Proposal No: 160127924

Name of the Prospect/Policyholder: Ms. SARIKA VINOD MALI Name of the Product: Max Life Monthly Income Advantage Plan
Age & Gender: 34 Years, Female Tag Line: A Non-Linked Participating Individual Life Insurance Savings Plan
Name of the Life Assured: Ms. SARIKA VINOD MALI Unique Identification No: 104N091V06
Age & Gender: 34 Years, Female GST Rate: 4.50%
Policy Term: 25 Years Max Life State: Maharashtra
Premium Payment Term: 15 Years Policyholder Residential State: Maharashtra
Amount of Installment Premium: `2,15,191
Mode of payment of premium: Annual

How to read and understand this benefit illustration?

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy, at two assumed rates of interest i.e., 8% p.a. and 4% p.a.

Some benefits are guaranteed and some benefits are variable with returns based on the future performance of your insurer carrying on life insurance business. If your policy offers guaranteed benefits then these
will be clearly marked “guaranteed” in the illustration table on this page. If your policy offers variable benefits then the illustration on this page will show two different rates of assumed future investment returns, of
8%p.a. and 4% p.a. These assumed rates of return are not guaranteed and they are not the upper or lower limits of what you might get back, as the value of your policy is dependent on a number of factors including
future investment performance.

Policy Details
Policy Option Sum Assured (in Rs.) 38,27,751
Bonus Type Compound Reversionary Bonus Sum Assured on Death (at inception of the policy) (in Rs.) 38,27,751

Rider Details
Accidental Death & Dismemberment (ADD) Rider Premium
15 Pay 25 Accidental Death & Dismemberment (ADD) Rider Sum Assured (in Rs.) 38,00,000
Payment Term and Rider Term
Term Plus Rider Term NA Term Plus Rider Sum Assured (in Rs.) NA
Critical Illness and Disability Rider Term NA Critical Illness and Disability Rider Variant NA
Critical Illness and Disability Rider Sum Assured NA

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST (in Rs.) 2,00,000 5,247 2,05,247
Installment Premium with first year GST (in Rs.) 2,09,000 6,191 2,15,191
Installment Premium with GST 2nd year onwards (in Rs.) 2,04,500 6,191 2,10,691

UIN: 104N091V06 Page 1 of 3

 (Amount in Rupees)

Total Benefits including Guaranteed and Non- Guaranteed

Non-Guaranteed Benefits Non-Guaranteed Benefits Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Maturity Benefit Death Benefit
Single/
Policy Total Maturity Total Death
Annualized Total Maturity Total Death
Year Benefit, incl. Benefit, incl.
Premium Benefit, incl. Benefit, incl.
Terminal of Terminal
Guaranteed Survival Surrender Death Maturity Reversionary Surrender Reversionary Surrender Terminal of Terminal
Cash Bonus Cash Bonus Bonus, if any Bonus, if any
Additions Benefit Benefit Benefit Benefit Bonus Benefit Bonus Benefit Bonus, if any Bonus, if any
@ @ 4%(6+8+9)
@ 4%(7+8+9) @
8%(7+11+12)
8%(6+11+12)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

1 2,00,000 - - - 38,27,751 - - - - - - - - - 38,27,751 38,27,751

2 2,00,000 - - 1,20,000 38,27,751 - 12,249 - 1,37,945 68,900 - 1,49,808 - - 38,27,751 38,27,751

3 2,00,000 - - 2,10,000 38,27,751 - 12,288 - 2,69,258 70,140 - 2,95,049 - - 38,27,751 38,27,751

4 2,00,000 - - 4,00,000 38,27,751 - 12,327 - 4,25,165 71,402 - 4,67,188 - - 38,27,751 38,27,751

5 2,00,000 - - 5,00,000 38,27,751 - 12,367 - 5,82,638 72,687 - 7,58,279 - - 38,27,751 38,27,751

6 2,00,000 - - 6,00,000 38,27,751 - 12,406 - 7,56,303 73,996 - 9,93,800 - - 38,27,751 38,27,751

7 2,00,000 - - 7,00,000 38,27,751 - 12,446 - 9,33,948 75,328 - 12,31,270 - - 38,27,751 38,27,751

8 2,00,000 - - 8,32,000 38,27,751 - 12,486 - 11,22,755 76,684 - 14,86,010 - - 38,27,751 38,27,751

