jurisdiction:
Districts of Uttar Pradesh: Laitpur, Jhansi, Mahoba, Hamirpur, Banda,
Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh,
Jaunpur, Varanasi, Gazipur, Jalaun, Kanpur, Lucknow, Unnao, Sitapur,
Lakhimpur, Bahraich, Barabanki, Raebareli, Sravasti, Gonda, Faizabad,
Amethi, Kaushambi, Balrampur, Basti, Ambedkarnagar, Sultanpur,
Maharajgang, Santkabirnagar, Azamgarh, Kushinagar, Gorkhpur, Deoria,
C169170622 Page 10 of 28
Mau, Ghazipur, Chandauli, Ballia, Sidharathnagar). MUMBAI - Office of Age PPT 5 / PPT 5 / PPT 6 / PPT 8 / PPT 12 /
the Insurance Ombudsman, 3rd Floor, Jeevan Seva Annexe, S. V. Road, PPT/PT* PT 15* PT 20* PT 15* PT 18* PT 25*
Santacruz (W), Mumbai - 400 054. Tel.: 022 - 26106552/26106960, Fax:
022 - 26106052, Email: bimalokpal.mumbai@ecoi.co.in, (Jurisdiction: 40 240.64 337.83 267.65 278.04 302
Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane). 41 241.71 342.11 269.13 279.31 303.66
NOIDA - Office of the Insurance Ombudsman, Bhagwan Sahai Palace, 42 242.94 345.93 270.74 280.69 305.52
4th Floor, Main Road, Naya Bans, Sector 15, Dist: Gautam Buddh Nagar, 43 244.32 350.8 272.5 282.2 307.6
U.P-201301. Tel.: 0120 - 2514250 / 2514252 / 2514253, Email:
bimalokpal.noida@ecoi.co.in, (Jurisdiction: State of Uttaranchal and the 44 245.87 354.3 274.42 283.87 309.91
following Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, 45 247.61 356.86 276.51 285.71 312.5
Budaun, Bulandshehar, Etah, Kanooj, Mainpuri, Mathura, Meerut, 46 249.17 360.08 278.24 287.49 315.38
Moradabad, Muzaffarnagar, Oraiyya, Pilibhit, Etawah, Farrukhabad,
Firozbad, Gautambodhanagar, Ghaziabad, Hardoi, Shahjahanpur, Hapur, 47 250.95 362.94 280.16 289.48 318.6
Shamli, Rampur, Kashganj, Sambhal, Amroha, Hathras, Kanshiramnagar, 48 252.98 366.02 282.3 291.7 322.18
Saharanpur). PATNA - Office of the Insurance Ombudsman, 1st Floor, 49 254.08 368.78 284.7 294.17 326.18
Kalpana Arcade Building, Bazar Samiti Road, Bahadurpur, Patna 800 006.
Tel.: 0612-2680952, Email: bimalokpal.patna@ecoi.co.in, (Jurisdiction: 50 255.45 372.44 286.71 296.93 330.62
Bihar, Jharkhand). PUNE - Office of the Insurance Ombudsman, Jeevan 51 255.91 375.89 289.02 300.46 334.72
Darshan Bldg., 3rd Floor, C.T.S. No.s. 195 to 198, N.C. Kelkar Road, 52 256.66 379.78 291.65 304.21 339.06
Narayan Peth, Pune - 411 030. Tel.: 020 - 41312555, Email: 53 257.75 382.87 294.39 308.04 343.36
bimalokpal.pune@ecoi.co.in, (Jurisdiction: Maharashtra, Area of Navi
Mumbai and Thane excluding Mumbai Metropolitan Region). 54 259.24 387.16 296.41 312.34 346.4
55 259.88 390.04 298.88 314.97 350.65
For further information or latest updated list of Ombudsman Office
addresses, kindly visit the IRDA of India website 56 NA NA NA 316.98 356.95
