Professional Documents
Culture Documents
Mariano MLC
Mariano MLC
Mariano MLC
Congratulations, you are on your way to achieving your dream GOAL in 15 years. Your personalized MyLifeChoice
plan is a peso-denominated, regular-pay investment-linked life insurance plan powered by AXA.
Your plan comes with a living and protection benefits which are summarized below:
Living Benefits
Your Benefit (Account Value)
Protection Benefits
Your Loved Ones (Death Benefit)
This summary page is not part of the contract and is for marketing use only.
Start-Up bonus
AXA also invests with you through the start-up bonus feature. On day 1 of your policy, AXA will add an
equivalent of 70% of your basic annual premium to your investment provided there were no premium
holidays applied and no withdrawals are made before policy years 10, 15 and 25.
The accumulation of your Start-Up bonus will follow the performance of your selected funds and is not
guaranteed. Start-Up Bonus will be vested in your Account Values if premiums are paid on time or
within the grace period, no premium holidays were previously applied and no withdrawals were made.
Global Dynamic
AXA Target Date Fund
Opportunity Fund 0% 0% Allocation Fund PHP – 0%
2030
Stable
Thank you for choosing AXA Philippines. We look forward to being your partner in achieving your unique financial
goals.
Sincerely,
AXA Philippines.
This summary page is not part of the contract and is for marketing use only.
Notes:
1. This summary page is not part of the contract and is for marketing use only.
2. To know the complete details of your MyLifeChoice plan, please refer to the proposal that follows
3. The rates of return shown above, approved by the Insurance Commission, are for illustration purposes only and
do not guarantee future performance. The actual return may differ. You may refer to the Historical Fund
Performance to check the past performance of AXA funds.
4. The illustrated benefits are NET of the following policy charges:
a. Premium charges of 40% of the basic premium from the first up to the fifth years of the Policy; all Top-
Ups shall be subjected to a Top-Up charge of 2%.
b. Cost of Insurance, for the basic plan coverage and supplementary benefits, shall be deducted monthly
from the account value. Plus, Administration Charge of Php1,200 per Policy year.
c. Asset Management Charge may vary depending on the chosen funds(s) plus VAT.
d. Withdrawals (partial and full) are subject to surrender charges of 100%, 100%, 50%, 30%, 10%
respectively during the 1st 5 policy years and 5% from 6th to 10th policy year of the amount withdrawn.
5. Assumptions:
a. The illustrated benefits assume the following:
b. Policy charges are based on the standard risk class without taking into acccount your own circumstances
(example: occupation, heath conditions etc.). Risk class will be determined according to our
underwriting guidelines.
6. Charges for the basic policy and administration charges shall be deducted monthly until the termination of the
policy. Charges for any supplementary benefits/riders shall be deducted monthly until the end the rider coverage.
7. Any withdrawals from the Account Values will correspondingly reduce the Death Benefit payable.
8. Policy charges are not guaranteed and may change subject to prior approval of the Insurance Commission.
9. For policies with Care Rider and/or Critical Condition Rider, pay out benefits are subject to the following
exclusions:
a. Waiting period, prior any commencement of claim, of thirty (30) days for Care Rider and sixty (60) days
for Critical Condition Rider from the effective date of this rider or date of its last reinstatement; or
b. Hospitalizations arising from pre-existing conditions which means a condition (a) for which the Insured
received medical advice, consultation or treatment, or (b) whose signs or symptoms are evident, or
should have been evident to the Insured, even if the Insured did not seek medical advice, consultation or
treatment during the two years preceding the supplement effective date, or reinstatement date, whichever
date is later. “Condition” means any type of illness, specific injury, disease or infirmity including all
underlying or related conditions and any manifestation thereof, whether in one or more than one body
system, that are claimed within twelve months from the Effective Date of this Supplement or date of its
last reinstatement (whichever is later)
(For the complete benefits- and exclusions- list of the riders, you may refer to the policy contract).
10. If after purchasing the variable life insurance contract, you realize that it does not fit your financial needs, you may
return the contract to AXA Philippines within fifteen (15) days from the time you received it. AXA Philippines with
return to you the Account Values and all initial charges.
