For Office Use Only (w.e.f. Oct 23 / Ver 1.

0)
Illustration No: KFBP-27M-7717-Y100
Quotation Number:BB300124124657601
Proposal No:

Name of the Prospect/Policyholder Name of the Product Kotak Guaranteed Fortune Builder
Name of Life Assured Tag Line A Non-Participating, Non-Linked, Individual,
Age of the Prospect/Policyholder (in yrs) 27 Savings, Life Insurance Plan
DOB of Life Assured 03 August 1996 Unique Identification No UIN: 107N128V05
Age of Life Assured (in yrs) 27 Base Plan Goods and Services Tax and Cess 4.5%
Gender of Life Assured Male Rate (GST) (1st Year)

Spouse Cover Option (if opted for) No Base Plan Goods and Services Tax and Cess 2.25%
Rate (GST) (2nd Year onwards)
Policy Term (in yrs) 15
Rider Goods and Services Tax and Cess Rate 18%
Premium Payment Term (in yrs) 10
(GST)
Deferment Period (in yrs) 5
Existing Customer No
Amount of Installment Premium (in Rs.) 1,00,000
Existing Policy Number Not Applicable
Mode of Payment of Premium Yearly
Channel Name Corporate Agents
Agent's Branch Location Kerala
Prospect/Policyholder's Current Location Kerala

This Benefit Illustration is intended to show year-wise premiums payable and benefits under the policy.

POLICY DETAILS
Plan Option Long Term Income Option A Guaranteed Income Rate (%of Annualized Premium) 149.52%
Income Benefit Period (in yrs) 15 Guaranteed Income Amount (Rs.) 1,49,520
Income Benefit Frequency Yearly Sum Assured on Death of the Life Insured (at inception of the
12,65,000
policy) (Rs.)
Sum Assured on Death of the Spouse (at inception of the
NA
policy) (Rs.)

Rider Details
Rider Premium Paying
Rider Name Rider Sum Assured Rider Policy Term Rider Premiums(Rs.)
Term
Kotak Term Benefit Rider (UIN: 107B003V03) Not Selected
Kotak Critical Illness Plus Benefit Rider (UIN:107B020V01) Not Selected
Kotak Permanent Disability Benefit Rider (UIN: 107B002V03) Not Selected
Kotak Accidental Death Benefit Rider (UIN: 107B001V03) Not Selected
Kotak Life Guardian Rider (UIN: 107B012V02) Not Selected
Kotak Accidental Disability Guardian Rider (UIN: 107B011V02) Not Selected
Note: Rider Premiums will have to be paid additionally

PREMIUM SUMMARY
Total Rider Premium
Base Plan Premium for Life Base Plan Premium for (Please refer Rider Details Total Installment Premium
Insured (Rs) Spouse (Rs) table) (Rs.) (applicable only (Rs .)
for Life Insured)
Installment Premium (without GST) 1,00,000 NA 0 1,00,000
Installment Premium (with First Year GST) 1,04,500 NA 0 1,04,500
Installment Premium (with GST, Second Year onwards) 1,02,250 NA 0 1,02,250

BENEFIT ILLUSTRATION TABLE

Non-Guaranteed
Guaranteed Benefits
Benefits
End of Policy Year Age of Life Insured Annualised Premium
Guaranteed Special Surrender
Survival Benefit Other Benefits if any Maturity Benefit Death Benefit
Surrender Value Value
1 28 1,00,000 0 0 0 12,65,000 0 0
2 29 1,00,000 0 0 0 12,65,000 60,000 60,000
3 30 1,00,000 0 0 0 12,65,000 1,05,000 1,05,000
4 31 1,00,000 0 0 0 12,65,000 2,00,000 2,00,000
5 32 1,00,000 0 0 0 12,65,000 2,50,000 2,50,000
6 33 1,00,000 0 0 0 12,65,000 3,00,000 3,48,000
7 34 1,00,000 0 0 0 12,65,000 3,50,000 4,55,000
8 35 1,00,000 0 0 0 12,65,000 4,48,000 5,84,000
9 36 1,00,000 0 0 0 12,65,000 5,49,000 7,20,000
10 37 1,00,000 0 0 0 12,65,000 6,70,000 8,80,000
11 38 0 0 0 0 12,65,000 7,30,000 9,50,000
12 39 0 0 0 0 12,65,000 7,90,000 10,30,000
13 40 0 0 0 0 13,34,486 8,40,000 11,00,000
14 41 0 0 0 0 14,34,573 9,00,000 11,80,000
15 42 0 0 0 0 15,42,166 9,00,000 12,50,000
16 43 0 1,49,520 0 0 0 0 14,79,736