http://www.policyholder.gov.in/ - Ombudsman / List of Insurance 57 NA NA NA 319.12 363.51
Ombudsmen OR our website www.tataaia.com 58 NA NA NA 321.46 370.39
ANNEXURE 1 59 NA NA NA 323.27 374.56
Premium Rate per 1,000 Assured Benefit: 60 NA NA NA 324.53 379.75
Age PPT 5 / PPT 5 / PPT 6 / PPT 8 / PPT 12 / *PPT – Premium Payment Term / PT – Policy Term
PPT/PT* PT 15* PT 20* PT 15* PT 18* PT 25*
0 0 320.19 0 270.41 287.54 ANNEXURE 2
1 0 318.51 0 269.64 286.96 Surrender Value Factors:
2 0 317.11 0 268.99 286.47 Guaranteed Surrender Value (GSV) and Special Surrender Value (SSV)
factors are as under:
3 233.33 316.08 257.95 268.52 286.13 Company has the right to review the basis for calculating the SSV factors
4 232.85 315.32 257.56 268.19 285.88 from time to time based on the experience and will be subject to prior
approval of IRDAI.
5 232.52 314.77 257.3 267.97 285.72
Guaranteed Surrender Value factor
6 232.31 314.35 257.14 267.81 285.63
Guaranteed Surrender Value factor for Total Premiums Paid:
7 232.18 314.06 257.06 267.72 285.58
8 232.11 313.84 257.03 267.68 285.57 Year of surrender/Policy Term 15 18 20 25
9 232.08 313.68 257.04 267.68 285.62 1 0% 0% 0% 0%
10 232.09 313.57 257.09 267.7 285.69 2 30% 30% 30% 30%
11 232.12 313.5 257.15 267.74 285.78 3 35% 35% 35% 35%
12 232.16 313.45 257.23 267.8 285.9 4 50% 50% 50% 50%
13 232.19 313.41 257.3 267.86 286.03 5 50% 50% 50% 50%
14 232.23 313.38 257.37 267.93 286.17 6 50% 50% 50% 50%
15 232.25 313.36 257.44 267.99 286.32 7 50% 50% 50% 50%
16 232.27 313.36 257.5 268.06 286.47 8 56% 54% 53% 52%
17 232.28 313.37 257.55 268.12 286.64 9 61% 58% 57% 55%
18 232.28 313.4 257.6 268.18 286.82 10 67% 62% 60% 57%
19 232.28 313.46 257.65 268.25 287.01 11 73% 66% 63% 59%
20 232.29 313.56 257.69 268.32 287.23 12 79% 70% 67% 62%
21 232.3 313.71 257.75 268.4 287.47 13 84% 74% 70% 64%
22 232.33 313.93 257.81 268.48 287.74 14 90% 78% 73% 66%
23 232.37 314.23 257.89 268.59 288.05 15 90% 82% 77% 69%
24 232.44 314.64 257.99 268.72 288.4 16 - 86% 80% 71%
25 232.54 315.15 258.12 268.87 288.8 17 - 90% 83% 74%
26 232.67 315.8 258.28 269.05 289.25 18 - 90% 87% 76%
27 232.84 316.61 258.46 269.27 289.75 19 - - 90% 78%
28 233.06 317.61 258.7 269.54 290.3 20 - - 90% 81%
29 233.34 318.81 258.98 269.85 290.91 21 - - - 83%
30 233.68 320.24 259.32 270.23 291.57 22 - - - 85%
31 234.1 321.91 259.72 270.67 292.29 23 - - - 88%
32 234.6 323.84 260.19 271.17 293.07 24 - - - 90%
33 235.2 326.06 260.76 271.75 293.89 25 - - - 90%
34 235.91 328.57 261.41 272.4 294.78
35 236.73 331.37 262.16 273.13 295.74
36 237.73 331.66 263.03 273.95 296.77
37 238.27 333.27 264 274.84 297.9
38 238.92 335.37 265.1 275.81 299.13
39 239.71 336.23 266.31 276.88 300.49