This summary page is not part of the contract and is for marketing use only.
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Dear MA CRISTINA MARIANO,
Congratulations, you are on your way to achieving your dream GOAL in 15 years.
We are glad you chose MyLifeChoice, a peso-denominated, regular-pay investment-linked life insurance product that will
cater to your savings and protection needs by placing your premiums in expertly managed fund/s while providing you with
insurance coverage.
You can look forward to your goals with a plan that lets you enjoy these benefits:
Account Values at year With assumed fund growth rate at 4.00% 278,303
of goal: Policy Year 15** With assumed fund growth rate at 4.25% 283,897
With assumed fund growth rate at 10.00% 455,348
*Depending on the current market conditions, you may be requested to pay additional premiums, if your Account Values
will not be sufficient to pay for the recurring Policy charges to sustain the plan’s coverage.
**The rates of return shown above, approved by the Insurance Commission, are for illustration purposes only and do not
guarantee future performance. The actual return may differ based on actual market performance on valuation date.
Waiver of Premium
AXA will ensure that your remaining basic premiums will be paid for even if you become totally
and permanently disabled before the age of 60, to ensure that you achieve your goals no
matter what happens.
This is not a deposit product. Earnings are not assured and principal amount invested is exposed to risk of loss. This product
cannot be sold to you unless its benefits and risks have been thoroughly explained. If you do not fully understand this product, do
not purchase, or invest in it.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 1 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Start Up bonus
At the beginning of your Policy effective date, AXA will put in additional amount to your fund
equivalent to 70% of your first year basic annual premium. Start Up Bonus will be vested in
your Account Values if premiums are paid on time or within the grace period, no premium
holidays were previously applied and no withdrawals were made. The longer you maintain
your good savings habits, the higher bonus you will receive.
The accumulation of your Start Up bonus will follow the performance of your selected funds and is
not guaranteed. The unit price that will be used is the NAV of the selected fund/s at the end of each
vesting year.
The benefits of this Policy may be subject to limits, please refer to the notes of your chosen plan’s
inclusions/exclusions/limits. The succeeding pages of this proposal will provide more details on the features and benefits
of MyLifeChoice.
Thank you for your interest in MyLifeChoice. For additional assistance, you may call me at my contact number below or
the AXA Customer Care Hotline No. (02)85815-292.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 2 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Below are important details of your proposal and descriptions of available funds:
TOTAL 25,449.68
You may choose to invest in any of the following funds. If you choose to invest in more than one fund, a minimum allocation
of 10% per fund is required. The total allocation should always be equal to 100%.
a. Opportunity Fund - This equity fund aims to achieve long term growth capital gains and dividends by investing in a
diversified portfolio of equities of Philippine corporations from different industries.
b. Spanish American Legacy Fund - This equity fund aims to achieve medium-to-long-term growth through capital
gains and dividends by investing in a management themed-portfolio comprised of Philippine companies from
different industries with Spanish-American heritage.
c. Chinese Tycoon Fund - This fund aims to achieve medium-to-long-term growth through capital gains and
dividends by investing in a management themed-portfolio reflective of the Chinese-Filipino entrepreneurial spirit
through strategic investment in Philippine companies from different industries.
d. Philippine Wealth Balanced Fund - This balanced fund is designed to achieve long-term growth through both
interest income and capital gains with an emphasis on providing a modest level of risk. It seeks to manage risk by
diversifying asset classes and industry groups through investment in bonds issues by the Philippine government
and equities issued by Philippine corporations comprising the Philippine Stock Exchange index.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 3 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
e. Philippine Wealth Bond Fund - This bond fund is an actively managed fixed income fund that seeks to capitalize
on capital and income growth through investments in interest-bearing securities issued by the Philippine
Government and money market instruments issued by banks.
f. Philippine Wealth Equity Fund - This equity fund seeks to achieve long-term growth of capital by investing mainly
in equities of Philippine corporations comprising the Philippine Stock Exchange index. The fund aims to provide
access to a diversified portfolio of equities from different industries.
