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Aim of the policy Bajaj Allianz Life Guaranteed Pension Goal is a Non-Participating, Non-Linked, Deferred & Immediate Annuity Plan.
A Life Annuity
F Joint Life Last Survivor with 100% of Annuity to spouse & with
ROP on death of Last Survivor
I Family Pension
Regular/Limited Premium (RP) and Single Premium (SP), Return of Purchase price (ROP)
Immediate Annuity:
Option A: Life Annuity: Annuity will be payable to you throughout life
Option B: Life Annuity with Return of Purchase Price (ROP) on death: Annuity will be payable to you throughout life and on death
the Purchase price will be returned to your nominee
Option C: Annuity certain and life thereafter: Annuity will be payable to you for a guaranteed period of 5, 10, 15 or 20 years, as
chosen by you at inception; or throughout life, whichever is later. On death during the Annuity-Certain period, the remaining Annuity
instalments will be paid to your nominee till the end of Annuity-Certain period
Option D: Joint Life Last Survivor with 50% of Annuity to spouse: Annuity will be payable to you throughout life and on death, your
spouse will receive 50% of the prevailing Annuity amount throughout his/her life
Premiums at regular intervals are payable for the entire premium payment term as chosen by you and shall also be mentioned in
Premium payment
the Policy Schedule
This risk cover (if any) of the Annuitant or the Spouse (in case of a Joint Life Policy) shall, immediately and automatically, terminate on the
earliest occurrence of any of the following events:
a) On the date of death of the Annuitant or on the date of the last survivor in case of a Joint Life policy (whichever is later), as applicable
b) On the lapsation of the Policy
This Policy shall, immediately and automatically, terminate on the earliest occurrence of any of the following events:
Termination i. On Free Look Cancellation
ii. On payment of the Death Benefit
iii. On complete surrender of the Policy and on payment of the Surrender Value
iv. On the expiry of the Revival Period for a lapsed Policy
v. On refund of eligible Premiums/Surrender Value under suicide clause on suicide of the Annuitant/Spouse (in a Joint Life Policy)
Within fifteen (15) days of the receipt of this Policy and thirty (30) days in case of electronic Policy and Policy obtained through distance
mode, the Policyholder will have an option to review the terms and conditions of the Policy and if the Policyholder disagrees to any of the
Free Look terms & conditions, he/she will have an option to return the Policy stating the reasons for objections. The Purchase Price (excluding
Cancellation applicable taxes) paid less the Annuity Instalment paid less the expense incurred in stamp duty charges will be made available to the
Policyholder. However, this shall also comply with any relevant regulation (as it exists from time to time) in this regard.
Do's
Do fill the proposal form very carefully and personally in CAPITAL letters in blue ink only
Do provide true and complete information
Do provide correct contact number, address and email ID, and update in case of any change, so that you can receive necessary
communication
Do sign on all the documents provided by you (Self Attestation)
Do provide your recent passport photograph
Do draw cheque/ DD, in favour of “Bajaj Allianz Life Insurance Co. Ltd.”
Do read the policy bond carefully upon receipt of the same
Do contact us if you do not receive the policy bond or any other communication from the Company within 30 days
Do read the enclosed Benefit Illustration carefully before signing
Do register for Auto Debit Instructions/ ECS to ensure timely payments of your premium on due dates
Don'ts
Do not sign any blank proposal form
Do not leave any column blank in the proposal form
Do not conceal any facts as this could lead to dispute at the time of a claim
Do not miss or delay your premium payment
Do not rely on any commitments of any additional benefits made by anyone apart from what has been highlighted herein above
Disclaimer
This document contains the highlights of the product Bajaj Allianz Life Guaranteed Pension Goal UIN: 116N167V06 and is subject to the terms and conditions as
contained in the policy document. The terms and conditions as contained in the policy document shall govern the contractual relationship and shall be binding. For
details on any of the matters highlighted herein above, please refer to policy document upon receipt of the same by you. The standard terms and conditions of the
product is also available on the Company website (at www.bajajallianzlife.com)
Dear Mr./Ms. customer name,
You have opted for Life Annuit y , with Regular Premium and Deferred Annuit y .
The details mentioned in this document are based on the type of cover chosen and the information provided. Any change in the details provided may
lead to a change in the premium payable and/or benefits under this Policy.