IRDA of India Regn no. 110

C2019-34
C169170622 Page 11 of 28
Guaranteed Surrender Value factor for Vested Compound 02. An Assignment may be effected in a Policy by an endorsement upon
Reversionary Bonus: the Policy itself or by a separate instrument under notice to the Insurer.
Year of surrender/Policy Term 15 18 20 25 03. The instrument of assignment should indicate the fact of transfer or
assignment and the reasons for the assignment or transfer,
1 0% 0% 0% 0%
antecedents of the assignee and terms on which assignment is made.
2 17% 14% 12% 7%
04. The assignment must be signed by the transferor or assignor or duly
3 18% 15% 13% 8% authorized agent and attested by at least one witness.
4 19% 16% 14% 9%
05. The transfer of assignment shall not be operative as against an
5 20% 17% 15% 10% insurer until a notice in writing of the transfer or assignment and
6 21% 18% 16% 11% either the said endorsement or instrument itself or copy there of
7 22% 19% 17% 12% certified to be correct by both transferor and transferee or their duly
8 23% 20% 18% 13% authorised agents have been delivered to the insurer.
9 24% 21% 19% 14% 06. Fee to be paid for assignment or transfer can be specified by the
Authority through Regulations.
10 25% 22% 20% 15%
11 26% 23% 21% 16% 07. On receipt of notice with fee, the insurer should Grant a written
acknowledgement of receipt of notice. Such notice shall be conclusive
12 27% 24% 22% 17% evidence against the insurer of duly receiving the notice.
13 28% 25% 23% 18%
08. If the insurer maintains one or more places of business, such notices
14 29% 26% 24% 19% shall be delivered only at the place where the Policy is being
15 30% 27% 25% 20% serviced.
16 - 28% 26% 21% 09. The insurer may accept or decline to act upon any transfer or
17 - 29% 27% 22% assignment or endorsement, if it has sufficient reasons to believe that
18 - 30% 28% 23% it is
19 - - 29% 24% a. not bonafide or
20 - - 30% 25% b. not in the interest of the Policyholder or
21 - - - 26% c. not in public interest or
22 - - - 27% d. is for the purpose of trading of the Insurance Policy.
23 - - - 28% 10. Before refusing to act upon endorsement, the Insurer should record
24 - - - 29% the reasons in writing and communicate the same in writing to
25 - - - 30% Policyholder within 30 days from the date of Policyholder giving a
notice of transfer or assignment.
Special Surrender Value Factors 11. In case of refusal to act upon the endorsement by the Insurer, any
The Special Surrender Value Factors vary according to the policy term and person aggrieved by the refusal may prefer a claim to IRDAI within 30
policy year of Surrender. days of receipt of the refusal letter from the Insurer.
Year of surrender/Policy Term 15 18 20 25 12. The priority of claims of persons interested in an Insurance Policy
would depend on the date on which the notices of assignment or
1 0% 0% 0% 0% transfer is delivered to the insurer; where there are more than one
2 47% 40% 36% 27% instruments of transfer or assignment, the priority will depend on
3 50% 43% 38% 29% dates of delivery of such notices. Any dispute in this regard as to
4 53% 45% 40% 30% priority should be referred to Authority.
5 56% 48% 42% 32% 13. Every assignment or transfer shall be deemed to be absolute
6 59% 50% 45% 34% assignment or transfer and the assignee or transferee shall be
deemed to be absolute assignee or transferee, except
7 63% 53% 47% 36%
a. where assignment or transfer is subject to terms and conditions of
8 67% 56% 50% 38%
transfer or assignment OR
9 71% 60% 53% 40%
b. where the transfer or assignment is made upon condition that
10 75% 63% 56% 43%
i. the proceeds under the Policy shall become payable to
11 79% 67% 60% 45%
Policyholder or nominee(s) in the event of assignee or transferee
12 84% 71% 63% 48% dying before the Life Assured OR
13 89% 75% 67% 50% ii. the Life Assured surviving the term of the Policy
14 94% 79% 71% 53%
Such conditional assignee will not be entitled to obtain a loan on Policy or
15 100% 84% 75% 56% surrender the Policy. This provision will prevail notwithstanding any law or
16 - 89% 79% 60% custom having force of law which is contrary to the above position.
17 - 94% 84% 63% 14. In other cases, the insurer shall, subject to terms and conditions of
18 - 100% 89% 67% assignment, recognize the transferee or assignee named in the
19 - - 94% 71% notice as the absolute transferee or assignee and such person
20 - - 100% 75% a. shall be subject to all liabilities and equities to which the transferor
21 - - - 79% or assignor was subject to at the date of transfer or assignment
and
22 - - - 84%
b. may institute any proceedings in relation to the Policy
23 - - - 89%
24 - - - 94% c. obtain loan under the Policy or surrender the Policy without
obtaining the consent of the transferor or assignor or making him
25 - - - 100% a party to the proceedings

ANNEXURE - 2 15. Any rights and remedies of an assignee or transferee of a life

Insurance Policy under an assignment or transfer effected before
A. Section 38 - Assignment and Transfer of Insurance Policies commencement of the Insurance Laws (Amendment) Act, 2015 shall
Assignment or transfer of a Policy should be in accordance with Section not be affected by this section.
38 of the Insurance Act, 1938 as amended by Insurance Laws [Disclaimer: This is not a comprehensive list of amendments of Insurance
(Amendment) Act, 2015.The extant provisions in this regard are as follows: Laws (Amendment) Act, 2015 and only a simplified version prepared for
01. This Policy may be transferred/assigned, wholly or in part, with or general information. Policyholders are advised to refer to Insurance Laws
without consideration. (Amendment) Act, 2015 for complete and accurate details.]
IRDA of India Regn no. 110