g. AXA Target Date Funds 2030, 2035, 2040, 2045 - These funds use (1) long term risk and return assumptions and
(2) estimates of the average client’s risk aversion. As the fund moves closer to the target date, the fund will
rebalance the portfolio to reflect the changing needs and priorities of the average client. The fund will prioritize
growth assets early on in the fund’s life and will move closer to a balanced portfolio with more conservative
investments as it nears the target date.
h. Global Advantage Fund PHP - The Fund seeks to achieve medium – to -long term growth through capital gains
and dividends from stocks of large non-financial companies in the US that comprise the NASDAQ 100 (NDQ) Index
i. Global Dynamic Allocation Fund PHP – Stable - The Fund seeks to provide its investors access to a diversified
portfolio of fixed income securities spread across five major regions in the world while maintaining a lower level of
portfolio risk.
j. Global Dynamic Allocation Fund PHP – Multi Asset - The Fund seeks to provide its investors access to a
diversified portfolio of fixed income and equities securities spread across five major regions in the world maintaining
a moderate level of portfolio risk.
k. Global Dynamic Allocation Fund PHP – Growth - The Fund seeks to provide its investors access to a diversified
portfolio of equities securities spread across five major regions in the world while maintaining a high level of
portfolio risk.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 4 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
SPECIAL FEATURES
Fund switching allows you to manage your investment by choosing from the available
AXA peso-denominated funds. Minimum switch amount is the peso equivalent of
Fund Switch USD 400. Fund switching is allowed any time after the Policy issue date. There will
be eight free switches per year, and you will be charged 1% of the switch amount in
excess of the free.
Top-Ups are additional premium that go directly to your chosen investment fund to
accelerate the growth potential of your Account Values. Top-ups also shares a part
on the calculation of the Minimum Death Benefit.
Your Minimum Death Benefit for any Policy year is equal to the Sum Insured, plus
125% of total Top-Up premiums paid less 125% of total partial withdrawals made.
There are two types of Top-Ups:
Top-Ups · Lump Sum Top-Up - is an additional premium that goes directly to your
chosen investment fund/s which you can do anytime. The minimum Lump
Sum Top-Up amount is PHP 5,000
· Regular Top-Up - is a committed additional premium that goes directly to
your chosen investment fund/s paid together with your regular premium. The
minimum Regular Top-Up amount is PHP 1,000
Your bonus will grow along with your fund and will be added to your Account Values
per the schedule identified in Page 2 of this document. The Start-Up bonus will be
allocated to Your Policy in proportion to the Account Values of each investment fund
Start-Up Bonus relative to the Account Values of Your Policy. The Units to be created will be credited
on the Valuation Dates of the relevant Investment Funds immediately following the
date of the bonus is credited, in accordance with the rules We set from time to time.
You have the option to choose between two Death Benefit options:
· Level Death Benefit - provides Death Benefit equal to the Minimum Death
Benefit or Account Values, whichever is higher.
Increasing or Level Death · Increasing Death Benefit - provides Death Benefit equal to Minimum Death
Benefit options Benefit plus Account Values.
Minimum Death Benefit is equal to the Sum Insured, plus 125% of total Top-Up
premiums paid less 125% of total partial withdrawals made.
You have the option every year to increase your insurance coverage to ensure that
the amount you leave for your loved ones will be protected against inflation.
You can choose to increase your coverage based on the current Consumer Price
Inflation Shield Index subject to a minimum percentage that AXA Philippines may determine from
time to time with no further proof of insurability and with a minimal additional
premium. This offer is only available during your premium paying period.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 5 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
ILLUSTRATION OF BENEFITS
The values indicated below reflects timely payment of premiums depending on your chosen premium payment period. In
addition, you have the option to accelerate the growth potential of your Account Values by paying Top-Up premiums which
go directly to your chosen investment fund/s.
The following table, assuming different rates of return, illustrates your Account Values when premiums are paid in full when
due for the duration of the policy, no unpaid premium (Premium Holiday), no withdrawals, and the current scale of charges
remain unchanged. The illustrated values below are inclusive of the Start-Up Bonus.
