Personalized proposal to help you meet your

wealth-creation and protection needs

with

Hi ,
Congratulations on taking the first step towards
meeting your wealth-creation and protection needs.
Please go through the details of your quote and
contact your advisor who will assist you to
purchase this plan.
 Snapshot of your plan
You pay
Yearly premium of ` 5,00,000/-
for 5 years

Age 43 47 53
Years

You get:

Life Insurance Cover of Maturity benefit of:

` 35,00,000/- At 8% ARR*: ` 38,57,247/-
^

for entire policy term At 4% ARR*: ` 28,43,753/-

(at the end of the policy term)

Benefit Benefit term Total Benefit amount

Return of Every 5th policy year

Premium Allocation Charges starting from the 10th policy year ` 1,25,000/-

At 8% ARR*: ` 0/-
Wealth Boosters Every 5th policy year#
At 4% ARR*: ` 0/-

Value Benefit On 2nd Policy Year ` 25,000/-

<50,000>

At the end of the policy term At 8% ARR*: ` 38,57,247/-

Total maturity benefit of 10 years At 4% ARR*: ` 28,43,753/-

Life Insurance Cover 10 years ` 35,00,000/-

Total premium paid ` 25,00,000/-

In a unit linked insurance plan the investment risk in investment portfolio is borne by the Policyholder. Unit linked Insurance products do not offer any liquidity during the first five years of the contract.
*The Illustrations are based on Assumed Rates of Return of 8% and 4%. The maturity benefits shown are for illustrative purposes only and are subject to the actual fund performance.
^Life insurance cover shown is the Sum Assured on Death. Death Benefit is the highest of (1. Sum Assured, including Top-up Sum Assured, if any, 2. 105% of the total premiums including Top-up
premiums, if any received up to the date of death 3. Fund Value including the Top-up Fund Value, if any).
# For Premium Payment Term (PPT) of 5 years, Wealth Boosters shall be added from the end of the 15th policy year. For all other other PPT options, it will start from the end of the 10th policy year.
Tax benefits as per prevailing tax laws.
 Why choose us:

7.72 Cr ` 2.36 Lakh Cr

Lives covered as on Benefits paid till
March 31, 2023 March 31, 2023

` 2.50 Lakh Cr 24 hrs claim settlement

Assets under management as on Quick claim settlement
March 31, 2023 process available

Tax Saving
Get tax benefits on premium
paid & benefits

ICICI Prudential Life Insurance Company. IRDAI Regn No. 105. CIN:L66010MH2000PLC127837.

ICICI Prudential Life Insurance Company Limited. Registered Address:1089 Appasaheb Marathe Marg, Prabhadevi, Mumbai - 400025. For more details on
the risk factors, term & conditions please read the policy document. ICICI Pru Signature UIN: 105L177V06 . COMP/DOC/Jun/2022/86/0478.
 Benefit Illustration for ICICI Pru Signature
This shall form a part of the policy document
Proposal No :
Name of the Policyholder : Mr. Name of the Product : ICICI Pru Signature
Tag Line : A Linked Non Participating
Individual Savings Life Insurance Plan
Age of the Policyholder : 29-Nov-1980 (43 Years) Gender of the Policyholder : MALE
Name of the Life Assured : Mr. Unique Identification No. : 105L177V06
Age of the Life Assured : 29-Nov-1980 (43 Years) Applicable tax Rate : 18%
Gender of the Life Assured : MALE
1
Sum Assured : Rs. 3,500,000/- Portfolio Strategy : Fixed
Policy Term : 10 Years Funds opted for : India Growth Fund: 30%
: Mid Cap Fund: 70%
Premium Payment Term : 5 Years Risk Level : High
Premium Payment Option : Limited Pay
Amount of Base Installment : Rs. 500,000/- Sales Channel : Agency
Premium
Mode of payment of premium : Yearly Annualised Base Premium : Rs. 500,000/-
Systematic Withdrawal Plan : No Plan Option : Premier

Premium Summary
Base Plan ICICI Pru Linked Accidental ICICI Pru Linked Accidental Total Instalment Premium
Death and Disability Rider Death and Disability Rider
(Accidental Death Benefit (Accidental Total &
option) Permanent Disability
Benefit option)
Instalment Premium without GST and Cesses, if any Rs. 500,000/- Rs. 3,290/- Rs. 2,531/- Rs 505,821/-
Instalment Premium with First Year GST and Cesses, if any Rs. 500,000/- Rs. 3,882/- Rs. 2,987/- Rs. 506,869/-
Instalment Premium with GST and Cesses, if any 2nd Year Rs. 500,000/- Rs. 3,882/- Rs. 2,987/- Rs. 506,869/-
Onwards
*Please refer to the details of Rider attached with this document for more information.