C2019-34
C169170622 Page 12 of 28
 ANNEXURE - 3
B. Section 39 - Nomination by Policyholder
Nomination of a life Insurance Policy is as below in accordance with Section
39 of the Insurance Act, 1938 as amended by Insurance Laws (Amendment)
Act, 2015. The extant provisions in this regard are as follows:
01. The Policyholder of a life Insurance on his own life may nominate a
person or persons to whom money secured by the Policy shall be
paid in the event of his death.
02. Where the nominee is a minor, the Policyholder may appoint any
person to receive the money secured by the Policy in the event of
Policyholder’s death during the minority of the nominee. The manner
of appointment to be laid down by the insurer.
03. Nomination can be made at any time before the maturity of the Policy.
04. Nomination may be incorporated in the text of the Policy itself or may
be endorsed on the Policy communicated to the insurer and can be
registered by the insurer in the records relating to the Policy.
05. Nomination can be cancelled or changed at any time before Policy
matures, by an endorsement or a further endorsement or a will as the
case may be.
06. A notice in writing of Change or Cancellation of nomination must be
delivered to the insurer for the insurer to be liable to such nominee.
Otherwise, insurer will not be liable if a bonafide payment is made to
the person named in the text of the Policy or in the registered records
of the insurer.
07. Fee to be paid to the insurer for registering change or cancellation of
a nomination can be specified by the Authority through Regulations.
08. On receipt of notice with fee, the insurer should grant a written
acknowledgement to the Policyholder of having registered a
nomination or cancellation or change thereof.
09. A transfer or assignment made in accordance with Section 38 shall
automatically cancel the nomination except in case of assignment to
the insurer or other transferee or assignee for purpose of loan or
against security or its reassignment after repayment. In such case,
the nomination will not get cancelled to the extent of insurer’s or
transferee’s or assignee’s interest in the Policy. The nomination will
get revived on repayment of the loan.
10. The right of any creditor to be paid out of the proceeds of any Policy
of life Insurance shall not be affected by the nomination.
11. In case of nomination by Policyholder whose life is insured, if the
nominees die before the Policyholder, the proceeds are payable to
Policyholder or his heirs or legal representatives or holder of
succession certificate.
12. In case nominee(s) survive the person whose life is insured, the
amount secured by the Policy shall be paid to such survivor(s).
13. Where the Policyholder whose life is Life Assured nominates his
a. parents or
b. spouse or
c. children or
d. spouse and children
e. or any of them
the nominees are beneficially entitled to the amount payable by the
insurer to the Policyholder unless it is proved that Policyholder could
not have conferred such beneficial title on the nominee having regard
to the nature of his title.
14. If nominee(s) die after the Policyholder but before his share of the
amount secured under the Policy is paid, the share of the expired
nominee(s) shall be payable to the heirs or legal representative of the
nominee or holder of succession certificate of such nominee(s).
15. The provisions of sub-section 7 and 8 (13 and 14 above) shall apply
to all life Insurance policies maturing for payment after the
commencement of Insurance Laws (Amendment) Act, 2015.
16. If Policyholder dies after maturity but the proceeds and benefit of the
Policy has not been paid to him because of his death, his nominee(s)
shall be entitled to the proceeds and benefit of the Policy.
17. The provisions of Section 39 are not applicable to any life Insurance
Policy to which Section 6 of Married Women’s Property Act, 1874
applies or has at any time applied except where before or after
Insurance Laws (Amendment) Act, 2015., a nomination is made in
favour of spouse or children or spouse and children whether or not
on the face of the Policy it is mentioned that it is made under Section
IRDA of India Regn no. 110
C2019-34
39. Where nomination is intended to be made to spouse or children
or spouse and children under Section 6 of MWP Act, it should be
specifically mentioned on the Policy. In such a case only, the
provisions of Section 39 will not apply.
[Disclaimer: This is not a comprehensive list of amendments of Insurance
Laws (Amendment) Act, 2015 and only a simplified version prepared for
general information. Policyholders are advised to refer to Insurance Laws
(Amendment) Act, 2015 for complete and accurate details.]
ANNEXURE - 4
C. Section 45 – Policy shall not be called in question on the ground
of mis-statement after three years
Provisions regarding Policy not being called into question in terms of
Section 45 of the Insurance Act, 1938, as amended by Insurance Laws
(Amendment) Act, 2015 are as follows:
01. No Policy of Life Insurance shall be called in question on any ground
whatsoever after expiry of 3 yrs from
a. the date of issuance of Policy or
b. the date of commencement of risk or
c. the date of revival of Policy or
d. the date of rider to the Policy
whichever is later.
02. On the ground of fraud, a Policy of Life Insurance may be called in
question within 3 years from
a. the date of issuance of Policy or
b. the date of commencement of risk or
c. the date of revival of Policy or
d. the date of rider to the Policy
whichever is later.
For this, the insurer should communicate in writing to the Life Assured or
legal representative or nominee or assignees of insured, as applicable,
mentioning the ground and materials on which such decision is based.
03. Fraud means any of the following acts committed by Life Assured or
by his agent, with the intent to deceive the insurer or to induce the
insurer to issue a life Insurance Policy:
a. The suggestion, as a fact of that which is not true and which the
Life Assured does not believe to be true;
b. The active concealment of a fact by the Life Assured having
knowledge or belief of the fact;
c. Any other act fitted to deceive; and
d. Any such act or omission as the law specifically declares to
be fraudulent.