Living Benefit Death Benefit Living Benefit Death Benefit Living Benefit Death Benefit
1. Global Dynamic Allocation Peso funds: middle of the projected long-term returns based on 10-year economic
forecast and the historical long-term returns using the benchmark or a comparable index of the fund/s for the past
ten(10) years;
2. Global Advantage Fund Peso: middle of the projected long-term returns based on 10-year economic forecast and
the historical long-term returns of the fund or comparable index for the past fifteen (15) years;
3. Other funds: historical experience of the fund/s in the past three (3) years; and
4. If you have chosen multiple funds, the current rate illustrated is the average rate based on the weight of your
selected fund.
Your Living Benefit will only be withdrawn and be payable to you when you make a formal request to AXA Philippines. If no
request has been made, this Policy shall continue to provide its benefits as long as it is in-force or until the insured reach
age 90.
Your contract term is specified in the illustration of benefits in this proposal. Please refer to the additional notes below
applicable to the illustration of benefits table.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 6 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Notes:
1. This illustration shall form part of the insurance contract once the Policy is issued.
2. These funds and corresponding illustrations are only valid in connection with AXA products solely distributed within
the Philippines
b. Cost of Insurance, for the basic plan coverage and supplementary benefits, shall be deducted monthly
from the illustrated values. Plus, Administration Charge of Php1,200 per Policy year.
c. Asset Management Charge depending on the chosen fund/s, plus VAT and any additional expenses or
charges related to the chosen Investment Fund/s. Please refer to the individual Fund Fact Sheets
available at www.axa.com.ph for more details.
6. The illustrated benefits assume that no withdrawals are made and the current scale of charges remains
unchanged.
7. The illustrated values are still subject to a surrender charge for withdrawals (partial and full) up to the 10th Policy
year. The surrender charge is equal to the amount withdrawn multiplied by surrender factor of
100%/100%/50%/30%/10%/5%/5%/5%/5%/5% for the 1st to 10th Policy years.
8. At the beginning of your Policy effective date, AXA will put in additional amount to your fund equivalent to 70% of
your first year basic annual premium. The schedule of the Start-Up Bonus will be 20%/20%/30% of your first year
basic annual premium on Policy Years 10, 15 and 25, respectively. The accumulation of your Start-Up bonus will
follow the performance of your selected funds and is not guaranteed. Start-Up Bonus will be vested in your
Account Values if premiums are paid on time or within the grace period, no premium holidays were previously
applied and no withdrawals were made.
9. Assumptions:
a. All premiums shown in the illustration of benefits table are paid in full when due and as scheduled. It
assumes the current scale of charges remains unchanged.
b. The proposed policy charges used in this illustration summary are based on the standard risk class without
taking into account your own circumstances (example: occupation, health conditions etc.). Risk class will
be determined according to our underwriting guidelines.
10. Charges for the basic policy and administration charges shall be deducted monthly until the termination of the
policy. Charges for any supplementary benefits/riders shall be deducted monthly until the end of the rider
coverage.
11. Any withdrawals from the Account Values will correspondingly reduce the Death Benefit payable.
12. The investment gains/risks associated with this plan are solely to your account.
13. If after purchasing the variable life insurance contract, you realize that it does not fit your financial needs, you may
return the contract to AXA Philippines within fifteen (15) days from the time you received your policy. AXA
Philippines will return to you the Account Values and all initial charges.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 7 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
SUPPLEMENTARY ILLUSTRATION OF BENEFITS
You may choose to further customize your Policy through placement of Lump-Sum Top-Ups any time and/or scheduled
withdrawals.
