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Premium 25000
Premium 25000
Product Features
Guaranteed Maturity Sum Assured
Rs 3,00,269.00
32 Years
Policy Term
20 Years
Gender of Policyholder
Male
10 Years
Bonus Option
Paid Up Additions
Name of Policyholder
26 Years
Payment Mode
Annual
Female
State
Other
PREMIUM SUMMARY
First Year Premium
Rs 25,000.40
Rs 25,000.40
Rs 502.41
Rs 502.41
Service Tax including Cess on Base and Payor Rider Modal Premium, if opted
Rs 834.61
Rs 448.35
Total Premium Payable on Due Date along with Service Tax & Cess
Rs 26,337.42
Rs 25,951.16
Rs 25,502.81
Rs 25,502.81
Total Premium Payable for the policy year along with Service Tax and Cess
Rs 26,337.42
Rs 25,951.16
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 returns then these will be clearly marked "guaranteed" in the
illustration table on this page.If your policy offers variable returns then the illustrations on this page will show two different rates of assumed future investment returns.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.
This is only an Illustrative document. The Benefits if guaranteed, are clearly marked so. For variable benefits, investment growth rates of 4% and 8% are used as an illustration.
MAX LIFE INSURANCE CO. LTD, 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002
Page 1 of 3
Guaranteed
Age of life
Assured
Premium
Death
Benefit (
Including
Rider
Benefit ( If
Any ) )
Guaranteed
Surrender
Value
Survival/
Maturity
Benefit
Cash Bonus
Net Outlay
Death
Benefit
Surrender
Value of
PUA
Terminal
Bonus
Special
Surrender
Value
Cash Bonus
Net Outlay
Death
Benefit
Surrender
Value of
PUA
Terminal
Bonus
Special
Surrender
Value
(BOY)
(BOY)
(BOY)
(EOY)
(EOY)
(EOY)
(BOY)
(BOY)
(EOY)
(EOY)
(EOY)
(EOY)
(BOY)
(BOY)
(EOY)
(EOY)
(EOY)
26
25,503
3,00,269
25,503
3,00,269
25,503
3,00,269
27
25,503
3,00,269
973
25,503
3,00,269
3,825
25,503
3,00,269
28
25,503
3,00,269
22,953
1,012
25,503
3,02,034
2,017
40,508
4,133
25,503
3,09,389
8,146
41,492
29
25,503
3,00,269
51,006
1,051
25,503
3,03,811
3,136
61,121
4,466
25,503
3,18,784
13,012
63,646
30
25,503
3,00,269
63,757
1,094
25,503
3,05,597
4,335
82,435
4,828
25,503
3,28,461
18,479
87,337
31
25,503
3,00,269
76,508
1,137
25,503
3,07,396
5,617
1,10,990
5,219
25,503
3,38,432
24,607
1,19,716
32
25,503
3,00,269
89,260
1,181
25,503
3,09,206
6,987
1,35,195
5,639
25,503
3,48,704
31,457
1,48,496
33
25,503
3,00,269
1,08,132
1,229
25,503
3,11,024
8,450
1,60,225
6,097
25,503
3,59,282
39,104
1,79,274
34
25,503
3,00,269
1,30,829
1,276
25,503
3,12,854
10,010
1,86,105
6,589
25,503
3,70,183
47,621
2,12,180
10
35
25,503
3,00,269
1,53,017
1,328
25,503
3,14,693
11,675
7,914
2,18,546
7,121
25,503
3,81,411
57,094
9,824
2,53,419
11
36
3,00,269
1,60,668
1,380
3,24,459
13,447
7,960
2,38,083
7,698
4,02,797
67,613
10,122
2,84,956
12
37
3,00,269
1,70,869
1,436
3,26,366
15,336
8,007
2,47,701
8,324
4,15,007
79,282
10,429
3,05,915
13
38
3,00,269
1,78,520
1,493
3,28,287
17,346
8,054
2,57,686
8,998
4,27,587
92,206
10,745
3,28,353
14
39
3,00,269
1,86,171
1,553
3,30,218
19,483
8,102
2,68,059
9,726
4,40,543
1,06,500
11,070
3,52,371
15
40
3,00,269
1,96,372
1,614
3,32,162
21,754
8,149
2,78,827
10,517
4,53,887
1,22,302
11,406
3,78,082
16
41
3,00,269
2,04,022
1,679
3,34,116
24,168
8,197
2,90,011
11,369
4,67,634
1,39,745
11,751
4,05,592
17
42
3,00,269
2,11,673
1,748
3,36,082
26,733
8,245
3,01,630
12,296
4,81,791
1,58,992
12,107
4,35,029
18
43
3,00,269
2,21,874
1,817
3,38,061
29,456
8,294
3,13,698
13,293
4,96,377
1,80,205
12,473
4,66,520
19
44
3,00,269
2,29,525
1,891
3,40,053
32,346
8,343
3,26,235
14,379
5,11,398
2,03,575
12,851
5,00,210
20
45
3,00,269
2,29,525
3,00,269
1,966
3,42,058
35,412
8,392
3,44,072
15,549
5,26,874
2,29,303
13,239
Rs 3,00,269
Maturity Value:
Rs 3,44,072
This is only an Illustrative document. The Benefits if guaranteed, are clearly marked so. For variable benefits, investment growth rates of 4% and 8% are used as an illustration.
MAX LIFE INSURANCE CO. LTD, 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002
Page 2 of 3
5,42,811
Rs 5,42,811
Important Notes:
-- This is only an illustrative document. It does not purport to be a contract of insurance and does not in any way create any rights and/or obligations. Bonuses (if applicable and shown in the illustration) are not guaranteed, and bonus rates will be based on
the actual company experience from time to time.
-- PUA withdrawals (if any) shown are illustrative. In case you wish to withdraw the money, then you will have to give a request at that point of time.
-- Benefits secured under your Policy shall become payable provided all contractual premiums are paid as and when they are due. The illustrative benefits above assume that all the contractual premiums will be paid on the due dates.
-- Please refer to the product brochures, for understanding the product features and explanation of the terms used in this illustration.
-- Service Tax and Education Cess would be levied as per applicable laws.
-- You may be entitled to certain applicable tax benefits on your premiums and Policy benefits. Please note that all the tax benefits are subject to tax laws prevailing at the time of payment of premium or receipt of benefits by you/ your nominee.
-- Guaranteed Death Benefit is defined as higher of 11 times the annualised premium, 105% of all premiums paid as on the date of death or Guaranteed Maturity Sum Assured. Please note that here annualised premium includes extra premium, if any, but
does not include loading for modal premium.
I ________________________________________________________ (Name), have explained the terms and conditions and the benefits of the policy to the prospect/policyholder.
Signature of Agent/Specified Person:
Name and ID:
Place:
Date:
Company Seal:
I _____________________________________________________________________________________ (Name), having received the information with respect to the above, have understood the above statement before entering into the contract. I understand
and intend to continue paying the above said premium amount for the complete Premium Payment Period and as per the opted frequency.
Policy Holders Signature:
Policy Holders Name:
Date:
MAX LIFE INSURANCE CO. LTD, 11th Floor, DLF Square, Jacaranda Marg, DLF City, Phase II, Gurgaon 122 002
2010.1.2.8.6.59.2149172526.000001300269.000001.00000121183 100000001000000 10000018001000000 10000 2
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