04. Mere silence is not fraud unless, depending on circumstances of the
case, it is the duty of the Life Assured or his agent keeping silence to
speak or silence is in itself equivalent to speak.
05. No Insurer shall repudiate a life Insurance Policy on the ground of
Fraud, if the Life Assured/ beneficiary can prove that the
misstatement was true to the best of his knowledge and there was
no deliberate intention to suppress the fact or that such
mis-statement of or suppression of material fact are within the
knowledge of the insurer. Onus of disproving is upon the
Policyholder, if alive, or beneficiaries.
06. Life Insurance Policy can be called in question within 3 years on the
ground that any statement of or suppression of a fact material to
expectancy of life of the Life Assured was incorrectly made in the
proposal or other document basis which Policy was issued or
revived or rider issued. For this, the insurer should communicate in
writing to the Life Assured or legal representative or nominee or
assignees of insured, as applicable, mentioning the ground and
materials on which decision to repudiate the Policy of life Insurance
is based.
07. In case repudiation is on ground of mis-statement and not on fraud,
the premium collected on Policy till the date of repudiation shall be
paid to the Life Assured or legal representative or nominee or
assignees of insured, within a period of 90 days from the date of
repudiation.
08. Fact shall not be considered material unless it has a direct bearing on
the risk undertaken by the insurer. The onus is on insurer to show
that if the insurer had been aware of the said fact, no life Insurance
Policy would have been issued to the insured.
C169170622 Page 13 of 28
09. The insurer can call for proof of age at any time if he is entitled to do that if the insurer had been aware of the said fact, no life Insurance
so and no Policy shall be deemed to be called in question merely Policy would have been issued to the insured.
because the terms of the Policy are adjusted on subsequent proof of 09. The insurer can call for proof of age at any time if he is entitled to do
age of Life Insured. So, this Section will not be applicable for so and no Policy shall be deemed to be called in question merely
questioning age or adjustment based on proof of age submitted because the terms of the Policy are adjusted on subsequent proof of
subsequently. age of Life Insured. So, this Section will not be applicable for
[Disclaimer: This is not a comprehensive list of amendments of Insurance questioning age or adjustment based on proof of age submitted
Laws (Amendment) Act, 2015. and only a simplified version prepared for subsequently.
general information. Policyholders are advised to refer to Insurance Laws [Disclaimer: This is not a comprehensive list of amendments of Insurance
(Amendment) Act, 2015 for complete and accurate details.] Laws (Amendment) Act, 2015. and only a simplified version prepared for
general information. Policyholders are advised to refer to Insurance Laws
ANNEXURE 5
(Amendment) Act, 2015 for complete and accurate details.]
C. Section 45 – Policy shall not be called in question on the ground
of mis-statement after three years
Provisions regarding Policy not being called into question in terms of
Section 45 of the Insurance Act, 1938, as amended by Insurance Laws
(Amendment) Act, 2015 are as follows:
01. No Policy of Life Insurance shall be called in question on any ground
whatsoever after expiry of 3 yrs from
a. the date of issuance of Policy or
b. the date of commencement of risk or
c. the date of revival of Policy or
d. the date of rider to the Policy
whichever is later.
02. On the ground of fraud, a Policy of Life Insurance may be called in
question within 3 years from
a. the date of issuance of Policy or
b. the date of commencement of risk or
c. the date of revival of Policy or
d. the date of rider to the Policy
whichever is later.
For this, the insurer should communicate in writing to the Life Assured or
legal representative or nominee or assignees of insured, as applicable,
mentioning the ground and materials on which such decision is based.
03. Fraud means any of the following acts committed by Life Assured or
by his agent, with the intent to deceive the insurer or to induce the
insurer to issue a life Insurance Policy:
a. The suggestion, as a fact of that which is not true and which the
Life Assured does not believe to be true;
b. The active concealment of a fact by the Life Assured having
knowledge or belief of the fact;
c. Any other act fitted to deceive; and
d. Any such act or omission as the law specifically declares to be
fraudulent.
04. Mere silence is not fraud unless, depending on circumstances of the
case, it is the duty of the Life Assured or his agent keeping silence to
speak or silence is in itself equivalent to speak.
05. No Insurer shall repudiate a life Insurance Policy on the ground of
Fraud, if the Life Assured/ beneficiary can prove that the
misstatement was true to the best of his knowledge and there was
no deliberate intention to suppress the fact or that such
mis-statement of or suppression of material fact are within the
knowledge of the insurer. Onus of disproving is upon the
Policyholder, if alive, or beneficiaries.
06. Life Insurance Policy can be called in question within 3 years on the
ground that any statement of or suppression of a fact material to
expectancy of life of the Life Assured was incorrectly made in the
proposal or other document basis which Policy was issued or
revived or rider issued. For this, the insurer should communicate in
writing to the Life Assured or legal representative or nominee or
assignees of insured, as applicable, mentioning the ground and
materials on which decision to repudiate the Policy of life Insurance
is based.
07. In case repudiation is on ground of mis-statement and not on fraud,
the premium collected on Policy till the date of repudiation shall be
paid to the Life Assured or legal representative or nominee or
assignees of insured, within a period of 90 days from the date of
repudiation.
08. Fact shall not be considered material unless it has a direct bearing on
the risk undertaken by the insurer. The onus is on insurer to show
IRDA of India Regn no. 110