Highlighted in the table is the assumed withdrawable Account Values on Policy Year 15 that can be used for your dream
GOAL. If you wish to fully withdraw, the Policy will automatically be terminated together with the insurance coverage and
supplementary benefits.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 8 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Attached Supplements
Summary of the Riders Attached to this Proposal
1. SECURE is an additional coverage for Accidents on top of the life insurance benefit. If the insured, because of
an accident, dies or sustains bodily injury in ways describing below, a percentage of the amount insured by
SECURE will be given based on the following:
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 9 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
We will not pay You any benefit under this Supplement if Your Death, Dismemberment or Loss of Use shall result, directly or indirectly,
wholly or partly, from any of the following causes:
“Pre-existing condition” means a condition (1) for which the Insured received medical advice, consultation or treatment, or (2) whose signs
or symptoms are evident, or should have been evident to the Insured, even if the Insured did not seek medical advice, consultation or
treatment for it, prior to the Effective date of this Supplement or date of effectivity of its last reinstatement, if any. “Condition” means any type
of Bodily Injury as defined in this Supplement.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 10 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
2. CRITICAL CONDITIONS RIDER allows you to protect yourself from the unexpected cost of critical illness. This rider automatically renews
every year with premium rates based on your attained age at the date of renewal.
If you are diagnosed of having any of the following critical illnesses before age 71, AXA will pay the rider Sum Insured. This advanced
benefit will not in any way diminish your basic life insurance coverage.
CRITICAL CONDITIONS RIDER Premiums are payable up to termination age and are renewable annually. The premium rate will depend on
the attained age of the Insured at renewal date. Below is a sample premium schedule for your reference:
#To be eligible to receive a benefit under this Critical Condition, the Insured must be between age 15 and age 75 at the time of first diagnosis.
^To be eligible to receive a benefit under this Critical Condition, the Insured must be above age 5 at the time of first diagnosis.
Notes:
1. The rates shown, if any, are those currently in effect. The rates applicable upon renewal of this Rider will be those in effect
at the date of renewal
2. For a detailed description including exclusions and other provisions, please refer to the rider contract.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 11 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Critical Conditions Rider covers a total of 57 critical conditions. Here is a quick reference for the 16 most common
critical conditions.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 12 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Note: The critical condition must occur 60 days after the policy’s effective date for the corresponding benefit to be payable. Benefits relating to all Critical
Conditions are payable according to the definitions set out in the Rider contract. Pre-existing condition* as defined is permanently excluded.
*Pre-existing condition means a condition (a) for which the Insured received medical advice, consultation or treatment, or (b) whose signs or symptoms are
evident, or should have been evident to the Insured, even if the Insured did not seek medical advice, consultation or treatment for it prior to the Effective Date or
the date of last reinstatement, if any. “Condition” means any type of illness, specific injury, disease, or infirmity including all underlying or related conditions and any
manifestation thereof, whether in one or more than one body system.
Cooling-off Period: You may return or cancel the rider contract within 15 days from the date you receive the contract. You will receive a full refund of your
Premium. No refund can be made when you have already made a claim on your rider.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 13 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
3. CARE pays a specific amount to defray the cost of hospital confinement/admission due to sickness or injury, based on the
following schedule:
CONFINEMENT/ADMISSION BENEFITS
ECONOMY REGULAR SUPERIOR PREMIER
Regular, Superior and Premier plans are entitled to "No Claim" discount equivalent to 15% of the previous year's annual premium if the benefit
is not availed of within the first three(3) consecutive years immediately preceding the current policy year.
CARE Premiums are payable up to termination age and are renewable annually. The premium rate will depend on the
attained age of the Insured at renewal date. Below is a sample premium schedule for your reference:
(1) sickness or disease of the Insured which was contracted and commenced within thirty (30) days from the Effective Date of this
Supplement or date of its last reinstatement; or
(2) hospitalizations arising from pre-existing conditions* as defined in this supplement, that are claimed within twelve months from the
Effective Date of this Supplement or date of its last reinstatement (whichever is later); or
(3) pregnancy, childbirth or miscarriage, sterilization or infertility and any other related treatment of congenital anomalies; or
(4) any drug or alcohol abuse; or
(5) any self-inflicted injury or suicide or any attempt thereat, whether sane or insane; or
(6) cosmetic surgery, eye glasses, corrective aids, and treatment of refractive errors or any optional surgery, unless as a result of Covered
Injury; or
(7) dental surgery except as a result of covered injury; or
(8) general check-up, convalescence, custodial or rest care; or
(9) treatment or surgery for tonsils, adenoids or hernia or a disease peculiar to the female generative organs, unless the Insured has been
continuously covered under this Supplement for a period of one hundred twenty (120) days from its Effective Date or the date of last
reinstatement, whichever is later; or
(10) circumcision; or
(11) any nervous or mental disorder; or
(12) disease or infection with any human immunodeficiency virus (HIV) and/or any HIV-related illness including Acquired Immune
Deficiency Syndrome (AIDS) and/or any mutations, derivations or variations thereof; or
(13) any attempt or commission of assault or unlawful act by the Insured; or
(14) any act of war, declared or not, or while in military, naval or air service for any country at war, declared or not; or
(15) any Confinement for treatment, procedure or other medical services which are not Medically Necessary.
