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This document contains the highlights of the product Bajaj Allianz Life Assured Wealth Goal UIN: 116N170V10 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 below, please refer to
policy document upon receipt of the same by you. No medicals will be done for policies sourced through POS. The standard terms and conditions of the product is also available on the Company
website (at www.bajajallianzlife.com)

Key Feature Document

Bajaj Allianz Life Assured Wealth Goal will

give you assurance of income in achieving
your Life Goals with guarantee.

A Non linked, Non Participating, Individual, Life Insurance Savings Plan

You have chosen Assured Income option

At Maturity:
`
Income Benefit: You will receive Guaranteed Income during the income period of 25 / 30 years as opted by you.
You will also receive Sum of all premiums paid along with last regular guaranteed payout.

Death Benefit: Non Payment of Premium:

On the death of the Life Assured during the policy term,
the nominee shall receive :
• A regular income as a % of annualised premium
starting immediately from the date of death that is
payable for the income period chosen at inception of
the Policy.
• At the end of income period a lump sum amount equal
to sum of all premiums payable during the premium
payment term shall be paid.
Revival:
You may revive your lapsed/ Paid-up Policy during the
Revival Period of five (5) years from the due date of first
unpaid premium, subject to the revival conditions under
the Policy.
Policy Loan:
You will have an option to avail policy loan upto 80%
of the surrender value.
Life Cover
Life cover of an individual will be throughout the policy term provided all due premiums have been paid.
• If you have not paid first 2 years’ premium, then, no
` benefit will be payable.
• If you have paid at least first 2 years’ premium, then
your policy will continue with reduced paid-up
benefits.
Surrender Benefit:
You will receive a surrender value which will be the
higher of the guaranteed surrender value (GSV) or
the special surrender value (SSV)
Note- Please refer Policy Document for more details and the table of
applicable GSV & SSV factors.
Grace Period:
You will have a Grace Period of thirty (30) days for
frequencies other than monthly and fifteen (15) days for
monthly frequency to pay your due premiums. During
the Grace Period, the Policy is considered to be in-force.

Premium Payment
You will have an option to pay your premiums regularly or for a limited policy term.
Exclusions: Suicide Claim provision
In case of death of Life Assured due to suicide within 12 months from the date of commencement of risk or the date of latest revival of the
Policy, whichever is later, then the nominee or beneficiary of the Policyholder shall be entitled to receive, the higher of 80% of the total
Premiums paid or the Surrender Benefit as on the date of death, provided the Policy is in force and the policy will be terminated.
Free look Cancellation
Within 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 terms & condi-
tions, he/she will have an option to return the policy stating the reasons for objections. The policyholder shall be entitled to a refund compris-
ing of all premiums (excluding applicable taxes) paid, less the proportionate amount of risk premium including proportionate amount of rider
risk premium for the period the life assured was provided cover and the expenses incurred by the company on account of medical examina-
tion and stamp duty charges.
Tax Benefits
As per applicable tax laws as amended from time to time. You are requested to consult your tax consultant and obtain independent advice
for eligibility and before claiming any benefit under the policy.

Contact Us: Regd. Office Address: Bajaj Allianz life Insurance Co. ltd, Bajaj Allianz House, Airport Road, Yerwada, Pune - 411006., IRDAI Reg No.: 116, Visit us: www.baja-
jallianzlife.com, BALIC CIN : U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in, Call on : Toll free no. 1800 209 7272, Fax No: 020-66026789,
Quotation No : 60036251430

Bajaj Allianz Life Assured Wealth Goal

A Non-linked Non-Participating Life Insurance Savings Plan

Name of the Prospect/ Policyholder: SS Name of the Product: Bajaj Allianz Life Assured
Age: 41 Wealth Goal
Gender: Male Tag Line: A Non-Linked Non-Participating Individual
Life Insurance Savings Plan
Name of the Life Assured: SS
Unique Identification Number: 116N170V10
Age: 41
GST Rate(First Year): 4.50%
Gender: M
GST Rate(2nd Year onwards): 2.25%
Policy Term: 14 years
Premium Payment Term: 12 years
Deferment Period: 2 years
Amount of Installment Premium: 2,09,000
Mode of Payment of Premium: Annual

This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Variant Assured Income Instalment Income 2,55,000
Income Period 30 Total Income during the year 2,55,000
Sum Assured on Death (at
Income Payout Frequency Yearly inception of the Policy) (paid in 74,25,000
instalments*)
Choice of Income Payout date No

Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST 2,00,000 0 2,00,000
Installment Premium with First Year GST 2,09,000 0 2,09,000
including channel Premium
Installment Premium with GST 2nd year 2,04,500 0 2,04,500
Onwards
(Amount in Rupees )
Benefit Summary
Guaranteed Non Guaranteed

Policy Annualised Survival Maturity Death Benefit Guaranteed Surrender Value Special Surrender Value
Year Premium Benefits Benefit (GSV) (SSV)
1 2,00,000 0 0 74,25,000 0 0
2 2,00,000 0 0 74,25,000 1,20,000 1,36,294
3 2,00,000 0 0 74,25,000 2,10,000 2,24,361
4 2,00,000 0 0 74,25,000 4,00,000 3,28,364
5 2,00,000 0 0 74,25,000 5,00,000 4,50,638
6 2,00,000 0 0 74,25,000 6,00,000 5,93,839
7 2,00,000 0 0 74,25,000 7,00,000 7,60,992
8 2,00,000 0 0 74,25,000 11,20,000 9,55,547
9 2,00,000 0 0 74,25,000 12,60,000 11,81,445
10 2,00,000 0 0 74,25,000 16,00,000 14,43,199
11 2,00,000 0 0 74,25,000 17,60,000 17,45,995
12 2,00,000 0 0 74,25,000 19,20,000 20,95,796