C2019-34
C169170622 Page 14 of 28
 CLAIM DOCUMENT LIST

Requirements for Hospitalization & Critical
Illness Claim
A Claim Forms
Part I: Application Form for Hospitalization/Critical
Illness Claim (Claimant's Statement) along with
NEFT form
Part II: Confidential Medical Report -to be filled by
attending physician
Requirements for Disability and
Dismemberment Claim
A Claim Forms
Part I: Application Form for
Disability/Dismemberment Claim (Claimant's
Statement) along with NEFT form
Part II: Confidential Medical Report -to be filled by
attending physician
Requirements for Death Claim (all causes of
Death)
A Claim Forms
Part I: Application Form for Death Claim
(Claimant's Statement) along with NEFT form
Part II:Physician's Statement - to be filled by last
attending physician

B Hospital Bills for the confinement.
C Attested True Copy of Indoor Case Papers of the
Hospital
B Attested True Copy of Indoor Case Papers of the B Death Certificate issued by a local government
Hospital body like Municipal Corporation
C Discharge Summary of Present and Past C Medical Records (Admission Notes,
Hospitalizations Discharge/Death Summary, Indoor Case Papers,
Test Reports etc)1

D Discharge Summary of Present and Past D Photo Identity of insured with age and address D Original Policy document
Hospitalizations proof

E Photo Identity of insured with age and address E Bank Details of the claimant – Cancelled cheque
proof (with printed name and account number)/bank
passbook and NEFT Form
E Claimant's Photo ID with age proof & relationship
with the Insured along with Address proof of the
claimant and Cancelled cheque with name and
account number printed or cancelled cheque with
copy of Bank Passbook / Bank Statement

If no nomination - Proof of legal title to the claim

proceeds (e.g. legal succession paper)

F Bank Details of the claimant – Cancelled cheque
(with printed name and account number)/bank
passbook and NEFT Form
G Certificate of Diagnosis
H Medical Examination Certificate (First
Consultation Notes).
F Disability Certificate by attending Physician /
Institute for disabled
G Rehabilitation Certificate - if applicable
H Employer’s written confirmation / statement - for
Disability claim