*Pre-existing condition means a condition (a) for which the Insured received medical advice, consultation or treatment, or (b) whose signs
or symptoms are evident, or should have been evident to the Insured, even if the Insured did not seek medical advice, consultation or
treatment during the two years preceding the supplement effective date, or reinstatement date, whichever date is later. “Condition” means any
type of illness, specific injury, disease or infirmity including all underlying or related conditions and any manifestation thereof, whether in one or
more than one body system.
Cooling-off Period: You may return or cancel the supplement contract within 15 days from the date you received the contract. You will
receive a full refund of your Premium. No refund can be made when you have already made a claim on your supplement.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 14 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
4. WAIVER OF PREMIUM waives premium payments in the event you are suddenly unable to work and pay for the premiums
because of a disability. In effect, with a Waiver of Premium supplement, your policy will be allowed to continue as if premiums
are regularly and continuously paid.
The premium term of the supplement for waiver of premium is the same as the premium term of the plan to which the
supplement for waiver of premium is attached.
NOTES:
1. The rates shown, if any, are those currently in effect. The rates may change subject to the approval of the Insurance Commission.
2. For a detailed description of the Supplements, including exclusions and other provisions, please refer to the policy contract.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 15 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 16 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
Notes:
1. The fund figures reflected above are not indicative of future performance. You should be aware that the
price of units per share and the potential income from them may go up or down depending on market
conditions and thus, are not guaranteed.
2. Average Annualized Performance for 1-year, 3-years and 5-years’ intervals shown in the tables above represent
the indicated Fund’s Average Annualized Performance using ANY 1-year interval, 3-years interval and 5-years
interval, respectively since inception of the funds.
3. The figures are exclusive of charges which will vary depending on the AXA Product where this fund will be used.
4. For Global Dynamic Allocation Fund - Stable Peso, Global Dynamic Allocation Fund - Multi Asset Peso, Global
Dynamic Allocation Fund - Growth Peso, and Global Advantage Fund - Peso, returns are dependent on both the
performance of the fund and the currency exchange rate. There's a possibility for an investor to experience
gains or losses due to fluctuations in the underlying fund prices and fluctuations in foreign exchange rates.
Gael Lapie
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 17 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
2. I confirm having read and understood the information presented in this proposal. I also confirm that I will fully
assume all investment gains and/or risks associated with the purchase of this plan. My Financial Advisor/Financial
Executive fully explained to me the features and charges that will be made on my plan, and that the actual variable
plan benefits will reflect the actual investment experience of the separate account into which my fund is invested.
I understand that since the fund performance may vary, the values of my units are not guaranteed and will depend on the
actual performance at that given period and that the value of my Policy could be less than the capital invested. The unit
values of my Variable Life Insurance are periodically published.
I understand that the investment risks under the Policy are to be borne solely by me, as the policyholder.
Data Privacy
Any of my/our personal information collected or held by AXA Philippines (whether contained in the application/s or
otherwise), may be used in connection with matching for whatever purpose with such other personal information and/or
may be used, stored, disclosed, transferred (whether within or outside the Philippines) to such persons as AXA Philippines
may consider necessary, including without limitation but not limited to any of its affiliated or related companies, or any
individuals/organizations corporations/entities associated with AXA Philippines:
a. To process and deal with my application/Policy;
b. To provide all services related to my application/Policy, to promote other products/services by AXA Philippines and
its affiliated or related companies/entities, and to process my information for product development and for
marketing purposes;
c. To communicate with me for any purpose and/or to comply with the laws of any applicable jurisdiction.