Summary of cashflows at 4% and 8% assumed investment return

Assumed Investment Return : 8% Assumed Investment Return : 4%
Policy Year Fund at end Death Benefit Fund at end Death Benefit
1 484,121 3,500,000 465,901 3,500,000
5 2,788,418 3,500,000 2,478,214 3,500,000
10 3,857,247 3,857,247 2,843,753 3,500,000

How to read and understand this benefit illustration?

This benefit illustration is intended to show what charges are deducted from your premiums and how the unit fund, net of charges and taxes, may
grow over the years of the policy term if the fund earns a gross return of 8% p.a. or 4% p.a. These rates, i.e., 8% p.a. and 4% p.a. are assumed
only for the purpose of illustrating the flow of benefits if the returns are at this level. It should not be interpreted that the returns under the plan are
going to be either 8% p.a. or 4% p.a.
Net Yield mentioned corresponds to the gross investment return of 8% p.a., net of all charges but does not consider mortality, morbidity charges,
underwriting extra, if any, guarantee charges and cost of rider, if deducted by cancellation of units. It demonstrates the impact of charges exclusive
of taxes on the net yield. Please note that the mortality charges per thousand sum assured in general, increases with age.

The actual returns can vary depending on the performance of the chosen fund, charges towards mortality, morbidity, underwriting extra, cost of
riders etc. The investment risk in this policy is borne by the policyholder, hence, for more details on terms and conditions please read sales
literature carefully.
Part A of this statement presents a summary view of year-by-year charges deducted under the policy, fund value, surrender value and the death
benefit, at two assumed rates of return. Part B of this statement presents a detailed break-up of the charges, and other values.

Part A

(Amount in rupees)
At 4% p.a. Gross Investment Return At 8% p.a. Gross Investment Return
Poli Annualized Mortality Other Applicabl Fund at Surrender Death Mortality Other Applicable Fund at End Surrender Death Commissi
cy Premium Charge Charges* e taxes End of Year Value Benefit Charge Charges* taxes of Year Value Benefit on
Yea payable to
r intermedi
ary11
1 500,000 7,126 37,323 8,001 465,901 0 3,500,000 7,106 37,455 8,021 484,121 0 3,500,000 10,000
2 500,000 6,593 44,045 9,115 969,005 0 3,500,000 6,500 44,571 9,193 1,026,019 0 3,500,000 10,000
3 500,000 5,910 50,592 10,170 1,459,190 0 3,500,000 5,667 51,798 10,344 1,576,461 0 3,500,000 10,000
4 500,000 4,980 57,307 11,212 1,962,036 0 3,500,000 4,483 59,496 11,516 2,162,986 0 3,500,000 5,000
5 500,000 3,739 64,198 12,229 2,478,214 2,478,214 3,500,000 2,845 67,702 12,699 2,788,418 2,788,418 3,500,000 5,000
 6 0 3,995 39,821 7,887 2,524,662 2,524,662 3,500,000 2,543 44,869 8,534 2,953,467 2,953,467 3,500,000 0
7 0 4,247 40,454 8,046 2,571,902 2,571,902 3,500,000 2,080 47,178 8,866 3,129,467 3,129,467 3,500,000 0
8 0 4,489 41,098 8,206 2,619,967 2,619,967 3,500,000 1,416 49,642 9,190 3,317,352 3,317,352 3,500,000 0
9 0 4,712 41,754 8,364 2,668,898 2,668,898 3,500,000 507 52,274 9,501 3,518,168 3,518,168 3,518,168 0
10 0 4,902 42,422 8,518 2,843,753 2,843,753 3,500,000 0 55,085 9,915 3,857,247 3,857,247 3,857,247 0