Risk Fa ctors a n d W a rn in g Sta temen ts: Bajaj Allianz Life Insurance Company Limited and Ba ja j Allia n z Life G u a ra n teed Pen sion G oa l are the
names of the company and the product respectively and do not in any way indicate the quality of the product and its future prospects or returns. For more
details on risk factors, terms and conditions please read sales brochure & Policy document (available on www.ba ja ja llia n zlife.com ) carefully before
concluding a sale. Ba ja j Allia n z Life G u a ra n teed Pen sion G oa l (UIN: 116N167V0 6 ) is A Non lin ked, Non Pa rticipa tin g, In dividu a l, Life
In su ra n ce Sa vin gs Pla n . The Logo of Bajaj Allianz Life Insurance Co. Ltd. is provided on the basis of license given by Bajaj Finserv Ltd. to use its "Bajaj" Logo
and Allianz SE to use its "Allianz" logo. All charges/ taxes, as applicable, will be borne by the Policyholder.
Con ta ct Us: Regd. Office Address: Bajaj Allianz Life Insurance Co. ltd, Bajaj Allianz House, Airport Road, Yerwada, Pune - 411006., IRDAI Reg No.: 116.
CIN: U66010PN2001PLC015959.
BJAZ-OT-EC-01970/23
Quotation No : 60031048240
Name of the First Annuitant: Mr Mr Kumat Name of the Product: Bajaj Allianz Life Guaranteed Pension
Age(in years) : 53 Goal
Name of the Second Annuitant Tag Line: A Non Linked Non Participating
NA Deferred & Immediate Annuity Plan
(if any):
Age(in years) : NA Unique Identification Number: 116N167V06
Premium Payment Term(in GST Rate(First Year): 4.50%
5
years): GST Rate(2nd Year onwards): 2.25%
Premium Payment Frequency Annual
:
Amount of Installment 2,00,000
Premium(in Rs.):
Annuity Payment Frequency : Monthly
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Deferred Annuity Deferment Period(in years) 10
Annuity Option Life Annuity Sum Assured* Rs. NA
Is BALIC Deferred Pension Policy
proceeds to be used for the No Annuity Amount Payable(in Rs.) 9,755
purchase of this Annuity?
Premium Summary
Total Installment Premium
Installment Premium without GST 2,00,000
Instalment Premium with First Year GST including channel 2,09,000
Premium
Installment Premium with GST 2nd year Onwards 2,04,500
(Amount in Rupees )
Guaranteed Non Guaranteed
Policy Single/ Regular Annuity Payable/ survival Benefit Maturity Death Benefit Guaranteed Surrender Special Surrender Surrender Value
Year Premium Payable (EOY) Benefit (EOY) Value (EOY) Value (EOY) Payable (EOY)
1 2,00,000 0 0 3,17,060 0 0 0
2 2,00,000 0 0 6,34,120 1,20,000 2,05,106 2,05,106
3 2,00,000 0 0 9,51,180 2,10,000 3,32,665 3,32,665
4 2,00,000 0 0 12,68,240 4,00,000 4,79,676 4,79,676
5 2,00,000 0 0 15,85,299 5,00,000 6,48,576 6,48,576
6 0 0 0 17,02,359 6,00,000 7,01,780 7,01,780
7 0 0 0 18,19,419 7,00,000 7,59,640 7,59,640
8 0 0 0 19,36,479 8,00,000 8,22,640 8,22,640
9 0 0 0 20,53,539 9,00,000 8,91,309 9,00,000
10 0 0 0 21,70,599 9,00,000 9,66,233 9,66,233
11 0 1,17,060 0 0 0 0 0
12 0 1,17,060 0 0 0 0 0
13 0 1,17,060 0 0 0 0 0
14 0 1,17,060 0 0 0 0 0
15 0 1,17,060 0 0 0 0 0
16 0 1,17,060 0 0 0 0 0
17 0 1,17,060 0 0 0 0 0
18 0 1,17,060 0 0 0 0 0
1
Quotation No : 60031048240
Policy Single/ Regular Annuity Payable/ survival Benefit Maturity Death Benefit Guaranteed Surrender Special Surrender Surrender Value
Year Premium Payable (EOY) Benefit (EOY) Value (EOY) Value (EOY) Payable (EOY)
19 0 1,17,060 0 0 0 0 0
20 0 1,17,060 0 0 0 0 0
21 0 1,17,060 0 0 0 0 0
22 0 1,17,060 0 0 0 0 0
23 0 1,17,060 0 0 0 0 0
24 0 1,17,060 0 0 0 0 0
25 0 1,17,060 0 0 0 0 0
26 0 1,17,060 0 0 0 0 0
27 0 1,17,060 0 0 0 0 0
28 0 1,17,060 0 0 0 0 0
29 0 1,17,060 0 0 0 0 0
30 0 1,17,060 0 0 0 0 0
31 0 1,17,060 0 0 0 0 0
32 0 1,17,060 0 0 0 0 0
33 0 1,17,060 0 0 0 0 0
34 0 1,17,060 0 0 0 0 0
35 0 1,17,060 0 0 0 0 0
36 0 1,17,060 0 0 0 0 0
37 0 1,17,060 0 0 0 0 0
38 0 1,17,060 0 0 0 0 0
39 0 1,17,060 0 0 0 0 0
40 0 1,17,060 0 0 0 0 0
41 0 1,17,060 0 0 0 0 0
42 0 1,17,060 0 0 0 0 0
43 0 1,17,060 0 0 0 0 0
44 0 1,17,060 0 0 0 0 0
45 0 1,17,060 0 0 0 0 0
46 0 1,17,060 0 0 0 0 0
47 0 1,17,060 0 0 0 0 0
48 0 1,17,060 0 0 0 0 0
49 0 1,17,060 0 0 0 0 0
50 0 1,17,060 0 0 0 0 0
51 0 1,17,060 0 0 0 0 0
52 0 1,17,060 0 0 0 0 0
53 0 1,17,060 0 0 0 0 0
54 0 1,17,060 0 0 0 0 0
55 0 1,17,060 0 0 0 0 0
56 0 1,17,060 0 0 0 0 0
57 0 1,17,060 0 0 0 0 0
58 0 1,17,060 0 0 0 0 0
Notes:
#Tota l Annuity receiva ble in a policy yea r, s ubject to a nnuita nt/s is /a re a live
* Sum As s ured is not a pplica ble for Annuity products .
