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Proposal No:
Policy No:
UIN: 107N104V01
Name of Life Insured Mr. Kannan T Name of the Product Kotak e-Term Plan
Date of Birth of Life Insured 07 July 1975 Unique Identification Number 107N104V01
Age of the Life Insured (in yrs) 42 Basic Sum Assured (in Rs.) 50,00,000
Age of the Proposer (in yrs) 42 Premium Payment Option Limited Pay
Rider Details
Rider Premium
Rider Name Rider Sum Assured Rider Term Rider Premium
Payment Term
Total Yearly Premium (excluding Goods and Services Tax and Cess as applicable) (Rs.) 29,000
Total Yearly Premium (including Goods and Services Tax and Cess as applicable) (Rs.) payable throughout the
34,220
premium payment term
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Quotation Number:0128022018122546696
Guaranteed Benefits
1 43 29,000 50,00,000 0
2 44 29,000 50,00,000 0
11 53 0 50,00,000 1,01,500
12 54 0 50,00,000 95,700
13 55 0 50,00,000 92,800
14 56 0 50,00,000 87,000
15 57 0 50,00,000 84,100
16 58 0 50,00,000 78,300
17 59 0 50,00,000 72,500
18 60 0 50,00,000 69,600
19 61 0 50,00,000 63,800
20 62 0 50,00,000 60,900
21 63 0 50,00,000 55,100
22 64 0 50,00,000 49,300
23 65 0 50,00,000 46,400
24 66 0 50,00,000 40,600
25 67 0 50,00,000 37,700
26 68 0 50,00,000 31,900
27 69 0 50,00,000 29,000
28 70 0 50,00,000 23,200
29 71 0 50,00,000 17,400
30 72 0 50,00,000 14,500
31 73 0 50,00,000 8,700
32 74 0 50,00,000 5,800
33 75 0 50,00,000
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Quotation Number:0128022018122546696
1. This is non-participating term insurance plan. The illustration stated is for a healthy individual and under the assumption that this is the only policy
the client has with Kotak Life Insurance and would be subject to underwriting.
2. Premium payable in a policy year including Step-Up option fee (if any) and Extra Premium (if any), but excluding Goods and Services Tax and
Cess and Rider Premium, if any.
3. In case of an unfortunate event of death of the Life Insured during the term of the plan, the nominee / beneficiary shall receive the Sum Assured
on Death (on acceptance of the death claim).
Where Sum Assured on Death is as follows:
* Annualised Premium is the premium payable in a policy year, excluding the underwriting extra premiums, loadings for modal premium, Goods
and Services Tax, Cess and Rider Premium if any.
# Sum Assured shall be Basic Sum Assured adjusted for increase /decrease in Basic Sum Assured, due to exercising of Step-up /Step-down
option by the policyholder.
Since the Payout Option mentioned above is 'Immediate Payout',the Sum Assured on Death shall be paid immediately on acceptance of death
claim.
5. For Limited pay policies with Premium Payment Term of less than 10 years, the policy will acquire Surrender Value provided premiums due for at
least 2 consecutive policy years have been paid in full. For Limited pay policies with Premium Payment Term of 10 years and above, the policy will
acquire Surrender Value provided premiums due for at least 3 consecutive policy years have been paid in full.
Single pay policies will acquire Surrender Value immediately after the payment of Single Premium.
The Surrender Value for Limited pay policies shall be calculated as 75% x (sum of premiums paid) x ((Policy Term -Premium Payment
Term)/Policy Term) x (Balance Policy Term to run / Policy Term).
The Surrender Value for Single pay policies shall be calculated as 75% x (single premium paid) x ((Policy Term - 1)/Policy Term) x (Balance
Policy Term to run / Policy Term).
6. For the Limited pay policies, after the policy acquires Surrender Value, if the subsequent premiums are not paid within the Grace Period, the Base
Policy will be converted into a Reduced Paid-Up policy by default. Death benefit will be Reduced Paid-Up Sum Assured on death,
where Reduced Paid-Up Sum Assured on death is: (Total Premium paid / Total Premium payable) X Sum Assured on death
Single Pay Policy will become fully Paid-Up after payment of Single Premium.
Reduced Paid-Up option will not be available for Regular Premium paying Policies.
Rider benefit (if opted) will be available as per Reduced Paid-Up Sum Assured.
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7. A lapsed or Reduced Paid-Up policy can be revived with or without riders within 2 years from the date of the first unpaid premium. The
Policyholder can revive the Policy without evidence of good health on payment of the outstanding premiums and interest charge, if the payment is
made within six months from the date of the first unpaid premium. Thereafter to revive the policy evidence of good health would be required along
with payment of the outstanding premiums and interest charge. On revival, all benefits under the policy will be reinstated.
8. Step-Up option is an option whereby you can increase your basic Sum Assured in future without medical examination. This Option is available
only for Regular premium Pay polices. For more details, please refer Sales Brochure.
9. The above illustrated benefits are derived on the basis of details of life insured provided at the time of filling the proposal form. If the details are
found inaccurate or there are any changes before or at the time of the policy issuance for eg: change in Age, The illustrated benefits will be
subject to revision
10. Goods and Services Tax and Cess as applicable shall be levied at the applicable Tax rates in accordance with the prevailing Tax Laws. Prevailing
Tax Laws will be applicable on this policy which may vary from time to time.
11. TDS at prevailing rate will be deducted from any amount paid under a life insurance policy subject to the provisions of prevailing tax laws. In case
of non-availability of valid PAN, TDS will be deducted at higher rate. Tax laws are subject to changes from time to time. Kindly consult your tax
advisor for tax implication of your policy.
12. The values shown are for illustrative purposes only. for more details on risk factors, terms and conditions please read Sales Brochure carefully
before concluding a sale.
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Quotation Number:0128022018122546696
Statement of Consent by the Life Advisor/Specified person of Corporate Agent/Authorised Employee of Broker /Relationship Officer
I......................................................................(Full Name), declare that I have explained all the contents of this benefit illustration including the features,
charges (if any), terms & conditions and risk factors of the proposed plan to the Proposer.
__________________ _____________________________________
I......................................................................(Full Name), having received this benefit illustration and all other information with respect to the above,
have read and understood the structure/features of benefits, charges (if any), terms and conditions and risk factors under the proposed plan and duly
acknowledge the benefit illustration before entering into the contract.
______________________________________________________
________________________________________________________________________________________________________________________
Kotak Mahindra Life Insurance Company Ltd. (Formerly known as Kotak Mahindra Old Mutual Life Insurance Ltd.)
CIN: U66030MH2000PLC128503
Regd. Off: 2nd Floor, Plot # C- 12, G- Block, BKC, Bandra (E), Mumbai - 400051
Regn. No: 107. Toll Free No.: 1800 209 8800. Website: http://insurance.kotak.com
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Quotation Number:0128022018122546696
1. Proposal Form
2. Address Proof Of Proposer
3. Age Proof Of Insured
4. PhotoCopy Of Cancel Cheque
5. DNC Format
6. Latest Benefit Illustration
7. PAN Card Of Proposer
8. PAN Card of Company
9. Current Address Proof Of theTrust
10. PAN Card Of TheTrust
11. Trust Deed
12. Income Proof Of The Life To Be Insured
13. Photo ID Proof
14. Standard Age Proof Life Insured
15. Agent Confidentiality Report
16. Identity Proof Address Proof and Photo of Individual signing the Proposal Form
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