*Includes Premium Allocation Charge, Policy Admin Charge and Fund Management Charge, if any. See Part B for details.
IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE ONLY FOR
ILLUSTRATIVE PURPOSE

I __________________________________ , have explained the I ______________________________, having received the

premiums,charges and benefits under the policy fully to the information with respect to the above, have understood the
prospect / policyholder. above statement before entering into the contract.
Place: Place:
Date: Signature of Agent / Intermediary / Official Date: Signature of Prospect / Policyholder

Part B

Gross 8% p.a Net Yield 6.16 % (Amount in rupees)

Yield
Poli Annualised Premiu Annualized Value Mortality Applicabl Policy Fund before FMC Return of Wealth Fund at End Surrender Death
cy Premium2 m premium - Benefit Charge e taxes Admin FMC premium Boosters7 of Year8 Value9 and 10 Benefit9
4
Yea Allocati Premium Charge allocation
r on Allocation charges6
Charge3 charge
1 500,000 25,000 475,000 0 7,106 8,021 6,000 491,738 6,455 0 0 484,121 0 3,500,000
2 500,000 25,000 475,000 25,000 6,500 9,193 6,000 1,042,034 13,571 0 0 1,026,019 0 3,500,000
3 500,000 25,000 475,000 0 5,667 10,344 6,000 1,601,003 20,798 0 0 1,576,461 0 3,500,000
4 500,000 25,000 475,000 0 4,483 11,516 6,000 2,196,612 28,496 0 0 2,162,986 0 3,500,000
5 500,000 25,000 475,000 0 2,845 12,699 6,000 2,831,727 36,702 0 0 2,788,418 2,788,418 3,500,000
6 0 0 0 0 2,543 8,534 6,000 2,999,332 38,869 0 0 2,953,467 2,953,467 3,500,000
7 0 0 0 0 2,080 8,866 6,000 3,178,057 41,178 0 0 3,129,467 3,129,467 3,500,000
8 0 0 0 0 1,416 9,190 6,000 3,368,850 43,642 0 0 3,317,352 3,317,352 3,500,000
9 0 0 0 0 507 9,501 6,000 3,572,772 46,274 0 0 3,518,168 3,518,168 3,518,168
10 0 0 0 0 0 9,915 6,000 3,790,167 49,085 125,000 0 3,857,247 3,857,247 3,857,247

Gross 4% p.a (Amount in rupees)

Yield
Poli Annualized Premiu Annualized value Mortality Applicabl Policy Fund before FMC Return of Wealth Fund at End Surrender Death
cy Premium2 m premium - Benefit Charge e taxes Admin FMC Premium Boosters7 of year8 Value9 and 10 Benefit9
4
Yea Allocati Premium Charge Allocation
r on Allocation Charges6
Charge3 charge
1 500,000 25,000 475,000 0 7,126 8,001 6,000 473,362 6,323 0 0 465,901 0 3,500,000
2 500,000 25,000 475,000 25,000 6,593 9,115 6,000 984,397 13,045 0 0 969,005 0 3,500,000
3 500,000 25,000 475,000 0 5,910 10,170 6,000 1,482,308 19,592 0 0 1,459,190 0 3,500,000
4 500,000 25,000 475,000 0 4,980 11,212 6,000 1,993,079 26,307 0 0 1,962,036 0 3,500,000
5 500,000 25,000 475,000 0 3,739 12,229 6,000 2,517,387 33,198 0 0 2,478,214 2,478,214 3,500,000
6 0 0 0 0 3,995 7,887 6,000 2,564,570 33,821 0 0 2,524,662 2,524,662 3,500,000
7 0 0 0 0 4,247 8,046 6,000 2,612,558 34,454 0 0 2,571,902 2,571,902 3,500,000
8 0 0 0 0 4,489 8,206 6,000 2,661,383 35,098 0 0 2,619,967 2,619,967 3,500,000
9 0 0 0 0 4,712 8,364 6,000 2,711,087 35,754 0 0 2,668,898 2,668,898 3,500,000
10 0 0 0 0 4,902 8,518 6,000 2,761,731 36,422 125,000 0 2,843,753 2,843,753 3,500,000