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Quotation No : 60036251430

Benefit Summary
Guaranteed Non Guaranteed

Policy Annualised Survival Maturity Death Benefit Guaranteed Surrender Value Special Surrender Value
Year Premium Benefits Benefit (GSV) (SSV)
13 0 0 0 74,25,000 21,60,000 26,17,907
14 0 0 0 74,25,000 21,60,000 29,48,089
15 0 0 2,55,000 0 0 0
16 0 0 2,55,000 0 0 0
17 0 0 2,55,000 0 0 0
18 0 0 2,55,000 0 0 0
19 0 0 2,55,000 0 0 0
20 0 0 2,55,000 0 0 0
21 0 0 2,55,000 0 0 0
22 0 0 2,55,000 0 0 0
23 0 0 2,55,000 0 0 0
24 0 0 2,55,000 0 0 0
25 0 0 2,55,000 0 0 0
26 0 0 2,55,000 0 0 0
27 0 0 2,55,000 0 0 0
28 0 0 2,55,000 0 0 0
29 0 0 2,55,000 0 0 0
30 0 0 2,55,000 0 0 0
31 0 0 2,55,000 0 0 0
32 0 0 2,55,000 0 0 0
33 0 0 2,55,000 0 0 0
34 0 0 2,55,000 0 0 0
35 0 0 2,55,000 0 0 0
36 0 0 2,55,000 0 0 0
37 0 0 2,55,000 0 0 0
38 0 0 2,55,000 0 0 0
39 0 0 2,55,000 0 0 0
40 0 0 2,55,000 0 0 0
41 0 0 2,55,000 0 0 0
42 0 0 2,55,000 0 0 0
43 0 0 2,55,000 0 0 0
44 0 0 26,55,000 0 0 0
*Under As s ured Income va ria nt: The Dea th benefit will be pa id a s regula r income for the chos en income period. The Sum As s ured on Dea th men oned a bove is
the s um of a ll dea th income pa youts a nd return of premium (ROP) a mount pa ya ble on dea th. This Regula r income on Dea th will be Rs . 1,67,500 p.a . pa id for 30
yea rs a nd ROP a mount on dea th will be Rs . 24,00,000
Notes:
1. The ma in objec ve of this benefit illus tra on is tha t the policyholder is a ble to unders ta nd the fea tures of the product a nd the na ture of benefits under
different circums ta nces like s urviva l, ma turity, dea th, & s urrender.
2. The a bove informa tion mus t be rea d in conjunction with Sa les Litera ture & Policy document.
3. Annua lized premium excludes underwri ng extra premium, the premiums pa id towa rds the riders , if a ny a nd Goods a nd Service Ta x/ a nd a ny other a pplica ble
ta xes .
4. The policy will a cquire a s urrender va lue a ny me in ca s e of s ingle premium a nd on pa yment of a tlea s t 2 yea rs premiums otherwis e. The s urrender va lue
pa ya ble will be higher of the Gua ra nteed Surrender Va lue or Specia l Surrender Va lue. The dis pla yed Specia l Surrender Va lues a re not gua ra nteed a nd only
indica tive. Thes e ma y cha nge from time to time. The s urrender va lues a re illus tra ted a s s uming tha t a ll due premiums in a policy yea r a re pa id.
5. The Dea th benefit, Ma turity Benefit, Surrender benefit a s s hown in Benefit Summa ry a re pa ya ble a s s uming Ma turity/ Dea th / Surrender occur a t the end of the
yea r.
6. In ca s e of a ny conflict between this benefit illus tra tion a nd your policy document, the la tter s ha ll preva il.
7. The Gua ra nteed Income men oned in the benefit s umma ry is a n indica ve a mount ba s ed on the da te on which you a pplied for this policy. The exa ct income
will be a s per the da te of is s ua nce of your policy a nd is s pecified in the Policy document.
8. Under As s ured Income va ria nt: If you choos e to ta ke the Ma turity Benefit in a lumps um, your tota l returns will be a ffected. Plea s e check the impa ct of the s a me
a t the time of exercis ing this option.
9. Ta x benefits under the policy will be a s per the preva iling Income Ta x la ws . We recommend tha t you s eek profes s iona l a dvice for a pplica bility of ta x benefit
on premiums pa id a nd benefits received.
10. For a ny further cla rifica tion, conta ct our s a les repres enta tive or e-ma il us on cus tomerca re@ba ja ja llia nz.co.in

I, , have explained the premiums and benefits under the policy fully I, S S , having received the informa on with respect to the above,
to the prospect / policyholder. have understood the above statement before entering into the
contract.

Place:
Date: Signature of Agent/ Intermediary/ Official Date: Signature of Prospect / Policyholder
Bajaj Allianz Life Insurance Co. Ltd.
Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg No.: 116.
Tel:(020) 66026777.

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Quotation No : 60036251430

Email: customercare@bajajallianz.co.in Website: www.bajajallianzlife.com

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