I All related clinical Reports pertaining to the claim I All related Medical Examination Reports, e.g. -
event - Laboratory test reports
Laboratory test reports X-Ray / CT Scan / MRI Reports & Plates
X-Ray / CT Scan / MRI Reports & Ultrasonography Report
PlatesUltrasonography Report Clinical / Hospital Reports
Histopathology Report
Clinical / Hospital Reports
Angiography Reports & Plates.
Others (please specify).
J All follow-up Consultation Notes in relation to the J Clinical Photographs showing the injured areas -
hospitalized condition. if available
If Claims is due to accidental causes (submit in If Claims is due to accidental causes (submit in In case of accidental death inaddition to the above
addition to the above) addition to the above). documents, we would require the following
documents –
K All police reports- K All police reports- F Postmortem report (Autopsy report) &
First Information Report First Information Report Chemical Viscera report - if performed
Final Investigation Report Final Investigation Report
G All Police Papers – Panchnama, Inquest, First
Information Report (FIR) and Final Investigation
Report
H Newspaper cutting / Photographs of the accident -
if available

1. This is applicable if insured was in hospital at the time of death or any time prior to the date of death.
• Please submit copies of the following documents certified / attested by the issuing authority. ( Original Seen Verified (OSV) by Branch Personnel will also be accepted) -
o All Police papers – Panchnama, Inquest, First Information Report and Final Investigation Report
o Medical Records (Admission Notes, Discharge/Death Summary, Indoor Case Papers, Test Reports etc)1
o Postmortem report (Autopsy report) & Chemical Viscera report (certified by Police / Magistrate / Court will also be accepted)
• Copies of the other documents to be submitted by self attestation of the claimant

NOTE:
- In case the claim warrants any additional requirement, TATA AIA LIFE reserves the right to call for the same.
- Notification of claim & submission of the claim requirements does not mean admission of the claim liability by the Company.
- No agent is authorized to admit any liabilities on behalf of the Company, nor to alter this list of documents or any claims requirements called for by the Company.

C169170622 Page 15 of 28
 FREQUENTLY ASKED QUESTIONS (FAQs)
1. How can I cancel my policy under Free Look?
 The policy can be cancelled anytime within 15 days from the date of receipt of the policy document. Kindly submit the policy
#
document along with a duly signed letter at any of the Tata AIA Life branches .

2. How can I change the premium payment mode?


#
Please submit a duly signed copy of the Mode change form* at any of the Tata AIA Life branches at least 10 days before the
due date of the policy.
 Please contact the branch or call center for mode changes allowed on your policy

3. How can I make the below mentioned changes in my policy?

- Name change - Address / Contact Number Change
- Ownership Change - Signature Change
- Nominee Change - Basic Plan Change
 Please submit a duly signed copy of the respective change form* along with the documents mentioned in the form at any of the
#
Tata AIA Life branches .

4. Can I opt for automatic premium payment facility on my policy?

 You can avail of any of the following facilities wherein your account / Credit Card will be debited on the due date of your policy.
 ECS - A signed copy of the ECS form* along with a cancelled cheque or copy of cancelled cheque needs to be submitted at
any of the Tata AIA Life branches at least 10 days prior to the due date
 Credit Card – A signed copy of the Credit Card form* along with a copy of Front page of credit card needs to be submitted
at any of the Tata AIA Life branches at least 10 days prior to the due date
 Direct debit – You can avail of Direct Debit facility by providing a copy of an 'ECS & Direct Debit' form* with copy of
cancelled cheque or bank attestation at least 30 days before the due date. To know the list of banks wherein this facility is
available, kindly visit the 'Premium Payment Options' on www.tataaia.com.

5. I have lost my PIP and need a duplicate PIP.

 Please submit a duly signed copy of the Duplicate PIP form* along with the documents mentioned in the form at any of the Tata
#
AIA Life branches .