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 Quotation Number:BB300124124657601

BENEFIT ILLUSTRATION TABLE

Non-Guaranteed
Guaranteed Benefits
Benefits
End of Policy Year Age of Life Insured Annualised Premium
Guaranteed Special Surrender
Survival Benefit Other Benefits if any Maturity Benefit Death Benefit
Surrender Value Value
17 44 0 1,49,520 0 0 0 0 14,63,393
18 45 0 1,49,520 0 0 0 0 14,45,641
19 46 0 1,49,520 0 0 0 0 14,26,168
20 47 0 1,49,520 0 0 0 0 14,05,014
21 48 0 1,49,520 0 0 0 0 13,81,975
22 49 0 1,49,520 0 0 0 0 13,56,802
23 50 0 1,49,520 0 0 0 0 13,29,463
24 51 0 1,49,520 0 0 0 0 12,99,534
25 52 0 1,49,520 0 0 0 0 12,67,032
26 53 0 1,49,520 0 0 0 0 12,31,488
27 54 0 1,49,520 0 0 0 0 11,92,800
28 55 0 1,49,520 0 0 0 0 11,50,680
29 56 0 1,49,520 0 0 0 0 11,04,721
30 57 0 1,49,520 0 10,00,000 0 0 10,54,570

Note: Annualized Premium is the Premium payable in a policy year, excluding loadings for extra mortality, modal Premium, Goods & Services tax, Cess and Rider Premium, if any.

Terms & Conditions:

1. This is a Non-Participating, Non-Linked, Individual, Savings, Life Insurance Plan. The illustration stated is for a healthy individual and is under the assumption that this is the only policy the client has
with Kotak Life Insurance and would be subject to underwriting.
2. Guaranteed Income is expressed as percentage of Annualized Premium, payable in arrears after the end of Policy Term as per the Income Benefit Frequency during the Income Benefit Period.
3. The above illustrated benefits are derived on the basis of details of Life Assured provided at the time of filling the proposal form. If the details are found inaccurate or there are any changes before or at
the time of the policy issuance for eg: change in age, the illustrated benefits will be subject to revision.
4. Goods and Services Tax& Cess, as applicable are levied at the applicable Tax rates in accordance with the prevailing Tax Laws. Prevailing tax laws are applicable on this policy which may vary from
time to time.
5. The values shown are for illustrative purposes only. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.
6. TDS at prevailing rate will be deducted from any amount paid under a life insurance policy subject to the provisions of prevailing tax laws. In case of non-availability of valid PAN, TDS will be deducted
at higher rate. Tax laws are subject to changes from time to time. Kindly consult your tax advisor for tax implication of your policy.

Section 41 of the Insurance Act, 1938 states as amended from time to time

(1) No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take or renew or continue an insurance in respect of any kind of risk relating to lives or property in
India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate,
except such rebate as may be allowed in accordance with the published prospectuses or tables of the insurer:

(2) Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.

I, _____________________________(Name), have explained the premiums and benefits under I, ____________________________(Name), having received the information with respect to the

the product fully to the prospect /policyholder. above, have understood the above statement before entering into the contract.

Place :_____________ __________________________________ Place :_____________ __________________________________

Date : 30-Jan-24 Signature of Agent /Intermediary/Official Date : 30-Jan-24 Signature of Prospect/Policyholder

[ ] Digitally Accepted for Prospect / Policyholder

Kotak Mahindra Life Insurance Company Limited.

CIN: U66030MH2000PLC128503
Regd. Off: 8th Floor, Plot # C- 12, G- Block, BKC, Bandra (E), Mumbai - 400051
Regn. No: 107. Toll Free No.: 1800 209 8800. WhatsApp : 9321003007. Website: https://www.kotaklife.com

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