I/We understand that we have the right to access our personal information at any time; correct or rectify any information
collected or held by AXA Philippines which are inaccurate, false, or incomplete; object in case of any unauthorized
collections; erase or block information which is incomplete, outdated and false; and such other rights as may be available
under the Data Privacy Act.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 18 of 19
MYLIFECHOICE
Policyowner or Payor: MA CRISTINA MARIANO, 36, Female
Proposed Insured: Ms. MA CRISTINA MARIANO, 36, Female
· I understand that the principal and earnings are not guaranteed and the net asset value per unit (NAVPU) may go
up or down depending on the performance of the separate funds.
· I understand that the funds will be invested in equities and/or bonds or a combination thereof, and will be subject
to changes in market conditions.
· The available funds and the risks that they bear have been thoroughly discussed with me, and I have made my
fund allocation decision based on my own judgement of and tolerance for these risks.
· I understand that I will have zero withdrawal value during the first two years of the Policy because the amount
withdrawn will be subject to 100% surrender charge.
CONFORME:
These declarations and acknowledgements are made with the
knowledge of the AXA representative whose signature appears
below:
· All information and opinions provided are of a general nature and for information purposes only. The information
and any options herein are based upon sources believed to be reliable. AXA Philippines, its officers and directors
make no representations or warranty, expressed or implied, with respect to the correctness, completeness of the
information and opinions in this document. Investment or participation in the Fund/s is subject to risk and possible
loss of principal. Please carefully read the Policy and endorsements and consider the investment objectives, risks,
charges and expenses before investing. You should seek professional advice from your financial, tax, accounting
or legal consultant before making an investment. Past performance is not indicative of future performance.
THIS FINANCIAL PRODUCT OF AXA PHILIPPINES IS NOT INSURED BY THE PHILIPPINE DEPOSIT INSURANCE
CORPORATION (PDIC) AND IS NOT GUARANTEED BY METROBANK NOR PSBANK.
Proposal No: 51330-202207250214-2-02 Plan code: DS9090A / Rider Code: WPUDRR, DSAPUDR, MEB1, CCYRT
Proposal validity:Jul 25, 2022 to Sep 23, 2022
Date of next insurance age: Aug 15, 2022
Version Number: 6.2.0 Page 19 of 19
Reference No. : 51330-202207250214-2-02
· You understand that investing allows for higher returns than savings, but there is a risk that your investments
might yield negative returns and the value of your investments can even be lower than the amount you
invested.
· You understand that diversifying your investments in different asset classes and over different equity funds
reduce the volatility of the average annual returns on your investments.
· You understand that a longer holding period reduces the volatility of the average annual return during the
holding period on your investments.
· You prefer a balance between a probable negative annual return and the possibility of higher average annual
returns over a longer period of time.
I acknowledge that the descriptions above match the risk profile of my intended investment portfolio. I also
acknowledge that the recommended fund allocation ranges resulting from my investment portfolio risk profile is only
intended as reference to help me assess my investment portfolio’s risk appetite and investment objectives.
WAIVER FOR RISK PORTFOLIO RE-CLASSIFICATION (For Clients Investing in Products with Different Risks)
I waive the results of my investment portfolio risk profile assessment and have decided to invest instead in another
investment fund or a combination investment funds which falls outside of the recommended fund allocation ranges
indicated by my investment portfolio risk profile.
I acknowledge that my fund allocation represents the Investment Policy of my portfolio. I have carefully read and
understood the investment objective(s) of my selected fund(s) as well as the risk(s) that it(they) bear(s).
Conforme:
Dear MA CRISTINA,
Thank you for providing us with relevant information with regards to your financial needs.
Based on your current financial situation, which includes, among others, your personal
monthly gross income of 30,000.00, and after taking into consideration your objectives, risk
profile and priorities, you have selected MyLifeChoice for your Major Investment need.
The details of your insurance coverage and your insurance premium are summarized in your
MyLifeChoice sales illustration.
This document is not intended to be a part of your sales illustration of your application form. This is a
summary of the financial needs that you have provided during assessment by your distributor.