Professional Documents
Culture Documents
Personal Details: Life To Be Insured: VF HG Age As On Last Birthday: 38 Years Gender: Male
Personal Details: Life To Be Insured: VF HG Age As On Last Birthday: 38 Years Gender: Male
:
Illustration of benefits for Bharti AXA Life Shining Stars
A Non Linked Non Participating Limited Pay Endowment Life Insurance Plan
Declaration by Proposer
I confirm that before entering in to the contract of insurance I have read and understood the product brochure and the information provided in
this Illustration of benefits and understand that the policy Bond will be issued to me on this basis.
Name of Proposer : ___________________________ Place: ___________________
__________________________________ _________________________________
Name of the advisor/sales person Signature of the advisor/sales person
Dea r Customer,
Tha nk you for choosing Bharti AXA Li fe Shining Stars. To check your understanding a bout the product, kindly confirm the following
deta ils.
This is a Single Premium plan Limited Premium plan Regular Premium plan.
Bharti AXA Life Aajeevan S ampatti + key features
The premium payable is Rs. _______ every _______(month / quarter/ Semi-annual / annual)
This is a non-linked articipating whole
Premium is payable for ______ years (premium paying term). life limited pay Insurance Product.
I understand and agree that to comply with the regulatory requirements and/or guidelines pertaining to AML / KYC. I understan d that insurer’s
customer service executive may contact me to reiterate the policy features under their pre -issuance verification calling (PIVC) process. I
understand that if my application/proposal is identified to undergo the PIVC process, issuance of Policy to me will be subjec t to successful
verification and my concurrence of policy features confirmed thereby.
Si gnature of Propos er i s
We request you to complete the understanding of your policy details and confirm by signing the section. ma nda tory
Below are the basic features of the product chosen by you for your reference:
1. Death Benefit Payable: In case of death of the Life Insured during the poli cy term, provided the policy is in force and all due
premi ums have been paid till the date of death, the Death Benefit will be payable immediately on Death.
Dea th Benefit is the Sum Assured on Death, which is the highest of:
11 ti mes Annualized Premium*
105% of a l l premiums paid a s on date of death
Abs olute a mount a ssured to be paid on death equal to the Sum Assured
Sum As sured on Maturity, equal to the Sum Assured under the policy
In a ddition to the death benefit mentioned above, the policy s hall continue a fter the death of the Life Insured till the end o f the
Pol i cy Term with no further premiums to be paid and the Ma turity Benefit s hall continue to be payable to the nominee a t the
ti me of Ma turity a s per the Ma turity Pa yout Option chosen by the Policyholder. The nominee will not have a ny ri ghts or
obl igations except to receive the benefits under the Policy.
2. Maturity Benefit : : In case the Life Insured survi ves till Ma turi ty Da te and all due premiums ha ve been paid, the Ma turity
1. Policy Benefit will be payable to the Policyholder on the date of Ma turity.
Benefits Ma turi ty Benefit is the Sum Assured on Ma turi ty, whi ch is equal to the Sum Assured under the poli cy and will be paid as lump
s um.
The Poli cyholder has the flexibili ty to choose any one option from the two Ma turi ty Pa yout Options , as defined below, to rece i ve
this Ma turi ty Benefi t during the Ma turi ty Pa yout Period. Ma turi ty Pa yout peri od is the period of 4 yea rs from the da te of
ma turi ty. The choice of the options ca n be ta ken either a t policy i nception or at l east 90 da ys before the date of maturity.
a) Flexi Pa yout Option – Flexibility to recei ve Ma turity Benefit as a lumpsum amount a t the end of any yea r duri ng the
Ma turi ty Pa yout period. Depending on the yea r of pa yout chosen, the benefi t will be determined as Flexi Payout
Factor * Sum Assured, where the Flexi Pa yout Factors a re as defined below:
b) Annual Pa yout Option – Ma turi ty Benefi t to be paid as fi ve equal annual pa youts a t the end of every yea r during the
Ma turi ty Pa yout period s ta rting from the da te of maturi ty. Each annual pa yout will be equal to 22% of the Sum
As s ured.
The policyholder ma y choose to ta ke the present value of outs tanding annual pa youts as a lumpsum a mount. The lumpsum shall
be ca l culated as a net present value of outstanding a nnual payouts at a
ra te of 5% p.a .
3. Additional Benefits: Thi s is the optional benefit that ca n be a dded to your basic plan for extra protection.
a)Bharti AXA Life Hospi Cash rider (UIN : 130B007V02): Thi s ri der a llows payment of a fi xed benefit for each day of
hos pitalization and also provi des lump s um benefit i n case of surgery.
b)Bharti AXA Life Accidental Death Benefit Rider (UIN : 130B008V01) : Addi tional Sum As sured is paid out under this
Ri der in case of Death of the Li fe Insured because of a n Acci dent
c)Bharti AXA Life Term Rider (UIN : 130B009V01): - Under this ri der the policyholder can increase the life insurance
covera ge for a nominal premium.
Addi tional premium is required to be paid for these benefits. For more details, please refer the ri der brochure on terms and
condi tions.
The Premium pertaining to health related or critical illness riders shall not exceed 100% of premium under the Base Policy, the
Premiums under all other life insurance Riders put together shall not exceed 30% of premiums under the Base Policy and any
benefit arising under each of the above mentioned Riders shall not exceed the Sum Assured under the Base Policy.
We recommend that you pay your premiums regularly to enjoy all the benefits of the Product. However in case you are not able
to pa y premiums:
2. Non
Before policy has acquired Surrender value, the policy s hall lapse. Lapsation of Policy s hall extinguish all the ri ghts a nd benefits
Payment of
whi ch the policy holder is entitled to under the Policy. No Benefit is Pa yable.
Premiums
After policy has acquired surrender value, the policy wi ll be converted into Paid Up Policy a nd the benefits payable will be
reduced i n accordance to the Paid up Sum Assured.
Bharti AXA Life Insurance Company Limited, Registered Office: Unit No. 1904, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex,
BKC Road, Behind MCA Ground, Bandra East, Mumbai -400051, Maharashtra
www.bharti-axalife.com, IRDAI Regn, No. 130, CIN – U66010M H2005PLC157108 Comp-Jan-2019-3115
Bharti AXA Life Shining Stars UIN: 130N095V01, Bharti AXA Life Hospi Cash Rider UIN: 130B007V02, Bharti AXA Life Accidental Death Benefit
Rider UIN: 130N0B008V01, Bharti AXA Life T erm Rider UIN: 130B009V01
Abacus Ver. 3.6 Page: 5 of 5