IN THIS POLICY, THE INVESTMENT RISK IS BORNE BY THE POLICYHOLDER AND THE ABOVE INTEREST RATES ARE
ONLY FOR ILLUSTRATION PURPOSE.
ICICI Pru Signature is only the name of the policy and does not in any way indicate the quality of the policy, its future
prospects or returns.
Advantage, Premier and Exclusive are only names of the plan option and does not in any way indicate the quality of
the policy, its future prospects or returns.
Multi Cap Growth Fund(ULIF 085 24/11/09 LMCapGro 105), Bluechip Fund (ULIF 087 24/11/09 LBluChip 105),
Opportunities Fund(ULIF 086 24/11/09 LOpport 105), Multi Cap Balanced Fund(ULIF 088 24/11/09 LMCapBal 105),
Income Fund(ULIF 089 24/11/09 LIncome 105), Money Market Fund(ULIF 090 24/11/09 LMoneyMkt 105), Maximiser
V(ULIF 114 15/03/11 LMaximis5 105, Maximise India Fund (ULIF 136 11/20/14 MIF 105), Active Asset Allocation
Balanced Fund (ULIF 138 15/02/17 AAABF 105), Value Enhancer Fund (ULIF 139 24/11/17 VEF 105), Secure
Opportunitites Fund (ULIF 140 24/11/17 SOF 105), Focus 50 Fund (ULIF 142 04/02/19 FocusFifty 105), India Growth
Fund (ULIF 141 04/02/19 IndiaGrwth 105), Mid Cap Fund (ULIF 146 28/06/22 MidCapFund 105), Balanced Advantage
Fund (ULIF 144 03/06/21 BalanceAdv 105), Sustainable Equity Fund (ULIF 145 03/06/21 SustainEqu 105), Mid Cap
Hybrid Growth Fund (ULIF 147 050123 MCHybrdGrt 105), Constant Maturity Fund (ULIF 148 050123 ConstntMat 105)
and Mid Cap Index Fund (ULIF 149 050723 McIndxFund 105) are the names of the different fund options and do not in
any manner indicate the quality of the fund, its future prospects or returns.

1. Includes Top-up Sum Assured (if any)

2. Includes Top-up premium (if any)
3. Includes allocation charge on Top-up premium (if any)
4. Allocated in year 2 and year 6 when due premiums are received depending on the plan option. Value Benefit will be made
by allocation of units.
5. Allocated at the end of every 5th policy year starting from the end of the 10th policy year. Amount equal to total of Premium
Allocation Charges (excluding top-up premium allocation charges) deducted in the policy net of taxes will be added to the fund
value through allocation of units.
6. Allocated at the end of every 5th policy year starting from the end of the 10th policy year. Wealth Boosters paid at the end
of the year will be a percentage of the average of the Fund Values including Top-up Fund Value, if any, on the last day of the
last eight policy quarters. Wealth Boosters will be made by allocation of units.
7. Includes Top-up Fund Value (if any)
8. The Death Benefit and Surrender Values illustrated assume that the event occurs at the end of the policy year.
9. i. If a policy is surrendered during the first five policy years, the Fund Value including Top-up Fund Value, if any, after
deduction of Discontinuance Charge, shall be transferred to Discontinued Policy Fund (DP Fund) and the risk cover shall
cease. The Policyholder may revive the policy by paying overdue premiums within a three year revival period from the date of
first unpaid premium. If the policy is not revived, the nominee or the Policyholder, as the case may be, will be entitled to the DP
Fund Value on the earlier of death and expiry of the lock-in period. The Policyholder may choose to stay invested in the DP
Fund till the end of the revival period or the expiry of the lock-in period, whichever is later.
ii. On surrender of the policy after the completion of five policy years, the Policyholder is entitled to the Fund Value including
Top-up Fund Value, if any.
10. Includes commissions for Top-ups (if any)
Disclaimers