9 2,00,000 - - 9,90,000 38,27,751 - 12,526 - 13,24,624 78,064 - 17,60,365 - - 38,27,751 38,27,751

10 2,00,000 - - 11,40,000 38,27,751 - 12,566 - 15,39,967 79,469 - 20,55,626 - - 38,27,751 38,27,751

11 2,00,000 - - 12,98,000 38,27,751 - 12,606 - 18,79,677 80,900 - 25,04,546 - - 38,27,751 38,27,751

12 2,00,000 - - 14,88,000 38,27,751 - 12,646 - 21,50,570 82,356 - 28,77,399 - - 38,27,751 38,27,751

13 2,00,000 - - 16,64,000 38,27,751 - 12,687 - 24,41,612 83,838 - 32,80,936 - - 38,27,751 38,27,751

14 2,00,000 - - 18,48,000 38,27,751 - 12,728 - 27,54,056 85,347 - 37,17,394 - - 38,27,751 38,27,751

15 2,00,000 - - 20,70,000 38,27,751 - 12,768 - 30,91,618 86,884 - 41,91,523 - - 38,27,751 38,27,751

16 - - 3,82,775 17,47,225 38,27,751 - 12,809 - 29,35,831 88,447 - 41,81,728 - - 38,27,751 38,27,751

17 - - 3,82,775 14,54,450 38,27,751 - 12,850 - 27,30,148 90,039 - 41,84,166 - - 38,27,751 38,27,751

18 - - 3,82,775 11,31,675 38,27,751 - 12,891 - 25,06,238 91,660 - 41,76,857 - - 38,27,751 38,27,751

UIN: 104N091V06 Page 2 of 3

 Total Benefits including Guaranteed and Non- Guaranteed
Non-Guaranteed Benefits Non-Guaranteed Benefits Benefits
Guaranteed Benefits
@ 4% p.a. @ 8% p.a.
Maturity Benefit Death Benefit
Single/
Policy Total Maturity Total Death
Annualized Total Maturity Total Death
Year Benefit, incl. Benefit, incl.
Premium Benefit, incl. Benefit, incl.
Terminal of Terminal
Guaranteed Survival Surrender Death Maturity Reversionary Surrender Reversionary Surrender Terminal of Terminal
Cash Bonus Cash Bonus Bonus, if any Bonus, if any
Additions Benefit Benefit Benefit Benefit Bonus Benefit Bonus Benefit Bonus, if any Bonus, if any
@ @ 4%(6+8+9)
@ 4%(7+8+9) @
8%(7+11+12)
8%(6+11+12)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

19 - - 3,82,775 8,08,900 38,27,751 - 12,932 - 22,63,148 93,310 - 41,58,602 - - 38,27,751 38,27,751

20 - - 3,82,775 5,16,124 38,27,751 - 12,974 - 20,00,054 94,990 - 41,28,161 - - 38,27,751 38,27,751

21 - - 3,82,775 1,93,349 38,27,751 - 13,015 - 17,16,159 96,699 - 40,84,597 - - 38,27,751 38,27,751

22 - - 3,82,775 - 38,27,751 - 13,057 - 14,10,567 98,440 - 40,26,396 - - 38,27,751 38,27,751

23 - - 3,82,775 - 38,27,751 - 13,099 - 10,82,109 1,00,212 - 39,51,942 - - 38,27,751 38,27,751

24 - - 3,82,775 - 38,27,751 - 13,141 - 7,07,189 1,02,016 - 38,57,164 - - 38,27,751 38,27,751

25 - - 3,82,775 - 38,27,751 - 13,183 - 3,05,048 1,03,852 - 36,69,070 3,05,048 36,69,070 38,27,751 38,27,751

Notes: Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax. Refer Sales literature for explanation of terms used in
this illustration.

I, Mr. Sunil NARAYAN Pol (name), have explained the premiums, and benefits under the I, SARIKA VINOD MALI (name), having received the information with respect to the above,
product fully to the prospect / policyholder. have understood the above statement before entering into the contract.

Place:
Date: 4/9/24 Signature / OTP Confirmation Date / Thumb Impression / Date:4/9/24 Signature / OTP Confirmation Date / Thumb Impression /
Electronic Signature of Agent/ Intermediary / Official Electronic Signature of Prospect/ Policyholder
This system generated benefit illustration shall be treated as signed by me.

UIN: 104N091V06 Page 3 of 3

93,34,3827751,R,205246.66,F,a93