EOY - End of the Yea r. The benefits s hown a bove a re a s a t the end of the yea r.
I, ____ ____ (name), have explained the premiums and benefits I, ___ Mr Mr Kumat ______ (name), having received the informa on
under the policy fully to the prospect / policyholder. with respect to the above, have understood the above statement
before entering into the contract.
Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder
Disclaimers:
a) Please consult our 'Sales representative' for any clarifications on this illustration.
b) All benefits payable under the Policy will be subject to the prevailing tax laws and other financial enactments, as they exist at the me. Tax
laws & financial enactments are subject to change from time to time.
c) The policy options and Annuity options available under them are listed below:
Policy
Option/Annuity Immediate Annuity Deferred Annuity
Option
Option A Life annuity Life annuity
2
Quotation No : 60031048240
Life annuity with Return of Purchase Price Life annuity with Return of Purchase Price
Option B (ROP) on death (ROP) on death
Option E Joint Life Last Survivor with 100% of annuity to Not Available
spouse
Joint Life Last Survivor with 100% of annuity to Joint Life Last Survivor with 100% of annuity to
Option F spouse with ROP on death spouse with ROP on death
Option G Life annuity with ROP on death or survival Life annuity with ROP on death or survival
Option H Life annuity with ROP on death or, in annual Life annuity with ROP on death or, in annual
instalments, on survival instalments, on survival
Option I Family Pension Not Available
Please refer to the Sales Literature available on the Company website for details about these options.
d) This product is available for purchase by the Policyholder on payment of a single premium/ Regular premium.
e ) The first annuity payment will be due one month, three months, six months or one year a er the commencement of the policy in an
immediate annuity, and a er the deferment period in a deferred annuity corresponding to the annuity payment mode chosen, namely -
monthly, quarterly, half-yearly or yearly mode, respectively.
f) Surrender Value is applicable under annuity op ons B,F,G,H & I during annuity period ( for immediate and deferred annui es ) and for all
annuities during deferment period ( under deferred annuities ). Surrender Value will be acquired
Any time after payment of single Premium in an immediate annuity and in single premium deferred Annuity
After payment of two (2) full years' Premium in a regular/limited Premium payment deferred Annuity
Please refer to the Sales Literature available on Company website for details
g) Minimum Purchase Price & Minimum Age restric ons would not apply in case a nominee/ policyholder of a Deferred Pension plan of BALIC
or NPS wishes to take an immediate Annuity policy under Bajaj Allianz Life Guaranteed Pension Goal.
h) Single Premium/ Regular premium considered above is excluding Goods & Service Tax.
i) Goods & Service tax (GST) needs to be paid additionally. GST rates are subject to change.
j) The benefits mentioned under guaranteed section above are guaranteed.
k) Figures in the special surrender value calculation includes any annuity payable amount due at the time of policy surrender.
l) Depending upon the prevailing market condition, the Special Surrender Value may be revised.
The Annuity Rates of Guaranteed Pension Goal can change from me to me and the Annuity Amount men oned in this Benefit Illustra on
is valid for at least 7 days from the date of generation of this Illustration.
It shall be the resposibility of the Annuitant to produce the existence cer ficate at least 30 days before any policy anniversary ,failing which,
the Annuity Installment due from the next Policy Anniversary may be withheld ll produc on of Existence Cer ficate. The Company shall not
under any circumstances pay any interest for any delay in payment of Annuity Installment on account of non-receipt of existence cer ficate by
the Company.