1. For the purpose of illustrations, we have used 4% and 8% as the lower and the higher rates of investment returns
respectively, in the calculations. These returns in no way signify our expectations of investment return on the funds. For
each of the funds, the actual investment return may be higher or lower than the above rates based on the asset classes
and the risk taken.
2. The net yield has been calculated after applying all the charges (except Goods & Services Tax and applicable cesses and
mortality charges).
3. This document is for illustration purposes only.
4. The investments in the units are subject to market and other risks and there can be no assurance that the objectives of
any of the funds will be achieved.
5. The unit value of the units of each of the funds can go up or down depending on the factors and forces affecting the
financial markets from time to time and may also be affected by changes in the general level of interest rates.
6. For policies other than Single Premium, in case you do not pay premiums for the full premium payment term, your Policy
will be discontinued or will become paid-up depending on the premiums paid previously. Please read sales literature for
more details.
7. Wealth Boosters, Return of Premium Allocation Charges and Fund at End are as at the end of the applicable policy year.
No Wealth Boosters or Return of Premium Allocation Charges will be allocated if the policy is discontinued by any means
during the year
8. Fund Value at start shall be: For 1st year, it is the amount available for investment; thereafter, it is previous year's end
Fund Value plus the amount available for investment in the current year.
9. The funds do not offer a guaranteed or assured return.
10. Past performance of any plan/ fund of the Company is not necessarily indicative of the future performance of any of the
plans.
11. The above information must be read in conjunction with the sales brochure and policy document.
12. In case of any conflict between this benefit illustration and your policy document, the latter shall prevail.
13. For more details on risk factors, terms and conditions please read the sales brochure carefully before concluding a
purchase
14. This illustration is based on the terms and conditions of the life insurance policy as on date of the illustration.
15. This benefit illustration is merely an example and is based on the data provided by you in the application form. The
illustration is based on the basic mortality charge. However the illustration could change in case we charge extra premium
based on underwriting guidelines.
 16. Commission/ Brokerage, as mentioned in the table above, reflects a fixed percentage payable to the agent/broker. This
percentage may vary depending on various performance parameters. Commission/brokerage is not a separate charge in
the policy & this will not impact your illustrated benefits in any way.
17. Tax benefits under the policy are subject to conditions under Section 80C and 10(10D) of the Income Tax Act, 1961. Tax
will be deducted at source on payouts made under all taxable policies subject to conditions as per Section 194DA
(applicable on polices issued to resident Indian) or 195 (applicable for policies issued to Non-resident) of Income Tax Act,
1961. Goods & Services Tax and applicable cesses will be charged extra as per prevailing rates. Tax laws are subject to
amendments from time to time.
18. For any further clarifications, please feel free to contact your advisor or FSC or e-mail us on lifeline@iciciprulife.com.

I __________________________________ , have explained the I ______________________________, having received the

premiums,charges and benefits under the policy fully to the information with respect to the above, have understood the
prospect / policyholder. above statement before entering into the contract.
Place: Place:
Date: Signature of Agent / Intermediary / Official Date: Signature of Prospect / Policyholder

ICICI Prudential Life Insurance Company Limited.

1089, Appasaheb Marathe Marg, Prabhadevi, Mumbai - 400025
Email: lifeline@iciciprulife.com
www.iciciprulife.com
 Rider Details

Name of the Policyholder : Mr.

Age of the Policyholder at Rider policy : 29-Nov-1980 (43 years)
inception
Name of the Life Assured : Mr.
Age of the Life Assured at Rider policy : 29-Nov-1980 (43 Years)
inception
Gender of the Life Assured : MALE

Rider Details
Rider Name and Rider option Rider Tagline Rider Sum Instalment GST Instalment Frequency Premium Coverage
UIN Assured Premium without Rate Premium with GST of premium Payment Term
GST and Cesses, if and Cesses, if any payment Term
any
ICICI Pru Linked Accidental Death A Non-Linked Non- Rs. 3,500,000/- Rs. 3,290/- 18% Rs. 3,882/- Yearly 5 years 10 years
Accidental Death Benefit option Participating
and Disability Rider Individual Health
(105A043V01) Insurance Rider
ICICI Pru Linked Accidental Total & A Non-Linked Non- Rs. 3,500,000/- Rs. 2,531/- 18% Rs. 2,987/- Yearly 5 years 10 years
Accidental Death Permanent Disability Participating
and Disability Rider Benefit option Individual Health
(105A043V01) Insurance Rider