6. How can I view my policy related details online?

 You can create your online account by logging in to www.tataaia.com and avail of the following benefits –
 Easy access to policy related details (Premium Due Date, NAV, Payment Summary, etc.,)
 Single access for all your policies
 Perform Online ULIP transactions
 Pay Premium Online
 Generate e-statements (Premium Certificates, Unit Statements)
 Raise Service Requests

7. How do I request for a Premium Payment Certificate for my policies?

 You can request for your Premium Certificate through the following modes -
 Online Customer Portal - Kindly logon to your Online Account by visiting www.tataaia.com
 SMS - Kindly SMS the following to 5676799:
 PCT <space> 10 digit policy no <space> email address (in case you wish to receive by email, else will be sent to your
communication address) <space> financial year (yyyy-yyyy format)
 The mobile number from where the SMS has been sent should be registered with the company. In case your mobile number is
not registered, please send the following SMS to 5676799:
REG <space> 10 digit policy no <space> Insured's DOB in DDMMYYYY format <space> Sum Assured
(For Health, Annuity and Pension plans, Sum Assured should be mentioned as '0')
 Email / Call / Branch - Request for the Premium Certificate by sending an email to customercare@tataaia.com or call our
#
helpline number at 1-860-266-9966 (local charges apply) or visit the nearest branch .

8. For my unit linked policy, how can I request for Fund Switch, Premium Redirection & Top-up?
 You can create your online account by logging in to www.tataaia.com and perform Fund Switch, Premium Redirection and Top-
up transactions instantly (or)
 Please submit a duly signed copy of the Fund Allocation, Switch & Top-up form* pertaining to your product at any of the Tata AIA
#
Life branches .
#
For your nearest Tata AIA Life branch, please visit 'Contact Us' section on www.tataaia.com.; * You can download the forms by
visiting 'Customer Services' section on www.tataaia.com

You can also send the forms along with the documents to the below mentioned address –
Policy Owners Services
Tata AIA Life Insurance Company Limited,
B-Wing, 9th Floor, I-Think Techno Campus,
Behind TCS, Pokhran Road No.2,
Close to Eastern Express Highway,
Thane (West) – 400 607, Maharashtra

C169170622 Page 16 of 28
PROPOSAL FORM

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 FIRST PREMIUM RECEIPT

C169170622
Insured Name : SUJATA PANKAJ KADAM Policy No. : C169170622

Policyowner : SUJATA PANKAJ KADAM Receipt date : 2020/02/13

Name
Agent/Broker code : 004587369
Address :
SAROVAR HOTELJAVAL, A-32 SAROVAR HOUSING
Agent/Broker Name : INDUSIND BANK
SOCIETY, WALHEKARWADI,PUNECITY,CHINCHWADGAON
PUNE 411033 LIMITED
MAHARASHTRA, INDIA

Office Code : PU01

Payment Mode : ANNUAL Payment Method : CASH/CHEQUE

Basic Plan Name : Tata AIA Life Insurance Diamond Modal premium : (`) 130000.00
Savings Plan
(110N133V02)
Taxes, Cesses & Levies : (`) 5,850.00

Amount Received : (`)1,35,850.00 Amount Due : (`) 135850.00

Receipt No. Date Amount (`)

IL0572454 2020/02/13 1,35,850.00
IL0572454 2020/02/13 1,35,850.00

Next Premium Due on : 2021/02/13

Excess as on Date(if any) : (`) 0.00

Tax benef ts** on life Insurance Policies are available u/s 80C, on Pension u/s 80CCC & Health Policies / Health Riders u/s 80D of
Income tax Act, 1961.
Tax benef t u/s 80D is not available for premium payment in cash.
Tax benef ts u/s 80CCC and 80D are not available for premium payment through automatic loans from Cash Value of the policy if any,
as per the policy provisions

* All taxes, duties, surcharge, cesses or levies, (including but not limited to Taxes, Cesses & Levies and TDS), as may be imposed by Government or any
statutory authority from time to time, on the premiums payable and benifits secure under Policy, Shall beborne and paid by the Policyholder.

Pan Number: AABCT3784C

Category of Service: Life Insurance Service and / or Management of investment under ULIP Services
** Income Tax benef ts would be available as per the prevailing income tax laws, subject to fulf llment of conditions stipulated therein.
Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implication mentioned anywhere in this document.
Please consult your own tax consultant to know the tax benef ts available to you.

Consolidated Revenue stamp duty paid: Notification No. Mudrank – CSD/179/2019/4939, dated 16th October,
2019 vide receipt number MH006751891201920M dated on 26th September, 2019.

Tata AIA Life Insurance Company Ltd (IRDA of India Regn.No.110) (CIN - U66010MH2000PLC128403)
Registered & Corporate Office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai 400013.
C169170622 Page 27 of 28
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